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.

    Its organization and thoroughness are unsurpassed, putting it above similar review books. Students who thoroughly read this book should have no trouble successfully completing their psychiatry clerkship and passing the shelf exam. As course director for the core psychiatry clerkship at my institution, I will recommend this book to students."--Doody's Review Service"First Aid for the Psychiatry Clerkship" gives you the core information needed to impress on the wards and pass the psychiatry clerkship exam. Written by students who know what it takes to succeed, and based on the national guidelines for the psychiatry clerkship, the book is filled with mnemonics, ward and exam tips, tables, clinical images, algorithms, and newly added mini-cases.Features Completely revised based on the psychiatry clerkship's core competencies Written by medical students who passed and reviewed by faculty for accuracy NEW integrated mini-cases illustrate classic patient presentations and/or commonly tested scenarios NEW illustrations and management algorithms Updated throughout with enhanced sections on medications, depression/anxiety, and child psychiatry Helps students hone in on the most important concepts for the clerkship and the examThe content you need to ace the clerkship: Section I: How to Succeed in the Psychiatry Clerkship Section II: High-Yield Facts; Examination and Diagnosis; Psychotic Disorders; Mood Disorders; Anxiety and Adjustment Disorders; Personality Disorders; Substance-Related Disorders; Cognitive Disorders; Geriatric Disorders; Psychiatric Disorders in Children; Dissociative Disorders; Somataform and Factitious Disorders; Impulse Control Disorders; Eating Disordes; Disorders; Sleep Disorders; Sexual Disorders; Psychtherapies; Psychopharmacology; Legal Issues; Section III: Awards and Opportunities.

    Constantly changing policies. Increasing bureaucratic regulations. These are just a few of the challenges health care providers face every day; challenges that limit the ability to provide excellent patient care. Marcus' insights will give health care providers new and essential strategies to rediscover the magic and compassion between caregiver and patient.

    Whether you work in emergency medicine, or just want to be prepared, this book will be your essential guide.Following the latest clinical guidelines and evidence, written and reviewed by experts, this handbook will ensure you are up-to-date and have the confidence to deal with all emergency presentations, practices, and procedures. Following the latest developments in the field, such as infection control, DNR orders, advanced directives and learning disability. The book also includes new sections specifically outlining patient advice and information, as well as new and revised vital information on paediatrics and psychiatry. For all junior doctors, specialist nurses, paramedics, clinical students, GPs and other allied health professionals, this rapid-reference handbook will become a vital companion for both study and practice.

    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.

    No new cells. No major changes. If you grew up depressed, angry, sad, aggressive, or nasty, you'd be that way for life. And, as you grew older, there'd be nowhere to go but down, as disease, age, or injury wiped out precious, irreplaceable brain cells. But over the past five, ten, twenty years, all that's changed. Using fMRI and PET scanning technology, neuroscientists can now look deep inside the human brain and they've discovered that it's amazingly flexible, resilient, and plastic. Pictures of the Mind: What the New Neuroscience Tells Us About Who We Are shows you what they've discovered and what it means to all of us. Through author Miriam Boleyn-Fitzgerald's masterfully written narrative and use stunning imagery, you'll watch human brains healing, growing, and adapting to challenges. You'll gain powerful new insights into the interplay between environment and genetics, begin understanding how people can influence their own intellectual abilities and emotional makeup, and understand the latest stunning discoveries about coma and "locked-in" syndrome. You'll learn about the tantalizing discoveries that may lead to cures for traumatic brain injury, stroke, emotional disorders, PTSD, drug addiction, chronic pain, maybe even Alzheimer's. Boleyn-Fitzgerald shows how these discoveries are transforming our very understanding of the "self," from an essentially static entity to one that can learn and change throughout life and even master the art of happiness.

    In the style of his first book, Andy recalls each event from the detailed documentation recorded at the time, each account written in a way that puts the reader right there next to him so that you live the events in real-time, hear the dialogue between paramedics, patient, their loved ones and other healthcare professionals as it would have been, and share in Andy’s thought processes during each of the ten very different situations he encounters.The term ‘The Dark Side’ describes the frontline emergency aspect of the Ambulance Service, since paramedics frequently experience sombre situations. In ‘The Dark Side, Part 2’ you will share in some truly traumatic, tragic and tearful events involving a seemingly vibrant, healthy young patient, a prison inmate, the victims of an horrific car crash, heart attacks, a frightening epileptic fit, the alarming effects of an allergic reaction, and what can happen when under-strain doctors prescribe the wrong medication. But there’s still room for lighthearted moments and a taste of the sometimes dark humour that allows paramedics to continually deal with events most of us would find too horrific. The detail in the descriptions of the care given to each patient on-scene by Andy and his colleagues will have you marvelling at the ability of these healthcare professionals to work at such speed of thought, buying enough time to deliver a patient into the specialist hands of hospital care and often full recovery. Of course there are inevitably also those times when tears of hope turn to tears of despair for loved ones. You cannot feel that pain until it happens to you, but this book will bring you mighty close to it at times.

    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.

    To his friends in Detroit’s affluent suburb of Grosse Pointe, he was a married father of two, Rotary Club President, church usher and soccer dad who organized charity events with his wife, Jane. To his “slaves,” he was “Master Bob,” a cocaine-snorting slumlord who operated a sex dungeon and had a submissive girlfriend to do his bidding—and he wanted more slaves to serve him. But Bashara knew he couldn’t rule a household of concubines on his income alone. He eyed his wife’s sizable retirement account and formulated a murderous plan. This meticulous account tells the complete story of the crime, the nationally watched investigation and trials, and the lives affected.

    On the way, he analyses some of the alternative explanations that have been offered, including the conspiracy theories, and looks at the latest information from the Far East.Some recently published works on this subject were rushed into print before the few indisputable facts were known, and many have been based on little more than the author's personal opinion, almost irrespective of these facts, or have been founded on apparently factual information that has since been discredited. This book starts off with no preconceptions at all. The author looks only at the facts of the matter, and has worked out a possible and believable explanation that covers everything we know about this flight from take-off to its ultimate fate. He also explains exactly how the aircraft systems - things like SSR, ACARS and ADS-B - work, and provides an overview of the satellite communications system that was able to provide basic tracking data for the aircraft long after voice communications ceased.He explains the crucial significance of the position where the aircraft vanished from Malaysia's radar screens, and why that precise location was chosen by the perpetrator of this disappearance. And he shows why the route that the aircraft subsequently followed was not accidental, but entirely deliberate, and chosen for one very specific reason.He concludes his analysis by explaining approximately where the aircraft is now, and why no confirmed wreckage from the aircraft has been found anywhere.As a military controller, Peter Lee has previously been involved in aircraft accident and investigation procedures as apart of his job. He was solely responsible for deducing the precise reason, and specific sequence of events, that led to the loss of a Royal Navy Sea Harrier in the North Irish Sea some years ago, an event that at first sight appeared completely inexplicable, and was the principal expert witness at the subsequent Board of Inquiry. In the case of flight MH 370, he has turned that same critical eye on this disappearance, and his suggested explanation for what happened is both logical and believable.If you read no other book about this mystery, read this one.

    Welcome to laughing until it hurts while covered in bodily fluids. Welcome to simple math at very high stakes. Welcome to an incredibly inappropriate sense of humor. Welcome to serving people on the most stressful days of their lives. Welcome to putting your hands in places you never imagined they'd be. Welcome to your front row seat to the ballad of life and death. That's not the welcome that this nurse was looking for, but that's the one he got. Irreverent and audacious, this brutally honest memoir covers what it’s like to come of age in an American Hospital. Welcome to a rollicking peak behind the curtain to what medical providers, and the health care system, are truly like.

    Like the character, Miley lives a dual life: normal teenager by day and superstar by night. Miley has conquered television, music, and movies--and she's still in high school! What's next for America's favorite teen star?

    A Paramedic's Diary is his gripping, blow-by-blow account of a year on the streets - 12 roller-coaster months of enormous highs and tragic lows. One day he'll save a young mother's life as she gives birth, the next he might watch a young girl die on the tarmac in front of him after a hit-and-run. His is a world of hoax calls, drunks and druggies, terrorist bombings and gangland shootings. A gripping, entertaining and often amusing read. About the author:Stuart Gray has been a guest on Saturday Live on Radio 4 and the Simon Mayo Show and the Donal MacIntyre Show on Radio Five Live.He has also appeared on TV in Bizarre ER. The Times named him one of the 40 Bloggers who really count and said that he 'encounters more blood-curdling drama on a single shift than most people would in a year' and that his writing is 'compelling and plainly written.'

    Saving Henry is a memoir of the author's struggle to save the life of her son Henry, who suffered from a rare childhood illness. Henry was born with a heart condition that was operable, but which proved to be a precursor for a rare, almost-always fatal illness: Fanconi anemia.  Laurie, Henry's mom, decided to do everything in her power to fight the course of the disease. She and her husband signed on for a brand new procedure called PGD that, through in vitro fertilization combined with genetic testing, was supposed to be able to produce a new baby who was a carrier of the gene, but who would not become ill with it. The stem cells from the umbilical cord could then be implanted into Henry's body and ultimately save him. As Laurie puts it, "I believe in love and science, nothing more and nothing less."Laurie and her husband had a second child who was healthy but not an FA carrier, and then went through nine failed courses of PGD before they had to give up. Meanwhile, the feisty little boy who loved Batman, Cal Ripken, and root beer-flavored anesthesia captivated everyone who came in contact with him, from New York City to Minneapolis, with his spunk and "never give up" attitude.   Henry was the little kid who, when the nurses came to take blood samples, brandished his Harry Potter sword and said, "Bring it on!" and when he lost his hair after a chemo treatment, he declared, "Hey, I look like Michael Jordan!" Laurie became a lobbyist for stem cell research, testifying before Congress, written up by Lisa Belkin in the New York Times and other media, and appearing on Nightline to discuss Henry's case and the importance of the research. Throughout it all, Henry's courage and bravery were a source of inspiration for the many nurses, doctors, friends and family who interacted with him-- and he has saved many lives through his participation in groundbreaking research. This is the moving and incredibly inspiring story of this family's search for a cure, and the impact their amazing son had on the lives of so many.

    And she got one-coming at her at forty miles per hour. Hit by a car and suffering debilitating injuries, and with no health insurance, the fashionista attempts to bounce back into her (thrift store-purchased) Jimmy Choos even as she deals with short-term memory loss, stalker ambulance drivers, trying to stay vegan on food stamps, crazy judges, hot doctors, and unsympathetic government workers.Inspired by her acclaimed one-woman show, this is a bitingly funny and keenly observed account of the cracks in our medical and social welfare system and how one woman's resilience combined with a generous dollop of humor helped her fight her way to recovery.