Historian Daniel J. Boorstin has said, "Trying to plan for the future without a sense of the past is like trying to plant cut flowers." This reissue of Near Misses in Cardiac Surgery, endorsed by today's experts and with a new preface by Denton A. Cooley, M.D., Surgeon-in-Chief, Texas Heart Institute, is especially timely in this era of transition to interventional and hybrid procedures. No matter what the technical advances are, the same principles that facilitate successful outcomes in surgery (teamwork, communication, vigilance, simplicity and standardization of techniques, anticipation of the next step) will apply equally to today's hybrid procedures and to those who perform them. A best-seller in its field when first issued, Near Misses in Cardiac Surgery has since become a resource for the Cardiothoracic Surgery Network's safety reporting system (www.CTSNet.org) and has become the template used by CTSNet as a teaching tool for the anonymous reporting of near-disasters in the field by cardiac surgeons from around the world. Written in the second person present tense so that the reader becomes the surgeon on the spot, this reissue of Near Misses in Cardiac Surgery, although it reads like a medical thriller, is really a textbook of cardiac surgical complications, their management, and prevention. With its cogent analyses, discussions, and pertinent references, Near Misses in Cardiac Surgery will introduce a new generation of cardiac surgical residents and fellows, as well as more experienced surgeons, cardiologists, interventionalists, anesthesiologists, medical students, and nurses, to principles that are as timeless as they are essential.
The Donation is a medical thriller that dramatizes the shortage of organs available for transplantation. It asks what if organ donation became a choice as a means of means of execution for prisoners on death row? How would it affect the donor pool? Would prisoners realize one last chance for redemption, to give something back to society? And what about the physicians who find themselves cast in the role of executioners as they convert executions into surgical procedures, against the guidelines of the American Medical Association and their own Hippocratic oath that urges them to do no harm? A surgeon's role is to bring order out of chaos. The chaos begins when a celebrity patient, Joseph Spencer, discovers he needs a heart transplant. While in the pre-operative holding area, Spencer sees his donor in an adjacent bed. Not only does he see him, he recognizes him. His sedation makes it impossible for him to protest what for him is an unimaginable horror, and he loses consciousness, unable to abort the procedure, even though to do so could cost him his life. Spencer survives the procedure but becomes suicidal. The transplant surgeon, Ross Fairing, discovers that he and his team have been unwitting co-conspirators in the death of the donor who had no business on an operating table, let alone be in a hospital. He confronts his own consternation that a courageous and innovative operation has created an ethical conundrum that could destroy his transplant program and his career. And how does a shocking revelation at the end of the book, a revelation that turns a tragedy driven by one man's grief, into an affirmation of life, release Spencer from his suicidal torments, and return him to the world of the living? Morality and medicine collide with the criminal justice system in The Donation, a medical thriller that illuminates the organ donor shortage, one of the most pressing issues in medicine today
Historian Daniel J. Boorstin has said, "Trying to plan for the future without a sense of the past is like trying to plant cut flowers." This reissue of Near Misses in Cardiac Surgery, endorsed by today's experts and with a new preface by Denton A. Cooley, M.D., Surgeon-in-Chief, Texas Heart Institute, is especially timely in this era of transition to interventional and hybrid procedures. No matter what the technical advances are, the same principles that facilitate successful outcomes in surgery (teamwork, communication, vigilance, simplicity and standardization of techniques, anticipation of the next step) will apply equally to today's hybrid procedures and to those who perform them. A best-seller in its field when first issued, Near Misses in Cardiac Surgery has since become a resource for the Cardiothoracic Surgery Network's safety reporting system (www.CTSNet.org) and has become the template used by CTSNet as a teaching tool for the anonymous reporting of near-disasters in the field by cardiac surgeons from around the world. Written in the second person present tense so that the reader becomes the surgeon on the spot, this reissue of Near Misses in Cardiac Surgery, although it reads like a medical thriller, is really a textbook of cardiac surgical complications, their management, and prevention. With its cogent analyses, discussions, and pertinent references, Near Misses in Cardiac Surgery will introduce a new generation of cardiac surgical residents and fellows, as well as more experienced surgeons, cardiologists, interventionalists, anesthesiologists, medical students, and nurses, to principles that are as timeless as they are essential.
The Donation is a medical thriller that dramatizes the shortage of organs available for transplantation. It asks what if organ donation became a choice as a means of means of execution for prisoners on death row? How would it affect the donor pool? Would prisoners realize one last chance for redemption, to give something back to society? And what about the physicians who find themselves cast in the role of executioners as they convert executions into surgical procedures, against the guidelines of the American Medical Association and their own Hippocratic oath that urges them to do no harm? A surgeon's role is to bring order out of chaos. The chaos begins when a celebrity patient, Joseph Spencer, discovers he needs a heart transplant. While in the pre-operative holding area, Spencer sees his donor in an adjacent bed. Not only does he see him, he recognizes him. His sedation makes it impossible for him to protest what for him is an unimaginable horror, and he loses consciousness, unable to abort the procedure, even though to do so could cost him his life. Spencer survives the procedure but becomes suicidal. The transplant surgeon, Ross Fairing, discovers that he and his team have been unwitting co-conspirators in the death of the donor who had no business on an operating table, let alone be in a hospital. He confronts his own consternation that a courageous and innovative operation has created an ethical conundrum that could destroy his transplant program and his career. And how does a shocking revelation at the end of the book, a revelation that turns a tragedy driven by one man's grief, into an affirmation of life, release Spencer from his suicidal torments, and return him to the world of the living? Morality and medicine collide with the criminal justice system in The Donation, a medical thriller that illuminates the organ donor shortage, one of the most pressing issues in medicine today
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