In medical school, Matt McCarthy dreamed of being a different kind of doctor—the sort of mythical, unflappable physician who could reach unreachable patients. But when a new admission to the critical care unit almost died his first night on call, he found himself scrambling. Visions of mastery quickly gave way to hopes of simply surviving hospital life, where confidence was hard to come by and no amount of med school training could dispel the terror of facing actual patients.
This funny, candid memoir of McCarthy’s intern year at a New York hospital provides a scorchingly frank look at how doctors are made, taking readers into patients’ rooms and doctors’ conferences to witness a physician's journey from ineptitude to competence. McCarthy's one stroke of luck paired him with a brilliant second-year adviser he called “Baio” (owing to his resemblance to the Charles in Charge star), who proved to be a remarkable teacher with a wicked sense of humor. McCarthy would learn even more from the people he cared for, including a man named Benny, who was living in the hospital for months at a time awaiting a heart transplant. But no teacher could help McCarthy when an accident put his own health at risk, and showed him all too painfully the thin line between doctor and patient.
The Real Doctor Will See You Shortly offers a window on to hospital life that dispenses with sanctimony and self-seriousness while emphasizing the black-comic paradox of becoming a doctor: How do you learn to save lives in a job where there is no practice?
Tom Brokaw has led a fortunate life, with a strong marriage and family, many friends, and a brilliant journalism career culminating in his twenty-two years as anchor of the NBC Nightly News and as bestselling author. But in the summer of 2013, when back pain led him to the doctors at the Mayo Clinic, his run of good luck was interrupted. He received shocking news: He had multiple myeloma, a treatable but incurable blood cancer. Friends had always referred to Brokaw’s “lucky star,” but as he writes in this inspiring memoir, “Turns out that star has a dimmer switch.”
Brokaw takes us through all the seasons and stages of this surprising year, the emotions, discoveries, setbacks, and struggles—times of denial, acceptance, turning points, and courage. After his diagnosis, Brokaw began to keep a journal, approaching this new stage of his life in a familiar role: as a journalist, determined to learn as much as he could about his condition, to report the story, and help others facing similar battles. That journal became the basis of this wonderfully written memoir, the story of a man coming to terms with his own mortality, contemplating what means the most to him now, and reflecting on what has meant the most to him throughout his life.
Brokaw also pauses to look back on some of the important moments in his career: memories of Nelson Mandela, the Dalai Lama, the fall of the Berlin Wall, the morning of September 11, 2001, in New York City, and more. Through it all, Brokaw writes in the warm, intimate, natural voice of one of America’s most beloved journalists, giving us Brokaw on Brokaw, and bringing us with him as he navigates pain, procedures, drug regimens, and physical rehabilitation. Brokaw also writes about the importance of patients taking an active role in their own treatment, and of the vital role of caretakers and coordinated care.
Generous, informative, and deeply human, A Lucky Life Interrupted offers a message of understanding and empowerment, resolve and reality, hope for the future and gratitude for a well-lived life.
Praise for A Lucky Life Interrupted
“It’s impossible not to be inspired by Brokaw’s story, and his willingness to share it.”—Los Angeles Times
“A powerful memoir of battling cancer and facing mortality . . . Through the prism of his own illness, Brokaw looks at the larger picture of aging in America.”—Booklist (starred review)
“Moving, informative and deeply personal.”—The Daily Beast
“The former NBC News anchor has applied the fact-finding skills and straightforward candor that were his stock in trade during his reporting days to A Lucky Life Interrupted.”—USA Today
“Brokaw doesn’t paste a smiley face on his story. Again and again, the book returns to stories of loss but also of grace, luck and the beauty of having another swing at bat.”—The Washington Post
“Engaging . . . [with] the kind of insight that is typical of Mr. Brokaw’s approach to life and now to illness.”—The Wall Street Journal
“Powerful and courageous . . . [Brokaw] looks ahead to the future with hope.”—Bookreporter
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.
Wilf McSherry and Linda Ross's new edited text tackles this very issue with contributors from different disciplines (including nursing, medicine, theology and chaplaincy) and countries (UK, USA, Malta) offering their own perspectives on this important part of care. Each chapter, therefore, has its own unique style but is concerned with one outcome, to see spiritual assessment and care as an integral part of holistic care whatever the setting.
Introduction - Linda Ross & Wilfred McSherry
Why the increasing interest in spirituality within healthcare? - Linda Ross
The meanings of spirituality: a multi-perspectival approach to 'the spiritual' - John Swinton
Recognising spiritual needs - Aru Narayanasamy
Spiritual Assessment: definition, categorisation and features - Wilfred McSherry
The spiritual history: an essential element of patient centred care - Christina Puchalski
Indicator based and value clarification tools - Donia Baldacchino
Assessing and improving the quality of spiritual care - Mark Cobb
Dilemmas of spiritual assessment - Chris Johnson
Considerations for the future of Spiritual Assessment - Linda Ross and Wilf McSherry
Guide to Surviving CGCAHPS & HCAHPS by Trina E. Dorrah, MD, MPH. As
patients demand more from their healthcare providers, publicly reported,
standardized patient satisfaction surveys are now the norm.
Despite the importance of these surveys, medical education often
does not teach healthcare providers how to improve patient satisfaction and
succeed with CGCAHPS and HCAHPS. That is, until now.
With Dr. Dorrah’s step-by-step instructional guide, healthcare
providers will learn the fundamentals of patient satisfaction, including
CGCAHPS and HCAHPS survey basics, and overall tips for succeeding on patient
physician assistants, nurse practitioners, and students alike will quickly
learn how to improve their patients’ satisfaction with Dr. Dorrah’s essential
Physician’s Guide to Surviving CGCAHPS & HCAHPS.
Dr. Naheed Ali provides patients with a hopeful perspective as well as practical ways of confronting and living with the disease. Patients will also be uniquely exposed to alternative approaches to managing the symptoms of the disease, including allopathic, osteopathic, and naturopathic approaches. While Understanding Parkinson’s Disease also provides powerful techniques and real-world advice that sufferers can immediately put into practice, the book also encourages readers to gain a full understanding of the background of the disease.
Dr. Ali presents contemporary benchmark concepts and gives detailed advice that makes dealing with Parkinson’s a much simpler and easier undertaking. The reader will be introduced to essential information on the risk factors associated with Parkinson’s, the signs and symptoms, the different stages of the disease, the various treatments, as well as how the disease develops. Anyone looking for an introduction to both the science behind Parkinson’s and the effects of its course on sufferers, as well as information about treatment and real life strategies for dealing with the debilitating symptoms, will find the information they need in this accessible resource.
A. Not necessarily. Doctors often schedule stress tests when they are certain a patient’s heart is healthy. So why the test?
In What Your Doctor Really Thinks, Ian Blumer looks at the doctor-patient relationship, and explains what your doctor will and won’t tell you in the examining room. Blumer lets you know what is going on in your physician’s head, and suggests what should be going on in your head, when you present him or her with symptoms. Fatigue, chest pain, headaches, abdominal pain, dizziness, shortness of breath ... Blumer covers a variety of symptoms and discusses what direction the examination may take.
This book is a look into the psyche of the doctor and the patient during their meetings. It is a discussion of what both parties might be thinking, but not saying, and it reveals the so-called "mind games" that often take place. It tells people why, without their having even realized it, they have just left a doctor’s office not knowing if the "growth" they have is worrisome or harmless, if they have a dim future or a good one. It tells people why doctors are often evasive, or, at times, downright rude.
What Your Doctor Really Thinks is not an aid to self-diagnosis. It is not a compilation of medical anecdotes glorifying the practice of medicine. And it is not a self-help guide to teach you about the disease that afflicts you. It is, rather, an aid to understanding your doctor, and to understanding yourself. Everyone from the health-conscious to the hypochondriac will find familiar symptoms in Blumer’s book. You may find comfort in knowing that your symptoms are nothing to worry about; or you may find reason to see your doctor about something that may be more serious than you had thought. Regardless, you will learn not just what a doctor’s diagnosis might be; you will also learn why they have made that diagnosis, and what the diagnosis means.
Making the right medical decisions is harder than ever. We are overwhelmed by information from all sides—whether our doctors’ recommendations, dissenting experts, confusing statistics, or testimonials on the Internet. Now Doctors Groopman and Hartzband reveal that each of us has a “medical mind,” a highly individual approach to weighing the risks and benefits of treatments. Are you a minimalist or a maximalist, a believer or a doubter, do you look for natural healing or the latest technology? The authors weave vivid narratives of real patients with insights from recent research to demonstrate the power of the medical mind. After reading this groundbreaking book, you will know how to arrive at choices that serve you best.
The Patient’s Playbook is a call to action. It will change the way you manage your health and the health of your family, and it will show you how to choose the right doctor, coordinate the best care, and get to the No-Mistake Zone in medical decision making. Leslie D. Michelson has devoted his life’s work to helping people achieve superior medical outcomes at every stage of their lives. Michelson presents real-life stories that impart lessons and illuminate his easy-to-follow strategies for navigating complex situations and cases.
The Patient’s Playbook is an essential guide to the most effective techniques for getting the best from a broken system: sourcing excellent physicians, selecting the right treatment protocols, researching with precision, and structuring the ideal support team. Along the way you will learn:
Why having the right primary care physician will change your life
Three things you can do right now to be better prepared when illness strikes
The ten must-ask questions at the end of a hospital stay
How to protect yourself from unnecessary and dangerous treatments
Ways to avoid the four most common mistakes in the first twenty-four hours of a medical emergency
This book will enable you to become a smarter health care consumer—and to replace anxiety with confidence.
From the Hardcover edition.
Fundamental flaws in the US health care system make it more difficult and less rewarding than ever to be a doctor. The convergence of a complex amalgam of forces prevents primary care and specialty physicians from doing what they most want to do: Put their patients first at every step in the care process every time. Barriers include regulation, bureaucracy, the liability burden, reduced reimbursements, and much more. Physicians must accept the responsibility for guiding our nation toward a better health care delivery system, but the pathway forward—amidst jarring changes in our health care system—is not always clear.
In The Doctor Crisis, Dr. Jack Cochran, executive director of The Permanente Federation, and author Charles Kenney show how we can improve health care on a grassroots level, regardless of political policy disputes, by improving conditions for physicians and asking them to take on broader accountability; by calling on physicians to be effective leaders as well as excellent clinicians. The authors clarify the necessary steps required to enable physicians to focus on patient care and offer concrete ideas for establishing systems that place patients' needs above all else. Cochran and Kenney make a compelling case that fixing the doctor crisis is a prerequisite to achieving access to quality and affordable health care throughout the United States.
Dr. Reznik describes actual cases from his clinical practice showing the most common paths that lead to increased patient suffering. This book offers possible solutions for outpatient, inpatient, preventive, and end-of-life care settings.
Learn about: The Medical Box and how it affects the care you receiveWhen to avoid risky and uncomfortable testsHazards of under-treatment, over-treatment, and mistreatmentHow to make an informed medical decision in your best interestsCancer and how to approach your treatmentPlanning for quality of life during end-of-life issues
Foreword by Colin P. Kopes-Kerr, MD, JD, MPH, Vice-Chairman of the Department of Family Medicine, and Program Director of the Family Medicine Residency Program, at University Hospital and SUNY Stony Brook School of Medicine, Stony Brook, NY.
""The Secrets of Medical Decision Making" should be read by everyone, because all of us are sometimes in need of medical care. It is an eye-opener, a call to arms and a guide."
-Robert Rich, Ph.D., author of "Cancer: A Personal Challenge"
"Dr. Reznik candidly exposes the conflicting interests inherent in contemporary medical practice. This empowering and insightful book is a must read for healthcare professionals and the patients they treat."
-Beth Maureen Gray, R.N., B.S.
""The Secrets of Medical Decision Making" awakens the reader rather quickly with startling revelations about the lack of seriousness the health care industry has towards a society of wellness. If this book at least motivates its readers to become more involved in medical decision making when seeking treatment, it will have succeeded as a critically needed public service."
- James W. Clifton, Ph.D., LCSW
"As a Canadian and a health care provider this book frightens me. This book lays out what our country is headed for if we privatize health care in Canada. A must read for everyone working, or accessing, health care in North America and for anyone who has any doubts that we must take drastic action to preserve Universal Health Care in Canada."
- Ian Landry, MA, MSW, RSW
Chapters show how to use the consultation to maximum benefit for the patient and doctor. Easy-to-read with stand-alone chapters, this book covers key aspects of O and G, and addresses areas not covered in other texts. It is relevant to all stages of O and G practice - from trainees to consultants (and some lay interest).
This book offers topics in psychological care to trainees and specialist in O and G, helps them understand the emotional problems their patients face, and shows them how to undertake psychological care.
In Talking to Your Doctor, readers will learn to:
•Talk to your doctor—and get your doctor to talk to you
• Remake the relationship with your doctor, and our health care system, on the basis of good communication
•Make sure your visit with the doctor is productive and meets your needs
•Help yourself and others avoid over-testing and over-treatment
Starting with the conversation can redress imbalances and put the relationship of doctor and patient, and eventually the entire health care system, back on a healthy footing. Using illuminating model dialogues, real transcripts from the clinic and hospital, resources for communication improvement, and a brief history of doctor-patient communication, the author helps readers develop strategies for obtaining better care from their doctors, from the minute they step into the exam room.
We assume we know our bodies intimately, but for many of us they remain uncharted territory, an enigma of bone and muscle, neurons and synapses. How many of us understand the way seizures affect the brain, how the heart is connected to well-being, or the why the foot holds the key to our humanity? In Adventures in Human Being, award-winning author Gavin Francis leads readers on a journey into the human body, offering a guide to its inner workings and a celebration of its marvels. Drawing on his experiences as a surgeon, ER specialist, and family physician, Francis blends stories from the clinic with episodes from medical history, philosophy, and literature to describe the body in sickness and in health, in living and in dying. At its heart, Adventures in Human Being is a meditation on what it means to be human. Poetic, eloquent, and profoundly perceptive, this book will transform the way you view your body.
"In contemporary letters John Berger seems to me peerless; not since Lawrence has there been a writer who offers such attentiveness to the sensual world with responsiveness to the imperatives of conscience." --Susan Sontag