Author: Ian Harris
Publisher: NewSouth
ISBN: 9781742234571
Category : Medicine and psychology
Languages : en
Pages : 0
Book Description
A senior surgeon suggests that many commonly performed operations are not necessary and that any benefits they offer are a placebo. For many complaints and conditions the benefits from surgery are lower, and the risks higher, than you or your surgeon think. In this book you will see how commonly performed operations can be found to be useless or even harmful when properly evaluated. Of course no surgeon is recommending invasive surgery in bad faith, but Ian Harris argues that the evidence for the success for many common operations, including knee arthroscopies, back fusion or cardiac stenting, become current accepted practice without full examination of the evidence. The placebo effect may be real, but is it worth the recovery time, expense and discomfort?
Hippocrasy
Author: Rachelle Buchbinder
Publisher: NewSouth Publishing
ISBN: 1742238262
Category : Medical
Languages : en
Pages : 332
Book Description
Two world-leading doctors reveal the true state of modern medicine and how doctors are letting their patients down. In Hippocrasy, rheumatologist and epidemiologist Rachelle Buchbinder and orthopaedic surgeon Ian Harris argue that the benefits of medical treatments are often wildly overstated and the harms understated. That overtreatment and overdiagnosis are rife. And the medical system is not fit for purpose: designed to deliver health care not health. This powerful exposé reveals the tests, drugs and treatments that provide little or no benefit for patients and the inherent problem of a medical system based on treating rather than preventing illness. The book also provides tips to empower patients – do I really need this treatment? What are the risks? Are there simpler, safer options? What happens if I do nothing? Plus solutions to help restructure how medicine is delivered to help doctors live up to their Hippocratic Oath. 'One of the hardest things for a doctor to do ... is nothing. This superb book explains how in medicine and surgery less is often not just more, it’s closer to the oath we’re all supposed to practise by.' — Norman Swan, award-winning producer and broadcaster of the Health Report and Coronacast 'This eye-opening and enthralling book on the medical and moral hazards which beset the health profession is a must-read for patients and practitioners alike. From ‘tooth-fairy science’ to medical disasters to the inflated business world of medicine, Hippocrasy is a profoundly thought-provoking and compelling work that challenges our perception of the practice of modern medicine.' — Kate McClymont AM, award-winning investigative journalist for the Sydney Morning Herald/The Age 'Doctors are educated to do good. Yet, as the commercial imperatives of the medical industrial complex tighten their grip, doctors are becoming more and more worried that they are inflicting harm rather than creating benefit. This book is for them and, perhaps even more importantly, for their patients. The road to hell is paved with good intentions: read Hippocrasy and turn back.' — Iona Heath CBE, former President, The Royal College of General Practitioners 'This brilliant book offers clear and compelling evidence that we’re all at risk from too much medicine. Using the best of science, these two respected doctors blow the whistle on harmful healthcare. Buchbinder and Harris reveal how overdiagnosis, overtreatment and the medicalisation of normal life are major threats to human health. But this brilliant book also brings hope that we can wind back the harm and waste of unnecessary tests and treatments, and focus more on the great benefits medicine has to offer.' — Ray Moynihan, author of Too Much Medicine? and Selling Sickness, Assistant Professor, Bond University 'About half of us in advantaged countries are now patients or ‘providers’, or both, and a third of clinical interventions are futile at best. Seeking health is daunting and we could benefit from a guide. Rachelle Buchbinder and Ian Harris have provided such with this volume.' — Nortin M Hadler, author of The Last Well Person, The Citizen Patient and Worried Sick, Emeritus Professor of Medicine and Microbiology/Immunology, University of North Carolina 'Throughout medical history, doctors have routinely ignored the fundamental Hippocratic injunction: ‘First, do no harm’. Most of their treatments produced lots of harms, with little or no benefit. This wonderful book punctures the hyped claims of modern medicine, showing that it is not nearly as scientific, safe, effective, and honest as it should be. Reading Hippocrasy is essential for doctors (to help make them become more cautious); but even more essential for patients (to help them become more self-protective).' — Allen Frances, author of Saving Normal, Professor and Chairman Emeritus of the Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine 'A timely book from two leading doctors. They present evidence that despite medicine’s lip-service to evidence-based medicine, many unnecessary, wasteful and harmful investigations and treatments abound. Increasingly, the healthy are re-defined as having ‘predisease’ and drawn into questionable investigations and monitoring programmes. The book’s core message is that medicine’s hubris and a creeping scientism has come to overshadow the doctor’s commitment to care for and comfort their patients and, above all, do no harm. It is time to step back from the brink and revisit the founding principles and core values of our profession.' — Trish Greenhalgh OBE, Professor of Primary Care Research, University of Oxford
Publisher: NewSouth Publishing
ISBN: 1742238262
Category : Medical
Languages : en
Pages : 332
Book Description
Two world-leading doctors reveal the true state of modern medicine and how doctors are letting their patients down. In Hippocrasy, rheumatologist and epidemiologist Rachelle Buchbinder and orthopaedic surgeon Ian Harris argue that the benefits of medical treatments are often wildly overstated and the harms understated. That overtreatment and overdiagnosis are rife. And the medical system is not fit for purpose: designed to deliver health care not health. This powerful exposé reveals the tests, drugs and treatments that provide little or no benefit for patients and the inherent problem of a medical system based on treating rather than preventing illness. The book also provides tips to empower patients – do I really need this treatment? What are the risks? Are there simpler, safer options? What happens if I do nothing? Plus solutions to help restructure how medicine is delivered to help doctors live up to their Hippocratic Oath. 'One of the hardest things for a doctor to do ... is nothing. This superb book explains how in medicine and surgery less is often not just more, it’s closer to the oath we’re all supposed to practise by.' — Norman Swan, award-winning producer and broadcaster of the Health Report and Coronacast 'This eye-opening and enthralling book on the medical and moral hazards which beset the health profession is a must-read for patients and practitioners alike. From ‘tooth-fairy science’ to medical disasters to the inflated business world of medicine, Hippocrasy is a profoundly thought-provoking and compelling work that challenges our perception of the practice of modern medicine.' — Kate McClymont AM, award-winning investigative journalist for the Sydney Morning Herald/The Age 'Doctors are educated to do good. Yet, as the commercial imperatives of the medical industrial complex tighten their grip, doctors are becoming more and more worried that they are inflicting harm rather than creating benefit. This book is for them and, perhaps even more importantly, for their patients. The road to hell is paved with good intentions: read Hippocrasy and turn back.' — Iona Heath CBE, former President, The Royal College of General Practitioners 'This brilliant book offers clear and compelling evidence that we’re all at risk from too much medicine. Using the best of science, these two respected doctors blow the whistle on harmful healthcare. Buchbinder and Harris reveal how overdiagnosis, overtreatment and the medicalisation of normal life are major threats to human health. But this brilliant book also brings hope that we can wind back the harm and waste of unnecessary tests and treatments, and focus more on the great benefits medicine has to offer.' — Ray Moynihan, author of Too Much Medicine? and Selling Sickness, Assistant Professor, Bond University 'About half of us in advantaged countries are now patients or ‘providers’, or both, and a third of clinical interventions are futile at best. Seeking health is daunting and we could benefit from a guide. Rachelle Buchbinder and Ian Harris have provided such with this volume.' — Nortin M Hadler, author of The Last Well Person, The Citizen Patient and Worried Sick, Emeritus Professor of Medicine and Microbiology/Immunology, University of North Carolina 'Throughout medical history, doctors have routinely ignored the fundamental Hippocratic injunction: ‘First, do no harm’. Most of their treatments produced lots of harms, with little or no benefit. This wonderful book punctures the hyped claims of modern medicine, showing that it is not nearly as scientific, safe, effective, and honest as it should be. Reading Hippocrasy is essential for doctors (to help make them become more cautious); but even more essential for patients (to help them become more self-protective).' — Allen Frances, author of Saving Normal, Professor and Chairman Emeritus of the Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine 'A timely book from two leading doctors. They present evidence that despite medicine’s lip-service to evidence-based medicine, many unnecessary, wasteful and harmful investigations and treatments abound. Increasingly, the healthy are re-defined as having ‘predisease’ and drawn into questionable investigations and monitoring programmes. The book’s core message is that medicine’s hubris and a creeping scientism has come to overshadow the doctor’s commitment to care for and comfort their patients and, above all, do no harm. It is time to step back from the brink and revisit the founding principles and core values of our profession.' — Trish Greenhalgh OBE, Professor of Primary Care Research, University of Oxford
Front Line Surgery
Author: Matthew J. Martin, MD, FACS
Publisher: Springer Science & Business Media
ISBN: 1441960791
Category : Medical
Languages : en
Pages : 536
Book Description
Both editors are active duty officers and surgeons in the U.S. Army. Dr. Martin is a fellowship trained trauma surgeon who is currently the Trauma Medical Director at Madigan Army Medical Center. He has served as the Chief of Surgery with the 47th Combat Support Hospital (CSH) in Tikrit, Iraq in 2005 to 2006, and most recently as the Chief of Trauma and General Surgery with the 28th CSH in Baghdad, Iraq in 2007 to 2008. He has published multiple peer-reviewed journal articles and surgical chapters. He presented his latest work analyzing trauma-related deaths in the current war and strategies to reduce them at the 2008 annual meeting of the American College of Surgeons. Dr. Beekley is the former Trauma Medical Director at Madigan Army Medical Center. He has multiple combat deployments to both Iraq and Afghanistan, and has served in a variety of leadership roles with both Forward Surgical Teams (FST) and Combat Support Hospitals (CSH).
Publisher: Springer Science & Business Media
ISBN: 1441960791
Category : Medical
Languages : en
Pages : 536
Book Description
Both editors are active duty officers and surgeons in the U.S. Army. Dr. Martin is a fellowship trained trauma surgeon who is currently the Trauma Medical Director at Madigan Army Medical Center. He has served as the Chief of Surgery with the 47th Combat Support Hospital (CSH) in Tikrit, Iraq in 2005 to 2006, and most recently as the Chief of Trauma and General Surgery with the 28th CSH in Baghdad, Iraq in 2007 to 2008. He has published multiple peer-reviewed journal articles and surgical chapters. He presented his latest work analyzing trauma-related deaths in the current war and strategies to reduce them at the 2008 annual meeting of the American College of Surgeons. Dr. Beekley is the former Trauma Medical Director at Madigan Army Medical Center. He has multiple combat deployments to both Iraq and Afghanistan, and has served in a variety of leadership roles with both Forward Surgical Teams (FST) and Combat Support Hospitals (CSH).
Emergency Surgery
Author: Adam Brooks
Publisher: John Wiley & Sons
ISBN: 9781444315189
Category : Medical
Languages : en
Pages : 228
Book Description
Emergency Surgery provides both a practical guide and an understanding of the issues that need to be considered in the management of emergency surgery patients. It presents a clear account of the key issues involved in the assessment, investigation, resuscitation and surgical management of patients who present to the on-call emergency team. It considers the full breadth of issues encountered in these patients including anaesthesia, pre-op resuscitation/optimization, and initial post-operative care including preliminary high dependency/critical care, as well as the complications and acute issues found in acute surgical patients on the ward. It is ideal for surgical trainees as well as trainees from other specialties involved in the care of these complex and challenging patients. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store.
Publisher: John Wiley & Sons
ISBN: 9781444315189
Category : Medical
Languages : en
Pages : 228
Book Description
Emergency Surgery provides both a practical guide and an understanding of the issues that need to be considered in the management of emergency surgery patients. It presents a clear account of the key issues involved in the assessment, investigation, resuscitation and surgical management of patients who present to the on-call emergency team. It considers the full breadth of issues encountered in these patients including anaesthesia, pre-op resuscitation/optimization, and initial post-operative care including preliminary high dependency/critical care, as well as the complications and acute issues found in acute surgical patients on the ward. It is ideal for surgical trainees as well as trainees from other specialties involved in the care of these complex and challenging patients. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store.
Essentials of Orthopedic Surgery
Author: Sam W. Wiesel
Publisher: Springer Science & Business Media
ISBN: 038738328X
Category : Medical
Languages : en
Pages : 623
Book Description
This concise third edition offers hands-on guidance for identifying and treating the most commonly seen orthopedic problems in children and adults. Convenient as a study source for medical students, its many photographs and illustrations will also serve as a useful clinical reference for young surgeons, residents, nurses, and physician assistants. Each of the many topics is covered in depth and is designed to educate medical students and steer them towards formulating excellent diagnoses and treatment plans. As a further aid, multiple-choice questions are included at the end of each chapter, and there is a section devoted to case studies.
Publisher: Springer Science & Business Media
ISBN: 038738328X
Category : Medical
Languages : en
Pages : 623
Book Description
This concise third edition offers hands-on guidance for identifying and treating the most commonly seen orthopedic problems in children and adults. Convenient as a study source for medical students, its many photographs and illustrations will also serve as a useful clinical reference for young surgeons, residents, nurses, and physician assistants. Each of the many topics is covered in depth and is designed to educate medical students and steer them towards formulating excellent diagnoses and treatment plans. As a further aid, multiple-choice questions are included at the end of each chapter, and there is a section devoted to case studies.
What You Can Change... and What You Can't
Author: Martin Seligman
Publisher: Hachette UK
ISBN: 1857884388
Category : Self-Help
Languages : en
Pages : 305
Book Description
If you believe that dieting down to your "ideal" weight will prolong your life; that reliving childhood trauma can undo adult personality problems; that alcoholics have addictive personalities, or that psychoanalysis helps cure anxiety, then get ready for a shock. In the climate of self-improvement that has reigned for the last twenty years, misinformation about treatments for everything from alcohol abuse to sexual dysfunction has flourished. Those of us trying to change these conditions are often frustrated by failure, mixed success, or success followed by a relapse. But have you ever asked yourself: can my condition really be changed? And if so, am I going about it in the most effective way? Grounding his conclusions in the most recent and most authoritative scientific studies, Seligman pinpoints the techniques and therapies that work best for each condition, explains why they work, and discusses how you can use them to change your life. Inside, you'll discover: the four natural healing factors for recovering from alcoholism; the vital difference between overeating and being overweight, and why dieters always gain back the pounds they "lost"; the four therapies that work for depression, and how you can "dispute" your way to optimistic thinking; the pros and cons of anger, and the steps to take to understand it and much more!
Publisher: Hachette UK
ISBN: 1857884388
Category : Self-Help
Languages : en
Pages : 305
Book Description
If you believe that dieting down to your "ideal" weight will prolong your life; that reliving childhood trauma can undo adult personality problems; that alcoholics have addictive personalities, or that psychoanalysis helps cure anxiety, then get ready for a shock. In the climate of self-improvement that has reigned for the last twenty years, misinformation about treatments for everything from alcohol abuse to sexual dysfunction has flourished. Those of us trying to change these conditions are often frustrated by failure, mixed success, or success followed by a relapse. But have you ever asked yourself: can my condition really be changed? And if so, am I going about it in the most effective way? Grounding his conclusions in the most recent and most authoritative scientific studies, Seligman pinpoints the techniques and therapies that work best for each condition, explains why they work, and discusses how you can use them to change your life. Inside, you'll discover: the four natural healing factors for recovering from alcoholism; the vital difference between overeating and being overweight, and why dieters always gain back the pounds they "lost"; the four therapies that work for depression, and how you can "dispute" your way to optimistic thinking; the pros and cons of anger, and the steps to take to understand it and much more!
Surgical Arithmetic
Author: Lawrence Rosenberg
Publisher: CRC Press
ISBN: 1498713637
Category : Medical
Languages : en
Pages : 262
Book Description
This book is intended for the practicing surgeon. It is designed to offer practical insights into the essentials of an epidemiological, statistical and outcomes-based approach to surgical practice. Surgeons are invited to begin to develop the requisite skills that will allow them to communicate effectively with their colleagues in epidemiology and
Publisher: CRC Press
ISBN: 1498713637
Category : Medical
Languages : en
Pages : 262
Book Description
This book is intended for the practicing surgeon. It is designed to offer practical insights into the essentials of an epidemiological, statistical and outcomes-based approach to surgical practice. Surgeons are invited to begin to develop the requisite skills that will allow them to communicate effectively with their colleagues in epidemiology and
Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME)
Author: Sam Atallah
Publisher: Springer
ISBN: 3030115720
Category : Medical
Languages : en
Pages : 517
Book Description
This book captures cornerstone developments in a new body of knowledge and provides an expert resource on a “hot topic” in rectal surgery. Transanal minimally invasive surgery (TAMIS) was designed for local excision of select rectal neoplasms, however soon it became realized that the TAMIS technique could be used for applications beyond local excision, most notably for transanal total mesorectal excision (taTME). This new operative technique has revolutionized our approach to the distal rectum by allowing for improved access, especially in obese male patients with an android pelvis, and by minimizing abdominal wall access trauma. The endpoints of improved oncologic resection, as defined by mesorectal envelope completeness, negative circumferential resection margins, and negative distal margin, are assessed. This book details controversies, pitfalls, and future directions of taTME and TAMIS. Chapters are authored by those on the forefront of innovation with TAMIS and taTME, and each is considered an authority on the topic. Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME) is a must-have reference for surgeons who are performing this operation and fellows in training who want to completely understand the various nuances of TAMIS and taTME.
Publisher: Springer
ISBN: 3030115720
Category : Medical
Languages : en
Pages : 517
Book Description
This book captures cornerstone developments in a new body of knowledge and provides an expert resource on a “hot topic” in rectal surgery. Transanal minimally invasive surgery (TAMIS) was designed for local excision of select rectal neoplasms, however soon it became realized that the TAMIS technique could be used for applications beyond local excision, most notably for transanal total mesorectal excision (taTME). This new operative technique has revolutionized our approach to the distal rectum by allowing for improved access, especially in obese male patients with an android pelvis, and by minimizing abdominal wall access trauma. The endpoints of improved oncologic resection, as defined by mesorectal envelope completeness, negative circumferential resection margins, and negative distal margin, are assessed. This book details controversies, pitfalls, and future directions of taTME and TAMIS. Chapters are authored by those on the forefront of innovation with TAMIS and taTME, and each is considered an authority on the topic. Transanal Minimally Invasive Surgery (TAMIS) and Transanal Total Mesorectal Excision (taTME) is a must-have reference for surgeons who are performing this operation and fellows in training who want to completely understand the various nuances of TAMIS and taTME.
Handbook of Hepato-Pancreato-Biliary Surgery
Author: Nicholas J. Zyromski
Publisher: Lippincott Williams & Wilkins
ISBN: 1469873508
Category : Medical
Languages : en
Pages : 697
Book Description
This handbook provides a comprehesive but succinct overview of medical and surgical management of diseases of the liver, pancreas, and biliary tree. It includes imaging of the pancreas and hepatobiliary system as well. Open and minimally invasive surgical management techniques are covered. Coverage includes pancreatic cancer and cysts, pancreatitis, complications of panreatic surgery, ultrasound for liver disease, cirrhosis and portal hypertension, neuroendocrine and colorectal metastases to the liver, gallstones, cholesystitis, infections in biliary surgery, and more. Target markets include surgical residents, surgical nurses, beginning fellows in HPB training programs. There may also be some uptake from gastroenterologists.
Publisher: Lippincott Williams & Wilkins
ISBN: 1469873508
Category : Medical
Languages : en
Pages : 697
Book Description
This handbook provides a comprehesive but succinct overview of medical and surgical management of diseases of the liver, pancreas, and biliary tree. It includes imaging of the pancreas and hepatobiliary system as well. Open and minimally invasive surgical management techniques are covered. Coverage includes pancreatic cancer and cysts, pancreatitis, complications of panreatic surgery, ultrasound for liver disease, cirrhosis and portal hypertension, neuroendocrine and colorectal metastases to the liver, gallstones, cholesystitis, infections in biliary surgery, and more. Target markets include surgical residents, surgical nurses, beginning fellows in HPB training programs. There may also be some uptake from gastroenterologists.