We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third.
In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds.
An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.
Suffering a career-ending, potentially crippling injury to her back and right leg, a young dancer named Elaine Petrone tried everyone from orthopedists to yogis to turn her pain and prognosis around. Nothing worked--until she healed herself through a unique program of therapy and exercise based around the use of two small, squishy balls. From there she turned her passion into a mission that is helping the thousands of people who visit her classes conquer pain, stress, and injury.
Now, for relief for sufferers everywhere, comes The Miracle Ball Method. The work itself is simple. Take a sore back: By resting your aching back on grapefruit-sized balls and letting your body sink into them, you're unworking the muscles that hurt. Pain and tension drain out of the body. Petrone shows how proper breathing (which she demonstrates) works in conjunction with a range of unexercises that call for placing the balls under the back, head, knees, hip, elbow--wherever there's pain--and then resting, rolling, or rotating on them. She points out that relief can come in surprising ways: Lower back pain may be helped by placing the ball under your neck, or a bad knee might be helped by hip work. It's a revolutionary program of relief, from head to toe.
Imagine undergoing an operation without anesthesia performed by a surgeon who refuses to sterilize his tools—or even wash his hands. This was the world of medicine when Thomas Dent Mütter began his trailblazing career as a plastic surgeon in Philadelphia during the middle of the nineteenth century.
Although he died at just forty-eight, Mütter was an audacious medical innovator who pioneered the use of ether as anesthesia, the sterilization of surgical tools, and a compassion-based vision for helping the severely deformed, which clashed spectacularly with the sentiments of his time.
Brilliant, outspoken, and brazenly handsome, Mütter was flamboyant in every aspect of his life. He wore pink silk suits to perform surgery, added an umlaut to his last name just because he could, and amassed an immense collection of medical oddities that would later form the basis of Philadelphia’s Mütter Museum.
Award-winning writer Cristin O’Keefe Aptowicz vividly chronicles how Mütter’s efforts helped establish Philadelphia as a global mecca for medical innovation—despite intense resistance from his numerous rivals. (Foremost among them: Charles D. Meigs, an influential obstetrician who loathed Mütter’s "overly" modern medical opinions.) In the narrative spirit of The Devil in the White City, Dr. Mütter’s Marvels interweaves an eye-opening portrait of nineteenth-century medicine with the riveting biography of a man once described as the "P. T. Barnum of the surgery room."
An inspiring, surprising, sometimes shocking, and ultimately deeply informative memoir of the high-stakes, high-pressured life of a female heart surgeon
Dr. Kathy Magliato is one of the few female heart surgeons practicing in the world today. She is also a member of an even more exclusive group—those surgeons specially trained to perform heart transplants. Heart Matters is the story of the making of a surgeon who is also a wife and mother. In this powerful and moving memoir, which inspired the NBC series Heart Beat, Dr. Magliato takes us into her highly demanding, physically intense, male-dominated world and shows us how she masterfully works to save patients' lives every day, while also maintaining balance at home. Heart Matters is also a wake-up call to all women about their number one killer - heart disease - and explains how to avoid becoming a victim.
Magliato offers a vivid behind-the-scenes view of what really goes on in an operating room and the real-life drama that occurs there. She shows the passion and commitment between patient and doctor, revealing that, at the end of a long day, it's our hearts that matter most.
Understand the rationale behind the answers to each question with clear, illustrated explanations from Elsevier’s trusted surgical references including Cameron’s Current Surgical Therapy.
Master the latest need-to-know information in your field with abundant new chapters and updates throughout reflecting the latest surgical techniques and practices, as well as an increased emphasis on ethics to help you prepare for this increasingly important aspect of the boards.
Living with Crohn’s & Colitis offers patient-focused, expert guidance on everything from the latest medical treatments, how to cope with a diagnosis, and tips for balancing diet with a busy lifestyle so you can form a personalized wellness plan.
Living with Crohn’s & Colitis also includes:
· Easy to understand information on the role of inflammation and the immune system on gut health
· Traditional and alternative treatment options for a broad, full-body approach to wellness
· A 3-month wellness plan adjustable to each individual’s health needs
· Over 25 delicious recipes designed for those with IBD
Learning to live with the myriad aspects of Crohn’s and ulcerative colitis treatment, including dietary restrictions and medications, can seem overwhelming. Written by a naturopathic doctor and a Crohn’s patient, Living with Crohn’s & Colitis is a thoughtful, balanced resource to help you on your journey to wellness.
From the Trade Paperback edition.
If you’re bloated and looking for relief, you’ve come to the right place. In her medical practice The Digestive Center for Women, Dr. Robynne Chutkan has helped thousands of women get back into their skinny jeans, and she can do the same for you. Understanding what’s behind your suffering is the key to deflating for good. The Bloat Cure helps you identify the root cause of your bloat, whether it’s the artificial sweeteners in your sports drink, the cough medicine you’re taking, an undetected thyroid problem, or one of the other 101 common causes.
Once you pinpoint your condition, Dr. Chutkan offers a clear plan of action to stop whatever’s triggering it, rehabilitate your system, and get your GI tract running like a well-oiled machine. Get ready for immediate relief -- and start feeling like yourself again!
From the Hardcover edition.
Effectively manage special patient populations with a focus on pediatric, geriatric, and adult patients.
Master the ins and outs of a wide range of diseases, from common to rare, through detailed discussions of each disease’s unique features.Stay at the forefront of your field with the most updated information on each coexisting condition’s definition; current pathophysiology; significant pre-, intra-, and postoperative factors of the disease process; anesthetic judgment; and management.
Keep current with changing patient populations with a new chapter on managing morbidly obese patients.
Access the information you need quickly thanks to a disease-based organization.
Overcome the toughest challenges your with the latest guidelines and evidence integrated into each chapter.
Why do my jeans fit only in the morning? Why am I always guzzling Pepto-Bismol before a big meeting? Could my PMS cramps mean something serious?
Here, finally, are the answers to these questions, and hundreds more, about the nagging stomach problems that plague so many women. In this reassuring guide, Dr. Jacqueline L. Wolf, a leading expert in the field of gastrointestinal health, explains the causes and cures for women's most common digestive ailments (including bloating, constipation, diarrhea, acid reflux, IBS) and more serious, life-altering conditions like Crohn's disease and endometriosis. This candid book deals with sensitive issues in a down-to-earth way and eradicates once and for all the secrecy and shame surrounding these urgent problems.
*Concise and portable for “on-the-spot” treatment advice
*Comprehensive overview of the initial evaluation and treatment
*Features the most frequently encountered problems in a specialty
*Includes laboratory and diagnostic tests, procedures, and commonly used medications
*Perfect for residents and students on the wards
Over 80 of the most common internal medicine problems. Thoroughly revised to reflect current practices and treatment options.
Each procedure includes indications, contraindications, preparation, technique, postprocedure management, and prevention and management of complications. Simple line drawings demonstrate relevant anatomy and procedures. Coverage also includes risk management, nursing management, and drugs and dosages. The outline format helps readers find information quickly, and the compact pocket size enables residents and practitioners to carry all the information they need with them.
ABSITE-style question format familiarizes readers with the test’s presentation and content. This edition features twice the number of questions as in the previous edition, offering even more opportunities for self-paced review. Rationales for correct and incorrect responses help to identify the test-taker’s strengths and weaknesses. This book is ideal not only for those preparing for the ABSITE, but also for surgeons and residents studying for the general surgery qualifying exam and for all surgical residents seeking to review key topics during rotations.
The AJCC Cancer Staging Atlas, 2nd Edition, is an official publication of the American Joint Committee on Cancer, the recognized international leader in state-of-the-art information on cancer staging. This Atlas has been created as a companion to the updated 7th Edition of the AJCC Cancer Staging Manual, which continues to disseminate the importance of anatomical and pathological staging in the management of cancer. This state-of-the-art, invaluable 2nd Edition includes a CD containing PowerPoint slides of all illustrations, additional color, and a user-friendly, easy-to-read layout. The AJCC Cancer Staging Atlas, 2nd Edition will serve as an indispensable reference for clinicians, registrars, students, trainees, and patients.
This is my story about how gastroparesis has entered my life and how I managed to accomplish my goals while dealing with symptom management on a daily basis. From doctors who told me it was all in my head to doctors who took the chance and gave me a new lease on life. My story includes how I found treatment, the surgeries I endured and my quality of life throughout.
My hope is that through reading this, you will understand more about gastroparesis and what can be done to achieve the best symptom management possible for you or someone you know.
Designed to be used in conjunction with medical textbooks and other study guides, Passing the General Surgery Oral Board Exam, Second Edition prepares candidates to think on their feet and answer exam questions confidently and accurately. It is an essential guide for surgical residents, fellows across the surgical subspecialties, and practicing surgeons who are board eligible.
2009 PROSE Awards (awarded by Association of American Publishers for professional and scholarly excellence)Finalist/Honorable Mention, Clinical MedicineFeatures 1200 easy-to-follow, step-by-step anatomic drawings that clearly depict the full spectrum and breadth of surgical techniques—both open and minimally invasive.
Covers hot topics such as Thyroidectomy, Parathyroidectomy, Hepaticojejunostomy, Choledochojejunostomy, Splenectomy, Hernia Repair, Exploration of Neck for Trauma, and Subclavian Artery Stab.
Provides step-by-step instructions for each procedure in a highly consistent format that makes applying techniques easy.
Highlights pearls and pitfalls at the end of each chapter so you know what to expect before entering the operating room.
Presents the detailed guidance of authorities on what you need to know about common and challenging procedures.
Now, in this accessible, comprehensive guide, one of the country’s leading
gastroenterologists, Dr. Cynthia Yoshida, provides the answers every woman needs, starting with a tour of the female GI system and the profound role sex hormones play. Brought to you by the American Gastroenterological Association, the book features the newest breakthrough medical treatments, plus advice on diet and gentle natural therapies that really work. No More Digestive Problems includes:
• Handling the effects of PMS, pregnancy, and menopause
• The surprising influence of weight on digestion—with vital information
on eating disorders
• Combating common ills from bloating, belching, and heartburn
to the runs and constipation
• Meeting the challenges of reflux (GERD), food intolerances, irritable bowel
syndrome (IBS), and inflammatory bowel disease (IBD)
• The crucial facts about women and colon cancer—and how to reduce your risk
Filled with revealing patient anecdotes, self-help tips, information on standard tests, and important questions you may want to ask your physician, here is an invaluable—and potentially lifesaving—resource for women of all ages.
From the Trade Paperback edition.
ABSITE Slayer is a rigorous, high-yield review that focuses specifically on the American Board of Surgery In-Training Examination. Designed to reduce pre-test anxiety and help you achieve the highest score possible, this powerful study aid provides a complete framework for your exam preparation and is also the most efficient last-minute review available. You will find everything you need to ace the exam in one comprehensive package--from Q&A and full-color illustrations to "make or break" tips--from expert authors who know exactly what it takes to excel.
Here's why this is the best ABSITE review:More than 300 multiple-choice questions and more than 1,000 quick-hit single answer questions Test-taking tips that may spell the difference between success and failure on the exam Numerous full-color illustrations of must-know anatomy Valuable clinical pearls Easy-to-retain concise text Logical organ-based organization, that also includes chapters on pharmacology, anesthesia, cell biology, and fluids/electrolytes/nutrition
If you are interested in learning everything there is to know about Leaky Gut Syndrome, than this is going to be the most important information you'll ever read...
Just imagine being able to improve your digestion in just 7 days (or less) without becoming frustrated or wasting your time.
And you could do this from the comfort of your own home, wouldn't that be great?
Yes you could have a healthier gut. It truly is possible, but you just need to know how.
That's what "Leaky Gut Syndrome STOP!" can help you do - Plus you can....
Detoxify Your Body And Improve Your Overall Health In Just 7 Days
Here's what you'll discover in Leaky Gut Syndrome STOP!:
- How leaky gut syndrome affects your body and overall health...
- 3 little known, yet simple ways to understand what causes leaky gut syndrome...
- Secrets from experts that few people ever know about...
- 3 proven steps to diagnosing leaky gut syndrome...
- 2 simple keys (that are right in front of your eyes) to rebalancing your digestive system...
- WARNING: 3 things you should never do when it comes to leaky gut syndrome...
- You'll discover in just a few short minutes how to use nutritional supplements to improve your health...
- 6 time tested and proven strategies to improving your leaky gut syndrome with herbs...
- When to seek professional help when it comes to treating leaky gut syndrome...
- 7 everyday but often overlooked tips and tricks for using stress management to manage your symptoms...
- A pennies on the dollar approach to seeking medical guidance for leaky gut syndrome...
- How to change your diet to eliminate leaky gut syndrome...
- The once famous but forgotten secret that instantly allows you to have an overall healthier lifestyle by curing leaky gut syndrome...
- And much more...
Each topic includes a list of all potential causes of the condition, colour coded to indicate common, occasional or rare causes. Important geographical variations are also highlighted.
Two sections cover the differential diagnosis of biochemical and haematological disorders which provide a ready check when reviewing abnormal results
The text includes a targeted guide to the relevant general and specific follow-up investigations which should be carried out as appropriate.
At the end of each topic a box highlights important learning points, or indicates symptom and signs suggestive of significant pathology which require urgent action.Eighty colour photographs of key clinical presentations have been added to assist symptom recognition.
Two new chapters on Hypotension and Photophobia.
Includes companion downloadable files
LANGE Q&A: Surgical Technology Examination, 6e delivers 1,700 Q&As covering topics found on the national certification examination. The book includes detailed answer explanations and covers all major areas of surgical technology curriculum. The Sixth Edition has been updated to cover the latest surgical techniques, instruments and procedures.
FeaturesCompanion files enable you to customize your exams and keep track of your scores Organized into six core sections: Fundamental Knowledge, Infection Control, Concepts of Patient Care, Preoperative Preparation, Intraoperative and Postoperative Procedures, and Technology in the Operating Room NEW chapters on robotics and endoscopic surgery Update your surgical know-how with the latest information on specific procedures such as orthopedics, plastic surgery, and emergency procedures NEW instrument chapter with more than 60 photos Great for use during coursework and for intensive exam preparation
The Complete Low-FODMAP Diet (cowritten by Sue Shepherd) introduced this revolutionary treatment, which is rapidly becoming the first-line recommendation by doctors and dietitians worldwide. FODMAP is an acronym that stands for a group of difficult-to-digest carbohydrates found in foods such as wheat, milk, beans, soy, and some fruits, vegetables, nuts, and sweeteners. More than three quarters of adults with IBS who reduce their intake of these foods gain relief.
Now, this follow-up cookbook brings you 150 simple, delicious, and brand-new recipes that are full of flavor but low in FODMAPs. The mix includes:breakfasts to start the day off right (Blueberry Pancakes; Banana-Chocolate Chip Muffins)starters and sides for every occasion (Spring Rolls; Chicken, Bacon, and Pesto Mini Pizzas; Stuffed Roasted Bell Peppers)soups and salads full of flavor (Vietnamese Beef Noodle Salad; Creamy Seafood Soup)entrées that make you feel good (Chicken and Vegetable Curry; Speedy Spaghetti Bolognese; Beef Satay Stir-Fry with Peanut Sauce)desserts that satisfy (Flourless Chocolate Cake; Almond Cookies; Baked Blueberry Cheesecakes).The low-FODMAP diet puts an end to suffering in silence, fearing the possible consequences of every meal, or confining yourself to a handful of bland, “safe” foods. The only thing missing from this comprehensive collection is the FODMAPs—and you’d never know it!
Make optimal use of genetic testing to assess your patients’ risk of metabolic liver disease and to personalize treatment regimens for chronic hepatitis C.Offer your liver transplantation patients the best prognosis and follow-up with the latest information on outcomes and the management of complications.
Use blood test panels and noninvasive imaging techniques to evaluate the degree of liver fibrosis.
Make informed treatment decisions with the latest clinical trial results for portal hypertension, autoimmune liver diseases, acute liver failure, and hepatic infections.
Search the complete text online, download all the images, and test your knowledge with 200 board-style review questions at www.expertconsult.com.
Completely updated, this comprehensive medical resource offers a practical, problem-based approach to the subject of clinical gastroenterology.
Containing specialist content from Australian and international contributors, Clinical Gastroenterology, 3rd Edition focuses on both common and uncommon gastroenterological problems as they present in clinical practice.
Building on the previous two editions, Clinical Gastroenterology features decision trees to assist clinicians in assessing patients and the treating digestive disorders.
This latest edition also includes clear medical illustrations suitable for patient education, along with summary tables highlighting key points to guide General Practitioners, gastroenterology specialist trainees and medical studentsNew to this edition
• each chapter commences with a case study and contains key point summaries at the end
• new chapters on inflammatory bowel disease; obesity and anti-obesity surgery; principles of anaesthesia for endoscopy and preparing patients for endoscopy; complications of endoscopy; liver transplant and end-stage liver disease
• expanded sections on pancreatic masses and cysts, and radiological evaluation including the place of cross-sectional imaging
• gastroenterological case studies and key point summaries in each chapter
• new chapters on gastroenterological and hepatological medical conditions, including inflammatory bowel disease, obesity and anti-obesity surgery, principles of anaesthesia for endoscopy and preparing patients for endoscopy, complications of endoscopy, liver transplant and end-stage liver disease
• an expanded section on pancreatic cysts and masses
• an expanded section on radiological evaluation including the place of cross-sectional imaging
General surgery continues to evolve. Procedures are added and many operations are done through new minimal access approaches. However, as a surgeon may be called upon to perform an operation that has become rare, Chassin’s unique “legacy” material has been retained for reference. In addition, 17 new chapters have been added, including 4 new chapters on colorectal surgery. Over 1100 elegant illustrations and new radiographs accompany detailed textual explanations. More than ever, Chassin’s Operative Strategy in General Surgery: An Expositive Atlas, Fourth Edition is an indispensable reference for all surgical residents and practicing surgeons.
Discusses the hottest topics in thoracic surgery, including lung-volume reduction surgery, video-assisted thoracoscopic surgery, and laparoscopic approaches to many procedures.
Presents more than 200 full-color illustrations and step-by-step intraoperative photographs for expert visual guidance.
Discusses pearls and pitfalls to help you avoid complications.
Uses a consistent, easy-to-follow chapter format that includes clinical anatomy, pre-operative considerations, operative steps, and post-operative care to make reference easy.
Visually master a wide range of operative techniques, with authoritative guidance
Know what to do and expectwith comprehensive coverage of almost every procedure you might need to perform.
Find answers fastthanks to a consistent and logical chapter structure. (Indications, Surgical Anatomy, Preoperative Considerations, Operative Steps, Postoperative Considerations, Pearls & Pitfalls, and References)
Review key techniquesprior to performing surgery. Clinical images capture key moments in procedures including: surgical repair of a suprarenal aortic aneurysm; surgical repair of thoracoabdominal aortic aneurysm; endovascular treatment of aneurysms of the juxtarenal and pararenal aorta; surgical exposure and harvest of the femoropopliteal vein; and endovascular treatment of aortic arch vessels, subclavian and axillary artery.
Visualize every procedurethanks to more than 1,000 full-color illustrations; including procedural photos and beautifully illustrated drawings that highlight the relevant anatomy and techniques in specific treatments.
Prevent and plan for complications prior to a procedurethanks to a step-by-step approach to each procedure accompanied by relevant imaging studies.
Glean all essential, up-to-date, need-to-know information abouthot topics including: management of peripheral arterial disease; aortic aneurysms/aortic dissection; lower extremities/critical limb ischemia; and infra-inguinal occlusive disease.
The chapters have a uniform reader-friendly format starting with ‘key points’ to allow rapid reference to the information included in the chapter. Illustrated with photos and line drawings, each chapter contains sections on: Surgical indications, Instrumentation and equipment, Surgical technique, Complications and future challenges.
Those who will benefit greatly from this excellent book include ophthalmic surgeons with widely varying levels of experience, from the resident to the experienced surgeon.
Make the most of new antibioticsto improve control of surgical infection, learn to use new antifungal agents, and implement innovative therapies to combat both methicillin- and oxacillin-resistant organisms.
Benefit from tremendous recent advancesin the field (often as a result of experience gained by military and civilian surgeons), including the development of damage control.
general principles of aortic diseases
neurologic protection strategies
options for aortic repair
surgical treatment of specific problems
Abundant illustrations demonstrate significant imaging study findings and depict key techniques and strategies.
With its detailed descriptions and thorough explanations of a wide variety of approaches to imaging, brain protection and monitoring, and aortic reconstruction, Aortic Arch Surgery: Principles, Strategies and Outcomes gives practicing and prospective thoracic and cardiovascular surgeons access to the full armamentarium of management options. Anesthesiologists, perfusionists, neurologists, radiologists, and others who have a special interest in treating patients with thoracic aortic disease will also find this book an invaluable source of dependable information.
Surgical Innovations in Glaucoma is the only book of its kind written by the top experts in the field, from inventors, clinical trial investigators, and top specialists experienced with the new devices. Written for general ophthalmologists who perform glaucoma surgery, the text walks the reader through the what, where, when, and how of the new glaucoma surgical tools, and includes supplementary online how-to videos for those interested in seeing the latest glaucoma procedures performed with these devices.
'A comprehensive and attractively presented 4-colour textbook of surgery aimed primarily at medical students but also of use to junior doctors and surgical technicians. The book has two key features: firstly, it provides students with coverage of every aspect of surgery; secondly, it has been designed and written to be the 'surgical companion' to Kumar & Clark's Clinical Medicine. This new edition will also offer an online version to all purchasers of the book - the first surgical textbook in the UK to make an electronic version available.'A comprehensive account of surgery - students only need to buy one textCovers general issues such as wound healing and pain control in the first section. By grouping these issues into one section at the beginning, students are immediately given an overview of what makes surgery differentA regional approach is adopted for the largest section - section 2 - this reflects the way in which surgeons talk about surgery to each otherThe third section covers surgical specialities - paediatrics, endocrinology, urology - and also includes specialities such as ophthalmology, ENT and orthopaedics. These are often omitted from competing books to save spaceThe logical arrangement of the three sections makes the book easy to use and refer to in clinical practiceThe arrangement of contents is straightforward and easily understoodText boxes are used throughout to highlight and isolate important informationIncludes over 350 four-colour images and line drawings original to this book and greatly praised by studentsAlso includes over 100 black and white and approximately 50 full-colour clinical photographs, X-rays and scansDesigned to complement Kumar and Clark's highly successful Clinical Medicine textbook so that students can have 'matching' texts in these complementary areasWritten by an expert team of contributors Your purchase of this book entitles you to online access to the text at no extra charge. This innovative web site offers you... Access to the complete text and illustrations of this book. Integration links to bonus content in other Elsevier online titles. Content clipping for your handheld. An interactive community center with a wealth of additional resources. The more Elsevier titles you buy, the more resources you can access online! New edition of a prize-winning textbook.
Completely revised throughout to reflect recent changes in surgical practice.
New chapter on bariatric surgery for the treatment of morbidly obese patients.
Covers the increasing use of minimally invasive surgical techniques, including robotic surgery.
Emphasises the increasing impact of multimodality therapy, in particular for the treatment of cancer.
Covers improvements in imaging technology and impact on surgical decision making.