When twenty-four-year-old Susannah Cahalan woke up alone in a hospital room, strapped to her bed and unable to move or speak, she had no memory of how she’d gotten there. Days earlier, she had been on the threshold of a new, adult life: at the beginning of her first serious relationship and a promising career at a major New York newspaper. Now she was labeled violent, psychotic, a flight risk. What happened?
In a swift and breathtaking narrative, Susannah tells the astonishing true story of her descent into madness, her family’s inspiring faith in her, and the lifesaving diagnosis that nearly didn’t happen. “A fascinating look at the disease that…could have cost this vibrant, vital young woman her life” (People), Brain on Fire is an unforgettable exploration of memory and identity, faith and love, and a profoundly compelling tale of survival and perseverance that is destined to become a classic.
At the center of Mountains Beyond Mountains stands Paul Farmer. Doctor, Harvard professor, renowned infectious-disease specialist, anthropologist, the recipient of a MacArthur “genius” grant, world-class Robin Hood, Farmer was brought up in a bus and on a boat, and in medical school found his life’s calling: to diagnose and cure infectious diseases and to bring the lifesaving tools of modern medicine to those who need them most. This magnificent book shows how radical change can be fostered in situations that seem insurmountable, and it also shows how a meaningful life can be created, as Farmer—brilliant, charismatic, charming, both a leader in international health and a doctor who finds time to make house calls in Boston and the mountains of Haiti—blasts through convention to get results.
Mountains Beyond Mountains takes us from Harvard to Haiti, Peru, Cuba, and Russia as Farmer changes minds and practices through his dedication to the philosophy that "the only real nation is humanity" - a philosophy that is embodied in the small public charity he founded, Partners In Health. He enlists the help of the Gates Foundation, George Soros, the U.N.’s World Health Organization, and others in his quest to cure the world. At the heart of this book is the example of a life based on hope, and on an understanding of the truth of the Haitian proverb “Beyond mountains there are mountains”: as you solve one problem, another problem presents itself, and so you go on and try to solve that one too.
“Mountains Beyond Mountains unfolds with the force of a gathering revelation,” says Annie Dillard, and Jonathan Harr says, “[Farmer] wants to change the world. Certainly this luminous and powerful book will change the way you see it.”
Includes 6 online-only chapters at no additional cost! Go to: www.AccessMedicine.com/CMDT
The book that puts the latest research where it belongs . . . into your practiceWritten by clinicians renowned in their respective fields, CMDT offers the most current insight into symptoms, signs, epidemiology, and treatment for more than 1,000 diseases and disorders. For each topic, you’ll find concise, evidence-based answers to questions about hospital and ambulatory medicine. This streamlined clinical companion is the fastest and easiest way to keep abreast of the latest medical advances, prevention strategies, and cost-effective treatments.
Features and content critical to clinical practice: Strong emphasis on the practical aspects of clinical diagnosis and patient management in all fields of internal medicine Full review of all internal medicine and primary care topics, including gynecology and obstetrics, dermatology, neurology, ophthalmology, geriatrics, and palliative care The only text with an annual review of advances in HIV treatment Specific disease prevention information Drug treatment tables, with indexed trade names and updated prices – plus helpful diagnostic and treatment algorithms Recent references with PMID numbers Six online-only chapters available at no additional cost Full-color photographs and illustrations
NEW TO THIS EDITION: New chapter on Sports Medicine & Outpatient Orthopedics Extensive revision of medical and surgical conditions of pregnancy Updated coverage of evaluating fertility in women, immunization requirements, and the use and safety of nonsteroidal and anti-inflammatory drugs Extensive revision of Kidney Disease chapter New topics include snoring a selection of common musculoskeletal problems such as subacromial impingement syndrome, rotator cuff tear, anterior cruciate ligament and meniscus injuries, patellofemoral pain syndrome, and inversion and eversion ankle sprains New online-only chapter on Women’s Health Issues S.I. units used throughout
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· cope with the diagnosis and adjust to the disease’s progression
· help the patient talk about the illness
· face the issue of driving
· make meals and bath times as pleasant as possible
· adjust room design for the patient’s comfort
· deal with wandering, paranoia, and aggression
- How to deal with a doctor who seems too busy to listen to you
- 8-Pillars to a Better Diagnosis
- How to tell the whole story of your illness
- Learning test risks and evaluating whether they're worth it
- How to get a working diagnosis at the end of every doctor's visit
By empowering patients to engage with their doctors as partners in their diagnosis, When Doctors Don't Listen is an essential guide that enables patients to speak up and take back control of their health care.
In The Fever, the journalist Sonia Shah sets out to answer these questions, delivering a timely, inquisitive chronicle of the illness and its influence on human lives. Through the centuries, she finds, we've invested our hopes in a panoply of drugs and technologies, and invariably those hopes have been dashed. From the settling of the New World to the construction of the Panama Canal, through wars and the advances of the Industrial Revolution, Shah tracks malaria's jagged ascent and the tragedies in its wake, revealing a parasite every bit as persistent as the insects that carry it. With distinguished prose and original reporting from Panama, Malawi, Cameroon, India, and elsewhere, The Fever captures the curiously fascinating, devastating history of this long-standing thorn in the side of humanity.
Symptom to Diagnosis teaches you an evidence-based, step-by-step process for evaluating, diagnosing, and treating patients based on their clinical complaints. By applying this process, you will be able to recognize specific diseases and prescribe the most effective therapy.
Each chapter addresses one common complaint and begins with a case and guidance on how to organize the differential diagnosis. As the case progresses, clinical reasoning is explained in detail. The differential diagnosis for that particular case is summarized in tables that highlight the clinical clues and important tests for the leading diagnostic hypothesis and alternative diagnostic hypotheses. As the chapter progresses, the pertinent diseases are reviewed. Just as in real life, the case unfolds in a stepwise fashion as tests are performed and diagnoses are confirmed or refuted.
The third edition is enhanced by the addition of five new chapters--Bleeding Disorders, Dysuria, Hematuria, Hypotension, and Sore Throat--as well as a greater emphasis on how to master the process of working from patient level data (signs, symptoms, and laboratory tests). All chapters incorporate the latest research resulting in new and refined approaches to common symptoms encountered in clinical medicine.
For millions of Americans, hypothyroidism often goes untreated ... or is treated improperly. This book, thoroughly researched by the nation's top thyroid patient advocate—a hypothyroidism patient herself—provides you with answers to all your questions, including:What is hypothyroidism?What are the warning signs, symptoms, and risk factors?Why is getting diagnosed often a challenge, and how can you overcome the obstacles?What treatments are available (including those your doctor hasn't told you about)?Which alternative and holistic therapies, nutritional changes, and supplements may help treat hypothyroidism?
In this revised edition, Carol Sinclair, a sufferer who has successfully overcome IBS and arthritic pain, brings you a revolutionary programme for a pain-free future. This practical guide will help millions to reduce their arthritic symptoms, whose pain to date has been relieved only by regular medication, with sometimes dangerous side effects.
The diet shows that a gradual reduction of starch in one's diet can dramatically reduce pain in days, to a point where drug usage is reduced and, in some cases, eliminated completely. Details of the discovery - along with case histories and a practical guide - make Carol Sinclair's book a first in the world.
The IBS Low-Starch Diet also contains over 200 delicious starch- and gluten-free recipes, along with a comprehensive guide to eating out.
Overcoming Multiple Sclerosis explains the nature of MS and outlines an evidence-based 7 step program for recovery. Professor George Jelinek devised the program from an exhaustive analysis of medical research when he was first diagnosed with MS in 1999. It has been refined through major ongoing international clinical studies under Professor Jelinek's leadership, examining the lifestyles of several thousand people with MS world-wide and their health outcomes.
Overcoming Multiple Sclerosis is invaluable for anyone recently diagnosed with MS, living with MS for years, or with a family member with MS. It makes an ideal resource for doctors treating people with MS.
'I would have no hesitation in recommending Overcoming Multiple Sclerosis to my patients, but also to my friends and colleagues.' Professor Gavin Giovannoni, MBBCh, PhD, FCP (S.A., Neurol.), FRCP, FRCPath, Chair of Neurology, Blizard Institute, Barts and The London School of Medicine and Dentistry
'Overcoming Multiple Sclerosis combines hard scientific evidence with practical advice and compassion. It will be of benefit to nearly everybody affected by MS and I heartily recommend it.' Dr Peter Fisher FRCP , Physician to Her Majesty Queen Elizabeth II, and Director of Research, Royal London Hospital for Integrated Medicine
'These stories of hope, inspiration and sustained lifestyle change speak loudly. for doctors and patients, as well as patients' carers, family and friends.' - Barbara T Hannon, Rehabilitation Physician, Medical Journal of Australia
A diagnosis of multiple sclerosis conjures up images of wheelchairs and a shortened life, but in fact it's possible to regain mobility and make a recovery. These deeply moving life stories of twelve people from around the world offer real hope to people with MS everywhere. These determined women and men have been able to halt the progression of the disease and recover mobility by making significant lifestyle changes including diet, sunshine, meditation, exercise, and for some, using drug therapy.
Based on extended interviews, these stories offer an insight into the different journeys to recovery. They also highlight the challenges faced by people with different types of MS and at different stages in the progression of the disease.
It is now evident that the "illegal biologicals" he referred to included the pathogenic agents which have led to the AIDS epidemic and other world health crisis.
In The Extremely Unfortunate Skull Valley Incident the authors trace history of the secret war against and the terrible experiments performed upon their own citizens as well as the Third World populations. But Skull Valley does more than that. In their research the father-son team discovered the links between AIDS and many other diseases now increasing dramatically worldwide. Chief among these is myalgic encephalomyelitis/fibromyalgia dismissively labelled " chronic fatigue syndrome" by the government researchers.
In addition to AIDS and ME/FM the Scotts also demonstrate the etiological links to other neurosystemic degenerative diseases such as Alzheimer's, multiple sclerosis, Parkinson's, diabetes, schizophrenia, Crohn's-colitis, etc. All are said to be "of no known cause and having no known cure". Researchers Donald and William Scott have discovered that there is a "known cause" and there may well be a cure.
The cause is a little known organism called the "mycoplasma" which has the capacity to access genetically pre-disposed cells and to destroy them by up-taking pre-formed sterols. This process is the "degeneration" which characterizes all of the diseases under study. When the cells of the endocrine system are destroyed by a sufficient concentration of mycoplasmas, the balance of the physiological balance is altered and the immune system loses its ability to defend the infected victim, and co-factors such as the human immune-deficiency virus (HIV), and those with cause pneumonia, are free to have their way, leading to full-blown AIDS.
Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems.
How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.
Damaged Goods adds to our knowledge of how women are affected by living with chronic STDs and reveals the stages of their sexual- self transformation. From the anxiety of being diagnosed with an STD to issues of blame and shame, Nack-herself diagnosed with a cervical HPV infection-shows why these women feeling that they are "damaged goods," question future relationships, marriage, and their ability to have healthy children.
COVERS:Basic principles of diagnostic testing, common blood, urine and cerebrospinal fluid laboratory tests, therapeutic drug monitoring, microbiologic test selection and interpretation and diagnostic imaging tests by body system , electrocardiography, and differential diagnosis tables & algorithms Tests used in internal medicine, pediatrics, surgery, neurology and obstetrics and gynecology
INCLUDES:Costs and risks of diagnostic tests Evidence-based information Diseases associated with abnormal test results, including test sensitivities Full literature citations with PubMed (PMID) numbers included for each reference More than 24 NEW clinical laboratory test entries, 6 NEW differential diagnosis tables 5 NEW diagnostic algorithms NEW sections on point-of-care testing, provider-performed microscopy, pharmacogenetic testing, and diagnostic echocardiography
Fans of hit medical dramas such as House MD will savor the opportunity to read of the real-life cases that puzzled doctors, the gripping detective work that ensued, and the completely unexpected, often life-saving diagnoses. Discover Magazine’s Vital Signs is a glimpse into the exciting work of real medical professionals, told from their perspective, and revealing that anything can happen in medicine. Readers will never look at a “routine check-up” the same again.
--The latest facts on how cholesterol, cigarette smoking, obesity, and stress affect coronary risk levels.
--Your high blood pressure risk profile, with newly devised charts for men and women.
--A complete fitness program that lets you choose the sport that works for you. Plus a unique illustrated guide to aqua-aerobics.
--Tips on talking to your doctor that will help you become an active participant in your own recovery.
--A guide to anti-hypertensive drugs--the most up-to-date list of medications, their recommended daily doses, and ways to minimize side effects.
--Three distinct dietary programs, complete with menus, recipes, nutritional charts, healthy cooking tips, and much more.
--Take charge of your health and well-being with Overcoming Hypertension.
From the Paperback edition.
The real tragedy in a child’s life would be to cause him or her to fail to grow, mature and develop the normal skills needed for success as an adult.
Unfortunately, if your child is wrongfully mislabeled as ADHD instead of being properly evaluated and treated for one of the disorders that can act just like ADHD, he or she might: Need medications every day for years Be labeled and subjected to discrimination in school as an “impaired learner” Require thousands of dollars for unneeded doctor visits and therapy Be unable to keep a job Have multiple legal problems Grow up to be a socially, emotionally handicapped adult, still living with you at age 30. Most doctors who evaluate children for ADHD are probably not adequately trained to do so!
Mistaken for ADHD is your guide to help you take charge and be a strong advocate in making sure your child’s behavior problem is thoroughly evaluated and treated.
Between the covers of this book you’ll discover stories of children misdiagnosed as ADHD and how those ADHD-mimicking disorders or Zebras, as Dr. Frank refers to them, were properly diagnosed and treated.
Avoid complications with unique coverage of an important aspect of anesthetic management.Stay current with all-new chapters on adult congenital heart disease, rheumatic diseases, and the cancer patient, plus many more revisions throughout.
Get outstanding visual guidance with hundreds of illustrations, now in full color.
This new edition of Medical Management of Type 2 Diabetes provides care providers with the answers to their questions about implementing care. All of the contributors are experts in their fields, and they define the disease, including the progressive nature of type 2 diabetes; cardiovascular, microvascular, and neurological complications; care methodologies for special situations; and behavior change. All guidelines and standards have been updated with the latest developments in research, advances in medications and medical devices, and new understandings of how to effectively work with the patient.
Some of the topics covered in the book are the concept of heterostasis; stressors and conditioning agents; morphology of frostbite; characteristics manifestations of stress; catecholamines and their derivatives; various hormones and hormone-like substances; FFA, triglycerides and lipoproteins; morphologic changes; and hypothalamo-hypophyseal system . The gastrointestinal diseases of adaptation are covered. The schizophrenia and related psychoses is discussed. The text describes the manic-depressive disease and senile psychosis. A study of the experimental cardiovascular diseases and neuropsychiatric diseases is presented. A chapter is devoted to the diseases of adaptation in animals. Another section focuses on the shift in adenohypophyseal activity and catatoxic hormones.
The book can provide useful information to scientists, doctors, students, and researchers.
Now in its seventh edition, Examination Medicine: a guide to physician training ebook has prepared generations of Fellow of the Royal Australasian College of Physicians (FRACP) candidates and medical students for their written and clinical examinations. Instructive, informative and aligned with current practice, this new ebook edition provides an overview of what to expect and what is expected of you. It shares valuable advice on how to prepare for the examinations, use your time to best effect and avoid common pitfalls. In addition, this ebook provides: • - 50 practice long cases including history, examination, investigations and treatment • - sample long cases from the examiner’s perspective including typical points likely to be raised in discussion and clinical traps candidates may fall into • - 30 practice short cases including examples of typical X-rays and scans, providing guidance for ‘spot’ diagnosis and outlining a system for examination • - hint boxes highlighting common pitfalls and useful tips. Examination Medicine: a guide to physician training 7e ebook continues to be a valued resource for medical students, outlining the key skills and qualities your examiner expects. It ensures you give your best possible performance in your examinations. The seventh edition print edition also includes video tutorials on conducting short and long cases via Student Consult. Please note that access to Student Consult is not available with purchase of the ebook book version.
—Joyce Dunlevy Cready, RN, BSN, Rehabilitation
“I want to commend Mrs. Jennings on the work done to put together this book. It will be a valuable resource for patients and caregivers, and provides an honest and thoughtful look at her experiences with LBD. It was an honor to care for Dean and I know that her work with him and in this book will help others who are going through the same difficult life journey.”
—Andrew P. Duker, MD, Neurology
“This book is medically appropriate and concise. The information has breadth that is not available in other books. I will recommend it to all my patients with Lewy Body Dementia.”
—James P. Simcoe, MD, Family Practice
“What an outstanding caregiver and loving wife to share this most personal knowledge, gained from her heartfelt experience with Lewy Body Dementia.”
— Peter A. Towne, PT, FAPTA
Linda L. Towne, PT, MEd,
Orthopedic and Neurological Physical Therapy
There are many dilemmas about DCIS, and this book tries to clear them up. We know how easy it is to end up more confused after looking at different websites, books, and research results. We present a new way to approach DCIS that combines the latest research with practical information. Even though we state things plainly, many scientific resources and references were used to make sure this book is accurate. Please be aware that those resources may use older language that we are learning is not accurate for DCIS. For example, DCIS lesions do not have the ability to "recur," even though this term is commonly used by many scientists and doctors.
You will learn about DCIS and how it fits into breast diseases, including breast cancer. The process of getting diagnosed is also explained, as are the different types of treatments that are commonly given for DCIS. Risks are also explained clearly. This includes the risk of being diagnosed with DCIS, as well as the risk of getting another DCIS or a future Invasive Breast Cancer. This book also highlights the various kinds of ongoing research for DCIS. A list of terms, and additional resources and references are also included to help you find more detailed information. We hope this book offers useful information to help you make decisions about DCIS, and look forward to hearing how you use it!
Fatigue is perhaps the single most prevalent and disabling symptom of the multiple sclerosis, and limits patients' activity more than any other MS symptom. The identification of fatigue as a distinct clinical entity requires both art and science, and most of all, a willingness and ability to listen carefully to patients and their families. The physician's ability to obtain a comprehensive history requires a full understanding of the circumstances in which fatigue occurs (physical, cognitive, and psychosocial) and demands consideration of a large number of disorders, including anxiety, depression, excessive daytime sleepiness, pain, and spasticity, all of which may mimic or contribute to fatigue.
While fatigue is almost exclusively a subjective experience, depending on the patient's ability to understand and report this symptom, there are effective methods for identifying the existence of fatigue, determining its severity, and distinguishing it from related or contributing disorders such as depression, pain, and sleep disorders.
Readers will learn that fatigue need not be tolerated by the MS patient. Various therapies, support systems, and treatment of underlying affective disorders can all alleviate fatigue or reduce its impact, restoring the patient's energy levels and ability to participate in life. Virtually every MS patient with fatigue can benefit from intervention, and failing to treat the symptom of fatigue with the respect that it deserves is a serious detriment to patient care.
In My Prostate Cancer Adventure and the Lessons Learned, I take the reader through my experiences from the time I first learned of my cancer, my thoughts of how to deal with it, and what I experienced during my recovery. I tell my story on a personal level. I’m direct and to the point. So if you’re looking for a politically correct discussion of the topic put this book back on the shelf and look elsewhere. I talk man to man about a man’s problem. My goal in writing this book is to let guys know what they can expect if they choose to undergo prostatectomy surgery. There’s not a lot of drama in this book. You may have to forgive my French because I tell my story without a lot of embellishment – mostly.
* Falling asleep at work?
* Tired all the time?
* Easily irritated?
* Spouse/room mates complain about your snoring?
Then you may have sleep apnea!
According to the National Sleep Foundation, more than 18 million adults in America have sleep apnea, many of these people are unaware that they even have it!
Untreated, sleep apnea can increase your risk for other serious medical conditions such as heart attacks, strokes, and even death!
This book is an introduction to sleep apnea, you'll learn the symptoms, risks, and available treatments for sleep apnea.
This book is a great resource for those who think that they (or a loved one) might have sleep apnea.
We cover the treatements for sleep apena incuding CPAP therapy, Provent, and surgical options.
The book begins with an overview of the humoral immune system and of antibody structure, function, and biosynthesis, which sets the stage for the subsequent discussions of developments in antibody technology. The remaining chapters discuss the making of monoclonal antibodies; the design of antibodies for human therapy; the connection of antibodies (either chemically or genetically) to other potentially therapeutic effector molecules such as toxins, enzymes, or even an antibody of another specificity; idiotypes and anti-idiotypic antibodies; and the ability of antibodies to functionally mimic enzymes and mediate catalysis.
It is hoped that, in addition to illustrating the progress of research in antibody design, the various creative and innovative approaches reviewed in this book will be modified or will stimulate new ideas that will spur the research and application of designer antibodies.
¿Se siente decaído debido a un resfriado o a la gripe? ¿Quisiera tener más energía o dormir mejor? ¿Está preocupado por tener un nivel alto de azúcar en la sangre o de colesterol? Sin importar lo que lo aqueja, La nueva guía médica de remedios caseros es el recurso que le brindará toda una gama de soluciones seguras y efi caces que usted mismo podrá emplear al momento. Los editores de la revista Prevention—la máxima fuente de información sobre la salud en todos los EE.UU.— se han unido a un equipo estelar de doctores y profesionales médicos para brindarle los mejores consejos de autocuidado con el fi n de aliviarle los síntomas y ayudarle a recuperarse.
Con instrucciones claras y precisas, así como pautas que le indicarán cuándo debe conseguir atención médica, La nueva guía médica de remedios caseros le ayudará a cuidarse a sí mismo sin preocupaciones ni conjeturas acerca de lo que debe hacer. ¡El alivio verdadero está a su alcance!
Some of the topics covered in the book are the pyramidal and extrapyramidal pathways, principles of motor control; effects of lesions in the motor system; muscle spindles and motor control; signals from skin mechanoreceptors in the human hand; afferent c fiber signals and pain; and sympathetic activity in human peripheral nerves. The definition and description of baroreflex control of vasoconstrictor outflow to skeletal muscles are fully covered. An in-depth account of the activity of a motoneuron pool and the muscle activity spectrum is provided. The mechanism of long-latency stretch reflexes and critical exploration of the pyramidal syndrome are completely presented. A chapter is devoted to description of monosynaptic excitability curves after activation of myotatic arc. Another section focuses on the practical applications of pathophysiological analysis.
On an astonishing six-month voyage, Gib and his boat, Ka-Ching, encounter everything from an incompetent sailboat captain who lets his tow-rope wrap around Ka-Ching’s propellers and when he dives into the water to cut it loose accidently stabs himself with his knife, to the Navy and Coast Guard Zodiacs rushing to stop him from entering a naval bombardment zone. Gib carries out epic searches for his two kittens when they go AWOL at an Atlantic City marina and when one later falls overboard. All the while, he is forced to cope with increasing levels of paralysis, steering the boat home with his feet and unable to speak.
Authored by Gib’s neurologist, Gib’s Odyssey is told in Gib’s own voice through a series of e-mails and articles he wrote for the Key West Citizen. Part travelogue, part soul-searching meditation, it is the uplifting and sometimes hilarious story of one man’s conquest of death and his profound insights into life.