He thought he was going in with his eyes wide open. Really, he had no clue. Nothing could prepare him for the harsh reality of being a compassionate human and working as an ER doctor. In his emotionally charged memoir, Sovndal examines the tenuous balance between trying to compartmentalize the trauma of tragedy while also preserving his own humanity. With candor and humility, Fragile pulls back the curtain on the ER, a place where Sovndal has learned that universal truths about the human condition can be discovered—if you pause long enough to take a breath. At turns heartbreaking and heartwarming, serious and funny, Sovndal’s memoir is about trying to reconcile the beautiful and horrific tension that makes life so fragile, and how accepting that hard truth opens us up to appreciate life’s most precious moments—which are often the ones most filled with connection, hope, and love.ABOUT THE AUTHOR:SHANNON SOVNDAL, MD, a board-certified doctor in both emergency medicine and emergency medical services (EMS), serves as a physician and medical director for multiple EMS agencies and fire departments. Dr. Sovndal has a wide range of career experience, working in tactical medicine (TEMS) with the FBI, as a team doctor for the Garmin Professional Cycling team, and as a flight physician. As the producer of the podcast Match on a Fire: Medicine and More, he is the founder of 3Hundred Training Group, which focuses on educating and training pre-hospital providers.Dr. Sovndal attended medical school at Columbia University, where he earned the prestigious Arnold P. Gold Foundation Humanism in Medicine Award, and completed his residency in Emergency Medicine at Stanford University. He is also the author of Cycling Anatomy and Fitness Cycling and lives in Boulder, Colorado, with his family.

    Now with twice the number of stories of stupidity coming to the hospital, emergency room and operating room. DR Payne has been taking care of patients for over 18 years in places from Alaska to the American South and she has seen her share of Stupid. Feel a little less stupid today after you read this book. Sections include: Stupid in Action Stupid in Word Stupid in Thought Stupid Baby Names Notable Tattoos A Final Thought

    Cameron Webb’s brief but biting assault on the wide spectrum of religiosity that dominates 21st century America, from the hateful and anti-intellectual dogma of the Christian Right to the whitewashed progressivism of religious moderates. It is also a fascinating and humbling journey into the heart of the universe's most mind-numbing wonders.Drawing on recent insights from cosmology and evolution, Despicable Meme paints a vivid portrait of a cosmos unlike anything ever imagined by the provincial, human-centered faiths of the past – a universe of countless worlds spread across unfathomable distances and times, and where, on at least one of those worlds, the slow march of time would combine with the purposeless mechanisms of chemistry and physics to create a being capable of believing that he alone is the reason for it all.With piercing intelligence and candor, Despicable Meme exposes the folly of that conceit and dispenses with the widespread but utterly improbable notion of a personal creator. But it saves its harshest criticism for the vapid accommodationism of religious liberals, those who unknowingly or uncaringly give cover to the misogynistic, racist, homophobic paranoia of the fanatics by refusing to condemn, or quietly tolerating, the outlandish and immoral doctrines that lie festering at the center of their own “moderate” faiths.Despicable Meme is not only a blistering condemnation of radical fundamentalism, it is an impassioned appeal to the rest of us to once and for all abandon the superstitions of the religion we were raised in and embrace the beauty of an endlessly wondrous, but godless, universe.Show less

    The narcissist provides the direct and no-nonsense explanations and answers to the questions which matter most to you. The narcissist manages to keep a hook in you by leaving you with unanswered questions. These questions prevent you from gaining understanding, make you susceptible to the pull of the narcissist in the future and cause you untold anguish and anxiety. Not any more. A range of incisive questions covering the narcissistic spectrum of behaviours have been posed by those who have been on the receiving end of narcissistic behaviour. Real questions posed by those who know exactly what it is like to be held in the grasp of the narcissist. Real answers provided by the narcissist himself which will provide understanding, enlightenment and freedom.

    All test questions are answered and explained. It also provides extensive subject review covering all test topics. Topics reviewed include research methods, the biological basis of behavior, sensation and perception, states of consciousness, learning, cognition, personality, abnormal psychology, and treatment of disorders. This manual also presents an overview of the test, extra multiple-choice practice questions, test-taking tips, and an analysis of the test’s essay question with a sample essay.

    It is hardly to be credited that the enlightened nations of Europe are allowing this nightmare to occur only sixty minutes by jet from Paris and London. The forces of Serbian strongman Slobodan Milosevic have swept into Kosovo on the Balkan Peninsula leaving a trail of death and heartbreak. Scenes of Milosevic’s ‘ethnic cleansing’ play out on television screens all over the world; haunted figures huddled behind barbed wire fences, bodies heaped in ditches.Adelaide surgeon Craig Jurisevic recalls his grandfather’s ordeal in a Nazi concentration camp and resolves to honour his memory by offering his skills as a surgeon to the victims of the conflict. Leaving behind a wife and son, Jurisevic flies to the Balkans under the auspices of the International Medical Corps. Struggling to maintain his moral bearings, Jurisevic’s journey from Adelaide to the hell of Kosovo has become a descent into the heart of darkness. Blood on My Hands, co-written with award-winning author Robert Hillman, tells a story of terrible suffering, of extraordinary heroism, and of the savagery that lies coiled in the human heart.

    The late-night passing of a beloved aunt summons a childhood bully who shows up minutes later, after twenty-five years, to be forgiven and to heal a broken doctor. This ER doctor finds God's opposite in: a battered child's bruises covered over by make-up, a dying patient whose son finally shows up at the end to reclaim the man's high-top sneakers, the rich or celebrity patients loaded with prescription drugs from doctor friends who end up addicted. But, his real outrage is directed at our cavalier treatment of the elderly, If you put a G-tube in your 80-year-old mother with Alzheimer's because she's no longer eating, you will probably have a fast track to hell.

    Packed with over 2,400 full-color illustrations, this atlas guides you step-by-step through each region of the body, helping you master the details of anatomy.Key Features:Exquisite full-color illustrations with clear, thorough labeling and descriptive captionsEven more clinical correlations help students make the connection between anatomy and medicineCoverage of each region intuitively arranged to simplify learning: beginning with the skeletal framework, then adding muscles, organs, vasculature, and nerves, and concluding with topographic illustrations that put it all togetherOver 170 tables summarize key anatomic information for ease of study and reviewInnovative, user-friendly format in which each two-page spread is a self-contained guide to a topicSurface anatomy spreads now include regions and reference lines or planes in addition to landmarks and palpable structures to develop physical exam skillsMuscle Fact spreads ideal for memorization, reference, and review organize the essentials about muscles, including origin, insertion, innervation, and actionNew sectional anatomy spreads at the end of units build familiarity with 2D views of anatomic regionsAccess to WinkingSkull.com PLUS, with over 500 images from the book for labels-on and labels-off review and timed self-tests for exam preparationAtlas of Anatomy is the student's choice:Thieme is the best anatomy atlas by far, hands down. Clearer pictures, more pictures, more realistic pictures, structures broken up in ways that make sense and shown from every angle...includes clinical correlations and summary charts of innervations and actions. That's about all there is to it. Just buy it. Thank you Thieme!!! Ok, now back to studying...In my opinion this book surpasses them all. It's the artwork. The artist has found the perfect balance of detail and clarity. Some of these illustrations have to be seen to be believed.... The pearls of clinical information are very good and these add significance to the information and make it easier to remember. Easier to remember is key.

    The year is 2005. A highly infectious, unidentified Ebola-like virus is sweeping through the slums and villages of northern Angola. Within months, more than 200 people have died, medical services have collapsed and aid workers are on the brink of exhaustion. At 23, Peter Apps was just starting out as a foreign correspondent when Reuters sent him into the heart of the outbreak to get the story. In “Before Ebola: Dispatches from a Deadly Outbreak” Apps recalls in vivid, unflinching detail the horrors of life in a hot zone, the compassion of those trying to contain it, and how a terrified young journalist came of age in a time of almost unbearable crisis. Peter Apps is a global defense correspondent for Reuters news, currently dividing his time between London and Washington, D.C. In September 2006, Apps broke his neck in a minibus crash while covering the Sri Lankan civil war, leaving him largely paralyzed from the shoulders down. Cover design by Kristen Radtke.

    Yet, when it comes to diagnosing difficult cases, the clinician’s strongest asset might just be one of the oldest tools of the medical profession—careful listening. True Medical Detective Stories is a fascinating compendium of nineteen true-life medical cases, each solved by clinical deduction and facilitated by careful listening. These accounts present puzzling low-tech cases—most of them serious, some humorous—that were solved either at the bedside or by epidemiological studies. Dr. Clifton Meador’s book is a wonderful contribution to the genre of medical detective stories mastered by the legendary Berton Roueché. As a staff writer at The New Yorker from 1944 until his death fifty years later, Roueché popularized this form, which has provided source material for feature films and most recently supplied scenarios featured in medical television dramas, such as House. While Hollywood frequently oversimplifies and elides the real clinical situations, True Medical Detective Stories sets the record straight with a voice of authority and an engaging style rooted in the fact that most of the cases presented involve Dr. Meador’s actual patients. Dr. Meador discovered Berton Roueché’s writing as a teenager, when he first read Eleven Blue Men. In an astonishing twist of fate, Roueché, in later years, traveled to Nashville to meet with Dr. Meador and discuss one of his cases, with Roueché’s account published posthumously under the title, The Man Who Grew Two Breasts. In a fitting tribute to Roueché, this perplexing case is revisited by Dr. Meador in the opening chapter of this highly enjoyable book. True Medical Detective Stories is a captivating read that will keep you marveling over the idiosyncrasies of the human body and the ingenuity of the human mind.

    Only a small fraction of those affected have been properly diagnosed, leaving many others to suffer in silence or pursue ill-advised conventional treatment methods that fail to address the cause of this painful condition. Tara Grant, a twenty-year sufferer of HS, has become an underground legend to her Internet community of HS victims by presenting a methodical, self-tested action plan to heal naturally. The centerpiece of her holistic approach rests on the understanding that HS is an autoimmune disorder caused by leaky gut syndrome. With a few simple dietary changes that eliminate certain “trigger” foods, you can heal your gut, restore your skin, reclaim your health, and rid yourself of HS symptoms forever. That’s it—no antibiotics, no experimental surgeries, and no more pain, suffering, or confusion.Q&A with Tara1. What was it about the subject you chose to write about in your book that made you feel so passionate about spreading the word and getting your book published? My motivation for writing this book was the overwhelming response I received from people on the Internet when I originally posted about it in March of 2012. It turns out it’s a pretty common condition, but many people (and doctors) don’t know what it is. It’s pretty standard to visit various doctors, and be told that you have “acne,” or to be subjected to butchering surgeries. There is no treatment for HS, according to the doctors. People with it suffer immensely—in fact, HS is acknowledged to be one of most painful conditions in the world. I’ve even received letters from doctors and nurses who suffer from HS, thanking me for telling them what it is that they have—and for offering them hope. The primary motivating factor for writing this book, however, was an email I received from a 12-year old girl, who said she was going to kill herself because of the pain she was in. I immediately wrote her back, but I never heard back from her. I am desperate to know that she’s okay. I don’t want anyone else to go through what I did as a teenager—I myself thought about suicide on more than one occasion. I’ve had many letters from people who say they want to kill themselves since.2. HS is hard to diagnose, and many doctors aren’t even aware of its existence. How did you get a diagnosis? I’ve had HS since I was thirteen years old, but wasn’t diagnosed until I was in my mid-30s. Up until then, I saw over forty doctors from four different countries - none of whom could tell me what was wrong with me. I eventually found the name “Hidradenitis suppurativa” in a book about PCOS (also known as polycystic ovarian syndrome, which I also had) and could finally put a name to the horrible condition I had suffered from for so long. I took that information to a dermatologist. That’s when I finally got a diagnosis—over twenty years later. At that time, I had already changed to a Primal diet and my HS was drastically better, so I declined the antibiotics and Accutane the doctor prescribed. I also refused to believe what she said: “You have to live with this for the rest of your life.” I knew, as a longtime sufferer of HS, that the doctors I had seen had no clue what they were talking about. My journey was extremely frustrating, and I went through it completely alone. Over the years, I was told I had “adult acne,” and also told that they didn’t know what was wrong with me. I was also told that I was overreacting, not keeping clean enough, and told to lose weight. Not a single doctor showed any compassion, or was willing to look into the matter further. I eventually stopped going to the doctors, and didn’t return until I had already made changes and knew I was on the right track. I knew that if I wanted answers, I had to do the research and experimentation myself. I wasn't interested in how I reacted to different drug, I was interested in healing myself naturally.  I knew that I was on the right track with diet, so I started investigating Robb Wolf’s Autoimmune Paleo Protocol, and made specific tweaks for skin conditions. Results I had seen from others (Dr. Terry Wahls, for example) who had healed themselves from crippling autoimmune conditions were the only motivation I needed. When I started treating HS like an autoimmune condition, it went into remission. There are literally thousands of cases of this happening with different autoimmune conditions all over the world. I was also able to induce flare-ups with specific experimentation. This completely checks with autoimmunity. There isn’t a cure—you will always have the predisposition for autoimmunity—but you CAN go into remission. 3. Do you have any relatives or close friends that became diagnosed after you?  There is no one else in my family with this condition. There is a mistaken belief that HS is hereditary. It is not. However, some families have more than one member affected by it. The reason for this is that HS is autoimmune. In order to get an autoimmune condition, you need to have the gene for autoimmunity. The fact that the autoimmune gene manifests as HS in more than one family member is complete coincidence. If you’re suffering from HS, you more than likely have other autoimmune conditions - and so does your family. Family trees littered with Crohn’s, rheumatoid arthritis, multiple sclerosis, restless legs syndrome, diabetes, Lupus, endometriosis, eczema, psoriasis, HS, and more—all of which are autoimmune—are very common. If you have HS, you have the autoimmune gene, which you did inherit. If your gut becomes leaky, then you will eventually develop an autoimmune condition.4. Do you have advice for anyone seeking medical help for this condition? Read my book first. The Western medical community is still under the mistaken belief that HS is caused by bacteria, hence the prescriptions for antibiotics. They will not be able to help you, and will suggest butchering surgeries and heavy hitting drugs, which often make matters worse. You can’t “cut HS out,” like you do with a cancerous tumor. When you remove an organ or tissue that is being ravaged by an autoimmune response, you open up all your other organs and tissues to attack. That’s why there’s over an 80% chance of reoccurrence of HS after surgery, and people will often start flaring-up in areas that had been clear before. Sometimes, they even develop brand new autoimmune conditions. Luckily, you actually hold the key to healing in your hands. You can heal yourself. If you can avoid infection, then you don’t need doctors—or drugs— to help you go into remission.5. What is the one thing you would stress most to anyone unable to get a copy of your book at this time? Many people with HS are on disability and don’t have a lot of disposable income, or they have been taken advantage of in the past. If this is you, go to your local library and ask them to carry the book. Then, you can borrow it for free. How much does a 1-oz jar of EmuAid cost? Turmeric capsules? Surgery? Doctor visits and prescriptions? We’ve all fallen for so much. I bet if you sat down and tallied up how much you’ve spent on Band-Aids alone for your HS over the years, $26 would be a drop in the bucket. The great thing about this book is that if you are not satisfied, you can request your money back. If you get this 300-page manual and find that there is nothing in it that is of any help, you can ask for a refund from the publisher. Try asking for a refund for EmuAid when it doesn’t work. That being said, I would challenge anyone with HS to read this book and find nothing in it that’s helpful.6. Your book is a very important first step in making the public aware of this illness. Besides the book, how do you plan to raise awareness of HS?My goal is to get on the Dr. Oz show. I figure that will give us the biggest bang for the buck. Many people have HS, but are unaware of what it’s called. They’re too embarrassed to go to the doctor about it. I would encourage all of you to write to the Dr. Oz show and ask them to feature me, and ask your local library to carry the book. The only way we’re going to raise awareness is to GO BIG.

    Where do you look for information when transferring a patient from one drug to another? Where do you find a clear overview when dealing with a complex patient (e.g, with co-morbid epilepsy or liver disease or HIV infection)? Where can you seek advice on prescribing psychotropics during pregnancy? "The Maudsley Prescribing Guidelines in Psychiatry"! The leading clinical reference for handling prescribing problems as encountered in daily practice and for formulating prescribing policy.Evidence-based and written by expertsThis book is the essential guide for anyone responsible for prescribing, dispensing or administering drugs for patients with mental health disorders. All the evidence has been reviewed and summarized succinctly by an expert team of psychiatrists and pharmacists.New content and improved formatThis new edition makes greater use of tables and boxes to facilitate quick reference and includes new sections on cytochrome-mediated interactions and psychiatric side effects of non-psychotropic drugs.Clinically relevantChapters address plasma monitoring, schizophrenia, bipolar disorder, depression and anxiety, children and adolescents, substance abuse and special patient groups. Each section has a full reference list. The book covers prescribing drugs outside their licensed indications and their interaction with substances such as alcohol, nicotine and caffeine.Useful for all levels of experienceTrainees will gain important information regarding the rational, safe and effective use of medications for patients with mental illness. Experienced clinicians will find excellent guidance regarding more complex issues that they may not encounter regularly.Why the Maudsley Prescribing Guidelines in Psychiatry?Long recognized as an international trailblazer in mental health care, the Maudsley Hospital earned its reputation for excellence in both in-patient and community care. It is highly regarded for its research, and pioneered the use of clinical neuroscience. You can trust "The Maudsley Prescribing Guidelines in Psychiatry" to be scientifically sound and clinically effective.

    This e-book is a completely new way to learn Brazilian Portuguese vocabulary fast - and for free! Start speaking Brazilian Portuguese in minutes with the powerful learning methods you will master in this book.The vocabulary words you’ll find in Learn BrazilianPortuguese - Word Power 101 were hand selected by our Brazilian Portuguese language teachers as the top 101 most frequently used words in the Brazilian Portuguese language. With each entry, you’ll see the word and a vibrant image to help remember the meaning. You’ll hear the word (separate free download) to master the pronunciation. Then you’ll see how the word is actually used in everyday speech with sample sentences and phrases. Learning Brazilian Portuguese vocabulary has never been easier!In this book, you’ll get: - 101 of the most frequently used Brazilian Portuguese vocabulary words - Audio with authentic native Brazilian Portuguese pronunciation *Supplementary mp3 audio files are a separate download - Vibrant photos and images to help memorization - Useful and practical sample sentences and phrases Purchase Learn BrazilianPortuguese - Word Power 101 today to start mastering Brazilian Portuguese vocabulary in the fastest, easiest and most fun way possible!

    Twenty-five case studies with patients suffering from heart disease, breast cancer, prostate cancer, multiple sclerosis, adult onset diabetes, and other illnesses document the emotional and physiological causes behind patients' symptoms. The interaction of a person's energy system with health and illness is discussed in detail, as are the revelations that medical intuition offers about life, death, healing, and the existence of God. Instructive strategies for increased health and well-being offer ways to increase resistance to disease and reverse the progress of illness.

    But Max Leonard, himself an accomplished amateur cyclist, does not forget the pain, the glory, the sweat, and the tears that go into these grueling climbs.  After all, cycling up a mountain is hard.  So hard that, to many, it can seem absurd. But for others, climbing a mountain gracefully (and beating your competitors up the slope) represents the pinnacle of cycling achievement. It is where legends are forged.Many books tell you where the mountains are, or how long and how high. None of them ask why. Why are mountain ranges professional cycling’s Coliseum? Why do amateurs also make pilgrimages to these high, remote roads? Why are the roads even there in the first place to lure us on to these obsession inducing climbs?   Just why are mountains so enthralling? “This is real cycling, where the glory is and where dreams come true,” according to Bradley Wiggins. Mountains are where cycling's greatest heroes have made their names. Every amateur rider wishes they could climb better, too.  Are all these people addicted to the pain? To the achievement? Or to the allure of the peaks? Some spend their weekends and holidays cycling up mountains from start to finish. But how does a rider push themselves beyond their limits to get up a 10% gradient on pedal power alone? What is happening when they do?A Higher Calling explores the central place of mountains in the folklore of road cycling. Blending adventure and travel writing with the rich narrative of racing, Max Leonard takes the reader from the battles that created the Alpine roads to the shepherds tending their flocks on the peaks, and to a Grand Tour climax on the “highest road in Europe.” And he tells stories of courage and sacrifice, war and love, obsession and even elephants, along the way.