From distressed small communities in Central Appalachia to wealthy suburbs; from disparate cities to once-idyllic farm towns; it's a heartbreaking trajectory that illustrates how this national crisis has persisted for so long and become so firmly entrenched. Beginning with a single dealer who lands in a small Virginia town and sets about turning high school football stars into heroin overdose statistics, Macy endeavors to answer a grieving mother's question-why her only son died-and comes away with a harrowing story of greed and need. From the introduction of OxyContin in 1996, Macy parses how America embraced a medical culture where overtreatment with painkillers became the norm. In some of the same distressed communities featured in her bestselling book Factory Man, the unemployed use painkillers both to numb the pain of joblessness and pay their bills, while privileged teens trade pills in cul-de-sacs, and even high school standouts fall prey to prostitution, jail, and death.Through unsparing, yet deeply human portraits of the families and first responders struggling to ameliorate this epidemic, each facet of the crisis comes into focus. In these politically fragmented times, Beth Macy shows, astonishingly, that the only thing that unites Americans across geographic and class lines is opioid drug abuse. But in a country unable to provide basic healthcare for all, Macy still finds reason to hope-and signs of the spirit and tenacity necessary in those facing addiction to build a better future for themselves and their families.

    The truth is that modern life is extremely stressful; there are many demands on your time and never enough hours in the day. However, being at the end of your tether, worn out and overwhelmed is not the same as having a mental disorder. In fact mental health covers a wide range of illnesses including those which most people are aware of, such as Schizophrenia (which is classed as a psychotic disorder). What you may not be aware of is the number of people who have personality disorders and the reasons for these disorders. Most people are not diagnosed until into their twenties and symptoms will naturally reduce in their forties or fifties. Knowing the difference between the various mental illnesses is essential to ensure you know when a friend or loved one needs professional help as opposed to just your care and attention. This book will guide you through the differences between personality disorders, mental disorders and psychotic disorders. It will help you to understand the different elements of a personality and how you can test your friends to find out which personality type they are. It will even enlighten you as to the basic traits of each of the sixteen personality types, according to the Myers Briggs Personality test. Reading this book will enlighten you as to the names and details of the nine main personality disorders, how to recognize the symptoms of each of these disorders and the best way to treat them. It is important to use this book as a guide to understanding these illnesses and to learn the best way to help and support anyone you know who is suffering from a personality disorder. However, a diagnosis must always be confirmed by a medical professional who will ensure treatment is available. Many people who have a mental health issue will not recognise the issue in themselves; this book will ensure you understand each condition and can help your loved one to get the appropriate treatment. Everyone deserves the chance to have a happy, fulfilling and balanced life. Read this and help those around you have that chance!

    Kellyann's Bone Broth Diet and The 10-Day Belly Slimdown is back with her quickest, most effective plan yet: a detoxifying and nourishing cleanse program that liberates every cell of your body from poisons that make you sick, tired, and overweight     Even when you think you are eating and living healthfully, your body naturally becomes depleted over time, making it even more difficult to lose weight and maintain the energy and vitality you need to get through the day. This is something Dr. Kellyann Petrucci experienced firsthand in 2017 while she was writing her last book, doing nonstop TV appearances, and running her business. She gained 20 pounds, her hormones went haywire, and she was at a loss for how to turn things around. She decided it was time to hit the reset button and created her simplest plan yet, specifically designed to help the millions of women who are overweight, overworked, and overextended get reenergized both physically and mentally.      This is a comfortable, incredibly powerful 5-day cleanse protocol that resets your metabolism, giving you the kind of quick, confidence-boosting results you need to get back on a healthy track. The power ingredient in the Cleanse & Reset is collagen, which improves skin elasticity and brings back that coveted youthful glow, eases joint pain, heals leaky gut, supports weight management, and has anti-inflammatory properties. The healing and reparative smoothies, shakes, soups, and bone broth blends that you’ll enjoy on the 5-day cleanse are packed with collagen and can be adapted to any diet, with a focus on modifying the cleanse for the keto diet (along with great collagen alternatives for vegetarians and vegans!). The program also includes an optional 1-day “keto push” that you can follow for an extra boost the day before you begin your cleanse. Dr. Kellyann's Cleanse & Reset will help you slim your body, deep-cleanse your cells, and reclaim your energy and focus so you can start feeling truly good again.

    Carbs Cals

    From the routine to the unexpected, How to Be a Patient is your ultimate guide to better healthcare.Let’s face it: nobody likes going to the doctor. It can be uncomfortable, nerve wracking, expensive—and that’s just for routine care! When it’s an emergency—how do you choose between the ER, Urgent Care, or waiting-until-Monday? And for everything in between, how do you get an accurate diagnosis and timely treatment when something is off? In How to Be a Patient, registered nurse and outspoken public health advocate Sana Goldberg provides readers with an honest guide to the complicated and often-intimidating medical landscape.At once a quick-reference pocket guide and a lifelong framework for approaching your healthcare, this invaluable resource empowers readers to take charge of their wellbeing. It lifts the veil on a complicated, fractured system, giving patients the tools communicate with its players and sidestep its most vexing realities. Warm and trustworthy, Goldberg’s advice is as expert as it is easy-to-understand, as she calls on years of first-hand nursing experience to help readers confront challenges, take advantage of opportunities, and maximize insurance resources while fending off hidden fees that slip by unnoticed.From setting yourself up when all is well and making the most of routine appointments, to understanding hospital culture for a more positive experience, How to Be a Patient is relevant for readers at any age. With sections including When It’s An Emergency, When It’s Chronic, When You Have to Stand Up to Insurance, and When It’s Your Person, Goldberg ensures patients have what they need in their hands to feel informed and confident as they move through the world of modern medicine.Containing glossaries of medical jargon, lists of free, essential screenings and unnecessary medical tests, as well as helpful appendices to assist patients in tracking their family history, prescriptions, and more, How to Be a Patient is a must-have book for anyone invested in their long-term health.

    Marcia Angell had a front-row seat on the appalling spectacle of the pharmaceutical industry. She watched drug companies stray from their original mission of discovering and manufacturing useful drugs and instead become vast marketing machines with unprecedented control over their own fortunes. She saw them gain nearly limitless influence over medical research, education, and how doctors do their jobs. She sympathized as the American public, particularly the elderly, struggled and increasingly failed to meet spiraling prescription drug prices. Now, in this bold, hard-hitting new book, Dr. Angell exposes the shocking truth of what the pharmaceutical industry has become–and argues for essential, long-overdue change.Currently Americans spend a staggering $200 billion each year on prescription drugs. As Dr. Angell powerfully demonstrates, claims that high drug prices are necessary to fund research and development are unfounded: The truth is that drug companies funnel the bulk of their resources into the marketing of products of dubious benefit. Meanwhile, as profits soar, the companies brazenly use their wealth and power to push their agenda through Congress, the FDA, and academic medical centers.Zeroing in on hugely successful drugs like AZT (the first drug to treat HIV/AIDS), Taxol (the best-selling cancer drug in history), and the blockbuster allergy drug Claritin, Dr. Angell demonstrates exactly how new products are brought to market. Drug companies, she shows, routinely rely on publicly funded institutions for their basic research; they rig clinical trials to make their products look better than they are; and they use their legions of lawyers to stretch out government-granted exclusive marketing rights for years. They also flood the market with copycat drugs that cost a lot more than the drugs they mimic but are no more effective.The American pharmaceutical industry needs to be saved, mainly from itself, and Dr. Angell proposes a program of vital reforms, which includes restoring impartiality to clinical research and severing the ties between drug companies and medical education. Written with fierce passion and substantiated with in-depth research, The Truth About the Drug Companies is a searing indictment of an industry that has spun out of control.

    Bestselling author Pamela H. Hansen has received thousands of letters and emails from people struggling with issues of body image and self- worth. Her new book confronts society's obsession with the perfect body and examines the destructive belief that physical appearance determines worth. This spiritually sound approach to developing a healthy body image will change the way you think about yourself and others.

    Learn what the different types of classes are like, how to thrive in your clinical rotations, master test-taking strategies and discover the author's own unique system for approaching patient care. With The Nursing School Thrive Guide, you'll start the semester ahead of the curve, with the tools you need to hit the ground running when classes start. Follow the system outlined in this book, and you'll be an organized, confident nursing student...guaranteed. Maureen Osuna is a critical care nurse with a passion (more like obsession) for mentoring nursing students and is owner of the website www.straightanursingstudent.com.

    and trying, and trying some more? How far do you go to achieve your dream of having children?So Close is the heart wrenching, exhilarating, devastatingly funny story of Tertia Albertyn's battle with infertility. Tertia wanted a baby so badly she went through nine IVFs. Most people give up after the third.I don't think I am being brave at all. I am just too terrified NOT to try again.In her worst nightmare she could never have imagined that making a baby would take her four years, each treatment bringing her and her husband Marko closer and closer to creating their family.During Tertia's journey everything that can go wrong does go wrong. Until, finally, everything goes just right.Tertia is as hilarious as she is irrepressible, as approachable as she is knowledgeable. If you are struggling with infertility, have triumphed over infertility or have felt empathy with someone who is going through this experience, you will find a friend in Tertia.

    A 24/7 non stop medical roller coaster of thrills, pills, and nasty spills. We've got fights, bites, and flashing lights. Think you've heard it all? Think again. Get ready for the all the over the top stories I still don't believe and the patients that come with them.

    Paul Farmer, a physician and anthropologist with twenty years of experience working in Haiti, Peru, and Russia, argues that promoting the social and economic rights of the world’s poor is the most important human rights struggle of our times. With passionate eyewitness accounts from the prisons of Russia and the beleaguered villages of Haiti and Chiapas, this book links the lived experiences of individual victims to a broader analysis of structural violence. Farmer challenges conventional thinking within human rights circles and exposes the relationships between political and economic injustice, on one hand, and the suffering and illness of the powerless, on the other.Farmer shows that the same social forces that give rise to epidemic diseases such as HIV and tuberculosis also sculpt risk for human rights violations. He illustrates the ways that racism and gender inequality in the United States are embodied as disease and death. Yet this book is far from a hopeless inventory of abuse. Farmer’s disturbing examples are linked to a guarded optimism that new medical and social technologies will develop in tandem with a more informed sense of social justice. Otherwise, he concludes, we will be guilty of managing social inequality rather than addressing structural violence. Farmer’s urgent plea to think about human rights in the context of global public health and to consider critical issues of quality and access for the world’s poor should be of fundamental concern to a world characterized by the bizarre proximity of surfeit and suffering.