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.

    In 2001, Virginia Mason Medical Center, an integrated healthcare delivery system in Seattle, Washington set out to achieve its compelling vision to become The Quality Leader and to fulfill that vision, adopted the Toyota Production System as its management method.Transforming Health Care: Virginia Mason Medical Center's Pursuit of the Perfect Patient Experience takes you on the journey of of Virginia Mason Medical Center's pursuit of the perfect patient experience through the application of lean principles, tools, and methodology. Over the last several years Virginia Mason has become internationally known for its journey towards perfection by applying the Toyota Production System to healthcare. The book takes readers step by step through Virginia Mason's journey as it seeks to provide perfection to its customer - the patient. This book shows you how you use this system to transform your own organization.

     Free History BONUS Inside! When the first settlers reached the United States of America and started to chip out a living in the wilderness that seemed so fierce and unfamiliar to their European eyes, they could never have dreamed that someday the land upon which they stood would become one of the most powerful countries in the entire world. When Native Americans first witnessed those white sails bringing ships with white sailors into their world for the first time, they could never have dreamed that within a few centuries their population would be all but destroyed, that they would have to endure massacre after massacre, be stripped of their freedom and confined to comparatively tiny reservations, and walk the Trail of Tears within the next few hundred years. When the preachers of the Great Awakening stood on the backs of wagons or bits of old tree stumps and told the American people a new story of individual freedom and the power of ordinary people, they could never have dreamed that their preaching would trigger a landslide of abolitionism that would end in a civil war that almost tore the entire country apart. When the Civil War was finally won by the Union, and all African Americans' chains were broken at last, the military leaders could never have dreamed that within the next half century, the United States would emerge as one of the world's greatest military powers during the Spanish-American War. And when those soldiers won the struggle against Spain in Cuba, they could never have dreamed that later in the century, Cuba itself would turn against them and become the single greatest threat of nuclear annihilation during the Cold War. When the Wright Brothers first took to the air and Thomas Edison made the lightbulb, they could never have dreamed that American innovation would produce not only the Ford car, basketball, the telephone, and Facebook, but it would also be instrumental in creating the atomic bombs that killed hundreds of thousands of people and finally brought an end to the Second World War. As for Martin Luther King, Jr., he did dream. He had a dream of equality and brotherhood, and his dream at least partially came true in 2008 when America saw the inauguration of its first black president. Never could the slaves of the great plantations of the South have dreamed that that day would ever come, but it did. Nobody could have dreamed it, but it all came to pass, and it became the history of the United States of America. And this is how it all happened... In The History of the United States: A Captivating Guide to American History, Including Events Such as the American Revolution, French and Indian War, Boston Tea Party, Pearl Harbor, and the Gulf War, you will discover topics such as The People Who Were There First A Time of Exploration Colonizing America The French and Indian War The Boston Tea Party The American Revolution The First President Restless Times Horrors for the Natives Awakening Civil War Seeking for Peace A Rising Power Progress Disaster Strikes The Biggest Bomb in the World Icy Tension Freedom on the Home Front Terror and Its War And much, much more! So if you want to learn more about the history of the United States, then sc

    Improper use of antibiotics. Local warfare. Massive refugee migration. Changing social and environmental conditions around the world have fostered the spread of new and potentially devastating viruses and diseases—HIV, Lassa, Ebola, and others. Laurie Garrett takes you on a fifty-year journey through the world's battles with microbes and examines the worldwide conditions that have culminated in recurrent outbreaks of newly discovered diseases, epidemics of diseases migrating to new areas, and mutated old diseases that are no longer curable. She argues that it is not too late to take action to prevent the further onslaught of viruses and microbes, and offers possible solutions for a healthier future.

    Inside you'll find Steyn's take on Ronald Reagan, Idi Amin, the Princess of Wales, Bob Hope, Madame Chiang Kai-shek, Artie Shaw and Pope John Paul II - plus Zimbabwe's Reverend Canaan Banana, Scotty from Star Trek, Nixon's secretary and Gershwin's girlfriend. It's the passing parade of our times, from presidents and prime ministers to the guy who invented Cool Whip.

    The chafing restrictions of a typical upbringing in upper-class, small town Alabama simply did not apply to Zelda, who was described as an unusual child and permitted to roam the streets with little supervision. Zelda refused to blossom into a typical 'Southern belle' on anyone's terms but her own and while still in high school enjoyed the status of a local celebrity for her shocking behavior. Everybody in town knew the name Zelda Sayre. Queen of the Montgomery social scene, Zelda had a different beau ready and willing to show her a good time for every day of the week. Before meeting F. Scott Fitzgerald, Zelda's life was a constant pursuit of pleasure. With little thought for the future and no responsibilities to speak of, Zelda committed herself fully to the mantra that accompanied her photo in her high school graduation book: "Why should all life be work, when we all can borrow. Let's think only of today, and not worry about tomorrow." But for now Zelda was still in rehearsal for her real life to begin, a life she was sure would be absolutely extraordinary. Zelda Sayre married F. Scott Fitzgerald on the 3rd of April 1920 and left sleepy Montgomery behind in order to dive headfirst into the shimmering, glamourous life of a New York socialite. With the publication of Scott's first novel, This Side of Paradise, Zelda found herself thrust into the limelight as the very epitome of the Flapper lifestyle. Concerned chiefly with fashion, wild parties and flouting social expectations, Zelda and Scott became icons of the Jazz Age, the personification of beauty and success. What Zelda and Scott shared was a romantic sense of self-importance that assured them that their life of carefree leisure and excess was the only life really worth living. Deeply in love, the Fitzgeralds were like to sides of the same coin, each reflecting the very best and worst of each other. While the world fell in love with the image of the Fitzgeralds they saw on the cover of magazines, behind the scenes the Fitzgerald's marriage could not withstand the tension of their creative arrangement. Zelda was Scott's muse and he mercilessly mined the events of their life for material for his books. Scott claimed Zelda's memories, things she said, experiences she had and even passages from her diary as his possessions and used them to form the basis of his fictional works. Zelda had a child but the domestic sphere offered no comfort or purpose for her. The Flapper lifestyle was not simply a phase she lived through, it formed the very basis of her character and once the parties grew dull, the Fitzgeralds' drinking became destructive and Zelda's beauty began to fade, the world held little allure for her. Zelda sought reprieve in work and tried to build a career as a ballet dancer. When that didn't work out she turned to writing but was forbidden by Scott from using her own life as material. Convinced that she would never leave her mark on the world as deeply or expressively as Scott had, Zelda retreated into herself and withdrew from the people she knew in happier times. The later years of Zelda's life were marred by her detachment from reality as, diagnosed with schizophrenia, Zelda spent the last eighteen years of her life living in and out of psychiatric hospitals. As Scott's life unraveled due to alcohol abuse, Zelda looked back on the years they had spent together, young and wild and beautiful, as the best of her life. She may have been right but she was wrong about one thing, Zelda did leave her mark on the world and it was a deep and expressive mark that no one could have left but her. Zelda Fitzgerald: The Biography

    It accommodates four of our five senses, encases the brain, and boasts the most expressive set of muscles in the body. It is our most distinctive attribute and connects our inner selves to the outer world. Yet there is a dark side to the head’s preeminence, one that has, in the course of human history, manifested itself in everything from decapitation to headhunting. So explains anthropologist Frances Larson in this fascinating history of decapitated human heads. From the Western collectors whose demand for shrunken heads spurred massacres to Second World War soldiers who sent the remains of the Japanese home to their girlfriends, from Madame Tussaud modeling the guillotined head of Robespierre to Damien Hirst photographing decapitated heads in city morgues,from grave-robbing phrenologists to skull-obsessed scientists, Larson explores our macabre fixation with severed heads.

    Heinlein was sixty-six, at the height of his literary career; J. Neil Schulman was twenty and hadn't yet started his first novel. Because he was looking for a way to meet his idol, Schulman wangled an assignment from the New York Daily News--at the time the largest circulation newspaper in the U.S.--to interview Heinlein for its Sunday Book Supplement. The resulting taped interview lasted three-and-a-half hours. This turned out to be the longest interview Heinlein ever granted, and the only one in which he talked freely and extensively about his personal philosophy and ideology. "The Robert Heinlein Interview" contains Heinlein you won't find anywhere else--even in Heinlein's own "Expanded Universe." If you wnat to know what Heinlein had to say about UFO's, life after death, epistemology, or libertarianism, this interview is the only source available. Also included in this collection are articles, reviews, and letters that J. Neil Schulman wrote about Heinlein, including the original article written for The Daily News, about which the Heinleins wrote Schulman that it was, "The best article--in style, content, and accuracy--of the many, many written about him over the years." This book is must-reading for any serious student of Heinlein, or any reader seeking to know him better.

    A vast and powerful alliance of thousands of farming hamlets and nearly 100 spectacular towns integrated the region through economic and religious ties, and the whole system was interconnected with hundreds of miles of roads. It took these Anasazi farmers more than seven centuries to lay the agricultural, organizational, and technological groundwork for the creation of classic Chacoan civilization, which lasted about 200 years--only to collapse spectacularly in a mere 40.Why did such a great society collapse? Who survived? Why? In this lively book anthropologist/archaeologist David Stuart presents answers to these questions that offer useful lessons to modern societies. His account of the rise and fall of the Chaco Anasazi brings to life the people known to us today as the architects of Chaco Canyon, the spectacular national park in New Mexico that thousands of tourists visit every year.

    The nineteenth century experienced an explosion of epidemics such as cholera and diphtheria, driven by industrialization, urbanization and poor hygiene. In this pre-color-photography era, accurate images were relied upon to teach students and aid diagnosis. The best examples, featured here, are remarkable pieces of art that attempted to elucidate the mysteries of the body, and the successive onset of each affliction. Bizarre and captivating images, including close-up details and revealing cross-sections, make all too clear the fascinations of both doctors and artists of the time. Barnett illuminates the fears and obsessions of a society gripped by disease, yet slowly coming to understand and combat it. The age also saw the acceptance of vaccination and the germ theory, and notable diagrams that transformed public health, such as John Snow's cholera map and Florence Nightingale's pioneering histograms, are included and explained. Organized by disease, "The Sick Rose" ranges from little-known ailments now all but forgotten to the epidemics that shaped the modern age. It is a fascinating "Wunderkammer" of a book that will enthrall artists, students, designers, scientists and the incurably curious everywhere.

    Share the experiences of fighting men under punishing conditions, extreme temperatures, and intense monsoon rains as they search for the enemy in the rugged mountains and teeming lowlands. Relive all the terror, humor, and sadness of one man’s tour of duty with real-life action in spectacular stunning detail.

    Dr. Manheimer describes the plights of twelve very different patients--from dignitaries at the nearby UN, to supermax prisoners at Riker's Island, to illegal immigrants, and Wall Street tycoons.Manheimer was not only the medical director of the country's oldest public hospital for over 13 years, but he was also a patient. As the book unfolds, the narrator is diagnosed with cancer, and he is forced to wrestle with the end of his own life even as he struggles to save the lives of others.

    From Zoroastrian sky burials to wish-granting Bolivian skulls, she investigates the world’s funerary customs and expands our sense of what it means to treat the dead with dignity. Her account questions the rituals of the American funeral industry—especially chemical embalming—and suggests that the most effective traditions are those that allow mourners to personally attend to the body of the deceased. Exquisitely illustrated by artist Landis Blair, From Here to Eternity is an adventure into the morbid unknown, a fascinating tour through the unique ways people everywhere confront mortality.

    Since then, however, not much has changed. Big coal companies-along with their allies in the legal and medical professions-have continually flouted the law and exposed miners to deadly amounts of coal dust, while also systematically denying benefits to miners who suffer and die because of their jobs. Indeed, these men and their families, with little access to education, legal resources, and other employment options, have long been fighting to wrench even modest compensation and medical costs from our nation's biggest mining interests-all to combat a disease that could have been eradicated years ago.Tracing their heroic stories back to the very beginning, Chris Hamby, who won a Pulitzer Prize for his reporting on this issue, gives us a deeply troubling yet ultimately triumphant work that promises to do for Black Lung what Beth Macy did for the opioid epidemic. From corporate offices and mine shafts, to hospital beds and rural clinics, Soul Full of Coal Dust becomes a legal and medical thriller that brilliantly traces how a powerless band of laborers-alongside a small group of lawyers and doctors, often working out of their homes or in rural clinics and tiny offices-challenged one of the world's most powerful forces, Big Coal, and won.Full of the rich and complex atmosphere of Appalachia and packed with tales of those who have toiled in the mines of West Virginia, Soul Full of Coal Dust is a necessary and timely book about injustice and resistance.

    Sybil became both a pop phenomenon and a revolutionary force in the psychotherapy industry. The book rocketed multiple personality disorder (MPD) into public consciousness and played a major role in having the diagnosis added to the psychiatric bible, Diagnostic and Statistical Manual of Mental Disorders. But what do we really know about how Sybil came to be? In her news-breaking book Sybil Exposed, journalist Debbie Nathan gives proof that the allegedly true story was largely fabricated. The actual identity of Sybil (Shirley Mason) has been available for some years, as has the idea that the book might have been exaggerated. But in Sybil Exposed, Nathan reveals what really powered the legend: a trio of women—the willing patient, her ambitious shrink, and the imaginative journalist who spun their story into bestseller gold. From horrendously irresponsible therapeutic practices—Sybil’s psychiatrist often brought an electroshock machine to Sybil’s apartment and climbed into bed with her while administering the treatment— to calculated business decisions (under an entity they named Sybil, Inc., the women signed a contract designating a three-way split of profits from the book and its spin-offs, including board games, tee shirts, and dolls), the story Nathan unfurls is full of over-the-top behavior. Sybil’s psychiatrist, driven by undisciplined idealism and galloping professional ambition, subjected the young woman to years of antipsychotics, psychedelics, uppers, and downers, including an untold number of injections with Pentothal, once known as “truth serum” but now widely recognized to provoke fantasies. It was during these “treatments” that Sybil produced rambling, garbled, and probably “false-memory”–based narratives of the hideous child abuse that her psychiatrist said caused her MPD. Sybil Exposed uses investigative journalism to tell a fascinating tale that reads like fiction but is fact. Nathan has followed an enormous trail of papers, records, photos, and tapes to unearth the lives and passions of these three women. The Sybil archive became available to the public only recently, and Nathan examined all of it and provides proof that the story was an elaborate fraud—albeit one that the perpetrators may have half-believed. Before Sybil was published, there had been fewer than 200 known cases of MPD; within just a few years after, more than 40,000 people would be diagnosed with it. Set across the twentieth century and rooted in a time when few professional roles were available to women, this is a story of corrosive sexism, unchecked ambition, and shaky theories of psychoanalysis exuberantly and drastically practiced. It is the story of how one modest young woman’s life turned psychiatry on its head and radically changed the course of therapy, and our culture, as well.