Malignant: How Bad Policy and Bad Evidence Harm People with Cancer
Vinayak K. Prasad - 2020
Some of these drugs are truly transformative, offering major improvements in how long patients live or how they feel--but what is often missing from the popular narrative is that, far too often, these new drugs have marginal or minimal benefits. Some are even harmful. In Malignant, hematologist-oncologist Dr. Vinayak K. Prasad writes about the many sobering examples of how patients are too often failed by cancer policy and by how oncology is practiced. Throughout this work, Prasad illuminates deceptive practices which- promote novel cancer therapies long before credible data are available to support such treatment; and- exaggerate the potential benefits of new therapies, many of which cost thousands and in some cases hundreds of thousands of dollars.Prasad then critiques the financial conflicts of interest that pervade the oncology field, the pharmaceutical industry, and the US Food and Drug administration.This is a book about how the actions of human beings--our policies, our standards of evidence, and our drug regulation--incentivize the pursuit of marginal or unproven therapies at lofty and unsustainable prices. Prasad takes us through how cancer trials are conducted, how drugs come to market, and how pricing decisions are made, asking how we can ensure that more cancer drugs deliver both greater benefit and a lower price. Ultimately, Prasad says,- more cancer clinical trials should measure outcomes that actually matter to people with cancer;- patients on those trials should look more like actual global citizens;- we need drug regulators to raise, not perpetually lower, the bar for approval; and- we need unbiased patient advocates and experts.This well-written, opinionated, and engaging book explains what we can do differently to make serious and sustained progress against cancer--and how we can avoid repeating the policy and practice mistakes of the past.
The E-Myth Physician: Why Most Medical Practices Don't Work and What to Do About It
Michael E. Gerber - 2003
Gerber, bestselling author of The E-Myth Revisited shares his powerful insights to lead independent physicians to successful practices and enriched lives.Michael Gerber has dedicated much of his professional life to the study of entrepreneurship and business dynamics. His E-Myth Academy is renown in the entrepreneurial world for its business insight and guidance as well as its inspirational advice.In the E-Myth Physician, bestselling author Gerber returns to his roots in order to provide indispensable advice to doctors who own and run their own practices. Gerber provides excellent business insights into topics such as streamlining systems, effective small-business management practices, healthy patient relations and managing cash flow, all with the goal of freeing physicians from the daily grind of running a business and leading them to a happier and more productive life while doing the job they love - practising medicine.
One Life, One Love
Rochak Bhatnagar - 2012
Nevertheless, it is also the most complex and yet to be understood emotion. Ask anyone what love is? And the most common answer you would get is,"it is a feeling which cannot be completely defined". Strange but true. An emotion which in the history of mankind has changed destinies and shaped millions of lives is still not fully comprehended.But, if you ask this question to 'Rishi Sinha' the only answer you will get is 'Ananya Tripathi'. Life has completely changed since the day he confessed his love for her. Romantic dates, late night phone calls and never ending SMS's. A 'happy go lucky couple', madly and completely in love.Everything was going on smooth until one day, when Rishi is put into a National Level competition with 'Pragya'… his screwed up past and the biggest mistake of his life. He has no choice but to represent his college with Pragya and of course win the title too.Rishi tells Ananya about the competition, who, like a mature girl understands his condition and has no objection in his working with her. But, fate has something else in store for him. Now Rishi is in a dilemma. On one side is 'Ananya', the love of his life and on the other side is 'Pragya', a dying and needy friend. On one side is his most ruined past, while on the other his present, his future. He has to choose between the two. Whom will he choose?'One Life, One Love' is a tale of 'Love' and 'Friendship' along with some social issues like 'Prostitution', 'Mafia', 'Live in' and 'Gambling' which we talk and read about daily but never realise how intense they are. Will Rishi be able to take the right decision and save his relationship?What has Rishi's fate in store for him? All your answers lie here, in this emotional yet witty tale by Rochak Bhatnagar…
Fundamentals of General, Organic, and Biological Chemistry
John McMurry - 1992
Effectively coversthe essentials of allied health chemistry without excessive andunnecessary detail. Puts chemistry in the context of everyday life.Covers biochemistry thoroughly to allow for flexible treatment andplaces emphasis on its relevance to society. Updates and expandscontent throughout in topics such as DNA, genomics, chemicalmessengers, the new food pyramid, and the modern view of nucleicacid chemistry and protein synthesis. Revises illustrations throughoutfor increased effectiveness. Redesigned diagrams and bulleted lists fora clearer layout.
Lives in the Balance: Nurses' Stories from the ICU
Tilda Shalof - 2009
From cardiac, medical, surgical, and trauma units, these nurses share their experiences of caring for critically ill patients after major surgery, illnesses, accidents, traumas, and even multiple-organ failure. These skilled professionals impart their knowledge and insights, along with accounts of the many challenges, stresses, joys, and dilemmas they face in the ICU. The intense emotional and psychological issues that patients, families — and the nurses, themselves — undergo are also explored. This fascinating collection allows us to peer over the shoulders of nurses while they provide life-saving care to patients.
Don't Lose Your Mind, Lose Your Weight
Rujuta Diwekar - 2009
; 20 cm.
Total Quality Management
Dale H. Besterfield - 1994
* NEW-Provides four new chapters on: * Failure Mode and Effect Analysis (FMEA). * Total Productive Maintenance (TPM). * ISO 14000. * Management Tools. FEATURES * Covers the principles and practices that make up the backbone of TQM, with insightful analyses of such areas as: * Leadership (i.e., the role of senior management, core values, seven habits of highly effective people, communication, and strategic planning). * Customer satisfaction (including their perception of quality, feedback, and translating needs into requirements). * Employee involvement (motivation, empowerment, team training, unions, and more). * Performance measures (its basic concepts, quality costs). * Fully explores TQMs tools and techniques, with informativ
Netter's Anatomy Flash Cards [with Student Consult Online Access]
John T. Hansen - 2011
This 4th Edition contains full-color illustrations from Netter's Atlas of Human Anatomy, 6th Edition paired with concise text identifying those structures and reviewing relevant anatomical information and clinical correlations. Online access at studentconsult lets you review anatomy from any computer, plus additional "bonus" cards and over 300 multiple-choice questions.A perfect study aid and complement to Netter's Clinical Anatomy, 3rd Edition?concise text and the Netter/Atlas of Human Anatomy, 6th Edition.Netter. It's how you know.
Slow Dancing with a Stranger: Lost and Found in the Age of Alzheimer's
Meryl Comer - 2014
With harrowing honesty, she brings readers face to face with this devastating condition and its effects on its victims and those who care for them. Detailing the daily realities and overwhelming responsibilities of caregiving, Comer sheds intensive light on this national health crisis, using her personal experiences—the mistakes and the breakthroughs—to put a face to a misunderstood disease, while revealing the facts everyone needs to know.Pragmatic and relentless, Meryl has dedicated herself to fighting Alzheimer’s and raising public awareness. “Nothing I do is really about me; it’s all about making sure no one ends up like me,” she writes. Deeply personal and illuminating, Slow Dancing With a Stranger offers insight and guidance for navigating Alzheimer’s challenges. It is also an urgent call to action for intensive research and a warning that we must prepare for the future, instead of being controlled by a disease and a healthcare system unable to fight it.
Stop the Thyroid Madness II: How Thyroid Experts Are Challenging Ineffective Treatments and Improving the Lives of Patients
Janie A. BowthorpeBenjamin Lynch - 2014
Created by the dynamic Janie A. Bowthorpe M.Ed, the patient-to-patient STTM revolution birthed life-changing hypothyroid treatment knowledge and protocols to counter decades of treatment mismanagement due to the use of inferior medications, the wrong lab work, and a poor understanding of symptoms. Now, as Editor, Ms. Bowthorpe brings the reader this acclaimed and brilliant second book, Stop the Thyroid Madness II, authored by over a dozen insightful medical professionals. Each practitioner brings years of excellence and insight into their chapters, not only complimenting what informed thyroid patients have learned, but offering deeper wisdom and knowledge. You'll read about the functional and holistic approach to thyroid disease, how stress affects the thyroid patient, the superior treatment of natural desiccated thyroid, why the TSH lab test is inadequate, what "normal" really doesn't mean when it comes to lab work, the importance of nutrition in regaining health and well-being, all about the autoimmune Hashimoto's version of hypothyroidism, why doctors are the way they are and how to relate to them, gluten and nutritional issues, thyroid toxicity and how to counter those toxins, the Reverse T3 problem, how MTHFR and methylation blockages can affect thyroid patients, and an understanding of why so many thyroid patients end up with low cortisol, aka hypocortisolism.
Satellite Communications
Timothy Pratt - 1986
Includes chapters on orbital mechanics, spacecraft construction, satellite-path radio wave propagation, modulation techniques, multiple access, and a detailed analysis of the communications link.
ಮಂದ್ರ [Mandra]
S.L. Bhyrappa - 2002
Though it takes its theme from the classical question of art versus morality, many more subtler and complex issues haunting human life are marvelously interwoven. Rooted deeply in the harsh realities of the world, the governing theme evolves like a banyan tree in all directions and pictures many home-truths that are inseparable with art, artist, art-tradition, art-criticism and the world of connoisseurs.