Afrin started coming to understand that a newly recognized type of mast cell disease, now called mast cell activation syndrome (MCAS), was the underlying diagnosis in many patients he was seeing who were each suffering large assortments — quite different from one patient to the next — of chronic multisystem inflammatory illnesses of unclear cause. Dr. Afrin soon gained experience that MCAS is far more prevalent than the only mast cell disease previously known to medicine (the rare disease of mastocytosis) and that most MCAS patients, once accurately diagnosed, can eventually find significantly helpful medications targeted at the disease. The frequency and magnitude of the improvements Dr. Afrin has seen — even the relief that comes from finally having a unifying diagnosis other than "psychosomatism" — have spurred him to focus in this area, not only tending to the needs of his patients but also pursuing research to advance our understanding of the disease and helping to educate other professionals who in turn can help even more of the many people who have long been suffering not only the symptoms of the disease but also the natural concern of not understanding why one would be so "unlucky" to have acquired so many medical problems. As it turns out, such patients are not so unlucky and truly have just one root issue (and a very common one at that), which has the biological capability to develop, directly or indirectly, into most or all of their previously diagnosed problems. There is a great deal yet to learn about this, but even with just the present very limited understanding, the opportunity to diagnose and help patients with MCAS seems to be enormous and Dr. Afrin felt a description of the disease, written for the general public, might help lead some MCAS patients on a journey to diagnosis and improvement sooner rather than later. Dr. Afrin hopes this book will help people who might have, or do have, MCAS. A portion of the proceeds of purchases of this book will go to support research and education in this area.

    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

    Lyme disease, and SARS. According to Walters, we are not only victims of these emerging diseases; we are helping exacerbate their creation and spread.

    This is a deeply felt memoir about motherhood, survival and learning to live for whatever life throws at you." CLOVER STROUD, author of The Wild OtherAn extraordinary story of facing life s multiple (!) trials with love, resilience and courage, told in Emma s warm, funny and unflinchingly honest style. AMY McCULLOCH, author of Jinxed and The Potion DiariesWith four children (three of them triplets!) and a relationship break-up to contend with, some things get a little lost in the mix. Like symptoms. Emma Campbell bravely and honestly offers heartfelt thoughts on what happens when cancer becomes an unwelcome guest at an already crowded party. She shares her own terror and pain, mixed with the heartwarming and unexpected. The extraordinary kindness of people and the gritty detail of battling a life-threatening illness, all while being a single mum to four children. She opens up about her angels and demons, losing and then finding love again, a constant fear of death mixed with the joy and relief of living, the anxiety of cancer returning - then facing it when it does. This book has grown from Emma's blog Me And My Four. Eager to share with her followers in more detail, the secrets, the fears, the triumphs and the terrors that she faces each day, in a life as unpredictable as your own...www.meandmyfour.com

    Part One presents the general principles of pathophysiology and discusses the influence of the environment and the role of genetics in the development of disease. Part Two, organized by body system, examines normal anatomy and physiology, alterations of function in adults, and alterations of function in children.

    Peter Sykes lifts the lid on the good, the bad and the ugly in the NHS, based on real-life situations from his 40 years experience at the sharp end of medical practice.Some of these stories will make you laugh, a few will make you cry and others have a surprising twist in the tail.They feature patients, doctors and nurses, blood, sweat and toil, life and death, heartache and joy.

     Since being left in the custody of her abusive step-father, her life had gone from being a mere blur to something of a perpetual nightmare. Forced to endure the kinds of depravities that would shock even the most hardened of therapists, she had become too scared to even contemplate running away. But there comes a point in every such situation where the victim no longer has anything to lose. A point where the will to escape trumps the will to live. This book is that point. This is her shocking true story. DISCLAIMER: This book is based upon a true story of child abuse, and as such contains passages that some readers may find disturbing.

    This book contains interconnected short stories in which the doctors, nurses and other staff members attempt to keep separate these two spheres of their lives, for to allow them to overlap would make their lives even more difficult. Pain, tragedy, humor and compassion fill these pages as events unfold and the characters struggle to maintain equilibrium; the author is a retired ER nurse, and these stories are all based on real people and incidents.

    Constantly changing policies. Increasing bureaucratic regulations. These are just a few of the challenges health care providers face every day; challenges that limit the ability to provide excellent patient care. Marcus' insights will give health care providers new and essential strategies to rediscover the magic and compassion between caregiver and patient.

    The authors of this book draw information from themanual that is specific to academic writing and expand uponit using set-up instructions and a sample paper. The end resultof this transformational process yields a useful guide that canbe used along with the actual manual for successful academicwriting.The handbook covers many detailed specifications of the APAstyle...including in-text citations, source citations, and a samplepaper. It also sheds new light on the manual using step-by-stepprocesses and exemplification that enable readers to fulfill APArules and regulations while focusing on content, rather than theformat, of their academic research.

    The key? Movement. Now, in this portable, posture-building guidebook, Lora and Nikki share their invaluable exercises and activities to help you develop a healthy spine and alleviate your pain. Learn how posture affects you physically and emotionally, and discover active methods for improving your alignment, reducing neck and back pain from overworked muscles, and finding your own natural posture. Carry The Pain-Free Posture Handbook wherever you go for on-hand, expert advice, featuring easy-to-follow illustrations, posture-building techniques, and breathing exercises for practicing good posture. The Pain-Free Posture Handbook features exercise and tips for: Home: multi-task while doing your chores with these mindful movements Work: make your work environment work for you with office-compatible exercises On the Go: travel-friendly exercises keep you energized and aligned wherever you go It's never too late to fix your posture. The Pain-Free Posture Handbook keeps you moving—properly—throughout your day, every day.

    This comprehensive text covers every joint of the body, head and face, gait, posture, emergency care, the principles of assessment, and preparticipation evaluation. The latest edition of this core text is the essential cornerstone in the new four-volume musculoskeletal rehabilitation series.Thorough, evidence-based content provides the information and detail you need to select the best diagnostic tests.Extensively updated information incorporates the latest research and most current practices.Case Studies help you apply what you learn from the book to real life situations.Tables and boxes throughout the text organize and summarize important information and highlight key points.Chapter Summaries review the assessment procedures for each chapter to help you find important information quickly.Case Histories in each chapter demonstrate assessment skills to help you apply them in practice.Reliability and validity of tests and techniques included throughout help you choose assessment methods supported by current evidence.A new full-color design clearly demonstrates assessment methods, a variety of tests, and causes of pathology.A Companion CD-ROM with all of the references from the text linked to MedLine abstracts reinforces concepts from the book.Primary Care Assessment chapter includes the latest information on the constantly evolving state of physical therapy practice.Includes the most current information on the assessment of the cervical spine, hip, posture, and foot and ankle to keep you up to date on current methods of practice.

    Goljan, MD, makes it easy for you to master all of the pathology material covered on the USMLE™ Step 1 Exam. It combines an outline-format review of key concepts with over 400 hundred USMLE-style practice questions - online - that give you all the practice you need to succeed! Book • Outline format: Concise, high-yield subject matter is presented in a study-friendly format.• High-yield margin notes: Key content that is most likely to appear on the exam is reinforced in the margin notes.• Visual elements: Full-color photographs are utilized to enhance your study and recognition of key pathology images. Abundant two-color schematics and summary tables enhance your study experience.• Two-color design: Colored text and headings make studying more efficient and pleasing.New! Online Study and Testing Tool• A minimum of 350 USMLE Step 1–type MCQs: Clinically oriented, multiple-choice questions that mimic the current USMLE format, including high-yield images and complete rationales for all answer options. • Online benefits: New review and testing tool delivered via the USMLE Consult platform, the most realistic USMLE review product on the market. Online feedback includes results analyzed to the subtopic level (discipline and organ system). • Test mode: Create a test from a random mix of questions or by subject or keyword using the timed test mode. USMLE Consult simulates the actual test-taking experience using NBME’s FRED interface, including style and level of difficulty of the questions and timing information. Detailed feedback and analysis shows your strengths and weaknesses and allows for more focused study. • Practice mode: Create a test from randomized question sets or by subject or keyword for a dynamic study session. The practice mode features unlimited attempts at each question, instant feedback, complete rationales for all answer options, and a detailed progress report. • Online access: Online access allows you to study from an internet-enabled computer wherever and whenever it is convenient. This access is activated through registration on www.studentconsult.com with the pin code printed inside the front cover.Student Consult• Full online access: You can access the complete text and illustrations of this book on www.studentconsult.com. • Save content to your PDA: Through our unique Pocket Consult platform, you can clip selected text and illustrations and save them to your PDA for study on the fly! • Free content: An interactive community center with a wealth of additional valuable resources is available.

    What is this craving that overpowers all else? What is it like to be addicted, and what does it take to get straight or sober? In this new and expanded edition of a widely praised collection, an outstanding roster of courageous writers present vivid renderings of the addiction experience in all its highs and lows.These first-person accounts describe battles with alcohol, heroin, smoking, food, gambling, and sex. Some contributors still struggle with their habits; others have managed to defeat them; two lost their lives to addiction's ravages. This is a book about compulsion, recovery, and struggle: a potent concoction that will have readers hooked.Contributors include Lorna Crozier, Peter Gzowski, Patrick Lane, Evelyn Lau, John Newlove, Stephen Reid, David Adams Richards, Lois Simmie, Sheri-D Wilson, and Marnie Woodrow.