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When Nashville identified its first case of coronavirus in March 2020, the city was between Public Health Department directors and as unprepared as the rest of the world for what was to come. Dr. Alex Jahangir, a trauma surgeon acting at that time as chair of the Metro Nashville Board of Health, unexpectedly found himself head of the city's COVID-19 Task Force and responsible for leading it through uncharted waters. What followed was a year of unprecedented challenge and scrutiny. Jahangir, who immigrated to the US from Iran at age six, grew up in Nashville. He thought he knew the city well. But the pandemic laid bare ethnic, racial, and cultural tensions that daily threatened to derail what should have been a collective effort to keep residents healthy and safe. Hot Spot is Jahangir's narrative of the first year of COVID, derived from his op notes (the journal-like entries surgeons often keep following operations) and expanded to include his personal reflections and a glimpse into the inner sanctums of city and state governance in crisis.
Nashville's first pandemic year as described by the head of the city's Coronavirus Task Force
Based on the current climate of our nation’s finances and healthcare spending, it is clear that young doctors and medical students are likely to see a dramatic transformation of the manner in which America offers medical care to its citizens over the course of their careers. As such, it is pivotal that the next generation of America’s leaders on the front lines of medicine develop a sense of where healthcare has evolved from and future potential directions of change. An Introduction to Health Policy: A Primer for Physicians and Medical Students is the first of its kind: a book written by doctors for doctors in order to allow busy physicians and medical students to quickly develop an understanding of the key issues facing American healthcare. This book seeks to efficiently and effectively educate physicians and medical students in a clinical context that they can understand on the past, present, and potential future issues in healthcare policy and the evolution of American healthcare. The reader will walk away from the book with the ability to discuss the fundamental issues in American healthcare with ease.
This issue of Orthopedic Clinics will focus on the most common complications that arise in orthopedic surgery. Articles to be included will cover pediatrics, trauma, upper extremity, adult reconstruction, and foot and ankle.
Comprised exclusively of nearly two dozen clinical cases covering fractures of the tibia, this concise, practical casebook will provide orthopedic surgeons with the best real-world strategies to properly manage injuries to the tibial shaft, plateau and pilon, as well as deformities, nonunions and bone loss. Each chapter is a case that opens with a unique clinical presentation, followed by a description of the diagnosis, assessment and management techniques used to treat it, as well as the case outcome and clinical pearls. Cases included illustrate different management strategies for Schatzker (I-VI) tibial plateau fractures, plates and screws for proximal tibia fracture, intramedullary nailing for midshaft and distal tibial fracture, and the use of Ex-Fix with open tibia and distal pilon fracture, in addition to Masquelet bone grafting and modified clamshell osteotomy for acute shaft fracture. Pragmatic and reader-friendly, Fracture of the Tibia: A Clinical Casebook will be an excellent resource for orthopedic surgeons confronted with various injuries to the shin.
When well-designed institutions function properly, people thrive. Few institutions have been more ingeniously designed than the U.S. federal government via the Constitution in 1787. This auspicious beginning more than two centuries ago helps explain why the U.S. remains a magnet for opportunity seekers, students, entrepreneurs, dissidents, and persecuted believers. Yet for decades now, America’s federal government has been underperforming. Social Security and Medicare face looming insolvency. The federal government’s “war on poverty” has failed to “end poverty” and arguably made it worse. In 2012, the United States Postal Service lost more money than the nation spent on the State...
Written by leading orthopaedists and rehabilitation specialists, the second edition of Hoppenfeld’s Rehabilitation and Treatment of Fractures presents sequential treatment and rehabilitation plans for fractures of the upper extremity, lower extremity, and spine. The book demonstrates how to treat each fracture--from both an orthopaedic and a rehabilitation standpoint--at each stage of healing. Introductory chapters review the fundamentals of fracture management--bone healing, treatment modalities, biomechanics, assistive devices and adaptive equipment, gait, splints and braces, therapeutic exercise and range of motion, and determining when a fracture is healed. Subsequent chapters focus on management of individual fractures. Each chapter on an individual fracture is organized by weekly post fracture time zones, from the day of injury through twelve weeks. For each time zone, the text discusses bone healing, physical examination, dangers, x-rays, weight bearing, range of motion, strength, functional activities, and gait/ambulation.
Now in its revised and expanded second edition, this comprehensive, user-friendly text brings the latest evidence to bear on the diagnosis and management of orthopedic trauma patients. Centering on clinical scenarios, each chapter is based on a specific case. Leaders in the field of orthopedic trauma provide their expert opinions on management strategies and techniques while using data as their guide. The book is divided into sections covering the spine, upper and lower extremities, hip and acetabulum, foot and ankle, polytrauma, infection and perioperative management. New chapters in this edition discuss elbow fracture dislocations, femoral neck fractures in the young, Lisfranc injuries and acute post-operative infection. Each chapter describes and summarizes the data in a consistent structure, but achieves this objective in a case-based format. Utilizing the latest literature, Orthopedic Traumatology: An Evidence-Based Approach, Second Edition will continue to serve as a guide for orthopedic residents and practicing physicians alike.
A NEW YORK TIMES NOTABLE BOOK OF THE YEAR From Pulitzer Prize finalist Elliott Currie comes a devastating exploration of the extreme levels of violence afflicting Black communities, and a blueprint for addressing the crisis About 170,000 Black Americans have died in homicides just since the year 2000. Violence takes more years of life from Black men than cancer, stroke, and diabetes combined; a young Black man in the United States has a fifteen times greater chance of dying from violence than his white counterpart. Even Black women suffer violent death at a higher rate than white men, despite homicide’s usual gender patterns. Yet while the country has been rightly outraged by the recent sp...