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.

    We like to imagine that it’s based on evidence and the results of fair tests. In reality, those tests are often profoundly flawed. We like to imagine that doctors are familiar with the research literature surrounding a drug, when in reality much of the research is hidden from them by drug companies. We like to imagine that doctors are impartially educated, when in reality much of their education is funded by industry. We like to imagine that regulators let only effective drugs onto the market, when in reality they approve hopeless drugs, with data on side effects casually withheld from doctors and patients.All these problems have been protected from public scrutiny because they’re too complex to capture in a sound bite. But Dr. Ben Goldacre shows that the true scale of this murderous disaster fully reveals itself only when the details are untangled. He believes we should all be able to understand precisely how data manipulation works and how research misconduct on a global scale affects us. In his own words, “the tricks and distortions documented in these pages are beautiful, intricate, and fascinating in their details.” With Goldacre’s characteristic flair and a forensic attention to detail, Bad Pharma reveals a shockingly broken system and calls for something to be done. This is the pharmaceutical industry as it has never been seen before.

    Mastering the fat hormone leptin is the single most important factor in preventing obesity, diabetes, and heart disease. The Leptin Diet contains five simple lifestyle guidelines to get the hormone leptin into balance for permanent weight loss, increased energy, and optimum health. What is Leptin? Fat cells produce the powerful hormone leptin, a primary force instructing metabolism, weight loss, and hormone balance. Leptin communicates directly to your brain, telling the brain how much fat is in storage. It controls appetite, energy, and metabolic rate. Leptin problems are the primary reason for food cravings, overeating, faulty metabolism, the obsession with food, and heart disease. Read The Leptin Diet and notice the difference!

    Lehninger Principles of Biochemistry, Fourth Edition brings clarity and coherence to an often unwieldy discipline, while incorporating the field's most important recent developments and applications.

    More than 90 percent of all Americans are deficient in at least one of these health-promoting vitamins and minerals and don't even know it.According to nutritionists Jayson and Mira Calton, micronutrients--vitamins and minerals essential for optimum health--are being stripped from our diet and depleted by our lifestyle habits. And these deficiencies cause today's most common illnesses. Mira herself developed advanced osteoporosis at the age of 30. But with Jayson's help, she reversed her disease through micronutrient therapy. The Caltons created The Mircronutrient Miracle, an incredible cure-all program, to help you lose weight and prevent and reverse common disorders, including obesity, heart disease, and diabetes.The Micronutrient Miracle explains the truth about what you're really eating and how your habits may be depleting essential micronutrients. It also provides an easy-to-follow 28-day plan to reverse these effects by restoring your depleted micronutrients. And the best part? This book is tailor-made to work with your lifestyle, including gluten-free, low-carb, low-fat, vegan, and Paleo recipes!

    Conrad Fischer presents the only full-color USMLE guide on the market to cover the clinical conditions and patient management scenarios tested on the Step 2 CK exam.New from best-selling USMLE author and award-winning medical educator, Dr. Conrad Fischer, comes the only full-color USMLE guide on the market to present the clinical conditions and patient care scenarios encountered on the Step 2 Clinical Knowledge exam. Students take the USMLE Step 2 CK Exam during their final year of medical school. The Step 2 Clinical Knowledge is a multiplechoice exam designed to determine whether the examinee possesses the medical knowled.0ge and understanding of clinical science considered essential for the provision of patient care under supervision. Kaplan Medical USMLE Master the Boards Step 2 CK is the first book that covers the content of the exam in a logical and methodical fashion, emphasizing several categories of residency including:A logical step-by-step approach to patient careAn assessment of severity, prognosis, and next course of action for specific conditionsHow to prioritize while managing, especially in emergency or acute casesAn outline of signs/symptoms and diagnostic or lab tests that signify the need for change in management approaches

    Bloodsugar101.com's Jenny Ruhl explains what peer reviewed research and the experience of Successful Low Carb Dieters can tell us about: * How Low Carb Diets Repair Unhealthy High Normal Blood Sugars * How Low Carb Diets Achieve Weight Loss * The Strengths and Weaknesses of the Diet as Revealed by Research * The Facts that Debunk Exaggerated Claims Pro and Anti Low Carb Diets * How the Low Carb Diet Affects Hunger and Hunger Hormones * Low Carb Diet Side Effects and How to Deal with Them * How to Customize Your Low Carb Diet * The Secrets of Successful Low Carb Dieters * The Real Effects of Supplements and Functional Foods * How to Break Through Weight Loss Stalls * How to Maintain a Low Carb Weight Loss for Life Everything you need to know to achieve healthy weight loss on the one diet that really controls blood sugar.

    health care system is in a state of disrepair, but the rabbit hole goes deeper than even the staunchest critics may realize. In Primal Prescription, authors Doug McGuff and Robert Murphy combine their expertise in economics and medicine to offer a shocking, disturbing, and ultimately enlightening view into America’s health care system. You’ll discover the real history of what went wrong with U.S. health care and insurance, and why current efforts to clean up the mess are only making things worse.But far from leaving you feeling helpless at the dismal—and sometimes deadly—state of affairs, Primal Prescription equips you with both the knowledge to understand the health care conundrum and the tools for navigating your way out of it. McGuff and Murphy offer an evidence-based “game plan” for taking control of your own medical care, protecting yourself and your loved ones regardless of what the future holds for the rest of the nation.Whether you’re currently tangled in America’s broken health care system or simply trying to avoid its clutches, Primal Prescription is a must-have resource for taking your health into your own hands.

    Most arrive safely and go home with their families in a matter of days. But not all babies come into the world healthy and almost half a million arrive well before they are expected. These newborns need tiny medicine. Told from the first-person perspective, Dr. Chris DeRienzo—a neonatologist, health system leader and frequent keynote speaker—walks readers through the human experience of caring for the world's smallest and sickest patients. His stories share the absurd and the sublime parts of being a doctor and detail how they have shaped who he is as a husband, father, and person. Readers will learn the secrets of the NICU, the loneliness that comes with life and death decisions, and the incredibly powerful sense of purpose and triumph that comes with just making it through the night and keeping everyone alive. In the end, this book delivers an insider's view of a doctor's life never before accessible without a white coat.

    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.

    To meet it, you need a fully integrated text and supplements package that sets the stage for a perfectly choreographed learning experience.

    The sixth edition preserves the hallmark features that instructors have come to trust, and through its use of current, authentic cultural materials, Deutsch: Na klar! teaches students how to use German in real-life situations effectively and how to communicate successfully in the German-speaking world.

     Spot inconsistencies and lies, and apply logic to your daily life. If you want to become a critical, effective, and rational thinker instead of an irrational and snap-judging one, this book is for you. Critical thinking skills strengthen your decision making muscle, speed up your analysis and judgment, and help you spot errors easily. The Critical Mind offers a thorough introduction to the rules and principles of critical thinking. You will find widely usable and situation-specific advice on how to critically approach your daily life, business, friendships, opinions, and even social media. Critical thinking not only saves you time but saves you money and helps you prevent misunderstanding and disappointment. • Learn the main elements of critical thinking. • The theories and practices of the best critical thinkers of the world. • Tips to keep your brain in good shape and receptive to analysis. • Solve your problems with critical thinking. • Become a quicker and better decision maker. Cut out the inefficiencies of your life. The Critical Mind is a guideline for everyone who wishes to learn the basics of critical thinking. If you work in business, education, healthcare, or you study, you’ll find the book equally useful. The book takes a deep look at the framework of geniuses like Richard Paul and Linda Elder to give you a well-established foundation on effective thought. • Become a more effective communicator having relevant argument points. • How to apply critical thinking in a group. • Guiding questions that help you think more critically. • Four types of critical thinking exercise to deepen your knowledge each day. The Critical Mind gives you the best theories and practices to become a more successful and better thinker. Know that the people whom you admire for their mind aren’t aliens, they just use their minds differently. In this book, I unveil how and what they do differently. Delete this. Too repetitive. Put something about the author Discover hidden opportunities, gain a solution-oriented mindset, solve difficult tasks, and understand the world more deeply. Critical thinking will enhance your creativity, logic, intelligence, and helps you navigate through everyday life matters more easily. Think faster, argue better, and succeed consistently.

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