We all have one, but most of us will never see one. The heart surgeon now has that privilege but, for centuries, the heart was out of reach even for surgeons. So when a surgeon nowadays opens up a ribcage and mends a heart, it remains something of a miracle, even if, to some, it is merely plumbing. As with plumbers, the quality of surgeons’ work varies. As with plumbers, surgeons’ opinion of their own prowess and their own attitude to risk are not always reliable. Measurement is key. We’ve had a century of effective evidence-based medicine. We’ve had barely a decade of thorough monitoring of clinical outcomes. Thanks to the ground-breaking risk modelling of pioneering surgeons like Samer Nashef, we at last know how to judge whether an operation is in a patient’s best interest, which hospital and surgeon would be best for that operation, when it might best be performed and what the exact level of risk is. We have at last made what is important in surgery measurable. But how should surgeons, and their patients, use these newfound insights? Ever since his days as a medical student, Samer Nashef has challenged the medical profession to be more open and more accurate about the success of surgical procedures, for the sake of the patients. In The Naked Surgeon, he unclothes his own profession to demonstrate to his reader (and prospective patient) many revelations, such as the paradox at the heart of the cardiac surgeon’s craft: the more an operation is likely to kill you, the better it is for you. And he does so with absolute clarity, fluency and not a little wit.

    And while they may seem like simple little creatures, they are really very complex and never cease to amaze those who live with them. Physiologically and psychologically bunnies are very different from cats and dogs--or any other pet you may be familiar with--and they have their own unique needs and problems that must be addressed. Keeping a bunny healthy and happy requires a sincere commitment of time, energy, and love--one you'd better be sure you're willing to invest before you take one of these gentle little creatures into your life. Rabbits For Dummies lets you take a well-informed look before hopping headlong into the wonderful world of rabbit ownership. This fun, entertaining book fills you in on everything you need to know to successfully adopt, nurture, live with and love a rabbit. You'll discover how to:Choose the right rabbit for you Learn how to communicate with your bunny Understand your rabbit's special needs Acclimate your rabbit to your household Feed and house your rabbit properly Identify and address common health problems Breed Rabbits Written by lifelong rabbit fancier and award-winning author pet author, Audrey Pavia, Rabbits For Dummies is ideal for first-time and veteran rabbit owners, alike. It is a gold mine of advice, guidance and tested-in-the-trenches tips on:Deciding if a rabbit is right for you and vice versa Choosing the right breed, size, age and sex bunny for you Finding your rabbit and introducing it into your home Housing, cleaning and feeding your rabbit Health issues, concerns and treatments Dealing with bunny behavior problems Training your bunny to use a litter box Teaching your rabbit tricks and having fun together Rabbit psychology and physiology Breeding and showing rabbits for fun and profit Packed with informative photos and how-to sections on every aspect of caring for and loving a pet bunny, Rabbits For Dummies is a survival guide for rabbits and their people.

    Birds play a prominent role in attracting visitors, too. The shimmering quetzals, gaudy macaws, and comical toucans only begin to hint at the impressive avian diversity to be found throughout this small country."--from the Introduction This is the one field guide the novice or experienced birder needs to identify birds in the field in the diverse habitats found in Costa Rica. It features descriptions and illustrations of more than 820 resident and neotropical migrant species found in Costa Rica, all in a compact, portable, user-friendly design. The detailed full-color illustrations show identifying features--including plumage differences among males, females, and juveniles--and views of birds in flight wherever pertinent. Additional features of this all-new guide include: o 166 original color plates depicting more than 820 species. o Concise text that describes key field marks for positive identification, as well as habitat, behavior, and vocalizations. o Range maps and texts arranged on opposing pages from illustrations for quick, easy reference. o The most up-to-date bird list for Costa Rica. o A visual guide to the anatomical features of birds with accompanying explanatory text. o Quick reference to vultures and raptors in flight.

    Hamilton was reshaping the image of the vampire with her own take on the vampire mythos in her Anita Blake, Vampire Hunter fantasy novel series. While Hamilton's work draws on traditional vampire and fairy lore, her interpretation of these subjects brought new dimensions to the genres, influencing the direction of urban fantasy over the past two decades.Reading Laurell K. Hamilton focuses upon Hamilton's two bestselling series, the Anita Blake, Vampire Hunter series and the Merry Gentry series. The volume is intended as a resource for leaders of book clubs or discussion groups, containing chapters that examine Hamilton's role in the current vampire literature craze, the themes and characters in her work, and responses to Hamilton on the Internet. The book also provides a brief overview of Hamilton's life.

    Each object is plotted on a detailed, easy-to-use star map, and most of these sights can be found even in a light-polluted sky. Also included are four seasonal all-sky charts that help locate each highlight. You don't need fancy or expensive equipment to enjoy the wonders of the night sky. In fact, as even experienced star gazers know, to go beyond the naked-eye sky and delve deep into the universe, all you need are binoculars ? even the ones hanging unused in your closet. If you don't own any, Binocular Highlights explains what to look for when choosing binoculars for star gazing and provides observing tips for users of these portable and versatile mini-telescopes. Sprial-bound with readable paper spine, full color throughout.

    He sees the angler's environment all around him--in New York's Grand Central Station, in the cement-lined pond of a city park, in a shimmering bonefish flat in the Florida Keys, in the trout streams of the Rocky Mountains. He marvels at the fishing in the turbid Ohio River by downtown Cincinnati, where a good bait for catfish is half a White Castle french fry. The incidentals of the angling experience, the who and the where of it, interest him as much as what he catches and how. The essays contain sharply focused observations of the American outdoors, a place filled with human alterations and detritus that somehow remain defiantly unruined. Frazier's simple love of the sport lifts him to a straight-ahead angling description that's among the best contemporary writing on the subject. The Fish's Eye brings together twenty years of heartfelt, funny, and vivid essays on a timeless pursuit where so many mysteries, both human and natural, coincide.

    The best thing is that your new puppy is a blank canvas just waiting to be made into a masterpiece. Adopting a puppy means not only caring for his physical and emotional needs, but you must also train him to be an upstanding member of society. There are unacceptable behaviors, even for puppies. It doesn’t matter how cute and adorable they are when they ruin your carpet and stink up your house all the time. But it’s up to you to teach your puppy where and when to “go.” In this book, you will only learn time-tested strategies from potty training your puppy to, teaching him obedient safety measures, manners and leash walking etiquette to fun and unique tricks. You will learn step-by-step instructions that will help you train your puppy like a pro. Here is a glance of what you will learn in this book.. How to establish boundaries with your puppy Powerful techniques to potty train your puppy Non- Compliance warning signs New House training techniques Best Puppy obedience training techniques Noise control strategies Much much more With this book in your hand, you will learn how to efficiently and without stress conduct puppy training lessons. From hints about setting up the scene and tone of the classroom to learning how to be assertive yet kind, you will see how simple it is to be the best teacher ever. Even better, your dog will be such a good student that he will earn his rightful title as “teacher’s pet.” Did you know that dogs mirror their owners? If you come to class stressed, your pup will pick up on it and act out accordingly. On the same note, if you are positive and ready to roll, he is likely to be as well. If you are still a little shaky, rest assured that I have trained literally hundreds of puppies. I have trained a myriad of nervous puppy owners too. I have successfully trained them, and… I’ll train you too. Without another wag of your pup’s tail, let’s get on with our step-by-step training of your new puppy. Download your copy today.. Go to the top of the page and click the orange “Add To Cart” button on the right to order now!

    An attractive and comprehensive guidebook, this work has been completely revised and updated by the author. The reader will find an easy-to-use text which details the natural history of the plants and animals found in the Galápagos Islands. Management and conservation of the Galápagos National Park is discussed, and visitor information and notes about the various tourist sites are given. An index and checklist of plants and animals with page references and a glossary of technical terms are provided. New photographs have been added.

    In thirty-five engaging and sometimes irreverent vignettes, Yow reveals the fascinating lives of the birds we see nearly every day. Following the seasons, he covers forty-two species, discussing the improbable, unusual, and comical aspects of his subjects' lives. Yow offers his own observations, anecdotes, and stories as well as those of America's classic bird writers, such as John James Audubon, Arthur Bent, and Edward Forbush. This unique addition to bird literature combines the fascination of bird life with the pleasure of good reading.

    Fast Tract Digestion Heartburn is the first book to define and address the real cause of acid reflux. Acid reflux occurs as a result of digestive malabsorption of five difficult-to-digest carbohydrates. It leads to the overgrowth of gas-producing bacteria in the small intestine and the gas pressure drives acid reflux. Dropping a Mentos into a bottle of Coke is the perfect illustration of this phenomenon. Unfortunately, PPI drugs do not address the real cause, but also cause serious side effects including vitamin and mineral malabsorption, bone fractures, pneumonia, low blood magnesium levels, bacterial overgrowth, C diff infection and pneumonia as explained in the book.Fast Tract Digestion Heartburn offers science-based food choices and recipes (Fast Tract Diet) to limit the five difficult-to-digest carbohydrates, so that you can feel relief within a few days Also, it enables you to self-manage all of the symptoms of acid reflux going forward. The Fast Tract Diet is based on a scientific formula called Fermentation Potential (FP). FP is the key measure regardless of the carbohydrate count. Limiting foods with high FP will help control the overgrowth of bacteria in the small intestine and, as a result, acid reflux. The Fast Tract Diet was clinically tested on reflux sufferers in the Boston area. The results were overwhelming and proved the effectiveness of the diet as an alternative to proton pump inhibitor drugs.

    Today, a few veterinarians still do. Duncan MacVean, DVM, is one such vet. His patients range from cats and dogs to pigs and lizards—each of them a unique personality. Every animal and every home is different, but every owner is the same in their affection for their companions. Without warning, MacVean finds himself in odd situations: stepping into a basement full of free-flying bats or struck speechless by a pig who loves opera so much that she falls into a trance.The hilarious and the heartbreaking come together in this collection of true tales, all gathered from his lifelong career. MacVean finds himself riding backwards atop a potbelly pig that bucks and kicks its way down the hall, knocking over a china cabinet in the process. One woman with terminal cancer earnestly wants to know where pets go when they pass away—will her beloved cat and dog join her in the afterlife? Navigating the finer elements of human and animal interaction isn’t easy. Here, MacVean provides a glimpse into his experience with such relationships, always looking for the humor and light of every situation.With never a dull moment, his dedication to the animals of this earth and compassion for their human caretakers drives MacVean onward, from house to house, from patient to patient. This heartwarming collection of stories brings readers along for the ride, getting to know the curious creatures he treats and their perhaps sometimes even more curious humans. My Patients Like Treats is the perfect book for animal lovers or those who simply appreciate a good story.

    Exploring along those beaches offers encounters with myriads of plants, animals, minerals, and manmade objects--all are covered in this comprehensive guide with descriptive accounts of 822 items, 983 color images, and 431 maps. Beginning with the premise that beaches are themselves alive, this guide to the natural history of Florida beaches heralds the living things and metaphorical life near, on, and within the state's sandy margins. It is organized into Beach Features, Beach Animals, Beach Plants, Beach Minerals, and Hand of Man. In addition to being an identification guide, the book reveals much of the wonder and mystery between dune and sea along Florida's long coastline.

    On the one hand wrens are ubiquitous. They are Britain's most common bird, with 8.5 million breeding pairs and have by far the loudest song in proportion to their size. They also thrive up and down Britain and Ireland: from the smallest city garden to remote offshore islands, blustery moors to chilly mountains. Yet many people, particularly a younger generation, are not sure if they have ever seen a wren. Perhaps because the wren is so tiny, weighing just as much as two A4 sheets of paper, and so busy, always on the move, more mouse than bird. However if we cast our eyes back to recent history wrens were a mainstay of literary, cultural and popular history. The wren was on postage stamps and the farthing, it featured in nursery rhymes and greetings cards, poems and rural `wren hunts', still a recent memory in Ireland particularly. With beautiful illustrations throughout, this captivating year-in-the-life biography reveals the hidden secrets of this fascinating bird that lives right on our doorstep.

    Here he presents his favorites, with beautiful collage illustrations and brief descriptions that highlight intriguing facts about each one.The illustrations show a variety of feathered creatures in their natural habitats as they hunt for food, impress their mates, nest, and care for their young. The concise, accessible text provides information ranging from clever techniques for finding food to remarkable physical features to fascinating behaviors. But above all, Geraldo Valerio shares his passion for birds in this lovingly created album, inspiring young readers with their beauty and the excitement of discovery.Includes an introduction, glossary, index and sources for further information.

    In 2015, Noah Strycker set himself a lofty goal: to become the first person to see half the world’s birds in one year. For 365 days, with a backpack, binoculars, and a series of one-way tickets, he traveled across forty-one countries and all seven continents, eventually spotting 6,042 species—by far the biggest birding year on record.This is no travelogue or glorified checklist. Noah ventures deep into a world of blood-sucking leeches, chronic sleep deprivation, airline snafus, breakdowns, mudslides, floods, war zones, ecologic devastation, conservation triumphs, common and iconic species, and scores of passionate bird lovers around the globe. By pursuing the freest creatures on the planet, Noah gains a unique perspective on the world they share with us—and offers a hopeful message that even as many birds face an uncertain future, more people than ever are working to protect them.