34 Patients


Book Description

Discover the profound and moving portrait of one doctor's life and work in the NHS 'Wonderful - insightful and compassionate' Dr Richard Shepherd, bestselling author of Unnatural Causes ________ They can't teach you how to be a doctor at medical school . . . As a junior doctor, Dr Tom Templeton learnt how to do his job from books, professors and other doctors and nurses. But the most important lessons - tolerance, kindness, resilience and bravery - he learnt from his patients. Here, he shares the stories of just 34, and how they changed his life while he was helping theirs. From a stillbirth to the old woman who lived a century, from the inhabitants of stately homes to the homeless, these stories whether heartwarming or heartbreaking, funny or tragic, are always inspiring and illuminating. We are all patients, but discover for the first time how the doctors see us . . . ________ 'An admirably told story' Spectator 'Informative and personal, humbling and healing' Observer




What Patients Say, What Doctors Hear


Book Description

Can refocusing conversations between doctors and their patients lead to better health? Despite modern medicine’s infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion’s share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to “make their case” to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements. Add in stereotypes, unconscious bias, conflicting agendas, and fear of lawsuits and the risk of misdiagnosis and medical errors multiplies dangerously. Though the gulf between what patients say and what doctors hear is often wide, Dr. Danielle Ofri proves that it doesn’t have to be. Through the powerfully resonant human stories that Dr. Ofri’s writing is renowned for, she explores the high-stakes world of doctor-patient communication that we all must navigate. Reporting on the latest research studies and interviewing scholars, doctors, and patients, Dr. Ofri reveals how better communication can lead to better health for all of us.







The ESC Textbook of Heart Failure


Book Description

The ESC Textbook of Heart Failure is the latest addition to the European Society of Cardiology (ESC) publications portfolio and is fully supported by the European Heart Failure Association. The textbook brings together internationally renowned experts in the field of heart failure to present an up-to-date understanding of all aspects of this chronic condition that worsens with time. It is estimated that the worldwide population of patients suffering from heart failure is approximately 26 million. This clinically oriented work reflects contemporary European guidelines from the ESC and the European Heart Failure Association and summarizes the latest evidence from clinical trials. Made up of eighteen different sections the textbook covers the epidemiology, etiology, prevention, pathophysiology, and clinical phenotypes of heart failure. The assessment and management of chronic, acute, and advance heart failure are all discussed in detail. As well as chapters dedicated to self-care and patient education, the multidisciplinary approach to heart failure management, and clinical trial design and interpretation. The future direction of the field is discussed throughout with separate chapters on digital health, big data, and telemedicine/remote monitoring in heart failure also included. A must read for cardiovascular healthcare specialists in Europe and across the world it should also appeal to those in training, general physicians and those caring of the elderly, cardiothoracic surgeons, primary care doctors, and specialist nurses too.




Endocrine Consequences of Prader-Willi Syndrome


Book Description

Prader-Willi Syndrome has an estimated birth incidence of 1 in 10,000-30,000 people and affects male and females equally. The rare genetic disorder is caused by absent expression of the paternally-inherited genes on chromosome 15q11.2-q13 and presents implications on the endocrine system from early life as a result of associated hypothalamic dysfunction. Patients with Prader-Willi Syndrome experience endocrine disorders such as hypogonadism, hypothyroidism, adrenal insufficiency, and poor bone mineral density. The features of Prader-Willi Syndrome are also consistent with those of growth hormone deficiency; patients also present with short stature and growth deceleration. Those with Prader-Willi Syndrome are also at a higher risk of obesity, owing to their lower resting energy expenditure and lack of satiety, as well as 2 diabetes mellitus and metabolic syndrome. Accordingly, individuals with Prader-Willi Syndrome should be advised and monitored by an endocrinologist throughout their lifespan. This collection aims to present up-to-date research relating to the presentation, diagnosis, treatment, and risk-factors of endocrine disorders in patients with Prader-Willi Syndrome. Submissions may include, but are not limited to, reviews, original research , or other accepted articles relating to: - Presentation of endocrine dysfunction in patients with Prader-Willi Syndrome; - Specific risk-factors of endocrine dysfunction in patients with Prader-Willi Syndrome; - Management or treatment of endocrine disorders in patients with Prader-Willi Syndrome - Tools for the diagnosis of endocrine disorders in patients with Prader-Willi Syndrome - Endocrine dysfunction in patients with Prader-Willi Syndrome and comorbidities.







Arthroplasty of the Spine


Book Description

Joint replacement is a logical step in the treatment of severe joint pathologies with irreversible lesions resisting conservative therapy. At the spinal level, arthrodesis became, very early, the gold standard of treatment for severe intervertebral disc pathologies. The next logical step was to envision functional replacement, and this step was taken as early as 1956, when the first intervertebral implant was described. However, it took many more years and a great variety of proposed implant designs before clinical applications could be attempted.




Queenan's Management of High-Risk Pregnancy


Book Description

Queenan's Management of High-Risk Pregnancy The new edition of the long-standing classic text, covering all areas of perinatal medicine Continuing to set the standard for maternal-fetal practice, the seventh edition of Queenan's Management of High-Risk Pregnancy provides practical, clinically useful information on the full spectrum of perinatal care. Focused on clinical decision-making, this invaluable reference contains authoritative, evidence-based information on the factors of high-risk pregnancy, biochemical and biophysical monitoring, maternal disease, obstetric complications, patient safety in labor and delivery, and more. With more than 50 concise chapters, this text has been written by leading experts, and contains evidence-based protocols, algorithms, case studies, potential outcome measures, medications, and illustrative case reports to ensure the best possible outcomes for fetal and maternal patients. This text offers clear guidance on the common problems encountered in the day-to-day management of high-risk pregnancies. The seventh edition of Queenan's Management of High-Risk Pregnancy includes new and updated chapters with the most current evidence-based information and protocols available on topics such as infectious diseases in pregnancy, vaping, operative vaginal delivery, postpartum hemorrhage, pregnancies in women with disabilities, maternal anemia, malaria, and HIV infection. Queenan's Management of High-Risk Pregnancy: An Evidence-Based Approach, Seventh Edition, remains an indispensable reference and guide for obstetricians, gynecologists, OB/GYN trainees, midwives, and primary and general practitioners.




Nephrology and Urology in the Aged Patient


Book Description

The master tool of logic is the syllogism. If A> Band B> C, then it must follow as the night the day that A > C. If the major and minor premises are true or scientifically correct by current knowledge, the conclusion is true or at least scientifically correct by current knowledge. The demographer of today beams a clear message, which if not true is at least scientifically correct by current knowledge. In the first 80 years of the Twentieth Century, the 'over-65' population of Americans increased eight fold. By century's end it will have increased 12-fold and shortly thereafter will include one in five Americans. While initially a fact of the developed world, the pace of similar graying is accelerating even more rapidly in the Second and Third Worlds. This gray delta constitutes about 35 million living Americans, who may use one-half or more of the health care resources. A would have to be a lot more foolish than B if they failed to recognize that in the coming decade the causation, case-mix, and area of the gray delta demands a change from early, mid-or even later-century medicine. If Homer Smith was right in saying, "We are what we are because we have the kind of kidneys we have" and "The kidneys make the stuff of philosophy", then the who, what, where, when, and why the gray delta will be cared for must focus on the stuff of geriatric nephrology.




Bowel Diseases: New Insights for the Healthcare Professional: 2013 Edition


Book Description

Bowel Diseases: New Insights for the Healthcare Professional: 2013 Edition is a ScholarlyEditions™ book that delivers timely, authoritative, and comprehensive information about Diagnosis and Screening. The editors have built Bowel Diseases: New Insights for the Healthcare Professional: 2013 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Diagnosis and Screening in this book to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Bowel Diseases: New Insights for the Healthcare Professional: 2013 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.