Now the director of the Heart Failure Program at a Long Island hospital, Jauhar uses his own story as a scalpel to lay open the American health-care system.The patient is ill indeed. A perverse system forces doctors to prescribe unnecessary tests and participate in an elaborate system of cronyism just to cover costs and protect themselves from malpractice suits. Jauhar reports cases where a single patient might see fifteen specialists in one hospital stay, fail to receive a full picture of his actual condition, and leave with a bill for hundreds of thousands of dollars. Jauhar himself wrestles with his conscience as, struggling to make ends meet, he moonlights for a practitioner who charges exorbitant fees for tests of questionable value.Doctored is a cry for reform; a fascinating look at what really goes on in examining rooms, ORs, and your own doctor’s mind; and, most of all, a deeply personal and unsparing act of introspection by a physician who wants to return meaning and moral grounding to a noble profession that has lost its way. It is certain to kick off controversy and heated debate at a time when the dysfunctionalities of our health-care system remain at the top of the nation’s agenda.

    Written primarily for medical students for their course in clinical paediatrics (6-10 weeks in duration in the UK and worldwide), the book has found a wider audience among nurses, trainee paediatricians preparing for the MRCPCH, and general practitioners preparing for the DCH. Throughout, there is an emphasis on the core fundamentals of paediatrics practice throughout the world, which has contributed to its success in Europe, Asia, Australia and the Middle East.Book with www.studentconsult.com website, with full text on line and self-assessment.Totally revised and updated text, especially on controversial topics such as child protection, immunisations, and obesity.Improved navigation with colour-coding, better headings hierarchy and chapter summaries.Essential information summary boxes to aid learning.Over 100 new line drawings and photographs - all in full colour.In the book:Summary boxes to help learning/revisionAdditional diagrams and photographs to assist learningBringing book up to date and expanding topical items such as immunisations, obesity, child protection, ethics, medicines in childrenNew chapters on Allergy and Adolescent MedicineImproved navigation by means of: Chapter summaries at the beginning of chapters using main headings and page numbersColour-coding of chaptersDifferentiation of types of boxes by colour and numberingOn www.studentconsult.com:Full textSelf-assessment questions and answers using different formats: multiple choice questions; best of five and best of many; extended matchingPhotographs/illustrationsSelected additional background information e.g. relevant embryology, basic science

    Arun Singh has witnessed life and death from a vantage point nearly unmatched in medical history, while performing over 15,000 open heart surgeries. Revered by colleagues and patients, under the hot lights of the O.R. this award-winning surgeon has spent thousands of hours performing life-saving operations, while witnessing the miraculous, the joyous, and the devastating. He has held the life-giving heart in his hand and has been praised for his tireless devotion to preserving the lives this organ sustains.Dr. Singh's decorated career is an odyssey of remarkable determination. To illuminate the power of perseverance, Dr. Singh recounts how the same two hands that have so expertly worked to extend life were once crushed and his future nearly shattered. In YOUR HEART, MY HANDS he recalls the fortitude that saw him through a complicated boyhood in India, struggles with dyslexia, and finding his way as an immigrant, to become one of America's most highly-regarded and preeminent surgeons. Reflecting on over 40 years of practice, Dr. Singh shares intimate O.R. secrets, riveting patient accounts, and the life lessons he learned treating his most memorable patients. This book will inspire, enlighten, and captivate readers.

    The Chronic Cough Enigma is written for people who have been coughing for months or years and cannot get useful answers from their doctors.More than 20 million Americans suffer from what is known as enigmatic chronic cough. This book provides insights from Dr. Jamie Koufman’s almost forty years of successfully managing thousands of long-suffering cough patients. Indeed, the typical chronic cough patient who comes to her office has been coughing for more than a decade. This book provides the many who suffer from chronic cough new and potentially life-changing information and the potential to be cured.

    Leeuwenhoek proceeded to examine the microscopic activity of his spittle, teeth plaque, and feces, and as the result of his findings the field of bacteriology was born. Some two hundred years later, Wilhelm Conrad Roentgen, a professor of theoretical physics at the University of Wurzburg, invited his wife to his laboratory, asked her to place her hand on an unexposed photographic plate, turned on an electric current, and showed this terrified woman a picture of the bones of her hand. And so came the discovery of the X-ray.This absorbing book is the first to describe these and eight other monumental medical discoveries throughout history, bringing to life the scientific pioneers responsible for them and the excitement, frustrations, and jealousies that surrounded the final achievements. Two distinguished physicians, Meyer Friedman and Gerald W. Friedland, have drawn on their many years of experience as well as on that of world-renowned antiquarian book dealers, physician collectors of old and new medical publications, and medical school professors to single out these medical breakthroughs from thousands of candidates, and, in several cases, to provide information never before available. Their engrossing stories of the ten most significant discoveries will be read with enjoyment by anyone fascinated by the mysteries of medicine.

    Webster as he explores the fascinating and complex history of the Philadelphia State Hospital at Byberry.The Quaker City and its hospitals were pioneers in the field of mental health. Yet by the end of the nineteenth century, its institutions were crowded and patients lived in shocking conditions. The mentally ill were quartered with the dangerously criminal. By 1906, the city had purchased a vast acreage of farmland incorporated into the city, and the Philadelphia Hospital dubbed its new venture Byberry City Farms. From the start, its history was riddled with corruption and committees, investigations and inquests, appropriations and abuse. Yet it is also a story of reform and redemption, of heroes and human dignity--many dedicated staff members did their best to help patients whose mental illnesses were little understood and were stigmatized by society.

    The deafening thrum of the helicopter announces the unknown perils and potential havoc that await. A critical care and emergency flight nurse, Culkin treats patients who are most often in mortal danger. Aboard the Agusta, she is entrusted with the life of a seventeen-year-old pulled from the wreckage of a headon collision as his father calls out a wrenching plea from below; she cares for a middle-aged man who is bleeding to death internally, remembering the four daughters who have kissed him goodbye, possibly for the last time. It is the arduous and acute struggle to keep her patients alive en route to the hospital that is Jennifer Culkin's most profound duty.Culkin is no stranger to death and its dramas, or the urgency that accompanies them. Her memoir pulls us into the neonatal intensive care unit, where she labors to ventilate an eleven-ounce preemie, the smallest human she has ever cared for. The tenuous lines between life and death lead us to the pediatric intensive care unit, where she looks after children seemingly too small to contain their devastating illnesses.As her personal life begins to mirror the intensity of her work, Culkin writes poignantly of attending her dying mother, who refuses to decide whether to prolong her life. She recounts with tenderness and exasperation the experience of looking after her widowed father, who faces death with dramatic stubbornness, ignoring medical advice and rejecting even basic treatment. Tempering her profound insights with humor, Culkin relates her taste for the edge, her own risky gambles, and her ongoing battle with multiple sclerosis. Finally, Culkin takes us back to flying, with the dramatic and redemptive stories of her colleagues who have perished in helicopter crashes in their very exceptional line of duty.A Final Arc of Sky does more than plunge readers into the chaos of emergency medicine; it is also a masterful reflection on the pivotal moments of our lives, on the beautiful fragility of our mortality.

    From being the saviour of a man’s anus to being mistaken for the milkman, Tom describes the complexity and absurdity of today’s medical practice with humour and aplomb. Tom is a junior doctor working in the National Health Service. Tom Parsons is a pseudonym. * Amazon/Kindle/Fiction/Medical, March 2018

    

    And what do they get for it? Statistically, not much. Americans today live shorter, less healthy lives than citizens of other rich countries, and these trends show no signs of letting up.The problem, Sandro Galea argues, is that Americans focus on the wrong things when they think about health. Our national understanding of what constitutes "being well" is centered on medicine -- the lifestyles we adopt to stay healthy, and the insurance plans and prescriptions we fall back on when we're not. While all these things are important, they've not proven to be the difference between healthy and unhealthy on the large scale.Well is a radical examination of the subtle and not-so-subtle factors that determine who gets to be healthy in America. Galea shows how the country's failing health is a product of American history and character -- and how refocusing on our national health can usher enlightenment across American life and politics.

    'You just sit on sofas and drink tea, don't you? It's not like you're a real nurse, in hospital.'Well, Health Visitors are real nurses, with at least three years' training, and they are out there, on their own. No back-up team or support structures to call for help if they're in a dicey situation. No warm lights, tea breaks spent chatting in the canteen, nobody else to ask, 'is this okay, what do you think?'Over 40 years working in the NHS, Rachael Hearson has been chased down an isolated stairwell by crack-fuelled drug-addicted pimps, threatened by a knife-wielding wife-beater in a hostel, unwittingly visited a brothel...And that's just the tip of the iceberg.

    The latest scientific research reveals that the balance of bacteria in an individual’s microbiome can have a profound impact on inflammation throughout the body. In those with psoriasis or autoimmune arthritis, there is often a characteristic lack of certain beneficial bacteria that normally regulate the immune system – known as “keystone” species. This is typically coupled with an overabundance of potentially harmful bacteria that further trigger the inflammatory response. The Keystone Approach calms inflammation at the source by restoring the balance of good and bad bacteria in the microbiome. Based on an in-depth analysis of the latest scientific evidence, The Keystone Approach also explains how to optimize the Mediterranean diet for the greatest reduction in inflammation, along with providing detailed guidance for choosing supplements supported by good-quality clinical trials. ---- Rebecca Fett is a science writer with a degree in molecular biotechnology and biochemistry from the University of Sydney. She previously spent ten years as a biotechnology patent litigation attorney in New York, where she specialized in analyzing the scientific and clinical evidence for immune-targeting biologic medicines

    It is an ideal reference for medical students in ICM courses, house officers, or anyone directly involved in patient care, whether student, teacher, or practitioner.The book features more than 200 facsimiles of EKG strips and numerous case studies and clinical examples. This Fifth Edition includes updated information on pacemakers and myocardial infarction treatment and more practice EKGs.

    One heart. Two eyes. Ten fingers. You may think you know what makes up a human. But it turns out our bodies are full of surprises. What makes tears of joy different from tears of sadness?Why is a gut feeling so much smarter than you think?And why is 90% of you not even human?You may think you know the human body – heart, lungs, brain and bones – but your body is full of extraordinary mysteries that science is only just beginning to understand. This book, which accompanies a major new BBC TV programme, will change the way we think about our bodies.Doctors are in the business of keeping secrets, but medical confidentiality isn’t just about privacy, shame or discretion. It’s about vulnerability to exploitation. In this ground-breaking new book, the effervescent van Tulleken twins bring their knowledge and charm to the page to reveal just how well our bodies keep secrets from the things that want to exploit it: bacteria, viruses, fungi, parasites, larger predators and, crucially, other people. They uncover the remarkable stories behind the science we are not meant to know, on matters of life and death.Leading us through these revelations are tales of everyday miracles – the human stories that bind every one of us together through the universal stages of life. From the most extreme environments on Earth to the most extreme events, Chris and Xand reveal the incredible abilities every human shares. Arranged around the three themes of learning, survival and growth, this book shows the human body like never before.Combining cutting-edge science and technology with stunning photography that gives us a tantalising glimpse beneath our skin, the van Tullekens reveal the secrets that make very ordinary human body … extraordinary.

    For the past few decades, technology has been touted as the cure for all of healthcare's ills.But medicine stubbornly resisted computerization - until now. Over the past five years, thanks largely to billions of dollars in federal incentives, healthcare has finally gone digital.Yet once clinicians started using computers to actually deliver care, it dawned on them that something was deeply wrong. Why were doctors no longer making eye contact with their patients? How could one of America's leading hospitals give a teenager a 39-fold overdose of a common antibiotic, despite a state-of-the-art computerized prescribing system? How could a recruiting ad for physicians tout the absence of an electronic medical record as a major selling point?Logically enough, we've pinned the problems on clunky software, flawed implementations, absurd regulations, and bad karma. It was all of those things, but it was also something far more complicated. And far more interesting . . .Written with a rare combination of compelling stories and hard-hitting analysis by one of the nation's most thoughtful physicians, The Digital Doctor examines healthcare at the dawn of its computer age. It tackles the hard questions, from how technology is changing care at the bedside to whether government intervention has been useful or destructive. And it does so with clarity, insight, humor, and compassion. Ultimately, it is a hopeful story."We need to recognize that computers in healthcare don't simply replace my doctor's scrawl with Helvetica 12," writes the author Dr. Robert Wachter. "Instead, they transform the work, the people who do it, and their relationships with each other and with patients. . . . Sure, we should have thought of this sooner. But it's not too late to get it right."This riveting book offers the prescription for getting it right, making it essential reading for everyone - patient and provider alike - who cares about our healthcare system.