Each year, more than one million people and their loved-ones arrive at a decision to cease attempts at curative medical treatments and shift to hospice care, while one-in-five Americans now live in in geographical regions that have established lawful protocols allowing medical aid in dying—also known as assisted suicide. In this powerful new work, Lew Cohen, a psychiatrist and palliative medicine researcher, reveals a self-determination movement that empowers people to shape the timing and circumstances of their deaths, decriminalizes laws threatening those who help them, and passes assisted dying legislature. He offers a vivid tapestry woven from the candid, inspirational, and graphic stories of individuals who sought to choreograph how they would die. There is nothing simple about these decisions, and A Dignified Ending tackles the intricacies of timing, the presence of dementia and other dire but not terminal conditions, the legal risks, as well as the mixed reactions of the disability community. Cohen illuminates the evolution of right-to-die organizations in the United States, and the impact of activists like Jack Kevorkian, Derek Humphrey, Faye Girsh, Cody Curtis, and Brittany Maynard. The decision to conclude one’s life with a planned death is an emotionally polarizing subject. Nonetheless, the public increasingly wants to control how they die. This requires that people formulate their end-of-life preferences and not wait until the last moment to communicate these with physicians and families. A Dignified Ending conveys truthful and nuanced accounts of men and women who chose to die, and stories of the activists—proponents and opponents— who promote this growing right-to-die movement.
This book is a practical guide for primary care physicians, psychiatrists, and other non-neurologist clinicians who encounter patients with neurologic problems. The book begins with overviews of neurologic symptoms, the neurologic examination, diagnostic tests, and neuroradiology, and then covers the full range of neurologic disorders that non-neurologists encounter. Chapters follow a consistent structure with key elements highlighted for quick scanning. Each chapter begins with Key Points and includes Special Clinical Points, Special Considerations in the Hospitalized Patient, and When a Non-neurologist Should Consider Referring to a Neurologist. Each chapter ends with an Always Remembersection emphasizing the most important practical issues and a series of self-study questions.
NINDS has been one of the most powerful motors that pulled and pushed the rise of modern neuroscience. This book was written in celebration of the fiftieth anniversary of the institute. Its history and the history of neurology and neuroscience are essentially one. Well written, and lavishly accompanied by photographs that span the last half-century, this book will be a welcome addition to the library of everyone in brain research and the clinical neurosciences. The first half is a history of the Institute, starting with the enabling legislation and concentrating on the people who made NINDS a powerhouse of neuroscience research The cast includes administrators, legislators, scientists and two unique women, Mary Lasker and Florence Mahoney. Against this background, the leaders of the intramural program provide the history of major contributions. The much larger extramural program encompasses biomedical research centers throughout the United States. NINDS has been a major source of training for basic scientists in neurosciences and the single major source in developing clinical investigation. In the process modern scientific neurology and neurosurgery have been created. Oral histories provide human terms for the history. More than half of the book is devoted to biographies of scientists whose contributions earned special recognition by Lasker Awards or Nobel Prizes. Among them are Kety, Louis Sokoloff, Roscoe Brady, Nancy Wexler, Carleton Gajdusek, Stanley Prusiner, Julius Axelrod, Arvid Carlsson, Paul Greengard and Eric Kandel. Together, their stories provide a history of scientific advance.
Principles of Development reveals the universal principles that govern the process of development, illustrating how a highly-complex living organism forms from just a single fertilized egg.
This extensively illustrated reference work is designed for health professionals who care for newborn infants including neonatologists, pediatricians, NICU nurses, pediatric neurologists, pediatric surgeons, geneticists, and genetic counselors. It describes the most common malformations and draws the information needed for a full diagnostic evaluation and discussion of treatment options and genetic counseling from many sources. The text also covers minor anomalies, birthmarks and includes dozens of charts of anthropologic measurements, material that is needed in the initial physical examination to describe an infant's physical features. With over 400 photographs and original illustrations, Dr. Holmes has created an authoritative, well organized, and easy to use reference guide to common malformations of the infant, which will become an invaluable tool in hospitals and neonatal clinics across the world. The text is grounded in research gathered from the Active Malformations Surveillance Program conducted since 1972 at Brigham and Women's Hospital in Boston, Massachusetts. The program began as a three year study which monitored over 18,155 births and aimed to determine the frequency of many major malformations. The study was expanded to include minor physical features and birth marks. This text includes many never-before published photographs from these studies, as well as other major research findings in this area.
Authoritative, comprehensive and definitive, Pulmonary Circulation builds on the success of its previous two editions by providing practising respiratory physicians with a highly-ordered, unique reference work on the structure, function and pathophysiology of the pulmonary circulation. New for the third edition: Thoroughly revised with comprehensive coverage from diagnosis and clinical evaluation of pulmonary hypertension, to imaging techniques, disorders and treatment A new truly global team of expert editors, authors and key opinion leaders provide a wealth of detail on the latest developments and issues New chapters, such as: paediatrics, critical care, special environments including high altitude and underwater More quality chapters, authors, illustrations with thorough and thoughtful referencing make this book a contemporary essential reference text Pulmonary Circulation remains an essential resource for pulmonary hypertension specialists and should prove invaluable in all respiratory, cardiac and intensive care units.
Accomplished physician and researcher Dr. Lewis Cohen writes the untold story of two Massachusetts nurses, their struggles with end of life care, and how they were accused of murdering a patient. Captivating and powerful, No Good Deed explores what happens when decisions about end of life issues and the purpose of modern medicine move from the hospital to the courtroom to the church.
The most trusted, rigorous, and up-to-date toxicology resource and educational companion available – now in full color Goldfrank’s Toxicologic Emergencies continues to be the source you can turn to first for any poisoning or overdose. The text provides clear information on every aspect of toxicologic emergencies, from pharmacology to clinical presentation to management. Fully referenced and featuring a consistent organization, Goldfrank’s begins with an in-depth examination of general principles of medical toxicology. It then progresses to the biochemical principles and molecular basis of toxicology, and provides detailed insight into how xenobiotics affect vital signs, organs, and systems throughout the body. Next, a wide spectrum of clinically important exposures -- including drugs, plants, metals, household products, occupational and environmental xenobiotics are covered within logical categories for easy access to information. Finally, the book concludes with sections on principles of practicing clinical toxicology in today’s challenging healthcare environment. NEW TO THIS EDITION Full-color design and uniformly drawn figures clarify key concepts Special Considerations focus on decision-making in unique toxicologic circumstances, that influence clinical practice and have the potential to improve patient care Antidotes in Depth, following pertinent chapters, place each antidote in its proper context to ensure immediate availability of essential information relevant for clinical use More clinically-relevant figures and quick-reference tables Online learning center, available at www.goldfrankstoxicology.com, includes case studies, and a database of multiple choice questions that allow you to create a custom test for review and study. Every chapter is thoroughly rewritten and new chapters are added to reflect the very latest thinking in the field Here's why Goldfrank's is known worldwide as the field's leading text: General Approach to Medical Toxicology; The Biochemical and Molecular Basis of Medical Toxicology; The Pathophysiologic Basis of Medical; Toxicology: The Organ System Approach; The Clinical Basis of Medical Toxicology: Analgesics and Nonprescription Medications; Prescription Medications Psychopharmacologic Medications; Alcohols and Drugs of Abuse; Food Poisoning; Botanicals; Heavy Metals; Household Toxins; Pesticides; Occupational and Environmental Toxins; Toxic Envenomations; V. Special Populations; Preventive, Psychosocial, Nursing, Epidemiologic, Research & Legal Perspectives.
From the 1920s when he watched his father, a general practitioner who made housecalls and wrote his prescriptions in Latin, to his days in medical school and beyond, Lewis Thomas saw medicine evolve from an art into a sophisticated science. The Youngest Science is Dr. Thomas's account of his life in the medical profession and an inquiry into what medicine is all about--the youngest science, but one rich in possibility and promise. He chronicles his training in Boston and New York, his war career in the South Pacific, his most impassioned research projects, his work as an administrator in hospitals and medical schools, and even his experiences as a patient. Along the way, Thomas explores the complex relationships between research and practice, between words and meanings, between human error and human accomplishment, More than a magnificent autobiography, The Youngest Science is also a celebration and a warning--about the nature of medicine and about the future life of our planet.
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