Written and edited by ten climber-physicians who specialize in various fields of medicine, this fully updated edition offers expert information on preventing, diagnosing, and treating major and minor medical emergencies in the backcountry.

    Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced.This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation’s drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry’s own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible. This is a passionate and provocative call for action as well as a compelling work of clear-headed science.From the Hardcover edition.

    

    Your brain can't function. You are asked to make decisions about treatment almost immediately, when you are not in your right mind. And yet you pull yourself together and start asking questions. Beside you is your doctor, whose job it is to solve the awful puzzle of bone marrow gone wrong. The two of you are in it together. In When Blood Breaks Down, Mikkael Sekeres, a leading cancer specialist, takes readers on the journey that patient and doctor travel together.Sekeres, who writes regularly for the Well section of the New York Times, tells the compelling stories of three people who receive diagnoses of adult leukemia within hours of each other: Joan, a 48-year-old surgical nurse, a caregiver who becomes a patient; David, a 68-year-old former factory worker who bows to his family's wishes and pursues the most aggressive treatment; and Sarah, a 36-year-old pregnant woman who must decide whether to undergo chemotherapy and put her fetus at risk. We join the intimacy of the conversations Sekeres has with his patients, and watch as he teaches trainees. Along the way, Sekeres also explores leukemia in its different forms and the development of drugs to treat it--describing, among many other fascinating details, the invention of the bone marrow transplant (first performed experimentally on beagles) and a treatment that targets the genetics of leukemia.The lessons to be learned from leukemia, Sekeres shows, are not merely medical; they teach us about courage and grace and defying the odds.

    Highlights of this edition include a brief glossary of key neuroanatomical structures and disease states; addition of an icon to more clearly identify the Clinical Correlations sections; an appendicized table of common neurological lesions; expanded figure legends that identify clinically relevant anatomical relationships; an improved, expanded index; and modified text and figure legends to comply with Terminologia Anatomica.A companion Website will offer bonus USMLE-style questions.

    Gerard, PhD, its chief learning officer, candidly describe the triumphs and stumbles of a seven-year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved $27 million dollars in costs without layoffs. Find out:> How lean techniques of value-stream-mapping and rapid improvement events cut the average “door-to-balloon” time for heart attack patients at two hospitals from 90 minutes to 37.> What ThedaCare leaders did to replace medicine’s “shame and blame” culture with a lean culture based on continuous improvement and respect for people.> How the lean principle of “building in quality at the source” broke down divisions among medical specialties allowing teams to develop patient care plans faster.> Why traditional modern management is the single biggest impediment to lean healthcare.> How the plan-do-study-act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to six.> How the lean concept of “one piece flow” saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89%.> How senior leaders at other healthcare organizations can begin their own lean transformations using a nine-step action plan based on what ThedaCare did — and what it would do differently.Toussaint and Gerard prove that lean healthcare does not mean less care. On the Mend shows that when care is truly re-designed around patients, waste and errors are eliminated, quality improves, costs come down, and healthcare professionals have more time to spend with patients, who get even better care.

    Things seem to be going well, but then some uninvited guests arrive: Edward might not make it home on time.

    Kopits takes me into an examining room and leans against the stainless steel bench and asks me what I'm writing about this time. When I tell him what I saw in Australia, he immediately starts to nod. "This is a great subject," he says. Then he stops, as if caught by the subject himself.I wait.After a moment, he continues. "What you are looking into is the abyss. This takes you to the very heart of a human being, to the deepest aspect of the soul.He gives me one of his solemn looks. "Because the thing is, you have to confront yourself."(from In the Little World) In 1997, almost by accident, John H. Richardson found himself sharing a hotel with more than a thousand dwarfs. Over the course of a single week, he witnessed love and anger, fear and bravery, arrogance and humility, even a bizarre romantic deception -- the entire spectrum of human emotion in one concentrated dose. But at the end of the week, he discovered that leaving the "Little World" wasn't as simple as checking out of a hotel. In fact, his journey would last a full two years.At a time when bigger often seems synonymous with better, and physical beauty serves as currency, the world of dwarfs usually passes beneath our notice. Now, in this groundbreaking work, awardwinning author John H. Richardson brings the Little World into focus.He introduces us to characters like a saintly but obsessed doctor and a mother who sacrifices her family to save her dwarf daughter. He follows two dwarf lovers from first meeting through the struggle to overcome their fear and shame and find the confidence to love each other. He becomes personally involved in a tangled and often confrontational friendship with a female dwarf. Through these stories and musings ranging from classic theories of beauty to the history of the disability movement to postmodern theories of difference, Richardson presents a world that is a skewed reflection of our own -- and offers us a glimpse into the essential human condition.

    An intern makes his first cut and is ridiculed by his tutor. An old woman is brought back to life against her will, only for the unexpected to strike a week later. A notorious surgeon is driven crazy by a massive brain tumour. The mother of a leukemia-ridden child is driven to desperation... In this compelling and beautifully written impressionistic memoir, Mohamed Khadra recounts stories from his life as a surgeon, from the gruelling years of training to the debilitating sleepless nights on call. He looks back at the doctors and patients who shaped his career; at the endless stream of humanity - courageous, pitiful, admirable and dislikable - who passed under his knife, as he recalls shocking tales of mistakes in theatre and the shattered lives of doctors defeated by the stresses of the job. Documenting the soul-destroying choices made for patients and the misplaced hope so common in the face of death, his dramatic account of a surgical life shows what happens when extraordinary events overtake everyday lives - including, even, his own.

    The book starts with a section on general cell structure and replication. Basic tissue types are covered in the following section, and the third section presents the microstructures of each of the major body systems. The highest -quality color light micrographs and electron micrograph images are accompanied by concise text and captions which explain the appearance, function, and clinical significance of each image. The accompanying website lets you view all the images from the atlas with a virtual microscope, allowing you to view the image at a variety of pre-set magnifications.Includes access to website containing book images and additional material, extra illustrations, self tests, and more. Utilizes virtual microscope function on the website, allowing you to see images first in low-powered and then in high powered magnification. Incorporates new information on histology of bone marrow, male reproductive system, respiratory system, pancreas, blood, cartilage, muscle types, staining methods, and more. Uses Color coding at the side of each page to make it easier to access information quickly and efficiently. Includes access to www.studentconsult.com - where you'll find the complete text and illustrations of the book online, fully searchable - Integration Links to bonus content in other STUDENT CONSULT titles - 300 new USMLE-style review questions, with answers and rationales - content clipping for handheld devices - an interactive community center with a wealth of additional resources - and much more!

    Explaining the truth behind the screening statistics and investigating the evidence behind the hype, Margaret McCartney, an award-winning writer and doctor, argues that this patient paradox - too much testing of well people and not enough care for the sick - worsens health inequalities and drains professionalism.

    Critics everywhere have hailed this book as a classic in the making.

    Targeted, Focused Review – Study Only What You Need to KnowWritten by an EMS Program Director and NREMT paramedic with first-hand experience and classroom instruction, our targeted review chapters in outline style cover all the official test categories found on the EMT exam: airway and breathing, cardiology, medical, obstetrics and pediatrics, and trauma. The author explains the structure of the exam and shows you how to answer questions quickly and correctly.Expert Test-taking StrategiesOur author explains the structure of the NREMT Certification Exam, so you know what to expect on test day. He also shares question-level strategies and shows you the best way to answer questions. By following our expert tips and advice, you can score higher on the exam. Must-know Key TermsKnowing the right medical terminology can make a real difference in your test score. That’s why we give you a glossary of more than 400 EMT terms you need to know before you take your exam.Take REA’s Online Practice ExamAfter studying, go online and test what you’ve learned. Our practice exam features timed testing, diagnostic feedback, detailed answers, and automatic scoring. The exam is balanced to include every topic and type of question found on the actual EMT exam, so you know you’re studying the smart way.No matter how or when you prepare for the EMT exam, REA’s EMT Crash Course will show you how to study efficiently and strategically, so you can get a great score.

    Then, one day he falls out of an oak tree and everything changes. He suddenly perceives the world in a different way, where spoken words appear as vibrant colors and minute details emerge from everything. Most surprising, he can foresee outcomes, for instance, knowing which horse will win a race. He considers what to do with this extraordinary ability, and that takes him on an expedition across America and eventually to Europe. Along the way, he encounters intimidating foes, and ultimately, he makes a startling discovery leading him to a confrontation with his greatest adversary. Follow the journey of this fascinating young person who lacks social skills and doesn’t experience emotions in a normal way. At the same time, he has profound insights about the world, as he attempts to find out who he is, and the basis of his identity. The book is also a captivating spiritual journey, as the boy struggles to fathom the meaning of love, and the reasons why things are good or bad. He even uses his prophetic abilities to understand where history is going and its ultimate end. Cass Tell is the author of numerous novels on various themes. The SAVANT deviates from the others. For instance, his last novel, The COOKBOOK is a delightful and fun action thriller about a young woman whose life is shockingly changed because of mysteries she finds in her grandmother's old cookbook. Equally enjoyable, The SAVANT goes in another direction, as it deals with the riches we find in those who are different from the normal. This fiction book is an exploration of the uniqueness of the individual, containing a profound questioning of how and why we perceive and react as we do. Packed with humor and emotion, this story provides insights at a rare level. The Savant is fun and enjoyable, full of adventure, relationships, mystery, and prophecy.

    Duc Vuong returns with his latest weight loss surgery guide, this time for Gastric Sleeve patients. Written in an easy-to-understand manner, he explains some of the anatomical and surgical aspects of this newer surgical procedure, while providing practical strategies on how to be successful long-term. Anatomical drawings are provided for reference. He delves into some of the most elusive topics that plague weight loss surgery patients, such as weight loss plateaus, social eating, and long-term follow-up testing requirements. Maintaining the quiz and answer format of his previous books, this book is a must read for all weight loss surgery patients who are looking to maximize their weight loss surgery tool. See also www.ultimategastricsleeve.com