To understand this remarkable trend, Charles R. Morris "embedded" himself with a surgical team at New York-Presbyterian Hospital in New York City, one of the world's premier cardiac surgery and transplant centers. Given unprecedented access, Morris witnessed sophisticated operations and observed the tense meetings where surgeons relentlessly criticize their own performance. In thrilling detail, Morris recounts a late-night against-the-clock "harvest run" to secure a precious transplantable organ; the heart-breaking story of a child's failed transplant; a trainee surgeon's brutal daily regimen; and much more. Along the way, Morris documents the fifty years of research and hundreds of millions of dollars that have been expended on creating a reliable mechanical heart, and he steps back to reflect on how doctors think and how they judge each other, what is really driving health care costs, and the future of health care policy in America.

    The Ketogenic Diet for Cancer fills this need. Inspired by the work of Dr. Thomas Seyfried and written by nutritionist Miriam Kalamian, this is the first book to lay out guidelines that specifically address the many challenges facing those with cancer.Kalamian, a leading voice in the keto movement, is driven by passion from her own experience in using the ketogenic diet for her young son. Her book addresses the nuts and bolts of adopting the diet, from deciding whether keto is the right choice, to developing a personal plan for smoothly navigating the keto lifestyle. It is invaluable for both beginners and seasoned users of the ketogenic diet as well as for health care professionals who need a toolkit to implement this targeted metabolic therapy.The book guides readers to a deeper understanding of the therapeutic potential of the ketogenic diet which extends well beyond simply starving cancer emphasizing the powerful impact the diet has on the metabolism of cancer cells. Nutritional nuances are explored in sections such as Fasting Protocols and Know What s in the Foods You Eat while meal templates and tracking tools are provided in Preparing Keto Meals .Kalamian also discusses important issues such as self-advocacy. Readers of The Ketogenic Diet for Cancer are empowered to get off the bench and get in the game. To that end, Kalamian offers tips on how to critically examine cancer care options then incorporate what resonates into a truly personalized treatment plan."

    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 Seventh Edition updates and revises material to reflect current advances in respiratory science but does not stray from the proven formula students and faculty have enjoyed since 1974.New updates include physiology of pulmonary capillaries, hypoxic pulmonary vasoconstriction, pulmonary edema, surface tension, elastic properties of the lung and chest wall, metabolic functions of the lung, and perinatal respiration. Ample illustrations and pedagogical features help clarify important equations and concepts. USMLE-style review questions at the end of each chapter help students review for class or boards.

    Includes tables to compare different agents within a given class of drugs. For use as a review for Boards, self-testing, or reference. Previous edition: c1997.

    Rana Awdish never imagined that an emergency trip to the hospital would result in hemorrhaging nearly all of her blood volume and losing her unborn first child. But after her first visit, Dr. Awdish spent months fighting for her life, enduring consecutive major surgeries and experiencing multiple overlapping organ failures. At each step of the recovery process, Awdish was faced with something even more unexpected: repeated cavalier behavior from her fellow physicians—indifference following human loss, disregard for anguish and suffering, and an exacting emotional distance.Hauntingly perceptive and beautifully written, In Shock allows the reader to transform alongside Awidsh and watch what she discovers in our carefully-cultivated, yet often misguided, standard of care. Awdish comes to understand the fatal flaws in her profession and in her own past actions as a physician while achieving, through unflinching presence, a crystalline vision of a new and better possibility for us all.As Dr. Awdish finds herself up against the same self-protective partitions she was trained to construct as a medical student and physician, she artfully illuminates the dysfunction of disconnection. Shatteringly personal, and yet wholly universal, she offers a brave road map for anyone navigating illness while presenting physicians with a new paradigm and rationale for embracing the emotional bond between doctor and patient.

    Turn to any page, and you'll find essential point-of-care guidance on all the major conditions seen in clinical medicine. Completely updated to reflect all the major advances and new clinical developments, the new edition of the Manual is the most indispensable yet. It continues to focus on diagnosis and therapy with an emphasis on patient care and offers authoritative, high-yield coverage of: Etiology and epidemiology Clinically relevant pathophysiology Signs & Symptoms o Differential Diagnosis Physical and Laboratory Findings Therapeutics o Practice GuidelinesNEW FEATURESFull-color presentation for the first time!Full-color images of clinical conditions encountered in dermatology, cardiology, and eye diseases New chapters on end-of-life care, congenital heart disease in the adult patient, non-invasive cardiac examination, and metabolic syndromeLook for these other great Harrison's titles:Harrison's Principles of Internal Medicine, 17eHarrison's Online available through Accessmedicine.com

    Highlights of this edition include a brief glossary of key neuroanatomical structures and disease states; addition of an icon to more clearly identify the Clinical Correlations sections; an appendicized table of common neurological lesions; expanded figure legends that identify clinically relevant anatomical relationships; an improved, expanded index; and modified text and figure legends to comply with Terminologia Anatomica.A companion Website will offer bonus USMLE-style questions.

    A full pharmacopoeia of natural remedies for common ailments and injuries, it also contains sections on homeopathy for children and pets.It covers the history and use of homeopathy in the home. It covers a wide variety of aspects of illness and homeopathy and chapters cover the following:What is Homeopathy?A Homeopathic Physician at WorkYour Home Remedy KitWhat to Do for AccidentsIn Case of EmergencyHow to Prevent and Treat Colds, Coughs and EarachesRemedies for Stomach and Bowel ProblemsA Happier Baby with Homeopathic CareYour Growing ChildWhat Homeopathy Can Do for WomenKeeping Your Pets HealthyRemedies and their AbbreviationsMini-RepertoryMateria Medica

    

    Two ends of the same spectrum. And sometimes the only person standing between is a tired, overworked resident with personal problems of her own.Welcome to the world of Catching Babies. In the halls of a busy metropolitan teaching hospital, a group of OB/GYN doctors complete their residencies and embark on ambitious careers, all while trying to hold their lives together at the seams. Jay is running from a life he’s tried to leave behind, while Katie sacrifices everything she has to serve an endless parade of needy patients. Anna is out trying to save the world, while Tracy is trying to save twins dying in utero. Based on true stories from delivery rooms and labor decks, Catching Babies spins the doctors’ stories into a gripping mosaic of the obsessions, the anxieties, and the heroism of doctors who have chosen to preside over life’s greatest medical drama—high-risk childbirth.

    Part One presents the general principles of pathophysiology and discusses the influence of the environment and the role of genetics in the development of disease. Part Two, organized by body system, examines normal anatomy and physiology, alterations of function in adults, and alterations of function in children.

    Featuring a wide array of distinguished voices, including Peter Kramer, Kay Redfield Jamison, Robert Coles, Lauren Slater, Sandeep Jauhar, and Perri Klass, these original stories create a vivid mural of the medical world and provide invaluable insight for both doctors in training and longtime physicians. Becoming a Doctor portrays the broad arc of a doctor’s life, from a medical student’s uneasy first encounter with a cadaver and her realization that the experience’s redemption will lie ahead in the lives saved, to a resident’s reliance on dance during her grueling year in an inner-city hospital, and a veteran doctor’s profound ruminations on what it means to really listen to a patient’s story.

    The brand-new Tenth Edition covers all aspects of embryology of interest to medical students and instructors and includes clinical correlates that provide information on birth defects and other clinical entities directly related to embryologic concepts.This extensively revised edition features new full-color photographs of clinical conditions and updated embryo images/photographs created using newer technologies. It also features new online USMLE-style review questions through Connection / The Point. A new introduction chapter on development includes molecular biology. This edition's larger page size improves readability.A bound-in CD-ROM, Simbryo, presents animations of embryologic system development.

    The aim remains to provide a reference to the aspects of medical microbiology particularly important for clinical infections and chemotherapy. Geo. F. Brooks (U. of California, San Francisco), Jane