Having grown up in Marshall, Dr. Mitchell writes of his early experiences in midwestern America: basketball rivalries, school-boy pranks, and the traditions passed down through a family of doctors. Dr. Mitchell tells of his brief detour to obtain a degree in mechanical engineering, his decision to pursue a career in medicine, and his medical school experiences at the George Washington School of Medicine before the days of antibiotics and sophisticated medical technology. He vividly describes his subsequent service in World War II as a young surgeon at a military hospital helping injured soldiers resume normal lives while enduring the frustrations and occasional horrors of military life.
After the war, Dr. Mitchell joined his father’s practice in Marshall, where, he observes, he was among sixteen physicians in a rural county with a population of less than twenty thousand people. Within twenty-five years, the number of doctors had dropped to only four. In this memoir Dr. Mitchell conveys his unwillingness to just sit by and watch the health needs of his community increase while medical and other services decline. He, instead, became a community activist, representing rural concerns to the state medical society, organizing the first emergency medical technician teams in the county, masterminding the planning of a regional medical center, campaigning successfully for improved highway safety, and spurring the extension of reliable telephone service throughout his area.
As Dr. Mitchell recounts the house calls, farm accidents, emergency surgeries, and family counseling that comprised the life of this country doctor, he offers the keen insights of a clinician trained to look beyond what others only see.
Unique individuals are the driving force in the transformation of healthcare. Digitization has democratized information, which feeds the desire of people to act, behave and be treated as unique individuals. Scientific innovation is revealing the importance of our biologic individuality. The financial risk of healthcare is increasingly passed to individuals and providers, fueling changes in financial incentives. An individual with information knows their options, and wants to choose the option most suited to his or her unique healthcare needs and financial means. This profound and fundamental change in the individual’s expectations and behavior is accelerating healthcare transformation.
The title of this book, n = 1, is a symbol of the uniqueness of individuals. The n=1 will transform healthcare.
Insightful and thorough, The History and Evolution of Healthcare in America offers a look at
what healthcare was like at the birth of the nation;
how the practice of providing healthcare has changed for both caregivers and receivers;
why the process has become so corrupt and expensive;
what needs to happen to provide both choice and effective and efficient care for all;
where we need to most focus efforts to get the biggest change;
what is needed to get control over this out-of-control situation.
Loker narrates a journey through the history of American healthcarewhere weve been, how we arrived where we are today, and determine where we might need to go tomorrow. The history illustrates how parts of the problem have been solved in the past and helps us understand what might be necessary to solve our remaining problems in the future.
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.
When it comes to weight loss, most people don’t think about hormones. But when you develop resistance to your seven major metabolic hormones—cortisol, thyroid, testosterone, growth hormone, leptin, insulin, and estrogen—your body adjusts by increasingly raising your hormone levels and ultimately slowing down your metabolism. And a slower metabolism leads to weight gain and difficulty losing weight. The solution, Dr. Sara Gottfried contends, is to reset the efficiency of your hormones by repairing and growing new hormone receptors.
Based on leading scientific research, The Hormone Reset Diet is her proven weight loss and energy program to reverse hormone resistance in just three weeks. It will help you:Boost your metabolism and calorie burning by growing new and fresh thyroid receptors; Increase your weight loss by re-balancing estrogen and progesterone receptors; Reverse your aging by resetting glucocorticoid receptors (for better processing cortisol).
For the last twenty years, this Harvard-MIT educated physician has helped thousands of women address the root hormonal causes of what bothers them most: excess weight, lack of energy, aging, and illness. Going beyond her bestselling The Hormone Cure, this program is the next generation of her deep understanding of hormonal optimization for rapid weight loss.