The New England Journal Of Medicine

Winner of the National Book Critics Circle Award for Nonfiction The Spirit Catches You and You Fall Down explores the clash between a small county hospital in California and a refugee family from Laos over the care of Lia Lee, a Hmong child diagnosed with severe epilepsy. Lia's parents and her doctors both wanted what was best for Lia, but the lack of understanding between them led to tragedy. Winner of the National Book Critics Circle Award for Nonfiction, the Los Angeles Times Book Prize for Current Interest, and the Salon Book Award, Anne Fadiman's compassionate account of this cultural impasse is literary journalism at its finest. ______ Lia Lee 1982-2012 Lia Lee died on August 31, 2012. She was thirty years old and had been in a vegetative state since the age of four. Until the day of her death, her family cared for her lovingly at home.

This updated paperback edition of the acclaimed analysis of medical and political events surrounding the attempted assassination of Ronald Reagan includes a new Postscript on the election of 1992 and "the public's right to know " which covers the health problems and disclosures of Bush, Tsongas, Buchanan, Perot, and Clinton in light of the issues of privacy and confidentiality.

Mai's experience as a physician and psychiatrist serves as a basis for his analysis. Working from the symptoms described in the medical evidence, Beethoven's letters and those of his friends, and the reports of his physicians, Mai compares how Beethoven's health complaints would have been understood and treated within the medical, political, and social climate of both his time and ours. He discusses Beethoven's terminal illness and the resulting autopsy report to consider the roles of alcohol, lead poisoning (based on the toxic levels in his hair), and syphilis in causing his death.

On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track. Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.

Stem cell research, genetically modified crops, animals developed with personalized human organs for transplantation, and other previously inconceivable biotech applications could increase the quality of all human lives and maximize the health of the biosphere. But ironically, as the science becomes more precise and transparent, it also becomes more contentious. In Challenging Nature, Silver argues that although they seem to have little in common, Christian fundamentalists opposed to embryo research and New Age organic food devotees are both driven by a deeply rooted fear that biotechnology—in some guise—challenges the sovereignty of a higher or deeper transcendent authority. In the short term, Silver writes, Eastern spiritual traditions will give Asian countries a research advantage. But over the millennia, human nature may have the potential to remake Mother Nature in the image of an idealized world.

Expert clinical problem-solving methods and guidance—from the editors and contributors of the New England Journal of Medicine This invaluable resource from the New England Journal of Medicine expertly addresses methods and challenges in clinical diagnosis. Including the peer-reviewed content of the NEJM’s renowned “Clinical Problem Solving” feature, this powerful resource is packed with case discussions from both ambulatory and hospital practice. Each Case Presentation reveals thought-provoking clinical and laboratory clues as the diagnostic considerations begin to emerge. Subsequent clinical detail and discussion and expert analysis add to the diagnostic picture until a final clinical diagnosis is reached. New England Journal of Medicine: Clinical Problem-Solving features: Published cases drawn from the New England Journal of Medicine reflecting actual patient-management situations that physicians experience in their everyday clinical practice Two brand new, never-before-published chapters on medical decision-making skills and methods Wide-ranging coverage of the major considerations in each case, from underlying pathophysiology to signs from the physical examination to lab testing strategies More than 100 full-color illustrations, tables, and algorithms Meticulously selected references that open up avenues for further study And much more! From cover to cover, New England Journal of Medicine: Clinical Problem-Solving presents the best case analysis, diagnostic thought processes, and problem-solving-- direct from master clinicians.

NEJM books sold exclusively through Marcel Dekker, Inc. This unique collection displays hundreds of visual images that appeared in the highly rewarding Images in Clinical Medicine section of the The New England Journal of Medicine between 1992-1997. It shows a wide variety of images-including photographs, MRIs, CT scans, electrocardiograms, histologic specimens, coronary arterograms, graphs of fever curves, cell images, and more. Serves as a powerful teaching tool for both common conditions and types of images as well as those rarely seen by the practicing clinician or researcher! Presents more than 200 images covering a multitude of disciplines and conditions such as: allergy/rheumatology/collective tissue diseases - psoriasis, gout, sarcoidosis cardiology - acute myocardial infarction, septal defects, pulsus alternans dermatology - toxic epidermal necrolysis, malignant melanoma, heparin-induced skin necrosis endocrinology/metabolism/nutrition - necrobiosis lipoidica diabeticorum, scurvy, cutaneous xanthomas gastroenterology - esophageal varices, gallstone ileus, diverticulitis hematology/oncology - spur cells, sickle cells, superior vena cava syndrome infectious diseases - the tick of lyme disease, Kawasaki's disease, Candida albicans nephrology - polycystic kidney disease, membranous nephropathy, nephrocalcinosis neurology - Alzheimer's disease, osmotic myelinolysis, carotid-artery dissection parasites and insects - Trichinella spiralis, hydatid disease, pinworms pulmonary diseases - histoplasmosis, paradoxica embolus, a ferruginous body surgery - breast reconstruction, abdominal aortic aneurysm, renovascular disease wounds and injuries - lightning strike, boxer's ear, fractured femur Educational...surprising...enlightening...and rewarding, Images in Clinical Medicine evokes all these reactions from physicians who review this assortment of acute and chronic conditions and diseases, injuries, surgical procedures, and congenital problems displayed in this one-of-a-kind resource.