The riveting, pulse-pounding story of a year in the life of an emergency room doctor trying to steer his patients and colleagues through a crushing pandemic and a violent summer, amidst a healthcare system that seems determined to leave them behind “Gripping . . . eloquent . . . This book reminds us how permanently interesting our bodies are, especially when they go wrong.”—The New York Times ONE OF THE BEST BOOKS OF THE YEAR: Time As an emergency room doctor working on the rapid evaluation unit, Dr. Thomas Fisher has about three minutes to spend with the patients who come into the South Side of Chicago ward where he works before directing them to the next stage of their care. Bleeding: three minutes. Untreated wound that becomes life-threatening: three minutes. Kidney failure: three minutes. He examines his patients inside and out, touches their bodies, comforts and consoles them, and holds their hands on what is often the worst day of their lives. Like them, he grew up on the South Side; this is his community and he grinds day in and day out to heal them. Through twenty years of clinical practice, time as a White House fellow, and work as a healthcare entrepreneur, Dr. Fisher has seen firsthand how our country’s healthcare system can reflect the worst of society: treating the poor as expendable in order to provide top-notch care to a few. In The Emergency, Fisher brings us through his shift, as he works with limited time and resources to treat incoming patients. And when he goes home, he remains haunted by what he sees throughout his day. The brutal wait times, the disconnect between hospital executives and policymakers and the people they're supposed to serve, and the inaccessible solutions that could help his patients. To cope with the relentless onslaught exacerbated by the pandemic, Fisher begins writing letters to patients and colleagues—letters he will never send—explaining it all to them as best he can. As fast-paced as an ER shift, The Emergency has all the elements that make doctors’ stories so compelling—the high stakes, the fascinating science and practice of medicine, the deep and fraught interactions between patients and doctors, the persistent contemplation of mortality. And, with the rare dual perspective of somebody who also has his hands deep in policy work, Fisher connects these human stories to the sometimes-cruel machinery of care. Beautifully written, vulnerable and deeply empathetic, The Emergency is a call for reform that offers a fresh vision of health care as a foundation of social justice.
The riveting, pulse-pounding story of a year in the life of an emergency room doctor trying to steer his patients and colleagues through a crushing pandemic and a violent summer, amidst a healthcare system that seems determined to leave them behind “Gripping . . . eloquent . . . This book reminds us how permanently interesting our bodies are, especially when they go wrong.”—The New York Times ONE OF THE BEST BOOKS OF THE YEAR: Time As an emergency room doctor working on the rapid evaluation unit, Dr. Thomas Fisher has about three minutes to spend with the patients who come into the South Side of Chicago ward where he works before directing them to the next stage of their care. Bleeding: three minutes. Untreated wound that becomes life-threatening: three minutes. Kidney failure: three minutes. He examines his patients inside and out, touches their bodies, comforts and consoles them, and holds their hands on what is often the worst day of their lives. Like them, he grew up on the South Side; this is his community and he grinds day in and day out to heal them. Through twenty years of clinical practice, time as a White House fellow, and work as a healthcare entrepreneur, Dr. Fisher has seen firsthand how our country’s healthcare system can reflect the worst of society: treating the poor as expendable in order to provide top-notch care to a few. In The Emergency, Fisher brings us through his shift, as he works with limited time and resources to treat incoming patients. And when he goes home, he remains haunted by what he sees throughout his day. The brutal wait times, the disconnect between hospital executives and policymakers and the people they're supposed to serve, and the inaccessible solutions that could help his patients. To cope with the relentless onslaught exacerbated by the pandemic, Fisher begins writing letters to patients and colleagues—letters he will never send—explaining it all to them as best he can. As fast-paced as an ER shift, The Emergency has all the elements that make doctors’ stories so compelling—the high stakes, the fascinating science and practice of medicine, the deep and fraught interactions between patients and doctors, the persistent contemplation of mortality. And, with the rare dual perspective of somebody who also has his hands deep in policy work, Fisher connects these human stories to the sometimes-cruel machinery of care. Beautifully written, vulnerable and deeply empathetic, The Emergency is a call for reform that offers a fresh vision of health care as a foundation of social justice.
The history and descendants of the Hein and Fischer families of Oberstedten, Germany who immigrated to Clark and Washington Counties Indiana in 1853. Includes the Blackman, Dodge, and Conway families. Volume 2 of 3. See www.TomHeinFamily.com for more information.
The story of Vineyard transportation and the story of evolution and innovation. Getting to Martha's Vineyard has never been easy. Native Americans built canoes for the journey, and early settlers crossed Vineyard Sound in small sailing packets. Steamships dramatically changed island life. On the island, the horse-drawn trolley evolved into the electric trolley. Tourists and residents crowded railroads until they were replaced by the automobile. The story of Vineyard transportation is the story of an evolution of man and machine, of opportunity and necessity, of dependence and cooperative efforts. Join local historian Tom Dresser as he traces the changes in island living brought about by these transportation innovations.
This book is about evolutionary theory. It deals with aspects of its history to focus upon explanatory structures at work in the various forms of evolutionary theory - as such this is also a work of philosophy. Its focus lies on recent debates about the Modern Synthesis and what might be lacking in that synthesis. These claims have been most clearly made by those calling for an Extended Evolutionary Synthesis. The author argues that the difference between these two positions is the consequence of two things. First, whether evolution is a considered as solely a population level phenomenon or also a theory of form. Second, the use of information concepts. In this book Darwinian evolution is positioned as a general theory of evolution, a theory that gave evolution a technical meaning as the statistical outcome of variation, competition, and inheritance. The Modern Synthesis (MS) within biology, has a particular focus, a particular architecture to its explanations that renders it a special theory of evolution. After providing a history of Darwinian theory and the MS, recent claims and exhortations for an Extended Evolutionary Synthesis (EES) are examined that see the need for the inclusion of non-genetic modes of inheritance and also developmental processes. Much of this argument is based around claims that the MS adopts a particular view of information that has privileged the gene as an instructional unit in the emergence of form. The author analyses the uses of information and claims that neither side of the debate explicitly and formally deals with this concept. A more formal view of information is provided which challenges the EES claims about the role of genes in MS explanations of form whilst being consilient with their own interests in developmental biology. It is concluded that the MS implicitly assumed this formal view of information whilst using information terms in a colloquial manner. In the final chapter the idea that the MS is an informational theory that acts to corral more specific phenomenal accounts, is mooted. As such the book argues for a constrained pluralism within biology, where the MS describes those constraints.
Several books have been published on scaling in biology and its ramifications in the animal kingdom. However, none has specifically examined the multifaceted effects of how changes in human height create disproportionately larger changes in weight, surface area, strength and other physiological parameters. Yet, the impact of these non-linear effects on individual humans as well as our world's environment is enormous. Since increasing human body size has widespread ramifications, this book presents findings on the human species and its ecological niche. its community and how the species interacts with its environment. Thus, a few chapters provide an ecological overview of how increasing human body size relates to human evolution, fitness, health, survival and the environment. This book provides a unique purview of the laws of scaling on human performance, health, longevity and the environment. Numerous examples from various research disciplines are used to illustrate the impact of increasing body size on many aspects of human enterprises, including work output, athletics and intellectual performance.
A social, economic, and political study of Philadelphia merchants, this study presents both the spirit and statistics of merchant life. Doerflinger studies the Philadelphia merchant community from three perspectives: their commercial world, their confront
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