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To doctors, cancer means cells growing out of control; to patients, cancer means a life spinning out of control. Janet R. Gilsdorf, who writes with quiet but devastating honesty about her experience with breast cancer, offers an eye-opening glimpse, through her unique dual perspective as physician and patient, of both sides of the medical divide. The medical system delivers cures, answers, and relief from pain to those who seek its help, but it can also offer misinformation, shattered expectations, horrible options, and inhumane consideration of the people it is supposed to serve. As Gilsdorf takes us on a journey across the terrifying landscape of cancer, she discovers that there are oases ...
In a riveting debut novel infused with uncommon insight, Janet Gilsdorf draws readers into an unforgettable story of love, heartache, family, and renewal. After six years of marriage, Anna and Jake Campbell have settled into a routine of daily responsibility and familiar comforts. The demands of raising two small children—three-year-old Chris and baby Eddie—take a toll, especially combined with Jake’s schedule as an orthopedic surgeon. But together, cautious Anna and calm, optimistic Jake negotiate, sometimes gracefully, sometimes not so much, every obstacle that comes their way. Until the night Eddie gets sick. When Anna phones Jake at work to seek advice, he reassures her that Eddie ...
From acclaimed author and Professor Emerita of Pediatrics and Epidemiology Janet Gilsdorf comes a captivating and timely novel about a young doctor's quest to uncover the cause of a mysterious disease killing young children, and the race to find a cure. In 1984, in the small Brazilian village of Promiss&ão, a young child begins to fuss, her eyes turning pink and her skin flushed with heat. Four days later, she's dead. Sidonie Royal, an accomplished physician and scientist, arrives in the small Brazilian village of Promiss&ão to investigate and hopefully cure this insidious new disease. With several young children already dead, and more getting sick by the day, the stakes cannot get any hig...
Not all scientific discoveries are genius. Continual Raving tells the combined stories of how scientists across the 19th and 20th centuries defeated meningitis -- not through flawless scientific research, but often through a series of serendipitous events, misplaced assumptions, and flawed conclusions. The result is a story of not just a vanquished disease, but how scientific accomplishment sometimes occurs where it's least expected. Although symptoms of meningitis were recorded as early as Hippocrates and the ancient Greeks, our understanding of the disease's origins and mechanisms remained obscure for most of human history. That changed in 1892, when German physician Richard Pfeiffer obser...
This compelling collection provides important insight into the human dimensions of health care and health policy.--Scott A. Strassels "American Journal of Health-System Pharmacy"
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In both rich and poor nations, public resources for health care are inadequate to meet demand. Policy makers and health care providers must determine how to provide the most effective health care to citizens using the limited resources that are available. This chapter describes current and future challenges in the delivery of health care, and outlines the role that operations research (OR) models can play in helping to solve those problems. The chapter concludes with an overview of this book – its intended audience, the areas covered, and a description of the subsequent chapters. KEY WORDS Health care delivery, Health care planning HEALTH CARE DELIVERY: PROBLEMS AND CHALLENGES 3 1.1 WORLDWIDE HEALTH: THE PAST 50 YEARS Human health has improved significantly in the last 50 years. In 1950, global life expectancy was 46 years [1]. That figure rose to 61 years by 1980 and to 67 years by 1998 [2]. Much of these gains occurred in low- and middle-income countries, and were due in large part to improved nutrition and sanitation, medical innovations, and improvements in public health infrastructure.