Everyone knows of the Hippocratic Oath, the famous invocation sworn by all neophyte physicians. But most don't realize that the father of modern medicine was an avid listener and a constant bedside presence. Hippocrates believed in the doctor-patient connection and gained worldwide renown for championing science over mysticism while respecting and advocating the potency of human healing. Today, argues Dr. David H. Newman, medicine focuses narrowly on the rewards of technology and science, exaggerating their benefits and ignoring or minimizing their perils. Dr. Newman sees a disconnect between doctor and patient, a disregard for the healing power of the bond, and, ultimately, a disconnect between doctors and their Oath. The root of this divergence, writes Dr. Newman, lies in the patterns of secrecy and habit that characterize the "House of Medicine," modern medicine's entrenched and carefully protected subculture. In reflexive, often unconscious defense of this subculture, doctors and patients guard medical authority, cling to tradition, and yield to demands that they do something or prescribe something. The result is a biomedical culture that routinely engages in unnecessary and inefficient practices, and leaves both patient and doctor dissatisfied. While demonstrating an abiding respect for, and a deep understanding of, the import of modern science, Dr. Newman reviews research that refutes common and accepted medical wisdom. He cites studies that show how mammograms may cause more harm than good; why antibiotics for sore throats are virtually always unnecessary and therefore dangerous; how cough syrup is rarely more effective than a sugar pill; the power and paradox of the placebo effect; how statistics and studies themselves are frequently deceptive; and why CPR is violent, invasive -- and almost always futile. Through an engaging, deeply researched, and eloquent narrative laced with rich and riveting case studies, Newman cuts to the heart of what really works -- and doesn't -- in medicine and rebuilds the bridge between physicians and their patients.
Every Third Woman in America: How Legal Abortion Transformed Our Nation tells the forgotten story of the transition from the back alley to safe care after Roe v. Wade was enacted in 1973. The legalization of abortion resulted in prompt and dramatic health improvements for women, children, and families, but an entire generation of Americans has grown up unaware of the harsh and unnecessary tragedies of back-alley abortions. Current attacks on safe, legal abortion at the state level are designed to return women to those desperate, dangerous days before abortion was legalized. One of the world's leading abortion scholars, Dr. Grimes chronicles the public-health story of legal abortion in America and the harms women face at the mercy of state laws restricting access to care. He shares the stories of his patients seeking abortion and how they and their families benefited.
In What Your Doctor Isn't Telling You, Dr. Sherer provides readers with verifiable information about current medicine, healthcare and relevant public policy so they can make their own best judgments as to whether a change in their behavior will, if they are inclined, effect a positive change in your life. He strips away the veneer of political correctness when it comes to health and provides the basic truths behind the implications of the daily decisions we make that affect out health. These decisions, mostly based in how we approach food, physical activity, our mental and emotional states, our interactions with others and our approach to accessing healthcare, have profound effects on our physical, mental and emotional states. Rather than being a book on how to eat, how to exercise, how to shop for a health plan and so on, this work strives only to inform. Because with information comes power. And with power, there is the potential for positive change.
When Dr. David Cundiff called me with a proposal to help research and write The Right Medicine I was intrigued but skep tical. His ideas for reform of the US health care system were visionary, radical, and highly original-but would they work? As a Wall Street analyst and long-time student of the health care system, I had my doubts. had read David's book on hospice care, Euthanasia Is Not the I Answer, and was impressed. And I had recently witnessed the slow death of my grandmother from the complications of Alzheimer's disease. Despite the fact that she was and had been suffering for years and despite the fact that her care was an extraordinary emotional and financial burden, nursing home administrators and physicians encouraged one last ditch treat ment after another, pulling her back each time from the brink of what would have been a merciful death. I knew that David was correct in his contention that hospice care and a more spar ing application of high technology medicine were major keys to improving health care. I also realized, after a decade of analyzing the health care industry, that a government-funded system along the lines of Canada's was probably the only way to rein in rampant infla tion and provide universal coverage. But David had other ideas, too. He argued that preventive care could dramatically cut both the incidence and costs associ ated with the most common causes of illness in America today.
Every Third Woman in America: How Legal Abortion Transformed Our Nation tells the forgotten story of the transition from the back alley to safe care after Roe v. Wade was enacted in 1973. The legalization of abortion resulted in prompt and dramatic health improvements for women, children, and families, but an entire generation of Americans has grown up unaware of the harsh and unnecessary tragedies of back-alley abortions. Current attacks on safe, legal abortion at the state level are designed to return women to those desperate, dangerous days before abortion was legalized. One of the world's leading abortion scholars, Dr. Grimes chronicles the public-health story of legal abortion in America and the harms women face at the mercy of state laws restricting access to care. He shares the stories of his patients seeking abortion and how they and their families benefited.
The Lancet Handbook of Essential Concepts in Clinical Research speaks to two audiences: those who read and those who conduct research. Clinicians are medical detectives by training. For each patient, they assemble clinical clues to establish causes (e.g. diagnoses) of signs and symptoms. The task involves both clinical acumen and knowledge of medical research. This book helps guide clinicians through this detective work, by enabling them to make sense of research and to review medical literature critically. It will also be invaluable to researchers who conduct clinical research, particularly randomized controlled trials. Building on previously published, peer-reviewed articles from The Lancet, this handbook is essential for busy clinicians and active researchers interested in research methods."--BOOK JACKET.
This practical guide speaks to two audiences: those who read and those who conduct research. Clinicians are medical detectives by training. For each patient, they assemble clinical clues to establish causes of signs and symptoms. The task involves both clinical acumen and knowledge of medical research. This book helps guide clinicians through this detective work, by enabling them to make sense of research and to review medical literature critically. It will also be invaluable to researchers who conduct clinical research, particularly randomized controlled trials. Building on previously published, peer-reviewed articles from The Lancet, this handbook is essential for busy clinicians and active researchers interested in research methods. Written by leaders in the field of clinical research who have published extensively with authorship of hundreds of articles in medical journals. The authorship includes one of the three authors of the CONSORT guidelines for the reporting of randomized controlled trials. The book presents the essential concepts to a wide array of topics including randomized control trials, descriptive studies, cohort studies, case-control studies, bias, and screening tests. The book utilises a readable and humorous prose style, lightening what can be a difficult area for clinical readers. Derived from decades of teaching clinical research in seminar settings the book will empower clinicians to make sense of, and critically appraise, current medical research and will enable researchers to enrich the quality of their work. The updated new edition includes six new chapters: Surrogate endpoints Limitations of observational epidemiology Participant recruitment Practicalities of double-blinding Randomized trials in the context of a prospective meta-analysis Reporting studies in medical journals: CONSORT
These are the memoirs of Dr. David R. Glover's professional career in pharmaceutical medicine. His formative school and undergraduate years led to a unique and remarkable journey through medicine and medicines. Like many medical careers there were a number of twists and turns which encompassed clinical and academic medicine, clinical research and drug development. He touched upon or was deeply involved with most types of medicines from simple pills and potions through to stem cells. He has recalled many anecdotes relating to the drugs, the people and the events that enriched his career and included some rarely seen illustrations of old medicines and personal photographs. This is not an in-depth pharmacological treatise but it is sufficiently detailed where merited, particularly regarding the infamous "clinical trial that went wrong" in 2006. In his Vie D’or the reader will find that he enjoyed more than his fifteen minutes of fame.
Written by a surgeon with 40 years' experience in practice and instruction, this book provides vital, up-to-date information that explains the strengths and weaknesses of the laparoscopic surgery field to enable potential surgical patients to make the best decisions and choose a surgeon wisely. More than 30 years ago, laparoscopic or "keyhole" surgery suddenly appeared as an operative technique. Laparoscopy quickly grew in the U.S. surgical field, where now more than two million operations annually use the technique. But is the training surgeons receive in laparoscopy sufficient to ensure patient safety? What are the specific situations where laparoscopy is beneficial and justified, and when is it ill-advised due to the additional complexity and risk factors? This is the first book written for general readers—avoiding medical jargon wherever possible—to expose the gritty history and downsides of "minimally invasive surgery." Additionally, it provides the perspective and insights of an esteemed surgeon who was working at the inception of laparoscopy and has a full understanding of this now widely popular procedure across its development and lifespan. Readers will learn about the emergence of laparoscopic techniques in the 1990s, understand how minimally invasive surgery has been a boon to the business of surgery and to patient health and recovery overall, appreciate how the complexity involved in laparoscopic surgery has led to a higher incidence of surgeon "incompetence," and grasp the responsibility of a patient to take steps to assure that the surgeon is qualified before going into the operating room. Examination of eye-opening statistics on the outcomes of laparoscopic procedures documents the high level of capability of most surgeons, as well as the lack of appropriate ability with certain laparoscopic operations in the hands of some surgeons. The author also spells out how informed patients can be prepared to discuss and consider all aspects of an operation—and the surgeon's training and experience—to assure the best outcome for their health.
High Risk Pregnancy examines the full range of challenges in general obstetrics, medical complications of pregnancy, prenatal diagnosis, fetal disease, and management of labor and delivery. Drs. David James, Philip J. Steer, Carl P. Weiner, Bernard Gonik, Caroline Crowther, and Stephen Robson present an evidence-based approach to the available management options, equipping you with the most appropriate strategy for each patient. This comprehensive reference features the fully searchable text online at www.expertconsult.com, as well as more than 100 videos of imaging and monitoring. giving you easy access to the resources you need to manage high risk pregnancies. Prepare for clinical challenges and save time in addressing them thanks to expert advice on treatment options from international contributors. Find and apply the information you need quickly and easily through a consistent organization and at-a-glance summary boxes that discuss evidence-based management options. Access the fully searchable text online at www.expertconsult.com, along with links to Medline. View over 140 videos of detailed fetal imaging and monitoring that aid in diagnoses. Tap into recent developments in treatment and management in four new chapters—Global Maternal & Perinatal Health Issues; Recurrent Pregnancy Loss; Surveillance of the Fetus and its Indications; and Training for Obstetric Emergencies. Apply new evidence-based management options to treat genetic and constitutional factors leading to a high-risk pregnancy (such as diabetes, obesity, hypertension, and cardiac disease) through new and expanded coverage of these increasingly common presentations. Reference pregnancy-relevant laboratory values with an updated and comprehensive appendix on "Normal Values in Pregnancy." Effectively manage patients newly diagnosed with hematologic and immunologic malignancies, and explore the available drug options. Confirm your diagnoses with greater confidence thanks to full-color images throughout the text.
Written by the leading names in pediatric oncology and hematology, Nathan and Oski’s Hematology and Oncology of Infancy and Childhood offers you the essential tools you need to overcome the unique challenges and complexities of childhood cancers and hematologic disorders. Meticulously updated, this exciting full-color set brings together the pathophysiology of disease with detailed clinical guidance to provide you with the most comprehensive, authoritative, up-to-date information for diagnosing and treating children. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Form a definitive diagnosis and create the best treatment plans possible with comprehensive coverage of all pediatric cancers, including less-common tumors, as well as all hematologic disorders, including newly recognized ones. Develop a thorough, understanding of the underlying science of diseases through summaries of relevant pathophysiology balanced with clear, practical clinical guidance. Nathan and Oski’s is the only comprehensive product on the market that relates pathophysiology in such depth to hematologic and oncologic diseases affecting children. Quickly and effortlessly access the key information you need with the help of a consistent organization from chapter to chapter and from volume to volume. Stay at the forefront of your field thanks to new and revised chapters covering topics such as paroxysmal nocturnal hemoglobinuria, lysosomal storage diseases, childhood genetic predisposition to cancer, and oncology informatics. Learn about the latest breakthroughs in diagnosis and management, making this the most complete guide in pediatric hematology and oncology. Discover the latest in focused molecularly targeted therapies derived from the exponential growth of knowledge about basic biology and genetics underlying the field. Rely on it anytime, anywhere! Access the full text, images, and more at Expert Consult.
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