Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human.
Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives.
At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor.
Complications is a 2002 National Book Award Finalist for Nonfiction.
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.
The information you need to care for your athletes on and off the field. The Sports Medicine Field Manual is a downloadable resource, developed in partnership with the American Academy of Orthopaedic Surgeons (AAOS), the National Athletic Trainers’ Association (NATA), the American Medical Society for Sports Medicine (AMSSM), and the American Orthopaedic Society for Sports Medicine (AOSSM). Each section was written by a collaborative team of experts, including orthopaedic surgeons, athletic trainers and primary care physicians with experience in caring for athletes at all levels.
The Sports Medicine Field Manual is a reference for on-site evaluation and management of athletic injuries and conditions, as well as education beyond the point of care.
Based on current peer-reviewed evidence and standards of practice, it offers safe, accurate and proven information on more than 50 topics, including:
• Preparticipation evaluation
• On-site preparation, including staff and equipment needs
• Initial assessment and physical examination
• Evaluation and logistics
• Diagnostic testing and treatment
• Risk management and medical considerations
• Return to play
• Injuries by anatomical area or specific condition
Simple to search, plus bulleted text for quick reading, visuals to help promote understanding, and text and graphics which enlarge for easy reading.
Be ready for anything – with practical and reliable medical information to best manage the injuries and health issues of your athletes where and when you need it. Download the Sports Medicine Field Manual today.
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.
Osteologists, archaeologists, anatomists, forensic scientists and paleontologists will all find practical information on accurately identifying, recovering, and analyzing and reporting on human skeletal remains and on making correct deductions from those remains.From the world renowned and bestselling team of osteologist Tim D. White, Michael T. Black and photographer Pieter A. FolkensIncludes hundreds of exceptional photographs in exquisite detail showing the maximum amount of anatomical informationFeatures updated and expanded coverage including forensic damage to bone and updated case study examplesPresents life sized images of skeletal parts for ease of study and reference
Effectively implement the newest techniques detailed in new and updated chapters on a variety of sports-specific and other acquired injuries, and chronic disorders.
Keep up with the latest advances in arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management
See conditions and treatments as they appear in practice thanks to detailed, full-color design, illustrations, and photographs.
Access the full contents online with streaming video of surgical and rehabilitation techniques, downloadable patient handouts, links to Pub Med, and regular updates at www.expertconsult.com.
Get a fresh perspective from seven new section editors, as well as an even more geographically diverse set of contributors.
Perform each procedure flawlessly by following nearly 500 step-by-step illustrations and concise accompanying instructions.
Get all the guidance you need with complete sections on Orthopaedic Analgesia, Reduction Maneuvers, Splints and Casts, and Traction Maneuvers.
Easily review and visualize important facts with more than 1,000 high-quality pictures, charts, lists, boxes, tables, differential diagnoses and suggested readings.
Get all you need for daily reference with a concise, yet comprehensive format. Interpret the findings generated from each high-tech imaging modality used to study the brain, spine, head, and neck, including diffusion weighted imaging, perfusion weighted imaging, CT angiography, MR angiography, and MR spectroscopy.
Carry and consult this resource easily with its new, more compact book size.
This edition includes new and updated information on aspiration of the joints, fracture reduction, traumatic lacerations, and multiple trauma.
The second edition of the classic text has been revised and extended to meet the needs of today’s practising and training MRI technologists who intend to sit for the American Registry of Magnetic Resonance Imaging Technologists (ARMRIT) examination. It provides Q&As on topics listed in the content specifications offered by the American Registry for Radiologic Technologists (AART) and offers the user with a comprehensive review of the principles and applications of MRI to prepare them for the examination.
This atlas will serve as a valuable resource to orthopedic surgeons, neurosurgeons, and surgical trainees as well as physician assistants, surgical nurses, and all those involved in the operative care of patients undergoing spine surgery.
Image-Guided Interventions, a title in the Expert Radiology Series, brings you in-depth and advanced guidance on all of today’s imaging and procedural techniques. Whether you are a seasoned interventionalist or trainee, this single-volume medical reference book offers the up-to-the-minute therapeutic methods necessary to help you formulate the best treatment strategies for your patients. The combined knowledge of radiology experts from around the globe provides a broad range of treatment options and perspectives, equipping you to avoid complications and put today's best approaches to work in your practice.
"... the authors and editors have succeeded in providing a book that is both useful, instructive and practical" Reviewed by RAD Magazine, March 2015Formulate the best treatment plans for your patients with step-by-step instructions on important therapeutic radiology techniques, as well as discussions on equipment, contrast agents, pharmacologic agents, antiplatelet agents, and protocols.Make effective clinical decisions with the help of detailed protocols, classic signs, algorithms, and SIR guidelines.Make optimal use of the latest interventional radiology techniques with new chapters covering ablation involving microwave and irreversible electroporation; aortic endografts with fenestrated grafts and branch fenestrations; thoracic endografting (TEVAR); catheter-based cancer therapies involving drug-eluting beads; sacroiliac joint injections; bipedal lymphangiography; pediatric gastrostomy and gastrojejunostomy; and peripartum hemorrhage. Know what to look for and how to proceed with the aid of over 2,650 state-of-the-art images demonstrating interventional procedures, in addition to full-color illustrations emphasizing key anatomical structures and landmarks. Quickly reference the information you need through a functional organization highlighting indications and contraindications for interventional procedures, as well as tables listing the materials and instruments required for each. Access the fully searchable contents, online-only material, and all of the images online at Expert Consult.
This second book offers a unique quiz that will help you to classify your injury into one of four types. In this way, you will learn how to cure your pain, not someone else’s. Then the advice flows thick and fast. You will learn clever techniques that will help you to use your spine more efficiently, and discover how to think, eat, relax, and sleep away your pain. You’ll also find useful information on exercises, x-rays, medication and muscles, plus some tips on how to choose a spinal health practitioner. Of course, all of the advice will be tailored to your specific problem.
Because the cure uses well-proven techniques, your relief won’t just last a few days or weeks. You will feel better forever.
Quickly grasp the radiology fundamentals you need to know—including basic science, image interpretation, and terminology—with the popular "programmed learning" approach, which promotes fast learning and reference.
Discern the nuances between modalitiesby comparing CT and MR images as well as traditional radiographs. View detailed clinical images covering all the image types you'll see on the boards including digital quality radiographs and an introduction of PET imaging, plus more advanced imaging such as CT and MRI than ever before.
Test your skills and simulate the exam experiencewith updated content aligned with the new MCQ-format Board exam for easy preparation and review.
Benefit the from more robust interactive offeringsin an e-book format.
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."
The truth is that if you’ve never felt any kind of shoulder pain whatsoever, the chances are good that as you grow older, you will. Our bodies tend to lose muscle and bone mass as we age, and we become more susceptible to the aches and pains that may result.
But neither the weakness nor the pain is inevitable. The shoulder can be fixed, and the pain can go away. First, there’s a fix that cures the weakness and ends the pain. But there are also things you can do to prevent injury or strain in the first place, so that you never have to lose the strength, stability, and range of motion of the shoulder at all. Fix My Shoulder explores the anatomy and function of the shoulder, methods of preventing pain and injury, and treatments for healing that anyone can implement for better shoulder health and function.
Second Edition is Fully Revised and Updated
The second edition is revamped with the latest research and containing over 90 images of exercises demonstrated by professional trainers.
It provides the basis for Dr. Lau's program: Part 1 highlights current medical knowledge on Scoliosis, Part 2 outlines an in-depth nutritional program, and Part 3 teaches corrective exercises.In this book you will: - Uncover the most recent research on the true causes of scoliosis - Discover how bracing and surgery treat merely the symptom not the root cause of scoliosis - Find out what latest treatment work, what doesn't and why - The most common symptoms scoliosis sufferers have - How a quick scoliosis assessment of a teenager can help with their quality of life in later years - Discover how lack of proper nutrition creates illness in our bodies and affects the normal growth of the spine In-depth understanding of how muscles and ligaments work on the common types of scoliosis - Customize an exercise routine unique to your scoliosis to suit even the busiest schedule - What are the most effective exercises for scoliosis and what should be avoided at all cost - Tips and tricks to modify your posture and body mechanics to decrease scolisosis back pain - The best sitting, standing and sleeping postures for scoliosis - Learn from others with scoliosis in inspirational stories and case studies
With painstaking research and years of practice, Dr. Lau separates fact from fiction. In this book, he busts popular myths, one by one, and explores what approach works, what alternatives a scoliosis patient has and how it is possible to create a comprehensive plan to achieve peak physical and spinal health.
Inspired by the extraordinary resilience of the Aboriginal groups of Australia and native African tribes that rarely suffer from scoliosis, Dr. Lau prescribes an easy-to-follow, clinically proven program that harks back to what our bodies were originally designed for and need to survive on. This book will set you on the path to total recovery by simply following the three-step process.
“Modern medicine, alone, has failed to effectively manage the condition of Scoliosis,” said Dr. Lau. “The treatment program I designed combines ancient wisdom with modern research and technology, culminating in the best overall results. Today, as a practicing chiropractor and nutritionist, I am more certain than ever that scoliosis, and other disorders, can be prevented and treated effectively.”Who is the Health in Your Hands Program for?
The book is easy to read for anyone even without medical knowledge to understand but is in-depth enough and fully referenced for fitness & rehabilitation professionals. Medical professional that have purchased the book include Chiropractors, Personal Trainers, Yoga instructors, Osteopaths, Medical Doctors and Occupational Therapist.Testimonials
"I strongly recommend Dr. Lau's natural program as an effective and better alternative to conventional bracing and surgery. I am very impressed with the results! I think that every spinal specialist will find the information contained in this book useful." - Dr. Alan Kwan, D.O. Medical Director "The results were beyond my expectation with my scoliosis corrected. Even better, I avoided surgery! - Lucy Koh
The companion Scoliosis Exercises for Prevention and Treatment DVD is used to guide patients in properly performing the exercises detailed in the book. With ScolioTrack, patients use their iPhones as a tool to measure the curves in their spines and monitor their own progress.
For more information visit: www.hiyh.info
This third edition is thoroughly revised and expanded with new chapters in different fields. Topics covered address automotive, aviation, military and other environments. Field data collection; injury coding/scaling; injury epidemiology; mechanisms of injury; human tolerance to injury; simulations using experimental, complex computational models (finite element modeling) and statistical processes; anthropomorphic test device design, development and validation for crashworthiness applications in topics cited above; and current regulations are covered. Risk functions and injury criteria for various body regions are included. Adult and pediatric populations are addressed. The exhaustive list of references in many areas along with the latest developments is valuable to all those involved or intend to pursue this important topic on human injury biomechanics and prevention.
The expanded edition will interest a variety of scholars and professionals including physicians, biomedical researchers in many disciplines, basic scientists, attorneys and jurists involved in accidental injury cases and governmental bodies. It is hoped that this book will foster multidisciplinary collaborations by medical and engineering researchers and academicians and practicing physicians for injury assessment and prevention and stimulate more applied research, education and training in the field of accidental-injury causation and prevention.
Reference key information quickly and easily thanks to a consistent, user-friendly format and a unique two-part organization (radiologic approaches to specific joints and full description of the individual common arthritides) that facilitates finding the exact information you need for any joint in the body.Improve the accuracy of your diagnoses by interpreting radiographs and comparing them with correlating MRI images.
Benefit from the latest advancements and techniques found in completely revised and rewritten chapters.
Understand the nuances and subtleties of how arthritides present through over 350 high-quality digital images.
The Handbook of MRI Technique has proved highly successful in guiding the uninitiated through scanning techniques and helping more experienced technologists to improve image quality. The third edition of this highly successful book has been fully revised and updated to consider new technologies and developments essential to good practice.
The book is split into two parts. Part 1 considers the main aspects of theory that relate to scanning and also includes practical tips on gating, equipment use, patient care and safety, and information on contrast media. Part 2 provides step by step instruction for examining each anatomical area, beginning with a basic anatomy section, followed by sections on indications, patient positioning, equipment, artefacts and tips on optimizing image quality. A section of problem-solving exercises completes the book.
Now in full color throughout with over 200 illustrations this book will continue to appeal to radiographers new to MRI and regular users who are looking for information on alternative techniques and suggestions on protocol modifications.
Completely revised and updated
Over 100 brand new photographs and line drawings
Written by technologists for technologists
With contributions from MRI technologists in the USA and Australia
Suitable for users of all types of MRI systems
Key Features:An easy-to-read, bullet-style format that provides readable but not overwhelming content Surgical Pearls that tap into the experiences of surgeons who have mastered that procedure Common Clinical Questions (with answers) at the end of each chapter that highlight topics frequently encountered in the operating room and on board exams Superb visual examples that illuminate the procedures described Helpful appendices that cover positioning, spinal orthoses, and scales and outcome measures A first-of-its-kind, this handbook is designed to be the go-to guide for those conducting and involved in surgical spine treatment.
Imaging Informatics Professionals (IIPs) have come to play an indispensable role in modern medicine, and the scope of this profession has grown far beyond the boundaries of the PACS. A successful IIP must not only understand the PACS itself, but also have knowledge of clinical workflow, a base in several medical specialties, and a solid IT capability regarding software interactions and networking. With the introduction of a certification test for the IIP position, a single source was needed to explain the fundamentals of imaging informatics and to demonstrate how those fundamentals are applied in everyday practice. Practical Imaging Informatics describes the foundations of information technology and clinical image management, details typical daily operations, and discusses rarer complications and issues.
Access the fully searchable text at www.expertconsult.com, along with over 100 cases, 1500 corresponding images, and videos.
A tabular formatprovides quick access to test reliability and diagnostic utility, study quality, anatomy and biomechanics, and summary recommendations for applying evidence in practice.
Quality ratings for 269 studies, investigating a tests reliability using the 11-item Quality Appraisal of Diagnostic Reliability Checklist.
Evidence-based approachhelps you focus on the effectiveness of the clinical tests available and review recent studies quickly to determine which test will best predict a specific diagnosis. 84 new studies, 34 new photos and 25 new videos on Student Consult.
QAREL(Quality Appraisal for Reliability Studies) checklists included for each reliability study.