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.

What if your cell phone could detect cancer cells circulating in your blood or warn you of an imminent heart attack? Mobile wireless digital devices, including smartphones and tablets with seemingly limitless functionality, have brought about radical changes in our lives, providing hyper-connectivity to social networks and cloud computing. But the digital world has hardly pierced the medical cocoon.  Until now. Beyond reading email and surfing the Web, we will soon be checking our vital signs on our phone. We can already continuously monitor our heart rhythm, blood glucose levels, and brain waves while we sleep. Miniature ultrasound imaging devices are replacing the icon of medicine—the stethoscope. DNA sequencing, Facebook, and the Watson supercomputer have already saved lives. For the first time we can capture all the relevant data from each individual to enable precision therapy, prevent major side effects of medications, and ultimately to prevent many diseases from ever occurring. And yet many of these digital medical innovations lie unused because of the medical community’s profound resistance to change.   In The Creative Destruction of Medicine, Eric Topol—one of the nation’s top physicians and a leading voice on the digital revolution in medicine—argues that radical innovation and a true democratization of medical care are within reach, but only if we consumers demand it. We can force medicine to undergo its biggest shakeup in history. This book shows us the stakes—and how to win them.

Offering comprehensive coverage of effective nursing leadership and management, this third edition challenges nursing students to learn the structure, concepts, and relationships of their future trade with a wide array of interactive tools. It presents the foundations and strategies for effective nursing management and leadership from role development, to the use of information and technology, to political influences within the industry. Focusing on building the complete nurse beyond actual healthcare, this new edition features a full-color design and the addition and reorganization of key chapters.Each chapter opens with The Challenge - a contemporary nurse manager's real-world concerns related to the chapter content.The Solution closes each chapter by illustrating effective methods of handling the challenges of those situations set forth in the chapter.The full-color design attracts and maintains student interest.Exercises are scattered throughout every chapter to provide a quick lesson in thinking critically as well as an opportunity to apply the chapter content to current, real-world scenarios.Theory Boxes give a brief description of relevant theory and key concepts.Research and Literature Perspectives illustrate the relevance and applicability of current studies to practice.Objectives and Questions to Consider guide students toward considering their own viewpoints or experiences with topics and issues discussed in each chapter.The glossary defines all applicable chapter terminology. Key terms are bolded in the text.A built-in Workbook, with perforated pages, enables students and instructors to evaluate learning.A chapter on Developing the Role of Leader introduces key leadership theories and cites examples of how each can be used clinically and professionally.A chapter on Leading Through Professional Associations stresses the need to be involved in professional organizations, discusses their goals and various structural formats, and provides strategies for becoming involved with major national associations.A new chapter-ending section includes the Chapter Checklist, Tips, and Terms to Know to clearly set them apart from the chapter content.

A palliative care doctor on the front lines of hospital care illuminates one of the most important and controversial ethical issues of our time on his quest to transform care through the end of life. It is harder to die in this country than ever before. Statistics show that the vast majority of Americans would prefer to die at home, yet many of us spend our last days fearful and in pain in a healthcare system ruled by high-tech procedures and a philosophy to "fight disease and illness at all cost."Dr. Ira Byock, one of the foremost palliative-care physicians in the country, argues that end-of-life care is among the biggest national crises facing us today. In addressing the crisis, politics has trumped reason. Dr. Byock explains that to ensure the best possible care for those we love-and eventually ourselves- we must not only remake our healthcare system, we must also move past our cultural aversion to talking about death and acknowledge the fact of mortality once and for all.Dr. Byock describes what palliative care really is, and-with a doctor's compassion and insight-puts a human face on the issues by telling richly moving, heart-wrenching, and uplifting stories of real people during the most difficult moments in their lives. Byock takes us inside his busy, cutting-edge academic medical center to show what the best care at the end of life can look like and how doctors and nurses can profoundly shape the way families experience loss.Like books by Atul Gawande and Jerome Groopman, The Best Care Possible is a compelling meditation on medicine and ethics told through page-turning, life or death medical drama. It is passionate and timely, and it has the power to lead a new kind of national conversation.

San Francisco's Laguna Honda Hospital is the last almshouse in the country, a descendant of the Hôtel-Dieu (God's hotel) that cared for the sick in the Middle Ages. Ballet dancers and rock musicians, professors and thieves-"anyone who had fallen, or, often, leapt, onto hard times" and needed extended medical care-ended up here. So did Victoria Sweet, who came for two months and stayed for twenty years.Laguna Honda, lower tech but human paced, gave Sweet the opportunity to practice a kind of attentive medicine that has almost vanished. Gradually, the place transformed the way she understood her work. Alongside the modern view of the body as a machine to be fixed, her extraordinary patients evoked an older idea, of the body as a garden to be tended. God's Hotel tells their story and the story of the hospital itself, which, as efficiency experts, politicians, and architects descended, determined to turn it into a modern "health care facility," revealed its own surprising truths about the essence, cost, and value of caring for body and soul.

Correctly interpreting and reporting medical procedures and services begins with CPT® 2012 Professional Edition. Straight from the American Medical Association (AMA), this is the only CPT codebook with the official CPT coding rules and guidelines developed by the CPT Editorial Panel. Covers hundreds of code, guideline and text changes.

Thomas S. Kuhn's classic book is now available with a new index."A landmark in intellectual history which has attracted attention far beyond its own immediate field. . . . It is written with a combination of depth and clarity that make it an almost unbroken series of aphorisms. . . . Kuhn does not permit truth to be a criterion of scientific theories, he would presumably not claim his own theory to be true. But if causing a revolution is the hallmark of a superior paradigm, [this book] has been a resounding success." --Nicholas Wade, Science"Perhaps the best explanation of [the] process of discovery." --William Erwin Thompson, New York Times Book Review"Occasionally there emerges a book which has an influence far beyond its originally intended audience. . . . Thomas Kuhn's The Structure of Scientific Revolutions . . . has clearly emerged as just such a work." --Ron Johnston, Times Higher Education Supplement"Among the most influential academic books in this century." --Choice--One of "The Hundred Most Influential Books Since the Second World War," Times Literary SupplementThomas S. Kuhn was the Laurence Rockefeller Professor Emeritus of linguistics and philosophy at the Massachusetts Institute of Technology. His books include The Essential Tension; Black-Body Theory and the Quantum Discontinuity, 1894-1912; and The Copernican Revolution.

Ideal for quick reference in the clinical setting, this portable companion to Carolyn Jarvis' Physical Examination and Health Assessment, 6th Edition summarizes essential assessment skills and techniques for the most effective physical examinations. Access full-color pathology photos and illustrations, health history, examination steps for each body system, normal versus abnormal findings, lifespan and cross-cultural considerations, related nursing diagnoses, and summary checklists anytime you need them with this convenient clinical tool. Convenient, color-coded design helps you easily locate the information you need. More than 160 full-color illustrations clearly demonstrate important anatomy and physiology concepts, examination steps, and normal and abnormal findings. Age-specific developmental competencies highlight important considerations for pediatric, pregnant, and aging patients. Cultural competency icons alert you to relevant cultural distinctions you may encounter in the clinical setting. Abnormal findings tables provide fast access to key information on many frequently encountered conditions. Spanish-language translation chart helps you ensure accurate, effective examinations of Spanish-speaking patients. Bedside Assessment of the Hospitalized Patient chapter outlines the pertinent assessment steps specific to this patient population. New abnormal findings photos help you recognize and distinguish between abnormal conditions. Additional new full-color examination technique photos clarify exam steps for eyes, nose, mouth, throat, thorax, heart, neck, peripheral vascular, and pediatric exams.Updated evidence-based practice guidelines throughout the guide reflect the most current research and assessment practices.