Second Opinions

A unique insider's view of today's complex and often contentious world of medicine Anxious about the prognosis, lost in a blur of technical jargon, and fatigued from worry or pain, people who are ill are easily overwhelmed by treatment choices. Told through eight gripping clinical dramas, Second Opinions reveals the forces at play in making critical medical decisions. Dr. Jerome Groopman illuminates the world of medicine where knowledge is imperfect, no therapy is without risks, and no outcome is fully predictable. He portrays moments of astute diagnosis and misguided perception, of lifesaving triumphs and shattering failures. These real-life lessons prepare us to navigate the uncertain terrain of illness, and enable us to balance intuition and information, and thereby make the best possible decisions about our health and future.

Beyond Second Opinions is both an exposé of the risks, errors, and distortions surrounding fertility medicine and an authoritative guide for people seeking treatment. Accessible, comprehensive, and extremely well-informed, this book takes the reader beyond hype to the hard data on diagnoses and treatments. Judith Steinberg Turiel, a consumer health activist and herself a veteran of fertility treatments, uses the most up-to-date medical literature to shed new light on difficult decisions patients face today and on reproductive questions society must begin to address now. Those who are seeking a more balanced perspective to help them make better, more informed decisions will find a wealth of information about current reproductive interventions—from simple fertility pills to dazzling experimental options—as well as a discussion of the non-medical forces (economic and political) that shape an individual's treatment choices and reproductive outcomes. Despite quantities of information showered upon patients, they remain woefully misinformed; some fertility treatments may actually reduce chances for a successful pregnancy and threaten a patient's health. Turiel looks beyond surface claims to the real information, often uncovering counterintuitive findings and sometimes scandalous revelations. She exposes a realm of unregulated expansion, unscientific experimentation, and recent scandal over stolen embryos. Weaving together first-hand accounts, compelling stories, a range of scientific information, and lively anecdotes, Turiel addresses the persistent gulfs that separate medical professionals and health care consumers. In the process she arms laypeople with what they might not learn about infertility practices from doctors, patient education brochures, and the newspaper. This title is part of UC Press's Voices Revived program, which commemorates University of California Press’s mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1998.

This book takes as its subject the intensely private discussions that arise when ordinary people confront life and death choices and struggle with decisions in a world of medical and scientific complexity. Laurie Zoloth began her work in bioethics in a large public California hospital system, where she was part of a group tasked with the creation of an ethics committee in every hospital in the system, that would hear hundreds of cases every year, including pediatric cases from the hospital's intensive care, neonatal intensive care, burn, and oncology units. The book explores the dilemmas presented in these cases and reflects on the competing, often incommensurate moral appeals offered by the participants. It then analyzes the cases against and with similar concepts within Jewish thought, using rabbinic texts to make legible the factors at play as one makes ethical judgments. This philosophical position is feminist as it considers and at times advocates for the inclusion of family and community in the rationale of the clinical setting. Intertwined with legal statements in the Talmud are aggadot, or midrashic texts, literary narratives used to argue a point, or to complicate a point, or to deepen the meaning of the communal discourse, adding history, case studies, or fictive tales to the discussion. Zoloth argues that these texts can be usefully applied to problems in bioethics. She develops the case for a textual turn that is fully imagined and enriched by the many possible re-interpretations of narrative: biblical, rabbinic, medieval, modern, and post-modern.

Dr. Thea Sperelakis, diagnosed as a teen with Asperger's syndrome, has always been an outsider. She has a brilliant medical mind, and a remarkable recall of details, but her difficulty in dealing with hidden agendas and interpersonal conflicts have led her to leave the complex, money-driven dynamics of the hospital, and to embrace working with the poor, embattled patients of Doctors Without Borders. Her father, Petros, is one of the most celebrated internal medicine specialists in the world, and the founder of the cutting-edge Sperelakis Center for Diagnostic Medicine at Boston's sprawling, powerful Beaumont Clinic. Thea's rewarding life in Africa is turned upside-down when Petros is severely injured by a hit-and-run driver. He is in the Beaumont ICU, in a deep coma. No one thinks he will survive. Thea must return home. Two of Petros' other children, both physicians, battle Thea and her eccentric brother, Dimitri, by demanding that treatment for their father be withheld. As Thea uncovers the facts surrounding the disaster, it seems more and more to be no accident. Petros, himself, is the only witness. Who would want him dead? The answers are trapped in his brain . . . until he looks at Thea and begins slowly to blink a terrifying message. In The Second Opinion, Michael Palmer has created a cat-and-mouse game where one woman must confront a conspiracy of doctors to uncover an evil practice that touches every single person who ever has a medical test. With sympathetic characters and twists and betrayals that come from the most unlikely places, The Second Opinion will make you question...everything.

Second Opinion is the definitive resource for any of the 15 million people each year who are told they need surgery. This is the one book to turn to when you are sorting out whether or not to have surgery. Dr. Eric Rose and his collegues provide patients a reassuring arsenal of approaches and alternatives so they can participate fully in this important process to assure the best possible outcome. You'll want to bring Second Opinion with you for note-taking, list making, references, and support. It will help you be your own best advocate. Other features include: *45 of the most common operations described in detail *Full illustrations *Reasons to have the operation *What can happen if you don't *Possible complications *What to expect after surgery *Extensive, unbiased resources for getting a second opinion *Patient's worksheets, notes, and rights

A valuable resource for students preparing for certification, registered accountants and auditors, and financial personnel in various businesses, this is the 9th updated edition of a classic auditing text. Integrating theory with practice and application, it is up-to-date with the field's recent and gradual transition from self-regulation to external auditing and supervision.