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.

    The first and only true textbook written by professors who teach the undergraduate course, it presents the most current concepts in an experimental context with clinical advances highlighted in boxes, supported by the kind of helpful pedagogical tools that other books do not provide.

    It covers patient care in various clinical settings by employing a unique levels of care approach, discussing nursing implementation at multiple levels. Special features highlight the content that is most relevant and challenging for today's nursing students, including patient teaching, nutrition, drug therapy, cultural and ethnic disparities, and more.Identifies and discusses all levels of nursing management, including Health Promotion, Acute Intervention, and Ambulatory and Home Care, to prepare the nurse to effectively intervene at various stages of illness.Online podcasts feature audio key points summaries for each chapter highlighting important information.Extensive gerontologic content discusses age-related changes for each body system and alerts the nurse to differences often encountered in older patients.Attractive four-color design and over 1,400 full-color illustrations enhance learning by presenting disease processes and related anatomy and physiology more clearly.About 55 thoroughly updated, comprehensive nursing care plans incorporate current NANDA diagnoses, defining characteristics, expected outcomes, interventions with rationales, evaluation criteria, and more.New chapters on Health Disparities, Stress and Stress Management, Infection and HIV, and Nursing Management: Obesity provide a more comprehensive look at the world of medical-surgical nursing.Electronic Resource Summary at chapter openers alert students to additional electronic resources available on companion CD and Evolve.Gender Differences boxes summarize how women and men are affected differently by medical conditions.Drug Alert boxes highlight important considerations applicable to key drugs.A glossary of key terms and definitions contains definitions and page references.NCLEX examination style review questions in each chapter include a focus on prioritization of patient care.All nursing care plans now incorporate NIC and NOC. Companion CD:More than 50 interactive case studies with realistic, 3-D animations to help you visualize disease processes from the inside outA unique Stress-Busting Kit for Nursing Students with strategies for managing your (and your patients') stressA collection of Multimedia Supplements with audio and video clips, plus additional animations375 NCLEX(R) examination-style review questions

    This is my story as a patient through a doctor’s eyes with the hope that healthcare professionals will read it, in particular young doctors and medical students, and understand exactly what being a patient is really like and how their behaviours, no matter how small can impact massively on their patients. It is also a story of my own personal battles with control and learning how and when to relinquish it.

    It is more concise and easier to read than some, yet it covers the breadth of emergency medicine practice more comprehensively than others. The bottom line is that I like this book. Just as previous editions did, the seventh presents all of the most pertinent and up-to-date information in a well-organized format that is comprehensive yet easy to read. That and many of the attractive new features in this current edition will ensure its place on my bookshelf for years to come."--JAMAWith 418 contributors representing over 120 medical centers around the world, Tintinalli’s Emergency Medicine is the most practical and clinically rigorous reference of its kind. It covers everything from prehospital care, disaster preparedness, and basic resuscitative techniques, to all the major diseases requiring emergency treatment, such as pulmonary emergencies, renal and GU disorders, and hemophilia. This authoritative, in-depth coverage makes this classic text indispensible not only in emergency departments, but also for residents and practitioners when studying or preparing for any exam they may face.While continuing to provide the most current information for acute conditions, the Seventh Edition of Tintinalli’s Emergency Medicine has been substantially revised and updated to cover all of the conditions for which patients seek emergency department care in a concise and easy-to-read-manner.NEW Features• Full-color design with more figures and tables than ever• Reader-friendly chapter presentation makes it easy to find important material.• Updated tables covering drugs and important clinical information• Patient safety considerations and injury prevention are integrated into chapters, as appropriate• Total revision of the dermatology section enables diagnosis by lesion description and body area affected, and provides current treatment• Organ systems sections reorganized to reflect considerations for actual clinical practice.• New chapters: New adult chapters include Natural Disasters, Aneurysms of the Aorta and Major Arteries; Hip and Knee Pain, Aortic Dissection; Acute Urinary Retention; Subarachnoid Hemorrhage and Intracranial Bleeding; Clotting Disorders; Community –acquired Pneumonia and Noninfectious Pulmonary Infiltrates; Type I Diabetes; Type II Diabetes; Anemia; Tests of Hemostasis; Clotting Disorders; Head Injury in Adults and Children; the Transplant Patient; Grief, Death and Dying; and Legal Issues in Emergency Medicine. Twelve new pediatric chapters including The Diabetic Child, Hematologic-Oncologic Emergencies, Ear and Mastoids, Eye Problems in Infants and Children, Neck Masses, GI Bleeding, Nose and Sinuses, Urologic and Gynecologic Procedures in children, Renal emergencies in children, Behavioral and Psychiatric Disorders in children, Pediatric Procedures, Pediatric ECG Interpretation• Greater coverage of procedures throughout for the most common conditions seen in the emergency department.• Companion DVD features an additional 17 chapters, such as Hyperbaric Oxygen Therapy, Principles of Imaging, Prison Medicine, Military Medicine, The Violent Patient, Forensics, Wound Ballistics, and Drug Interactions.• Companion DVD also features videos and animations for teaching and learning performance of important procedures, especially Ultrasound-Guided Procedures

    It provides the background needed to understand related drugs currently on the market, as well as drugs yet to be released. In simplifying a complex subject, this text focuses on the essentials of pharmacology. Large print is used to show need-to-know information, and small print is used for nice to know material. At the end of each chapter, a summary of major nursing implications helps in applying the material to real-world situations. This edition includes a new companion CD-ROM featuring NCLEX(R) examination-style review questions, a variety of electronic calculators, and animations depicting drug mechanisms and effects.Uses a prototype drug approach that places a strong emphasis on understanding over memorization - equipping students with the knowledge to learn not only about related drugs currently on the market, but also about those drugs that will be released once the student begins practice.Summaries of Major Nursing Implications at the end of each chapter provide an in-depth look at assessment, implementation, and ongoing evaluations.Utilizes large print for essential information and small print for nice-to-know information to help both faculty and students focus their limited classroom and study time on understanding the essentials.Concise drug summary tables present detailed information on individual drugs, including class, generic and trade names, dosages, routes, and indications.Key Points at the end of each chapter summarize content in a bulleted format to help students review important concepts.Prototype drug discussions employ a clear and consistent format with separate headings for Mechanism of Action; Pharmacologic Effects; Pharmacokinetics; Therapeutic Uses; Adverse Effects; Drug Interactions; and Preparations, Dosage, and Administration.An attractive full-color design adds visual interest, highlights key information, and facilitates student learning.Drugs for Multiple Sclerosis and Drugs for Hemophilia chapters.Drugs for Erectile Dysfunction and Benign Prostatic Hyperplasia chapter covers newsworthy drugs such as Viagra and Levitra.Special Interest Topics boxes on current issues in pharmacology, such as Medication-Overuse Headache: Too Much of a Good Thing and Face Time with Botox.Adult Immunization appendix summarizes the latest information on immunizations.Numerous new illustrations show drug mechanisms and effects, and depict topics such as histologic changes in Alzheimer's disease and the movement of drugs following GI absorption.

    The 7th edition incorporates the latest advances in molecular diagnostics, the Human Genome Project, and much more. More than 240 dynamic illustrations and high-quality photos help you grasp complex concepts more easily. In addition to the book, you will also receive STUDENT CONSULT, enabling you to access the complete contents of the book online, anywhere you go

    But I was just a naive Wisconsin boy, fresh out of medical school and new to Oakland, California. I chose Highland Hospital for my surgical internship: an entire year filled with sick patients, brutal work hours, more brutal staff surgeons, and flawed attempts to maintain a long-distance relationship. Yet, somehow, it’s a work of nonfictional comedy.I take on many roles throughout the story. I’m a kid who still plays Tetris, a guy who can’t commit to his girlfriend, an untrained doctor who finds himself cutting open people’s skulls, and a fish out of water who is called to the ER to drain the blood from a cocaine-engorged penis.But this adventure isn’t just crazy hospital anecdotes or what it takes to become a surgeon. It's a coming of age tale about learning what it means to be a caregiver. Sure, I worked 40 hours without sleep, but that is only one of the ways They tried to kill me. Their real evil was crushing the enthusiasm and compassion of their trainees. I struggled to remain a “normal” human while joining a fraternity of holier-than-thou surgeons, and nothing grounded me more than trying to cope with the illnesses within my own family.If this book proves anything, it's that "Laughter is the best medicine, but surgery is a close second."Enjoy.A dollar of every Kindle book sold will benefit the charity Operation Access.

    The text covers the neuroanatomy that medical and other healthcare students need, with expanded coverage of neurophysiology and inclusion of clinical content providing real-life application of neuroanatomy and neurophysiologic concepts to clinical neurologic disorders. Its readability and enhanced full-color illustrations make it a favorite among both students and faculty.Provides a single-author approach for a more consistent, readable text.Contains summary statement headings to help you find what you're looking for within the text.Provides an outline introducing each chapter to help students organize and stay focused as they learn.Includes appealing four-color, computerized three-dimensional images of the brain and brain structures fully integrated with the text.Complements an Electronic Image Bank that is also available separately.Includes more coverage of neurobiology and neurophysiology.Gives more clinical content, including many images depicting neurologic disorders.Features an expanded section on higher cortical function.Features an expanded section on learning and memory.Contains a new chapter on the development, maintenance, and repair of neural connections-an explosive area of research in neuroscience.Supplies a glossary of key terms.Replaces many of the older figures with new, computer-generated illustrations.

    Lehninger Principles of Biochemistry, Fourth Edition brings clarity and coherence to an often unwieldy discipline, while incorporating the field's most important recent developments and applications.

    The thoroughly revised and updated 18th Edition is packed with essential information on diagnosing and treating medical disorders to help medical professionals deliver the best care to their patients. This handy, compact guide was written by a team of clinicians for everyday use. Designed for maximum clinical utility, the new Merck Manual of Diagnosis and Therapy makes it easy to find the right information, right when it is needed. It is a must-have for medical students, residents, practicing physicians, nurses, and allied health professionals.Featuring: All new "approach" chapters All-new abstract summaries 341 total chapters 34 completely new chapters 69 new illustrations New cross-referencing Two-color presentation Brand new content on: critical care medicine, metabolic syndrome, acute lung injury, biological warfare and terrorism, SARS, smallpox, and more

    By extracting the fundamental concepts from this enormous and ever-growing field, the authors tell the story of cell biology, and create a coherent framework through which non-expert readers may approach the subject. Written in clear and concise language, and beautifully illustrated, the book is enjoyable to read, and it provides a clear sense of the excitement of modern biology. Molecular Biology of the Cell sets forth the current understanding of cell biology (completely updated as of Autumn 2001), and it explores the intriguing implications and possibilities of the great deal that remains unknown. The hallmark features of previous editions continue in the Fourth Edition. The book is designed with a clean and open, single-column layout. The art program maintains a completely consistent format and style, and includes over 1,600 photographs, electron micrographs, and original drawings by the authors. Clear and concise concept headings introduce each section. Every chapter contains extensive references. Most important, every chapter has been subjected to a rigorous, collaborative revision process where, in addition to incorporating comments from expert reviewers, each co-author reads and reviews the other authors' prose. The result is a truly integrated work with a single authorial voice. Features : - Places the latest hot topics sensibly in context - including genomics, protein structure, array technology, stem cells and genetics diseases. - Incorporates and emphasises new genomic data. - All of molecular biology is brought together into one section (chapters 4-7) covering classically defined molecular biology and molecular genetics. - Two chapters deal exclusively with methods and contain information on the latest tools and techniques. - New chapters on "Pathogens, Infection, and Innate Immunity". - Cell Biology Interactive CD-ROM is packaged with every copy of the book. - Contains over 1,600 illustrations, electron micrographs and photographs, of which over 1,000 are originally conceived by the authors.

    EMERGENCY 24/7: Nurses of the Emergency Room, portrays thirty-one nurses, each with a distinctive voice and unique view of what really goes on behind the closed doors of the secret and chaotic world of the emergency room. Also included are the moment-by-moment chronicles of eleven nurses who worked in New York City and Washington, D.C., on September 11, 2001. These compelling accounts give new perspectives on the horrors and heroics of that tragic day. Ranging from inspiring to heart-rending to outrageously funny, these gripping narratives make EMERGENCY 24/7 a fascinating and provocative book—a fitting tribute to the frontline nurses.

     Collaboration is the foundation on which successful contemporary public schools are based, as well as the most effective means to provide services to students with disabilities and other special needs. Interactions presents this idea with an ideal blend of theory and practical applications. Following an overview of collaboration in schools and across society, the authors introduce essential communication skills that form the foundation for successful collaboration; show a focus on problem solving and its common collaborative applications; and look at such critical topics as teaming, the key principles of co-teaching, consulting, coaching, mentoring, and conflict and resistance. Every chapter features numerous opportunities to learn new material, reinforce what's been learned, and think critically about topics. The 9th Edition reflects the continued changes in the priorities for education based on federal mandates as well as practitioner trends, and it is grounded in the real-life experiences of school professionals. It has been thoroughly revised and updated, featuring new information on working with diverse families and paraeducators, plus over 400 new references. This title is also available digitally as a standalone Pearson eText.

    Kellee Slater works in one of the most demanding areas of medical operations, liver transplantation. In this inspiring, heartbreaking, and darkly humorous memoir, she opens up the fast-paced world of donor surgery. She takes readers with her as she flies across the Rocky Mountains in winter to collect transplant organs, rushes out of a department store change room to save the life of a toddler who is choking to death, and, horrifyingly, tells the wrong father in a hospital waiting room that there is no hope for his daughter. An ideal read for anyone with an interest in modern medicine, this inspirational memoir portrays both the joyous and difficult experiences of one of the most demanding jobs in the world.