It is 4 a.m. I have run arrest calls, treated life-threatening bleeding, held the hand of a young woman dying of cancer, scuttled down miles of dim corridors wanting to sob with sheer exhaustion, forgotten to eat, forgotten to drink, drawn on every fibre of strength that I possess to keep my patients safe from harm.'How does it feel to be spat out of medical school into a world of pain, loss and trauma that you feel wholly ill-equipped to handle? To be a medical novice who makes decisions which - if you get them wrong - might forever alter, or end, a person's life?In 'Your Life in My Hands', television journalist turned junior doctor Rachel Clarke captures the extraordinary realities of life on the NHS frontline. During last year's historic junior doctor strikes, Rachel was at the forefront of the campaign against the government's imposed contract upon young doctors. Her heartfelt, deeply personal account of life as a junior doctor in today's NHS is both a powerful polemic on the degradation of Britain's most vital public institution and a love letter of optimism and hope to that same health service.

    Building from a review of the basic science to the how and why of clinical practice, this text is thorough guide to immunohematology and transfusion practices. It begins with six color plates of which Plate 2 - standardized grading of macroscopic red cell antigen-antibody reactions - is extraordinarily useful. These are actual photomicrographs of immediate spin reactions and at a glance, will automatically assure standardized reporting of the reactions. Chapter on medicolegal and ethical aspects of providing blood collection and transfusion service is simply fascinating reveting reading. An added bonus is the table of blood group characteri stics (antigen, ISBT number, frequency in different ethnicities, expression during life, etc.) on the inside covers at the front and back of the book. Nothing like having a quick complete reference when you need it! This is a great book. Valerie L. Ng, PhD, MD, University of California, San Francisco, California for Doody Review Service.

    This book was originally written by third-year medical students searching for the perfect review book--not finding it on the market, they wrote it themselves! Now in its third edition, Step-Up to Medicine boils down the full scope of tested pathology in a single ingenious tool. Each element is tailored for immediate content absorption, and an all-new, full-color interior differentiate elements for even faster, more efficient review. And, Step-Up to Medicine , third edition provides two types of self-assessment--the kinds of questions you will ask yourself as a clinician plus USMLE-style practice questions. This review book gives you just the Step-Up to the medicine clerkship, accompanying shelf exams, and USMLE Step 2 that you need! NEW Features for this blockbuster edition: Full-color, updated interior design brings the content to you in a rousing, memorable style. Full-color, updated art program illustrates concepts when a picture says it best--plenty of clinical images also supplement topics. New content on evidence-based medicine keeps you current and informed to guide your clinical decision making. Expanded content on drug dosing is added where relevant.CLASSIC Features students swear by: Complete coverage of high-yield medical topics ensures you are test ready Clinical Pearls boxes help you "file away" clinical medicine connections for handy retrieval at test time Quick Hits glimmering in the margins highlight highly testable material--just see how the sparks fly at test timeBONUS Material and study resources: eBook with the fully searchable text is available via thePoint . NEW 300 USMLE-style questions provide another means of self-assessment and practice for those exams NEW Audio clips of breath and heart sounds also available on thePoint

    On the 18th September Scotland voted to stay in the Union. In this provocative new book, Iain Macwhirter argues that the UK will never be the same again. Disunited Kingdom explores Scotland's political and cultural landscape in the immediate build up to, and aftermath of, the referendum. Combining expert and personal insight, Macwhirter examines the future of Scotland, the UK, and the enduring passion for independence.Praise for Iain Macwhirter: "A truly important book, particularly at this moment." ~ Andrew Marr. "A terrific book [...] full of shrewd insights. I'd recommend it highly." ~ The Guardian

    Some of these drugs are truly transformative, offering major improvements in how long patients live or how they feel--but what is often missing from the popular narrative is that, far too often, these new drugs have marginal or minimal benefits. Some are even harmful. In Malignant, hematologist-oncologist Dr. Vinayak K. Prasad writes about the many sobering examples of how patients are too often failed by cancer policy and by how oncology is practiced. Throughout this work, Prasad illuminates deceptive practices which- promote novel cancer therapies long before credible data are available to support such treatment; and- exaggerate the potential benefits of new therapies, many of which cost thousands and in some cases hundreds of thousands of dollars.Prasad then critiques the financial conflicts of interest that pervade the oncology field, the pharmaceutical industry, and the US Food and Drug administration.This is a book about how the actions of human beings--our policies, our standards of evidence, and our drug regulation--incentivize the pursuit of marginal or unproven therapies at lofty and unsustainable prices. Prasad takes us through how cancer trials are conducted, how drugs come to market, and how pricing decisions are made, asking how we can ensure that more cancer drugs deliver both greater benefit and a lower price. Ultimately, Prasad says,- more cancer clinical trials should measure outcomes that actually matter to people with cancer;- patients on those trials should look more like actual global citizens;- we need drug regulators to raise, not perpetually lower, the bar for approval; and- we need unbiased patient advocates and experts.This well-written, opinionated, and engaging book explains what we can do differently to make serious and sustained progress against cancer--and how we can avoid repeating the policy and practice mistakes of the past.

    ""Touching, inspirational, thought-provoking.""--Senator Mark O. Hatfield

    In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong -- with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can -- with our help -- avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track.Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems.How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

    In this witty and inspiring book, Mark Vernon does just that. However, we are not talking about the 1980s - try 400BC! Filled with timeless insight into life, relationships, work and partying, "Plato's Podcasts" takes a sideways glance at modern living and presents the would-be thoughts of Ancient Philosophers on various topics central to our 21st century existence. From Plato on pod casts to Epicurus on bottled water, this is a funny but profound take on what life means today (and two thousand years ago).

    Set out logically and systematically, this best-selling textbook has comprehensive coverage of essential skills necessary for history taking and examining the patient. Highly regarded by students world-wide, this text continues to grow in strength. Clinical Examination, 5th edition has been revised and updated to include: more evidence-based medicine; new full-color artwork; and a fresh new look allowing greater accessibility for readers. The new edition covers clinical examination and concepts in a systems approach in a clear, consistent and user-friendly approach. Readers using this edition of Clinical Examination will have access to www.studentconsult.com. Here you will receive full online access to the text and numerous interactive extras such as video clips demonstrating some of the more difficult examinations & MCQ's. Written by two internationally renowned authors, Clinical Examination, 5th edition will continue to provide students with a superb reference for performing clinical methods.

    The F*ck It List is a hilarious middle-finger salute to all those absurd life goals that will ensure an anxiety-filled middle age will be followed by shame-filled golden years. It pokes a sorely needed pin into a bloated rite of passage that's ripe for deflation. Do you really need to firewalk or didn't Oprah and Tony Robbins take care of that for us? Swimming with sharks is a really dumb idea, so let's leave that with the gullible reality tv desperadoes, shall we? Kevin Pryslak has come up with a "to don't list" that will have you laughing out loud and leave you with lots more time to do the all the things YOU really want to do!

    Why? They’re easier to follow and more fun to practice. What can you achieve by reading Bite Size Happiness? - Understand… The connection between your thoughts and feelings in order to change how you handle life. - Energize… Yourself so you walk through life with presence and joy. - Train… Yourself to focus your attention on what you want to manifest as well as who you want to become. - Attract... The energy, harmony, and people you deserve to have in your life. We hope you enjoy reading these bite size nuggets as much as we enjoyed writing them. Volume 2: http://www.amazon.com/Bite-Size-Happi... Volume 3: http://www.amazon.com/Bite-Size-Happi... Volume 4: http://www.amazon.com/Bite-Size-Happi...

    For even as she sets out to determine how big “really big” may be, Levin gives us an intimate look at the day-to-day life of a globe-trotting physicist, complete with jet lag and romantic disturbances.Nimbly synthesizing geometry, topology, chaos and string theories, Levin shows how the pattern of hot and cold spots left over from the big bang may one day reveal the size and shape of the cosmos. She does so with such originality, lucidity—and even poetry—that How the Universe Got Its Spots becomes a thrilling and deeply personal communication between a scientist and the lay reader.

    The chapters may be read independently of one another. But when read in order, they tell a more or less continuous story. We begin with some reflections about the legacy of Socrates and then go on to the existence of God, which is perhaps the most basic philosophical question of all because our answer to it influences how we will answer all the others. This leads naturally to a discussion of death and the soul, and then to more modern ideas about the nature of persons. The later chapters are about whether it is possible for us to have objective knowledge in either science or ethics. James Rachels, from the Preface Problems from Philosophy and The Truth About the World: Basic Readings in Philosophy are at once James Rachels' newest contributions to philosophy and his last. In these two books, Rachels found a culminating expression for his love of philosophy.

    Their desperate struggle was fueled by the injustice of a regressive tax system and a conservative state government that seemed no better than British colonial rule. But despite the immediate failure of this local call-to-arms in the Massachusetts countryside, the event fundamentally altered the course of American history. Shays and his army of four thousand rebels so shocked the young nation's governing elite--even drawing the retired General George Washington back into the service of his country--that ultimately the Articles of Confederation were discarded in favor of a new constitution, the very document that has guided the nation for more than two hundred years, and brought closure to the American Revolution.The importance of Shays's Rebellion has never been fully appreciated, chiefly because Shays and his followers have always been viewed as a small group of poor farmers and debtors protesting local civil authority. In Shays's Rebellion: The American Revolution's Final Battle, Leonard Richards reveals that this perception is misleading, that the rebellion was much more widespread than previously thought, and that the participants and their supporters actually represented whole communities--the wealthy and the poor, the influential and the weak, even members of some of the best Massachusetts families.Through careful examination of contemporary records, including a long-neglected but invaluable list of the participants, Richards provides a clear picture of the insurgency, capturing the spirit of the rebellion, the reasons for the revolt, and its long-term impact on the participants, the state of Massachusetts, and the nation as a whole. Shays's Rebellion, though seemingly a local affair, was the revolution that gave rise to modern American democracy.

    The book provides practical knowledge for lean champions, managers, and executives driving toward operational excellence enterprise-wide. The story format, and the presentation of this material was excellent, and the avoidance of lean and operational excellence jargon gives the book a wide appeal...it is a pleasure to read.The Sequel to the Influential "Lean" Business Novel Andy & MeThe Remedy is a compelling a business fable that shows how Lean quality improvement business practices--traditionally associated with manufacturing--can dramatically improve the service areas of your business-including design, engineering, sales, marketing and all processes in between.Written by Pascal Dennis, a leading Lean consultant, the story follows Tom Pappas and Rachel Armstrong, senior leaders at a desperate automotive company as they try to implement a Lean management system across an entire platform, the Chloe, a breakthrough green car. The future of the company is at stake. Can Tom and Rachel, supported by Andy Saito, a retired, reclusive Toyota executive, regain the trust and respect of the customer? Can a venerable but dying company implement Lean practices to every part of their business and learn a new, more effective way of managing?Shows you how to use the Lean quality improvement method to fix not just a manufacturing system, but an entire company, including management, design, marketing, and supply chain Written by Pascal Dennis, author of four books on Lean practices and winner of the coveted Shingo Prize for outstanding research contributing to operational excellence Originally developed by Toyota, the Lean approach to quality improvement has gained a worldwide following and helped turn around enumerable struggling businesses