Slow Medicine

"Wonderful... Physicans would do well to learn this most important lesson about caring for patients." —The New York Times Book Review Over the years that Victoria Sweet has been a physician, “healthcare” has replaced medicine, “providers” look at their laptops more than at their patients, and costs keep soaring, all in the ruthless pursuit of efficiency. Yet the remedy that economists and policy makers continue to miss is also miraculously simple. Good medicine takes more than amazing technology; it takes time—time to respond to bodies as well as data, time to arrive at the right diagnosis and the right treatment. Sweet knows this because she has learned and lived it over the course of her remarkable career. Here she relates unforgettable stories of the teachers, doctors, nurses, and patients through whom she discovered the practice of Slow Medicine, in which she has been both pioneer and inspiration. Medicine, she helps us to see, is a craft and an art as well as a science. It is relational, personal, even spiritual. To do it well requires a hard-won wisdom that no algorithm can replace—that brings together “fast” and “slow” in a truly effective, efficient, sustainable, and humane way of healing.

“[A] geriatrician’s guide to stepping in as escort, caregiver and advocate for your parent’s final journey . . . comforting in its compassion and detail.” —St. Petersburg Times Geriatrician Dennis McCullough has spent his life helping families to cope with their parents’ aging and eventual final passage, experiences he faced with his own mother. In this comforting and much-needed book, he recommends a new approach, which he terms “Slow Medicine.” Shaped by common sense and kindness, grounded in traditional medicine yet receptive to alternative therapies, Slow Medicine advocates for careful anticipatory “attending” to an elder’s changing needs rather than waiting for crises that force acute medical interventions—an approach that improves the quality of elders’ extended late lives without bankrupting their families financially or emotionally. As Dr. McCullough argues, we need to learn that time and kindness are sometimes more important and humane at these late stages than state-of-the-art medical interventions. My Mother, Your Mother will help you learn how to: Form an early and strong partnership with your parents and siblings Strategize on connecting with doctors and other care providers Navigate medical crises Create a committed Advocacy Team Reach out with greater empathy and awareness Face the end-of-life time with confidence and skill Although taking care of those who have always cared for us is not an easily navigated time of life, My Mother, Your Mother will help you and your family to prepare for this complex journey. This is not a plan for getting ready to die; it is a plan for understanding, for caring, and for helping those you love live well during their final years. And the time to start is now.

Victoria Sweet's new book, SLOW MEDICINE, is on sale now! For readers of Paul Kalanithi’s When Breath Becomes Air, a medical “page-turner” that traces one doctor’s “remarkable journey to the essence of medicine” (The San Francisco Chronicle). 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, relatively low-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 the body and the soul.

“Dr. Michael Finkelstein masterfully guides us through the 77 questions that connect the dots of our lives.” — Dr. Mehmet Oz, Vice Chair and Professor of Surgery, New York-Presbyterian Columbia “Everyone should read Slow Medicine.... Dr. Finkelstein is a visionary practitioner, with decades of experience combining a scientist’s perspective with common sense and wisdom. Slow Medicine represents a superbly insightful advancement in the literature of Integrative Health. It is important, fun to read, and potentially life changing.” — Andrew Weil, MD “Living a life of unthinking habit can lead to unhealthy outcomes, emotionally and spiritually as well as physically...Finkelstein’s queries reflect an approach that may start with one’s physical habits...but then go much deeper. Answering [them] may lead the way to a healthier, more aware life.” — Energy Times

Some people suffer from chronic, debilitating disorders for which no conventional treatment brings relief. Can marijuana ease their symptoms? Would it be breaking the law to turn to marijuana as a medication? There are few sources of objective, scientifically sound advice for people in this situation. Most books about marijuana and medicine attempt to promote the views of advocates or opponents. To fill the gap between these extremes, authors Alison Mack and Janet Joy have extracted critical findings from a recent Institute of Medicine study on this important issue, interpreting them for a general audience. Marijuana As Medicine? provides patientsâ€"as well as the people who care for themâ€"with a foundation for making decisions about their own health care. This empowering volume examines several key points, including: Whether marijuana can relieve a variety of symptoms, including pain, muscle spasticity, nausea, and appetite loss. The dangers of smoking marijuana, as well as the effects of its active chemical components on the immune system and on psychological health. The potential use of marijuana-based medications on symptoms of AIDS, cancer, multiple sclerosis, and several other specific disorders, in comparison with existing treatments. Marijuana As Medicine? introduces readers to the active compounds in marijuana. These include the principal ingredient in Marinol, a legal medication. The authors also discuss the prospects for developing other drugs derived from marijuana's active ingredients. In addition to providing an up-to-date review of the science behind the medical marijuana debate, Mack and Joy also answer common questions about the legal status of marijuana, explaining the conflict between state and federal law regarding its medical use. Intended primarily as an aid to patients and caregivers, this book objectively presents critical information so that it can be used to make responsible health care decisions. Marijuana As Medicine? will also be a valuable resource for policymakers, health care providers, patient counselors, medical faculty and studentsâ€"in short, anyone who wants to learn more about this important issue.

DIVExplores issue of how we should think about postmodern bioethics and suggests that many of the questions that bioethicists pose as problematic in postmodernity are, in fact, reactions to Wittgensteinian thought-- yet bioethicists as a rule are unfamiliar/div

This manual attempts to provide simple, adequate and evidence-based information to health care professionals in primary health care especially in low- and middle-income countries to be able to provide pharmacological treatment to persons with mental disorders. The manual contains basic principles of prescribing followed by chapters on medicines used in psychotic disorders; depressive disorders; bipolar disorders; generalized anxiety and sleep disorders; obsessive compulsive disorders and panic attacks; and alcohol and opioid dependence. The annexes provide information on evidence retrieval, assessment and synthesis and the peer view process.

Healing is on many people’s minds today. In the wake of the COVID-19 pandemic and a host of other disruptions and disasters, many of us feel that we need healing – in our personal lives, for the environment and for our planet. But healing is rarely defined and is not an accepted part of medicine in the West. This book examines the relationship between healing and medicine through the eyes of an academic physician who changed his interests from biomedical research to healing late in his career in medicine. It is based on his experiences and stories of his encounters with patients, practitioners and others for whom healing has had a particular significance, as well as his rigorous research into the subject. A central theme of the book is that modern medicine needs to be more pluralistic in its approach to health and accept that spirituality and healing techniques have roles to play alongside scientific medicine, which currently has its base in materialism alone.