In the span of twelve hours, lives can be lost, life-altering medical treatment decisions made, and dreams fulfilled or irrevocably stolen. In Brown’s skilled hands--as both a dedicated nurse and an insightful chronicler of events--we are given an unprecedented view into the individual struggles as well as the larger truths about medicine in this country, and by shift’s end, we have witnessed something profound about hope and healing and humanity. Every day, Theresa Brown holds patients' lives in her hands. On this day there are four. There is Mr. Hampton, a patient with lymphoma to whom Brown is charged with administering a powerful drug that could cure him--or kill him; Sheila, who may have been dangerously misdiagnosed; Candace, a returning patient who arrives (perhaps advisedly) with her own disinfectant wipes, cleansing rituals, and demands; and Dorothy, who after six weeks in the hospital may finally go home. Prioritizing and ministering to their needs takes the kind of skill, sensitivity, and, yes, humor that enable a nurse to be a patient’s most ardent advocate in a medical system marked by heartbreaking dysfunction as well as miraculous success.

    We enter a phase of life that we have no preparation for. No one tell us how to live with a life threatening illness or what to expect when cure is no longer possible and we are dealing with the ending of life.The End of Life Guideline Series is a compilation of Barbara Karnes’ four booklets on end of life. Beginning with the guidance A Time To Life offers to a person who has been diagnosed with a life threatening illness. The End of Life Guideline Series progresses to Gone From My Sight , The Hospice Blue Book, which explains the signs of approaching death that begin months before death from disease and leads a family to the moment of death.The Eleventh Hour offers information, ideas and support for a caregiver/family member who are often alone as their loved one is dying, on how to care for a person in the hours to minutes before death and just after.The final section of this complication is an exploration of the normal grieving process. What are the emotions and feelings that will surface as we grieve the loss of someone we care about and how will those emotions show themselves? The aim of this series is to neutralize some of the fear that an unpredictable future may bring. Knowledge of the dying process and it’s natural and normal unfolding can help create a meaningful and comforting experience as a loved one journeys from life. It is written in a simple, direct yet gentle manner. It is a short and valuable read.Following a death we often have questions about the disease progression and concerned memories. The End of Life Guideline Series gives knowledge of the natural, normal process of dying and grief. You can find comfort in it’s knowledge even if someone you care about has died years before.

    Line drawings and more than 1,000 new color images illustrate concepts more clearly than ever. This book includes detailed information on diagnosis, treatment planning concepts, related problems or controversies, and current treatment procedures, including the role of orthodontics in comprehensive treatment of patients with multiple problems.A NEW full-color design includes a total of more than 1,400 clinical photographs and illustrations.Application of the soft tissue paradigm to modern orthodontic diagnosis and treatment planning.Critical evaluation of controversies in treatment approaches and treatment timing.NEW information on the use of cone beam CT for 3-dimensional evaluation of dental and facial dimensions and relationships, and 3-D superimpositions to evaluate treatment response.Problem-oriented treatment planning, with use of digital technology to develop a database that can feed through to the treatment plan.Updated content on biomechanics to help you plan efficient use of modern orthodontic appliance systems.NEW skeletal anchorage techniques using bone anchors and mini screws.Chapters on adult treatment featuring the sequencing of multidisciplinary treatment, the new approach to lingual orthodontics, and a discussion of surgical vs. orthodontic treatment options.Full-color design includes hundreds of clinical photographs and illustrations with brighter, more engaging text and more demonstrative figures.Diagnosis and treatment planning chapters are revised to consider new paradigms to teach students and orthodontists how to apply the results of current research to their practice and treatment plans.Current technologies and advances in contemporary treatment provide clinicians with ways to make treatment planning and execution more efficient.Updated content on biomechanics gives clinicians ways to plan appropriate orthodontic appliance systems through which mechanotherapy is delivered using principles of forces.Updated information on mechanical devices, such as transplants, transpositions, implants, and temporary anchorage using mini screws, provide an understanding on how these devices can affect orthodontic treatment and what is available on the market to improve treatment outcomes.Appliance chapters have been condensed to reflect only the most useful and contemporary materials.Chapters on treatment for adults have been rewritten to include new concepts in periodontics and new clinical cases with predictions and outcomes and discussion of surgical vs. orthodontic treatment options.Early treatment chapters have been consolidated and new research included in the reorganization of content to make it consistent with the best data available in the literature.Every section of the book begins with a section opener to outline the main concepts discussed in that section.

    Part One presents the general principles of pathophysiology and discusses the influence of the environment and the role of genetics in the development of disease. Part Two, organized by body system, examines normal anatomy and physiology, alterations of function in adults, and alterations of function in children.

    A number of studies show a link between vitamin K2, bone health and heart health. Is vitamin K2 a nutrient you need more of in your diet? As physicians, we feel everyone needs to be aware of the role this vitamin plays in health and wellness. This concise ebook explores the link between vitamin K2 and how it may protect against some of the most common diseases you’re at risk for as you age. Here are some of the questions this book will answer: The Role of Vitamin K in Your Body How Vitamin K2 Differs from Vitamin K1 and Why Most People Don’t Get Enough of It The Various Isoforms of Vitamin K2 and Which Ones Are Most Important for Health The Role Vitamin K2 Plays in Bone Health and Osteoporosis Prevention Vitamin K2 and Heart Disease: Can It Lower Your Risk or Even Reverse Atherosclerosis? Do You Need a Vitamin K2 Supplement? Vitamin K2 and Cancer: Is There a Link? The Role Vitamin K2 Plays in Dental Health Are You at Risk for Vitamin K Deficiency? Can You Get Enough Vitamin K2 Through Diet Alone? The Best Dietary Source of Vitamin K2 Why You Must Have Vitamin K2 if You Take a Vitamin D Supplement Are There Risks to Taking a Vitamin K2 Supplement? One Type of Vitamin K2 Supplement Source You Should Avoid You should have a better understanding of the health benefits of vitamin K2 once you finish.

    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.

    The aim remains to provide a reference to the aspects of medical microbiology particularly important for clinical infections and chemotherapy. Geo. F. Brooks (U. of California, San Francisco), Jane

    Tony Youn grew up one of two Asian-American kids in a small town where diversity was uncommon. Too tall and too thin, he wore thick Coke-bottle glasses, braces, Hannibal Lecter headgear, and had a protruding jaw that one day began to grow, expanding to an unthinkable, monstrous size. After high school graduation, while other seniors partied at the beach or explored Europe, Youn lay strapped in an oral surgeon’s chair where he underwent a life-changing jaw reconstruction. Ironically, it was this brutal makeover that led him to his life’s calling, and he continued on to endure the four horrific, hilarious, sex-starved, and tension-filled years that eventually earned him an M.D. Offering a window into a side of medicine that most people never see, Youn shares his bumpy journey from a shy, skinny, awkward nerd into a renowned and successful plastic surgeon.Now, Youn is the media’s go-to plastic surgeon. He appears regularly on The Rachael Ray Show, and his blog, Celebrity Cosmetic Surgery, is widely read and the most popular blog by a plastic surgeon in the country. But it was a long road to success, and In Stitches recounts Dr. Youn’s misfit adolescence and his four tumultuous years in medical school with striking wit, heart, and humility.For anyone who has ever experienced the awkward teenage years, who has struggled to find his or her way in college, who has been worried that their “calling” would never come, who wants to believe that their doctor really cares, or is just ready for a read that will make you laugh and cry at the same time, this book is for you.

    If America could send a man to the moon, shouldn’t the best surgeons in the world be able to build an artificial heart? In Ticker, Texas Monthly executive editor and two time National Magazine Award winner Mimi Swartz shows just how complex and difficult it can be to replicate one of nature’s greatest creations. Part investigative journalism, part medical mystery, Ticker is a dazzling story of modern innovation, recounting fifty years of false starts, abysmal failures and miraculous triumphs, as experienced by one the world’s foremost heart surgeons, O.H. “Bud” Frazier, who has given his life to saving the un-savable. His journey takes him from a small town in west Texas to one of the country’s most prestigious medical institutions, The Texas Heart Institute, from the halls of Congress to the animal laboratories where calves are fitted with new heart designs. The roadblocks to success —medical setbacks, technological shortcomings, government regulations – are immense. Still, Bud and his associates persist, finding inspiration in the unlikeliest of places. A field beside the Nile irrigated by an Archimedes screw. A hardware store in Brisbane, Australia. A seedy bar on the wrong side of Houston. Until post WWII, heart surgery did not exist. Ticker provides a riveting history of the pioneers who gave their all to the courageous process of cutting into the only organ humans cannot live without. Heart surgeons Michael DeBakey and Denton Cooley, whose feud dominated the dramatic beginnings of heart surgery. Christian Barnaard, who changed the world overnight by performing the first heart transplant. Inventor Robert Jarvik, whose artificial heart made patient Barney Clark a worldwide symbol of both the brilliant promise of technology and the devastating evils of experimentation run amuck. Rich in supporting players, Ticker introduces us to Bud’s brilliant colleagues in his quixotic quest to develop an artificial heart: Billy Cohn, the heart surgeon and inventor who devotes his spare time to the pursuit of magic and music; Daniel Timms, the Brisbane biomedical engineer whose design of a lightweight, pulseless heart with but a single moving part offers a new way forward. And, as government money dries up, the unlikeliest of backers, Houston’s furniture king, Mattress Mack. In a sweeping narrative of one man’s obsession, Swartz raises some of the hardest questions of the human condition. What are the tradeoffs of medical progress? What is the cost, in suffering and resources, of offering patients a few more months, or years of life? Must science do harm to do good? Ticker takes us on an unforgettable journey into the power and mystery of the human heart.

    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.

    Turn to any page, and you'll find essential point-of-care guidance on all the major conditions seen in clinical medicine. Completely updated to reflect all the major advances and new clinical developments, the new edition of the Manual is the most indispensable yet. It continues to focus on diagnosis and therapy with an emphasis on patient care and offers authoritative, high-yield coverage of: Etiology and epidemiology Clinically relevant pathophysiology Signs & Symptoms o Differential Diagnosis Physical and Laboratory Findings Therapeutics o Practice GuidelinesNEW FEATURESFull-color presentation for the first time!Full-color images of clinical conditions encountered in dermatology, cardiology, and eye diseases New chapters on end-of-life care, congenital heart disease in the adult patient, non-invasive cardiac examination, and metabolic syndromeLook for these other great Harrison's titles:Harrison's Principles of Internal Medicine, 17eHarrison's Online available through Accessmedicine.com

    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.

    This unexpected journey lit a fire in me that would carry me through the next 23 years of nursing.I’ve witnessed births, deaths and all that lies in between. I’ve been exhausted, heartbroken and sexually assaulted. I’ve anguished over children who aren’t my own and I have battled an illness that forced me to change places from nurse to patient.But I have also had a blast. I’ve met and learned from extraordinary characters who I can never forget. I’d love you to meet them too and share the crazy, sad, shocking, moving and hilarious experiences that made me Blue Girl.

    Explaining the truth behind the screening statistics and investigating the evidence behind the hype, Margaret McCartney, an award-winning writer and doctor, argues that this patient paradox - too much testing of well people and not enough care for the sick - worsens health inequalities and drains professionalism.

    The text covers the neuroanatomy that medical and other healthcare students need, with expanded coverage of neurophysiology and inclusion of clinical content providing real-life application of neuroanatomy and neurophysiologic concepts to clinical neurologic disorders. Its readability and enhanced full-color illustrations make it a favorite among both students and faculty.Provides a single-author approach for a more consistent, readable text.Contains summary statement headings to help you find what you're looking for within the text.Provides an outline introducing each chapter to help students organize and stay focused as they learn.Includes appealing four-color, computerized three-dimensional images of the brain and brain structures fully integrated with the text.Complements an Electronic Image Bank that is also available separately.Includes more coverage of neurobiology and neurophysiology.Gives more clinical content, including many images depicting neurologic disorders.Features an expanded section on higher cortical function.Features an expanded section on learning and memory.Contains a new chapter on the development, maintenance, and repair of neural connections-an explosive area of research in neuroscience.Supplies a glossary of key terms.Replaces many of the older figures with new, computer-generated illustrations.