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.

    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.

    And no one is more aware of this than top cardiologist Dr. Chauncey Crandall, who has performed over 40,000 heart procedures during his career.In his new book, The Simple Heart Cure, you’ll find this top doc’s groundbreaking approach to preventing and reversing heart disease — an approach honed by his study of foreign cultures free of heart disease and decades of experience helping patients achieve a healthier heart at any age.Dr. Crandall is living proof of his program’s success. At the age of 48, and with no major risk factors, he found himself in the ER with a “widow-maker” blockage of his main coronary artery. After emergency heart surgery, he recovered from heart disease using the same course of treatment he recommends to his thousands of patients — and details for your benefit — in The Simple Heart Cure.His unique perspective as both doctor and patient helps him empathize with the difficulties in making a transition from years of bad habits to a heart-healthy way of life. Plus, Dr. Crandall believes in using every weapon in his medical arsenal — conventional medicine, emerging treatments, lifestyle changes, even alternative therapies — to help his patients recover.Here are just a few of the potentially life-saving gems you’ll discover: • Proven ways to banish bad cholesterol • How to slash your risk of a deadly heart attack by 61% • 8 easy steps to head off that high blood pressure • How you can safeguard against stroke • Simple strategies to unclog your arteries without surgery • What your belly says about your heart health • Must-have heart tests for everyone over 50 • Easy solutions to steer clear of statin drugs, and much more...So whether you just want to prevent heart problems, or you’ve already had a heart attack, you’ll find the help you need in The Simple Heart Cure, along with tasty, heart-healthy menus and a 90-day week-by-week plan to help you start taking action immediately.

    Would you believe the one about the man who got stuck with half a paintbrush in a delicate area? The medical ethics of a woman using the hospital like a babysitting service? The day when two surgeons almost came to blows after a squabble over theatre space? After reading this brilliantly realised medical nonfiction collection of short stories you will no longer doubt the strange and sometimes tragic circumstances doctors face in medical diagnosis and treatment. From humourous stories about misbehaving patients to short biographies to moving medical stories with tragic ends, Dr Jay weaves a tale of over thirty years’ experience and relates some of the most interesting medical diagnosis and treatment of patients from his career. His narrative voice is rich and compelling and each of the patients’ short biographies is treated with the solid medical ethics we have come to expect from our doctors. Forthright and entertaining, this medical nonfiction collection of short stories comes directly from the horse’s mouth and includes humourous stories as well as short biographies that reveal some of the least pleasant aspects of life as a Surgeon.

    The year is 2005. A highly infectious, unidentified Ebola-like virus is sweeping through the slums and villages of northern Angola. Within months, more than 200 people have died, medical services have collapsed and aid workers are on the brink of exhaustion. At 23, Peter Apps was just starting out as a foreign correspondent when Reuters sent him into the heart of the outbreak to get the story. In “Before Ebola: Dispatches from a Deadly Outbreak” Apps recalls in vivid, unflinching detail the horrors of life in a hot zone, the compassion of those trying to contain it, and how a terrified young journalist came of age in a time of almost unbearable crisis. Peter Apps is a global defense correspondent for Reuters news, currently dividing his time between London and Washington, D.C. In September 2006, Apps broke his neck in a minibus crash while covering the Sri Lankan civil war, leaving him largely paralyzed from the shoulders down. Cover design by Kristen Radtke.

    Breast cancer. In an instant, her life changed all because of a single word she couldn’t even bring herself to say out loud. The ugly C word.Share in the journey of one young woman’s fight against breast cancer, the sacrifices a family makes, the heartbreak cancer leaves in its path, and the joy found along the way.

    When hearts stop working, when blood alcohol levels exceed limits we shouldn't contemplate, when bodies are extricated from car wrecks, he's been there to pick up the pieces, save our lives, and watch us slip away. His touching stories of life and death and the hilarious ones of times in between are here to give us an insight of what happens after we call 911, the ambulance doors close, or even what happens inside the ER when the nurse shows the family to the waiting room.

    Duc Vuong returns with his latest weight loss surgery guide, this time for Gastric Sleeve patients. Written in an easy-to-understand manner, he explains some of the anatomical and surgical aspects of this newer surgical procedure, while providing practical strategies on how to be successful long-term. Anatomical drawings are provided for reference. He delves into some of the most elusive topics that plague weight loss surgery patients, such as weight loss plateaus, social eating, and long-term follow-up testing requirements. Maintaining the quiz and answer format of his previous books, this book is a must read for all weight loss surgery patients who are looking to maximize their weight loss surgery tool. See also www.ultimategastricsleeve.com

    Cohen show us that the antidote to our ever-growing rates of obesity and chronic diseases, such as heart disease and diabetes, lies not in our medical care system or in more health education but rather in how our environment affects our behavior.

    Or you have persistent pain you and your doctor can't explain. Man or woman, you may be fighting fluctuating hormone levels. Or maybe you snore like a freight train.Anything that narrows the throat and interrupts sleep, particularly breathing problems brought on by sleep position, illness, life changes, or your anatomy, may be key to understanding a host of common health issues. In this groundbreaking book, Dr. Steven Park outlines a simple, rational explanation for what s making you sick, and provides guidance for treatment options that address specific health problems.

    I am blown away by the results I have achieved and the energy that I have felt. I'm happy too! I haven't felt genuinely giddy and happy in a while. I am so thankful to have found a program that works." —Brandi O. "When I tell you that FASTer Way changed my life, it CHANGED MY LIFE. When I look at my before photo, I see someone who was unhappy with herself, someone who hated taking pictures, someone who was always exhausted and couldn't figure out why! But the person I see now? She's happy! She's confident! She's full of energy! She's ready to take on her day! I'm never going back." —Deanna S. "I can now say that FASTer Way has saved my life and brought ME back!" —Kelly P.

    And it's a fast read--no fluff here.Here are some of the secrets you'll learn inside:The 4 biggest weight loss myths and mistakes that keep people fat and stuck in a rut. If you've fallen victim to any of these (and most people have), you NEED to have this information.The 3 simple laws of healthy fat loss. All workable weight-loss methods rely on the three simple rules to achieve results, and once you know them, you don't need to chase fads.Why long-distance jogging is an incredibly inefficient way to lose weight and what you should do instead to have a lean, sexy body that you're proud of. (The good news is it's easy and takes no more than 20 minutes per day!)A fat-incinerating method of cardio that you can literally do during the 2-3 minute commercial breaks of your favorite TV shows. 4 killer circuit training workouts that not only melt fat but give you hard, rippling muscles that will make people green with envy.And more... This book is for people that hate doing cardio and want to squeeze every ounce of fat loss possible out of their workouts.Forget pounding the pavement for hours and hours every week just to lose a little fat and muscle. Follow the methods taught in this book and you can torch fat in a fraction of the time and get tight, toned muscles (and you might actually have some fun too!).SPECIAL BONUS FOR READERS!With this book you'll also get a free 23-page bonus report from the author called "12 Health & Fitness Mistakes You Don't Know You're Making."In this free bonus report, you're going to learn the truth behind 12 of the most common health & fitness myths out there that ruin people's efforts to get fit. If you've ever wondered about things like if your genetics are holding you back, if you should stretch before lifting weights, if certain exercises shape your muscles better than others, and if you should shoot for a "target" heart rate zone to burn fat, then you need to read this report.

    Furthermore, the current epidemic of chronic illness demands a new care standard that can break down the existing structural barriers to full resolution. It requires functional medicine. The Evolution of Medicine provides step-by-step instruction for building a successful "community micropractice," one that engages both the patient and practitioner in a therapeutic partnership focused on the body as a whole rather than isolated symptoms. This invaluable handbook will awaken health professionals to exciting new career possibilities. At the same time, it will alleviate the fear of abandoning a conventional medical system that is bad for doctors, patients, and payers, as well as being ineffectual in the treatment of chronic ailments. Welcome to a new world of modern medical care, delivered in a community setting. It's time to embrace the Evolution of Medicine and reignite your love for the art of healing.

    The Haywire Heart is the first book to examine heart conditions in athletes. Intended for anyone who competes in endurance sports like cycling, triathlon, running races of all distances, and cross-country skiing, The Haywire Heart presents the evidence that going too hard or too long can damage your heart forever. You’ll find what to watch out for, what to do about it, and how to protect your heart so you can enjoy the sports you love for years to come. The Haywire Heart shares the developing research into a group of conditions known as “athlete’s heart”, starting with a wide-ranging look at the warning signs, symptoms, and how to recognize your potential risk. Leading cardiac electrophysiologist and masters athlete Dr. John Mandrola explores the prevention and treatment of heart conditions in athletes like arrhythmia, atrial fibrillation and flutter, tachycardia, hypertrophy, and coronary artery disease. He reviews new research about exercise intensity and duration, recovery, inflammation and calcification, and the ways athletes inflict lasting harm. These heart problems are appearing with alarming frequency among masters athletes who are pushing their bodies harder than ever in the hope that exercise will keep them healthy and strong into their senior years. The book is complete with gripping case studies of elite and age-group athletes from journalist Chris Case—like the scary condition that nearly killed cyclist and coauthor Lennard Zinn—and includes a frank discussion of exercise addiction and the mental habits that prevent athletes from seeking medical help when they need it.Dr. Mandrola explains why many doctors misdiagnose heart conditions in athletes and offers an invaluable guide on how to talk with your doctor about your condition and its proven treatments. He covers known heart irritants, training and rest modifications, effective medicines, and safe supplements that can reduce the likelihood of heart damage from exercise. Heart conditions affect hardcore athletes as well as those who take up sports seeking better health and weight loss. The Haywire Heart is a groundbreaking and critically important guide to heart care for athletes. By protecting your heart now and watching for the warning signs, you can avoid crippling heart conditions and continue to exercise and compete for years to come.

    From England to Mexico, and Iceland to Pakistan, Gilmour takes us on an extraordinary thrill-ride with his wild coworkers. Along the way he learns a few things, too, and shows us not only how precious life truly is, but how to passionately embrace it.