WITH HUMOR AND INSIGHT, Dr. Weisse explores the history and practice of the medical profession at large, incorporating anecdotes from his own career and in-depth examinations of medical controversies, education, research, and publication. As a clinician, teacher, researcher, historian, and keen observer of the medical scene for over forty years, Dr. Weisse has cast a wide net to capture both the triumphs and the foibles of his profession and the larger world in which it exists.
Often humorous and always informative, these essays cover a broad range of medical subjects. Weisse tackles medical ethics, offers advice to medical and premedical students and their families, delves into unusual episodes in medical history, confronts considerations of aging and self-image, and discusses the vagaries of rewards and recognition available from medical research. He also examines honesty in medical thinking, investigates ways of dealing with bureaucracies, and considers ways of learning to live with oneself. Finally, he evaluates the changing nature of medicine and medical research and looks into the roles of minorities and women in medicine.
Weisse knows whereof he speaks, enlivening each essay with personal anecdotes. When he explains past and current medical school admissions policies, for example, he approaches the subject with the combined knowledge of a former premedical student, a medical student, a faculty member, and an admissions chairperson over the past thirty years. As a medical researcher whose chief turned against him, he certainly knows what he is talking about in "Betrayal." He also writes with authority in his humorous account of how he, as a senior physician, struggles to keep on top of the overwhelming onslaught of medical advances ("Confessions of Creeping Obsolescence"). And in an essay to boost all of our spirits, he tells how an ivory tower physician (Weisse himself) gets drawn up in the service of the IRS bureaucracy and winds up tweaking its nose a bit ("In the Service of the IRS").
Perhaps nothing better illustrates the vigor, wit, and élan that characterize Weisse’s essays than his titles. "On Chinese Restaurants" deals with unusual syndromes and the way in which they have evolved and affected the way we look at ourselves. Other titles are "Pneumocystis and Me," "The Vanishing Male," "Say It Isn’t 'No," "Bats in the Belfry or Bugs in the Belly?: Helicobacter and the Resurrection of Johannes Fibiger," and "PC: Politically Correct or Potentially Corrupting?"
Finally, two words in this book’s subtitle succinctly characterize Weisse’s essays: pertinent and impertinent--germane and irreverent information rakishly presented.
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.
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.
San Francisco’s Laguna Honda Hospital is the last almshouse in the country, a descendant of the Hôtel-Dieu (God’s hotel) that cared for the sick in the Middle Ages. Ballet dancers and rock musicians, professors and thieves—“anyone who had fallen, or, often, leapt, onto hard times” and needed extended medical care—ended up here. So did Victoria Sweet, who came for two months and stayed for twenty years.
Laguna Honda, relatively low-tech but human-paced, gave Sweet the opportunity to practice a kind of attentive medicine that has almost vanished. Gradually, the place transformed the way she understood her work. Alongside the modern view of the body as a machine to be fixed, her extraordinary patients evoked an older idea, of the body as a garden to be tended. God’s Hotel tells their story and the story of the hospital itself, which, as efficiency experts, politicians, and architects descended, determined to turn it into a modern “health care facility,” revealed its own surprising truths about the essence, cost, and value of caring for the body and the soul.
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.
Harrison’s Principles of Internal Medicine Self-Assessment and Board Review, 19th edition, is a completely revised and updated guide to help you prepare for your primary board certification, maintenance of certification/re-certification, and for in-service exams. An important component of the Harrison’s set, this review reflects all of the most up-to-date material featured in the 19th edition of Harrison's Principles of Internal Medicine.
This ultimate study partner contains more than 1000 revised and updated questions (and answers), simulating those on the primary certification exam. Integral to interactive self-assessment and in line with the core Harrison’s text, the high-yield content reflects the weighting of subject matter included on the internal medicine board exam blueprint and spans the field of internal medicine.
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