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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.
When COVID-19 spread across the globe, people experienced protection measures such as social distancing, self-isolation, and self-quarantine as a kind of shutting down or putting on hold of life. Many referred to this experience as a pause. Calling attention to the long history of grappling with pausing in writing on plagues and pandemics, Julian Haladyn explores the pause in its social, political, and personal manifestations over the extended pandemic. The schism between the virus and its prohibitions on human engagement with the world produced a crisis, Haladyn argues, in which, for an extended time, it was impossible to imagine a future. The Pause is a cultural inquiry into a moment when human life around the globe seemed to halt, as well as the social symptoms that defined it. The Pause captures the experience of being inside the pandemic, even as that experience continues to unfold. It regards our current situation not for what it may become in the future, but rather as a moment of mass uncertainty and existential hesitation.
Whenever anything goes wrong our first instinct is often to find someone to blame. Blame infuses our society in myriad ways, seeding rancor and revenge, dividing lovers, coworkers, communities, and nations. Yet blame, appropriately placed and managed, safeguards moral order and legal culpability. In this book, Stephen Fineman explores this duality inherent in blame, taking us on a fascinating journey across blame’s sometimes bitter—sometimes just—landscape. Fineman focuses on blame’s roots and enduring manifestations, from the witch hunts of the past to today’s more buttoned-up scapegoating and stigmatization; from an individual’s righteous anger to entire cultures shaped by its ...