Description : A riveting exploration of the most difficult and important part of what doctors do, by Yale School of Medicine physician Dr. Lisa Sanders, author of the monthly New York Times Magazine column "Diagnosis," the inspiration for the hit Fox TV series House, M.D. "The experience of being ill can be like waking up in a foreign country. Life, as you formerly knew it, is on hold while you travel through this other world as unknown as it is unexpected. When I see patients in the hospital or in my office who are suddenly, surprisingly ill, what they really want to know is, ‘What is wrong with me?’ They want a road map that will help them manage their new surroundings. The ability to give this unnerving and unfamiliar place a name, to know it–on some level–restores a measure of control, independent of whether or not that diagnosis comes attached to a cure. Because, even today, a diagnosis is frequently all a good doctor has to offer." A healthy young man suddenly loses his memory–making him unable to remember the events of each passing hour. Two patients diagnosed with Lyme disease improve after antibiotic treatment–only to have their symptoms mysteriously return. A young woman lies dying in the ICU–bleeding, jaundiced, incoherent–and none of her doctors know what is killing her. In Every Patient Tells a Story, Dr. Lisa Sanders takes us bedside to witness the process of solving these and other diagnostic dilemmas, providing a firsthand account of the expertise and intuition that lead a doctor to make the right diagnosis. Never in human history have doctors had the knowledge, the tools, and the skills that they have today to diagnose illness and disease. And yet mistakes are made, diagnoses missed, symptoms or tests misunderstood. In this high-tech world of modern medicine, Sanders shows us that knowledge, while essential, is not sufficient to unravel the complexities of illness. She presents an unflinching look inside the detective story that marks nearly every illness–the diagnosis–revealing the combination of uncertainty and intrigue that doctors face when confronting patients who are sick or dying. Through dramatic stories of patients with baffling symptoms, Sanders portrays the absolute necessity and surprising difficulties of getting the patient’s story, the challenges of the physical exam, the pitfalls of doctor-to-doctor communication, the vagaries of tests, and the near calamity of diagnostic errors. In Every Patient Tells a Story, Dr. Sanders chronicles the real-life drama of doctors solving these difficult medical mysteries that not only illustrate the art and science of diagnosis, but often save the patients’ lives. From the Hardcover edition.
Description : From newborns switched in the nursery to medication mix-ups and hospital-acquired infections, we are all familiar with the horror stories about hospital safety, and unfortunately, the statistics say we aren’t exaggerating. The safety issue in U.S. hospitals has become so profound and embedded, that we cannot hope to fix it without a paradigm shift in our approach. After defining and demonstrating the true depth of this dangerous concern, Safer Hospital Care: Strategies for Continuous Innovation elaborates on the steps required to make that paradigm shift a reality. A respected and sought out expert on hospital safety, author Dev Raheja draws on his 25 years of experience as a risk management and quality assurance consultant to provide hospital stakeholders with a systematic way to learn the science of safe care. Supported by case studies as well as input from such paradigm pioneers as Johns Hopkins and Seattle Children’s, he explains how to: Adapt evidence-based safety theories and tools taken from the aerospace, nuclear, and chemical industries Identify the combination of root causes that result in an adverse event Apply analytical tools that can effectively measure hospital efficiency Establish evidence between Lean strategies and patient satisfaction Make use of various types of innovation including accidental, incremental, strategic, and radical, and establish a culture conducive to innovation This practical guide shows how to find solutions that are simple and comprehensive, and can produce a high ROI. To reform hospitals, we must recognize that they are highly dynamic systems that must be fixed systemically. Instead of thinking in terms of continuous improvement, we need to think in terms of continuous innovation. Safe hospital care is not just about doing things right; it is also about breaking old habits, finding new tools and doing the right things.
Description : Explains why conventional management practices are incompatible with knowledge-work and that employees must manage themselves instead - the author argues the managers of the past are obsolete
Description : Now in its 7th edition, this popular, must-have text remains the only encyclopedic resource for veterinary internal medical problems. The internationally acclaimed "gold standard" offers unparalleled coverage of pathophysiology, diagnosis, and treatment of diseases affecting dogs and cats, as well as the latest information on the genome, clinical genomics, euthanasia, innocent heart murmurs, hyperbaric medicine, home prepared and raw diets, obesity, botulism, artificial pacing of the heart, cancer vaccines, and more. The 7th edition combines the convenience of a two-volume printed textbook with the enhanced functionality of an Expert Consult website that enables you to electronically search your entire book and study more efficiently. With instant access to the most reliable information available, you’ll always be at the forefront of veterinary care! Fully searchable online text provides fast, easy access to the most reliable information in the field. More than 150 clinical algorithms throughout the text aid in disease-identification and decision-making. Expanded online chapter content enhances your understanding through additional text, illustrations, tables, and boxes. Hyperlinked client information sheets streamline reference of specific conditions and enhance communication with clients. Extensive online reference list directs you to full-text PubMed abstracts for additional research. Thoroughly updated and expanded content, including 90 new chapters, addresses the latest developments across the full spectrum of small animal care. Companion Expert Consult website enhances your learning experience with the ability to search the entire electronic text instantly for easy reference. Expert Consult also gives you instant access to: More than 150 procedural videos that guide you step-by-step through essential procedures. Audio files that help you identify heart abnormalities by their sound.
Description : Asthma and allergies are at epidemic proportions. It doesn't have to be that way. Two experienced pediatric allergists tell everything a conscientious parent needs to know about these conditions, the best in approved treatments, behavioral changes that can help control them, what families can do to reduce the toll that even severe asthma and allergies take on their lives, the myths and realities of alternative treatments and food allergies, skin allergies, advice for support groups, lists, checklists, and much, much more. Fun and entertaining, almost every page is enlivened by anecdotes from the authors' decades of practice showing the special rapport that have made them so successful in getting results and keeping patients out of emergency rooms. They make common cause with overworked pediatricians, general practitioners, and other primary care physicians who, because of the way our health care system is organized, are doing more asthma and allergy treatment than ever before. But wait! There's still more! Asthma Allergies Children, the book, is half of a new approach to providing specialty asthma and allergy care. It is being published simultaneously with the launch of AsthmaAllergiesChildren.com, the new town square where parents and primary care physicians can pick the brains of specialists about their own children or patients. The website has mailbags for parents and doctors, pollen counts, news coverage, review of the latest developments in allergy science, "Tip of the Week" for controlling disease and discomfort, and guest editorials by the most important thinkers in the field. The authors say that they and their colleagues recognize must do more to leverage their knowledge. The ranks of Allergy specialists are dwindling even as the numbers of asthmatic and allergic patients are rising. The cost is immense. Asthma is the single largest cause of school and work absence. Allergic and asthmatic children lose out on all the things that childhood is supposed to be about. The book is the mother ship of the Asthma Allergies Children enterprise. Read about the connection between your child's nose and lungs, and how stopping allergy symptoms in the nose can reduce the danger of life-threatening asthma attacks; The hazards from chronic inflammation even when there are no visible symptoms; The damage to a child's body from over-reliance on "rescue" medication, and inadequate "control"; How modern technology can tell you if your child has been "naughty or nice"; The use and misuse of allergy testing, and how false positives can result in malnutrition in small children; The strengths and weaknesses of immunotherapy; The stages of an allergic life; and the most sympathetic and wisest advice ever to worried parents about managing a home where a child has severe allergies. And because every child is special, go to the website to ask that special question. Asthma Allergies Children: A Parent's Guide and AsthmaAllergiesChildren.com-a winning combination for helping your child lead a happier, healthier life. A veritable bible for parents of allergic kids. I enjoyed Asthma Allergies Children tremendously. It is full of the kind of great stories that teach both patients and doctors more than mere facts. The science is explained in language you don't need an MD to follow. This book should be kept right next to the antihistamines and epinephrine, and used even more frequently. --Dr. Lisa Sanders, author of Every Patient Tells a Story. Her NY Times column "Diagnosis" inspired the TV drama, "House MD."
Description : “Oliver Sacks meets Stephen King”* in this propulsive, haunting journey into the life of the most studied human research subject of all time, the amnesic known as Patient H.M. For readers of The Immortal Life of Henrietta Lacks comes a story that has much to teach us about our relentless pursuit of knowledge. Winner of the PEN/E.O. Wilson Literary Science Writing Award • Los Angeles Times Book Prize Winner NAMED ONE OF THE BEST BOOKS OF THE YEAR BY The Washington Post • New York Post • NPR • The Economist • New York • Wired • Kirkus Reviews • BookPage In 1953, a twenty-seven-year-old factory worker named Henry Molaison—who suffered from severe epilepsy—received a radical new version of the then-common lobotomy, targeting the most mysterious structures in the brain. The operation failed to eliminate Henry’s seizures, but it did have an unintended effect: Henry was left profoundly amnesic, unable to create long-term memories. Over the next sixty years, Patient H.M., as Henry was known, became the most studied individual in the history of neuroscience, a human guinea pig who would teach us much of what we know about memory today. Patient H.M. is, at times, a deeply personal journey. Dittrich’s grandfather was the brilliant, morally complex surgeon who operated on Molaison—and thousands of other patients. The author’s investigation into the dark roots of modern memory science ultimately forces him to confront unsettling secrets in his own family history, and to reveal the tragedy that fueled his grandfather’s relentless experimentation—experimentation that would revolutionize our understanding of ourselves. Dittrich uses the case of Patient H.M. as a starting point for a kaleidoscopic journey, one that moves from the first recorded brain surgeries in ancient Egypt to the cutting-edge laboratories of MIT. He takes readers inside the old asylums and operating theaters where psychosurgeons, as they called themselves, conducted their human experiments, and behind the scenes of a bitter custody battle over the ownership of the most important brain in the world. Patient H.M. combines the best of biography, memoir, and science journalism to create a haunting, endlessly fascinating story, one that reveals the wondrous and devastating things that can happen when hubris, ambition, and human imperfection collide. Praise for Patient H.M. “An exciting, artful blend of family and medical history.”—The New York Times “In prose both elegant and intimate, and often thrilling, Patient H.M. is an important book about the wages not of sin but of science.”—The Washington Post “Spellbinding . . . The fact that Dittrich looks critically at the actual process of scientific investigation is just one of the things to admire about Patient H.M.”—The New York Times Book Review “Patient H.M. tells one of the most fascinating and disturbing stories in the annals of medicine, weaving in ethics, philosophy, a personal saga, the history of neurosurgery, the mysteries of human memory, and an exploration of human ego.”—Sheri Fink, M.D., Pulitzer Prize winner and author of Five Days at Memorial “This is classic reporting and myth-making at the same time.”—Colum McCann, author of Let the Great World Spin *Kirkus Reviews (starred review)
Description : The groundbreaking graphic memoir that inspires breast cancer patients to fight back—and do so with style. “What happens when a shoe-crazy, lipstick-obsessed, wine-swilling, pasta-slurping, fashion-fanatic, about-to-get-married big-city girl cartoonist with a fabulous life finds . . . a lump in her breast?” That’s the question that sets this powerful, funny, and poignant graphic memoir in motion. In vivid color and with a taboo-breaking sense of humor, Marisa Acocella Marchetto tells the story of her eleven-month, ultimately triumphant bout with breast cancer—from diagnosis to cure, and every challenging step in between. •One of Time’s top ten graphic novels of the year •Slate.com’s medical book of the year •One of the Wall Street Journal’s five best books on living with illness •Finalist, Books for a Better Life •Finalist, National Cartoonists Society Graphic Novel of the Year “Powerful . . . A vibrant, neon chronicle with plenty of attitude . . . A triumph of imagination and spirit.” —Los Angeles Times “Ebullient . . . Visually invigorating and unflinching.” —The New York Times Book Review “Irresistibly authentic . . . These words and pictures convey humility and humanity with witty grace and heartfelt power.” —The Miami Herald “Funny, eye-opening, moving.” —Time From the Trade Paperback edition.
Description : Understand how the healthcare system works – and how you can succeed in it Covers the 2010 Affordable Care Act The most trusted and comprehensive guide to healthcare available, Understanding Health Policy provides everything students and professionals need to build a solid foundation on the field’s most critical issues. Expert practitioners in both the public and private healthcare sectors, the authors cover the entire scope of our healthcare system—from the concepts behind policy decisions to concrete examples of how they affect patients and professionals alike. Understanding Health Policy, 6e makes otherwise difficult concepts easy to understand—so you can make better decisions, improve outcomes, and enact positive change on a daily basis. Features: Coverage of structure, organization, and financing of the health care system Key principles, descriptions, and concrete examples are skillfully interwoven in each chapter to make important issues interesting and understandable Clinical vignettes clarify difficult concepts and demonstrate how they apply to real-world situations Comprehensive list of review questions reinforce what you have learned Understanding Health Policy, 6e will help you develop a clearer, more systematic way of thinking about health care in the United States, its problems, and the alternatives for managing and solving these problems.
Description : Bizarre, perplexing, and moving cases of brain disorder, told by a neurologist with an extraordinary gift for storytelling
Description : Heirs of General Practice is a frieze of glimpses of young doctors with patients of every age—about a dozen physicians in all, who belong to the new medical specialty called family practice. They are people who have addressed themselves to a need for a unifying generalism in a world that has become greatly subdivided by specialization, physicians who work with the "unquantifiable idea that a doctor who treats your grandmother, your father, your niece, and your daughter will be more adroit in treating you." These young men and women are seen in their examining rooms in various rural communities in Maine, but Maine is only the example. Their medical objectives, their successes, the professional obstacles they do and do not overcome are representative of any place family practitioners are working. While essential medical background is provided, McPhee's masterful approach to a trend significant to all of us is replete with affecting, and often amusing, stories about both doctors and their charges.