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.

    

    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.

    This contentious, often entertaining period gave rise to sport climbing, climbing gyms, and competitive climbing--indelibly transforming the sport.Jeff Smoot was one of those brash young climbers, and here he traces the development of traditional climbing “rules,” enforced first through peer pressure, then later through intimidation and sabotage. In the late ’70s, several climbers began introducing new tactics including “hangdogging,” hanging on gear to practice moves, that the old guard considered cheating. As more climbers broke ranks with traditional style, the new gymnastic approach pushed the limits of climbing from 5.12 to 5.13. When French climber Jean-Baptiste Tribout ascended To Bolt or Not to Be, 5.14a, at Smith Rock in 1986, he cracked a barrier many people had considered impenetrable.In his lively, fast-paced history enriched with insightful firsthand experience, Smoot focuses on the climbing achievements of three of the era’s superstars: John Bachar, Todd Skinner, and Alan Watts, while not neglecting the likes of Ray Jardine, Lynn Hill, Mark Hudon, Tony Yaniro, and Peter Croft. He deftly brings to life the characters and events of this raucous, revolutionary time in rock climbing, exploring, as he says, “what happened and why it mattered, not only to me but to the people involved and those who have followed.”

    With a shoestring budget, a backpack and an open mind, Millar followed the railroad, watching the vast American landscape and listening to the stories and concerns of the people.

    Translated into eight languages, it is an essential textbook, an accessible reference, and a bestselling text worldwide.This authoritative textbook retains the successful layout and approach of the bestselling fourth edition Four extra chapters have been added on dry eye, scleritis, corneal and refractive surgery, and systemic diseases.Each chapter have been updated and expanded and the number of illustrations greatly increased.Over a third of the illustrations are new for this editionFour extra chapters have been added on dry eye, scleritis, corneal and refractive surgery, and systemic diseases.The contents of each chapter have been updated and expanded and the number of illustrations has significantly increased.

    He and his climbing partner, Simon, reached the summit of the remote Siula Grande in June 1985. A few days later, Simon staggered into Base Camp, exhausted and frost-bitten, with news that that Joe was dead.What happened to Joe, and how the pair dealt with the psychological traumas that resulted when Simon was forced into the appalling decision to cut the rope, makes not only an epic of survival but a compelling testament of friendship.

    An electrician by trade, Frank’s experience of sailing amounted to not very much – an unpleasant spell on a Scottish fishing trawler as a young man and a brief holiday on someone else’s yacht off the coast of Mozambique a couple of years before. Never one to be daunted by a challenge or to be resisted in any way, he took his nine year old twins, Robert and Nicky, out of school, persuaded his wife Maureen that they would all learn how to sail and cope with life on the open seas as they went, and prepared to follow his dream of circumnavigating the world. Facing real danger from the elements and at first having to live more by their wits than their skills, the Stilwell family set off boldly, determined to become part of a community of sailors and adventurers who spend more time on the ocean than they do on dry land. Thinking Up a Hurricane is the unique coming of age memoir of Martinique Stilwell’s recounting of her true life gypsy childhood. It is poignant and funny and heartbreaking all at the same time. With the wisdom and innocence of a child’s point of view, it is a powerful yet tender story of physical and emotional adversity, of family dysfunction and the ties that bind, and of the shackles and exhilarating freedom of growing up different.

    Here's how Dr Coleman describes this book: `However good your doctor is, and however much you may trust him or her, you must share the responsibility for your own health, and you must know when to tell your doctor if you think that the treatment with which he or she is providing you, could be causing problems. After all, if things go wrong, your nice friendly doctor is more likely to kill you than is a burglar a deranged relative or a drunken motorist. Remember: one in six people in hospital are there because they have been made ill by a doctor. I have built this book around ther twelve basic laws of medicine which I have, over the years, formulated for my own benefit as a doctor, an observer and a patient. I have illustrated each of the 12 laws with clinical anecdotes and scientific data.' Here, for example, is Coleman's First Law of Medicine: `If you are receiving treatment for an existing disease and you develop new symptoms then, until proved otherwise, you should assume that the new symptoms are caused by the treatment you are receiving.' Dr Vernon Coleman is the author of over 100 books - many of them international bestsellers. His books have sold over two million copies in hardback and paperback in the UK alone and have been translated into 25 languages. Dr Coleman has written columns and articles for many of the world's leading newspapers and magazines and has presented numerous TV and radio programmes based on his books. In the mid 1980s he devised the world's first medical software for use on home computers. For more information about Dr Coleman's books please see the Vernon Coleman page on Amazon or visit www.vernoncoleman.com What the papers say: Vernon Coleman writes brilliant books - Good Book Guide The calmest voice of reason - The Observer A godsend - Daily Telegraph Brilliant - The People No thinking person can ignore him - The Ecologist Marvellously succinct, refreshingly sensible - The Spectator Probably one of the most brilliant men alive today - Irish Times King of the media docs - The Independent Britain's leading health care campaigner - The Sun Britain's leading medical author - The Star Perhaps the best known health writer for the general public in the world today - The Therapist The patient's champion - Birmingham Post A persuasive writer whose arguments, based on research and experience, are sound - Nursing Standard The doctor who dares to speak his mind - Oxford Mail He writes lucidly and wittily - Good Housekeeping The man is a national treasure - What doctors don't tell you Compulsive reading - The Guardian His message is important - The Economist Revered guru of medicine - Nursing Times His advice is optimistic and enthusiastic - British Medical Journal It's impossible not to be impressed - Western Daily Press Outspoken and alert - Sunday Express Hard hitting - inimitably forthright - Hull Daily Mail Refreshingly forthright - Liverpool Daily Post Dr Coleman made me think again - BBC World Service

    A powerful account of a famously tragic expedition.

    He is sucked into a silent war which hinges on an incriminating data file. Finding it is Travis’s only hope for surviving a deadly chase across America. But to find its location, Travis must discover the link between the biggest medical cover-up in history and the greatest assassination conspiracy of the twentieth century. The key lies within a secret underground of doctors sworn to an ancient oath.When the solution is the problem, which side will you be on?

    Within months, she is the wife of a French safari guide and the stepmother of an eleven-year-old. The year that follows is a test of courage and resilience as each member of the family struggles to make a place for himself in a tantalizing and dangerous world. Part love story, part adventure saga, Our House in Arusha explores the meaning of second chances.

    The odds of surviving his type of cancer were one in five; the odds of dying on Everest are one in sixty.But just as he reaches Base Camp in April 2015, the giant earthquake in Nepal sets off an avalanche that will kill 21 . Jules is within touching distance of his life's ambition and is now faced with an agonising choice about his next move.Aftershock is a heart-stopping eyewitness account of the deadliest day in history on the world's most iconic mountain. It is also an exploration of the choices we make in life, and throws up difficult questions about how logic and compassion can be affected by altitude and extreme stress.

    Or a crumbling platform from some once-bustling junction buried under the buddleia. If you are lucky you might be able to follow some rusting tracks, or explore an old tunnel leading to…well, who knows where? Listen hard. Is that the wind in the undergrowth? Or the spectre of a train from a golden era of the past panting up the embankment?These are the ghosts of The Trains Now Departed. They are the railway lines, and services that ran on them that have disappeared and gone forever. Our lost legacy includes lines prematurely axed, often with a gripping and colourful tale of their own, as well as marvels of locomotive engineering sent to the scrapyard, and grand termini felled by the wrecker's ball. Then there are the lost delights of train travel, such as haute cuisine in the dining car, the grand expresses with their evocative names, and continental boat trains to romantic far-off places.The Trains Now Departed tells the stories of some of the most fascinating lost trains of Britain, vividly evoking the glories of a bygone age. In his personal odyssey around Britain Michael Williams tells the tales of the pioneers who built the tracks, the yarns of the men and women who operated them and the colourful trains that ran on them. It is a journey into the soul of our railways, summoning up a magic which, although mired in time, is fortunately not lost for ever.THIS EDITION REVISED AND UPDATED TO INCLUDE MAPS.

    This fifth edition includes the latest information on cryptospryosis and immunization changes. Although much material is useful to the layperson, there are many techniques, including field surgery and suturing, that can be effectively used only by professionals, such as wilderness educators, search and rescue groups, EMTs, and paramedics.