Medicine and health
The goal of this trusted text is to introduce you to clinical medicine by reviewing the pathophysiologic basis of 120 diseases (and associated signs and symptoms) commonly encountered in medical practice. The authors, all experts in their respective fields, have provided a concise review of relevant normal structure and function of each body system, followed by a description of the pathophysiologic mechanisms that underlie several common diseases related to that system.
Each chapter of Pathophysiology of Disease concludes with a collection of case studies and questions designed to test your understanding of the pathophysiology of each clinical entity discussed. These case studies allow you to apply your knowledge to specific clinical situations. Detailed answers to each case study question are provided at the end of the book. This unique interweaving of physiological and pathological concepts will put you on the path toward thinking about signs and symptoms in terms of their pathophysiologic basis, giving you an understanding of the "why" behind illness and treatment.
Features120 case studies (9 new) provide an opportunity for you to test your understanding of the pathophysiology of each clinical entity discussed Checkpoint questions provide review and appear in every chapter Updates and revisions throughout this new edition reflect the latest research and developments Numerous tables and diagrams encapsulate important information Updated references for each chapter topic
Pathophysiology of Disease is a true must-have resource for medical students preparing for the USMLE Step 1 exam, as well as students engaged in their clerkship studies. House officers, nurses, nurse practitioners, physicians’ assistants, and allied health practitioners will find its concise presentation and broad scope a great help in facilitating their understanding of common disease entities.
Includes DVD with image bank
A Doody's Core Title ESSENTIAL PURCHASE for 2011!
4 STAR DOODY'S REVIEW!
"This 12th edition of the most authoritative book in pharmacology is the best both in content and physical appearance....This edition of Goodman & Gilman's continues to be the most authoritative and widely used resource bridging the discipline of pharmacology with therapeutics. Moreover, readers will find this edition to be substantially improved from past editions in both content and physical appearance."--Doody's Review Service
The most universally respected and read medical text in all of pharmacology, Goodman & Gilman’s The Pharmacological Basis of Therapeutics represents the pinnacle of authority and accuracy in describing the actions and uses of therapeutic agents in relation to physiology and pathophysiology. Goodman & Gilman’s careful balance of basic science and clinical application has guided thousands of practitioners and students to a clear understanding of the drugs essential to preventing, diagnosing, and treating disease.
Enriched by a new full-color presentation and updated to reflect all critical new developments in drug action and drug-disease interaction, the twelfth edition includes more than 440 color illustrations depicting key principles and actions of specific pathways and therapeutic agents. The companion DVD includes all the images and tables in the text along with narrated animations.
Goodman & Gilman’s The Pharmacological Basis of Therapeutics, 12e is divided into nine sections, covering:
More than a textbook, Goodman & Gilman's is a working template for the effective and rational prescribing of drugs in daily practice.
Goldman-Cecil Medicineoffers definitive, unbiased guidance on the evaluation and management of every medical condition, presented by a veritable "Who's Who" of modern medicine. A practical, straightforward style; templated organization; evidence-based references; and robust interactive content combine to make this dynamic resource quite simply the fastest and best place to find all of the authoritative, state-of-the-art clinical answers you need.Expert Consult eBook version included with print purchase:
Access continuous updatesfrom Editor Lee Goldman, MD, who thoroughly reviews internal medicine and specialty journals, updating online content to reflect the latest guidelines and translating that evidence into treatment.
Interactive Q&A sectionfeatures over 1,500 board-style questions and answers to aid in preparing for certification or recertification exams.
Outstanding supplementary toolsinclude figures, tables, videos, heart and lung sounds, treatment and management algorithms, fully integrated references, and thousands of illustrations and full-color photos.
Search all of the text, figures, supplementary material, and references from the book on a variety of devices and at no additional cost — Expert Consult access is included with this title!
Practical, bulleted, highly templated textwith easy-to-use features including flow charts and treatment boxes.
New chapterson global health, cancer biology and genetics, and the human microbiome in health and disease keep you on the cutting edge of medicine.
Today's most current evidence-based medicine guidelines help you form a definitive diagnosis and create the best treatment plans possible.
Focused coverage of the latest developments in biology includes the specifics of current diagnosis, therapy, and medication doses.
The reference of choice for every stage of your career!Goldman-Cecil Medicine is an ideal learning tool for residents, physicians, and students as well as a valuable go-to resource for experienced healthcare professionals.
Hailed for its authority, currency, and ability to translate the latest technical and clinical advances into clinical application, Hurst’s The Heart is the field’s landmark text and cardiology’s longest continuously published reference text. A previous edition of this trusted classic was described by Doody’s as “an outstanding choice for those who strive for a firm foundation in cardiovascular medicine, as well as an up-to-date and user-friendly source that addresses every discipline in the field.”
Readers will find succinct, visually appealing summaries of all the major new trials, and guidelines, along with tips for optimizing outcomes and health quality. The Fourteenth Edition has been completely updated to reflect the latest technical, therapeutic, and clinical advances, while still maintaining a strong focus on patient care. Other enhancements include the addition of textual features such as Practice Points, Common Clinical Questions, and an increased number of the acclaimed Hurst’s diagrams.
• NEW TO THIS EDITION: Section on Metabolic Disorders and Cardiovascular Disease, Cigarette Smoking and Cardiovascular Disease
• Enhanced by more than 1,500 full-color illustrations and more than 500 tables
• Brand new chapters include: Arrythmogenic Cardiomyopathy, Ischemic Mitral Regurgitation, Degenerative Mitral Valve Disease, Left Ventricular Noncompaction, Evaluation and Management of Acute Heart Failure, Carotid Artery Stenting, Race, Ethnicity, and Cardiovascular disease
• The only comprehensive cardiology reference to publish every 2.5 years to allow for reporting of the latest trials and guidelines
This dollar-saving Harrison’s bundle includes two great resources:
Harrison’s Principles of Internal Medicine Self-Assessment and Board ReviewBased on the content of Harrison’s Principles of Internal Medicine, Nineteenth Edition, this full-color study aid is essential for Internal Medicine Board certification or recertification/maintenance of certification, or as a refresher for any internal medicine examination.
Reflecting the accuracy, currency, and wide scope of Harrison’s, this complete review of internal medicine delivers more than 1,000 extremely challenging review questions, many of which utilize realistic patient scenarios, including radiographic and pathologic images. Each question is accompanied by explanations for correct and incorrect answers. These explanations -- which are derived from and cross-referenced to Harrison’s Principles of Internal Medicine, Nineteenth Edition – are one of the most effective ways to learn and teach internal medicine. They are designed to bolster your understanding of pathophysiology, epidemiology, differential diagnosis, clinical decision making, and therapeutics. You will also find a beautiful full-color atlas.
The package also includes.....
Harrison’s Manual of Medicine, Nineteenth Edition Harrison’s Manual of Medicine is a concise, bedside resource derived from content found in Harrison’s Principles of Internal Medicine, Nineteenth Edition. Perfect for use at the point of care, the Manual presents clinical information covering key aspects of the diagnosis, clinical manifestations, and treatment of the major diseases that are likely to be encountered in medical practice.Presented in full color and incorporating an efficient blend of succinct text, bullet points, algorithms, and tables Harrison’s Manual of Medicine, Nineteenth Edition covers every area of clinical medicine, including:• Etiology and Epidemiology• Clinically Relevant Pathophysiology• Signs and Symptoms• Differential Diagnosis• Physical and Laboratory Findings• Therapeutics• Practice Guidelines
Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems.
How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.
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.
Get the essential gastroenterology information you needfrom one authoritative source with an outstanding global reputation for excellence.
Zero in on the key information you need to knowwith a consistent, full-color chapter design. Stay up to date with emerging and challenging topics: enteric microbiota and probiotics; fecal microbiota transplantation; Clostridium difficile colitis; and factitious gastrointestinal diseases.
Incorporate the latest findings and improvements in care for liver disease patients—from diagnosis and treatment through post-treatment strategies and management of complications.
Expert Consult eBook version included with purchase.This enhanced eBook experience allows you to search all of the text, figures, references, and videos from the book on a variety of devices.
Medical Apartheid is the first and only comprehensive history of medical experimentation on African Americans. Starting with the earliest encounters between black Americans and Western medical researchers and the racist pseudoscience that resulted, it details the ways both slaves and freedmen were used in hospitals for experiments conducted without their knowledge—a tradition that continues today within some black populations. It reveals how blacks have historically been prey to grave-robbing as well as unauthorized autopsies and dissections. Moving into the twentieth century, it shows how the pseudoscience of eugenics and social Darwinism was used to justify experimental exploitation and shoddy medical treatment of blacks, and the view that they were biologically inferior, oversexed, and unfit for adult responsibilities. Shocking new details about the government’s notorious Tuskegee experiment are revealed, as are similar, less-well-known medical atrocities conducted by the government, the armed forces, prisons, and private institutions.
The product of years of prodigious research into medical journals and experimental reports long undisturbed, Medical Apartheid reveals the hidden underbelly of scientific research and makes possible, for the first time, an understanding of the roots of the African American health deficit. At last, it provides the fullest possible context for comprehending the behavioral fallout that has caused black Americans to view researchers—and indeed the whole medical establishment—with such deep distrust. No one concerned with issues of public health and racial justice can afford not to read Medical Apartheid, a masterful book that will stir up both controversy and long-needed debate.
The Tenth Edition of Schwartz's Principles of Surgery maintains the book's unmatched coverage of the foundations of surgery while bringing into sharper focus new and emerging technologies. We have entered a new era of surgery in which minimally invasive surgery, robotic surgery, and the use of computers and genomic information have improved the outcomes and quality of life for patients. With these advances in mind, all chapters have been updated with an emphasis on evidence-based, state-of-the-art surgical care. An exciting new chapter, "Fundamental Principles of Leadership Training in Surgery," expands the scope of the book beyond the operating room to encompass the actual development of surgeons. This edition is also enriched by an increased number of international chapter authors and a new chapter on Global Surgery. More than ever, Schwartz's Principles of Surgery is international in scope--a compendium of the knowledge and technique of the world's leading surgeons.
FeaturesMore clinically relevant than ever, with emphasis on high-yield discussion of diagnosis and treatment of surgical disease, arranged by organ system and surgical specialty Content is supported by boxed key points, detailed anatomical figures, diagnostic and management algorithms, and key references Beautiful full-color design
View anatomy from a clinical perspectivewith hundreds of exquisite, hand-painted illustrations created by pre-eminent medical illustrator Frank H. Netter, MD.
Join the globalcommunity of medical and healthcare students and professionals who rely on Netter to optimize learning and clarify even the most difficult aspects of human anatomy. Comprehensive labeling uses the international anatomic standard terminology, Terminologia Anatomica, and every aspect of the Atlas is reviewed and overseen by clinical anatomy and anatomy education experts.
Netter’s Anatomy Atlas is also available as an appfor iPad®.Explore additional unique perspectives of difficult-to-visualize anatomy through all-new paintings by Dr. Carlos Machado, including breast lymph drainage; the pterygopalantine fossa; the middle ear; the path of the internal carotid artery; and the posterior knee, plus additional new plates on arteries of the limbs and new radiologic images.Master challenging structures with visual region-by-region coverage -- including Muscle Table appendices at the end of each Section.
Davidson’s global perspective is enhanced by the input of an international team of authors and a distinguished International Advisory Board from 17 countries. Building on the foundations laid down by its original editor, Davidson’s remains one of the world’s leading and most respected textbooks of medicine.The underlying principles of medicine are described concisely in the first part of the book, and the detailed practice of medicine within each sub-specialty is described in later system-based chapters.
Most chapters begin with a two-page overview of the important elements of the clinical examination, including a manikin to illustrate the key steps in the examination of the relevant system.
A practical, problem-based clinical approach is described in the ‘Presenting Problems’ sections, to complement the detailed descriptions of each disease.
The text is extensively illustrated, with over 1000 diagrams, clinical photographs, and radiology and pathology images.
1350 text boxes present information in a way suitable for revision, including 150 clinical evidence boxes summarising the results of systematic reviews and randomised controlled trials and 65 ’In Old Age’ boxes highlighting important aspects of medical practice in the older population.
A combined index and glossary of medical acronyms contains over 10 000 subject entries. The contents can also be searched comprehensively as part of the online access to the whole book on the StudentConsult platform.
Access over 500 self-testing questions with answers linked to the book’s content for further reading.
The text uses both SI and non-SI units to make it suitable for readers throughout the globe.A new chapter specifically on Stroke Disease recognises the emergence of Stroke Medicine as a distinct clinical and academic discipline.
A rationalisation of the 1350 boxes used throughout the book gives a simpler and clearer presentation of the various categories.
New ‘In Adolescence’ boxes recognise the fact that many chronic disorders begin in childhood and become the responsibility of physicians practising adult medicine. These boxes acknowledge the overlap ‘transitional’ phase and highlight the key points of importance when looking after young people.
The regular introduction of new authors and editors maintains the freshness of each new edition. On this occasion Dr Ian Penman has joined the editorial team and 18 new authors bring new experience and ideas to the content and presentation of the textbook.
An expanded International Advisory Board of 38 members includes new members from several different countries.
A new second section on emergency and critical care medicine encompasses poisoning, envenomation and environmental medicine, and introduces a new chapter on acute medicine and critical illness.
The third section covers the major medical specialties, each thoroughly revised and brought fully up to date. Two new chapters on maternal and adolescent/transition medicine complement the one on ageing and disease. A new chapter on medical ophthalmology has been included.
Clinical Examinationoverviews summarise the main elements for each system and now feature in the biochemistry, nutrition and dermatology chapters.
Presenting Problemssections provide a clear pathway for the assessment of and approach to the most common complaints in each specialty.
Practice Pointsummaries detail the practical skills that medical students and junior doctors must acquire.
Emergencyboxes emphasise the core knowledge needed to manage acutely ill patients.
In Old Age, In Pregnancy and In Adolescence boxes highlight differences in the practice of medicine in these patient groups, and illustrate the interfaces between medical, obstetric and paediatric services.
The text is extensively illustrated, with over 1000 diagrams, clinical photographs, and radiology and pathology images.
The global perspective is enhanced by an International Advisory Board of experts from 17 countries, and by authors from around the world.
CURRENT Medical Diagnosis and Treatment Flashcards contains 250 flashcards drawn from the pages of the core CMDT text that facilitate your analysis of test cases and enhances your recall of internal medicine topics. Included in this handy, quick-reference sourcebook are all topics within the Internal Medicine Clerkship Curriculum, as well as additional material pertaining to CMDT coverage. Organized according the Core Curriculum of the Clerkship Directors in Internal Medicine, the flashcards cover over 30 core topics that encompass fundamental concepts, common conditions, presentations, treatment approaches, and diseases seen by general practitioners in the inpatient and outpatient settings.
The flashcards utilize content from CMDT, Quick Answers, and Lange Pathophysiology to provide a case-based application that tests key concepts in clinical reasoning, clinical problem-solving, and recognition of essential clinical facts. The second edition of CURRENT Medical Diagnosis and Treatment Flashcards features updated, refreshed content throughout, making it the most indispensable—and current—clerkship prep tool available. Now more than ever, it’s required reading for every medical and nursing student, physician assistant, nurse practitioner, house officer, and practicing physician.Extensive content updating to the flashcards Cross-referenced to the CMDT book in the flashcard references to point you to relevant content in the most recent edition of the book Questions cover salient features; how to think through the problem; essentials of diagnosis; symptoms and signs; differential diagnosis; laboratory, imaging, and procedural findings; treatment modalities; and more
‘This book is stunning in its breadth and ease-of-use. It still remains the "gold standard", thorough guide to clinical medicine its forefathers were.’BMA Medical Book Awards judges.
New to this edition:
2 new chapters: Global Health and Women’s Health.
25 new authors.
New online editor, Adam Feather, with a team of young doctors to augment the e-book which accompanies the print book with clinical tips, key learning points, drug tips, learning challenges, case studies and MCQs.
Full text redesign to incorporate:
New system overview diagrams for clinical chapters.
New coloured headings to help identify content relating to disease, management, investigations etc.
New icons to aid text navigation.
11 new members and a new co-editor, Senaka Rajapakse, of the International Advisory Board.
Edited by Kumar and Clark, clinicians and educators of world-renowned expertise.
Authors comprise consultants at the top of their fields, paired with younger doctors closer to the exam experience, to ensure authority and relevance.
Enhanced e-book accompanies the print book, for ease of transportation and use on the move.
International Advisory Board, led by Professor Janaka de Silva and Professor Senaka Rajapakse, providing guidance for global coverage from across the world.
Contributions to the e-book by members of the International Advisory Board to amplify areas of clinical importance in their parts of the world
This version does not include the updates and other functionality included in the tablet version that accompanies the print edition.
Complement your understanding of new words and ideas in medicine with 500 new illustrations
Get more information in a smaller amount of space as the revised entry format includes related parts of speech.
The Sunday Times Number One Bestseller and Humour Book of the Year
Winner of the Books Are My Bag Book of the Year
Winner of iBooks' Book of the Year
Welcome to the life of a junior doctor: 97-hour weeks, life and death decisions, a constant tsunami of bodily fluids, and the hospital parking meter earns more than you.
Scribbled in secret after endless days, sleepless nights and missed weekends, Adam Kay's This is Going to Hurt provides a no-holds-barred account of his time on the NHS front line. Hilarious, horrifying and heartbreaking, this diary is everything you wanted to know – and more than a few things you didn't – about life on and off the hospital ward.
As seen on ITV's Zoe Ball Book Club.
This edition includes extra diary entries and a new afterword by the author.
A Color Atlas of Human Anatomycontains 43 pages of clearly labeled drawings for easy A&P review and reference.
Over 56,000 comprehensive, authoritative, high-quality definitions— including expanded definitions for selected entries, particularly major diseases, disorders, and procedures — offer the latest information on pathophysiology, treatment and interventions, and nursing care.
23 appendixes— 13 in the dictionary and 10 on the companion Evolve website — offer quick access to useful reference information, such as lab values, symbols and abbreviations, language translation guides, pharmacology, infection control standards, conversion tables, and clinical calculations.
A strict, common-sense alphabetical organizationwith no subentries makes it easy to find key terms and definitions. NEW! Over 300 new and updated illustrations visually clarify key definitions and reflect current health care practice and equipment. NEW! Approximately 11,000 new and revised definitions reflect the latest developments in health care, drugs, and nursing terminology. NEW! Editor Marie O’Toole, EdD, RN, FAAN lends her expertise to this new edition, reviewing and revising all definitions and assembling a team of leading consultants and contributors.
Market: US medical students (18,500/yr.) and foreign medical graduates (12,500/yr.) preparing for the USMLE Step 2 CK
About the Author: Tao Le, MD (Louisville, KY) and Vikas Bhushan, MD
SCORE YOUR HIGHEST ON THE USMLE® STEP 1 WITH HELP FROM THE WORLD’S MOST POPULAR MEDICAL REVIEW BOOK
An unmatched collection of more than 1,300 must-know facts and mnemonics provide a complete framework for your USMLE® preparation and coursework!
This annually updated review delivers a comprehensive collection of high-yield facts and mnemonics that pinpoint exactly what you need to know to pass the exam. Co-authored by medical students who recently took the boards, it provides a complete framework to help you prepare for the most stressful exam of your career.
Here's why this is the ultimate USMLE Step 1 review:•A complete framework for USMLE® Step 1 preparation, annually updated with crowdsourced contributions from thousands of students •Written by students who excelled on their Step 1 exam and reviewed by top faculty for accuracy•1,300 must-know topics with mnemonics to focus your study•1,000+ color photos and illustrations – 100 new or revised -- help you visualize processes, disorders, and clinical findings•Student-proven study and exam prep tips backed by learning science•Reorganized Rapid Review section for efficient, last-minute preparation•Revised and expanded recommendations for high-yield print and digital study resources s•Bonus material and real-time updates exclusively at FirstAidTeam.com
All these problems have been shielded from public scrutiny because they're too complex to capture in a sound bite. But Ben Goldacre shows that the true scale of this murderous disaster fully reveals itself only when the details are untangled. He believes we should all be able to understand precisely how data manipulation works and how research misconduct in the medical industry affects us on a global scale.
With Goldacre's characteristic flair and a forensic attention to detail, Bad Pharma reveals a shockingly broken system and calls for regulation. This is the pharmaceutical industry as it has never been seen before.
Over a decade ago, when Siddhartha Mukherjee was a young, exhausted, and isolated medical resident, he discovered a book that would forever change the way he understood the medical profession. The book, The Youngest Science, forced Dr. Mukherjee to ask himself an urgent, fundamental question: Is medicine a “science”? Sciences must have laws—statements of truth based on repeated experiments that describe some universal attribute of nature. But does medicine have laws like other sciences?
Dr. Mukherjee has spent his career pondering this question—a question that would ultimately produce some of most serious thinking he would do around the tenets of his discipline—culminating in The Laws of Medicine. In this important treatise, he investigates the most perplexing and illuminating cases of his career that ultimately led him to identify the three key principles that govern medicine.
Brimming with fascinating historical details and modern medical wonders, this important book is a fascinating glimpse into the struggles and Eureka! moments that people outside of the medical profession rarely see. Written with Dr. Mukherjee’s signature eloquence and passionate prose, The Laws of Medicine is a critical read, not just for those in the medical profession, but for everyone who is moved to better understand how their health and well-being is being treated. Ultimately, this book lays the groundwork for a new way of understanding medicine, now and into the future.
Updated with a new preface and an epilogue analyzing developments since the early 1980s, this new edition of The Social Transformation of American Medicine is a must-read for anyone concerned about the future of our fraught healthcare system.
A haunting, deeply compassionate book—now revised with a new introduction—Mad in America raises important questions about our obligations to the mad, the meaning of “insanity,” and what we value most about the human mind.
The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.
Gawande's gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing. And as in all his writing, Gawande gives us an inside look at his own life as a practicing surgeon, offering a searingly honest firsthand account of work in a field where mistakes are both unavoidable and unthinkable.
At once unflinching and compassionate, Better is an exhilarating journey narrated by "arguably the best nonfiction doctor-writer around" (Salon). Gawande's investigation into medical professionals and how they progress from merely good to great provides rare insight into the elements of success, illuminating every area of human endeavor.
Provides a full understanding of the ECG in the diagnosis and management of abnormal cardiac rhythms.
Emphasises the role of the full 12 lead ECG with realistic reproduction of recordings.
The unique page size allows presentation of all 12-lead ECGs across a single page for clarity.Restructured into two clear sections, the first ‘The Basics’ explains the ECG in the simplest possible terms.
The new second section, ‘Making the most of the ECG’, has separate chapters on the ECG patterns that might be seen in healthy subjects and in patients presenting with chest pain, breathlessness, palpitations or syncope.
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.
In medical school, Paul Farmer found his life’s calling: to cure infectious diseases and to bring the lifesaving tools of modern medicine to those who need them most. Tracy Kidder’s magnificent account shows how one person can make a difference in solving global health problems through a clear-eyed understanding of the interaction of politics, wealth, social systems, and disease. Profound and powerful, Mountains Beyond Mountains takes us from Harvard to Haiti, Peru, Cuba, and Russia as Farmer changes people’s minds through his dedication to the philosophy that “the only real nation is humanity.”
Praise for Mountains Beyond Mountains
“A true-to-life fairy tale, one that inspires you to believe in happy endings . . . Its stark sense of reality comes as much from the grit between the pages as from the pure gold those pages spin.”—Laura Claridge, Boston Sunday Globe
“Stunning . . . Mountains Beyond Mountains will move you, restore your faith in the ability of one person to make a difference in these increasingly maddening, dispiriting times.”—John Wilkens, The San Diego Union-Tribune
“Easily the most fascinating, most entertaining and, yes, most inspiring work of nonfiction I’ve read this year.”—Charles Matthews, San Jose Mercury News
“It’ll fill you equally with wonder and hope.”—Cathy Burke, People
“In this excellent work, Pulitzer Prize-winner Kidder immerses himself in and beautifully explores the rich drama that exists in the life of Dr. Paul Farmer. . . . Throughout, Kidder captures the almost saintly effect Farmer has on those whom he treats.”—Publisher’s Weekly (starred review)
“[A] skilled and graceful exploration of the soul of an astonishing human being.”—Kirkus Reviews (starred review)
When three-month-old Lia Lee Arrived at the county hospital emergency room in Merced, California, a chain of events was set in motion from which neither she nor her parents nor her doctors would ever recover. Lia's parents, Foua and Nao Kao, were part of a large Hmong community in Merced, refugees from the CIA-run "Quiet War" in Laos. The Hmong, traditionally a close-knit and fiercely people, have been less amenable to assimilation than most immigrants, adhering steadfastly to the rituals and beliefs of their ancestors. Lia's pediatricians, Neil Ernst and his wife, Peggy Philip, cleaved just as strongly to another tradition: that of Western medicine. When Lia Lee Entered the American medical system, diagnosed as an epileptic, her story became a tragic case history of cultural miscommunication.
Parents and doctors both wanted the best for Lia, but their ideas about the causes of her illness and its treatment could hardly have been more different. The Hmong see illness aand healing as spiritual matters linked to virtually everything in the universe, while medical community marks a division between body and soul, and concerns itself almost exclusively with the former. Lia's doctors ascribed her seizures to the misfiring of her cerebral neurons; her parents called her illness, qaug dab peg--the spirit catches you and you fall down--and ascribed it to the wandering of her soul. The doctors prescribed anticonvulsants; her parents preferred animal sacrifices.
NAMED ONE OF THE BEST BOOKS OF THE YEAR BY
The New York Times Book Review • People • NPR • The Washington Post • Slate • Harper’s Bazaar • Time Out New York • Publishers Weekly • BookPage
Finalist for the PEN Center USA Literary Award in Creative Nonfiction and the Books for a Better Life Award in Inspirational Memoir
At the age of thirty-six, on the verge of completing a decade’s worth of training as a neurosurgeon, Paul Kalanithi was diagnosed with stage IV lung cancer. One day he was a doctor treating the dying, and the next he was a patient struggling to live. And just like that, the future he and his wife had imagined evaporated. When Breath Becomes Air chronicles Kalanithi’s transformation from a naïve medical student “possessed,” as he wrote, “by the question of what, given that all organisms die, makes a virtuous and meaningful life” into a neurosurgeon at Stanford working in the brain, the most critical place for human identity, and finally into a patient and new father confronting his own mortality.
What makes life worth living in the face of death? What do you do when the future, no longer a ladder toward your goals in life, flattens out into a perpetual present? What does it mean to have a child, to nurture a new life as another fades away? These are some of the questions Kalanithi wrestles with in this profoundly moving, exquisitely observed memoir.
Paul Kalanithi died in March 2015, while working on this book, yet his words live on as a guide and a gift to us all. “I began to realize that coming face to face with my own mortality, in a sense, had changed nothing and everything,” he wrote. “Seven words from Samuel Beckett began to repeat in my head: ‘I can’t go on. I’ll go on.’” When Breath Becomes Air is an unforgettable, life-affirming reflection on the challenge of facing death and on the relationship between doctor and patient, from a brilliant writer who became both.