But starting in the late 1990s, shocking reports emerged that showed this was far from the truth. Treatment-related deaths or “complications” were found to be the fifth leading cause of death for Americans, and hundreds of thousands of patients were being harmed by botched medical procedures.Spurred by the quality crisis, a group of visionary physicians led by Donald Berwick and Paul Batalden embarked on a study of industrial “quality improvement” techniques, daring to apply them to the practice of medicine despite resistance from the medical community. The Best Practice tells the story of this burgeoning movement, and of how the medical landscape is being radically transformed—for the better.

    When death is sudden or unexplained, it falls to Shepherd to establish the cause. Each post-mortem is a detective story in its own right - and Shepherd has performed over 23,000 of them. Through his skill, dedication and insight, Dr Shepherd solves the puzzle to answer our most pressing question: how did this person die?From serial killer to natural disaster, 'perfect murder' to freak accident, Shepherd takes nothing for granted in pursuit of truth. And while he's been involved in some of the most high-profile cases of recent times, it's often the less well known encounters that prove the most perplexing, intriguing and even bizarre. In or out of the public eye, his evidence has put killers behind bars, freed the innocent and turned open-and-shut cases on their heads.But a life in death, bearing witness to some of humanity's darkest corners, exacts a price and Shepherd doesn't flinch from counting the cost to him and his family.

    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.

    Hailed by critics nationwide and winner of two 1999 Books for a Better Life Awards, this book shares the author's bold tale of illness, joy, mortality, and the improbable triumph of love in the midst of despair.

    But what if the person receiving the diagnosis--young, physically fit, poised for a bright future--is himself a doctor?At thirty-one David biro has just completed his residency and joined his father's successful dermatology practice. Struck with a rare blood disease that eventually necessitates a bone marrow transplant, Biro relates with honesty and courage the story of his most transforming journey. He is forthright about the advantages that his status as a physician may have afforded him; and yet no such advantage can protect him from the anxiety and doubt brought on by his debilitating therapies. The pressures that Biro's wild "one hundred days" brings to bear on his heretofore well-established identity as a caregiver are enormous--as is the power of this riveting story of survival.

    This best-selling, student-friendly book contains clear, step-by-step explanations with comprehensive, stimulating, and challenging material that prepares users for real on-the-job situations. Featuring case studies, state-of-the-art scans, algorithms, protocols, and the inclusion of areas above and beyond the DOT protocols, the tenth edition effectively prepares students for success. The assessment and emergency care sections provide the most up-to-date strategies for providing competent care; and the enrichment sections further enhance students ability to assess and manage ill and injured patients in prehospital environments. The text s table of contents is organized to follow the National EMS Educational Standards."

    Even worse, it seemed to be inevitably progressive – but no longer.Professor Roy Taylor is one of the world’s leading experts on type 2, the man who in 2006 finally found the missing piece of the jigsaw explaining that it was actually a reversible condition. With his team of researchers at Newcastle University, he launched a series of studies leading to a remarkable, multi-million-pound trial, which in 2019 confirmed that simple advice about diet could bring about lasting remission.In this book, Taylor brings all the knowledge and experience of four decades of treating people with diabetes. He explains exactly what is happening in the body as type 2 diabetes develops and shows how you can live a full and healthy life beyond it.** Includes the 3-step Newcastle weight loss programme, as well as delicious tried-and-tested recipes from participants of the diabetes reversal trials **

    This fascinating collection of historical curiosities explores some of the strangest cases that have perplexed doctors across the world.From seventeenth-century Holland to Tsarist Russia, from rural Canada to a whaler in the Pacific, many are monuments to human stupidity – such as the sailor who swallowed dozens of penknives to amuse his shipmates, or the chemistry student who in 1850 arrived at a hospital in New York with his penis trapped inside a bottle, having unwisely decided to relieve himself into a vessel containing highly reactive potassium. Others demonstrate exceptional surgical ingenuity long before the advent of anaesthesia – such as a daring nineteenth-century operation to remove a metal fragment from beneath a conscious patient’s heart. We also hear of the weird, often hilarious remedies employed by physicians of yore – from crow’s vomit to port-wine enemas – the hazards of such everyday objects as cucumbers and false teeth, and miraculous recovery from apparently terminal injuries.

    In this new book, Elkaim presents his unique 5-Day Food-Cycling Formula, which sets your metabolism to lose up to 5 pounds a week.In The All-Day Fat-Burning Diet, Elkaim reveals rarely discussed “fat triggers” and an easy, innovative way to double your weight loss in 3 weeks. Based on a powerhouse blend of nutritional expertise, fitness experience, and cutting-edge research, his 4-part approach features the strategic cycling of calories and carbohydrates; a “clean and lean” food plan that reduces fat triggers in your body; a unique way to exercise smarter, not harder; and the method to improve your body’s ability to repair and avoid burnout. The book also includes encouraging testimonials and remarkable photos of people who have successfully accelerated their metabolisms for life. This proven program will reset your body to your desired factory settings and supercharge your metabolism to burn fat on autopilot—no matter what your age, fitness level, or health status.

    But after falling backwards into the specialty, Dr. Fulkerson found neurosurgery to be a field filled with joy, sadness, a little humor, and courageous and inspiring patients.In an honest and compelling retelling of his long and winding road to train and then practice as a pediatric neurosurgeon, Dr. Fulkerson guides others through his journey from medical school to service on a small military base, through residency training, and finally, to a practice in a highly specialized children's hospital. The journey reveals the dramatic swings of emotions experienced by both patients and doctors in an increasingly hostile medical environment. Dr. Fulkerson also shares stories of dedicated professors who train medical students and resident surgeons to care for the tiniest neurosurgical patients.Nothing Good Happens at ... The Baby Hospital offers a compelling glimpse into the joys, tragedies, and hopeful moments that surround the highly specialized and sometimes silly world of pediatric neurosurgery.

    Here, nurses remember their first “sticks,” first births, and first deaths, and reflect on what gets them though long, demanding shifts, and keeps them in the profession. The stories reveal many voices from nurses at different stages of their careers: One nurse-in-training longs to be trusted with more “important” procedures, while another questions her ability to care for nursing home residents. An efficient young emergency room nurse finds his life and career irrevocably changed by a car accident. A nurse practitioner wonders whether she has violated professional boundaries in her care for a homeless man with AIDS, and a home care case manager is the sole attendee at a funeral for one of her patients. What connects these stories is the passion and strength of the writers, who struggle against burnout and bureaucracy to serve their patients with skill, empathy, and strength.

    But when a new admission to the critical care unit almost died his first night on call, he found himself scrambling. Visions of mastery quickly gave way to hopes of simply surviving hospital life, where confidence was hard to come by and no amount of med school training could dispel the terror of facing actual patients.This funny, candid memoir of McCarthy’s intern year at a New York hospital provides a scorchingly frank look at how doctors are made, taking readers into patients’ rooms and doctors’ conferences to witness a physician's journey from ineptitude to competence. McCarthy's one stroke of luck paired him with a brilliant second-year adviser he called “Baio” (owing to his resemblance to the Charles in Charge star), who proved to be a remarkable teacher with a wicked sense of humor. McCarthy would learn even more from the people he cared for, including a man named Benny, who was living in the hospital for months at a time awaiting a heart transplant. But no teacher could help McCarthy when an accident put his own health at risk, and showed him all too painfully the thin line between doctor and patient.The Real Doctor Will See You Shortly offers a window on to hospital life that dispenses with sanctimony and self-seriousness while emphasizing the black-comic paradox of becoming a doctor: How do you learn to save lives in a job where there is no practice?

    

    It covers treatment of common diseases as well as other medical, therapeutic and patient related issues. Written by both pharmacists and clinicians to reflect a team approach, it offers an in-depth analysis of drug therapy in the treatment of disease, relying on input from the pharmacist as a member of the team in hospital and community settings. Information is easy to locate in a logical format organized primarily by systems and disorders.A logical organization and format for each chapter provides consistent features including key points, epidemiology, aetiology, disease, clinical manifestations, investigations and treatment, drugs used in treatment.Convenient tables and boxes highlight supplementary information in the text such as risk factors and dietary guidelines.All chapters close with an evidence-based practice box and case studies that solidify applications of chapter content.More up-to-date information is provided on: rational antibiotic prescribing and the institution of policies; advances in therapy for chronic renal failure and transplants; changes in asthma treatment; and new drugs for epilepsy and Parkinson's.The neurology section has been expanded to include a new chapter on multiple sclerosis, dementia and Alzheimer's disease, and treatment.More information has been added related to infertility treatment and menopause.New two-color illustrations make the text more readable and accessible.A greater emphasis on treatment of the patient rather than the diagnosis reflects a shift in focus toward patient-centered care.

    In over 540 beautifully colored and easily understood illustrations, it teaches the complete human body with unsurpassed clarity and accuracy. This new edition features 45 revised, 290 relabeled and 17 wholly new plates, drawn fully in the tradition of Frank Netter, and includes more imaging and clinical images than ever before. Six Consulting Editors have worked together to ensure the new edition's accuracy and usefulness in the lecture theatre, classroom and dissection lab. Ninety plates from the book as well as a powerful and varied bank of ancillary material, unique to this atlas, are available online through www.netteranatomy.com.Includes uniquely informative drawings that allow you - and have allowed generations of students - to learn structures with confidence. Associates normal anatomy with an application of that knowledge in a clinical setting. Offers a strong selection of imaging to show you what is happening three dimensionally in the human body, the way you see it in practice.Provides clinically applicable information right from the start, to mirror the way that most anatomy courses are now taught.At www.netteranatomy.com, you'll access...- Over 90 of the most important anatomy illustrations from the book.- Interactive Anatomy Dissection Modules.- Radiographs, CT scans, MRIs, and angiograms, with labels on/off buttons for self testing.- QuickTime movies of stacked, transverse, and sectional images from the Visible Human Project (VHP).- Review Center with Identification Spot Tests and USMLE-style multiple-choice questions.- Integration links to other STUDENT CONSULT titles.- and more!