No Apparent Distress A Doctor s Coming of Age on the Front Lines of American Medicine

No Apparent Distress  A Doctor s Coming of Age on the Front Lines of American Medicine Author Rachel Pearson
ISBN-10 9780393249255
Year 2017-05-09
Pages 288
Language en
Publisher W. W. Norton & Company
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A brutally frank memoir about doctors and patients in a health care system that puts the poor at risk. In medical charts, the term “N.A.D.” (No Apparent Distress) is used for patients who appear stable. The phrase also aptly describes America’s medical system when it comes to treating the underprivileged. Medical students learn on the bodies of the poor—and the poor suffer from their mistakes. Rachel Pearson confronted these harsh realities when she started medical school in Galveston, Texas. Pearson, herself from a working-class background, remains haunted by the suicide of a close friend, experiences firsthand the heartbreak of her own errors in a patient’s care, and witnesses the ruinous effects of a hurricane on a Texas town’s medical system. In a free clinic where the motto is “All Are Welcome Here,” she learns how to practice medicine with love and tenacity amidst the raging injustices of a system that favors the rich and the white. No Apparent Distress is at once an indictment of American health care and a deeply moving tale of one doctor’s coming-of-age.

Playing the Ponies and Other Medical Mysteries Solved

Playing the Ponies and Other Medical Mysteries Solved Author Stuart B. Mushlin
ISBN-10 9780813570570
Year 2017-03-23
Pages 192
Language en
Publisher Rutgers University Press
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With over forty years of experience as a sought after diagnostician, Dr. Stuart Mushlin has cracked his share of medical mysteries, ones in which there are bigger gambles than playing the ponies at the track. Some of his patients show up with puzzling symptoms, calling for savvy medical detective work. Others seem to present cut-and-dry cases, but they turn out to be suffering from rare or serious conditions. In Playing the Ponies and Other Medical Mysteries Solved, Dr. Mushlin shares some of the most intriguing cases he has encountered, revealing the twists and turns of each patient’s diagnosis and treatment process. Along the way, he imparts the secrets to his success as a medical detective—not specialized high-tech equipment, but time-honored techniques like closely observing, touching, and listening to patients. He also candidly describes cases where he got things wrong, providing readers with honest insights into both the joys and dilemmas of his job. Dr. Mushlin does not just treat diseases; he treats people. And this is not just a book about the ailments he diagnosed; it is also about the scared, uncertain, ailing individuals he helped in the process. Filled with real-life medical stories you’ll have to read to believe, Playing the Ponies is both a suspenseful page-turner and a heartfelt reflection on a life spent caring for patients.

To Repair the World

To Repair the World Author Paul Farmer
ISBN-10 9780520955431
Year 2013-05-01
Pages 294
Language en
Publisher Univ of California Press
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Here, for the first time, is a collection of short speeches by the charismatic doctor and social activist Paul Farmer. One of the most passionate and influential voices for global health equity and social justice, Farmer encourages young people to tackle the greatest challenges of our times. Engaging, often humorous, and always inspiring, these speeches bring to light the brilliance and force of Farmer’s vision in a single, accessible volume. A must-read for graduates, students, and everyone seeking to help bend the arc of history toward justice, To Repair the World: • Challenges readers to counter failures of imagination that keep billions of people without access to health care, safe drinking water, decent schools, and other basic human rights; • Champions the power of partnership against global poverty, climate change, and other pressing problems today; • Overturns common assumptions about health disparities around the globe by considering the large-scale social forces that determine who gets sick and who has access to health care; • Discusses how hope, solidarity, faith, and hardbitten analysis have animated Farmer’s service to the poor in Haiti, Peru, Rwanda, Russia, and elsewhere; • Leaves the reader with an uplifting vision: that with creativity, passion, teamwork, and determination, the next generations can make the world a safer and more humane place.

Mercies in Disguise

Mercies in Disguise Author Gina Kolata
ISBN-10 9781250123992
Year 2017-03-21
Pages 272
Language en
Publisher St. Martin's Press
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"...a moving, suspenseful page-turner that's likely to become a classic of medical storytelling." —The Washington Post New York Times science reporter Gina Kolata follows a family through genetic illness and one courageous daughter who decides her fate shall no longer be decided by a genetic flaw. The phone rings. The doctor from California is on the line. “Are you ready Amanda?” The two people Amanda Baxley loves the most had begged her not to be tested—at least, not now. But she had to find out. If your family carried a mutated gene that foretold a brutal illness and you were offered the chance to find out if you’d inherited it, would you do it? Would you walk toward the problem, bravely accepting whatever answer came your way? Or would you avoid the potential bad news as long as possible? In Mercies in Disguise, acclaimed New York Times science reporter and bestselling author Gina Kolata tells the story of the Baxleys, an almost archetypal family in a small town in South Carolina. A proud and determined clan, many of them doctors, they are struck one by one with an inscrutable illness. They finally discover the cause of the disease after a remarkable sequence of events that many saw as providential. Meanwhile, science, progressing for a half a century along a parallel track, had handed the Baxleys a resolution—not a cure, but a blood test that would reveal who had the gene for the disease and who did not. And science would offer another dilemma—fertility specialists had created a way to spare the children through an expensive process. A work of narrative nonfiction, Mercies in Disguise is the story of a family that took matters into its own hands when the medical world abandoned them. It’s a story of a family that had to deal with unspeakable tragedy and yet did not allow it to tear them apart. And it is the story of a young woman—Amanda Baxley—who faced the future head on, determined to find a way to disrupt her family’s destiny.

Tough Sell

Tough Sell Author Tom Basile
ISBN-10 9781612349077
Year 2017
Pages 328
Language en
Publisher U of Nebraska Press
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Like the War on Terror, the Media War rages on. More than ever, America's ability to fight and win against ISIS requires that we understand how best to communicate about war in the digital age. Tom Basile takes readers behind the scenes during his time as a civilian advisor in Iraq during the Iraq War, describing his mission and the struggle to communicate about the war as it became more deadly and less popular at home. The U.S.-led coalition wasn't merely engaged in a fight to build a more tolerant, participatory society against incredible odds. It was also in a constant clash with forces that influenced public perception about the mission. During those difficult years, it became clear that warfare was now, more than ever, a blend of policy, politics, and the business of journalism. Basile critiques the media's reporting and assesses the Bush administration's home-front communications strategy to argue that if policymakers fail to effectively articulate their strategy, manage their message, and counter misinformation, they will find themselves unable to execute that policy. That, Basile argues, places the United States at great risk. Tough Sell blends Basile's personal story with lessons from the media war in Iraq that can improve our ability to communicate about and prosecute the War on Terror.

Working Stiff

Working Stiff Author Judy Melinek, MD
ISBN-10 9781476727271
Year 2014-08-12
Pages 272
Language en
Publisher Simon and Schuster
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“Fun…and full of smart science. Fans of CSI—the real kind—will want to read it” (The Washington Post): A young forensic pathologist’s “rookie season” as a NYC medical examiner, and the hair-raising cases that shaped her as a physician and human being. Just two months before the September 11 terrorist attacks, Dr. Judy Melinek began her training as a New York City forensic pathologist. While her husband and their toddler held down the home front, Judy threw herself into the fascinating world of death investigation—performing autopsies, investigating death scenes, counseling grieving relatives. Working Stiff chronicles Judy’s two years of training, taking readers behind the police tape of some of the most harrowing deaths in the Big Apple, including a firsthand account of the events of September 11, the subsequent anthrax bio-terrorism attack, and the disastrous crash of American Airlines Flight 587. An unvarnished portrait of the daily life of medical examiners—complete with grisly anecdotes, chilling crime scenes, and a welcome dose of gallows humor—Working Stiff offers a glimpse into the daily life of one of America’s most arduous professions, and the unexpected challenges of shuttling between the domains of the living and the dead. The body never lies—and through the murders, accidents, and suicides that land on her table, Dr. Melinek lays bare the truth behind the glamorized depictions of autopsy work on television to reveal the secret story of the real morgue. “Haunting and illuminating...the stories from her average workdays…transfix the reader with their demonstration that medical science can diagnose and console long after the heartbeat stops” (The New York Times).

What Patients Say What Doctors Hear

What Patients Say  What Doctors Hear Author Danielle Ofri
ISBN-10 9780807062630
Year 2017-02-07
Pages 288
Language en
Publisher Beacon Press
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How refocusing conversations between doctors and their patients can lead to better health Despite modern medicine's infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion's share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to "make their case" to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements. Add in stereotypes, unconscious bias, conflicting agendas, and the fear of lawsuits and the risk of misdiagnosis and medical errors multiplies dangerously. Though the gulf between what patients say and what doctors hear is often wide, Dr. Danielle Ofri proves that it doesn't have to be. Through the powerfully resonant human stories that Ofri is celebrated for, she explores the high-stakes world of doctor-patient communication that we all must navigate. Reporting on the latest research studies and interviewing scholars, doctors, and patients, Ofri reveals how better communication can lead to better health for all of us.

How May I Help You

How May I Help You Author Deepak Singh
ISBN-10 9780520966475
Year 2017-02-14
Pages 305
Language en
Publisher Univ of California Press
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In this moving and insightful work, Deepak Singh chronicles his downward mobility as an immigrant to a small town in Virginia. Armed with an MBA from India, Singh can get only a minimum-wage job in an electronics store. Every day he confronts unfamiliar American mores, from strange idioms to deeply entrenched racism. Telling stories through the unique lens of an initially credulous outsider who is “fresh off the plane,” Singh learns about the struggles of his colleagues: Ron, a middle-aged African-American man trying to keep his life intact despite health concerns; Jackie, a young African-American woman diligently attending school after work; and Cindy, whose matter-of-fact attitude helps Deepak adapt to his job and his new life. How May I Help You? is an incisive take on life in the United States and a reminder that the stories of low-wage employees can bring candor and humanity to debates about work, race, and immigration.

The Strange Case of Dr Jekyll and Mr Hyde

The Strange Case of Dr  Jekyll and Mr  Hyde Author Robert Louis Stevenson
ISBN-10 9788892589278
Year 2016-04-05
Pages
Language en
Publisher Robert Louis Stevenson
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Strange Case of Dr. Jekyll and Mr. Hyde is the original title of a novella written by the Scottish author Robert Louis Stevenson that was first published in 1886. The work is commonly known today as The Strange Case of Dr. Jekyll and Mr. Hyde, Dr. Jekyll and Mr. Hyde, or simply Jekyll & Hyde. It is about a London lawyer named Gabriel John Utterson who investigates strange occurrences between his old friend, Dr. Henry Jekyll, and the evil Edward Hyde. The work is commonly associated with the rare mental condition often called "split personality", referred to in psychiatry as dissociative identity disorder, where within the same body there exists more than one distinct personality.In this case, there are two personalities within Dr. Jekyll, one apparently good and the other evil. The novella's impact is such that it has become a part of the language, with the very phrase "Jekyll and Hyde" coming to mean a person who is vastly different in moral character from one situation to the next.

The Technology of Orgasm

The Technology of Orgasm Author Rachel P. Maines
ISBN-10 0801866464
Year 2001-03-01
Pages 181
Language en
Publisher JHU Press
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The author explores hysteria in Western medicine throughout the ages and examines the characterization of female sexuality as a disease requiring treatment. Medical authorities, she writes, were able to defend and justify the clinical production of orgasm in women as necessary to maintain the dominant view of sexuality, which defined sex as penetration to male orgasm - a practice that consistently fails to produce orgasm in a majority of the female population. This male-centered definition of satisfying and healthy coitus shaped not only the development of concepts of female sexual pathology but also the instrumentation designed to cope with them.

The Spirit Catches You and You Fall Down

The Spirit Catches You and You Fall Down Author Anne Fadiman
ISBN-10 1429931116
Year 1998-09-30
Pages 352
Language en
Publisher Farrar, Straus and Giroux
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Winner of the National Book Critics Circle Award for Nonfiction 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.

Black Man in a White Coat

Black Man in a White Coat Author Damon Tweedy, M.D.
ISBN-10 9781250044648
Year 2015-09-08
Pages 304
Language en
Publisher Picador
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A NEW YORK TIMES BESTSELLER • ONE OF TIME MAGAZINE'S TOP TEN NONFICTION BOOKS OF THE YEAR A LIBRARY JOURNAL BEST BOOK SELECTION • A BOOKLIST EDITORS' CHOICE BOOK SELECTION One doctor's passionate and profound memoir of his experience grappling with race, bias, and the unique health problems of black Americans When Damon Tweedy begins medical school,he envisions a bright future where his segregated, working-class background will become largely irrelevant. Instead, he finds that he has joined a new world where race is front and center. The recipient of a scholarship designed to increase black student enrollment, Tweedy soon meets a professor who bluntly questions whether he belongs in medical school, a moment that crystallizes the challenges he will face throughout his career. Making matters worse, in lecture after lecture the common refrain for numerous diseases resounds, "More common in blacks than in whites." Black Man in a White Coat examines the complex ways in which both black doctors and patients must navigate the difficult and often contradictory terrain of race and medicine. As Tweedy transforms from student to practicing physician, he discovers how often race influences his encounters with patients. Through their stories, he illustrates the complex social, cultural, and economic factors at the root of many health problems in the black community. These issues take on greater meaning when Tweedy is himself diagnosed with a chronic disease far more common among black people. In this powerful, moving, and deeply empathic book, Tweedy explores the challenges confronting black doctors, and the disproportionate health burdens faced by black patients, ultimately seeking a way forward to better treatment and more compassionate care.

100 Case Studies in Pathophysiology

100 Case Studies in Pathophysiology Author Harold Joseph Bruyere
ISBN-10 078176145X
Year 2008-10-01
Pages 514
Language en
Publisher
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100 Case Studies in Pathophysiology provides students beginning their formal education in the health sciences with a resource they can use to begin to develop their clinical problem-solving and critical thinking skills. This workbook provides a straightforward approach to integrating basic pathophysiology, risk factors, physical examination findings, and clinical laboratory data for 100 significant health problems in the United States today.

An American Sickness

An American Sickness Author Elisabeth Rosenthal
ISBN-10 9780698407183
Year 2017-04-11
Pages 416
Language en
Publisher Penguin
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A New York Times bestseller. At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. “Patients can save thousands of dollars by purchasing An American Sickness by Elisabeth Rosenthal.”— New York Journal of Books In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.