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Crooked: Outwitting the Back Pain Industry and Getting on the Road to Recovery
Ramin, Cathryn Jakobson
In her effort to manage her chronic back pain, investigative reporter Cathryn Jakobson Ramin spent years and a small fortune on a panoply of treatments. But her discomfort only intensified, leaving her feeling frustrated and perplexed. As she searched for better solutions, she exposed a much bigger problem. Costing roughly $100 billion a year, spine medicine - often ineffective and sometimes harmful - exemplified the worst aspects of the U.S. health care system.The result of six years of intensive investigation, Crooked offers a startling look at the poorly identified risks of spine medicine, and provides practical advice and solutions. Ramin interviewed scores of spine surgeons, pain management doctors, physical medicine and rehabilitation physicians, exercise physiologists, physical therapists, chiropractors, specialized bodywork practitioners. She met with many patients whose pain and desperation led them to make life-altering decisions, and with others who triumphed over their limitations.The result is a brilliant and comprehensive book that is not only important but essential to millions of back pain sufferers, and all types of health care professionals. Ramin shatters assumptions about surgery, chiropractic methods, physical therapy, spinal injections and painkillers, and addresses evidence-based rehabilitation options - showing, in detail, how to avoid therapeutic dead ends, while saving money, time, and considerable anguish. With Crooked, she reveals what it takes to outwit the back pain industry and get on the road to recovery.
Is Gwyneth Paltrow Wrong about Everything?: When Celebrity Culture and Science Clash
Over the past few decades, celebrity culture's grip on our society has tightened. For Timothy Caulfield, a health science expert, this culture has a measurable influence on individual life choices and health care decisions. In typical Caulfield manner, it isn't enough to just interview experts and read all of the current studies (which he does). He tries celebrity-recommended beauty routines and diets. After attending a modeling competition, he enrolls in an assessment/audition for a modelling agency in Hollywood. He follows celebrity Twitter feeds, reads gossip blogs and forces himself to read every issue - cover to cover - of People magazine, for an entire year, in his quest to understand the relationship between celebrity culture and our individual health choices. In this fun, factual book, Caulfield separates sense from nonsense and provides usable and evidence-informed advice about what actually works and what is a waste of money and time.
Snowball in a Blizzard: A Physician's Notes on Uncertainty in Medicine
There's a running joke among radiologists: finding a tumor in a mammogram is akin to finding a snowball in a blizzard. A bit of medical gallows humor, this simile illustrates the difficulties of finding signals (the snowball) against a background of noise (the blizzard). Doctors are faced with similar difficulties every day when sifting through piles of data from blood tests to X-rays to endless lists of patient symptoms.Diagnoses are often just educated guesses, and prognoses less certain still. There is a significant amount of uncertainty in the daily practice of medicine, resulting in confusion and potentially deadly complications. Dr. Steven Hatch argues that instead of ignoring this uncertainty, we should embrace it. By digging deeply into a number of rancorous controversies, from breast cancer screening to blood pressure management, Hatch shows us how medicine can fail - sometimes spectacularly - when patients and doctors alike place too much faith in modern medical technology. The key to good health might lie in the ability to recognize the hype created by so many medical reports, sense when to push a physician for more testing, or resist a physician's enthusiasm when unnecessary tests or treatments are being offered.Both humbling and empowering, Snowball in a Blizzard lays bare the inescapable murkiness that permeates the theory and practice of modern medicine. Essential reading for physicians and patients alike, this book shows how, by recognizing rather than denying that uncertainty, we can all make better health decisions.
Attending: Medicine, Mindfulness, and Humanity
The first book for the general public about the importance of mindfulness in medical practice, Attending is a groundbreaking, intimate exploration of how doctors approach their work with patients. From his early days as a Harvard Medical School student, Epstein saw what made good doctors great - more accurate diagnoses, fewer errors, and stronger connections with their patients. This made a lasting impression on him and set the stage for his life’s work - identifying the qualities and habits that distinguish master clinicians from those who are merely competent. The secret, he learned, was mindfulness.Dr. Epstein "shows how taking time to pay attention to patients can lead to better outcomes on both sides of the stethoscope" (Publishers Weekly). Drawing on his clinical experiences and current research, Dr. Epstein explores four foundations of mindfulness - Attention, Curiosity, Beginner’s Mind, and Presence - and shows how clinicians can grow their capacity to provide high-quality care.The commodification of health care has shifted doctors’ focus away from the healing of patients to the bottom line. Clinician burnout is at an all-time high. Attending is the antidote. With compassion and intelligence, Epstein offers "a concise guide to his view of what mindfulness is, its value, and how it is a skill that anyone can work to acquire" (Library Journal).
The Most Effective Ways to Live Longer
Don't just live longer - live better! "The Most Effective Ways to Live Longer" provides a road map to a longer, healthier life, advocating key strategies for the food, supplements, and lifestyle adjustments that will keep us going stronger, longer. With these strategies, you can win the battle against aging.Living a long life isn’t only about measuring the number of years lived, but how we live them. Dr. Beth Traylor and nutritionist and weight loss expert Jonny Bowden provide recommendations that will keep you strong, healthy, energetic, and active with every decade of your life. These methods—all backed by the latest research and scientific studies—are easy, yet work anti-aging miracles. There’s no better time to start than now.You’ll learn how to rein in "The Four Horseman of Aging":• Free radicals, which cause oxidative damage that wear you down from the inside out• Inflammation, the “silent killer” that is a factor in almost every degenerative disease• Glycation, a process that is implicated in many of the diseases of aging• Stress, which can cause more damage to your overall well-being than you think.The book includes fitness tips for your body's "key players"—the heart, brain, bones, muscles, joints, immune system, and hormones. More and more studies are proving that we can strongly influence how long and how well we live. This fully revised and updated edition offers the smartest program for living a longer, healthier, better life.
Fast Food Genocide: How Processed Food is Killing Us and What We Can Do About It
Revered nutrition and health expert, PBS personality, and bestselling author of Eat to Live, Super Immunity, and The End of Diabetes, Dr. Joel Fuhrman, delivers a hard-hitting, culture-shifting examination of the role fast and processed food plays in our nation's health crisis and offers a program to help us discover a lasting solution, including a two-week meal plan and 80 recipes.We’re eating our way to discomfort, unhappiness, disease, and premature death. Processed and fake foods have become the primary source of calories in the United States—a trend that is growing across the developed world. While these "Frankenfoods" efficiently feed the majority of our citizens, they do not contain the sustaining biological and chemical properties of food produced in nature. This fast-food solution is causing a fast-food genocide that is shaping our bodies and our futures, Joel Fuhrman, MD, warns.Eating these unhealthy foods make us fatter and profoundly affects our brains, behaviors, and even our genetic makeup, leaving us helpless to social forces that will keep us eating fast food forever, he explains. They create an avalanche of harmful problems—chronic disease, lowered intelligence levels, and attention deficits that are intrinsically linked to poverty, reduced educational and occupational opportunities, and even increased drug addiction, violence, and crime.An urgent call to action, Fast Food Genocide also provides a clear and very achievable solution. While food can destroy the world, it can also heal it. We must take back control of our diet—by eating specific natural ingredients in a balanced way—and in doing so, our right to a healthy, long life. "Greater knowledge leads to a solution; a solution to your personal health issues and a solution for our society." Dr. Fuhrman writes. "But it starts with you."
Top Screwups Doctors Make and How to Avoid Them
A primary care doctor is skeptical of his patient’s concerns. A hospital nurse or intern is unaware of a drug’s potential side effects. A physician makes the most "common" diagnosis while overlooking the signs of a rarer and more serious illness, and the patient doesn’t see the necessary specialist until it’s too late. A pharmacist dispenses the wrong drug and a patient dies as a result.Sadly, these kinds of mistakes happen all the time. Each year, 6.1 million Americans are harmed by diagnostic mistakes, drug disasters, and medical treatments. A decade ago, the Institute of Medicine estimated that up to 98,000 people died in hospitals each year from preventable medical errors. And new research from the University of Utah, HealthGrades of Denver, and elsewhere suggests the toll is much higher.The good news is that we can protect ourselves, and our loved ones, by being educated and vigilant medical consumers. The Graedons give patients the specific, practical steps they need to take to ensure their safety: the questions to ask a specialist before getting a final diagnosis, tips for promoting good communication with your doctor, presurgery checklists, how to avoid deadly drug interactions, and much more.
Better Now: Six Big Ideas to Improve Health Care for All Canadians
As a family doctor and a hospital vice president, Dr. Danielle Martin sees the challenges in our health care system and observes how those deficiencies adversely affect patients. And as a health policy expert, she knows how to close those gaps. A passionate believer in the value of fairness that underpins the Canadian health care system, Dr. Martin is on a mission to improve medicare.In Better Now, she shows through "Six Big Ideas" how bold fixes are both achievable and affordable. Her patients' stories and her own family's experiences illustrate the evidence she presents about what works best to improve health care for all.Accessible and authoritative, Dr. Martin is a fervent supporter of the best of medicare and a persuasive critic of what needs fixing.
Crooked: Outwitting the Back Pain Industry and Getting on the Road to Recovery
Ramin, Cathryn Jakobson
In her effort to manage her chronic back pain, investigative reporter Cathryn Jakobson Ramin spent years and a small fortune on a panoply of treatments. But her discomfort only intensified, leaving her feeling frustrated and perplexed. As she searched for better solutions, she exposed a much bigger problem. Costing roughly $100 billion a year, spine medicine—often ineffective and sometimes harmful —exemplified the worst aspects of the U.S. health care system.The result of six years of intensive investigation, Crooked offers a startling look at the poorly identified risks of spine medicine, and provides practical advice and solutions. Ramin interviewed scores of spine surgeons, pain management doctors, physical medicine and rehabilitation physicians, exercise physiologists, physical therapists, chiropractors, specialized bodywork practitioners. She met with many patients whose pain and desperation led them to make life-altering decisions, and with others who triumphed over their limitations.The result is a brilliant and comprehensive book that is not only important but essential to millions of back pain sufferers, and all types of health care professionals. Ramin shatters assumptions about surgery, chiropractic methods, physical therapy, spinal injections and painkillers, and addresses evidence-based rehabilitation options—showing, in detail, how to avoid therapeutic dead ends, while saving money, time, and considerable anguish. With Crooked, she reveals what it takes to outwit the back pain industry and get on the road to recovery.
Genomic Messages: How the Evolving Science of Genetics Affects Our Health, Families, and Future
Two leaders in the field of genetics - a bioethicist-health lawyer and an obstetrician-gynecologist geneticist - answer the most pressing questions about the application of new genetics to our universal medicine and what personalized medicine means for individual healthcare.Breakthroughs in genetic research are changing modern medicine and pharmaceuticals. But what are these changes and how do they affect our individual care? Genomic Messages examines these groundbreaking changes and the questions they raise: What kind of specific medical innovation do we have to look forward to now and tomorrow? How will this “flood” of genetic messages change our lives, our interaction with our physicians and our healthcare system?Groundbreaking and provocative, Genomic Messages fuses the often conflicting worlds of medicine and law to provide information and insight that will impact the health choices of every one of us, from how medicine is practiced to concepts of privacy, confidentiality, and informed consent. Ultimately, it reveals how genetic information is changing how we think about ourselves, our health, and our future.
Fast Carbs, Slow Carbs: The Simple Truth About Food, Weight, and Disease
Kessler, David A.
The American body is in trouble. Unprecedented numbers of us suffer from obesity, heart disease, diabetes, and other debilitating illnesses. The root cause is a once-revolutionary idea that seemed to offer so much promise, but instead has become the cause of a global health crisis: processed foods. Over the past seventy-five years, a number of factors aligned to create a reality in which processed carbohydrates became our main food source. In Fast Carbs, Slow Carbs, bestselling author and former FDA Commissioner David A. Kessler explains how the quest to feed a nation resulted in a population that is increasingly suffering from obesity and chronic disease and offers a solution for changing course.For decades, no one questioned the effects of these processed carbohydrates. The focus was on fertile grassland, ideal for growing vast amounts of wheat and corn; an industrial infrastructure perfect for refining those grains into starch; a food production behemoth that turns refined grains into affordable, appealing, and ever-present food items, from pizza to burritos to bagels; and an efficient distribution network that ensures consumption by Americans nationwide.But during those same decades, our bodies quietly contended with the metabolic chaos caused by consuming rapidly absorbable starch. Slowly but surely, these effects accumulated and became disastrous, leading to the public health crisis in which we find ourselves today.In Fast Carbs, Slow Carbs, Kessler explains how eating refined grains such as wheat, corn, and rice leads to a cascade of hormonal and metabolic issues that make it very easy to gain weight and nearly impossible to lose it. Worse still is how excess weight creates a very real link to diabetes, heart disease, cognitive decline, and a host of cancers.We can no longer afford to dismiss the consequences of eating food that is designed to be rapidly absorbed as sugar in our bodies. Informed by cutting-edge research as well as Dr. Kessler’s own personal quest to manage his weight, Fast Carbs, Slow Carbs reveals in illuminating detail how we got to this critical turning point in our health as a nation - and outlines a plan for eliminating heart disease, allowing us to, finally, regain control of our health.
How to Be a Patient: The Essential Guide to Navigating the World of Modern Medicine
Did you know that patients have statistically better outcomes when their surgeon is female? That you can mark-up an informed consent sheet before you sign it, or get second opinions on CTs and MRIs? That there’s a blue book for healthcare procedures, or an algorithm to decide between ER, Urgent Care, and waiting-until-Monday?In How to Be a Patient, nurse and public health advocate Sana Goldberg walks readers through the complicated and uncertain medical landscape, illuminating a path to better care.Warm and disarmingly honest, Goldberg’s advice is as expert as it is accessible. In the face of an epidemic of brusque, impersonal care she empowers readers with the information and tools to come to good decisions with their providers and sidestep the challenging realities of modern medicine.With sections like When All is Well, When It’s An Emergency, When It’s Your Person, and When You Have to Stand Up to the Industry, along with appendices to help track family history, avoid pointless medical tests, and choose when and where to undergo a procedure, How to Be a Patient is an invaluable and essential guide for a new generation of patients.
The One-Minute Workout: Science Shows a Way to Get Fit That's Smarter, Faster, Shorter
Finally, the solution to the #1 reason we don’t exercise: time. Everyone has one minute.A decade ago, Martin Gibala was a young researcher in the field of exercise physiology - with little time to exercise. That critical point in his career launched a passion for high-intensity interval training (HIIT), allowing him to stay in shape with just a few minutes of hard effort. It also prompted Gibala to conduct experiments that helped launch the exploding science of ultralow-volume exercise. Now that he’s the worldwide guru of the science of time-efficient workouts, Gibala’s first book answers the ultimate question: How low can you go?Gibala’s fascinating quest for the answer makes exercise experts of us all. His work demonstrates that very short, intense bursts of exercise may be the most potent form of workout available. Gibala busts myths (“it’s only for really fit people”), explains astonishing science (“intensity trumps duration”), lays out time-saving life hacks (“exercise snacking”), and describes the fascinating health-promoting value of HIIT (for preventing and reversing disease). Gibala’s latest study found that sedentary people derived the fitness benefits of 150 minutes of traditional endurance training with an interval protocol that involved 80 percent less time and just three minutes of hard exercise per week.Including the eight best basic interval workouts as well as four microworkouts customized for individual needs and preferences (you may not quite want to go all out every time), The One-Minute Workout solves the number-one reason we don’t exercise: lack of time. Because everyone has one minute.
How Healing Works: Get Well and Stay Well Using Your Hidden Power to Heal
Dr. Wayne Jonas draws on forty years of research and patient care to explain how 80 percent of healing arises from outside the doctor's office. Wit stories from his medical practice, as well as simple illustrations, Dr. Jonas lays out a revolutionary approach to healing and health, detailing how we can tap in to our natural ability to heal and transform our day-to-day wellness.
Everything Below the Waist: Why Health Care Needs a Feminist Revolution
An eye-opening, investigative account of the dismal state of women's healthcare in the U.S.American women visit more doctors, have more surgery, and fill more prescriptions than men. In Everything Below the Waist, Jennifer Block asks: Why is the life expectancy of women today declining relative to women in other high-income countries, and even relative to the generation before them? Block examines several staples of modern women's health care, from fertility technology to contraception to pelvic surgery to miscarriage treatment, and finds that while overdiagnosis and overtreatment persist in medicine writ large, they are particularly acute for women. One third of mothers give birth by major surgery; roughly half of women lose their uterus to hysterectomy.Feminism turned the world upside down, yet to a large extent the doctors' office has remained stuck in time. Block returns to the 1970s women's health movement to understand how in today's supposed age of empowerment, women's bodies are still so vulnerable to medical control - particularly their sex organs, and as result, their sex lives.In this urgent book, Block tells the stories of patients, clinicians, and reformers, uncovering history and science that could revolutionize the standard of care, and change the way women think about their health. Everything Below the Waist challenges all people to take back control of their bodies.
Make America Healthy Again: How Bad Behavior and Big Government Caused a Trillion-Dollar Crisis
In Make America Healthy Again, Nicole Saphier, a Memorial Sloan Kettering physician, nationally recognized patient advocate, and media personality, reveals how individual negligence and big government incompetence have destroyed America’s health care system. Combining historical events, economic trends, and essential lifestyle advice, with her unique perspective, she offers concrete solutions to address this epic problem.We don’t need socialized medicine - we need to take better care of ourselves. By getting healthier and adopting preventative measures, Saphier believes, we can reduce the astronomical costs of treatment and improve overall care. The only way to lower medical costs for everyone is to stop incentivizing bad health decisions. Policies such as the Affordable Care Act and single-payer plans ignore something crucial to lowering the overall financial burden: personal responsibility. We can no longer expect doctors and the government to fix illnesses we have the power to prevent. Regardless of which health policy is adopted, our nation will flounder unless we take action. It is up to the American people to make America healthy again.
Attending: Medicine, Mindfulness, and Humanity
The first book for the general public about mindfulness and medical practice, a groundbreaking, intimate exploration of how doctors think and what matters most - safe, effective, patient-centered, compassionate care - from the foremost expert in the field.As a third-year Harvard Medical School student doing a clinical rotation in surgery, Ronald Epstein watched an error unfold: an experienced surgeon failed to notice his patient’s kidney turning an ominous shade of blue. In that same rotation, Epstein was awestruck by another surgeon’s ability to avert an impending disaster, slowing down from autopilot to intentionality. The difference between these two doctors left a lasting impression on Epstein and set the stage for his life’s work - to identify the qualities and habits that distinguish masterful doctors from those who are merely competent. The secret, he learned, was mindfulness.In Attending, his first book, Dr. Epstein builds on his world-renowned, innovative programs in mindful practice and uses gripping and deeply human clinical stories to give patients a language to describe what they value most in health care and to outline a road map for doctors and other health care professionals to refocus their approach to medicine. Drawing on his clinical experiences and current research, and exploring four foundations of mindfulness - Attention, Curiosity, Beginner’s Mind, and Presence - Dr. Epstein introduces a revolutionary concept: by looking inward, health care practitioners can grow their capacity to provide high-quality care and the resilience to be there when their patients need them.The commodification of health care has shifted doctors’ focus away from the healing of patients to the bottom line. Clinician burnout is at an all-time high. Attending is the antidote. With compassion and intelligence, Epstein offers a crucial, timely book that shows us how we can restore humanity to medicine, guides us toward a better overall quality of care, and reminds us of what matters most.
The Price We Pay: What Broke American Health Care - and How to Fix It
One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr. Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research, and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen, and a series of elusive money games in need of a serious shake-up. Dr. Makary shows how so much of health care spending goes to things that have nothing to do with health and what you can do about it. Dr. Makary challenges the medical establishment to remember medicine's noble heritage of caring for people when they are vulnerable.The Price We Pay offers a roadmap for everyday Americans and business leaders to get a better deal on their health care, and profiles the disruptors who are innovating medical care. The movement to restore medicine to its mission, Makary argues, is alive and well--a mission that can rebuild the public trust and save our country from the crushing cost of health care.
A week after her forty-first birthday, the acclaimed poet Anne Boyer was diagnosed with highly aggressive triple-negative breast cancer. For a single mother living paycheck to paycheck who had always been the caregiver rather than the one needing care, the catastrophic illness was both a crisis and an initiation into new ideas about mortality and the gendered politics of illness.A twenty-first-century Illness as Metaphor, as well as a harrowing memoir of survival, The Undying explores the experience of illness as mediated by digital screens, weaving in ancient Roman dream diarists, cancer hoaxers and fetishists, cancer vloggers, corporate lies, John Donne, pro-pain ”dolorists,” the ecological costs of chemotherapy, and the many little murders of capitalism. It excoriates the pharmaceutical industry and the bland hypocrisies of ”pink ribbon culture” while also diving into the long literary line of women writing about their own illnesses and ongoing deaths: Audre Lorde, Kathy Acker, Susan Sontag, and others.A genre-bending memoir in the tradition of The Argonauts, The Undying will break your heart, make you angry enough to spit, and show you contemporary America as a thing both desperately ill and occasionally, perversely glorious.
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