Complications

A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives. At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. Complications is a 2002 National Book Award Finalist for Nonfiction.

In Gripping Accounts Of True Cases, Atul Gawande Performs Exploratory Surgery On Medicine Itself, Laying Bare A Science Not In Its Idealized Form But As It Actually Is Complicated, Perplexing And Profoundly Human. He Offers An Unflinching View From The Scalpel S Edge, Where Science Is Ambiguous, Information Is Limited, The Stakes Are High, Yet Decisions Must Be Made. Dramatic, Revealing Stories Of Patients And Doctors Explore How Daily Mistakes Occur, Why Good Surgeons Go Bad, And What Happens When Medicine Comes Up Against The Inexplicable: An Architect With Incapacitating Back Pain For Which There Is No Physical Cause; A Young Woman With Nausea That Won T Go Away; A Television Newscaster Whose Blushing Is So Severe That She Cannot Do Her Job. At Once Tough-Minded And Humane, Complications Is A New Kind Of Medical Writing, Nuanced And Lucid, Unafraid To Confront The Uncertainties That Lie At The Heart Of Modern Medicine, Yet Always Alive To The Possibilities Of Wisdom In This Extraordinary Endeavor. Highly Acclaimed Book That Is Destined To Be A Bestseller Literally Straight-From-The-Gut Writing

Global Health Complications of Obesity presents a valuable resource for research scientists and clinicians by covering the burden of obesity and related diseases and serving as a starting point for in-depth discussions in academic settings and for obesity-treatment specialists. Obesity is associated with a statistically higher risk of heart disease, hypertension, insulin resistance, type 2 diabetes and many other diseases. This succinct resource focuses on the current data, research and management of obesity. It is essential reading for healthcare professionals, endocrinologists, nutritionists, public health students and medical students. Presents clinical cases, key terms and targeted references Addresses diseases including diabetes, cancer, hypertension, osteoarthritis, fatty liver disease, infertility, renal failure and depression Provides a link to new knowledge that is ideal for both researchers and clinicians

Complications: Communism and the Dilemmas of Democracyties together the central concerns of the work of Claude Lefort over the past half-century. A pivotal figure in French thought, Lefort studied under Maurice Merleau-Ponty, cofounded with Cornelius Castoriadis the influential journal Socialisme ou Barbarie, and famously engaged in a heated debate with Jean-Paul Sartre over the Soviet Union and Communist parties in the West. He has influenced generations of political thinkers and throughout his career has offered invaluable leftist, non-communist critiques of both liberalism and Communism. It is the prevailing belief that the death of communism was a victory for liberal democracy. In Complications, however, Lefort challenges this interpretation and provides new ways of understanding the rise and fall of the Soviet Union and the Communist phenomenon. Lefort engages the work of prominent historians Martin Malia and Francois Furet and shows how their emphasis on "illusion" and ideology led to their failure to understand the logic and workings of the Communist Party, and its impact on Soviet society, and the reasons why so many in the West had Communist sympathies. He also maintains that those who regard the end of Communism as the triumph of markets and "freedom" restrict the scope of democratic thought and the possibility of greater social equality. Lefort contends that Communism must be seen as part of a larger history of modernity and believes that the diagnosis of its death is dangerous to the future of democracy. In the tradition of Hannah Arendt and Raymond Aron, Lefort complicates the pieties of historical understanding and offers a new approach to thinking about totalitarianism and a more vital democracy.

Learn from key leaders in the field of neurosurgery with the practical guidance presented in this first-of-its-kind resource. Complications in Neurosurgery uses a case-based format to explore complications across the full range of commonly performed neurosurgical procedures. As you review dozens of up-to-date, real-life cases, you’ll become better equipped to identify pitfalls ahead of time and have the knowledge to handle difficult situations that arise during surgery. Presents commonly encountered cases provided by experienced neurosurgeons in all areas of this challenging specialty. Includes high-quality photographs, images, and dynamic video to ensure complete visual understanding of the procedures. Uses a consistent, easy-to-read format throughout, covering a wide range of surgeries including general neurosurgery and cranial complications, as well as spinal and peripheral complications. Numerous videos depict possible complications for each type of surgery; for example, Complications of Cerebral Bypass Surgery includes videos showing how to obtain venous hemostasis without risking injury to the STA, how to manage atheroma within the donor vessel, and how to manage intraoperative occlusion of the bypass.

NEW YORK TIMES BESTSELLER • Scandal and tragedy erupt against the backdrop of an exclusive Paris hotel in Danielle Steel’s riveting novel. Known for its luxurious accommodations and bespoke service, the Hotel Louis XVI has been the most lauded boutique hotel in all of Paris for decades, attracting an international clientele of the rich and famous. Now, after four years of renovations and the death of its legendary and beloved manager, it is set to reopen its doors at last. An esteemed group of loyal returning guests is set to descend upon the hotel, joined by a number of new faces who have managed to secure coveted bookings in the wake of last-minute cancellations. Awaiting them all is the Louis XVI’s new manager, Olivier Bateau, an anxious man whose lack of experience leaves him unprepared. He and his level-headed assistant manager, Yvonne Philippe, both strive to continue the hotel’s tradition of excellence. But they quickly realize that anything can happen at any moment, and on one cool September evening, everything does. A successful art consultant arrives at the hotel for the first time since her brutal divorce, and is surprised to find new love—if she is willing to risk her heart again. A new guest contemplates ending his life, and saves a life instead. A couple finds their once-in-a-lifetime trip interrupted by a tragic medical emergency, leaving the idyllic future they’ve long waited for hanging in the balance. And one of the hotel’s most high-profile guests, a French politician and assumed presidential candidate, holds a mysterious meeting in his suite that will threaten his life and legacy. Rocked by the events of this one fateful night, guests and staff alike brace themselves for the aftershock, as it quickly becomes apparent that more dramas and misfortunes are still in store. Danielle Steel tells an unforgettable story about a famed hotel, where a few complications quickly escalate into a matter of life and death, changing the lives of everyone who passes through its doors.

The increasing prevalence of preterm birth in the United States is a complex public health problem that requires multifaceted solutions. Preterm birth is a cluster of problems with a set of overlapping factors of influence. Its causes may include individual-level behavioral and psychosocial factors, sociodemographic and neighborhood characteristics, environmental exposure, medical conditions, infertility treatments, and biological factors. Many of these factors co-occur, particularly in those who are socioeconomically disadvantaged or who are members of racial and ethnic minority groups. While advances in perinatal and neonatal care have improved survival for preterm infants, those infants who do survive have a greater risk than infants born at term for developmental disabilities, health problems, and poor growth. The birth of a preterm infant can also bring considerable emotional and economic costs to families and have implications for public-sector services, such as health insurance, educational, and other social support systems. Preterm Birth assesses the problem with respect to both its causes and outcomes. This book addresses the need for research involving clinical, basic, behavioral, and social science disciplines. By defining and addressing the health and economic consequences of premature birth, this book will be of particular interest to health care professionals, public health officials, policy makers, professional associations and clinical, basic, behavioral, and social science researchers.

The Affordable Care Act will have a dangerous effect on the American economy. That may sound like a political stance, but it’s a conclusion directly borne out by economic forecasts. In Side Effects and Complications, preeminent labor economist Casey B. Mulligan brings to light the dire economic realities that have been lost in the ideological debate over the ACA, and he offers an eye-opening, accessible look at the price American citizens will pay because of it. Looking specifically at the labor market, Mulligan reveals how the costs of health care under the ACA actually create implicit taxes on individuals, and how increased costs to employers will be passed on to their employees. Mulligan shows how, as a result, millions of workers will find themselves in a situation in which full-time work, adjusted for the expense of health care, will actually pay less than part-time work or even not working at all. Analyzing the incentives—or lack thereof—for people to earn more by working more, Mulligan offers projections on how many hours people will work and how productively they will work, as well as how much they will spend in general. Using the powerful tools of economics, he then illustrates the detrimental consequences on overall employment in the near future. Drawing on extensive knowledge of the labor market and the economic theories at its foundation, Side Effects and Complications offers a crucial wake-up call about the risks the ACA poses for the economy. Plainly laying out the true costs of the ACA, Mulligan’s grounded and thorough predictions are something that workers and policy makers cannot afford to ignore.