In Being Mortal, bestselling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending
Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering.
Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified.
Full of eye-opening research and riveting storytelling, Being Mortal asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end.
Nik recalls that, "God had always been so real to me, to Ruth, and to our boys. But was He enough, for the utter weariness of soul I experienced at that time, in that place, under those circumstances?" It is a question that many have asked and one that, if answered, can lead us to a whole new world of faith.
How does faith survive, let alone flourish in a place like the Middle East? How can Good truly overcome such evil? How do you maintain hope when all is darkness around you? How can we say "greater is He that is in me than he that is in the world" when it may not be visibly true in that place at that time? How does anyone live an abundant, victorious Christian life in our world's toughest places? Can Christianity even work outside of Western, dressed-up, ordered nations? If so, how?
The Insanity of God tells a story - a remarkable and unique story to be sure, yet at heart a very human story - of the Ripkens' own spiritual and emotional odyssey. The gripping, narrative account of a personal pilgrimage into some of the toughest places on earth, combined with sobering and insightful stories of the remarkable people of faith Nik and Ruth encountered on their journeys, will serve as a powerful course of revelation, growth, and challenge for anyone who wants to know whether God truly is enough.
NAMED ONE OF THE BEST BOOKS OF THE YEAR BY
NPR • The Wall Street Journal • Bloomberg Business • Bookish
FINALIST FOR THE BOOKS FOR A BETTER LIFE FIRST BOOK AWARD • NEW YORK TIMES BESTSELLER
You’ve never read a book like The Reason I Jump. Written by Naoki Higashida, a very smart, very self-aware, and very charming thirteen-year-old boy with autism, it is a one-of-a-kind memoir that demonstrates how an autistic mind thinks, feels, perceives, and responds in ways few of us can imagine. Parents and family members who never thought they could get inside the head of their autistic loved one at last have a way to break through to the curious, subtle, and complex life within.
Using an alphabet grid to painstakingly construct words, sentences, and thoughts that he is unable to speak out loud, Naoki answers even the most delicate questions that people want to know. Questions such as: “Why do people with autism talk so loudly and weirdly?” “Why do you line up your toy cars and blocks?” “Why don’t you make eye contact when you’re talking?” and “What’s the reason you jump?” (Naoki’s answer: “When I’m jumping, it’s as if my feelings are going upward to the sky.”) With disarming honesty and a generous heart, Naoki shares his unique point of view on not only autism but life itself. His insights—into the mystery of words, the wonders of laughter, and the elusiveness of memory—are so startling, so strange, and so powerful that you will never look at the world the same way again.
In his introduction, bestselling novelist David Mitchell writes that Naoki’s words allowed him to feel, for the first time, as if his own autistic child was explaining what was happening in his mind. “It is no exaggeration to say that The Reason I Jump allowed me to round a corner in our relationship.” This translation was a labor of love by David and his wife, KA Yoshida, so they’d be able to share that feeling with friends, the wider autism community, and beyond. Naoki’s book, in its beauty, truthfulness, and simplicity, is a gift to be shared.
Praise for The Reason I Jump
“This is an intimate book, one that brings readers right into an autistic mind.”—Chicago Tribune (Editor’s Choice)
“Amazing times a million.”—Whoopi Goldberg, People
“The Reason I Jump is a Rosetta stone. . . . This book takes about ninety minutes to read, and it will stretch your vision of what it is to be human.”—Andrew Solomon, The Times (U.K.)
“Extraordinary, moving, and jeweled with epiphanies.”—The Boston Globe
“Small but profound . . . [Higashida’s] startling, moving insights offer a rare look inside the autistic mind.”—Parade
From the Hardcover edition.
This funny, candid memoir of McCarthy’s intern year at a New York hospital provides a scorchingly frank look at how doctors are made, taking readers into patients’ rooms and doctors’ conferences to witness a physician's journey from ineptitude to competence. McCarthy's one stroke of luck paired him with a brilliant second-year adviser he called “Baio” (owing to his resemblance to the Charles in Charge star), who proved to be a remarkable teacher with a wicked sense of humor. McCarthy would learn even more from the people he cared for, including a man named Benny, who was living in the hospital for months at a time awaiting a heart transplant. But no teacher could help McCarthy when an accident put his own health at risk, and showed him all too painfully the thin line between doctor and patient.
The Real Doctor Will See You Shortly offers a window on to hospital life that dispenses with sanctimony and self-seriousness while emphasizing the black-comic paradox of becoming a doctor: How do you learn to save lives in a job where there is no practice?
From the Hardcover edition.
Nursing diagnoses are seen as key to the future of evidence-based, professionally-led nursing care – and to more effectively meeting the need of patients. In an era of increasing electronic patient health records, standardized nursing terminologies such as NANDA-I, NIC and NOC provide a means of collecting nursing data that are systematically analysed within and across healthcare organizations and provide essential data for cost/benefit analysis and clinical audit.
Nursing Diagnoses: Definitions and Classification is the definitive guide to nursing diagnoses, as reviewed and approved by NANDA-I. Each nursing diagnosis undergoes a rigorous assessment process by NANDA-I's Diagnosis Development Committee, with stringent criteria used to indicate the strength of the underlying level of evidence.
Each diagnosis comprises a label or name for the diagnosis, a definition, defining characteristics, risk factors and/or related factors. Many diagnoses are further qualified by terms such as risk for, effective, ineffective, impaired, imbalanced, self-care deficit, readiness for, disturbed, decreased, etc.
The 2012-2014 edition is arranged by concept according to Taxonomy II domains, i.e. Health promotion, Nutrition, Elimination and exchange, Activity/Rest, Perception/Cognition, Self-perception, Role relationships, Sexuality, Coping/ Stress tolerance, Life principles, Safety/protection, Comfort, and Growth/development.
The 2012-2014 edition contains revised chapters on NANDA-I taxonomy, and slotting of diagnoses into NANDA & NNN taxonomies, diagnostic reasoning & conceptual clarity, and submission of new/revised diagnoses. New chapters are provided on the use of nursing diagnoses in education, clinical practice, electronic health records, nursing & health care administration, and research . A companion website hosts related resources.
Key features2012-2014 edition arranged by diagnostic concepts Core references and level of evidence for each diagnosis New chapters on appropriate use of nursing diagnoses in clinical practice, education, administration and electronic health record 16 new diagnoses 11 revised diagnoses Aimed at students, educators, clinicians, nurse administrators and informaticians Companion website available, including a video on assessment, clinical reasoning and diagnosis
In the anniversary edition of this electrifying real-life story, readers are gripped from the first page by the harrowing account of a young man who risked his life to smuggle Bibles through the borders of closed nations. Now, sixty years after Brother Andrew first prayed for God's miracle protection, this expanded edition of a classic work encourages new readers to meet this remarkable man and his mission for the first time.
Working undercover for God, a mission that continues to this day, has made Brother Andrew one of the all-time heroes of the faith. His narrow escapes from danger to share the love of Jesus will encourage and embolden believers in their own walks of faith.
A remarkable story about the power of friendship.
Chosen by Essence to be among the forty most influential African Americans, the three doctors grew up in the streets of Newark, facing city life’s temptations, pitfalls, even jail. But one day these three young men made a pact. They promised each other they would all become doctors, and stick it out together through the long, difficult journey to attaining that dream. Sampson Davis, George Jenkins, and Rameck Hunt are not only friends to this day—they are all doctors.
This is a story about joining forces and beating the odds. A story about changing your life, and the lives of those you love most... together.
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.”
Katy Butler was living thousands of miles from her vigorous and self-reliant parents when the call came: a crippling stroke had left her proud seventy-nine-year-old father unable to fasten a belt or complete a sentence. Tragedy at first drew the family closer: her mother devoted herself to caregiving, and Butler joined the twenty-four million Americans helping shepherd parents through their final declines.
Then doctors outfitted her father with a pacemaker, keeping his heart going but doing nothing to prevent his six-year slide into dementia, near-blindness, and misery. When he told his exhausted wife, “I’m living too long,” mother and daughter were forced to confront a series of wrenching moral questions. When does death stop being a curse and become a blessing? Where is the line between saving a life and prolonging a dying? When do you say to a doctor, “Let my loved one go?”
When doctors refused to disable the pacemaker, condemning her father to a prolonged and agonizing death, Butler set out to understand why. Her quest had barely begun when her mother took another path. Faced with her own grave illness, she rebelled against her doctors, refused open-heart surgery, and met death head-on.
With a reporter’s skill and a daughter’s love, Butler explores what happens when our terror of death collides with the technological imperatives of medicine. Her provocative thesis is that modern medicine, in its pursuit of maximum longevity, often creates more suffering than it prevents.
This revolutionary blend of memoir and investigative reporting lays bare the tangled web of technology, medicine, and commerce that dying has become. And it chronicles the rise of Slow Medicine, a new movement trying to reclaim the “Good Deaths” our ancestors prized.
Knocking on Heaven’s Door is a map through the labyrinth of a broken medical system. It will inspire the difficult conversations we need to have with loved ones as it illuminates the path to a better way of death.
"Tell me and I ́ll forget; Show me and I may remember; Involve me and I ́ll understand”
When twenty-two-year-old Jennifer Worth, from a comfortable middle-class upbringing, went to work as a midwife in the direst section of postwar London, she not only delivered hundreds of babies and touched many lives, she also became the neighborhood's most vivid chronicler. Woven into the ongoing tales of her life in the East End are the true stories of the people Worth met who grew up in the dreaded workhouse, a Dickensian institution that limped on into the middle of the twentieth century.
Orphaned brother and sister Peggy and Frank lived in the workhouse until Frank got free and returned to rescue his sister. Bubbly Jane's spirit was broken by the cruelty of the workhouse master until she found kindness and romance years later at Nonnatus House. Mr. Collett, a Boer War veteran, lost his family in the two world wars and died in the workhouse.
Though these are stories of unimaginable hardship, what shines through each is the resilience of the human spirit and the strength, courage, and humor of people determined to build a future for themselves against the odds. This is an enduring work of literary nonfiction, at once a warmhearted coming-of-age story and a startling look at people's lives in the poorest section of postwar London.
This version does not include the updates and other functionality included in the tablet version that accompanies the print edition.
They depended upon one another. Working in the ICU was both emotionally grueling and physically exhausting. Many patients, quite simply, were dying, and the staff strove mightily to prolong their lives. With their skill, dedication, and the resources of modern science, they sometimes were almost too successful. Doctors and nurses alike wondered if what they did for terminally-ill patients was not, in some cases, too extreme. A number of patients were admitted when it was too late even for heroic measures. A boy struck down by a cerebral aneurysm in the middle of a little-league hockey game. A woman rescued – too late – from a burning house. It all took its toll on the staff.
And yet, on good days, they thrived on what they did. Shalof describes a colleague who is managing a “crashing” patient: “I looked at her. Nicky was flushed with excitement. She was doing five different things at the same time, planning ahead for another five. She was totally focused, in her element, in control, completely at home with the chaos. There was a huge smile on her face. Nurses like to fix things. If they can.”
Shalof, a veteran ICU nurse, reveals what it is really like to work behind the closed hospital curtains. The drama, the sardonic humour, the grinding workload, the cheerful camaraderie, the big issues and the small, all are brought vividly to life in this remarkable book.
From the Hardcover edition.
On December 10, 1996, Jill Bolte Taylor, a thirty-seven- year-old Harvard-trained brain scientist experienced a massive stroke in the left hemisphere of her brain. As she observed her mind deteriorate to the point that she could not walk, talk, read, write, or recall any of her life-all within four hours-Taylor alternated between the euphoria of the intuitive and kinesthetic right brain, in which she felt a sense of complete well-being and peace, and the logical, sequential left brain, which recognized she was having a stroke and enabled her to seek help before she was completely lost. It would take her eight years to fully recover.
For Taylor, her stroke was a blessing and a revelation. It taught her that by "stepping to the right" of our left brains, we can uncover feelings of well-being that are often sidelined by "brain chatter." Reaching wide audiences through her talk at the Technology, Entertainment, Design (TED) conference and her appearance on Oprah's online Soul Series, Taylor provides a valuable recovery guide for those touched by brain injury and an inspiring testimony that inner peace is accessible to anyone.
Cullen's murderous career in the world's most trusted profession spanned sixteen years and nine hospitals across New Jersey and Pennsylvania. When, in March of 2006, Charles Cullen was marched from his final sentencing in an Allentown, Pennsylvania, courthouse into a waiting police van, it seemed certain that the chilling secrets of his life, career, and capture would disappear with him. Now, in a riveting piece of investigative journalism nearly ten years in the making, journalist Charles Graeber presents the whole story for the first time. Based on hundreds of pages of previously unseen police records, interviews, wire-tap recordings and videotapes, as well as exclusive jailhouse conversations with Cullen himself and the confidential informant who helped bring him down, THE GOOD NURSE weaves an urgent, terrifying tale of murder, friendship, and betrayal.
Graeber's portrait of Cullen depicts a surprisingly intelligent and complicated young man whose promising career was overwhelmed by his compulsion to kill, and whose shy demeanor masked a twisted interior life hidden even to his family and friends. Were it not for the hardboiled, unrelenting work of two former Newark homicide detectives racing to put together the pieces of Cullen's professional past, and a fellow nurse willing to put everything at risk, including her job and the safety of her children, there's no telling how many more lives could have been lost.
In the tradition of In Cold Blood, THE GOOD NURSE does more than chronicle Cullen's deadly career and the breathless efforts to stop him; it paints an incredibly vivid portrait of madness and offers a penetrating look inside America's medical system. Harrowing and irresistibly paced, this book will make you look at medicine, hospitals, and the people who work in them, in an entirely different way.
Nurses is the compelling story of the year in the life of four nurses, and the drama, unsung heroism, and unique sisterhood of nursing—one of the world’s most important professions (nurses save lives every day), and one of the world’s most dangerous, filled with violence, trauma, and PTSD.
In following four nurses, Alexandra Robbins creates sympathetic characters while diving deep into their world of controlled chaos. It’s a world of hazing—“nurses eat their young.” Sex—not exactly like on TV, but surprising just the same. Drug abuse—disproportionately a problem among the best and the brightest, and a constant temptation. And bullying—by peers, by patients, by hospital bureaucrats, and especially by doctors, an epidemic described as lurking in the “shadowy, dark corners of our profession.”
The result is a page-turning, shocking look at our health-care system.
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.
Tom Brokaw has led a fortunate life, with a strong marriage and family, many friends, and a brilliant journalism career culminating in his twenty-two years as anchor of the NBC Nightly News and as bestselling author. But in the summer of 2013, when back pain led him to the doctors at the Mayo Clinic, his run of good luck was interrupted. He received shocking news: He had multiple myeloma, a treatable but incurable blood cancer. Friends had always referred to Brokaw’s “lucky star,” but as he writes in this inspiring memoir, “Turns out that star has a dimmer switch.”
Brokaw takes us through all the seasons and stages of this surprising year, the emotions, discoveries, setbacks, and struggles—times of denial, acceptance, turning points, and courage. After his diagnosis, Brokaw began to keep a journal, approaching this new stage of his life in a familiar role: as a journalist, determined to learn as much as he could about his condition, to report the story, and help others facing similar battles. That journal became the basis of this wonderfully written memoir, the story of a man coming to terms with his own mortality, contemplating what means the most to him now, and reflecting on what has meant the most to him throughout his life.
Brokaw also pauses to look back on some of the important moments in his career: memories of Nelson Mandela, the Dalai Lama, the fall of the Berlin Wall, the morning of September 11, 2001, in New York City, and more. Through it all, Brokaw writes in the warm, intimate, natural voice of one of America’s most beloved journalists, giving us Brokaw on Brokaw, and bringing us with him as he navigates pain, procedures, drug regimens, and physical rehabilitation. Brokaw also writes about the importance of patients taking an active role in their own treatment, and of the vital role of caretakers and coordinated care.
Generous, informative, and deeply human, A Lucky Life Interrupted offers a message of understanding and empowerment, resolve and reality, hope for the future and gratitude for a well-lived life.
Praise for A Lucky Life Interrupted
“It’s impossible not to be inspired by Brokaw’s story, and his willingness to share it.”—Los Angeles Times
“A powerful memoir of battling cancer and facing mortality . . . Through the prism of his own illness, Brokaw looks at the larger picture of aging in America.”—Booklist (starred review)
“Moving, informative and deeply personal.”—The Daily Beast
“The former NBC News anchor has applied the fact-finding skills and straightforward candor that were his stock in trade during his reporting days to A Lucky Life Interrupted.”—USA Today
“Brokaw doesn’t paste a smiley face on his story. Again and again, the book returns to stories of loss but also of grace, luck and the beauty of having another swing at bat.”—The Washington Post
“Engaging . . . [with] the kind of insight that is typical of Mr. Brokaw’s approach to life and now to illness.”—The Wall Street Journal
“Powerful and courageous . . . [Brokaw] looks ahead to the future with hope.”—Bookreporter
In her bestselling classic, An Unquiet Mind, Kay Redfield Jamison changed the way we think about moods and madness.
Dr. Jamison is one of the foremost authorities on manic-depressive (bipolar) illness; she has also experienced it firsthand. For even while she was pursuing her career in academic medicine, Jamison found herself succumbing to the same exhilarating highs and catastrophic depressions that afflicted many of her patients, as her disorder launched her into ruinous spending sprees, episodes of violence, and an attempted suicide.
Here Jamison examines bipolar illness from the dual perspectives of the healer and the healed, revealing both its terrors and the cruel allure that at times prompted her to resist taking medication. An Unquiet Mind is a memoir of enormous candor, vividness, and wisdom—a deeply powerful book that has both transformed and saved lives.
From the Trade Paperback edition.
Nine months of tying tourniquets and pushing new medications, of IVs, chest compressions, and defibrillator shocks—that was Kevin Grange’s initiation into emergency medicine when, at age thirty-six, he enrolled in the “Harvard of paramedic schools”: UCLA’s Daniel Freeman Paramedic Program, long considered one of the best and most intense paramedic training programs in the world.
Few jobs can match the stress, trauma, and drama that a paramedic calls a typical day at the office, and few educational settings can match the pressure and competitiveness of paramedic school. Blending months of classroom instruction with ER rotations and a grueling field internship with the Los Angeles Fire Department, UCLA’s paramedic program is like a mix of boot camp and med school. It would turn out to be the hardest thing Grange had ever done—but also the most transformational and inspiring.
An in-depth look at the trials and tragedies that paramedic students experience daily, Lights and Sirens is ultimately about the best part of humanity—people working together to help save a human life.
"[Larson] succeeds in providing a well-rounded portrait of a woman who, until now, has never been viewed in full."—Boston Globe
“A biography that chronicles her life with fresh details . . . By making Rosemary the central character, [Larson] has produced a valuable account of a mental health tragedy and an influential family’s belated efforts to make amends.” — New York Times Book Review
Joe and Rose Kennedy’s strikingly beautiful daughter Rosemary attended exclusive schools, was presented as a debutante to the queen of England, and traveled the world with her high-spirited sisters. Yet Rosemary was intellectually disabled, a secret fiercely guarded by her powerful and glamorous family.
In Rosemary, Kate Clifford Larson uses newly uncovered sources to bring Rosemary Kennedy’s story to light. Young Rosemary comes alive as a sweet, lively girl adored by her siblings. But Larson also reveals the often desperate and duplicitous arrangements the Kennedys made to keep her away from home as she became increasingly difficult in her early twenties, culminating in Joe’s decision to have Rosemary lobotomized at age twenty-three and the family’s complicity in keeping the secret. Only years later did the Kennedy siblings begin to understand what had happened to Rosemary, which inspired them to direct government attention and resources to the plight of the developmentally and mentally disabled, transforming the lives of millions.
“The forgotten Kennedy is forgotten no longer. Rosemary is a rare thing, a book about the Kennedys that has something new to say.” — Laurence Leamer, author of The Kennedy Women
“Heartbreaking.” — Wall Street Journal
Dr. Jan Pol is not your typical veterinarian. Born and raised the Netherlands on a dairy farm, he is the star of Nat Geo Wild’s hit show The Incredible Dr. Pol and has been treating animals in rural Michigan since the 1970s. Dr. Pol’s more than 20,000 patients have ranged from white mice to 2600-pound horses and everything in between.
From the time he was twelve years old and helped deliver a litter of piglets on his family’s farm to the incredible moments captured on his hit TV show, Dr. Pol has amassed a wealth of stories of what it’s like caring for this menagerie of animals. He shares his own story of growing up surrounded by animals, training to be a vet in the Netherlands, and moving to Michigan to open his first practice in a pre fab house. He has established himself as an empathetic yet no-nonsense vet who isn’t afraid to make the difficult decisions in order to do what’s best for his patients—and their hard-working owners. A sick pet can bring heartache, but a sick cow or horse could threaten the very livelihood of a farmer whose modest profits are dependent on healthy livestock.
Reminiscent of the classic books of James Herriot, Never Turn Your Back on an Angus Cow is a charming, fascinating, and funny memoir that will delight animal lovers everywhere.
From early childhood, Julie Gregory was continually X-rayed, medicated, and operated on—in the vain pursuit of an illness that was created in her mother’s mind. Munchausen by proxy (MBP) is the world’s most hidden and dangerous form of child abuse, in which the caretaker—almost always the mother—invents or induces symptoms in her child because she craves the attention of medical professionals. Many MBP children die, but Julie Gregory not only survived, she escaped the powerful orbit of her mother's madness and rebuilt her identity as a vibrant, healthy young woman.
Sickened is a remarkable memoir that speaks in an original and distinctive Midwestern voice, rising to indelible scenes in prose of scathing beauty and fierce humor. Punctuated with Julie's actual medical records, it re-creates the bizarre cocoon of her family's isolated double-wide trailer, their wild shopping sprees and gun-waving confrontations, the astonishing naïveté of medical professionals and social workers. It also exposes the twisted bonds of terror and love that roped Julie's family together—including the love that made a child willing to sacrifice herself to win her mother's happiness.
The realization that the sickness lay in her mother, not in herself, would not come to Julie until adulthood. But when it did, it would strike like lightning. Through her painful metamorphosis, she discovered the courage to save her own life—and, ultimately, the life of the girl her mother had found to replace her. Sickened takes us to new places in the human heart and spirit. It is an unforgettable story, unforgettably told.
From the Hardcover edition.
Written by an EMS Program Director and NREMT paramedic with first-hand experience and classroom instruction, our targeted review chapters in outline style cover all the official test categories found on the EMT exam: airway and breathing, cardiology, medical, obstetrics and pediatrics, and trauma. The author explains the structure of the exam and shows you how to answer questions quickly and correctly.Expert Test-taking Strategies
Our author explains the structure of the NREMT Certification Exam, so you know what to expect on test day. He also shares question-level strategies and shows you the best way to answer questions. By following our expert tips and advice, you can score higher on the exam. Must-know Key Terms
Knowing the right medical terminology can make a real difference in your test score. That’s why we give you a glossary of more than 400 EMT terms you need to know before you take your exam.Take REA’s Online Practice Exam
After studying, go online and test what you’ve learned. Our practice exam features timed testing, diagnostic feedback, detailed answers, and automatic scoring. The exam is balanced to include every topic and type of question found on the actual EMT exam, so you know you’re studying the smart way.No matter how or when you prepare for the EMT exam, REA’s EMT Crash Course will show you how to study efficiently and strategically, so you can get a great score.
New to this edition:26 brand new nursing diagnoses and 13 revised diagnoses Updates, changes, and revision to the vast majority of the nursing diagnosis definitions, in particular the Health Promotion and Risk Diagnoses A standardization of diagnostic indicator terms (defining characteristics, related factors, and risk factors) to further aid clarity for readers and clinicians All introductory chapters are written at an undergraduate nursing level, and provide critical information needed for nurses to understand assessment, its link to diagnosis, and the purpose and use of taxonomic structure for the nurse at the bedside A new chapter, focusing on Frequently Asked Questions, representing the most common questions received through the NANDA-I website, and at global conferences Five nursing diagnoses have been re-slotted within the NANDA-I taxonomy, following a review of the current taxonomic structure Coding of all diagnostic indicator terms is now available for those using electronic versions of the terminology Companion website featuring references from the book, video presentations, teaching tips, and links to taxonomy history and diagnosis submission/review process description www.wiley.com/go/nursingdiagnoses
AGAINST MEDICAL ADVICE is the true story of Cory and his family's decades-long battle for survival in the face of extraordinary difficulties and a maddening medical establishment. It is a heart-rending story of struggle and triumph with a climax as dramatic as any James Patterson thriller.
Baer recognizes that Karen is on the verge of suicide and, while trying various medications to keep her alive, attempts to discover the root cause of her strange complaints. It’s the work of months, and then years, to gain Karen’s trust and learn the true extent of the trauma buried in her past. What she eventually reveals is nearly beyond belief, a narrative of a childhood spent grappling with unimaginable horror. How has Karen survived with even a tenuous grasp on sanity?
Then Baer receives an envelope in the mail. It’s marked with Karen’s return address but contains a letter from a little girl who writes that she’s seven years old and lives inside of Karen. Soon Baer receives letters from others claiming to be parts of Karen. Under hypnosis, these alternate Karen personalities reveal themselves in shocking variety and with undeniable traits—both physical and psychological. One “alter” is a young boy filled with frightening aggression; another an adult male who considers himself Karen’s protector; and a third a sassy flirt who seeks dominance over the others. It’s only by compartmentalizing her pain, guilt, and fear in this fashion—by “switching time” with alternate selves as the situation warrants—that Karen has been able to function since childhood.
Realizing that his patient represents an extreme case of multiple personality disorder, Baer faces the daunting task of creating a therapy that will make Karen whole again. Somehow, in fact, he must gain the trust of each of Karen’s seventeen “alters” and convince them of the necessity of their own annihilation.
As powerful as Sybil or The Three Faces of Eve, Switching Time is the first complete account of such therapy to be told from the perspective of the treating physician, a stunningly devoted healer who worked selflessly for decades so that Karen could one day live as a single human being.
From the Hardcover edition.
From Russia to Bengal to Palm Beach, Randall Packard’s far-ranging narrative traces the natural and social forces that help malaria spread and make it deadly. He finds that war, land development, crumbling health systems, and globalization—coupled with climate change and changes in the distribution and flow of water—create conditions in which malaria's carrier mosquitoes thrive. The combination of these forces, Packard contends, makes the tropical regions today a perfect home for the disease.
Authoritative, fascinating, and eye-opening, this short history of malaria concludes with policy recommendations for improving control strategies and saving lives.
A vivid sense of a colonial culture characterized by an anxious and assertive white masculinity emerges from Anderson’s description of American efforts to treat and discipline allegedly errant Filipinos. His narrative encompasses a colonial obsession with native excrement, a leper colony intended to transform those considered most unclean and least socialized, and the hookworm and malaria programs implemented by the Rockefeller Foundation in the 1920s and 1930s. Throughout, Anderson is attentive to the circulation of intertwined ideas about race, science, and medicine. He points to colonial public health in the Philippines as a key influence on the subsequent development of military medicine and industrial hygiene, U.S. urban health services, and racialized development regimes in other parts of the world.
An Amazon Best Books of 2014 selection
"If you're reading this, it means I'm already dead. Just kidding."
In 2009, at thirty years old, Bryan Bishop's life was right on track. Known to millions as "Bald Bryan," the sidekick and soundman on the record-setting podcast, The Adam Carolla Show, his radio career was taking off. He was newly engaged. Then, he and his fiancée Christie were delivered a crushing blow when he was diagnosed with a brain stem glioma—an inoperable brain tumor. Suddenly Bryan's promising future was transformed into a grueling schedule of radiation and chemotherapy while facing his mortality.
In this poignant narrative that is alternately heartbreaking and hysterical, Bishop shares the surreal experiences of writing his will with the bravado of a pulp novelist, taking chemo in a strip club, and (technically) the closest he ever got to achieving his lifelong dream of a threesome—when a physical therapist had to show his wife how to bathe him in the shower during his weakened state.
Whether recounting his search for the most aggressive form of treatment, how radiation treatment jeopardized his ability to (literally) walk down the aisle or even smile for his wedding photos, or recalling the time his wife inadvertently drugged him in a pool in Maui, Bishop's inimitable voice radiates through his story.
As the author celebrates how treatment shrunk his tumor and gave him a new lease on life, Shrinkage reveals the resilience of the human spirit—and the power of laughter—during even the darkest times.
Drawing on his time working as a medical student, a locum, and a general practitioner, Dr Daniels would like to introduce you to ...
The old age pensioner who can’t keep his hands to himself.
The teenager convinced that he lost his virginity and caught HIV sometime between leaving a bar and waking up in a kebab shop.
A female patient Dr Daniels recognises from his younger, bachelor years.
The woman whose mobile phone turns up in an unexpected place.
A Jack Russell with a bizarre foot fetish.
Not to mention the super nurses, anxious parents, hypochondriacs, jumpy medical students and kaleidoscope of care workers that make up Dr Daniels’ daily shift.
Further Confessions of a GP is the eagerly anticipated follow-up to the bestselling Confessions of a GP. With more eyebrow-raising stories from the world of general practice, Dr Daniels will once again amuse, shock and surprise.
You’ll never feel the same about going to the doctor again...
All Christian disciples have one thing in common: as they carry the gospel across the ocean and across the street, persecution will become the norm for those who choose to follow Jesus. How believers respond in the face of persecution reveals everything about their level of faith and obedience.
The Insanity of Obedience is a bold challenge to global discipleship. Nik Ripken exposes the danger of safe Christianity and calls readers to something greater. The Insanity of Obedience challenges Christians in the same, provocative way that Jesus did. This book dares you - and prepares you - to cross the street and the oceans with the Good News of Jesus Christ.
Some of Jesus' instructions sound uncomfortable and are potentially dangerous. We may be initially encouraged by His declaration, "I am sending you out." But how are we to respond when He then tells us that He is sending us out "like sheep among wolves"?
In light of the words of Jesus, how can modern day believers rest comfortably in the status quo? How can we embrace casual faith in light of the radical commands of Jesus which are anything but casual? Ripken brings decades of ministry experience in some of the most persecuted areas of the world to bear on our understanding of faith in Jesus. The Insanity of Obedience is a call to roll up your sleeves . . . and to follow and partner with Jesus in the toughest places on this planet.
"We have the high privilege of answering Jesus' call to go," Ripken says. "But let us be clear about this: we go on His terms, not ours. If we go at all, we go as sheep among wolves."
Jesus gives us Himself. And He gives us the tools necessary for those who dare to journey with Him.
In the aftermath of 9/11 Kevin Hazzard felt that something was missing from his life—his days were too safe, too routine. A failed salesman turned local reporter, he wanted to test himself, see how he might respond to pressure and danger. He signed up for emergency medical training and became, at age twenty-six, a newly minted EMT running calls in the worst sections of Atlanta. His life entered a different realm—one of blood, violence, and amazing grace.
Thoroughly intimidated at first and frequently terrified, he experienced on a nightly basis the adrenaline rush of walking into chaos. But in his downtime, Kevin reflected on how people’s facades drop away when catastrophe strikes. As his hours on the job piled up, he realized he was beginning to see into the truth of things. There is no pretense five beats into a chest compression, or in an alley next to a crack den, or on a dimly lit highway where cars have collided. Eventually, what had at first seemed impossible happened: Kevin acquired mastery. And in the process he was able to discern the professional differences between his freewheeling peers, what marked each—as he termed them—as “a tourist,” “true believer,” or “killer.”
Combining indelible scenes that remind us of life’s fragile beauty with laugh-out-loud moments that keep us smiling through the worst, A Thousand Naked Strangers is an absorbing read about one man’s journey of self-discovery—a trip that also teaches us about ourselves.
"In contemporary letters John Berger seems to me peerless; not since Lawrence has there been a writer who offers such attentiveness to the sensual world with responsiveness to the imperatives of conscience." --Susan Sontag
With an applied, interactive, and highly visual approach, Fundamentals of Anatomy and Physiology for Student Nurses provides students with an exciting and straightforward understanding of anatomy and physiology, enabling them to deliver high quality care in any setting. This book covers the structure and functions of the human body, with clinical applications throughout.
Key features:A clear, straightforward book on anatomy and physiology for all students in nursing and allied health. Fully interactive, with an activity section at the end of each chapter, featuring multiple choice questions, diagram labelling, test your learning questions, crosswords, and 'find out more'. Generous, full colour illustrations throughout Clinical considerations and scenarios throughout showing how the material can be applied to daily practice A companion website where you'll find further exercises, illustrations, and interactive MCQs www.wiley.com/go/peate
Each chapter develops knowledge of the related physiology/pathophysiology, appropriate nursing interventions that are research/evidence based, technical skills, data interpretation and critical appraisal skills, enabling the reader to apply fundamental knowledge to more complex patient problems. Critical Care Nursing: Learning from Practice is an essential resource for practitioners faced with complex and challenging patient cases.
Shane Claiborne, author, activist, and friend of Eugene Cho
"A gutsy and gritty exposé on the motives of a generation in love with the idea of saving the world, Overrated by Eugene Cho is a necessary exercise for all who desire to truly be a part of the change God wants to bring to humanity. This book is real, personal, necessary, and a must-read, so we can all continue on the path toward justice for all."
Louie Giglio, Passion City Church/Passion Conferences
"When you're done talking about the gospel and are ready for your walking to be the gospel: Start here. I needed this book."
Ann Voskamp, author of the New York Times bestseller One Thousand Gifts Many people today talk about justice, but are they living justly? They want to change the world, but are they being changed themselves?
Eugene Cho has a confession: "I like to talk about changing the world but I don't really like to do what it takes." If this is true of the man who founded the One Day's Wages global antipoverty movement, then what must it take to act on one's ideals? Cho does not doubt the sincerity of those who want to change the world. But he fears that today's wealth of resources and opportunities could be creating "the most overrated generation in history. We have access to so much but end up doing so little." He came to see that he, too, was overrated.
As Christians, Cho writes, "our calling is not simply to change the world but to be changed ourselves." In Overrated, Cho shows that it is possible to move from talk to action.
In Strength in What Remains, Tracy Kidder gives us the story of one man’s inspiring American journey and of the ordinary people who helped him, providing brilliant testament to the power of second chances. Deo arrives in the United States from Burundi in search of a new life. Having survived a civil war and genocide, he lands at JFK airport with two hundred dollars, no English, and no contacts. He ekes out a precarious existence delivering groceries, living in Central Park, and learning English by reading dictionaries in bookstores. Then Deo begins to meet the strangers who will change his life, pointing him eventually in the direction of Columbia University, medical school, and a life devoted to healing. Kidder breaks new ground in telling this unforgettable story as he travels with Deo back over a turbulent life and shows us what it means to be fully human.
When Audra Grace Shelby and her husband felt God calling them to minister in the Middle East, she was fearful--how would she raise her children in the heart of conservative Islam?
Armed with prayers and a faith that always seemed too small, the family made the move to Yemen, enduring deadly illness, uncertainty, and the unnerving experience of being Christians in an Islamic culture.
Yet God was at work, and Audra was invited to see what few Christian women have seen: behind the veils of Muslim women. Here she shares about the friendships she forged, about the opportunities to minister when her new friends' hopes shriveled and their own religion faltered--and how the grace of God touched lives in the midst of an enemy stronghold. With humor, passion, and honesty, she shows readers glimpses of life deep in the heart of Islam and the yearning heart of our loving God.