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Being Mortal: Medicine and What Matters in the End
Medicine has triumphed in modern times, transforming the dangers of childbirth, injury, and disease from harrowing to manageable. But when it comes to the inescapable realities of aging and death, what medicine can do often runs counter to what it should.Through eye-opening research and gripping stories of his own patients and family, Gawande reveals the suffering this dynamic has produced. Nursing homes, devoted above all to safety, battle with residents over the food they are allowed to eat and the choices they are allowed to make. Doctors, uncomfortable discussing patients' anxieties about death, fall back on false hopes and treatments that are actually shortening lives instead of improving them.In his bestselling books, Atul Gawande, a practicing surgeon, has fearlessly revealed the struggles of his profession. Now he examines its ultimate limitations and failures - in his own practices as well as others' - as life draws to a close. Riveting, honest, and humane, Being Mortal shows how the ultimate goal is not a good death but a good life - all the way to the very end.
The Checklist Manifesto: How to Get Things Right
The modern world has given us stupendous know-how. Yet avoidable failures continue to plague us in health care, government, the law, the financial industry - in almost every realm of organized activity. And the reason is simple: the volume and complexity of knowledge today has exceeded our ability as individuals to properly deliver it to people - consistently, correctly, safely. We train longer, specialize more, use ever-advancing technologies, and still we fail. Atul Gawande makes a compelling argument that we can do better, using the simplest of methods: the checklist. In riveting stories, he reveals what checklists can do, what they can't, and how they could bring about striking improvements in a variety of fields, from medicine and disaster recovery to professions and businesses of all kinds. And the insights are making a difference. Already, a simple surgical checklist from the World Health Organization designed by following the ideas described here has been adopted in more than twenty countries as a standard for care.
In this newly revised and expanded edition of The Emotion Code, renowned holistic physician and lecturer Dr. Bradley Nelson skillfully lays bare the inner workings of the subconscious mind. He reveals how emotionally-charged events from your past can still be haunting you in the form of "trapped emotions" - emotional energies that literally inhabit your body. These trapped emotions can fester in your life and body, creating pain, malfunction, and eventual disease. They can also extract a heavy mental and emotional toll on you, impacting how you think, the choices that you make, and the level of success and abundance you are able to achieve. Perhaps most damaging of all, trapped emotional energies can gather around your heart, cutting off your ability to give and receive love.The Emotion Code is a powerful and simple way to rid yourself of this unseen baggage. Dr. Nelson’s method gives you the tools to identify and release the trapped emotions in your life, eliminating your “emotional baggage,” and opening your heart and body to the positive energies of the world. Filled with real-world examples from many years of clinical practice, The Emotion Code is a distinct and authoritative work that has become a classic on self-healing.
The Blue Zones: 9 Lessons for Living Longer from the People Who've Lived the Longest (2nd Edition)
Reveals the secrets of longevity of communities of long-lived people in: Sardinia, Italy; Loma Linda, California; Nicoya, Costa Rica; Okinawa, Japan; and Ikaria, Greece.
Better: A Surgeon's Notes on Performance
The struggle to perform well is universal: each 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 may be on the line with any decision. Atul Gawande, the New York Times bestselling author of Complications, examines, in riveting accounts of medical failure and triumph, how success is achieved in this complex and risk-filled profession. At once unflinching and compassionate, Better is an exhilarating journey.
Complications: A Surgeon's Notes on an Imperfect Science
In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel's edge. Complications lays bare a science not in its idealized form but as it actually is - uncertain, perplexing, and profoundly human.
The Vaccine Book
Sears, Robert W.
THE VACCINE BOOK offers parents a fair, impartial, fact-based resource from the most trusted name in pediatrics. Dr. Bob devotes each chapter in the book to a disease/vaccine pair and offers a comprehensive discussion of what the disease is, how common or rare it is, how serious or harmless it is, the ingredients of the vaccine, and any possible side effects from the vaccine. This completely revised edition offers updated information on each vaccine and disease more detail on vaccines' side effects expanded discussions of combination vaccines a new section on adult vaccines additional options for alternative vaccine schedules a guide to Canadian vaccinations THE VACCINE BOOK provides exactly the information parents want and need as they make their way through the vaccination maze.
Anatomy of an Epidemic
Now with bonus material, including a new foreword and afterword with updated research In this astonishing and startling book, award-winning science and history writer Robert Whitaker investigates a medical mystery: Why has the number of disabled mentally ill in the United States tripled over the past two decades? Every day, 1,100 adults and children are added to the government disability rolls because they have become newly disabled by mental illness, with this epidemic spreading most rapidly among our nation's children. What is going on? Anatomy of an Epidemic challenges readers to think through that question themselves. First, Whitaker investigates what is known today about the biological causes of mental disorders. Do psychiatric medications fix "chemical imbalances" in the brain, or do they, in fact, create them? Researchers spent decades studying that question, and by the late 1980s, they had their answer. Readers will be startled--and dismayed--to discover what was reported in the scientific journals. Then comes the scientific query at the heart of this book: During the past fifty years, when investigators looked at how psychiatric drugs affected long-term outcomes, what did they find? Did they discover that the drugs help people stay well? Function better? Enjoy good physical health? Or did they find that these medications, for some paradoxical reason, increase the likelihood that people will become chronically ill, less able to function well, more prone to physical illness? This is the first book to look at the merits of psychiatric medications through the prism of long-term results. Are long-term recovery rates higher for medicated or unmedicated schizophrenia patients? Does taking an antidepressant decrease or increase the risk that a depressed person will become disabled by the disorder? Do bipolar patients fare better today than they did forty years ago, or much worse? When the National Institute of Mental Health (NIMH) studied the long-term outcomes of children with ADHD, did they determine that stimulants provide any benefit? By the end of this review of the outcomes literature, readers are certain to have a haunting question of their own: Why have the results from these long-term studies--all of which point to the same startling conclusion--been kept from the public? In this compelling history, Whitaker also tells the personal stories of children and adults swept up in this epidemic. Finally, he reports on innovative programs of psychiatric care in Europe and the United States that are producing good long-term outcomes. Our nation has been hit by an epidemic of disabling mental illness, and yet, as Anatomy of an Epidemic reveals, the medical blueprints for curbing that epidemic have already been drawn up.
What Made Maddy Run: The Secret Struggles and Tragic Death of an All-American Teen
The heartbreaking story of college athlete Madison Holleran, whose life and death by suicide reveal the struggle of young people suffering from mental illness today in this #1 New York Times Sports and Fitness bestseller.If you scrolled through the Instagram feed of 19-year-old Maddy Holleran, you would see a perfect life: a freshman at an Ivy League school, recruited for the track team, who was also beautiful, popular, and fiercely intelligent. This was a girl who succeeded at everything she tried, and who was only getting started. But when Maddy began her long-awaited college career, her parents noticed something changed. Previously indefatigable Maddy became withdrawn, and her thoughts centered on how she could change her life. In spite of thousands of hours of practice and study, she contemplated transferring from the school that had once been her dream. When Maddy's dad, Jim, dropped her off for the first day of spring semester, she held him a second longer than usual. That would be the last time Jim would see his daughter.WHAT MADE MADDY RUN began as a piece that Kate Fagan, a columnist for espnW, wrote about Maddy's life. What started as a profile of a successful young athlete whose life ended in suicide became so much larger when Fagan started to hear from other college athletes also struggling with mental illness. This is the story of Maddy Holleran's life, and her struggle with depression, which also reveals the mounting pressures young people, and college athletes in particular, face to be perfect, especially in an age of relentless connectivity and social media saturation.
The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care
Reid, T. R.
How is it that all other industrialized democracies provide health care for their citizens as a reasonable cost - something the United States has never managed to do? In The Healing of America, New York Times bestselling author T.S. Reid shows how they do it, bringing to bear his talent for explaining complex issues in a clear, engaging way. In his global quest to find a prescription for American health care, Reid finds that it's not all "socialized medicine" out there. Instead, many industrialized democracies rely on free-market models the U.S. could use to cure a health system that has failed us.
Racing to the Finish: My Story
Earnhardt, Dale Jr.
It was a seemingly minor crash at Michigan International Speedway in June 2016 that ended the day early for Dale Earnhardt Jr. What he didn’t know was that it would also end his driving for the year. He’d dealt with concussions before, but concussions are like snowflakes, no two are the same. And recovery can be brutal, and lengthy.When NASCAR star Dale Earnhardt Jr. retired from professional stock car racing in 2017, he walked away from his career as a healthy man. But for years, he had worried that the worsening effects of multiple racing-related concussions would end not only his time on the track but his ability to live a full and happy life.Torn between a race-at-all-costs culture and the fear that something was terribly wrong, Earnhardt tried to pretend that everything was fine, but the private notes about his escalating symptoms that he kept on his phone reveal a vicious cycle: suffering injuries on Sunday, struggling through the week, then recovering in time to race again the following weekend. For the first time, he shares these notes and fully reveals the physical and emotional struggles he faced as he fought to close out his career on his own terms.In this candid reflection, Earnhardt opens up about his frustration with the slow recovery, his admiration for the woman who stood by him through it all, and his determination to share his own experience so that others don’t have to suffer in silence. Steering his way to the final checkered flag of his storied career proved to be the most challenging race and most rewarding finish of his life.
In Shock: My Journey from Death to Recovery and the Redemptive Power of Hope
A riveting first-hand account of a physician who's suddenly a dying patient and her revelation of the horribly misguided standard of care in the medical worldDr. Rana Awdish never imagined that an emergency trip to the hospital would result in hemorrhaging nearly all of her blood volume and losing her unborn first child. But after her first visit, Dr. Awdish spent months fighting for her life, enduring consecutive major surgeries and experiencing multiple overlapping organ failures. At each step of the recovery process, Awdish was faced with something even more unexpected: repeated cavalier behavior from her fellow physicians - indifference following human loss, disregard for anguish and suffering, and an exacting emotional distance.Hauntingly perceptive and beautifully written, In Shock allows the reader to transform alongside Awidsh and watch what she discovers in our carefully-cultivated, yet often misguided, standard of care. Awdish comes to understand the fatal flaws in her profession and in her own past actions as a physician while achieving, through unflinching presence, a crystalline vision of a new and better possibility for us all.As Dr. Awdish finds herself up against the same self-protective partitions she was trained to construct as a medical student and physician, she artfully illuminates the dysfunction of disconnection. Shatteringly personal, and yet wholly universal, she offers a brave road map for anyone navigating illness while presenting physicians with a new paradigm and rationale for embracing the emotional bond between doctor and patient.
Elderhood: Redefining Aging, Transforming Medicine, Reimagining Life
As revelatory as Atul Gawande’s Being Mortal, physician and award-winning author Louise Aronson’s Elderhood is an essential, empathetic look at a vital but often disparaged stage of life.For more than 5,000 years, "old" has been defined as beginning between the ages of 60 and 70. That means most people alive today will spend more years in elderhood than in childhood, and many will be elders for 40 years or more. Yet at the very moment that humans are living longer than ever before, we’ve made old age into a disease, a condition to be dreaded, denigrated, neglected, and denied.Reminiscent of Oliver Sacks, noted Harvard-trained geriatrician Louise Aronson uses stories from her quarter century of caring for patients, and draws from history, science, literature, popular culture, and her own life to weave a vision of old age that’s neither nightmare nor utopian fantasy--a vision full of joy, wonder, frustration, outrage, and hope about aging, medicine, and humanity itself.Elderhood is for anyone who is, in the author's own words, "an aging, i.e., still-breathing human being."
The Poisoner's Handbook: Murder and the Birth of Forensic Medicine in Jazz Age New York
A fascinating Jazz Age tale of chemistry and detection, poison and murder, The Poisoner's Handbook is a page-turning account of a forgotten era. In early twentieth-century New York, poisons offered an easy path to the perfect crime. Science had no place in the Tammany Hall-controlled coroner's office, and corruption ran rampant. However, with the appointment of chief medical examiner Charles Norris in 1918, the poison game changed forever. Together with toxicologist Alexander Gettler, the duo set the justice system on fire with their trailblazing scientific detective work, triumphing over seemingly unbeatable odds to become the pioneers of forensic chemistry.
The Salt Fix: Why the Experts Got It All Wrong - and How Eating More Might Save Your Life
We’ve all heard the recommendation: eat no more than a teaspoon of salt a day for a healthy heart. Health-conscious Americans have hewn to the conventional wisdom - that your salt shaker can put you on the fast track to a heart attack - and have suffered through bland but ‘heart-healthy’ dinners as a result.What if the low-salt advice is wrong?Dr. James DiNicolantonio, a leading cardiovascular research scientist, has reviewed over 500 publications to unravel the impact of salt on blood pressure and heart disease. He's reached a startling conclusion: The vast majority of us don’t need to watch our salt intake. In fact, for most of us, more salt would be advantageous to your health. The Salt Fix tells the remarkable story of how salt became unfairly demonized - a never-before-told drama of competing egos and interests - and took the fall for another white crystal: sugar. In fact, too little salt can:• Cause you to crave sugar and refined carbs.• Send the body into semi-starvation mode.• Lead to weight gain, insulin resistance, type 2 diabetes, cardiovascular disease, chronic kidney disease, and increased blood pressure and heart rate.On the other hand, eating the salt your body desires can:• Improve everything from your sleep, energy, and mental focus to your fitness, fertility, and sexual performance• And stave off common chronic illnesses, including heart disease.Dr. DiNicolantonio shows the best ways to add salt back into your diet, offering his transformative five-step program for recalibrating your salt thermostat to achieve your unique, ideal salt intake. Science has moved on from the low-salt dogma, and so should you - your life may depend on it.
Say Good Night to Insomnia (Updated Edition)
Jacobs, Gregg D.
Dr. Jacobs describes the drug-free, scientifically proven program for conquering insomnia in six weeks--a program that succeeds by helping insomniacs change the way they think about sleep.
And the Band Played On: Politics, People, and the AIDS Epidemic (20th-Anniversary Edition)
A masterpiece of investigative reporting, And the Band Played On is one of the few true modern classics. Shilts's exposé reveals why AIDS was allowed to spread unchecked during the early days of the epidemic while the most trusted institutions ignored or denied the threat.
Never Enough: The Neuroscience and Experience of Addiction
From a renowned behavioral neuroscientist and recovering addict, a rare page-turning work of science that draws on personal insights to reveal how drugs work, the dangerous hold they can take on the brain, and the surprising way to combat today's epidemic of addiction.Judith Grisel was a daily drug user and college dropout when she began to consider that her addiction might have a cure, one that she herself could perhaps discover by studying the brain. Now, after twenty-five years as a neuroscientist, she shares what she and other scientists have learned about addiction, enriched by captivating glimpses of her personal journey. In Never Enough, Grisel reveals the unfortunate bottom line of all regular drug use: there is no such thing as a free lunch. All drugs act on the brain in a way that diminishes their enjoyable effects and creates unpleasant ones with repeated use. Yet they have their appeal, and Grisel draws on anecdotes both comic and tragic from her own days of using as she limns the science behind the love of various drugs, from marijuana to alcohol, opiates to psychedelics, speed to spice.With more than one in five people over the age of fourteen addicted, drug abuse has been called the most formidable health problem worldwide, and Grisel delves with compassion into the science of this scourge. She points to what is different about the brains of addicts even before they first pick up a drink or drug, highlights the changes that take place in the brain and behavior as a result of chronic using, and shares the surprising hidden gifts of personality that addiction can expose. She describes what drove her to addiction, what helped her recover, and her belief that a “cure” for addiction will not be found in our individual brains but in the way we interact with our communities.Set apart by its color, candor, and bell-clear writing, Never Enough is a revelatory look at the roles drugs play in all of our lives and offers crucial new insight into how we can solve the epidemic of abuse.
Diagnosis: Solving the Most Baffling Medical Mysteries
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The Eczema Diet
Twenty per cent of people in the developed world have eczema -- the incident rate among babies and children is on the rise. The research shows that eczema sufferers spend up to $2000 on eczema treatments each year and nearly 40 percent spend more than 10 minutes each day applying topical treatments. And yet the number of people with eczema is rising and has tripled in recent years. While it's perfectly fine to use modern medicines to help you or your child gain temporary relief, you need to explore and ultimately follow a long term solution. This solution involves making environmental and dietary changes. Part 1: Eczema and Diet Tips on how to manage and mend your eczema How the diet works How a healthy liver and healthy skin go hand in hand Top 12 eczema-safe foods and other important ingredients Supplements Part 2: Useful Non-Diet Information Information you can refer to at any time if you need a bath recipe, moisturizer advice or a quick itch-busting treatment. Skin care products, make-up and daily regimen Dandruff Bath recipes and emergency itch busters Part 3: Programs, Menus and Recipes Eczema-safe recipes Food charts and menus for each specific age group -- from babies to adults Eczema-safe shopping guides Party food guide. This outstanding program offers solutions and advice that can be tailored to suit individual needs -- whether it be a baby, child or adult -- ultimately you'll be able to manage and mend the eczema.
Dr. Susan Love's Breast Book (A Merloyd Lawrence Book)
Love, Susan M.
For more than two decades, readers faced with a diagnosis of breast cancer have relied on Dr. Susan Love's Breast Book to guide them through the frightening thicket of research and opinion to find the best options for their particular situations. This sixth edition explains advances in targeted treatments, hormonal therapies, safer chemotherapy, and immunologic approaches as well as new forms of surgery and radiation. There is extensive guidance for the many women now living for years with metastatic breast cancer. With Dr. Love's warm support, readers can sort the facts from the fads, ask the right questions, and recognize when a second opinion might be wise.
The Beauty of Dirty Skin: The Surprising Science of Looking and Feeling Radiant from the Inside Out
Every year, nearly 80 million Americans will consult their doctors about their skin. In fact, skin disorders beat out anxiety, depression, back pain, and diabetes as the number one reason Americans see their doctors. Unfortunately, however, the vast majority will receive only a surface-level treatment, leaving the underlying conditions at the root of their skin issues unresolved. Skin doesn't lie; it reflects overall health in unimaginable ways.In The Beauty of Dirty Skin, internationally renowned dermatologist and scientist Dr. Whitney Bowe shows readers that skin health is much more than skin deep. As a pioneering researcher on the cutting edge of the gut-brain-skin axis, she explains how the spectrum of skin disorders -- from stubborn acne and rosacea to psoriasis, eczema, and premature wrinkling -- are manifestations of irregularities rooted in the gut. Lasers, scalpels, creams, and prescription pads alone will not guarantee the consistently healthy, glowing skin we all seek. Instead, Dr. Bowe focuses on the microbiome -- where trillions of microbes "speak" to your skin via the brain -- and highlights the connection between sleep, stress, diet, gastrointestinal health, and the health of your skin. With simple explanations of the science, do-it-yourself practical skincare strategies, and a life-changing 21-day program, The Beauty of Dirty Skin is your roadmap to great skin from the inside out and the outside in.
A compelling defense of hormone replacement therapy, exposing the faulty science behind its fall from prominence and empowering women to make informed decisions about their health. For years, hormone replacement therapy (HRT) was hailed as a miracle. Study after study showed that HRT, if initiated at the onset of menopause, could ease symptoms ranging from hot flashes to memory loss; reduce the risk of heart disease, Alzheimer's, osteoporosis, and some cancers; and even extend a woman's overall life expectancy. But when a large study by the Women's Health Initiative announced results showing an uptick in breast cancer among women taking HRT, the winds shifted abruptly, and HRT, officially deemed a carcinogen, was abandoned.Now, sixteen years after HRT was left for dead, Dr. Bluming, a medical oncologist, and Dr. Tavris, a social psychologist, track its strange history and present a compelling case for its resurrection. They investigate what led the public -- and much of the medical establishment -- to accept the Women's Health Initiative's often exaggerated claims, while also providing a fuller picture of the science that supports HRT. A sobering and revelatory read, Estrogen Matters sets the record straight on this beneficial treatment and provides an empowering path to wellness for women everywhere.
Crazy Like Us: The Globalization of the American Psyche
The most devastating consequence of the spread of American culture across the globe has not been our golden arches or our bomb craters, but our bulldozing of the human psyche itself. American-style depression, post-traumatic stress disorder, and anorexia have begun to spread around the world like contagions, and the virus is us. Traveling from Hong Kong to Sri Lanka to Zanzibar to Japan, acclaimed journalist Ethan Watters witnesses firsthand how Western healers often steamroll indigenous expressions of mental health and madness and replace them with our own. In teaching the rest of the world to think like us, we have been homogenizing the way the world goes mad.
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