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.

    HELP, I'M FALLING APART!!This quick read is informative and entertaining, with personal stories and documented research.

    Provides a guide to making treatment with this steroid as effective and trouble-free as possible.

    

    Adam Brochert, MD-who scored in the 99th percentile on the Step 2 USMLE-and Theodore X. O'Connell, MD-author of several review and clinical reference books-present essential questions and answers covering the important concepts you need to know to score well on the USMLE Step 2 exam: key conditions you will be expected to recognize, all specialty and subspecialty topics, and necessary clinical concepts.Learn the most important questions and answers with the proven format of the highly acclaimed Secrets Series.Master all specialty and subspecialty topics covered on Step 2.Identify key facts and secrets using the Top 100 Secrets chapter.Review material quickly and easily thanks to bulleted lists, algorithms, and illustrations.Apply the pearls, tips, memory aids, and secrets from well-known and highly popular authors, Adam Brochert, MD and Theodore X. O'Connell, MD. Find information quickly with a second color highlighting chapter and section titles, legends, bullets and icons, and key terms.Consult the book wherever you go thanks to the portable size that fits in your lab coat pocket.

    The DOs chronicles the development of this controversial medical movement from the nineteenth century to the present. Historian Norman Gevitz describes the philosophy and practice of osteopathy, as well as its impact on medical care. From the theories underlying the use of spinal manipulation developed by osteopathy's founder, Andrew Taylor Still, Gevitz traces the movement's early success, despite attacks from the orthodox medical community, and details the internal struggles to broaden osteopathy's scope to include the full range of pharmaceuticals and surgery. He also recounts the efforts of osteopathic colleges to achieve parity with institutions granting M.D. degrees and looks at the continuing effort by osteopathic physicians and surgeons to achieve greater recognition and visibility.In print continuously since 1982, The DOs has now been thoroughly updated and expanded to include two new chapters addressing recent and current challenges and to bring the history of the profession up to the beginning of the new millennium.

    A woman is condemned for the “final betrayal of motherhood” – killing her children. A grieving mother becomes convinced that the man convicted of murdering her beautiful teenage daughter is innocent. New York Times bestselling author Gregg Olsen (If Loving You Is Wrong, Starvation Heights) and veteran journalist Rebecca Morris (Ted and Ann – The Mystery of a Missing Child and Her Neighbor Ted Bundy), delve into their Notorious USA crime files to take a new look at Idaho’s most notorious crimes. Cases include: Shasta Groene – the brave little girl was the only survivor of a random murder and kidnapping in Coeur d’Alene. Jeralee Underwood – an eleven-year-old who had the bad luck to meet a ruthless killer as she performed her favorite task of the day, delivering newspapers to her Pocatello neighborhood. Robin Row – the only woman on Idaho’s Death Row liked to set fires that killed her children. She just happened to have purchased life insurance before the tragic incidents. Angie Dodge – Carol Dodge grieved her daughter’s murder for years, until she became convinced the police had coerced a confession and convicted the wrong man. Now she’s working for Christopher Tapp’s release. Lyda Trueblood – America’s first female serial killer liked to bake apple pies. She sprinkled in a secret ingredient – arsenic. Sarah Johnson – The teenager with the blonde ponytail shot her parents with a rifle, then hid her blood-spattered pink bathrobe in the garbage. With a bonus essay from Olsen, author of the 2005 Idaho Book of the Year, The Deep Dark – Disaster and Redemption in America’s Richest Silver Mine. About the authors: GREGG OLSEN IS THE NEW YORK TIMES, Wall Street Journal and USA Today bestselling author of twenty books, both true crime and fiction, including Abandoned Prayers, Closer than Blood, A Twisted Faith, Starvation Heights, and If Loving You Is Wrong. He appears frequently on Dateline NBC, NPR, Good Morning America, The Early Show, FOX News; CNN, Anderson Cooper 360, Entertainment Tonight, Inside Edition, Extra, Access Hollywood, Snapped, Deadly Women, and A&E's Biography. REBECCA MORRIS IS A VETERAN JOURNALIST and the author of Ted and Ann – The Mystery of a Missing Child and Her Neighbor Ted Bundy. Her writing has appeared in People, Entertainment Weekly, New York Newsday, The Seattle Times, The Oregonian and many other publications. She worked in broadcast journalism in New York. Olsen and Morris’s book about missing Utah mom Susan Cox Powell, her husband Josh, and their boys Charlie and Braden, If I Can’t Have You –Susan Powell, Her Mysterious Disappearance and the Murder of her Children will be published by St. Martin’s in 2014. Also by Gregg Olsen and Rebecca Morris The Girl and the Horrors of Howard Avenue (Notorious Oregon) The Boy Who Fired the First Shot (Notorious Washington) If there’s a notorious case you’d like us to write about – anywhere in the country – contact us: Gregg@GreggOlsen.com Rebecca@RebeccaTMorris.com

    Each case includes an extended discussion, definition of terms, clinical pearls, and USMLE format review questions. This interactive learning system helps you understand essential concepts instead of memorizing facts.

    Two years ago, Breslin was having trouble getting his left eyelid to open and close. This was too peculiar to ignore, so Breslin decided to pay a rare visit to his doctor. As it turned out, the eyelid was a matter of nerves. But extensive testing revealed something unrelated and life-threatening: he had an aneurysm in his brain - a thin, ballooned artery wall that could burst and kill him at any moment unless he opted for a risky surgical procedure. Breslin agreed to the surgery and at age sixty-five, grateful for this miracle (what else could you call it?), began taking stock of his remarkable life.

    Something that's very hard to learn on your own. This is something about putting yourself first because it's okay to love yourself before anyone else. This is something about doing what's best for you, no matter what people say, because only you know what you deserve. This is something about being real, being real to who you are and accepting things as they come and change. This is something about your mistakes, about your flaws, and about how beautiful it is to get up and try again. This is something about being you, about using your voice when you're afraid. About building enough courage when you feel like standing up to something you don't believe in, something that's wrong. This is about you, and every day should be about you, and that's something you should always consider.

    Fatal Treasure is a truly compelling read.-Aphrodite Jones, New York Times bestselling author of Cruel Sacrifice and All She WantedIn 1622, hundreds of people lost their lives to the curse of the Spanish galleon Atocha-and they would not be the last. Fatal Treasure combines the rousing adventure of Ship of Gold in the Deep Blue Sea with the compelling characters and local color of Midnight in the Garden of Good and Evil. It tells the powerful true story of the relentless quest to find the Atocha and reclaim her priceless treasures from the sea. You'll follow Mel Fisher, his family, and their intrepid team of treasure hunters as they dive beneath the treacherous waters of the Florida Straits and scour the ocean floor in search of gold, silver, and emeralds. And you'll discover that nearly four centuries after the shipwreck, the curse of the Atocha is still a deadly force.""On this day, the sea once again relinquished its hold on the riches and glory of seventeenth-century Spain. And by the grace of God, I would share the moment of glory . . . . I was reaching for my eighth emerald, another big one, when the invisible hands squeezed my trachea. In desperation, I clutched at my throat to pry away the enemy's fingers. But no one had hold of me.""-From the Prologue

    Translated into eight languages, it is an essential textbook, an accessible reference, and a bestselling text worldwide.This authoritative textbook retains the successful layout and approach of the bestselling fourth edition Four extra chapters have been added on dry eye, scleritis, corneal and refractive surgery, and systemic diseases.Each chapter have been updated and expanded and the number of illustrations greatly increased.Over a third of the illustrations are new for this editionFour extra chapters have been added on dry eye, scleritis, corneal and refractive surgery, and systemic diseases.The contents of each chapter have been updated and expanded and the number of illustrations has significantly increased.

    Leading rheumatologist and researcher Dr. James Dowd reveals the causes of vitamin D deficiency and offers a simple, easy-to-follow five-step program that can eliminate or alleviate a host of seemingly incurable conditions, such as arthritis, in as little as six weeks. Better yet, by staying on the program, you can enjoy robust health and improved fitness for the rest of your life.

    Beginning with an introduction to the diagnostic interview, the Pocket Guide addresses the goals of the interview, provides an efficient structure for learning how to conduct one, reviews the screening questions, and then tackles the ways in which DSM-5T, with its updated approaches to diagnosis and classification, impacts the interview going forward. Significant revisions from DSM-IV-TRr to DSM-5T are reviewed. The final chapter, the core of the guide, walks the reader through a complete diagnostic exam that includes the follow-up questions for each of the DSM-5T disorder classes. The book is useful for beginners learning the format and flow of the diagnostic interview and for seasoned clinicians conducting an interview consistent with the significant revisions reflected in DSM-5T. Not intended to replace DSM-5T itself or psychiatric interview texts, The Pocket Guide to the DSM-5T Diagnostic Exam is a pragmatic and concise resource for diagnosing a person in mental distress while establishing a therapeutic relationship.

    Enjoy quick but satisfying weeknight dinners such as Creamy Pancetta Pasta with Mushrooms and Parmesan or Chestnut and Pea Risotto with Truffle Oil. Thinking of entertaining? You’ll find dinner-party delights such as Rioja-Braised Lamb Shanks with Chorizo or Twice-Cooked Chicken Kievs.Everyday Easy offers something for every chef and every occasion, whether you’re looking for a tasty meal for two or planning a crowd-pleasing menu for a fun and relaxed evening with friends. Nearly every recipe is accompanied by a gorgeous color photo along with a cornucopia of kitchen tips and tricks to help you whip up great food without the fuss.