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Originally published in 1992, Medical Theory, Surgical Practice examines medical and surgical concepts of disease and their relation to the practice of surgery, in particular historical settings. It emphasises that understanding concepts of disease does not just include recounting explicit accounts of disease given by medical men. It needs an analysis of the social relations embedded in such concepts. In doing this, the contributors illustrate how surgery rose from a relatively humble place in seventeenth century life to being seen as one of the great achievements of late Victorian culture. They examine how medical theory and surgical practices relate to social contexts, how physical diagnosis entered medicine and whether anaesthesia and Lister’s antiseptic techniques really did cause a revolution in surgical practice.
Collaborations of physicians and researchers with industry can provide valuable benefits to society, particularly in the translation of basic scientific discoveries to new therapies and products. Recent reports and news stories have, however, documented disturbing examples of relationships and practices that put at risk the integrity of medical research, the objectivity of professional education, the quality of patient care, the soundness of clinical practice guidelines, and the public's trust in medicine. Conflict of Interest in Medical Research, Education, and Practice provides a comprehensive look at conflict of interest in medicine. It offers principles to inform the design of policies to identify, limit, and manage conflicts of interest without damaging constructive collaboration with industry. It calls for both short-term actions and long-term commitments by institutions and individuals, including leaders of academic medical centers, professional societies, patient advocacy groups, government agencies, and drug, device, and pharmaceutical companies. Failure of the medical community to take convincing action on conflicts of interest invites additional legislative or regulatory measures that may be overly broad or unduly burdensome. Conflict of Interest in Medical Research, Education, and Practice makes several recommendations for strengthening conflict of interest policies and curbing relationships that create risks with little benefit. The book will serve as an invaluable resource for individuals and organizations committed to high ethical standards in all realms of medicine.
“A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care. Digging deep into the lives of doctors, Dr. Danielle Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Ofri offers up an unflinching look at the impact of emotions on health care. Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. Ofri also reveals that doctors cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness.
"Although physicians make use of science, this book argues that medicine is not itself a science, but rather an interpretive practice that relies heavily on clinical reasoning." "In How Doctors Think, Kathryn Montgomery contends that assuming medicine is strictly a science can have adverse effects. She suggests these can be significantly reduced by recognizing the vital role of clinical judgment."--BOOK JACKET.
Avian Medicine and Surgery in Practice is an invaluable quick reference resource for clinicians and a useful study guide for veterinary students. In this practical and beautifully illustrated book, early chapters cover physical examination, advice on interpreting diagnostic tests, and avian anatomy and physiology. Disorders affecting the different body regions and systems make up the majority of the book from the external—skin, feathers, eyes, legs and feet—to the internal including the gastrointestinal tract and the cardiovascular system. Further aspects of avian medicine discussed in the book include behavioural problems, incubation of eggs, paediatrics and surgery. Written by an expert with more than 30 years of clinical experience in avian medicine, the new edition is thoroughly revised with updated diseases, new and expanded clinical techniques, and over 100 new color illustrations. It also adds four important new chapters: Husbandry, Grooming and Nutrition, Diagnostic Imaging, Endoscopy, and Oncology as well as new sections on cardiovascular anatomy and neuroanatomy.
Written by two anaesthetists, one British and one American, this unique book focuses on the transatlantic story of anaesthesia. The authors have both worked at the two hospitals where the first general anaesthetics for surgery were given in 1846, Massachusetts General Hospital in Boston, Massachusetts and University College Hospital, London. Each with more than fifty years' experience of working in anaesthesia, they combine their knowledge and expertise to offer a fresh outlook on the development of anaesthesia through the ages. This highly informative and intriguing text details the origins of anaesthesia, outlines the different techniques of anaesthesia and traces its progress with illuminating and enlightening commentaries. This is a fascinating book which considers the role key figures have played in developing anaesthesia including, Queen Victoria, William Morris, La Condamine, Bjorn Ibsen and Henry Beecher. Broken down into four sections, which are divided into easy-to-read chapters and filled with top quality photographs, this book makes compelling reading. It is recommended to all those interested in the history and development of medicine through the ages, and is of particular interest to anaesthetists. More than just the science of anaesthesia, this is the story about the people and personalities who have made anaesthesia what it is today.
Completely rewritten by the internal medicine faculty as Johns Hopkins, this is a brand-new version of Harvey's classic book.
Ambroise Paré (1510–1590) was a French surgeon who specialized in battlefield medicine, especially wound treatment. He was the official royal surgeon for the kings Henry II, Francis II, Charles IX and Henry III. A humane and dedicated physician, Paré was intensely concerned with the dissemination of knowledge about medicine. He contributed to the development of artificial limbs and also spawned several significant advancements in obstetrics. His medical achievements led Paré to be regarded as the “Father of Modern Surgery.” This edition, published in 1969, is the first English translation of Ten Books of Surgery, and it contains records of many of the most advanced medical practices of the time. Paré describes procedures for the treatment of battle wounds and gangrene, and also deals with ordinary ailments such as bone fractures, contusions, and kidney stones. Paré's work provides valuable insight into an age when the practice of medicine was moved towards the discipline and order of science but was still considerably affected by superstition.
A guide to "when to" and "what to" rather than "how to," this book provides evidence-based surgical reviews to provide credible answers to age-old surgical management questions. The management issues presented are oriented toward interventions and use evidence-based techniques to assess the safety and efficacy of new treatments and rehabilitative or preventative interventions. Each chapter is organized around the key questions essential to delineating the current status of evidence related to the subject reviewed. Publications from the past decade are cited that provide Level I and II evidence using the Oxford scale. Throughout Elective General Surgery, careful assessment of the validity of intervention studies and the strength of the evidence that they provide underlies the choices of cited publications. The information presented in this volume guides the scientific surgeon in providing state-of-the-art care and in optimizing the use of medical resources without losing sight of the need to address the unique needs of individual patients.
"Bariatric Surgery: A Primer for Your Medical Practice is a user-friendly, practical reference text that provides all the necessary information the health care professional needs concerning patient selection and preoperative assessment, medical treatment of obesity and options for surgical intervention."--BOOK JACKET.