Gerard, PhD, its chief learning officer, candidly describe the triumphs and stumbles of a seven-year journey to lean healthcare, an effort that continues today and that has slashed medical errors, improved patient outcomes, raised staff morale, and saved $27 million dollars in costs without layoffs. Find out:> How lean techniques of value-stream-mapping and rapid improvement events cut the average “door-to-balloon” time for heart attack patients at two hospitals from 90 minutes to 37.> What ThedaCare leaders did to replace medicine’s “shame and blame” culture with a lean culture based on continuous improvement and respect for people.> How the lean principle of “building in quality at the source” broke down divisions among medical specialties allowing teams to develop patient care plans faster.> Why traditional modern management is the single biggest impediment to lean healthcare.> How the plan-do-study-act cycle coupled with rapid improvement events cut the wait time at a robotic radiosurgery unit from 26 days to six.> How the lean concept of “one piece flow” saved time in treating ischemic stroke patients, increasing the number of patients receiving a CT scan within 25 minutes from 51% to 89%.> How senior leaders at other healthcare organizations can begin their own lean transformations using a nine-step action plan based on what ThedaCare did — and what it would do differently.Toussaint and Gerard prove that lean healthcare does not mean less care. On the Mend shows that when care is truly re-designed around patients, waste and errors are eliminated, quality improves, costs come down, and healthcare professionals have more time to spend with patients, who get even better care.

    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.

    The shocking story of blinded eyes, and the medical school that allowed it.

    With an essay by Kevin Power.

    

    But within a year she’d developed an intestinal illness so rare she wound up in a medical journal. Janet navigated misdiagnosis, multiple surgeries, and life with a permanent colostomy. Like many female patients her concerns were glossed over by doctors. She was young and insecure, major liabilities in her life as a patient. How would she advocate for low-income people when she couldn’t even advocate for herself? Janet’s model for assertiveness was her friend Beth. She was the kind of friend who’d accompany you to the doctor when you got dysentery in Ecuador, nonchalantly translating the graphic details of your symptoms into Spanish. Throughout Janet’s illness Beth took care of her; then she developed brain cancer and their roles reversed. Eventually Janet recovered, but Beth’s condition worsened. At the age of 38, Beth died. To cope, Janet competed in endurance events, becoming a triathlete with a colostomy pouch. With themes that echo Susannah Cahalan’s 'Brain on Fire' and Gail Caldwell’s 'Let’s Take the Long Way Home', GUTS is a story of resilience for the millions of Americans who manage to thrive while living with a chronic condition, as well as the many who’ve lost a loved one at a young age.

    This updated edition features new material.

    Her face is perhaps as well known today as ever it was during her lifetime. And this fall, interest in Marilyn is at an all-time high for, on the 27th and 28th of October, the renowned auction house Christie's will place on sale many hundreds of objects that once belonged to the beloved actress. This specially designed hardcover book features more than 1,500 objects for sale, illustrated with hundreds of beautiful photographs as well as rare and never-before-seen archival photographs of Marilyn Monroe. Personal essays and fashion notes provide a behind-the-scenes look into the life of the world's most famous celebrity.

    In this compact and accessible book, he shows readers exactly how to improve and maintain the functioning of their knees by enhancing the four crucial abilities every knee must have:** muscular strength** flexibility** responsiveness (proprioception)** enduranceA chapter is devoted to each of these four functions, showing why they are essential. The reader is shown exactly how to do simple home exercises designed to restore or improve that particular ability. The last chapter is a "master plan" that pulls together all the concepts and exercises into a time-efficient exercise program. The author guides the reader effortlessly through the exercise routine.Clear drawings illustrate the muscles responsible for knee pain and the exact way to do the exercises.All the information is based on research trials and studies and evidence from peer-reviewed journals. The author has chosen for this book the best techniques for relieving knee pain.

    We'll point out the best of Disney's ships and itineraries, including a couple of stellar restaurants, top-notch children's activities, and Castaway Cay, one of the best vacation islands in the Caribbean. We'll also tell you which on-board entertainment and restaurants should be skipped, including what to do instead. Along the way we'll show you how to save money, choose the right stateroom, ship, and itinerary, and how to get to and from your cruise with ease.