Gerard, PhD, its chief learning officer, candidly describe the triumphs and stumbles of a seven-year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved $27 million dollars in costs without layoffs. Find out:> How lean techniques of value-stream-mapping and rapid improvement events cut the average “door-to-balloon” time for heart attack patients at two hospitals from 90 minutes to 37.> What ThedaCare leaders did to replace medicine’s “shame and blame” culture with a lean culture based on continuous improvement and respect for people.> How the lean principle of “building in quality at the source” broke down divisions among medical specialties allowing teams to develop patient care plans faster.> Why traditional modern management is the single biggest impediment to lean healthcare.> How the plan-do-study-act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to six.> How the lean concept of “one piece flow” saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89%.> How senior leaders at other healthcare organizations can begin their own lean transformations using a nine-step action plan based on what ThedaCare did — and what it would do differently.Toussaint and Gerard prove that lean healthcare does not mean less care. On the Mend shows that when care is truly re-designed around patients, waste and errors are eliminated, quality improves, costs come down, and healthcare professionals have more time to spend with patients, who get even better care.

    These writers recount intensely personal and profoundly moving end-of-life accounts that cover a wide spectrum of human experience. All six authors are donating their royalties to a Maine hospice; Down East will also donate 10 percent of proceeds to the same cause.

    For someone who hates exercise, Kristy Chambers is pretty good at running away, and coming back again when her credit cards are declined. She’s not so much an international jetsetter as a loose cannon with a passport. So, in the manner of Eat, Pray, Love, a privileged white girl takes her privileged white arse on the road in an attempt to find happiness. With a family history of mental illness that goes back generations and a complicated long-term relationship with depression, will eating all the pasta in Italy help her to find the silver lining she’s looking for? Of course it won’t. It’s pasta, not magic beans. Joined by the most unreliable travel companion of them all—her mental health—Kristy openly, honestly, and humorously recounts their adventures together.

    The shocking story of blinded eyes, and the medical school that allowed it.

    Includes tables to compare different agents within a given class of drugs. For use as a review for Boards, self-testing, or reference. Previous edition: c1997.

    Translated into eight languages, it is an essential textbook, an accessible reference, and a bestselling text worldwide.This authoritative textbook retains the successful layout and approach of the bestselling fourth edition Four extra chapters have been added on dry eye, scleritis, corneal and refractive surgery, and systemic diseases.Each chapter have been updated and expanded and the number of illustrations greatly increased.Over a third of the illustrations are new for this editionFour extra chapters have been added on dry eye, scleritis, corneal and refractive surgery, and systemic diseases.The contents of each chapter have been updated and expanded and the number of illustrations has significantly increased.

    In this compact and accessible book, he shows readers exactly how to improve and maintain the functioning of their knees by enhancing the four crucial abilities every knee must have:** muscular strength** flexibility** responsiveness (proprioception)** enduranceA chapter is devoted to each of these four functions, showing why they are essential. The reader is shown exactly how to do simple home exercises designed to restore or improve that particular ability. The last chapter is a "master plan" that pulls together all the concepts and exercises into a time-efficient exercise program. The author guides the reader effortlessly through the exercise routine.Clear drawings illustrate the muscles responsible for knee pain and the exact way to do the exercises.All the information is based on research trials and studies and evidence from peer-reviewed journals. The author has chosen for this book the best techniques for relieving knee pain.

    Provinces are in rebellion, while Emperor Nero struggles to maintain the remnants of his political power, as well as his last shreds of sanity. In the province of Hispania, the governor, Servius Sulpicius Galba, marches on Rome. In his despair, Nero commits suicide. Galba, the first Emperor of Rome from outside the Julio-Claudian Dynasty, is at first viewed as a liberator, yet he soon proves to be a merciless despot, alienating even those closest to him. A member of the imperial court, and former favorite of Nero, Marcus Salvius Otho seeks to become the childless Galba’s successor. When he is snubbed for another of the new emperor’s favorites, Otho decides to take the mantle of Caesar by force. At the same time, the governor of Germania, Aulus Vitellius, is proclaimed emperor by his legions, leading Rome into civil war. In the east, the empire’s fiercest general, Flavius Vespasian, has been embroiled in suppressing the rebellion in Judea over the last two years. With nearly one third of the entire Roman Army under his command, he wields formidable power. At first attempting to stay above the fray, and with the empire fracturing into various alliances, Rome’s most loyal soldier may soon be compelled to put an end to the Reign of the Tyrants.

    Afterward, the doctor comes out with the results."I'm afraid I have some very bad news," the doctor says. "You're dying, and you don't have much time left.""Oh, that's terrible!" says the man. "Give it to me straight, Doc. How long have I got?""Ten," the doctor says sadly."Ten?" the man asks. "Ten what? Months? Weeks? What?!""Nine..."

    (Hence the “Dynasty” part of the show.)But even though they may have large homes, the Robertson brothers love hunting and fishing and proudly proclaim themselves “rednecks.”Phil was a star quarterback at Louisiana Tech but turned down the offer to play in NFL because he didn’t want to miss the duck season where he began his business and spent 25 years making duck calls from Louisiana cedar trees.The now multi-million dollar enterprise is managed by Phil’s third son Willie who is CEO of the company, while his brother Jase is the COO.Despite their wealth, they still wear camouflage prints, they hunt - shooting anything that flies or walks, they’re religious, and they’re full of subtle humor.The Robertsons are a traditional family who believe in guns and God.In the following pages you’ll get to know the family members in the Robertson family and learn why the show Duck Dynasty is watched by millions.As Willie Robertson said when asked by he believes the show is so popular – “We try to stick to our roots.We grew up not rich at all.We try to stay humble. We’ve been successful and God has blessed us. We always have a family prayer at the end of the show.”

    Then came the H1N1 flu pandemic of 2009. It took only vaccine—one seemingly innocuous vaccine to Mathilda, the baby of the family—to change their lives forever. Diagnosed at age three as the world's youngest child with narcolepsy, the joyful and energetic Mathilda rapidly dissolved into someone unrecognizable. In this compelling narrative, Claire Crisp chronicles the fight for Mathilda's treatment. Leaving their family and country in England, the Crisps begin a new journey—one of faith, of loss, and of love as immigrants to the western shores of the United States.

     "Swimming Anatomy" includes 74 of the most effective swimming exercises, each with step-by-step descriptions and full-color anatomical illustrations highlighting the primary muscles in action. "Swimming Anatomy" goes beyond exercises by placing you on the starting block, in the water, and into the throes of competition. Illustrations of the active muscles for starts, turns, and the four competitive strokes (freestyle, breaststroke, butterfly, and backstroke) show you how each exercise is fundamentally linked to swimming performance. You'll also learn how exercises can be modified to target specific areas, improve your form in the water, and minimize common swimming injuries. Best of all, you'll learn how to put it all together to develop a training program based on your individual needs and goals. Whether you are training for a 50-meter freestyle race or the open-water stage of a triathlon, "Swimming Anatomy" will ensure you enter the water prepared to achieve every performance goal.

    Now, writing with her distinctive intelligence, wit, and insight, she chronicles her rite of passage from intern to doctor.rtising.

    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.

    The Ketogenic Diet for Cancer fills this need. Inspired by the work of Dr. Thomas Seyfried and written by nutritionist Miriam Kalamian, this is the first book to lay out guidelines that specifically address the many challenges facing those with cancer.Kalamian, a leading voice in the keto movement, is driven by passion from her own experience in using the ketogenic diet for her young son. Her book addresses the nuts and bolts of adopting the diet, from deciding whether keto is the right choice, to developing a personal plan for smoothly navigating the keto lifestyle. It is invaluable for both beginners and seasoned users of the ketogenic diet as well as for health care professionals who need a toolkit to implement this targeted metabolic therapy.The book guides readers to a deeper understanding of the therapeutic potential of the ketogenic diet which extends well beyond simply starving cancer emphasizing the powerful impact the diet has on the metabolism of cancer cells. Nutritional nuances are explored in sections such as Fasting Protocols and Know What s in the Foods You Eat while meal templates and tracking tools are provided in Preparing Keto Meals .Kalamian also discusses important issues such as self-advocacy. Readers of The Ketogenic Diet for Cancer are empowered to get off the bench and get in the game. To that end, Kalamian offers tips on how to critically examine cancer care options then incorporate what resonates into a truly personalized treatment plan."