Forcing food on an increasingly recalcitrant spouse. Brushing his teeth. Watching someone you love more than ever slip away day by day. As her husband James’s Parkinson’s disease with eventual dementia began to progress, writer Susan Allen Toth decides she intensely wants to keep her husband at home—the home he designed and loved and lived in for a quarter century—until the end.No saint, as she often reminds the reader, Toth found solace in documenting her days as a caregiver. The result, written in brief, episodic bursts during the final eighteen months of James’s life, has a rare and poignant immediacy. Wrenching, occasionally peevish, at times darkly funny, and always deeply felt, Toth’s intimate, unsparing account reflects the realities of seeing a loved one out of life: the critical support of some friends and the disappearance of others; the elasticity of time, infinitely slow and yet in such short supply; the sheer physicality of James’s decline and the author’s own loneliness; the practical challenges—the right food, the right wheelchair, the right hospital bed—all intricately interlocking parts of the act of loving and caring for someone who in so many ways is fading away.“We all need someone to hear us,” Toth says of the millions who devote their days to the care of a loved one. Her memoir is at once an eloquent expression of that need and an opening for others. No Saints around Here is the beginning of a conversation in which so many of us may someday find our voices.

    They always keep a bag packed. They seldom have more than twenty-four hours' notice before they are dispatched. The phone calls that tell them to head to the airport, sometimes in the middle of the night, may give them no more information than the country they are traveling to and the epidemic they will tackle when they get there.The universal human instinct is to run from an outbreak of disease. These doctors run toward it.They are the disease detective corps of the U.S. Centers for Disease Control and Prevention (CDC), the federal agency that tracks and tries to prevent disease outbreaks and bioterrorist attacks around the world. They are formally called the Epidemic Intelligence Service (EIS) -- a group founded more than fifty years ago out of fear that the Korean War might bring the use of biological weapons -- and, like intelligence operatives in the traditional sense, they perform their work largely in anonymity. They are not household names, but over the years they were first to confront the outbreaks that became known as hantavirus, Ebola virus, and AIDS. Now they hunt down the deadly threats that dominate our headlines: West Nile virus, anthrax, and SARS.In this riveting narrative, Maryn McKenna -- the only journalist ever given full access to the EIS in its fifty-three-year history -- follows the first class of disease detectives to come to the CDC after September 11, the first to confront not just naturally occurring outbreaks but the man-made threat of bioterrorism. They are talented researchers -- many with young families -- who trade two years of low pay and extremely long hours for the chance to be part of the group that has helped eradicate smallpox, push back polio, and solve the first major outbreaks of Legionnaires' disease, toxic shock syndrome, and "E. coli" O157.Urgent, exhilarating, and compelling, "Beating Back the Devil" goes with the EIS as they try to stop epidemics -- before the epidemics stop us.

    It will inspire the necessary and difficult conversations we all need to have with loved ones as it illuminates a path to a better way of death.Like so many of us, award-winning writer Katy Butler always assumed her aging parents would experience healthy, active retire­ments before dying peacefully at home. Then her father suffered a stroke that left him incapable of easily finishing a sentence or showering without assistance. Her mother was thrust into full-time caregiving, and Katy became one of the 24 mil­lion Americans who help care for aging parents. In an effort to correct a minor and non–life threatening heart arrhythmia, doctors outfitted her father with a pacemaker. The device kept his heart beating but did nothing to prevent his slide into dementia, incontinence, near-muteness, and misery. After several years, he asked his wife for help, telling her, "I am living too long." Mother and daughter faced a series of wrench­ing moral questions: When does death cease being a curse and become a blessing? Where is the line between saving life and prolonging a dying? When is the right time to say to a doctor, "Let my loved one go"? When doctors refused to disable the pace­maker, sentencing her father to a protracted and agonizing death, Katy set out to understand why. Her quest had barely begun when her mother faced her own illness, rebelled against her doctors, refused open-heart surgery, and instead met death head-on. Knocking on Heaven's Door, a revolution­ary blend of memoir and investigative reporting, is the fruit of the Butler family's journey. With a reporter's skill, a poet's eye, and a daughter's love, Butler explores what happens when our terror of death collides with the tech­nological imperatives of modern medicine. Her provocative thesis is that advanced medicine, in its single-minded pursuit of maximum longevity, often creates more suffering than it prevents. Butler lays bare the tangled web of technology, medicine, and commerce that modern dying has become and chronicles the rise of Slow Medicine - a growing movement that promotes care over cure. Knocking on Heaven's Door is a visionary map through the labyrinth of a broken and morally adrift medical system. It will inspire the necessary and difficult conversations we all need to have with loved ones as it illuminates a path to a better way of death.

    Tony Youn grew up one of two Asian-American kids in a small town where diversity was uncommon. Too tall and too thin, he wore thick Coke-bottle glasses, braces, Hannibal Lecter headgear, and had a protruding jaw that one day began to grow, expanding to an unthinkable, monstrous size. After high school graduation, while other seniors partied at the beach or explored Europe, Youn lay strapped in an oral surgeon’s chair where he underwent a life-changing jaw reconstruction. Ironically, it was this brutal makeover that led him to his life’s calling, and he continued on to endure the four horrific, hilarious, sex-starved, and tension-filled years that eventually earned him an M.D. Offering a window into a side of medicine that most people never see, Youn shares his bumpy journey from a shy, skinny, awkward nerd into a renowned and successful plastic surgeon.Now, Youn is the media’s go-to plastic surgeon. He appears regularly on The Rachael Ray Show, and his blog, Celebrity Cosmetic Surgery, is widely read and the most popular blog by a plastic surgeon in the country. But it was a long road to success, and In Stitches recounts Dr. Youn’s misfit adolescence and his four tumultuous years in medical school with striking wit, heart, and humility.For anyone who has ever experienced the awkward teenage years, who has struggled to find his or her way in college, who has been worried that their “calling” would never come, who wants to believe that their doctor really cares, or is just ready for a read that will make you laugh and cry at the same time, this book is for you.

    Written in a concise, bulleted outline format, this well-illustrated text offers 500 USMLE-style review questions, answers, and explanations and features comprehensive content and upgraded USMLE Step 1 information.

    Before you see a doctor, you should read this book.” —Eric Schlosser, author of Fast Food NationUsing the examples of Vioxx, Celebrex, cholesterol-lowering statin drugs, and anti-depressants, Overdosed America shows that at the heart of the current crisis in American medicine lies the commercialization of medical knowledge itselfFor twenty years, John Abramson, M.D., cared for patients of all ages in a small town north of Boston. But increasingly his role as family doctor was undermined as pressure mounted to use the latest drugs and high-tech solutions for nearly every problem. Drawing on his background in statistics and health policy research, he began to investigate the radical changes that were quietly taking place in American medicine.At the heart of the crisis, he found, lies the changed purpose of medical knowledge—from seeking to optimize health to searching for the greatest profits. The lack of transparency that has become normal in commercially sponsored medical research now taints the scientific evidence published in even our most prestigious medical journals. And unlike the recent scandals in other industries that robbed Americans of money and jobs, this one is undermining our health.Commercial distortion pervades the information that doctors rely upon to guide the prevention and treatment of common health problems, from heart disease to stroke, osteoporosis, diabetes, and osteoarthritis. The good news, as Dr. Abramson explains, is that the real scientific evidence shows that many of the things that you can do to protect and preserve your own health are far more effective than what the drug companies' top-selling products can do for you—which is why the drug companies work so hard to keep this information under wraps.In what is sure to be one of the most important and eye-opening books you or your doctor will ever read, John Abramson offers conclusive evidence that American medicine has broken its promise to best improve our health and is squandering more than $500 billion each year in the process.

    It will make you angry. It will amaze you with the courage of some of the people described in the book...The Autoimmune Epidemic is every bit as compelling as Upton Sinclair's The Jungle...It is also every bit as necessary as An Inconvenient Truth.... You will leave this book with no reservations about the veracity of the conclusions: put simply, there is no doubt that autoimmune diseases are on the rise and increasing environmental exposures of toxins and chemicals is fueling this rise. The research is sound. The conclusions unassailable.... Reading The Autoimmune Epidemic is a necessary first step. Reading The Autoimmune Epidemic is a life-altering event. It needs to be."

    First Year Nurse places the wisdom and warnings of hundreds of experienced nurses right at your fingertips. You'll learn all about how to start off on the right foot; plan and prioritize; communicate with your colleagues; cope with challenging patients; keep your energy up (and stress down); and set a course for professional growth. Best of all, you'll be inspired by the compassion, insight, and enthusiasm you'll find on every page of this charming, helpful book. Features:Valuable advice and personal accounts from experienced nursesTips on subjects from time management to avoiding burnout

    Organized according to body systems, each of the 170 plates featured in this book includes an ingenious color-key system where anatomical terminology is linked to detailed illustrations of the structures of the body. Often imitated, never duplicated. New! Lay-flat binding makes coloring easier. New! 8 plates have been added: Accessory Structures of the Skin, Temporomandibular Joint, Upper Limb: Shoulder (Glenohumeral) Joint, Upper Limb: Elbow Joints, Lower Limb: Male and female Pelves, Lower Limb: Sacroiliac and Hip Joints, Lower Limb: Knee Joints, Somatic Visceral Receptors. New! 7 additional sections: Skeletal and Articular Systems, Skeletal Muscular System, Central Nervous System, Central Nervous System: Cavities and Coverings, Peripheral Nervous System, Autonomic Nervous System, Human Development.

    But despite the unprecedented attention, our understanding of addiction is trapped in unfounded 20th century ideas, addiction as a crime or as brain disease, and in equally outdated treatment.Challenging both the idea of the addict's "broken brain" and the notion of a simple "addictive personality," The New York Times Bestseller, Unbroken Brain, offers a radical and groundbreaking new perspective, arguing that addictions are learning disorders and shows how seeing the condition this way can untangle our current debates over treatment, prevention and policy. Like autistic traits, addictive behaviors fall on a spectrum -- and they can be a normal response to an extreme situation. By illustrating what addiction is, and is not, the book illustrates how timing, history, family, peers, culture and chemicals come together to create both illness and recovery- and why there is no "addictive personality" or single treatment that works for all.Combining Maia Szalavitz's personal story with a distillation of more than 25 years of science and research, Unbroken Brain provides a paradigm-shifting approach to thinking about addiction.Her writings on radical addiction therapies have been featured in The Washington Post, Vice Magazine, The Wall Street Journal, and The New York Times, in addition to multiple other publications. She has been interviewed about her book on many radio shows including Fresh Air with Terry Gross and The Brian Lehrer show.

    Elisabeth Kübler-Ross's famous interdisciplinary seminar on death, life, and transition. In this remarkable book, Dr. Kübler-Ross first explored the now-famous five stages of death: denial and isolation, anger, bargaining, depression, and acceptance. Through sample interviews and conversations, she gives the reader a better understanding of how imminent death affects the patient, the professionals who serve that patient, and the patient's family, bringing hope to all who are involved.

    . . Health care executives pulling in millions in bonuses for denying treatment to the sick . . . More than 100 million people with inadequate or no medical coverage . . . This may sound like the predicament of a third-world nation, but this is America’s health care reality today. The U.S. spends more on health care than any other nation, yet our benefits are shrinking and life expectancy is shorter here than in countries that spend significantly less per capita. Meanwhile, HMOs, pharmaceutical companies, and hospital chains reap tremendous profits, while politicians—beholden to insurers and drug companies—enact legislation for the benefit of the few rather than the many, while the entire system is on the verge of collapse. In Critical Condition, award-winning investigative journalists Donald L. Barlett and James B. Steele expose the horror of what health care in America has become. They profile patients and doctors trapped by the system and offer startling personal stories that illuminate what’s gone wrong. Doctors tell of being second-guessed and undermined by health care insurers; nurses recount chilling tales of hospital meltdowns; patients explain how they’ve been victimized by a system that is meant to care for them. Drug companies profit by selling pills in the same manner that Madison Avenue sells soap, while Wall Street rakes in billions by building up and then tearing down health care businesses. And politicians pass legislation perpetuating the injustices and out-right fraud the system encourages. By analyzing the industry and offering an insightful prescription for getting it back on the right track, Critical Condition is an enormously compelling investigative work that addresses the concerns of every American.

    Its practical, clinical perspective and user-friendly writing style engage the reader in a learning process that both informs and enlightens. Clinical chapters progress consistently and logically from theory to application. Specific psychobiological disorders are organized from moderate to severe along the mental health continuum. The nursing process is the strong, visible framework throughout.User-friendly writing style and a full-color design make psychiatric nursing content come alive! Case studies and personal stories show a compassion and understanding unique among psychiatric nursing texts. Special features are easily located and identified.Nursing process framework provides a strong underpinning for all clinical chapters. A sixth step, Outcome Criteria, identifies specific patient outcomes, then justifies the subsequent nursing interventions based on results.Assessment Guidelines boxes provide summary points for client assessment.Spiritual assessment is found in Assessment Strategies and the Nursing Process and Care for the Dying and for Those Who Grieve.Biologic Basis for Understanding Psychotropic Drugs lays the foundation for the study of psychotropic drug therapy to treat psychobiologic disorders.Care for the Dying and for Those Who Grieve chapter provides holistic nursing interventions related to end-of-life care for clients and families.Case Studies and Nursing Care Plans present individualized histories of clients with specific psychiatric disorders, and include interventions with rationales and evaluation statements for each client goal.Vignettes offer brief, descriptive characterizations of clients with specific psychiatric disorders.A Nurse Speaks spotlights individual psychiatric nurses and their personal stories.Key Terms and Concepts with page number references allow for quick review.Critical Thinking and Chapter Review sections offer scenario-based critical thinking problems and NCLEX-style multiple-choice questions, allowing students to test themselves on the chapter content.Nurse, Client, and Family Resources lists are provided on the book's Evolve website.A dynamic author team offers a breadth of experience in nursing education and practice.Tear-out Comprehensive Psychiatric Assessment Card is a valuable tool for students to use in clinicals.Completely revised Culturally Relevant Mental Health Nursing: A Global Perspective provides basic information on culture, worldviews, and what is necessary for culturally competent care.Psychiatric Forensic Nursing discusses this new and expanding specialty involving nursing, forensics, and the criminal justice system.Forensic Highlights boxes focus on the nurse's role in dealing with sexual assault, family violence, and incarcerated persons.Evidence-Based Practice boxes demonstrate how research findings affect psychiatric nursing practice and standards of care.Integrative Therapy boxes discuss the increasing popularity and significance of complementary and alternative therapies.Culturally Speaking boxes reinforce the importance of culturally competent care.A Client Speaks and A Family Speaks bring to life disorders and their effects on clients, their families, and those who care for them.Back by popular demand: communication tables in The Clinical Interview and Communication Skills.Key Points to Remember appear at the end of each chapter to reinforce essential information.

    But in the past three decades, medical advances have extended our lives and changed the way we die. In "Last Rights," Stephen Kiernan reveals the disconnect between how patients want to live the end of life--pain free, functioning mentally and physically, surrounded by family and friends--and how the medical system continues to treat the dying--with extreme interventions, at immense cost, and with little regard to pain, human comforts, or even the stated wishes of patients and families. Backed with surveys, interviews, and intimate portraits of people from all walks of life, from the dying and their families to the doctors and nurses who care for them, this book will be for our time what Elizabeth Kubler-Ross's books were for a previous generation.

    Paul Seward leads us in his memoir through suspenseful diagnoses and explorations of anatomy. By his side, we learn to distinguish nursemaid's elbow from a true broken arm. We learn how our breathing and swallowing mechanisms resemble a practical joke.But when a baby’s heart stops and a young doctor forgets what to do, the situation is far from funny. Within the conditions of great stress and rapid decision-making that are routine in the ER, Dr. Seward shows us that physicians must be more than technicians of the body; they must be restorers of the human. Whether it is comforting anxious family or subjecting a distressed patient to tough procedures—resulting, once, in a patient’s punching our doctor—on every shift, a physician learns the difficult work of caring for strangers.Yet this is a physician who rejects doctor-as-god narratives. He highlights the essential role of nurses and other colleagues, including a pharmacist whose story is hard to forget. Throughout Patient Care, Dr. Seward reflects on how a life in medicine tests what it means to put ethics into practice.