It takes profound knowledge, not usually taught in business schools, to create and maintain an environment where people feel they are working with friends who share a common dream of making patients and communitites their loyal fans - a place where: Employees say, "I love to work here." Managers say, "I love the people I work with." Caregivers say, "I love our patients." Patients and families say, "We love this hospital." Loyalty is an organization's best source of long-term strategic advantage. But unlike traditional service organizations, Disney does not provide a service. Neither does your hospital. They both provide an "experience". Disney is the premier example of this newly evolved economic category, and hospitals would do well to emulate the most vital things that earn Disney the love of their guests and employees. Like his popular seminars, in these pages Fred Lee addresses the vexing reality that most of our approaches to patient satisfaction will not lead to patient loyalty. He takes aim at service excellence initiatives, quality and performance improvement efforts, and patient satisfaction surveys, dispelling some of our most cherished beliefs about loyalty and leadership. This captivating book, filled with stories and examples, will leave its readers inspired with fresh insights and energized with hope. It needs to be in every hospital manager's library and required reading in every health care leadership curriculum. If you have wondered why so much of what is done in the name of service excellence in health care has not lived up to its promise, this book is for you.

    Opening with the view of an idealistic young doctor entering her first post-graduate job at the local county hospital, The House of Hope and Fear explores not only the personal journey of one doctor's life and career, but also examines the health care system as a whole. The county hospital setting provides Audrey Young with a second education. With clear, eloquent text, the author chronicles attempts made to treat those tossed aside by society along with the personal and ideological shifts that accompany this daunting task. All of the hospital politics are detailed in a gripping account of the hospital's inner workings, and a human face is expertly given to the health care crisis in America.

    An individual's Decision Tree begins with genomics, where $400 and a test tube of spit provides a peek at how your DNA influences your health. It taps self-monitoring and collaborative health tools, where iPhone applications and next-generation monitoring gadgets can help individuals successfully change their behavior, once and for all. And it turns to new screening techniques that detect diseases like cancer and diabetes far earlier and with far better prospects for our health. Full of thoughtful, groundbreaking reporting on the impact personalized medicine will have on the average patient, The Decision Tree will show you how to take advantage of this new frontier in health care.

    Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's bestselling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last ten years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why?To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market. Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system.

    Ballet dancers and rock musicians, professors and thieves-"anyone who had fallen, or, often, leapt, onto hard times" and needed extended medical care-ended up here. So did Victoria Sweet, who came for two months and stayed for twenty years. Laguna Honda, lower tech but human paced, gave Sweet the opportunity to practice a kind of attentive medicine that has almost vanished. Gradually, the place transformed the way she understood her work. Alongside the modern view of the body as a machine to be fixed, her extraordinary patients evoked an older idea, of the body as a garden to be tended. God's Hotel tells their story and the story of the hospital itself, which, as efficiency experts, politicians, and architects descended, determined to turn it into a modern "health care facility," revealed its own surprising truths about the essence, cost, and value of caring for body and soul.

    

    This streamlined "express" version is extensive in scope, yet manageable for anyone who wants to easily understand how to construct a nutritionally balanced plant-based diet. Here are the latest findings on: using plant foods to protect against cancer, heart disease, and other chronic illnesses; obtaining essential protein without meat, eggs, or dairy products; discovering "good" fats and where to find them; meeting dietary needs for calcium without dairy products; understanding the importance of vitamin B12; designing balanced vegan diets for infants, children, and seniors; and making the most of vegan pregnancy and breast-feeding. Readers will find a sound blueprint to follow for better health for themselves and the planet.

    A true distillation of ancient wisdom tips for modern lives, this unique self-help book uses the wisdom of the Ramayana and the Mahabharata to solve your everyday problems. Beyond the storyline, something deeper is waiting to be discovered from these ancient texts. This book is an attempt to uncover the hidden layer of wealth that is cleverly packaged within the commonly known storylines.

    What she did not count on was how much death would be a part of her work. Almost immediately, Chen found herself wrestling with medicine’s most profound paradox, that a profession premised on caring for the ill also systematically depersonalizes dying. Final Exam follows Chen over the course of her education, training, and practice as she grapples at strikingly close range with the problem of mortality, and struggles to reconcile the lessons of her training with her innate knowledge of shared humanity, and to separate her ideas about healing from her fierce desire to cure.From her first dissection of a cadaver in gross anatomy to the moment she first puts a scalpel to a living person; from the first time she witnesses someone flatlining in the emergency room to the first time she pronounces a patient dead, Chen is struck by her own mortal fears: there was a dying friend she could not call; a young patient’s tortured death she could not forget; even the sense of shared kinship with a corpse she could not cast aside when asked to saw its pelvis in two. Gradually, as she confronts the ways in which her fears have incapacitated her, she begins to reject what she has been taught about suppressing her feelings for her patients, and she begins to carve out a new role for herself as a physician and as human being. Chen’s transfixing and beautiful rumination on how doctors negotiate the ineluctable fact of death becomes, in the end, a brilliant questioning of how we should live.Moving and provocative, motored equally by clinical expertise and extraordinary personal grace, this is a piercing and compassionate journey into the heart of a world that is hidden and yet touches all of our lives. A superb addition to the best medical literature of our time.

    Having studied at Yale and Dartmouth, Dr. Emily Transue arrives in Seattle to start her internship in Internal Medicine just after graduating from medical school. This series of loosely interconnected scenes from the author's medical training concludes her residency three years later.During her first week as a student on the medical wards, Dr. Transue watched someone come into the emergency room in cardiac arrest and die. Nothing like this had ever happened to her before-it was a long way from books and labs. So she began to record her experiences as she gained confidence putting her book knowledge to work.The stories focus on the patients Dr. Transue encountered in the hospital, ER and clinic; some are funny and others tragic. They range in scope from brief interactions in the clinic to prolonged relationships during hospitalization. There is a man newly diagnosed with lung cancer who is lyrical about his life on a sunny island far away, and a woman, just released from a breathing machine after nearly dying, who sits up and demands a cup of coffee.Though the book has a great deal of medical content, the focus is more on the stories of the patients' lives and illnesses and the relationships that developed between the patients and the author, and the way both parties grew in the course of these experiences.Along the way, the book describes the life of a resident physician and reflects on the way the medical system treats both its patients and doctors. On Call provides a window into the experience of patients at critical junctures in life and into the author's own experience as a new member of the medical profession.

    Powers, a self-described self-reflection junkie, challenges readers to create a more joyful life by using an easily adapted process outlined in Oh shift! Drawing on her New Jersey upbringing, Powers couples a provocative approach with fearless humor and wit to provide readers with the inspiration to become true shift heads. Powers shares both personal vignettes and client success stories to drive the Oh, shift! message home and to showcase the benefits of shifting in today's world. Chapters aptly titled to fit the Oh, shift! message include: Shift or get off the pot, Why take a shift?, Shift happens, The f'n shift, Let's shoot the shift, Scared shiftless and many more. This is not your everyday self-help book. The title may be funny, but the content is powerfully life-changing. The book utilizes a specially designed layout to emphasize important points and to make it a quick and enjoyable read. It guarantees to get the reader totally shift-faced.

    This new edition includes an all-embracing and incisive afterword that examines the current state of health care and our relationship with life as it approaches its terminus. It also discusses how we can take control of our own final days and those of our loved ones.Shewin Nuland's masterful How We Die is even more relevant than when it was first published.

    Home-schooled, bound for the life of an educated Victorian lady, Nightingale scandalized her family when she found her calling as a nurse, a thoroughly unsuitable profession for a woman of her class. As the “Lady with the Lamp,” ministering to the wounded and dying of the Crimean War, she offers an enduring image of sentimental appeal. Few individuals in their own lifetime have reached the level of fame and adulation attained by Nightingale as a result of her efforts. Fewer still have the power of continuing to inspire controversy in the way she does almost a century after her death. In this remarkable book, the first major biography of Florence Nightingale in more than fifty years, Mark Bostridge draws on a wealth of unpublished material, including previously unseen family papers, to throw new light on this extraordinary woman’s life and character. Disentangling elements of myth from the reality, Bostridge has written a vivid and immensely readable account of one of the most iconic figures in modern history.

    Over two thousand people were trapped in the squalid conditions without security as the death toll steadily rose inside. Bodies stacked up in the chapel as the temperature soared in the overcrowded hospital and the situation became increasingly desperate. Doctors, nurses, and staff worked around the clock, caring for those inside and trying to evacuate the facility, also known as Baptist Hospital. Allegations of euthanasia would later make headlines across the country and be investigated by state and local officials. Code Blue: A Katrina Physician's Memoir finally tells the inside story of the hellish nightmare those who struggled to survive the ordeal were cast into. Dr. Richard Deichmann, the hospital's chief of medicine and one of the leaders of the evacuation, gives his compelling account of the rapidly deteriorating state of affairs at the hospital. He takes us through the daily horrors and numbing disappointments. This gripping tale of survival, despite betrayal and abandonment by the authorities, may change forever the way you view the threat of a mass disaster.