Luger Rounds

Luger Rounds

Author: William Lynes

Publisher: iUniverse

Published: 2012-11-07

Total Pages: 190

ISBN-13: 9781475950151

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Luger rounds; the expression implies ending the life of a patient whose illness requires an overwhelming effort to maintain, while being too sick to survive. Is it an ominous coincidence when Dr. Phillip Thomas moves from the chief residency to being a patient in the ICU? Here he is left trapped, dying and alone in a tortuous world. Earlier he had confronted the possible assassin, but is soon deathly ill, comatose; a luger rounds candidate. Thomas realizes that he is the target of a hospital serial murder as he drifts into nightmarish dreams, while the silent assassin skulks in the darkness. An excerpt from Luger Rounds: My mind returns to the cramped ICU room; aware of my condition, and continuous pain. The morphine has cleared, the dream state resolved, but my misery goes on. I then sense an evil presence, and fear overwhelms every aching fiber of my dying body. An ominous air fills my darkened room. I am overwhelmed by dread. A tormentor sits; an assassin silent, starring, and waiting. I feel eyes on me; penetrating and bulging like a vultures, their proprietor seeing me as easy prey. I hear the assassins breathing, slow and ominous. In the menacing quiet evil eyes pierce me again. The tormentor is staring and willing me to crash; an assassin with a white coat covering a wicked heart. The reader will be captivated by this tale of medical suspense. Told from the view point of the coma patient; medical intrigue and the reality of the critical care environment are captured in the life and death hospital setting.


American Medicine

American Medicine

Author: Mary-Jo DelVecchio Good

Publisher: Univ of California Press

Published: 2023-09-01

Total Pages: 287

ISBN-13: 0520922034

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What does it mean to be a good doctor in America today? How do such challenges as new biotechnologies, the threat of malpractice suits, and proposed health-care reform affect physicians' ability to provide quality care? These and many other crucial questions are examined in this book, the first to fully explore the meaning and politics of competence in modern American medicine. Based on Mary-Jo DelVecchio Good's recent ethnographic studies of three distinct medical communities—physicians in rural California, academics and students involved in Harvard Medical School's innovative "New Pathway" curriculum, and oncologists working on breast cancer treatment—the book demonstrates the centrality of the issue of competence throughout the medical world. Competence, it shows, provides the framework for discussing the power struggles between rural general practitioners and specialists, organizational changes in medical education, and the clinical narratives of high-technology oncologists. In their own words, practitioners, students, and academics describe what competence means to them and reveal their frustration with medical-legal institutions, malpractice, and the limitations of peer review and medical training. Timely and provocative, this study is essential reading for medical professionals, academics, anthropologists, and sociologists, as well as health-care policymakers.


Big Book of Emergency Department Psychiatry

Big Book of Emergency Department Psychiatry

Author: Yener Balan

Publisher: Taylor & Francis

Published: 2017-09-18

Total Pages: 481

ISBN-13: 1351984187

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This book focuses on the operational and clinical strategies needed to improve care of Emergency Psychiatric patients. Boarding of psychiatric patients in ED’s is recognized as a national crisis. The American College of Emergency Physicians identified strategies to decrease boarding of psychiatric patients as one of their top strategic goals. Currently, there are books on clinical care of psychiatric patients, but this is the first book that looks at both the clinical and operational aspects of caring for these patients in ED setting. This book discusses Lean methodology, the impact of long stay patients using queuing methodology, clinical guidelines and active treatment of psychiatric patients in the ED.


Challenging Operations

Challenging Operations

Author: Katherine C. Kellogg

Publisher: University of Chicago Press

Published: 2011-07-30

Total Pages: 244

ISBN-13: 0226430030

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In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority. At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.


Emergency Psychiatry: Principles and Practice

Emergency Psychiatry: Principles and Practice

Author: Rachel Lipson Glick

Publisher: Lippincott Williams & Wilkins

Published: 2019-10-29

Total Pages: 844

ISBN-13: 1975113691

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The field of emergency psychiatry is complex and varied, encompassing elements of general medicine, emergency medicine, trauma, acute care, the legal system, politics and bureaucracy, mental illness, substance abuse and addiction, current social issues, and more. In one comprehensive, highly regarded volume, Emergency Psychiatry: Principles and Practice brings together key principles from psychiatric subspecialties as well as from emergency medicine, psychology, law, medical ethics, and public health policy. Leading emergency psychiatrists write from their extensive clinical experience, providing evidence-based information, expert opinions, American Psychiatric Association guidelines, and case studies throughout the text. This fully up-to-date second edition covers all of the important issues facing psychiatry residents and practitioners working in today’s emergency settings, or who encounter psychiatric emergencies in other medical settings.


Seabee 71 in Chu Lai

Seabee 71 in Chu Lai

Author: David H. Lyman

Publisher: McFarland

Published: 2019-11-08

Total Pages: 241

ISBN-13: 1476636885

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 Hoping to stay out of Vietnam, David Lyman joined the U.S. Naval Reserve to avoid the draft. By summer 1967 he was with a SeaBee unit on a beach in Chu Lai. A reporter in civilian life, Lyman was assigned to Military Construction Battalion 71 as a photojournalist. He documented the lives of the hard-working and hard-drinking SeaBees as they engineered roads, runways, heliports and base camps for the troops. The author was shot at, almost blown up by a road mine, and spent nights in a mortar pit as rockets bombarded a nearby Marine runway. He rode on convoys through Viet Cong territory to photograph villages outside "The Wire." The stories and photographs Lyman published as editor of the battalion's newspaper, The Transit, form the basis of this memoir.


Dawnsearlylite

Dawnsearlylite

Author: Arvind Kumar

Publisher: Xlibris Corporation

Published: 2013-02-26

Total Pages: 301

ISBN-13: 1479768707

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Born to a respectable French-Canadian family, Dawn L’Andry shows promise as a student and dreams of becoming a schoolteacher. But her craving for both love and luxury cause her ultimate downfall. After leaving her home and beloved father to attend university in Montréal, she finds life on a tight budget more difficult than she had anticipated. A fellow waitress at the restaurant where she earns a few extra dollars introduces her to the head of an escort service, and Dawn is sucked into a hooker’s life. She also fulfills her dream of teaching, but her nighttime activities often distract her from her altruistic mission. Her obsession with money and fascination with the idea of sex with strangers keep her constantly on the edge. Sought after by rich and famous clients, she engages in dangerous, exploitative acts with an adeptness that always makes them want more. But an encounter with Sanjay, a wealthy, married East Indian physician, turns Dawn’s carefully arranged life upside down. Dawn’s beauty and sexual expertise leave Sanjay breathless. His infatuation with her escalates, disrupting his work and family life, until she proposes becoming his mistress, on condition that he never ask about her true identity. Sanjay lavishes her with jewelry, luxurious vacations, cash and even her own stock brokerage account. Their idyllic arrangement comes crashing down around them, however, when Dawn’s parents try to arrange a marriage for her. At first, Dawn is incensed but soon realizes that her parents’ concern for her future is justified. Terrified of her double life being exposed, she agrees to marry and breaks up with Sanjay. Though Dawn has tried not to be too hurtful, a jealous and enraged Sanjay hires a private investigator to uncover her disgraceful past. Dawn’s father learns of his daughter’s sordid hidden life and banishes her from the family. Devastated, she drives her car off a bridge. Sanjay hears of her death and tries to take his own life. In the end, both lovers survive and meet by chance in Montréal. There, after an evening of soul-searching, they achieve forgiveness and find solace in each other’s arms once more.