Seven Signs of Life: Stories from an Intensive Care Doctor


Aoife Abbey - 2019
    Anger. Joy. Fear. Distraction. Disgust. Hope. All emotions we expect to encounter over our lifetime. But what if this was every day? And what if your ability to manage them was the difference between life and death? Dr Aoife Abbey shows us what a doctor sees of humanity as it comes through the revolving door of the hospital and takes us beyond a purely medical perspective. Told through seven emotions,

The End of Medicine: How Silicon Valley (and Naked Mice) Will Reboot Your Doctor


Andy Kessler - 2006
    Too bad. Because medicine isn't an industry, it's practically witchcraft. Despite the growth of big pharma, HMOs, and hospital chains, medicine remains the isolated work of individual doctors—and the system is going broke fast.So why is Andy Kessler—the man who told you outrageous stories of Wall Street analysts gone bad in Wall Street Meat and tales from inside a hedge fund in Running Money—poking around medicine for the next big wave of technology?It's because he smells change coming. Heart attacks, strokes, and cancer are a huge chunk of medical spending, yet there's surprisingly little effort to detect disease before it's life threatening. How lame is that—especially since the technology exists today to create computer-generated maps of your heart and colon?Because it's too expensive—for now. But Silicon Valley has turned computing, telecom, finance, music, and media upside down by taking expensive new technologies and making them ridiculously cheap. So why not the $1.8 trillion health care business, where the easiest way to save money is to stop folks from getting sick in the first place?Join Kessler's bizarre search for the next big breakthrough as he tries to keep from passing out while following cardiologists around, cracks jokes while reading mammograms, and watches twitching mice get injected with radioactive probes. Looking for a breakthrough, Kessler even selflessly pokes, scans, and prods himself.CT scans of your heart will identify problems before you have a heart attack or stroke; a nanochip will search your blood for cancer cells--five years before they grow uncontrollably and kill you; and baby boomers can breathe a little easier because it's all starting to happen now.Your doctor can't be certain what's going on inside your body, but technology will. Embedding the knowledge of doctors in silicon will bring a breakout technology to health care, and we will soon see an end of medicine as we know it.

Still Life: A Memoir


Jeff Sutherland - 2019
    He visited a specialist and from that appointment, he writes, "deep personal loss for some unknown reason wrapped its tentacles around me and my family." Diagnosed with ALS (Lou Gehrig's Disease), he lost his abilities to walk and speak within two years and, confined to a wheelchair, was forced to retire from his life's calling at age forty-three. Not long after, he was locked in his own inanimate body, unable to eat, drink, or breathe without assistance. His meals were delivered through a feeding tube, and a ventilator controlled his lungs through an opening in his throat. The only parts of his body he was able to move voluntarily were his eyes.Despite these extreme limitations, Sutherland made peace with his disease and, surrounded by his loving family, found happiness again, only to suffer another soul-shattering loss. His eldest son, Zachary, a lifeguard, drowned along with his girlfriend in a freak kayaking accident in the river behind the family home. "Despite everything I lost through ALS," he says, Zachary's death was worse. Yet again, through a long process of suffering and healing, Sutherland was able to accept his loss and find a renewed sense of purpose and meaning in his constricted life. His story, laboriously written on a computerized device that tracks his eye movements on a visual keyboard, is a testament to both the human will's ability to overcome unspeakable tragedy, and the power of familial love to heal incomprehensible pain. "When a negative change occurs," writes Sutherland, "we have to choose how we will face it. We can be paralyzed with fear or we can make the choice to integrate it into our lives, make peace with it, and eventually grow from it. With any change, good or bad, personal growth is the ideal outcome. It is my belief that this our soul's mission on earth."

The Truth in Small Doses: Why We're Losing the War on Cancer-and How to Win It


Clifton Leaf - 2013
    But cancer continues to kill with abandon. In 2013, despite a four-decade “war” against the disease that has cost hundreds of billions of dollars, more than 1.6 million Americans will be diagnosed with cancer and nearly six hundred thousand will die from it.A decade ago, Clifton Leaf, a celebrated journalist and a cancer survivor himself, began to investigate why we had made such limited progress fighting this terrifying disease. The result is a gripping narrative that reveals why the public’s immense investment in research has been badly misspent, why scientists seldom collaborate and share their data, why new drugs are so expensive yet routinely fail, and why our best hope for progress—brilliant young scientists— are now abandoning the search for a cure. The Truth in Small Doses is that rare tale that will both outrage readers and inspire conversation and change.

Overtreated: Why Too Much Medicine Is Making Us Sicker and Poorer


Shannon Brownlee - 2007
    Our health care is staggeringly expensive, yet one in six Americans has no health insurance. We have some of the most skilled physicians in the world, yet one hundred thousand patients die each year from medical errors. In this gripping, eye-opening book, award-winning journalist Shannon Brownlee takes readers inside the hospital to dismantle some of our most venerated myths about American medicine. Using vivid examples of real patients and physicians, Overtreated debunks the idea that most of medicine is based in sound science, and shows how our health care system delivers huge amounts of unnecessary care that is not only expensive and wasteful but can actually imperil the health of patients.The interests of politicians and the medical-industrial complex continually trump those of patients, seducing the wealthy with unnecessary procedures and leaving the poor with haphazard access to treatment. Backward economic incentives allow patients with chronic conditions to receive ineffective care, and roll after roll of red tape undermines even the best-intentioned doctors. Tens of thousands of patients die each year from overtreatment. American medicine is in desperate need of fixing.Nevertheless, Overtreated ultimately conveys a message of hope by reframing the debate over health care reform. Americans worry about rationing--that any effort to rein in the high cost of health care will result in limited access to life-saving treatments. Covering the uninsured seems like an insurmountable problem because it will drive up costs even more. Overtreated offers a way to control costs and cover the uninsured, while simultaneously improving the quality of American medicine. Shannon Brownlee's humane, intelligent, and penetrating analysis empowers readers to avoid the perils of overtreatment, as well as pointing the way to better health care for everyone.

Notes on Nursing: What It Is, and What It Is Not


Florence Nightingale - 1858
    What? Is the bed already saturated with somebody else's damp before my patient comes to exhale in it his own damp? Has it not had a single chance to be aired? No, not one. It has been slept in every night."From the best known work of Florence Nightingale (1820–1910), the originator and founder of modern nursing, comes a collection of notes that played an important part in the much needed revolution in the field of nursing. For the first time it was brought to the attention of those caring for the sick that their responsibilities covered not only the administration of medicines and the application of poultices, but the proper use of fresh air, light, warmth, cleanliness, quiet, and the proper selection and administration of diet. Miss Nightingale is outspoken on these subjects as well as on other factors that she considers essential to good nursing. But, whatever her topic, her main concern and attention is always on the patient and his needs.One is impressed with the fact that the fundamental needs of the sick as observed by Miss Nightingale are amazingly similar today (even though they are generally taken for granted now) to what they were over 100 years ago when this book was written. For this reason, this little volume is as practical as it is interesting and entertaining. It will be an inspiration to the student nurse, refreshing and stimulating to the experienced nurse, and immensely helpful to anyone caring for the sick.

Clinical Pharmacy and Therapeutics


Roger Walker - 1995
    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.

Case Files: Internal Medicine


Eugene C. Toy - 2004
    Each case includes an extended discussion, definition of terms, clinical pearls, and USMLE format review questions. This interactive learning system is proven to improve shelf-exam scores and helps students to learn in the context of real patients insted of simply memorizing.

Matron Knows Best


Joan Woodcock - 2011
    From her very first day as a naive 16-year-old cadet, standing nervously outside the matron's office, this is Joan's story of an eventful career spanning over 40 years in NHS nursing.

Strange Medicine: A Shocking History of Real Medical Practices Through the Ages


Nathan Belofsky - 2013
    Medieval dentists burned candles in patients' mouths to kill invisible worms gnawing at their teeth. Renaissance physicians, by law, timed surgical procedures with the position of the stars, and instructed epileptics to collect fresh blood from the newly beheaded. Highlighting bad science, oafish behavior, and stomach-turning procedures that hurt more than helped, Strange Medicine presents extraordinary but true facts and an honor roll of doctors, scientists, and dreamers who gave a whole new meaning to clinical trials!

Final Gifts: Understanding the Special Awareness, Needs, and Communications of the Dying


Maggie Callanan - 1992
    In this moving and compassionate book, hospice nurses Maggie Callanan and Patricia Kelley share their intimate experiences with patients at the end of life, drawn from more than twenty years experience tending the terminally ill. Through their stories we come to appreciate the near-miraculous ways in which the dying communicate their needs, reveal their feelings, and even choreograph their own final moments; we also discover the gifts—of wisdom, faith, and love—that the dying leave for the living to share.Filled with practical advice on responding to the requests of the dying and helping them prepare emotionally and spiritually for death, Final Gifts shows how we can help the dying person live fully to the very end.

Sugar Crush: How to Reduce Inflammation, Stop Pain, and Reverse the Path to Diabetes


Richard P. Jacoby - 2015
    If you suffer from ailments your doctors can’t seem to diagnose or help—mysterious rashes, unpredictable digestive problems, debilitating headaches, mood and energy swings, constant tiredness—nerve compression is the likely cause. Over the years, Dr. Richard Jacoby has treated thousands of patients with peripheral neuropathy. Now, he shares his insights as well as the story of how he connected the dots to determine how sugar is the common denominator of many chronic diseases. In Sugar Crush, he offers a unique holistic approach to understanding the exacting toll sugar and carbs take on the body. Based on his clinical work, he breaks down his highly effective methods, showing how dietary changes reducing sugar and wheat, coinciding with an increase of good fats, can dramatically help regenerate nerves and rehabilitate their normal function.Sugar Crush includes a quiz to assess your nerve damage, practical dietary advice, and the latest thinking on ways to prevent and reverse neuropathy. If you have diabetes, this essential guide will help you understand the dangers and give you the tools you need to make a difference beyond your doctor’s prescriptions. If you have the metabolic syndrome or prediabetes, or are just concerned about your health, it will help you reverse and prevent nerve damage.

Nightingale Tales: Stories from My Life as a Nurse


Lynn Dow - 2017
    Nightingale Tales is a peek into that transition, as told by a nurse who lived it. Each chapter is a stand-alone story depicting the ridiculous mores nurses have been subjected to over the years, the archaic equipment they've had to struggle with, and the changes in the profession, brought about by time, the feminist movement, and advances in technology. Told with humor and compassion, the stories of Nightingale Tales provides an unusual--and highly entertaining--window into the world of medicine from the mid-twentieth century to the present.

The House of Hope and Fear: Life in a Big City Hospital


Audrey Young - 2007
    Opening with the view of an idealistic young doctor entering her first post-graduate job at the local county hospital, The House of Hope and Fear explores not only the personal journey of one doctor's life and career, but also examines the health care system as a whole. The county hospital setting provides Audrey Young with a second education. With clear, eloquent text, the author chronicles attempts made to treat those tossed aside by society along with the personal and ideological shifts that accompany this daunting task. All of the hospital politics are detailed in a gripping account of the hospital's inner workings, and a human face is expertly given to the health care crisis in America.

My Own Country: A Doctor's Story


Abraham Verghese - 1994
    Nestled in the Smoky Mountains of eastern Tennessee, the town of Johnson City had always seemed exempt from the anxieties of modern American life. But when the local hospital treated its first AIDS patient, a crisis that had once seemed an urban problem had arrived in the town to stay. Working in Johnson City was Abraham Verghese, a young Indian doctor specializing in infectious diseases. Dr. Verghese became by necessity the local AIDS expert, soon besieged by a shocking number of male and female patients whose stories came to occupy his mind, and even take over his life. Verghese brought a singular perspective to Johnson City: as a doctor unique in his abilities; as an outsider who could talk to people suspicious of local practitioners; above all, as a writer of grace and compassion who saw that what was happening in this conservative community was both a medical and a spiritual emergency."