Dr. Arnold Relman, Professor Emeritus at Harvard Medical School and former editor-in-chief of The New England Journal of Medicine brings together sixty years of experience in medicine in a book that holds the keys to a new structure for healthcare based on voluntary private contracts between individuals and not-for-profit, multi-specialty groups of physicians. Timely, provocative, and newly updated, A Second Opinion is a clarion call to action. If we heed Dr. Relman's plan, Americans could at last achieve a lasting, sensible solution to national healthcare.
A unique insider's view of today's complex and often contentious world of medicine Anxious about the prognosis, lost in a blur of technical jargon, and fatigued from worry or pain, people who are ill are easily overwhelmed by treatment choices. Told through eight gripping clinical dramas, Second Opinions reveals the forces at play in making critical medical decisions. Dr. Jerome Groopman illuminates the world of medicine where knowledge is imperfect, no therapy is without risks, and no outcome is fully predictable. He portrays moments of astute diagnosis and misguided perception, of lifesaving triumphs and shattering failures. These real-life lessons prepare us to navigate the uncertain terrain of illness, and enable us to balance intuition and information, and thereby make the best possible decisions about our health and future.
Dr. Thea Sperelakis, diagnosed as a teen with Asperger's syndrome, has always been an outsider. She has a brilliant medical mind, and a remarkable recall of details, but her difficulty in dealing with hidden agendas and interpersonal conflicts have led her to leave the complex, money-driven dynamics of the hospital, and to embrace working with the poor, embattled patients of Doctors Without Borders. Her father, Petros, is one of the most celebrated internal medicine specialists in the world, and the founder of the cutting-edge Sperelakis Center for Diagnostic Medicine at Boston's sprawling, powerful Beaumont Clinic. Thea's rewarding life in Africa is turned upside-down when Petros is severely injured by a hit-and-run driver. He is in the Beaumont ICU, in a deep coma. No one thinks he will survive. Thea must return home. Two of Petros' other children, both physicians, battle Thea and her eccentric brother, Dimitri, by demanding that treatment for their father be withheld. As Thea uncovers the facts surrounding the disaster, it seems more and more to be no accident. Petros, himself, is the only witness. Who would want him dead? The answers are trapped in his brain . . . until he looks at Thea and begins slowly to blink a terrifying message. In The Second Opinion, Michael Palmer has created a cat-and-mouse game where one woman must confront a conspiracy of doctors to uncover an evil practice that touches every single person who ever has a medical test. With sympathetic characters and twists and betrayals that come from the most unlikely places, The Second Opinion will make you question...everything.
Most people would agree that we aren't taught much about 'wellness.' And while there seems to be an increased awareness related to 'fitness, ' more often than not we only think about 'health' or doctors when we're sick. What's left in the middle of those two extremes is a life-long struggle to stay healthy and productive in a world of mixed medical messages. For the first time, Dr. Radha Gopalan, gifted heart transplant Cardiologist, Acupuncturist and Yoga Teacher, clears up the confusion around health, wellness, and illness. And he does it in a way that will change the way you think about yourself--and medicine--forever. Dr. Gopalan merges his education and experience in both Eastern and Western medicine to look at health and wellness from a unique and powerful perspective and delivers not only concepts and philosophies that can change the way you think about health and wellness, but assesses the most common medical conditions that impact our world--from cancer and diabetes to heart disease, obesity, and chronic illnesses. In Second Opinion, Dr. Gopalan will explain: - how Eastern and Western medicine can work together for optimum health and wellness ? - how you can influence the outcome of your health--and disease ? - how the five levels of the H-I Triangle shape your personality, reactions, health, and ?happiness ? - how insurance and finances are affecting your healthcare ? - why some people who eat healthy, exercise, and lead a healthy lifestyle still have a heart ?attack ? - how being healthy has more to do with who you must be than what you must do ?
Taking an intersectional approach to the study of health and illness, Second Opinion introduces students to the field through an accessible yet authoritative overview of key theories, debates, and research findings. Written in a clear, straightforward style, with contributions from bothCanadian and international scholars, this comprehensive volume examines a wide range of topics including racialization, disability, aging, the environment, Aboriginal health, and the political economy of the health industry. Themes such as the social determinants of health, health inequalities,intersectionality, and the roles of both structure and agency in creating and maintaining the status quo are integrated throughout. The array of pedagogical features fosters engagement with the material, while providing study support and suggestions for further learning. New content and examples -on maternal mortality rates, the latest in sociological theory, health care inequalities in Canada, obesity, appearance norms, healthy aging, physician-assisted death, drug costs in Canada and the world, and integrated health care - encourage students to think critically about health-care practicesand policies in Canada within a global health perspective. Thoroughly revised and up-to-date, with a new visual program to appeal to visual learners and a new chart on the inside cover that details the coverage of social determinants throughout the text, the second Canadian edition of Second Opinion ensures that students of health sociology have everythingthey need to understand this complex discipline, right at their fingertips.
In this first book to bring both establishment and dissenting views of the AIDS crisis into one volume, Gary Null unravels the halftruths that many argue have marred the study of this disease from the start. In clear, jargon-free prose, the book offers an unbiased, unflinching discussion of all sides of each issue. AIDS: A Second Opinion argues that the AIDS drama has exposed problematic issues having to do with the functioning of U.S. medical institutions. Null explores a new type of health care, grounded in patients' own choices and dispositions, that poses a challenge to the top-down, expert-controlled medical systems favored by the establishment. Drawing from Null's many years of study of alternative, traditional, and orthodox medicine as well as from interviews with many long-term survivors, the book dissects the claims of the AZT and drug-cocktail approach to treating AIDS and offers a trilogy of treatment strategies based on wide views of how to enhance the immune system and improve overall functioning.
With his question-and-answer format, John McDougall leads the readers to an understanding of an approach to their health that puts them in charge of their own health and/or treatment.
Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.
From the internationally best-selling author of Fatherland and the Cicero Trilogy--a chilling and dark new thriller unlike anything Robert Harris has done before. 1468. A young priest, Christopher Fairfax, arrives in a remote Exmoor village to conduct the funeral of his predecessor. The land around is strewn with ancient artefacts--coins, fragments of glass, human bones--which the old parson used to collect. Did his obsession with the past lead to his death? Fairfax becomes determined to discover the truth. Over the course of the next six days, everything he believes--about himself, his faith, and the history of his world--will be tested to destruction.
NEW YORK TIMES BESTSELLER • A symphonic oral history about the disintegration of the Soviet Union and the emergence of a new Russia, from Svetlana Alexievich, winner of the Nobel Prize in Literature NAMED ONE OF THE TEN BEST BOOKS OF THE YEAR BY THE WASHINGTON POST AND PUBLISHERS WEEKLY • LOS ANGELES TIMES BOOK PRIZE WINNER One of the New York Times’s 100 Best Books of the 21st Century When the Swedish Academy awarded Svetlana Alexievich the Nobel Prize, it cited her for inventing “a new kind of literary genre,” describing her work as “a history of emotions—a history of the soul.” Alexievich’s distinctive documentary style, combining extended individual monologues with a collage of voices, records the stories of ordinary women and men who are rarely given the opportunity to speak, whose experiences are often lost in the official histories of the nation. In Secondhand Time, Alexievich chronicles the demise of communism. Everyday Russian citizens recount the past thirty years, showing us what life was like during the fall of the Soviet Union and what it’s like to live in the new Russia left in its wake. Through interviews spanning 1991 to 2012, Alexievich takes us behind the propaganda and contrived media accounts, giving us a panoramic portrait of contemporary Russia and Russians who still carry memories of oppression, terror, famine, massacres—but also of pride in their country, hope for the future, and a belief that everyone was working and fighting together to bring about a utopia. Here is an account of life in the aftermath of an idea so powerful it once dominated a third of the world. A magnificent tapestry of the sorrows and triumphs of the human spirit woven by a master, Secondhand Time tells the stories that together make up the true history of a nation. “Through the voices of those who confided in her,” The Nation writes, “Alexievich tells us about human nature, about our dreams, our choices, about good and evil—in a word, about ourselves.” A BEST BOOK OF THE YEAR: The New York Times, The Boston Globe, The Wall Street Journal, NPR, Financial Times, Kirkus Reviews
