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.

    We live in an era of continuous healthcare reforms, many of which focus on high volume, efficiency, and cost-effectiveness. This compelling, thoughtful book is the response of a practicing psychiatrist who explains how population-based reforms have diminished the relationship between doctors and patients, to the detriment of both. As an antidote to failed reforms and an alternative to stubbornly held traditions, Dr. Abraham M. Nussbaum suggests ways that doctors and patients can learn what it means to be ill and to seek medical assistance.   Using a variety of riveting stories from his own and others’ experiences, the author develops a series of metaphors to explore a doctor’s role in different healthcare reform scenarios: scientist, technician, author, gardener, teacher, servant, and witness. Each role influences what a physician sees when examining a person as a patient. Dr. Nussbaum cautions that true healthcare reform can happen only when those who practice medicine can see, and be seen by, their patients as fellow creatures. His memoir makes a hopeful appeal for change, and his insights reveal the direction that change must take.

    Completely updated throughout, this 9th edition offers a concise, high-yield review of the basic and clinical aspects of bacteriology, virology, mycology, parasitology and immunology, with an emphasis on the clinical application of microbiology and immunology to infectious diseases.

    Do you require fire, police or ambulance?' asked the female switchboard operator with brisk professionalism. I thought fast. 'I actually need all three,' I answered .It's not every day that a home visit turns out to be an eco-protestor with appendicitis stuck up a tree. But as Dr Rosemary shares in this book, it's all part of a day's work for a south London GP. From an octogenarian nymphomaniac to a teenager in labour with a baby she didn't know about, when Dr Rosemary opens her surgery door she doesn't know who's going to walk in...

    The latest version is far superior, both in content and presentation, to previous versions. I give it my highest recommendation."--"Doody's Review Service"From the authors of "Basic and Clinical Pharmacology," the leading pharmacology textbook, here is the newest edition of the best review book available for medical pharmacology course exams and board examinations. This skill-building guide comes with over 1000 review questions and answers -- far more than most other pharmacology reviews -- and a chapter-based approach that facilitates use with course notes or larger texts. Features: A new full-color presentation Organized to reflect course syllabi, focusing on the clinical use and pharmacology of drug categories, rather than individual drugs Two complete practice exams A valuable appendix of test-taking strategies Chapters that include valuable learning aids such as: --Short discussion of the major concepts that underlie basic principles or drug groups--Explanatory figures and tables--Review questions followed by answers and explanations--Drug Trees in drug-oriented chapters that visually organize drug groups--A list of high-yield terms and definitions you need to know Skill Keeper questions that prompt you to review previous material to understand links between related topics A checklist of tasks you should be able to do, once you have finished the chapter Summary Tables that list the important drugs and include key information about their mechanisms of action, effects, clinical uses, pharmacokinetics, drug interactions, and toxicities

    Walt Larimore moved his young family to Kissimmee, Florida, to start a small-town medical practice in 1985, he had no idea he was embarking on an enterprise that would change his life in ways both large and small. But there's no telling what you'll run into as a family physician in a rural, small-town community.Perfect for anyone yearning for a simpler, slower pace of life, as well as fans of Dr. Larimore's popular Bryson City series, The Best Medicine is a tender and insightful collection of stories chronicling one young doctor's passage from inexperience to maturity as a physician, husband, father, and community member. Filled with characters colorful and crusty, warm-hearted and hot-headed, witty and winsome, these captivating stories glow with warmth, love, and humor. You'll laugh, you'll cry, and you'll wish Dr. Larimore was your doctor.

    

    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.

    A member of the Dalhousie University track and field team, he was about to start classes at Dalhousie's medical school. He had attended a medical school in the Caribbean; he worked at a group home for adults with disabilities. "There's times for whatever reason that things don't go quite as planned," a Halifax police officer told Sandeson shortly after he was arrested for the first-degree murder of Taylor Samson, who also, on the surface, seemed like a model son. Samson lived in a fraternity house near Dalhousie, and when the six-foot-five physics student disappeared without a trace, the focus eventually turned to Sandeson.Sandeson's trial, with surprising testimony and the unanswered question of what happened to Samson's body, gripped the university city for months. Through interviews with friends and relatives, as well as transcripts of the trial and Sandeson's police interrogation, award-winning journalist Kayla Hounsell paints a complex portrait of both the victim and killer, two young men who seemed destined for bright futures. First Degree includes previously unpublished photos and details never made public until now.

    

    Each listing is easy to read and includes identification, infectious agent, occurrence, mode of transmission, incubation period, susceptibility and resistance. The 18th edition of this text is available, for the first time, online. Translations into several languages-currently Spanish, Portuguese, Korean, Serbian, Indonesian and Italian make this text a global treasure.

    But what if our foods were doing more harm than good, and fad diets made matters worse? Deadly Harvest examines how the foods we eat today have little in common with those of our ancestors, and why this fact is important to our health. It also offers a proven program to enhance health and improve longevity.Using the latest scientific research and studies of primitive lifestyles, the author first explains the diet that our ancestors followed—one in harmony with the human species. He then describes how our present diets affect our health, leading to disorders such as cancer, diabetes, heart disease, and more. Most important, he details measures we can take to improve our diet, our health, and our quality of life.

    Robert Marion asked three of them to keep a careful diary over the course of a year. Andy, Mark, and Amy vividly describe their real-life lessons in treating very sick children; confronting child abuse and the awful human impact of the AIDS epidemic; skirting the indifference of the hospital bureaucracy; and overcoming their own fears, insecurities, and constant fatigue. Their stories are harrowing and often funny; their personal triumph is unforgettable.This updated edition of The Intern Blues includes a new preface from the author discussing the status of medical training in America today and a new afterword updating the reader on the lives of the three young interns who first shared their stories with readers more than a decade ago.

    Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced.This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans.In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation’s drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls?Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry’s own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible. This is a passionate and provocative call for action as well as a compelling work of clear-headed science.From the Hardcover edition.

    What does that mean?" "Will I ever be able to have a baby?" "I try to lose the weight, but I'm hungry all the time." "Why can't I just stop eating sugary, fattening foods?" "Why do I have hair growing everywhere and will it ever get better?" "I am so depressed and moody. Is this related to my PCOS?" If any of these statements sound familiar, this workbook can help you! The PCOS Workbook, a practical and comprehensive guide, helps you understand not just the physiology of PCOS, but what you can do about it. Step-by-step guidelines, questionnaires and exercises will help you learn skills and empower you to make positive changes in your life that might not get rid of PCOS, but will help you live with it harmoniously: Lose weight, take control over your eating and improve your health Understand your medical treatment Improve your fertility Manage the stress in your life Be mindful with your eating and in life Challenge body image myths and insecurities Overcome obstacles to becoming more physically active Cope with the challenges of infertility ...and get closer to living the life you want to live!