Where Does It Hurt

A guide to the techniques and analysis of clinical data. Each of the seventeen sections begins with a drawing and biographical sketch of a seminal contributor to the discipline. After an introduction and historical survey of clinical methods, the next fifteen sections are organized by body system. Each contains clinical data items from the history, physical examination, and laboratory investigations that are generally included in a comprehensive patient evaluation. Annotation copyrighted by Book News, Inc., Portland, OR

A bold new remedy for the sprawling and wasteful health care industry. Where else but the doctor’s office do you have to fill out a form on a clipboard? Have you noticed that hospital bills are almost unintelligible, except for the absurdly high dollar amount? Why is it that technology in other industries drives prices down, but in health care it’s the reverse? And why, in health care, is the customer so often treated as a mere bystander—and an ignorant one at that? The same American medical establishment that saves lives and performs wondrous miracles is also a $2.7 trillion industry in deep dysfunction. And now, with the Affordable Care Act (Obamacare), it is called on to extend full benefits to tens of millions of newly insured. You might think that this would leave us with a bleak choice— either to devote more of our national budget to health care or to make do with less of it. But there’s another path. In this provocative book, Jonathan Bush, cofounder and CEO of athenahealth, calls for a revolution in health care to give customers more choices, freedom, power, and information, and at far lower prices. With humor and a tell-it-likeit- is style, he picks up insights and ideas from his days as an ambulance driver in New Orleans, an army medic, and an entrepreneur launching a birthing start-up in San Diego. In struggling to save that dying business, Bush’s team created a software program that eventually became athenahealth, a cloud-based services company that handles electronic medical records, billing, and patient communications for more than fifty thousand medical providers nationwide. Bush calls for disruption of the status quo through new business models, new payment models, and new technologies that give patients more control of their care and enhance the physicianpatient experience. He shows how this is already happening. From birthing centers in Florida to urgent care centers in West Virginia, upstarts are disrupting health care by focusing on efficiency, innovation, and customer service. Bush offers a vision and plan for change while bringing a breakthrough perspective to the debates surrounding Obamacare. You’ll learn how: • Well-intended government regulations prop up overpriced incumbents and slow the pace of innovation. • Focused, profit-driven disrupters are chipping away at the dominance of hospitals by offering routine procedures at lower cost. • Scrappy digital start-ups are equipping providers and patients with new apps and technologies to access medical data and take control of care. • Making informed choices about the care we receive and pay for will enable a more humane and satisfying health care system to emerge. Bush’s plan calls for Americans not only to demand more from providers but also to accept more responsibility for our health, to weigh risks and make hard choices—in short, to take back control of an industry that is central to our lives and our economy.

'Treats a grim subject with warmth and self-deprecating good humour ... equally enlightening sequel' Daily Mail The sequel to the bestselling Trust Me, I'm a (Junior) Doctor. The junior doctor is back, but working on the streets for the Phoenix Outreach Project. Unfortunately, his first year in a hospital hasn't quite prepared him for it ... He's into his second year of medicine, but this time Max is out of the wards and onto the streets, working for the Phoenix Outreach Project. Fuelled by tea and more enthusiasm than experience, he attempts to locate and treat a wide and colourful range of patients that somehow his first year on the wards didn't prepare him for . . . from Molly the 80-year-old drugs mule and God in a Tesco car park, to middle-class mums addicted to appearances and pain killers in equal measure. His friends don't approve of the turn his career is taking, his mother is worried and the public spit at him, but Max is determined to make a difference. Despite warnings that miracles are rare, and that not everyone's life can be turned around, Max is still surprised by those that can be saved. Funny, touching and uplifting, Max goes from innocence to experience via dustbin-shopping-trips without ever losing his humanity.

New York Times Bestseller Over 2.5 million copies sold For David Goggins, childhood was a nightmare -- poverty, prejudice, and physical abuse colored his days and haunted his nights. But through self-discipline, mental toughness, and hard work, Goggins transformed himself from a depressed, overweight young man with no future into a U.S. Armed Forces icon and one of the world's top endurance athletes. The only man in history to complete elite training as a Navy SEAL, Army Ranger, and Air Force Tactical Air Controller, he went on to set records in numerous endurance events, inspiring Outside magazine to name him "The Fittest (Real) Man in America." In Can't Hurt Me, he shares his astonishing life story and reveals that most of us tap into only 40% of our capabilities. Goggins calls this The 40% Rule, and his story illuminates a path that anyone can follow to push past pain, demolish fear, and reach their full potential.

Imagine an orchestra in your brain. It plays all kinds of harmonious melodies, then pain comes along and the different sections of the orchestra are reduced to a few pain tunes. All pain is real. And for many people it is a debilitating part of everyday life. It is now known that understanding more about why things hurt can actually help people to overcome their pain. Recent advances in fields such as neurophysiology, brain imaging, immunology, psychology and cellular biology have provided an explanatory platform from which to explore pain. In everyday language accompanied by quirky illustrations, Explain Pain discusses how pain responses are produced by the brain: how responses to injury from the autonomic motor and immune systems in your body contribute to pain, and why pain can persist after tissues have had plenty of time to heal. Explain Pain aims to give clinicians and people in pain the power to challenge pain and to consider new models for viewing what happens during pain. Once they have learnt about the processes involved they can follow a scientific route to recovery. The Authors: Dr Lorimer Moseley is Professor of Clinical Neurosciences and the Inaugural Chair in Physiotherapy at the University of South Australia, Adelaide, where he leads research groups at Body in Mind as well as with Neuroscience Research Australia in Sydney. Dr David Butler is an international freelance educator, author and director of the Neuro Orthopaedic Institute, based in Adelaide, Australia. Both authors continue to publish and present widely.

Shallow Hill is where souls suffer slow and miserable deaths. When River McAllister escaped from Shallow Hill, she left her innocence behind--and some of her sanity, too. Now she's rebuilding her life with her dream man and life couldn't be better. Ryan Fitzgerald is everything you'd want in a man. Attractive, rich, an aspiring lawyer, and would do anything to keep River. But that's not the only thing that attracts her. It's his attentiveness, his possessiveness... maybe not so much his temper. When her relationship takes a dark turn, Ryan's estranged brother, Mako, is the only one who sees it. He knows exactly what Ryan is capable of, and it's not the first time he had to be a knight in shining armor. River came from Shallow Hill, though. She's never needed saving before. What Mako doesn't see, is that River is perfectly capable of taking care of herself. The only one who should be scared is Ryan. Trigger Warning: Shallow River is a dark romance that contains domestic violence, rape, violence, and sexual situations.

Now fully revised and updated, Textbook of Adult Emergency Medicine provides clear and consistent coverage of this rapidly evolving specialty. Building on the success of previous editions, it covers all the major topics that present to the trainee doctor in the emergency department. It will also prove invaluable to the range of other professionals working in this setting - including nurse specialists and paramedics - who require concise, highly practical guidance, incorporating latest best practices and current guidelines. For the first time, this edition now comes with access to addtional ancillary meterial, including practical procdure videos and self-assessment material. Updates throughout reflect latest practice developments, curricula requirements and essential guidelines Key point boxes highlight topic ‘essentials’ as well as controversial areas of treatment An expanded list of leading international contributors ensures comprehensive coverage and maximizes worldwide relevance New and enhanced coverage of important and topical areas - including latest imaging in emergency medicine; organ donation; massive transfusion protocols; medico legal issues; patient safety and quality measures All new accompanying electronic ancillariy material, including procedure videos and self-assessment materials to check your understanding and aid exam preparation Expansion of administration section - especially patient safety New and enhanced coverage of important and topical areas - including latest imaging in emergency medicine; organ donation; massive transfusion protocols; medico legal issues; patient safety and quality measures All new accompanying electronic ancillary materials - including practical procedures videos and self-assessment materials

Keep your horse pain-free and performing his best! Introducing 27 simple body checkups you can do on your horse—Where Does My Horse Hurt? is a do-it-yourself method for determining when and where your horse hurts. With this easy-to-follow book, conveniently spiral-bound so you can lay it open on your tack trunk and follow the instructions as you work on your horse, you will: • Become familiar with your horse's normal range of movement so you can prevent minor issues from becoming major. • Stay in tune with areas of temporary or chronic discomfort so you can offer relief as needed. • Solve "mystery" or "phantom" lamenesses that come and go seemingly without reason. • Save thousands of dollars by avoiding expensive diagnostics that rarely get you answers. • Learn how to discuss potential problem areas with farriers, veterinarians, and bodyworkers. • Keep your horse actively and happily "in work" for more months of the year, and more years of his life.