The Physician


Book Description

An orphan leaves Dark Ages London to study medicine in Persia in this “rich” and “vivid” historical novel from a New York Times–bestselling author (The New York Times). A child holds the hand of his dying mother and is terrified, aware something is taking her. Orphaned and given to an itinerant barber-surgeon, Rob Cole becomes a fast-talking swindler, peddling a worthless medicine. But as he matures, his strange gift—an acute sensitivity to impending death—never leaves him, and he yearns to become a healer. Arab madrassas are the only authentic medical schools, and he makes his perilous way to Persia. Christians are barred from Muslim schools, but claiming he is a Jew, he studies under the world’s most renowned physician, Avicenna. How the woman who is his great love struggles against her only rival—medicine—makes a riveting modern classic. The Physician is the first book in New York Times–bestselling author Noah Gordon’s Dr. Robert Cole trilogy, which continues with Shaman and concludes with Matters of Choice.




Where are the Physicians?


Book Description

The year is 2015, and the public is saying, "Where are the physicians?" Also, they are complaining, "Why have my healthcare services become so difficult to obtain?" The problem? The private healthcare delivery system has been replaced by a National Health Service. There is a physician shortage, and many of those who have become physicians have not come from the best of our youth. In addition, curtailed health care services are necessary to pay the costs of the national, state, and local bureaucracies required to administer the government's National Health Service. This book will have you rethinking healthcare's many economic and social problems, and how the introduction of, and subsequent misuse of, unregulated hospital and health insurance have created those problems. Also, you will understand how easily those problems can be solved by six changes in the existing private healthcare delivery system. Furthermore, you will understand why a regulated private healthcare delivery system must be preserved and you will understand the inherent dangers of allowing a National Health Service to become our country's healthcare delivery system. This book will move those independent thinkers among the public and within the business community to become political activists. They will understand the necessity of preventing a government sponsored National Health Service from doing to our healthcare delivery system what the government sponsored Depts. of Education have done to our country's public education system.




The Doctor Crisis


Book Description

Calming fears, alleviating suffering, enhancing and saving lives -- this is what motivates doctors virtually every single day. When the structure and culture in which physicians work are well aligned, being a doctor is a most rewarding job. But something has gone wrong in the physician world, and it is urgent that we fix it. Fundamental flaws in the US health care system make it more difficult and less rewarding than ever to be a doctor. The convergence of a complex amalgam of forces prevents primary care and specialty physicians from doing what they most want to do: Put their patients first at every step in the care process every time. Barriers include regulation, bureaucracy, the liability burden, reduced reimbursements, and much more. Physicians must accept the responsibility for guiding our nation toward a better health care delivery system, but the pathway forward -- amidst jarring changes in our health care system -- is not always clear. In The Doctor Crisis, Dr. Jack Cochran, executive director of The Permanente Federation, and author Charles Kenney show how we can improve health care on a grassroots level, regardless of political policy disputes, by improving conditions for physicians and asking them to take on broader accountability; by calling on physicians to be effective leaders as well as excellent clinicians. The authors clarify the necessary steps required to enable physicians to focus on patient care and offer concrete ideas for establishing systems that place patients' needs above all else. Cochran and Kenney make a compelling case that fixing the doctor crisis is a prerequisite to achieving access to quality and affordable health care throughout the United States.




The Physician's Guide to the Business of Medicine


Book Description

Nationally known healthcare consultant Jeffrey Gorke translates his 20 years of experience into a winning playbook for joining, starting or running a "dream" practice. Packed with tips, insights and action-oriented tools, this fast-paced guide helps readers rapidly master the language, players, management structures and culture issues and use what they've learned to ask all the right questions in identifying, seeking and landing the absolute best job. Learn how to size up location, compensation, work-life balance, and the freedom to practice medicine! NOTEWORTHY FEATURES - A comprehensive, step-by-step check list makes sure you cover every question in the practice-selection process and lets you do revealing side-by-side comparisons of all the practices under consideration. - Practical tips and reality checkpoints on what to expect in the private practice setting. - Instant financial mastery: Spreadsheets and graphical presentations make it easy for readers to evaluate business and financial data to learn what's really happening in a practice — and what questions you'll need to keep asking if you decide to join. - Clear action steps: How to evaluate factors such as a practice's location or culture and what plusses and minuses to look for in terms of managers, consultants, and business structure. - And a Bonus! Illustrative real-life anecdotes from the medical practice trenches.




Primary Care


Book Description

Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.




How Doctors Think


Book Description

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.




When Doctors Become Patients


Book Description

For many doctors, their role as powerful healer precludes thoughts of ever getting sick themselves. When they do, it initiates a profound shift of awareness-- not only in their sense of their selves, which is invariably bound up with the "invincible doctor" role, but in the way that they view their patients and the doctor-patient relationship. While some books have been written from first-person perspectives on doctors who get sick-- by Oliver Sacks among them-- and TV shows like "House" touch on the topic, never has there been a "systematic, integrated look" at what the experience is like for doctors who get sick, and what it can teach us about our current health care system and more broadly, the experience of becoming ill.The psychiatrist Robert Klitzman here weaves together gripping first-person accounts of the experience of doctors who fall ill and see the other side of the coin, as a patient. The accounts reveal how dramatic this transformation can be-- a spiritual journey for some, a radical change of identity for others, and for some a new way of looking at the risks and benefits of treatment options. For most however it forever changes the way they treat their own patients. These questions are important not just on a human interest level, but for what they teach us about medicine in America today. While medical technology advances, the health care system itself has become more complex and frustrating, and physician-patient trust is at an all-time low. The experiences offered here are unique resource that point the way to a more humane future.




Fixing Medical Prices


Book Description

Introduction: The house of medicine and medical prices -- The enduring influence of the house of medicine over prices -- The science of work and payment reform -- How doctors get paid -- Conflicts of interest and problems of evidence -- Complexity, agency capture, and the game of codes -- Fixing medical prices




The Cole Trilogy


Book Description

The New York Times–bestselling author’s historical saga of a family of healers—from Dark Ages London to Civil War America to modern-day Boston. In The Physician, an orphan in eleventh-century London, Robert Cole, becomes a fast-talking swindler. As he matures, his strange gift—an acute sensitivity to impending death—never leaves him, and he yearns to become a healer. Arab madrassas are the only authentic medical schools, and he makes his perilous way to Persia. Christians are barred from Muslim schools, but by claiming he is a Jew, he studies under the world’s most renowned physician, Avicenna. Cole’s journey and love for a woman who must struggle against her only rival—medicine—make The Physician a riveting modern classic. In Shaman, Dr. Robert Judson Cole, nineteenth-century descendent of the first Robert Cole, travels from his ravaged Scottish homeland, through the operating rooms of antebellum Boston, to the cabins of frontier Illinois. In the wilderness he befriends the starving remnants of the Sauk tribe, who have fled their reservation. In the process, he absorbs their culture and learns native remedies that enrich his classical medical education. He marries a remarkable settler woman he had saved from illness. The Cole family is drawn into the bloody vortex of the Civil War, and their determination to survive in the midst of wilderness and violence will stay with the reader long after the final page. In Matters of Choice, Roberta Jeanne d’Arc Cole is the latest first-born descendant of Dr. Robert Cole. Favored to be named associate chief of medicine at a Boston hospital, she is married to a surgeon and owns a trophy residence in Cambridge as well as a summer house. But everything melts away. Her gender and her work at an abortion clinic cost her the hospital appointment. Her marriage fails. Crushed, she goes to her farmhouse in western Massachusetts, thinking to sell it, and finds an unexpected life. How she continues to fight for every woman’s right to choose, while acknowledging her own ticking clock and maternal yearning, makes this prize-winning third story of the Cole trilogy relevant and unforgettable.




The Physician's Tale


Book Description

Sweeping us from plague-ravaged Europe to the terrifying near future, acclaimed author Ann Benson brings two eras brilliantly to life. The Physician’s Tale is a spellbinding saga of two healers separated by six centuries, both facing terror and trials, bound together by history, science, and destiny. In the near future, in the hills of the American Northeast, a group of men, women, and children band together for survival against nature and human enemies, huddling in the only corner of the world they know. Among these people is Janie Crowe, a physician whose son is her greatest hope and deepest secret. Etched into Janie’s memory is the ancient journal of a Jewish man of medicine–a man who fought for survival in his own age of plague. In Europe, in the age of the Black Death, Alejandro Canches must hide his identity–and break his oath as a physician for the sake of his and his loved ones’ lives. As France and England are locked in war, and disease lays waste to both, Alejandro’s daughter Kate is caught in the clutches of King Edward of England. Betrayed by a patient, hunted by the king, Alejandro makes a desperate journey to Windsor itself, where a clever scribe named Geoffrey Chaucer has hatched a fantastic plan for Kate’s escape.... As the story of Alejandro and his family builds to a gripping climax, and as Janie’s life is racked by trials and the dawning of a new age, The Physician’s Tale brings together a rich cast of friends and lovers, traitors and healers. Unraveling mysteries of science, history, and the human heart, Ann Benson has created a stunning chronicle of courage in the face of darkness–in a work of vibrant storytelling and unrelenting suspense.