How We Do Harm


Book Description

A startling and important exposé on the state of medicine, research, and healthcare today by the Chief Medical and Scientific Officer of the American Cancer Society How We Do Harm exposes the underbelly of healthcare today—the overtreatment of the rich, the under treatment of the poor, the financial conflicts of interest that determine the care that physicians' provide, insurance companies that don't demand the best (or even the least expensive) care, and pharmaceutical companies concerned with selling drugs, regardless of whether they improve health or do harm. Dr. Otis Brawley is the chief medical and scientific officer of The American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. How We Do Harm pulls back the curtain on how medicine is really practiced in America. Brawley tells of doctors who select treatment based on payment they will receive, rather than on demonstrated scientific results; hospitals and pharmaceutical companies that seek out patients to treat even if they are not actually ill (but as long as their insurance will pay); a public primed to swallow the latest pill, no matter the cost; and rising healthcare costs for unnecessary—and often unproven—treatments that we all pay for. Brawley calls for rational healthcare, healthcare drawn from results-based, scientifically justifiable treatments, and not just the peddling of hot new drugs. Brawley's personal history – from a childhood in the gang-ridden streets of black Detroit, to the green hallways of Grady Memorial Hospital, the largest public hospital in the U.S., to the boardrooms of The American Cancer Society—results in a passionate view of medicine and the politics of illness in America - and a deep understanding of healthcare today. How We Do Harm is his well-reasoned manifesto for change.




When Doctors Get Sick


Book Description

When a doctor gets sick, his status changes. No longer is his role de fined as deriving from doctus, i. e. , learned, but as from patiens, the present participle of the deponent verb, patior, i. e. , to suffer, with all the passive acceptance of pain the verb implies. From pass us, the past participle, we get the word passion, with its wide gamut of emotional allusions, ranging from animal lust to the sufferings of martyrs. It is the connotation, not the denotation, of the word that defines the change of status. When a doctor is sick enough to be admitted to a hospital, he can no longer write orders; orders are written about him, removing him from control of his own situation. One recalls a sonnet from W. H. Auden's sequence, The Quest, which closes with the lines: Unluckily they were their situation: One should not give a poisoner medicine, A conjuror fine apparatus, Nor a rifle to a melancholic bore. That is a reasonable expression of twentieth-century skepticism and ra tionalism. Almost all medical literature is written from the doctor's point of view. Only a few medically trained writers-one thinks of Chekhov's Ward Six-manage to incorporate the patient's response to his situa tion. Patients' voices were not much in evidence until well into the twentieth century, but an early example is John Donne's Devotions upon Emergent Occasions (1624).




The Doctor Is Sick


Book Description

Dr. Edwin Spindrift, a linguist, decides to escape from the hospital the night before his brain tumor surgery is scheduled and discovers a world of people exists outside his universe of words.




The Sick Doctor


Book Description

The Sick Doctor is the journal of a young wife, mother and physician thrust into the role of patient. A busy family physician and the medical director of a residency clinic, Dr. Gabrielle Koczab was diagnosed with breast cancer, and she kept a journal to relieve the stress of navigating diagnosis and treatments. There are moments of intense sadness as well as relief and happiness as this confident and compassionate physician navigates the vulnerability of being a sick patient.




Doctor Who: Sick Building


Book Description

Tiermann's World: a planet covered in wintry woods and roamed by sabre-toothed tigers and other savage beasts. The Doctor is here to warn Professor Tiermann, his wife and their son that a terrible danger is on its way. The Tiermanns live in luxury, in a fantastic, futuristic, fully-automated Dreamhome, under an impenetrable force shield. But that won't protect them from the Voracious Craw. A gigantic and extremely hungry alien creature is heading remorselessly towards their home. When it gets there everything will be devoured. Can they get away in time? With the force shield cracking up, and the Dreamhome itself deciding who should or should not leave, things are looking desperate... Featuring the Tenth Doctor and Martha as played by David Tennant and Freema Agyeman in the hit Doctor Who series from BBC television.




Mother Mother I Feel Sick, Send for the Doctor, Quick Quick Quick


Book Description

An extraordinary stomachache is cured when a doctor removes a large number of strange objects from the victim's stomach. Includes insturctions for performing the story as a shadow play.




Symptoms


Book Description

You hold in your hands the most valuable and easy-to-use home medical reference ever published. Written by Dr. Isadore Rosenfeld, a distinguished physician and best-selling author, Symptoms is a complete guide to all the aches, pains, and physical "distress signals" you many experience. In his war, reassuring style. Dr. Rosenfeld tells you how to interpret your body's warning signs, when to seek medical treatment -- and when you don't need to worry. Complete with advice on evaluating your personal susceptibility and reducing your risks for various diseases, Symptoms is an indispensable resource -- the next best thing to having a doctor in the house!




Old and Sick in America


Book Description

Since the introduction of Medicare and Medicaid in 1965, the American health care system has steadily grown in size and complexity. Muriel R. Gillick takes readers on a narrative tour of American health care, incorporating the stories of older patients as they travel from the doctor's office to the hospital to the skilled nursing facility, and examining the influence of forces as diverse as pharmaceutical corporations, device manufacturers, and health insurance companies on their experience. A scholar who has practiced medicine for over thirty years, Gillick offers readers an informed and straightforward view of health care from the ground up, revealing that many crucial medical decisions are based not on what is best for the patient but rather on outside forces, sometimes to the detriment of patient health and quality of life. Gillick suggests a broadly imagined patient-centered reform of the health care system with Medicare as the engine of change, a transformation that would be mediated through accountability, cost-effectiveness, and culture change.




An American Sickness


Book Description

A New York Times bestseller/Washington Post Notable Book of 2017/NPR Best Books of 2017/Wall Street Journal Best Books of 2017 "This book will serve as the definitive guide to the past and future of health care in America.”—Siddhartha Mukherjee, Pulitzer Prize-winning author of The Emperor of All Maladies and The Gene At a moment of drastic political upheaval, An American Sickness is a shocking investigation into our dysfunctional healthcare system - and offers practical solutions to its myriad problems. In these troubled times, perhaps no institution has unraveled more quickly and more completely than American medicine. In only a few decades, the medical system has been overrun by organizations seeking to exploit for profit the trust that vulnerable and sick Americans place in their healthcare. Our politicians have proven themselves either unwilling or incapable of reining in the increasingly outrageous costs faced by patients, and market-based solutions only seem to funnel larger and larger sums of our money into the hands of corporations. Impossibly high insurance premiums and inexplicably large bills have become facts of life; fatalism has set in. Very quickly Americans have been made to accept paying more for less. How did things get so bad so fast? Breaking down this monolithic business into the individual industries—the hospitals, doctors, insurance companies, and drug manufacturers—that together constitute our healthcare system, Rosenthal exposes the recent evolution of American medicine as never before. How did healthcare, the caring endeavor, become healthcare, the highly profitable industry? Hospital systems, which are managed by business executives, behave like predatory lenders, hounding patients and seizing their homes. Research charities are in bed with big pharmaceutical companies, which surreptitiously profit from the donations made by working people. Patients receive bills in code, from entrepreneurial doctors they never even saw. The system is in tatters, but we can fight back. Dr. Elisabeth Rosenthal doesn't just explain the symptoms, she diagnoses and treats the disease itself. In clear and practical terms, she spells out exactly how to decode medical doublespeak, avoid the pitfalls of the pharmaceuticals racket, and get the care you and your family deserve. She takes you inside the doctor-patient relationship and to hospital C-suites, explaining step-by-step the workings of a system badly lacking transparency. This is about what we can do, as individual patients, both to navigate the maze that is American healthcare and also to demand far-reaching reform. An American Sickness is the frontline defense against a healthcare system that no longer has our well-being at heart.




Sick Notes


Book Description

Medicine.