In Heart 411, two renowned experts, heart surgeon Marc Gillinov and cardiologist Steven Nissen, tackle the questions their patients have raised over their decades of practice: Can the stress of my job really lead to a heart attack? How does exercise help my heart, and what is the right amount and type of exercise? What are the most important tests for my heart, and when do I need them? How do symptoms and treatments differ among men, women, and children?Backed by decades of clinical experience and up-to-the-minute research, yet written in the accessible, down-to-earth tone of your trusted family doctor, Heart 411 cuts through the confusion to give you the knowledge and tools you need to live a long and heart-healthy life.

    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

    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.

    It is uniquely designed to help students master pharmacology both in class and in preparing for the NCLEX(R) examination. It will also benefit practicing nurses who'd like a refresher and memory device on pharmacology. Using a wide variety of learning aids, humor, illustrations, and mnemonics, it covers topics including administration, antibiotics, antivirals, anticoagulants, cardiac drugs, CNS drugs, diuretics, endocrine drugs, GI drugs, musculoskeletal drugs, OB drugs, pain, psychiatric drugs, and pulmonary drugs.Features 91 full-color illustrated mnemonics on individual drug topics and key drugs.Offers durability and portability with spiral-bound format and removable cards on sturdy stock.Perforated cards may be used as is, in spiral-bound notebook or removed for use as individual flash cards, which allows the reader flexibility when studying.Topics are listed alphabetically for quick reference.Offers easy referral, with tabs and color cover guide using a different color for each topic.Concise What You Need to Know drug monographs on the back of each image include quick information on drug action, use, contraindications/precautions, side effects, and nursing implications.

    He chronicles some of the most formative calls of his career in this autobiography that reads like crime fiction. McCarthy demonstrates with detail and clarity that the difficult choice is often the right choice. While not for the faint of heart, each entry in this collection provides poignant insight into the bonds between medics and the people and city they serve.

    A pedestrian with a nasty head injury won't let the crew near him on a busy road. A newborn baby is worryingly silent. An addict urinates on the ambulance floor when denied a fix. This is the life of an ambulance paramedic.Jake Jones has worked in the UK ambulance service for ten years: every day, he sees a dozen of the scenes we hope to see only once in a lifetime. Can You Hear Me? - the first thing he says when he arrives on the scene - is a memoir of the chaos, intensity and occasional beauty of life on the front-lines of medicine in the UK.As well as a look into dozens of extraordinary scenes - the hoarder who won't move his collection to let his ailing father leave the house, the blood-soaked man who tries to escape from the ambulance, the life saved by a lucky crew who had been called to see someone else entirely - Can You Hear Me? is an honest examination of the strains and challenges of one of the most demanding and important jobs anyone can do.

    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.

    One in ten people in developed countries take antidepressants. Millions of boys who can't sit still in school are prescribed methamphetamines. Modern medicine has been overused. Skyrocketing global healthcare costs render this overuse of medicine increasingly unaffordable. The wonders of modern medicine have also obscured the body's ability to heal itself. Your body produces its own drugs that can treat pain as well as drugs, cure some joint problems as well as a surgeon, and treat most mild depression as well as a psychologist. We've all heard of endorphins, but did you know 'endorphin' literally means 'morphine made by your body'? Besides the body's self-healing abilities, latest evidence clearly show that states of mind affect our health. Relaxing, positive thinking, and comfortable social environments can all improve our health as much as blockbuster drugs.Written using the latest, high quality, conventional evidence Doctor You arms you with knowledge that will empower you to make the right choices about what drugs to take, what drugs to give your children, and when you should let your body do its thing.

     Do surgeons talk about their sex lives while cutting a heart open? How do surgeons respond to death? How do they react when asked to save the life of an abuser, criminal, or addict? Since its debut, the ABC medical drama Grey's Anatomy has asked such questions. With an emphasis on the personal lives of the surgical interns, residents, and attending physicians, the show has generated interest in how these professionals survive this rigorous educational program. How much of its drama is entertainment, and how much is accurate? Here, a medical journalist provides answers. He examines a group of new surgical residents in the Pacific Northwest as they tackle long hours, fascinating procedures, and emotional ups and downs that comprise the life of a student of surgery.

    He uses fascinating, inspiring stories from his practice to help readers uncover the hidden stresses in their own lives and learn about treatments.

    Most of us will never find ourselves on a psychiatrist's couch and yet our lives would be perilous if we did not make space for our mental health. In this space, we can hold up a mirror and acknowledge our search for meaning. By going to the room, life becomes more resourceful and rewarding. In showing up there, we show up for life itself.'Jim Lucey has been working for more than 25 years with patients suffering from mental health problems. When people at their most vulnerable present to his room at St Patrick's University Hospital, Dublin, they reveal their fears, traumas, and very real human predicaments. Most of the assessments described in this book took place in this room. While the patients' stories are diverse, one common theme emerges - that of recovery. The psychiatrist and patients show us that recovery is possible, if we can find a way to engage.Many of us find it difficult to speak of the mind, and care of the mind requires an ability to listen and to reflect. This inspiring book will give you many moments of reflection as you journey with Jim's patients towards recovery, and will restore your faith in the human experience.'Using the art of clinical storytelling, Professor Lucey allows us to enter his room - an extraordinary space where theory informs practice and practice informs theory ... In My Room provides valuable insights that will benefit every human being interested in better understanding mental health. This is a beautiful book that should be read out loud at times, shared with others, and openly discussed' Charlotte R. Shore, RN, BSN, Newton Wellesley Hospital, USA and David A. Shore, PhD, Harvard University

    He lifts the lid on government targets that led to poor patient care. He reveals the level of alcohol-related injuries that often bring the service to a near standstill. He shows just how bloody hard it is to look after the people who turn up at the hospital door.But he also shares the funny side - the unusual ‘accidents’ that result in with weird objects inserted in places they really should have ended up - and also the moving, tragic and heartbreaking.It really is an unforgettable read.

    There was atime when this revered organization ranked among the lowest in the country in this area. Within ten years, however, it had climbed to among the highest and has emerged as the thought leader in the space.How did Cleveland Clinic turn itself around so effectively and so quickly?More important, how can you do the same with your organization?In gripping, visceral, on-the ground fashion, Service Fanatics reveals the strategies and tactics the Clinic applied to become one of today's leading patient-experience healthcare organizations--methods that seamlessly translate to any business seeking to improveits customer experience. This strategic guide covers:How the Clinic's leaders redefined the concept of patient experience and developed a strategy to improve itCritical lessons learned regarding organization, recruitment, training, and measuring service excellenceWays in which the Clinic aligned its entire workforce around its Patients First strategyHow leaders improved the critical element of physician communicationRather than view patients simply as sick people who need treatment, Cleveland Clinic sees them also as important stakeholders in the organization's success. Patients are customers--who desire, pay for, and deserve the best possible care and experience during what is often a challenging time in their lives.Featuring customer service case studies, as well as invaluable insight from C-level executives at top corporations in various industries, Service Fanatics provides actionable lessons for any manager and business leader beyond healthcare.Whether you run a healthcare institution, nonprofit, or for-profit business, Service Fanatics will help you create the kind of customer experience that promises to transform your organization into an industry powerhouse.

    This book was originally written by third-year medical students searching for the perfect review book--not finding it on the market, they wrote it themselves! Now in its third edition, Step-Up to Medicine boils down the full scope of tested pathology in a single ingenious tool. Each element is tailored for immediate content absorption, and an all-new, full-color interior differentiate elements for even faster, more efficient review. And, Step-Up to Medicine , third edition provides two types of self-assessment--the kinds of questions you will ask yourself as a clinician plus USMLE-style practice questions. This review book gives you just the Step-Up to the medicine clerkship, accompanying shelf exams, and USMLE Step 2 that you need! NEW Features for this blockbuster edition: Full-color, updated interior design brings the content to you in a rousing, memorable style. Full-color, updated art program illustrates concepts when a picture says it best--plenty of clinical images also supplement topics. New content on evidence-based medicine keeps you current and informed to guide your clinical decision making. Expanded content on drug dosing is added where relevant.CLASSIC Features students swear by: Complete coverage of high-yield medical topics ensures you are test ready Clinical Pearls boxes help you "file away" clinical medicine connections for handy retrieval at test time Quick Hits glimmering in the margins highlight highly testable material--just see how the sparks fly at test timeBONUS Material and study resources: eBook with the fully searchable text is available via thePoint . NEW 300 USMLE-style questions provide another means of self-assessment and practice for those exams NEW Audio clips of breath and heart sounds also available on thePoint

    But now, with revolutionary medical advances, death has become just another serious complication. As a young medical student, Dr. David Casarett was inspired by the story of a two-year-old girl named Michelle Funk. Michelle fell into a creek and was underwater for over an hour. When she was found she wasn’t breathing, and her pupils were fixed and dilated. That drowning should have been fatal. But after three hours of persistent work, a team of doctors and nurses was able to bring her back. It was a miracle. If Michelle could come back after three hours of being dead, what about twelve hours? Or twenty-four? What would it take to revive someone who had been frozen for one thousand years? And what does blurring the line between “life” and “death” mean for society? In Shocked, Casarett chronicles his exploration of the cutting edge of resuscitation and reveals just how far science has come. He begins in the eighteenth century, when early attempts at resuscitation involved public displays of barrel rolling, horseback riding (sort of), and blowing smoke up the patient’s various orifices. He then takes us inside a sophisticated cryonics facility in the Arizona desert, a darkroom full of hibernating lemurs in North Carolina, and a laboratory that puts mice into a state of suspended animation. The result is a spectacular tour of the bizarre world of doctors, engineers, animal biologists, and cryogenics enthusiasts trying to bring the recently dead back to life. Fascinating, thought-provoking, and (believe it or not) funny, Shocked is perfect for those looking for a prequel—and a sequel—to Mary Roach’s Stiff, or for anyone who likes to ponder the ultimate questions of life and death.