Harvard Med: The Story Behind America's Premier Medical School and the Making of America's Do ctors Review

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(More customer reviews)After I read the book "Becoming a doctor," I became interested in reading books about medical students. So I started reading this book. I have to say that I am disappointed about its content. Although the author declared in the beginning that this is not a book about any particular medical students, I still expected that he would actually tell us some inside stories about Harvard Med.
From all I can remember, he only talked about orientation day, cadaver dissection period, then graduation day. It happens at all other medical schools. Other than the superficial things, he could have spent some time on explaining and exploring the extra materials that Harvard Med provides. I still do not know much about how the students at Harvard are learning medicine. What makes Harvard's teaching so different and so much better than other medical schools? He failed to explain it.
This content doesn't really fit with the book title.
Some of the chapters are not really related to Harvard Med. It has quite a few intensive personal interviews. However, it seems that the author were using those people to express his own views about the impersonal services HMOs that are taking quality patient time which doctors may provide. That is all he talks about, and there was no other kinds of opinions that those doctors, students were expressing. And this part of the conversation is over expressed in this book.
Overall, it is not all about Harvard med. It is really just a collection of random Harvard Med articles.

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Geology and Health: Closing the Gap Review

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(More customer reviews)The Editors of 'Geology and Health' have produced a collection of papers that will be of great interest to medical specialists, biologists, and geologists. Interdisciplinary studies on natural hazzards such as arsenic in groundwater and geochemical concentrations of toxic heavy metals in soils are required to understand the origins and pathways of some diseases.This new interest in geomedicine has been stimulated by EPA regulations and by advanced laboratory intstruments that produce extremely accurate chemical data on toxic concentrations in water, soil, and air. This will be an excellent textbook to stimulate university students to explore a vast domain between public health and earth sciences.

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This Won't Hurt a Bit: (And Other White Lies): My Education in Medicine and Motherhood Review

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(More customer reviews)I only recently started following Michelle's blog and pre-ordered the book on a whim, but I'm so glad I did. I will be recommending this book to all of my med school friends. Her writing is clever and intelligent and I couldn't stop reading this account of her journey to being a doctor and a mother. As a first year medical student, I've worried about exactly the same issues that she went through. The relentless candor of this book combined with her witty patient stories makes for an entertaining read in which, for the first time, I truly felt that I understood what it's like to be a resident. Her account is inspiring, and brightens the light at the end of the tunnel for those of us who place highest priority on both our family and our work.

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Michelle Au started medical school armed only with a surfeit of idealism, a handful of old ER episodes for reference, and some vague notion about "helping people."This Won't Hurt a Bit is the story of how she grew up and became a real doctor.It's a no-holds-barred account of what a modern medical education feels like, from the grim to the ridiculous, from the heartwarming to the obscene. Unlike most medical memoirs, however, this one details the author's struggles to maintain a life outside of the hospital, in the small amount of free time she had to live it. And, after she and her husband have a baby early in both their medical residencies, Au explores the demands of being a parent with those of a physician, two all-consuming jobs in which the lives of others are very literally in her hands.Au's stories range from hilarious to heartbreaking and hit every note in between, proving more than anything that the creation of a new doctor (and a new parent) is far messier, far more uncertain, and far more gratifying than one could ever expect.

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Doctor, Why Am I So Tired?: Discover and Overcome the Hidden But Real Medical Causes of Chronic Fatigue Review

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(More customer reviews)I have worn out my old copy and need another. I keep the book as a kitchen aide. The most helpfull feature of the book is the 2 week suggested selections for breakfast, lunch, and dinner. The selections are easy to shop for, easy to make, good to eat and the rest of the book allows one to substitue various foods on the weekly meal plans.

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Tired of feeling tired? Now there's hope. With "new" conditions such as Epstein-Barr virus syndrome making the headlines, it's not surprising that Americans make ten million doctor visits each year seeking relief from fatigue. Unfortunately, they don't always get help: doctors often see tiredness as a complaint, rather than a medical condition.DOCTOR, WHY AM I SO TIRED? is the first comprehensive guide to the medical causes of fatigue, designed to bridge the gap for both patients and doctors.Discover and overcome the hidden but real causes of chronic fatigue such as:* Physical illness -- from anemia to hepatitis* Psychological disorders -- including stress, depression, and sleep disorders* Nutritional problems* Medicinal side effects* Environmental health issuesDr. Richard N. Podell, a pioneer in the treatment of fatigue, provides a Health History questionnaire to help identify the symptoms that can point to possible undelying causes. He also discusses how to select a physician and the benefits and risks of proposed treatments.--This text refers to an out of print or unavailable edition of this title.

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AIDS and Accusation: Haiti and the Geography of Blame (Comparative Studies of Health Systems and Medical Care) Review

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(More customer reviews)Farmer's excellent historical ethnography of Haitian illness (as seen through the contemporary context of the world AIDS epidemic), proves the necessity of developing anthropological approaches to understanding health systems and implementing medical care. The diagnosis and analysis of sickness, disease, illness, and treatment should go hand-in-hand with the cultural understanding of local systems of blame, accusation, causation, and cure. Where most approaches to medicine are based on the "Westernized" first-world nations' understanding of the causes of illness (tainted as well, as Farmer shows, by systematic "blame the victim" and shame techniques), the adoption of these approaches in treating the illnesses of other peoples can be catastrophic. Three ethnographies make up the structure of a detailed historical inquiry )
The longstanding tradition of conceiving of illness through the lens of powerlessness shapes the contemporary lives of the people in Haiti with whom Farmer worked. Although they could see the effects of the illness, people in this region were obsessed with the cause of the illness, and felt the need to understand AIDS through a constructed narrative of blame. A deep belief in their religion led villagers to look for the source of witchcraft that could possibly be harming them, and elaborate stories about neighbors, jealousies, and rivalries flourished as a result. Any improvement in the standing of one member of the society (through wealth, status, relationships, acquisition of property or food, or political power through employment or marriage) adds to the structure of distrust and blame.
Farmer's book shows how disturbingly complex and deep the layers of mistrust, misinformation, and the effects of racism, are. Among the medical hypotheses for the probable exposure is the theory of Haitian sex-workers' contacts through gay tourists to the early strains of HIV. Farmer outlines the long history of Haiti as a gay tourist attraction, and Duvalier's encouragement of tourism as a boost to the domestic economy. Although the possible cause of the gay sex trade for HIV exposure has not been confirmed, medical establishments in the U.S. based their theories of causation on other factors, such as Haitian religious practices. These theories were, in truth, reinforcing longstanding ignorance and racist misunderstandings about Haitian vodou. Stereotypes and racial profiling of Haitian citizenship as a "risk factor" (one of the "Four H's" along with hemophiliac, homosexual, and heroin user), contributed to public policies against Haitian immigrants. Haitians' belief that they are being attacked by some evil sorcery in the guise of a fatal illness called sida falls into place amidst the context of extreme antagonism and injustice.
While reading this book, I was compelled to ask myself if there isn't some truth in Haitians' understanding of AIDS as the result of malicious sorcery. Haiti was the only American society to successfully result from the direct action of a revolution against slavery and colonialism. As such, the small nation governed by creoles and black ex-slaves presented a threat to North and South American colonial societies, which were firmly entrenched in slave labor economic systems. Historically, the threat of a repeat of the Haitian revolution must have terrified white European landowners. This terror of African power and strength has been passed on in a racist legacy, adapted to political policies and nationalist agendas, and still exists in ignorant beliefs about AIDS and its causes. Haitians believe that they are victims of a longstanding racist agenda, and they may in fact be right. Farmer's book begins to illuminate some of the complicated historical and ethnographic realities of the overlapping connections between illness and racism, and between causes and effects.

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High Blood Pressure Lowered Naturally: Your Arteries Can Clean Themselves Review

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(More customer reviews)This book is a thorough guide to many strategies for lowering blood pressure, dropping cholesterol, losing weight, and becoming healthier overall. It is a thoughtful, well-researched compendium of many research studies, presented in a straight-talk, no-nonsense fashion. It discusses the physiology of blood pressure in laymen's terms, and analyzes many nutritional elements that can affect BP, such as calcium, magnesium, caffeine, and fiber. It also describes various blood pressure medications and their effects on the body.
I love this guide; it has been very useful to me. I consult it often. I discovered a reference to the Pritikin program in one chapter on nutrition, followed that, and dropped my cholesterol by 60 points in 3 weeks!!!
I'm buying a copy for my mom and plan to show my copy to my doctor, who is very impressed by my new cholesterol numbers!

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Sentinel for Health: A History of the Centers for Disease Control Review

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(More customer reviews)Etheridge's text tells an amazing tale of the Centers for Disease Control and Prevention, from its inception during World War II to eradicate malaria in the American South to its present-day status as the leading authority on innumerable infectious diseases throughout the world. Through her writing, it is possible to understand how the CDC was created and evolved, subject not only to the need to respond to health problems across the globe, but also to political and domestic pressures from within.

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In the only history of its kind, Etheridge traces the development of the Centers for Disease Control from its inception as a malaria control unit during World War II through the mid-1980s . The eradication of smallpox, the struggle to identify an effective polio vaccine, the unraveling of the secrets of Legionnaires' disease, and the shock over the identification of the HIV virus are all chronicled here. Drawing on hundreds of interviews and source documents, Etheridge vividly recreates the vital decision-making incidents that shaped both the growth of this institution as well as the state of public health in this country for the last five decades.We follow the development of the institution as it was transformed by the will and the imagination of remarkable individuals such as Dr. Joseph Mountin, one of the first heads of the CDC. Often characterized as abrasive and impatient, Mountin pushed the CDC to become a vital player in eradicating the threat of communicable disease in the United States. Others such as Dr. Alexander Langmuir brought the expertise necessary to establish epidemiology as one of the primary functions of the CDC.Created to serve the states and to answer any call for help whether routine or extraordinary, the CDC is now widely recognized as one of the world's premier public health institutions.

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The Business of Medical Practice: Profit Maximizing Skills for Savvy Doctors Review

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(More customer reviews)Dear Medical Colleagues,
This book is a must read for all of us who are practicing in the current managed care environment. It is not important if you are an MD, DO, DDS, DPM, DC, vet or PHD, we are all negatively impacted, and the editor and his contributing writers explain why and what we all can do about it. Although it won't be easy or fast. Medical students will be astounded at the complexity of contemporary practice, as well.
The book is divided into three parts: qualitative, quantitative and the futuristic aspects of healthcare practice. But, I must warn you that if you are an employed doctor, rather than an empolyer physician, you will feel left out since you are a captive agent. At least the independent doctor still has some control left over his or her destiny; for now. Accordingly, Dr. David Edward Marcinko; MBA, CFP, and his team, explain how you can increase your revenues, decrease your expenses and operating assets, to increase your office's Return On Investment (ROI).
In the first section, number crunching, spreadsheets, managerial and cost accounting techniques rule. Normally, somewhat mundane, it is interesting how the author make these numerics "come-alive" when real dollars are attached to the figures.
In the next section on the other hand, the qualitative aspects of medical practice are reviewed. Such topics as negotiation skills, managed care contracting, IT systems, case management and UR are given their due, along with billing, legal, anti-trust, IPA, CPT coding and asset protection issues.
Finally, the authors project their opinions about healthcare in the future; which does not look good for any of us. In fact, I won't reveal their prognosticatons about the standard of fiscal care, medical ethics, or doctors acting like passive lemmings, but they are indeed so chilling that you will just have to read this thought provoking book for yourself.
If you are a doctor, and think you know all about managed care, you will be humbled by this fact filled tome. Not reading this book definately places your practice, profession and living in peril. Do not miss it. This editor is a real doctor and business professional.

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An interdisciplinary team of experts teaches newcomershow to open, staff, and equip an insurance-friendly office forpatients and how to raise the capital necessary for it. This volumehighlights moneymaking and money-losing strategies to lift yourpractice to new heights of success. The reader will become familiarwith employee leasing options, management information systems andcomputers, managed-care negotiation skills, captivation rates andbreak-even analysis, and effective billing guidelines. Physicianleadership skills are also reviewed. The book concludes with importantasset protection strategies and the methodology to choose the practiceenhancement firm that is right for you.

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Adverse Events, Stress, and Litigation: A Physician's Guide Review

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(More customer reviews)Adverse Events, Stress and Litigation: A Physician's Guide was recommended to me by my daughter in pre-med. As an emergency physician with 30 years of experience in healthcare, I found this book a welcome addition to my continuing medical education. The authors provide an in depth synopsis of a topic which is fraught with anxiety for all physicians, medical malpractice. The book's unique strength lies in both content and format, setting it apart from other literature on the same topic. What it is NOT, is a sterile, didactic review on medical litigation. Rather, it walks the reader through the mine field of a claim or suit. It shines a light through the fog that is the legal process (and the associated attorney jargon) inherent in this stressful situation. Further, it provides the reader with tools to successfully navigate the system. Real life examples are integrated throughout, adding interest and even comfort. Every physician and physician-to-be should include this in their mandatory reading. I was surprised to find hope and solace in a book that is thoroughly informative and relevant. I highly recommend it.

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What is it like to be sued for medical malpractice? Bad medical outcomes traumatize patients but they also traumatize physicians. The litigation that often follows is a profoundly human, rather than just a legal experience.Although every physician's case is different, this book shows how each case goes through the same judicial stages of complaint, discovery, depositions, motions, and delays that lead to trial, settlement, or being dropped.It also gives doctors an understanding of how lawyers think and work to help defendants.Written by a physician and a lawyer, the book provides unique insights - through real-life stories - into the personal experience of litigation as well as recommendations for dealing with each of the legal process.It also includes up-to-date reviews of HIPAA legislation, the controversial subject of disclosure, and recent developments in the law affecting medical practitioners.Only about thirty percent of plaintiffs win their cases against doctors, but the journey from bedside to witness stand tests both the personal character and the professional skills of those accused.This well-documented book will help doctors understand and navigate the legal system while honoring their own ideals and emerging changed but stronger from the experience.

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A Woman's Concise Guide to Common Medical Tests Review

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(More customer reviews)This is a reference book but it is easy to read as it follows a whole raft of people family and friends through essential tests like Paps, blood screening for cholesterol, diabetes screening, all things women especially older women need. Kind of a library book but would be a good reference book in the home especially where there are older parents.I read through the whole thing in a couple of days and found it informative especially the section on genetic testing.

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"Just what the doctor and the patient ordered—up-to-date, clear, informative, and, most of all, helpful."—Leo B. Twiggs, M.D., director, Institute for Women's Health, University of Miami"This is a well-written, thoughtful, and eminently readable guide through the often complex maze of preventive medical care."—Beth Barnet, M.D., University of Maryland School of Medicine Every year, millions of healthy women undergo a variety of screening tests without understanding why, or the meaning of the outcome. If you are among those women, overwhelmed by information and baffled by results, this is the book you've been waiting for. In straightforward, reader-friendly prose, A Woman's Concise Guide to Common Medical Tests surveys a wide variety of standard tests commonly suggested by doctors. Using the recommendations of the U.S. Preventative Health Services Task Force as a starting point, physicians Michele C. Moore and Caroline M. de Costa describe and explain screening tests for STDs and other communicable diseases, diabetes, thyroid disease, bone loss, various genetic tests, pregnancy, and cancer (including breast, colon, and skin). A section on common blood tests demystifies the numerical results that can be virtually impossible to interpret for women outside the medical profession. The authors detail what is considered "normal" as well as what's not—to help women make sense of their results. As the health-care industry continues to evolve, the amount of medical information available to women about their health can be overwhelming and confusing. Without being encyclopedic or intimidating, A Woman's Concise Guide to Common Medical Tests offers all the facts you need about screening tests, all in one place.

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Textbook of Veterinary Anatomy Review

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(More customer reviews)This text was a required book in my first year vet anatomy course. I must say, the pictures and diagrams are only adequate. Meanwhile, the actual text itself was laborious to read and so full of jargon and unnecessary detail that it literally gave me a splitting headache each time I attempted to read it. Please, please, if this is not a required textbook, don't buy it! There are much better anatomy texts out there!

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They Don't Teach That in Medical School: Sex With a Ball Bearing and Other Unusual Stories Review

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(More customer reviews)The doctor who wrote this book must have had a lot of unusual requests for surgury from people who had very unusual problems. He also saw some unusual, funny and embarrassing situations on people who experimented with their bodies sexually. It all semes to fit together into a fine, technical and funny narative which was very enjoyable to read. The one thing that made this book less than perfect was the time spent on the detailed explainations of exactl6y how the surgeries were done, right down to the last technical detail. I bit much for us non-doctor types. It could have been more written for us layman and less for interns. Other than that fact, it is well written, in plain english, funny and entertaining. It is well worth the price.

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The House of Hope and Fear: Life in a Big City Hospital Review

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(More customer reviews)Dr. Young's new book is an engaging account of life at the large mission-driven county hospital in Seattle. I spent most of my 3rd year med school rotations there myself 12 years ago and am now working in a mission-driven community health center 18 miles away. My desire to serve the poor was a direct result of the dedication from the doctors and staff that I witnessed at Harborview. Now, I spend more than half my time educating and mentoring medical students and I plan on incorporating this book into our 2nd year curriculum.
The stories are diverse: some are about incredible patients and their challenging situations - socially, medically, psychologically; some are really more about the ethical dilemmas faced by providers, and faced by patient's families; other stories point out the inequities in healthcare, while demonstrating how this institution has creatively found a way to thrive financially while serving the least able to pay.
Most importantly to me - this book is hugely interesting, well written, easy to read, hard to put down and deserving of high praise. The reason this book is so good and the messages conveyed so well is that Dr. Young has incredible skill at portraying the humanity of her subjects. This is a book of true characters; unforgettable characters. The characters are patients, their loved ones and families, the infamous ER director, a remarkable specialist in nephrology, Dr. Young herself, and the staff of the hospital. I read their stories and can picture them on a gurney, in their offices, on the wards, in the ER; I can smell the smells again; and hear the sounds in the ICU.
This text can easily and effectively (each chapter is pretty well able to stand on its own as a separate reading - though together it reads as a cohesive story) be used regularly with medical students and public health and policy students - the examples in it are perfect for igniting debate about healthcare inequality, social justice, medical ethics, professional development, difficult patients, allocation of resources and care for the underserved.

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Opening with the view of an idealistic, young doctor entering her first post-graduate job at the local county hospital, The House of Hope and Fear explores not only the personal journey of one doctor's life and career, but also examines the health care system as a whole. The county hospital setting provides the author with a second education. With clear, eloquent text, she chronicles attempts made to treat those tossed aside by society along with the personal and ideological shifts that accompany this daunting task. All of the political aspects of the hospital's executive board are detailed in a gripping account of the hospital's inner workings, and a human face is expertly given to the healthcare crisis in America.

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Biomedical Magnetic Resonance Technology (Medical Science) Review

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(More customer reviews)Drs. Hoult and Chen performed some of the fundamental work describing the nature of magnetic fields and their interaction with biological samples in magnetic resonance imaging (MRI). Here they compile their work in one volume and expand upon it to provide a clear picture about these interactions. The most valuable portion of this book can be found in chapters 3 through 5, which contain the basic description of magnetic fields, RF signals, RF noise, and the working basics of the NMR spectrometer. These items make this an invaluable one-stop shop for information to the engineer or physicist needing to know the fundamental classical field interactions at work in MRI. For these individuals, this book is a must have.

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Nuclear magnetic resonance is now widely used in hospitals and research laboratories worldwide for medical purposes. Biomedical Magnetic Resonance Imaging is the first book to concentrate on how the instrumentation involved works rather than on the applications of the technique. In order to help the reader fully understand how an NMR imaging or spectroscopy system works the book takes an in-depth look at the principles behind the different components of the machine. Starting with a short history of the developments of nuclear magnetic resonance, the authors go on to describe all the different areas of instrumentation, such as the receiver and the magnet. A full explanation of the electronics and computer hardware and software appears for the first time in book form, completing this thorough view of an NMR system. Each chapter builds from a basic to a more sophisticated level of understanding and numerous illustrations help the reader to grasp the concepts. For the most part, mathematical descriptions appear at the ends of chapters, to place the emphasis of the book on the understanding of underlying principles. Biomedical Magnetic Resonance Imaging will be invaluable to all medical physicists, technicians, researchers and engineers working with NMR, containing as it does both theoretical and practical data to enable users to get the most out of their machines.

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Naked to the Bone: Medical Imaging in the Twentieth Century (Sloan Technology Series) Review

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(More customer reviews)I love reading science books geared toward non-scientists such as I. Bettyann Holtzmann Kelves Naked to the Bone: Medical Imaging in the Twentieth Century exactly fit the bill. Profusely illustrated and gracefully written, this fine work of non-fiction tells the story of x-rays, CT scan, MRI, sonograms, and PET scans. Kelves writes for the non-scientist, and does an excellent job of explaining how these various machines work, how they were perceived at the time, the economics of their development and marketing (Kelves never forgets that, for better or worse, medicine and inventing have always been businesses), and their changes in perception and use over time. Perhaps most interesting, and unexpected, are her two chapters addressing how medical imaging -- the ability to see "bones and all" -- was itself imaged in and influenced the visual, literary, and fine arts. Of particular interest to me, as a lawyer, is her accounts of how x-rays and other imaging devices were first used, and then later relied upon (or rejected) in courts of law. The depth and breadth of her research are truly impressive, as is her fine prose.

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Statistics for Health Policy and Administration Using Microsoft Excel Review

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(More customer reviews)For people like me. Even if you have had no exposure to Excell before, by the end of the book, you will be able to complete difficult statistical analysis using the excell application. This include linear regression and matrix math. Dr. Veney uses real world health care examples to set up each task, and gives very good step by step instructions. In addition, the explainations given are written in basic english, and it often feels as if you are having a conversation with the author. Obviously statistics is still a difficult task for many, but this book does make it easier. I used it for class, and then found I actually pulled it out frequently during my work (in public health) to set up certain data and analyze them properly. My managers and bosses have always been surprised at my ability to compute- but really I am just using the set ups in this book.

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Statistics for Health Policy and Administration Using Microsoft Excel provides an introduction to the use of statistics in health policy and health administration-related fields. The book is keyed to the powerful statistical tool Microsoft Excel and shows how to prepare data and understand the data display capabilities of the program. It also offers the information needed to master probability— the foundation of statistical analysis. This important book is structured around illustrative examples that are demonstrated with Excel displays. The book is filled with step-by-step discussions of how statistical problems are solved using Excel, and it contains a wealth of exercises addressing the material covered in each section. Many of the book's exercises include the replication of examples so that the student has an immediate reference with which to compare his or her work and determine whether or not the procedure was carried out correctly. Additional exercises are provided for further practice to reinforce the valuable lessons learned

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Strangers at the Bedside: A History of How Law and Bioethics Transformed Medical Decision-Making Review

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(More customer reviews)What do you do with a book that in spite of disagree with the vantage point of the author, you have to admit that the points he raises and the stand he takes has some validity? That an author can cause the reader to stop and think about firmly held belief systems, is indicative of a good writer in my opinion.
The author of this bioethical treatise is not a physician. He is a sociologist, and he is giving the historical background to the immense changes in how the American public views its medical establishment. In the process of becoming involved in ethics in the medical world, Rothman had to come in close contact with those he was writing about...physicians. I get the feeling that he was and to a point still in awe of the great men and the great minds he has been exposed to. Occasionally, the book seemed to be biased in favor of the physicians. A book such as this cannot be written without showing the author's own biases; author's can only admit that they harbor particular biases towards those they are writing about.
In many issues Rothman comes down solidly on behalf of the physicians, whether or not they brought about the changes in the public's attitudes towards those who work in medicine. Rothman bemoans the fact that the public has involved lawyers, bioethicists, and politicians in what used to be the private domain of physicians. Yet he writes and explains the history behind this lowering of pedestals for doctors and medical researchers...all the while trying to explain why physicians felt their patients should rely 'on those who know and understand' (read that to mean physicians think most patients and families are too stupid to understand basic concepts).
This book actually gives a good and vitally important background into the movements for individual rights and the exposure of unethical experimentation and medical treatment which led to the creation of new standards for medical care and research, as well as the installment of Internal Research Boards (IRBs) which are suppose to act as brakes on over-ambitious and unethical practices. Unfortunately, it is all too clear in recent media reports that even IRBs in universities and hospitals are not enough to protect the American public from research by those not interested in protecting the patients and alleviating pain, but rather shows more concern for keeping the grant money coming, fame, and doing science merely for the sake of doing science ('because we can!) John Hopkins obviously hasn't changed its attitudes over 30 some odd years towards the rights of the individual, since they are continuing to attract attention and controversy because of unethical research.
This book is definitely a must-read for anyone interested in bioethics. Even if the reader does not agree with the author, the book provides a different, and somewhat valid reflection of the medical establishment's views towards the infringement of their previously existing rights in determining patient care and the moral standards of research. Karen Sadler, Science Education, University of Pittsburgh

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