There'd been a Rivers at the helm of Argyle Community Hospital for six generations, and Harper Rivers was set to take her father's place whenever he decided to hang up his shingle. Unfortunately, the board of directors had other ideas-they were about to accept a buyout offer from the regional medical center and close the hospital's doors to the community that depended on it. They've even gone and hired Presley Worth, a high-powered corporate financier, to oversee the closure. Funny thing was, no one asked Harper, and she had no intentions of following anyone's orders but her own-no matter how beautiful, smart, or commanding the new boss might be.
The Henna Housewife Killer continues to evade the police for the murders of red-haired housewives. Dr. Molly Jordon treats Detective Danny Sullivan when he's rushed into her ER with a critical bullet wound. Molly has never experienced a pure carnal reaction to a patient before, but Danny sparks such heat in her that nights he comes to her in fervidly steamy dreams. A cop's widow and single parent, Molly is fiercely averse to the life of worry that loving a police officer entails. And Danny isn't any cop. He's the son of a retired police commissioner and one of six siblings who are all law enforcers. After a bitter divorce Danny is convinced that a cop's job and married life doesn't mix--until he meets the bossy, irresistible Molly Jordan who throws medical orders at him that he has no intentions of following.
Dr. McCoy finds himself in over his head when put in command of the Starship Enterprise in this electrifying Star Trek adventure. When Dr. McCoy grumbles once too often about the way the Starship Enterprise ought to be run, Captain Kirk decides to leave the doctor in command while he oversees a routine diplomatic mission. But McCoy soon learns that command is a double-edged sword when Kirk disappears without a trace. Desperately trying to locate his captain, McCoy comes under pressure from Starfleet to resolve the situation immediately. Matters go from bad to worse when the Klingons arrive and stake their own claim on the planet. And when another deadly power threatens them all, McCoy and the Enterprise are pitted against an alien fleet in a battle they have no hope of winning.
The United States does not have enough doctors. Every year since the 1950s, internationally trained and osteopathic medical graduates have been needed to fill residency positions because there are too few American-trained MDs. However, these international and osteopathic graduates have to significantly outperform their American MD counterparts to have the same likelihood of getting a residency position. And when they do, they often end up in lower-prestige training programs, while American-trained MDs tend to occupy elite training positions. Some programs are even fully segregated, accepting exclusively U.S. medical graduates or non-U.S. medical graduates, depending on the program’s prestige. How do international and osteopathic medical graduates end up so marginalized, and what allows U.S.-trained MDs to remain elite? Doctors’ Orders offers a groundbreaking examination of the construction and consequences of status distinctions between physicians before, during, and after residency training. Tania M. Jenkins spent years observing and interviewing American, international, and osteopathic medical residents in two hospitals to reveal the unspoken mechanisms that are taken for granted and that lead to hierarchies among supposed equals. She finds that the United States does not need formal policies to prioritize American-trained MDs. By relying on a system of informal beliefs and practices that equate status with merit and eclipse structural disadvantages, the profession convinces international and osteopathic graduates to participate in a system that subordinates them to American-trained MDs. Offering a rare ethnographic look at the inner workings of an elite profession, Doctors’ Orders sheds new light on the formation of informal status hierarchies and their significance for both doctors and patients.
Discusses how to avoid harmful medical mistakes, offering advice on such topics as working with a busy doctor, communicating the full story of an illness, evaluating test risks, and obtaining a working diagnosis.
There’d been a Rivers at the helm of Argyle Community Hospital for six generations, and Harper Rivers was set to take her father’s place whenever he decided to hang up his shingle. Unfortunately, the board of directors had other ideas—they accepted a buyout offer from a health care conglomerate with plans to close the hospital’s doors to the community that depended on it. And Presley Worth, a high-powered corporate financier, came to town to oversee the closure. Funny thing was, no one asked Harper, and she had no intentions of following anyone’s orders but her own—no matter how beautiful, smart, or commanding the new boss might be.
On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.
#1 International Bestseller: A frontline trauma surgeon tells his “riveting” true story of operating in the world’s most dangerous war zones (The Times). For more than twenty-five years, surgeon David Nott has volunteered in some of the world’s most perilous conflict zones. From Sarajevo under siege in 1993 to clandestine hospitals in rebel-held eastern Aleppo, he has carried out lifesaving operations in the most challenging conditions, and with none of the resources of a major metropolitan hospital. He is now widely acknowledged as the most experienced trauma surgeon in the world. War Doctor is his extraordinary story, encompassing his surgeries in nearly every major conflict zone since the end of the Cold War, as well as his struggles to return to a “normal” life and routine after each trip. Culminating in his recent trips to war-torn Syria—and the untold story of his efforts to help secure a humanitarian corridor out of besieged Aleppo to evacuate some 50,000 people—War Doctor is a heart-stopping and moving blend of medical memoir, personal journey, and nonfiction thriller that provides unforgettable, at times raw, insight into the human toll of war. “Superb . . . You are constantly amazed that men such as Nott can witness the extraordinary cruelties of the human race, so many and so foul, yet keep going.” —Sunday Times “Gripping and fascinating medical stories.” —Kirkus Reviews
"The book is a fine addition to the world of academic medical ethics... Readers... will come away with some of the tools for further debate." -- Publishers Weekly "Susan B. Rubin's splendid new book... offers positive, humane solutions to the frustrations that have given rise to the futility debate." -- Carl Elliott, Medical Humanities Review "Rubin offers a thorough and thought-provoking exploration of the concept of futility as a basis for medical decisions." -- Choice "... [the] brilliant analysis found in Rubin's [book] couldn't be more timely.... When Doctors Say No is the most thorough philosophical rebuttal to be found in the literature of medical futility as the basis for unilateral decisionmaking by physicians." -- Charles Weijer, Canadian Medical Association Journal Should physicians be permitted to unilaterally refuse to provide treatment that they deem futile? Even if the patient, or the patient's family, insists that everything possible must be done? In this book, philosopher and bioethicist Rubin examines this controversial issue. She offers a critique of the concept of medical futility and the debate surrounding it, and she calls for more public debate about the underlying issues at stake for all of us -- patients, families, health care providers, insurers, and society at large.
Most people would consider a knife wound to the stomach a serious health risk, but a similar scalpel wound in an operating room is often shrugged off. In Doctors Are More Harmful Than Germs, Dr. Harvey Bigelsen explains how today’s medical doctors overprescribe surgery and ignore its long-term health implications. Any invasive medical procedure, he argues—including colonoscopies and root canals—creates inflammation in the body, leading to serious and long-lasting health problems. Inflammation, according to Dr. Bigelsen, is the real cause of all chronic disease (persistent or long-lasting illness). Noting that Western medicine has yet to “cure” a single chronic disease, Bigelsen points to a new paradigm: one that treats each patient as an individual (rather than as a set of symptoms), avoids further damage to the body through surgery, and looks for the root cause of chronic disease in past damage done to the patient’s body—whether caused by a bad fall or a scalpel. Provocatively written and radical in its approach, Doctors Are More Harmful Than Germs challenges readers to rethink everything they believe about illness and how to treat it.
