Now in its sixth edition, this classic text continues its long-standing tradition of offering unparalleled guidance in the development of pharmaceutical care plans. The book provides a unique process of thinking about pharmacotherapy the process which uses evidence-based approaches to the drug treatment of diseases. Features: *FREE Online Resource Center for professors and students - study materials, web chapters, questions and answers, and updates *NEW Key Concepts begin each chapter *Excellent use of algorithms, tables, and charts - provides clear recommendations *"Clinical Controversies" in the treatment sections of disease-oriented chapters

    This popular Blueprints book has been refined and updated while keeping the concise, organized style and clinical high-yield content of previous editions. Features include USMLE-style questions and answers with full explanations; Key Points in every section; and a color-enhanced design that increases the usefulness of figures and tables.This edition's completely revised art program includes many additional illustrations. Each chapter in this edition ends with evidence-based references (journals) for students to do additional reading/research.

    Curiously, though, no one filled out a birth certificate that day. When the certificate was finally filed on November 5, the name on it was Rudolph Andrew Alaniz. Within less than one month after her birth, this girl became a boy.” Every year in the United States, more than two thousand children are born with an intersex condition or disorder of sex development. What makes someone a boy or a girl? Is it external genitalia, chromosomes, DNA, environment, or some combination of these factors? Not even doctors or scientists are entirely clear. What is clear is that sex is not an either-or proposition: not girl/boy, XX/XY, switching between two poles like an on-off switch on a radio. Rather, sex is like the bass and treble knobs on that radio. Between XX and XY provides a fascinating look at the science of sex and what makes people male or female. There are people born XXY, XXXY, or XXXXY, or with any number of variations in X or Y chromosomes, but those who do not fit into society’s preconceived notions about sex often face a difficult path in life. Dr. Callahan explores why humans are so attached to the idea of two sexes, and examines our obsession with sex and sexual intercourse through the ages.

    This critically acclaimed biography offers an unprecedented look at William Masters and Virginia Johnson, their pioneering studies on intimacy, and their lasting impact on the love lives of today's men and women.

    It presents practical, clinically-oriented content across a range of topics: quick find features, portability, functionality, and more of the commonly-used clinical information.

    In the intervening years, Herman’s volume has changed the way we think about and treat traumatic events and trauma victims. In a new afterword, Herman chronicles the incredible response the book has elicited and explains how the issues surrounding the topic have shifted within the clinical community and the culture at large. Trauma and Recovery brings a new level of understanding to a set of problems usually considered individually. Herman draws on her own cutting-edge research in domestic violence as well as on the vast literature of combat veterans and victims of political terror, to show the parallels between private terrors such as rape and public traumas such as terrorism. The book puts individual experience in a broader political frame, arguing that psychological trauma can be understood only in a social context. Meticulously documented and frequently using the victims’ own words as well as those from classic literary works and prison diaries, Trauma and Recovery is a powerful work that will continue to profoundly impact our thinking.

     Stacey explores the common areas that women with Hashi's struggle: like perfectionism and self-rejection -- and common past experiences -- like abuse or injury. Stacey inspires women to look at their lives, and Hashimoto's differently, and to use this diagnosis as an opportunity for inner healing, greater happiness, and loving themselves.

    In the months and years that followed, he recorded weekly update videos about the physical and emotional changes he experienced. Skylar's openness and positivity attracted thousands of viewers, who followed along as his voice deepened and his body changed shape. Through surgeries and recovery, highs and lows, from high school to college to the real world, Skylar welcomed others on his journey. Before I Had the Words is the story of what came before the videos and what happened behind the scenes. From early childhood memories to the changes and confusion brought by adolescence, Skylar reflects on coming of age while struggling to understand his gender. As humorous as it is heartbreaking and as informative as it is entertaining, this memoir provides an intimate look at the experience of transitioning from one gender to another. Skylar opens up about the long path to gaining his family's acceptance and to accepting himself, sharing stories along the way about smaller challenges like choosing a new name and learning to shave without eyebrow mishaps. Revealing entries from the author's personal journals as well as interviews with his mother, brother, and friends lend remarkable depth to Skylar's story. A groundbreaking chronicle of change, loss, discovery, pain, and relief, Before I Had the Words brings new meaning to the phrase "formative years."

    Sometimes it’s simple and treatable. Other times we get news we can’t fathom, and then are faced with decisions that are literally life and death. How do we decide?In this revolutionary book, practicing physician, behavioural scientist, and bioethicist Peter Ubel reveals how hidden dynamics in the doctor-patient relationship keep us, and our loved ones, from making the best medical choices. From doctors who struggle to explain, to patients who fail to properly listen, countless factors alter the course of our care, causing things to go seriously awry.Dr Ubel has been on both ends of the stethoscope and Critical Decisions will forever change the way we communicate at a time where thoughtful decision-making matters the most.Praise for Critical Decisions:‘The doctor’s office is the worst place to make a mistake. As a physician and a social scientist, Peter Ubel is unparalleled in his understanding of some of the most important decisions we are all facing, or will face.’Dan Ariely, author of Predictably Irrational‘Peter Ubel is a top notch scientist and writer. His ideas are important, his stye is accesible (with the right balance of humour and compassion) and his topic is timely. We need someone like Peter, no—we need Peter—to help us sort out how patients and their doctors can better work together to make these important decisions.’Dan Gilbert, author of Stumbling on Happiness‘The time is right for a book exploring the moral and psychological “mess” that often characterises the doctor/patient relationship. And Peter Ubel has a unique perspective on how to fix this mess. This book could easily become required reading in medical schools. But patients (and aren’t all of us potential patients?) need to read this book too. Required reading in waiting rooms? We can hope.’Carl Elliot, author of Better Than Well

    There was atime when this revered organization ranked among the lowest in the country in this area. Within ten years, however, it had climbed to among the highest and has emerged as the thought leader in the space.How did Cleveland Clinic turn itself around so effectively and so quickly?More important, how can you do the same with your organization?In gripping, visceral, on-the ground fashion, Service Fanatics reveals the strategies and tactics the Clinic applied to become one of today's leading patient-experience healthcare organizations--methods that seamlessly translate to any business seeking to improveits customer experience. This strategic guide covers:How the Clinic's leaders redefined the concept of patient experience and developed a strategy to improve itCritical lessons learned regarding organization, recruitment, training, and measuring service excellenceWays in which the Clinic aligned its entire workforce around its Patients First strategyHow leaders improved the critical element of physician communicationRather than view patients simply as sick people who need treatment, Cleveland Clinic sees them also as important stakeholders in the organization's success. Patients are customers--who desire, pay for, and deserve the best possible care and experience during what is often a challenging time in their lives.Featuring customer service case studies, as well as invaluable insight from C-level executives at top corporations in various industries, Service Fanatics provides actionable lessons for any manager and business leader beyond healthcare.Whether you run a healthcare institution, nonprofit, or for-profit business, Service Fanatics will help you create the kind of customer experience that promises to transform your organization into an industry powerhouse.

    It contains important, uncensored information that many doctors don't even know. It includes significant studies, several case histories detailing vaccine-induced damage to children, and pinpoints for parents exact conditions that may put their own child at high risk. In addition, health alternatives are offered, along with legal options to mandatory shots. It contains 30 graphs and diagrams plus more than 900 footnotes and scientific references so that all of the information may be confirmed. Parents, educators, health professionals, and other concerned individuals have very few sources of information permitting them to make informed choices. But concerned parents are pleading for answers to their many questions. Doctors only tell them one side of the story; there is another side. This book helps concerned people make wise and responsible decisions. Includes information on ALL childhood shots, plus current data on HPV (cervical cancer), shingles, smallpox, and influenza vaccines. This book has been translated into many foreign languages. Over 200,000 copies sold!

    Since the 1950s, standard treatment has involved determining a sex for these infants and performing surgery to normalize the infant’s genitalia. Over the past decade intersex advocates have mounted unprecedented challenges to treatment, offering alternative perspectives about the meaning and appropriate medical response to intersexuality and driving the field of those who treat intersex conditions into a deep crisis. Katrina Karkazis offers a nuanced, compassionate picture of these charged issues in Fixing Sex, the first book to examine contemporary controversies over the medical management of intersexuality in the United States from the multiple perspectives of those most intimately involved. Drawing extensively on interviews with adults with intersex conditions, parents, and physicians, Karkazis moves beyond the heated rhetoric to reveal the complex reality of how intersexuality is understood, treated, and experienced today. As she unravels the historical, technological, social, and political forces that have culminated in debates surrounding intersexuality, Karkazis exposes the contentious disagreements among theorists, physicians, intersex adults, activists, and parents—and all that those debates imply about gender and the changing landscape of intersex management. She argues that by viewing intersexuality exclusively through a narrow medical lens we avoid much more difficult questions. Do gender atypical bodies require treatment? Should physicians intervene to control the “sex” of the body? As this illuminating book reveals, debates over treatment for intersexuality force reassessment of the seemingly natural connections between gender, biology, and the body.

    After years of failed diets Dr Nadja Hermann weighed over 23 stone at the age of 30. All her life, she had heard and read about hundreds of reasons why diets wouldn't work for her. But when her weight started to seriously affect her health, she took a hard look at the science and realised that most of what she believed about dieting was a myth. What was more, those very myths were preventing her from losing weight.Forget clean eating, paleo, or fasting — it was conquering these elements of ‘Fat Logic’ that finally led to Hermann achieving a healthy weight. One and a half years later, she weighed 10 stone, and has maintained that weight to this day. Now, using humour, the insight she’s acquired, and a dose of science, Hermann debunks widespread lies about weight loss, and shows how it is possible to attain a healthy weight.

    You'll experience the rush of adrenaline and the pain of loss. You'll go beyond the lights and sirens to witness the instinct of intelligence, the courage and commitment that makes the EMT an unsung hero in one of the most vital and compelling medical dramas of our time.

    She witnesses nurses drawing straws to see who would tend to the patient inside, all of them reluctant to enter the room. Out of impulse, Ruth herself enters the quarantined space and immediately begins to care for the young man who cries for his mother in the last moments of his life. Before she can even process what she's done, word spreads in the community that Ruth is the only person willing to help these young men afflicted by AIDS, and is called upon to nurse them. As she forges deep friendships with the men she helps, she works tirelessly to find them housing and jobs, even searching for funeral homes willing to take their bodies - often in the middle of the night. She cooks meals for tens of people out of discarded food found in the dumpsters behind supermarkets, stores rare medications for her most urgent patients, teaches sex-ed to drag queens after hours at secret bars, and becomes a beacon of hope to an otherwise spurned group of ailing gay men on the fringes of a deeply conservative state.Throughout the years, Ruth defies local pastors and nurses to help the men she cares for: Paul and Billy, Angel, Chip, Todd and Luke. Emboldened by the weight of their collective pain, she fervently advocates for their safety and visibility, ultimately advising Governor Bill Clinton on the national HIV-AIDS crisis.This deeply moving and elegiac memoir honors the extraordinary life of Ruth Coker Burks and the beloved men who fought valiantly for their lives with AIDS during a most hostile and misinformed time in America.