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The Good Doctor
What makes a good doctor? It's not what you think. A doctor willing to face their own uncertainty in the face of illness and treatment might just be the best medicine. Too often we choose the wrong doctor for the wrong reasons. It doesn't have to be that way. In The Good Doctor, Ken Brigham, MD, and Michael M.E. Johns, MD, argue that we need to change the way we think about health care if we want to be the healthiest we can be. Counterintuitive as it may seem, uncertainty is integral to medicine, and you want a doctor who knows that: someone who sees you as the unique case you are, someone who knows that data isn't everything, someone who is able to change her mind as the information changes. For too long we've clung to the myth of the infallible doctor--one who assuredly tells us this is what's wrong and here is how I will cure you--and our health has suffered for it. Brigham and Johns propose a new model of medicine, one that is comfortable with ambiguity and that centers on an equal partnership between patient and doctor. Uncertainty, properly embraced, opens a new universe of possibilities.
Predictive Health
Our health care system is crippled by desperate efforts to prevent the inevitable. A third of the national Medicare budget -- nearly 175 billion -- is spent on the final year of life, and a third of that amount on the final month, often on expensive (and futile) treatments. Such efforts betray a fundamental flaw in how we think about healthcare: we squander resources on hopeless situations, instead of using them to actually improve health. In Predictive Health, distinguished doctors Kenneth Brigham and Michael M.E. Johns propose a solution: invest earlier -- and use science and technology to make healthcare more available and affordable. Every child would begin life with a post-natal genetic...
Free Dancing
In a collection of memories resembling pages snatched from a scrapbook, a leading physician and academic researcher reflects on the unpredictability of life. Medical school at Vanderbilt led to a series of life-altering experiences. A brief stint collecting blood samples from freshly slaughtered cattle in a Nashville abattoir left him with bespattered shirts and a dark apprehension of the closeness of death. Throughout his career, the polarity and inseparability of life and death have haunted him, a platform for savoring good times and exotic destinations when they came his way. This tragic sense has also fueled Dr. Brigham's avocation of writing fiction, including several published novels in which university hospitals provide the backdrop for tales of mystery, ambition, and suspense. Now retired, the author looks back at a life that carried him to a series of academic pinnacles--The Johns Hopkins Hospital in Baltimore; the CDC in Atlanta; the University of California, San Francisco; once more to Vanderbilt, in Nashville; and then, finally, to Atlanta's Emory University.
Gene Therapy for Diseases of the Lung
This up-to-the-minute and comprehensive resource lucidly covers gene therapy for lung diseases from existing technologies delivering foreign DNA to the lungs via the airways or circulation to promising new approaches for the further development of safe and efficient gene delivery systems.
Recombinant DNA Research
Documents relating to "NIH guidelines for research involving recombinant DNA molecules".
The Connection
The Connection traces the remarkable relationship between Johns Hopkins Hospital and Vanderbilt Hospital, beginning in 1919 and continuing to this day. More than 400 faculty members, including five deans/vice chancellors of medical affairs and at least twenty department chairs, moved from Hopkins to Vanderbilt and brought the cutting-edge concepts of Hopkins with them. These methods and approaches transformed Vanderbilt and indeed the American medical center into the modern institution it is today. Friesinger tracks the effects on departments, administration, and the practice of medicine itself while bringing to life many of the distinguished—and colorful—individuals who played parts.
The Economics of Genomic Medicine
The sequencing of the human genome and the identification of links between specific genetic variants and diseases have led to tremendous excitement over the potential of genomics to direct patient treatment toward more effective or less harmful interventions. Still, the use of whole genome sequencing challenges the traditional model of medical care where a test is ordered only when there is a clear indication for its use and a path for downstream clinical action is known. This has created a tension between experts who contend that using this information is premature and those who believe that having such information will empower health care providers and patients to make proactive decisions ...
Parish Boundaries
Here, John McGreevy chronicles the history of Catholic parishes and connects their unique place in the urban landscape to the course of American race relations in the 20th century. In vivid portraits of parish life in Boston, Chicago, New York and other cities, the author examines the contracts and conflicts between Euro-American Catholics and their African American neighbors, illuminating the enormous impact of religious culture on modern American history.
Endotoxin and the Lungs
This work sets out to provide the information necessary for understanding endotoxin and its effects on the lungs, and explicates the difficulties in determining how to manipulate endotoxin pathobiology. The rationale for, and efficacy of, current and experimental treatments for sepsis, adult respiratory distress syndrome and other endotoxin-induced lung injuries are discussed.
