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.
Each chapter focuses on a specific case, opening with a detailed description of the patient’s diagnosis and the procedure that will need to be performed, followed by the prayer “request.” From there, readers get to look over Dr. Levy’s shoulder as he performs the operation, and then we wait—right alongside Dr. Levy, the patients, and their families—to see the final results.
Dr. Levy’s musings on what successful and unsuccessful surgical results imply about God, faith, and the power of prayer are honest and insightful. As we watch him come to his ultimate conclusion that no matter what the results of the procedure are, “God is good,” we cannot help but be truly moved and inspired.
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.
His unique form and variety of style made the Ohio-born Purdy impossible to categorize in standard terms, though his unique, mercurial talent garnered him a following of loyal readers and made him—in the words of Susan Sontag—“one of the half dozen or so living American writers worth taking seriously." Purdy’s journey to recognition came with as much outrage and condemnation as it did lavish praise and lasting admiration. Some early assessments even dismissed his work as that of a disturbed mind, while others acclaimed the very same work as healing and transformative. Purdy's fiction was considered so uniquely unsettling that his first book, Don't Call Me by My Right Name, a collection of short stories all reprinted in this edition, had to be printed privately in the United States in 1956, after first being published in England.
Best known for his novels Malcolm, Cabot Wright Begins, Jeremy's Version, and Eustace Chisholm and the Works, Purdy captured an America that was at once highly realistic and deeply symbolic, a landscape filled with social outcasts living in crisis and longing for love, characterized by his dark sense of humor and unflinching eye. Love, disillusionment, the collapse of the family, ecstatic longing, sharp inner pain, and shocking eruptions of violence pervade the lives of his characters in stories that anticipate both "David Lynch and Desperate Housewives" (Guardian). In "Color of Darkness," for example, a lonely child attempts to swallow his father's wedding ring; in "Eventide," the anguish of two sisters over the loss of their sons is deeply felt in the summer heat; and in the gothic horror of "Mr. Evening," a young man is hypnotized and imprisoned by a predatory old woman. These stories and many others, both haunting and hilarious, form a canvas of deep desperation and immanent sympathy, as Purdy narrates "the inexorable progress toward disaster in such a way that it's as satisfying and somehow life-affirming as progress toward a happy ending" (Jonathan Franzen).
It may have taken over fifty years, but American culture is finally in sync with James Purdy. As John Waters writes in his introduction, Purdy, far from the fringe, has "been dead center in the black little hearts of provocateur-hungry readers like myself right from the beginning."With poignant insight and humor, Frank Vertosick Jr., MD, describes some of the greatest challenges of his career, including a six-week-old infant with a tumor in her brain, a young man struck down in his prime by paraplegia, and a minister with a .22-caliber bullet lodged in his skull. Told through intimate portraits of Vertosick’s patients and unsparing yet fascinatingly detailed descriptions of surgical procedures, When the Air Hits Your Brain—the culmination of decades spent struggling to learn an unforgiving craft—illuminates both the mysteries of the mind and the realities of the operating room.
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."
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.
For more than two decades, readers faced with a diagnosis of breast cancer have relied on Dr. Susan Love's Breast Book to guide them through the frightening thicket of research and opinion to find the best options for their particular situations. This sixth edition explains advances in targeted treatments, hormonal therapies, safer chemotherapy, and immunologic approaches as well as new forms of surgery and radiation. There is extensive guidance for the many women now living for years with metastatic breast cancer. With Dr. Love's warm support, readers can sort the facts from the fads, ask the right questions, and recognize when a second opinion might be wise.
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.
*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.
A masterful synchronization of history and cutting-edge science shines new light on humanity's darkest diagnosis.
In the wake of the Cancer Genome Atlas project's failure to provide a legible roadmap to a cure for cancer, science writer Travis Christofferson illuminates a promising blend of old and new perspectives on the disease. Tripping over the Truth follows the story of cancer’s proposed metabolic origin from the vaunted halls of the German scientific golden age to modern laboratories around the world. The reader is taken on a journey through time and science that results in an unlikely connecting of the dots with profound therapeutic implications.
Transporting us on a rich narrative of humanity’s struggle to understand the cellular events that conspire to form malignancy, Tripping over the Truth reads like a detective novel, full of twists and cover-ups, blind-alleys and striking moments of discovery by men and women with uncommon vision, grit, and fortitude. Ultimately, Christofferson arrives at a conclusion that challenges everything we thought we knew about the disease, suggesting the reason for the failed war against cancer stems from a flawed paradigm that categorizes cancer as an exclusively genetic disease.
For anyone affected by this terrifying disease and the physicians who struggle to treat it, this book provides a fresh and hopeful perspective. It explores the new and exciting non-toxic therapies born from the emerging metabolic theory of cancer. These therapies may one day prove to be a turning point in the struggle against our ancient enemy. We are shown how the metabolic theory redraws the battle map, directing researchers to approach cancer treatment from a different angle, framing it more like a gentle rehabilitation rather than all-out combat. In a sharp departure from the current “targeted” revolution occurring in cancer pharmaceuticals, the metabolic therapies highlighted have one striking feature that sets them apart—the potential to treat all types of cancer because they exploit the one weakness that is common to every cancer cell: dysfunctional metabolism.
With contributions from Thomas Seyfried, PhD, author of Cancer as a Metabolic Disease; Miriam Kalamian, EdM, MS, CNS, author of Keto for Cancer; and Beth Zupec Kania, consultant nutritionist of The Charlie Foundation.
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.
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
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.
• Comprehensive guide to neurology and neurosurgery for medical students and junior doctors – competing books do not cover both areas.
• Graphic approach to the subject – concise text is arranged around clear and memorable line diagrams. Readers find this approach accessible and easy to learn form.
• Clarifies a subject area which students tend to find difficult and forbidding.
Updated and revised in all areas where there have been developments in understanding of neurological disease and in neurological and neurosurgical management. This revision has also incorporated current guidelines, particularly recommendations from National Institute for Health and Clinical Excellence (NICE).
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.
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
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.
In telling these stories, Lippe and Le alternate chapters. Lippe writes about the early signs that something was wrong; Le continues with a description of pancreatic cancer, its symptoms, and its treatments. Lippe talks about his prognosis, contemplates the prospect of death, and describes how he began to cope; Le explains the importance, for both doctor and patient, of balancing hope and truth. Lippe speaks frankly about the toll the disease takes on his marriage and family; Le offers a general picture of what most patients can expect with their illness. The book concludes with Lippe and Le’s reflections on their partnership in treating cancer, lessons they have learned, and their thoughts about the positive things that sometimes emerge from illness.
Pancreatic Cancer offers clear explanations of what the disease is, describes what people with the disease will feel physically and mentally, and discusses current treatments and future directions of research. The authors hope that their honest yet hopeful perspective will help all people with cancer and those who care about them.
Hone your surgical skills and technique with intraoperative videos and more than 800 outstanding illustrations demonstrating each technique step by step.Grasp and apply the latest knowledge from more than 25 brand-new chapters, as well as extensive revisions or total rewrites to the majority of existing chapters to present all of the most up-to-date information available on every aspect of spine surgery including motion preservation technologies, endovascular management, back pain and psychosocial interactions, biomechanics, and more.
Consult with the best. Renowned neurosurgery authority Edward C. Benzel leads an international team of accomplished neurosurgeons and orthopedic surgeons - many new to this edition - who provide dependable guidance and share innovative approaches to surgical techniques and complications management.
Equip yourself to address increasing occurrences of pain among aging and physically active patients.
Access the information you need, where you need it on your laptop or mobile device via expertconsult.com, with fully searchable text, a wealth of procedural videos, online updates from the experts, downloadable image gallery and links to PubMed.
50 Critical Cancer Answers provides the essential information a person needs to create a personal action plan to deal with cancer effectively. Each of the 50 short, easy-to-digest chapters includes a concise explanation of the most effective and sought after cancer treatment in the realms of traditional medicine, natural medicine, emotional support and spiritual care. A succinct commentary is provided to help the reader understand potential benefits, and if it is a realistic treatment option or not. Each chapter includes:
- An interview with an expert in the field of the chapter's topic
- A "smartphone scannable" QR code linking the reader to You Tube video containing author commentary on the relevant topic
- 5 tips from cancer survivors--all 50 cancer survivors have received treatment from the authors' Oasis of Hope cancer centers.
Don't let a cancer diagnosis define your circumstances. Instead, develop a plan to identify, attack, and beat cancer.
Gather step-by-step techniques for assessing and implementing radiotherapeutic options with this comprehensive, full-color, clinically oriented text.
Review the basic principles behind the selection and application of radiation as a treatment modality, including radiobiology, radiation physics, immobilization and simulation, high dose rate, and more.Use new imaging techniques to anatomically locate tumors before and during treatment.
Apply multidisciplinary treatments with advice from experts in medical, surgical, and radiation oncology.
Explore new treatment options such as proton therapy, which can facilitate precise tumor-targeting and reduce damage to healthy tissue and organs.
Stay on the edge of technology with new chapters on IGRT, DNA damage and repair, and molecularly targeted therapies.
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