He followed his head over his gut and Karina was left permanently paralysed, altering both patient and surgeon's lives for ever. This decision would haunt Rahul for decades, a constant reminder of the fine line between saving and damaging a life.As one of the world's leading brain surgeons, Rahul is the last hope for patients with extreme forms of cancer. In treating them, he has observed humanity at its most raw and most robust. He has journeyed to unimaginable extremes with them, guiding them through the darkest moments of their lives.Life on a Knife's Edge is Rahul's beautifully written account of the resilience, courage and belief he has witnessed in his patients, and the lessons about human nature he has learned from them. It is about the impossible choices he has to make, and the fateful consequences he is forced to live with.From challenging the ethics of surgical practices, to helping a patient with locked-in syndrome communicate her dying wish to her family, Rahul shares his extraordinary experiences, revealing the depths of a surgeon's psyche that is continuously pushed to its limits.

    Now in its Eleventh Edition, this classic atlas continues to provide students with accurate anatomical images presented in a pedagogically effective, clinically relevant manner. This new edition has been revised to include 100 additional four-color illustrations, additional orientation drawings, and updated terminology.This edition is packaged with a student version of Dynamic Human Anatomy, an interactive electronic supplement which includes 800 images from the Eleventh Edition of Grant's, 8 video clips from Acland's DVD Atlas of Human Anatomy, and 100 USMLE-style review questions in anatomy.

    More than 35,000 entries. Pronunciations provided for all entries. Covers brand names and generic equivalents of common drugs.

    Excellent Board review.

    Such was the opening line to many patient encounters in the emergency departments and clinics where I spent my career as a physician. Shadow me back through the years in a series of vignettes that will give you a peek into a world of medicine that few on the outside ever see. Along the way you may laugh a little, tear up a bit or even learn something, but through it all you will experience the highs and lows of the day to day practice of emergency and urgent care medicine. Put on your scrubs and come join me now: your first shift working in the emergency department is about to begin.

    The book features a vibrant full-color design with over 1,400 drawings and photographs and a clear, simple two-column format with examination techniques on the left and abnormalities and interpretations on the right. Highlights of this edition include greater emphasis on patient communication and interview techniques, a new chapter on the older adult, and over 200 new drawings and photographs of abnormalities. A front-of-book CD-ROM includes videos of head-to-toe examination. Additional student resources now available include an online e-book, more than 15 medical and nursing journal articles, and new videos including Cardiovascular: Neck Vessels and Heart, and Thorax and Lungs.

    Emerging from these compelling stories and provocative insights is a powerful case for change-by policymakers, hospitals, doctors, nurses, and even patients and their families. Wachter & Shojania underscore the depth and breadth of dangers in medical care; more important, they suggest basic safety procedures and hard-nosed remedies that could make erratic systems fail-safe and save countless lives.

    Combining historical perspective with analysis of modern trends, this expanded edition charts the evolution of modern American health care, providing a complete examination of its organization and delivery while offering critical insight into the issues that the U.S. health system faces today. From a physician-dominated system to one defined by managed care and increasingly sophisticated technology, this essential text explains the transformation underway and the professional, political, social, and economic forces that guide it today and will in the future. Exhaustive in breadth and balanced in perspective, Health Care USA, Seventh Edition, provides students with a clearly organized, straightforward illustration of the complex structures, relationships and processes of this rapidly growing, $2.5 trillion industry. The seventh edition has been thoroughly revised to reflect recent developments in this dynamic industry. The latest edition features: - A comprehensive overview of the complex and evolving U.S. health care system, plus revised data, material and analysis throughout. - The latest benchmark developments in health care, including the response of public health to swine flu and the Obama administration's health care reform. - A look at the recent recession's effects on hospital finances. - New projections and data trends on the country's health care spending. - A forward-looking perspective on the future of the U.S. health care system.

    Being Mortal by Atul Gawande - A 20-minute Summary Inside this Instaread Summary: • Overview of the entire book• Introduction to the important people in the book• Summary and analysis of all the chapters in the book• Key Takeaways of the book• A Reader's Perspective Preview of this summary: Chapter 1 Gawande grew up in Ohio. His parents were immigrants from India and both were doctors. His grandparents stayed in India, and there were few older people in his neighborhood, so he had little experience with aging or death until he met his wife’s grandmother, Alice Hobson. Hobson was seventy-seven and living on her own in Virginia. She was a spirited widow who fixed her own plumbing and volunteered with Meals On Wheels. However, Hobson was losing strength and height steadily each year as her arthritis worsened.Gawande’s father enthusiastically adopted the customs of his new country, but he could not understand the way in which seniors were treated in the US. In India, the elderly were treated with great respect and lived out their lives with family.In the United States, Sitaram Gawande, Gawande’s grandfather, likely would have been sent to a nursing home like most of the elderly who cannot handle the basics of daily living by themselves. However, in India, Sitaram Gawande was able to live in his own home and manage his own affairs, with family constantly around him. He died at the age of one hundred and ten when he fell off a bus during a business trip.Until recently, most elderly people stayed with their families. Even as the nuclear family unit became predominant, replacing the multi-generational family unit, people cared for their elderly relatives. Families were large and one child, usually a daughter, would not marry in order to take care of the parents.This has changed in much of the world, where elderly people end up struggling to live alone, like Hobson, rather than living with dignity amid family, like Sitaram Gawande.One cause of this change can be found in the nature of knowledge. When few people lived to be very old, elders were honored. Their store of knowledge was greatly useful. People often portrayed themselves as older to command respect. Modern society’s emphasis on youth is a complete reversal of this attitude. Technological advances are perceived as the territory of the young, and everyone wants to be younger. High-tech job opportunities are all over the world, and young people do not hesitate to leave their parents behind to pursue them.In developed countries, parents embrace the concept of a retirement filled with leisure activities. Parents are happy to begin living for themselves once children are grown. However, this system only works for young, healthy retirees, but not for those who cannot continue to be independent. Hobson, for example, was falling frequently and suffering memory lapses. Her doctor did tests and wrote prescriptions, but did not know what to do about her deteriorating condition. Neither did her family… About the Author With Instaread Summaries, you can get the summary of a book in 30 minutes or less. We read every chapter, summarize and analyze it for your convenience.

    The book concisely reviews key physiological principles and includes clinical correlations throughout to emphasize connections between basic physiology and clinical medicine. Numerous illustrations, tables, and flow charts help students visualize material quickly and aid in long-term retention. End-of-chapter USMLE-style questions and a comprehensive end-of-book exam test the student's problem-solving skills, and clearly explained answers guide the student through the correct steps in reasoning. This edition features increased coverage of pathophysiology, new questions, and a new two-color design and artwork.

    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.

    A book for medical students and doctors.

    No matter what you’ve heard, there are always steps you can take to help your dog fight (and even beat) cancer. This scientifically researched guide is your complete reference for practical, evidence-based strategies that can optimize the life quality and longevity for your dog. No matter what diagnosis or stage of cancer your dog has, this book is packed with precious advice that can help now. Discover the Full Spectrum approach to dog cancer care: * Everything you need to know about conventional western veterinary treatments (surgery, chemotherapy and radiation) including how to reduce their side effects. * The most effective non-conventional options, including botanical nutraceuticals, supplements, nutrition, and mind-body medicine. * How to analyze the options and develop a specific plan for your own dog based on your dog’s type of cancer, your dog’s age, your financial and time budget, your personality, and many other personal factors. Imagine looking back at this time in your life, five years from now, and having not a single regret. You can help your dog fight cancer and you can honor your dog’s life by living each moment to the fullest, starting now. This book can help you as it has helped thousands of other dog lovers. THE AUTHORS Dr. Demian Dressler, DVM practices in Hawaii and is internationally recognized as "the dog cancer vet" Dr. Susan Ettinger, DVM is a veterinary oncologist and a diplomate of the American College of Internal Medicine who practices in New York. PRAISE FROM VETERINARIANS, AUTHORS & BOOK REVIEWERS"The future is upon us and this ground-breaking book is a vital cornerstone. In dealing with cancer, our worst illness, this Survival Guide is educational, logical, expansive, embracing, honest and so needed." -Dr. Marty Goldstein, DVMHolistic veterinarian and Host, Ask Martha Stewart’s Vet on Sirius Radio "The message of this book jumps off the written page and into the heart of every reader, and will become the at home bible for cancer care of dogs. The authors have given you a sensible and systematic approach that practicing veterinarians will cherish. I found the book inspiring and, clearly, it will become part of my daily approach to cancer therapy for my own patients." -Dr. Robert B. Cohen, VMD Bay Street Animal Hospital, New York "I wish that I had had The Dog Cancer Survival Guide when my dearly beloved Flat-coated Retriever, Odin, contracted cancer. It would have provided me alternative courses of action, as well as some well needed "reality checks" which were not available from conversations with my veterinarian. It should be on every dog owner’s book shelf--just in case..." -Dr. Stanley Coren, PhD, FRSC author of many books, including Born to Bark "A comprehensive guide that distills both alternative and allopathic cancer treatments in dogs...With the overwhelming amount of conflicting information about cancer prevention and treatment, this book provides a pet owner with an easy to follow approach to one of the most serious diseases in animals." -Dr. Barbara Royal, DVM The Royal Treatment Veterinary Center, Oprah Winfrey’s Chicago veterinarian "Picking up The Dog Cancer Survival Guide is anything but a downer: it's an 'empowerer.' It will make you feel like the best medical advocate for your dog. It covers canine cancer topics to an unprecedented depth and breadth from emotional coping strategies to prevention-in plain English.

    A seasoned paramedic who fights under enormous pressure to save lives, Canning trains new paramedics for the rigors of a nonstop, action-packed battle. From a four-month-old baby who has stopped breathing to a sixty-seven-year-old woman with a strange abdominal mass that threatens to explode--these are gripping true stories from the "ER on the streets." An exciting, often moving account, Canning tells a powerful story of camaraderie, selflessness, and courage as paramedics try to stand tall and human through both defeat and victory.

    You?ll find the most complete data on more than 4,000 drugs by brand and generic name (both in the same convenient index), manufacturer, and product category. Your 2007 PDR provides usage information and warnings, drug interactions, plus more than 2,000 full-size, full-color photos cross-referenced to the drug. You will also find: > Phonetic spelling for each listing > A key to controlled substances > Dosages > Clinical pharmacology > FDA use-in-pregnancy ratings > Adverse reactions > Contraindications > Pediatric use > And all other FDA-required information