Illnesses such as influenza, diabetes, multiple sclerosis, and coronary heart disease have also been connected to a lack of this vitamin. Until not too long ago, not getting enough Vitamin D (the sunshine vitamin) was only associated with rickets, the childhood bone disease. Now, Soram Khalsa, M.D., sheds new light on the power of this long-forgotten vitamin. He reveals how to recognize signs of Vitamin D deficiency, which has reached epidemic proportions in North America, and then shares insights from his Beverly Hills medical practice, where he normalizes his own patients’ Vitamin D levels for their optimal health.

    These writers recount intensely personal and profoundly moving end-of-life accounts that cover a wide spectrum of human experience. All six authors are donating their royalties to a Maine hospice; Down East will also donate 10 percent of proceeds to the same cause.

    S. Ramachandran is at the forefront of his field-so much so that Richard Dawkins dubbed him the "Marco Polo of neuroscience." Now, in a major new work, Ramachandran sets his sights on the mystery of human uniqueness. Taking us to the frontiers of neurology, he reveals what baffling and extreme case studies can teach us about normal brain function and how it evolved. Synesthesia becomes a window into the brain mechanisms that make some of us more creative than others. And autism--for which Ramachandran opens a new direction for treatment--gives us a glimpse of the aspect of being human that we understand least: self-awareness. Ramachandran tackles the most exciting and controversial topics in neurology with a storyteller's eye for compelling case studies and a researcher's flair for new approaches to age-old questions. Tracing the strange links between neurology and behavior, this book unveils a wealth of clues into the deepest mysteries of the human brain.

    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

    One day at the end of 2009, during a routine eye exam that Nora Gallagher nearly skipped, her doctor said, “Darn.” Her right optic nerve was inflamed, the cause unknown, a condition that if left untreated would cause her to lose her sight. And so began her departure from ordinary life and her travels in what she calls Oz, the land of the sick. It looks like the world most of us inhabit, she tells us, except that “the furniture is slightly rearranged”: her friends can’t help her, her trusted doctors don’t know what’s wrong, and what faith she has left just won’t cover it. After a year of searching for a diagnosis and treatment, she arrives at the Mayo Clinic and finds a whole town built around Oz.In the course of her journey, Gallagher encounters inhuman doctors, the modern medical system—in which knowledge takes fifteen years to trickle down—and the strange world that is the famous Mayo Clinic, complete with its grand piano. With unerring candor, and no sentimentality whatsoever, Gallagher describes the unexpected twists and turns of the path she took through a medical mystery and an unfathomably changing life. In doing so, she gives us a singular, luminous map of vulnerability and dark landscapes. “It’s the nature of things to be vulnerable,” Gallagher says. “The disorder is imagining we are not.”

    Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third.In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds.An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.

    Most arrive safely and go home with their families in a matter of days. But not all babies come into the world healthy and almost half a million arrive well before they are expected. These newborns need tiny medicine. Told from the first-person perspective, Dr. Chris DeRienzo—a neonatologist, health system leader and frequent keynote speaker—walks readers through the human experience of caring for the world's smallest and sickest patients. His stories share the absurd and the sublime parts of being a doctor and detail how they have shaped who he is as a husband, father, and person. Readers will learn the secrets of the NICU, the loneliness that comes with life and death decisions, and the incredibly powerful sense of purpose and triumph that comes with just making it through the night and keeping everyone alive. In the end, this book delivers an insider's view of a doctor's life never before accessible without a white coat.

    Serendipity, timing, and luck played a part in the discovery of unintentional cures and breakthroughs:A plastic shard in an RAF pilot’s eye leads to the use of plastic for contact lenses.The inability to remove a titanium chamber from rabbit’s bone leads to dental implants.Viagra was discovered by a group of chemists, working in the lab to find a new drug to alleviate the pain of angina pectoris.A stretch of five weeks of unusually warm weather in 1928 played a role in assisting Dr. Alexander Fleming in his analysis of bacterial growth and the discovery of penicillin.After studying the effects of the venom injected by the bite of a deadly pit viper snake, chemists developed a groundbreaking drug that works to control blood pressure. Accidental Medical Discoveries is an entertaining and enlightening look at the creation of 25 medical inventions that have changed the world – unintentionally. The book is presented in a lively and engaging way, and will appeal to a wide variety of readers, from history buffs to trivia fanatics to those in the medical profession.

    But when he was appointed the chief medical officer for the Army of the Potomac, he revolutionized combat medicine over the course of four major battles--Antietam, Fredericksburg, Chancellorsville, and Gettysburg--that produced unprecedented numbers of casualties. He made battlefield survival possible by creating the first organized ambulance corps and a more effective field hospital system. He imposed medical professionalism on a chaotic battlefield. Where before 20 percent of the men were unfit to fight because of disease, squalid conditions, and poor nutrition, he improved health and combat readiness by pioneering hygiene and diet standards. Based on original research, and with stirring accounts of battle and the struggle to invent and supply adequate care during impossible conditions, this new biography recounts Letterman's life from his small-town Pennsylvania beginnings to his trailblazing wartime years and his subsequent life as a wildcatter and the medical examiner of San Francisco. At last, here is the missing portrait of a key figure of Civil War history and military medicine. His principles of battlefield care continue to be taught to military commanders and first responders.

    Danielle Ofri has cared for patients at Bellevue, the oldest public hospital in the country and a crossroads for the world's cultures. In Medicine in Translation, she introduces us, in vivid, moving portraits, to the patients she has known. They have braved language barriers, religious and racial divides, and the emotional and practical difficulties of exile in order to access quality health care. Sharing their journeys with them over the years, Danielle has witnessed some of their best and worst moments, and come to admire their resilience and courageous spirit.Danielle introduces us to her patients: Samuel Nwanko, who was brutally attacked by a Nigerian cult in his homeland and is attempting to create a new life in America; Jade Collier, an Aussie who refuses to let a small thing like a wheelchair keep her from being a homegrown ambassador to New York City; Julia Barquero, a Guatemalan woman who migrated to the States to save her disabled son but cannot obtain the lifesaving heart transplant she needs because she is undocumented. We meet a young Muslim woman threatened at knifepoint for wearing her veil, and the spitfire Señora Estrella, one of Danielle's many Spanish-speaking patients, whose torrent of words helps seal Danielle's resolve to improve her own Spanish, an essential skill in today's urban hospitals. And so she, her husband, and their two young children and seventy-five-pound dog relocate to Costa Rica, where they discover potholes the size of their New York City apartment, a casual absence of street signs or even street names, tangy green-skinned limon dulce dangling in the playground, and sudden rains surging over the craggy edges of roadside ditches. Ultimately, Danielle experiences being a patient in a foreign country when she gives birth to their third child, a "Costarricense" girl.With controversy over immigrants in our society escalating, and debate surrounding health-care reform becoming increasingly urgent, Ofri's riveting stories about her patients could not be more timely. Living and dying in the foreign country we call home, they have much to teach us about the American way, in sickness and in health.

    While some books explore our genetic inheritance and popular television shows celebrate ancestry, this is the first book to explore how everything from DNA to emotions to names and the stories that form our lives are all part of our human legacy. This book shows how trust is inherited in Africa, silence is passed down in Tasmania, and how the history of nations is written in our DNA. From fateful, ancient encounters to modern mass migrations and medical diagnoses, Kenneally explains how the forces that shaped the history of the world ultimately shape each human who inhabits it. The Invisible History of the Human Race is a deeply researched, carefully crafted, and provocative perspective on how our stories, psychology, and genetics affect our past and our future.

    In Bones, orthopedic surgeon Roy A. Meals explores and extols this amazing material that both supports and records vertebrate life.Inside the body, bone proves itself the world’s best building material. Meals examines the biological makeup of bones; demystifies how they grow, break, and heal; and compares the particulars of human bone to variations throughout the animal kingdom. In engaging and clear prose, he debunks familiar myths—humans don’t have exactly 206 bones—and illustrates common bone diseases, like osteoporosis and arthritis, and their treatments. Along the way, he highlights the medical innovations—from the first X-rays to advanced operative techniques—that enhance our lives and introduces the giants of orthopedic surgery who developed them.After it has supported vertebrate life, bone reveals itself in surprising ways—sometimes hundreds of millions of years later. With enthusiasm and humor, Meals investigates the diverse roles bone has played in human culture throughout history. He highlights allusions to bone in religion and literature, from Adam’s rib to Hamlet’s skull, and uncovers its enduring presence as fossils, technological tools, and musical instruments ranging from the Tibetan thighbone kangling horn to everyday drumsticks. From the dawn of civilization through to the present day, humankind has repurposed bone to serve and protect, and even to teach, amuse, and inspire.Approachable and entertaining, Bones richly illuminates our bodies’ essential framework.

    We heeded almost none of them. The result is a pandemic on a scale never before seen in our lifetimes. In this captivating, authoritative, and eye-opening book, science journalist Debora MacKenzie lays out the full story of how and why it happened: the previous viruses that should have prepared us, the shocking public health failures that paved the way, the failure to contain the outbreak, and most importantly, what we must do to prevent future pandemics.Debora MacKenzie has been reporting on emerging diseases for more than three decades, and she draws on that experience to explain how COVID-19 went from a potentially manageable outbreak to a global pandemic. Offering a compelling history of the most significant recent outbreaks, including SARS, MERS, H1N1, Zika, and Ebola, she gives a crash course in Epidemiology 101--how viruses spread and how pandemics end--and outlines the lessons we failed to learn from each past crisis. In vivid detail, she takes us through the arrival and spread of COVID-19, making clear the steps that governments knew they could have taken to prevent or at least prepare for this. Looking forward, MacKenzie makes a bold, optimistic argument: this pandemic might finally galvanize the world to take viruses seriously. Fighting this pandemic and preventing the next one will take political action of all kinds, globally, from governments, the scientific community, and individuals--but it is possible.No one has yet brought together our knowledge of COVID-19 in a comprehensive, informative, and accessible way. But that story can already be told, and Debora MacKenzie's urgent telling is required reading for these times and beyond. It is too early to say where the COVID-19 pandemic will go, but it is past time to talk about what went wrong and how we can do better.

    Yet despite a century of medical progress, viral and bacterial disasters continue to take us by surprise, inciting panic and dominating news cycles. From the Spanish flu to the 1924 outbreak of pneumonic plague in Los Angeles to the 1930 “parrot fever” pandemic, through the more recent SARS, Ebola, and Zika epidemics, the last one hundred years have been marked by a succession of unanticipated pandemic alarms.In The Pandemic Century, a lively account of scares both infamous and less known, Mark Honigsbaum combines reportage with the history of science and medical sociology to artfully reconstruct epidemiological mysteries and the ecology of infectious diseases. We meet dedicated disease detectives, obstructive or incompetent public health officials, and brilliant scientists often blinded by their own knowledge of bacteria and viruses. We also see how fear of disease often exacerbates racial, religious, and ethnic tensions—even though, as the epidemiologists Malik Peiris and Yi Guan write, “‘nature’ remains the greatest bioterrorist threat of all.”Like man-eating sharks, predatory pathogens are always present in nature, waiting to strike; when one is seemingly vanquished, others appear in its place. These pandemics remind us of the limits of scientific knowledge, as well as the role that human behavior and technologies play in the emergence and spread of microbial diseases.

    It can be slipped into a drink, smeared onto the tip of an arrow or the handle of a door, even filtered through the air we breathe. But how exactly do these poisons work to break our bodies down, and what can we learn from the damage they inflict?In a blend of popular science, medical history, and true crime, Dr. Neil Bradbury explores the morbidly captivating method of murder from a cellular level. Alongside real-life accounts of murderers and their crimes—some notorious, some forgotten, some still unsolved—are the stories of the poisons involved: eleven molecules of death that work their way through the human body and, paradoxically, illuminate the way in which our bodies function.Drawn from historical records and current news headlines, A Taste for Poison weaves together the tales of spurned lovers, shady scientists, medical professionals and political assassins to show how the precise systems of the body can be impaired to lethal effect through the use of poison. From the deadly origins of the gin & tonic cocktail to the arsenic-laced wallpaper in Napoleon’s bedroom.