A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine. Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives. At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor. Complications is a 2002 National Book Award Finalist for Nonfiction.

In Gripping Accounts Of True Cases, Atul Gawande Performs Exploratory Surgery On Medicine Itself, Laying Bare A Science Not In Its Idealized Form But As It Actually Is Complicated, Perplexing And Profoundly Human. He Offers An Unflinching View From The Scalpel S Edge, Where Science Is Ambiguous, Information Is Limited, The Stakes Are High, Yet Decisions Must Be Made. Dramatic, Revealing Stories Of Patients And Doctors Explore How Daily Mistakes Occur, Why Good Surgeons Go Bad, And What Happens When Medicine Comes Up Against The Inexplicable: An Architect With Incapacitating Back Pain For Which There Is No Physical Cause; A Young Woman With Nausea That Won T Go Away; A Television Newscaster Whose Blushing Is So Severe That She Cannot Do Her Job. At Once Tough-Minded And Humane, Complications Is A New Kind Of Medical Writing, Nuanced And Lucid, Unafraid To Confront The Uncertainties That Lie At The Heart Of Modern Medicine, Yet Always Alive To The Possibilities Of Wisdom In This Extraordinary Endeavor. Highly Acclaimed Book That Is Destined To Be A Bestseller Literally Straight-From-The-Gut Writing

The Affordable Care Act will have a dangerous effect on the American economy. That may sound like a political stance, but it’s a conclusion directly borne out by economic forecasts. In Side Effects and Complications, preeminent labor economist Casey B. Mulligan brings to light the dire economic realities that have been lost in the ideological debate over the ACA, and he offers an eye-opening, accessible look at the price American citizens will pay because of it. Looking specifically at the labor market, Mulligan reveals how the costs of health care under the ACA actually create implicit taxes on individuals, and how increased costs to employers will be passed on to their employees. Mulligan shows how, as a result, millions of workers will find themselves in a situation in which full-time work, adjusted for the expense of health care, will actually pay less than part-time work or even not working at all. Analyzing the incentives—or lack thereof—for people to earn more by working more, Mulligan offers projections on how many hours people will work and how productively they will work, as well as how much they will spend in general. Using the powerful tools of economics, he then illustrates the detrimental consequences on overall employment in the near future. Drawing on extensive knowledge of the labor market and the economic theories at its foundation, Side Effects and Complications offers a crucial wake-up call about the risks the ACA poses for the economy. Plainly laying out the true costs of the ACA, Mulligan’s grounded and thorough predictions are something that workers and policy makers cannot afford to ignore.

NEW YORK TIMES BESTSELLER • Scandal and tragedy erupt against the backdrop of an exclusive Paris hotel in Danielle Steel’s riveting novel. Known for its luxurious accommodations and bespoke service, the Hotel Louis XVI has been the most lauded boutique hotel in all of Paris for decades, attracting an international clientele of the rich and famous. Now, after four years of renovations and the death of its legendary and beloved manager, it is set to reopen its doors at last. An esteemed group of loyal returning guests is set to descend upon the hotel, joined by a number of new faces who have managed to secure coveted bookings in the wake of last-minute cancellations. Awaiting them all is the Louis XVI’s new manager, Olivier Bateau, an anxious man whose lack of experience leaves him unprepared. He and his level-headed assistant manager, Yvonne Philippe, both strive to continue the hotel’s tradition of excellence. But they quickly realize that anything can happen at any moment, and on one cool September evening, everything does. A successful art consultant arrives at the hotel for the first time since her brutal divorce, and is surprised to find new love—if she is willing to risk her heart again. A new guest contemplates ending his life, and saves a life instead. A couple finds their once-in-a-lifetime trip interrupted by a tragic medical emergency, leaving the idyllic future they’ve long waited for hanging in the balance. And one of the hotel’s most high-profile guests, a French politician and assumed presidential candidate, holds a mysterious meeting in his suite that will threaten his life and legacy. Rocked by the events of this one fateful night, guests and staff alike brace themselves for the aftershock, as it quickly becomes apparent that more dramas and misfortunes are still in store. Danielle Steel tells an unforgettable story about a famed hotel, where a few complications quickly escalate into a matter of life and death, changing the lives of everyone who passes through its doors.

Complications in Surgery, Second Edition offers authoritative recommendations for preventing and managing complications in all current general surgery procedures. The opening sections discuss institutional risk management issues and risks common to all operations, such as wound healing problems, infection, shock, and complications in immunosuppressed patients. Subsequent sections focus on complications of specific procedures in thoracic, vascular, gastric, endocrine, breast, and oncologic surgery, as well as organ transplantation and pediatric surgery. This edition includes new information on surgical quality assessment and patient safety and updated information in the organ-specific chapters.

See how to effectively manage ALL dental implant complications throughout ALL phases of treatment! Avoiding Complications in Oral Implantology provides evidence-based management protocols for a wide range of implant problems such as placement complications, malpositioning, bleeding, infection, and nerve injuries. Hundreds of high-quality, full-color photos and illustrations clearly demonstrate the complications and their resolution. Edited by Carl Misch and Randolph Resnik — both well-known names in dental implantology and prosthodontics — and with a team of expert contributors, this authoritative guide helps you handle the implant-related complications that can occur as more and more patients choose dental implants. - Expert authors are joined by a panel of recognized leaders in implant dentistry — many of whom are associated with the Misch International Implant Institute — to share their extensive experience with handling complications through all phases of treatment. - Comprehensive approach to complications that occur in the different phases of oral implantology provides the knowledge and skills you need to handle treatment planning, implant placement, post-operative complications, prostheses-related complications, and more. - Over 1,000 images include full-color clinical photographs, radiographs, line drawings, and diagrams, clearly demonstrating complications, procedures, and outcomes. - Management protocols developed by world-renowned dental implantologists provide a proven system and authoritative guidance in managing complications with dental implants. - Evidence-based solutions make it easier to manage a wide variety of clinical problems associated with dental implants, with state-of-the-art guidance supported by the best available research.

The new 2nd edition of this practical manual has been completely updated and revised to reflect the most current knowledge, research findings, technological developments, and updates in contact lens materials. With its broad coverage and systematic approach, it provides an intuitive approach to understanding, diagnosing, and treating contact lens complications. This lavishly illustrated text is recognized as a definitive resource on contact lens for practitioners and students.

The concept for this book evolved over many years of intense clinical practice during which a wide variety of vascular complications were encountered as a result of other surgical or interventional procedures. In this book, the authors describe cohesive efforts by experts in the field as they commit to advancing health care quality by all professionals. It should be noted at the outset that the book does not discuss various non-vascular or systemic complications of patients undergoing vascular interventions such as myocardial infarction, renal or respiratory failure. Instead, the content is divided into four separate sections. The material begins with an introduction to vascular anatomy and function. There follows a section addressing specific complications of the vascular system that can occur in any patient, sometimes even without intervention. The third section addresses complications specific to interventions and surgical procedures. The final section is dedicated to the delayed and long-term sequelae attributable to the most commonly encountered vascular complications. Vascular Complications of Surgery and Intervention: A Practical Guide is targeted towards dedicated health care professionals managing patients affected by inadvertent but potentially disastrous vascular complications and for those practitioners performing interventions either directly upon the vascular system or procedures that have potential for collateral impact.

Complications in Equine Surgery is the first reference to focus exclusively on understanding, preventing, recognizing, managing, and prognosing, technical and post-procedural complications in equine surgery. Edited by two noted experts on the topic, the book presents evidence-based information using a clear approach, organized by body system. Featuring color images, the book contains detailed coverage of the gastrointestinal, respiratory, musculoskeletal, urogenital, and neurological systems. Each chapter contains a short introduction of the procedure with explanations of when and how the procedure is to be performed. All chapters review how to recognize and prevent technical complications and explain how to manage post-operative complications. This important text: Offers the first resource specifically focused on complications encountered in equine surgery Takes a helpful format organized by body system Provides consistently formatted chapters for ease of use Covers clinically relevant information for dealing with technical and post-operative complications Presents more than 350 color images to illustrate the concepts described Written for general practitioners and specialists, Complications in Equine Surgery is an essential resource to decreasing morbidity and mortality and increasing surgical success in horses.

A comprehensive guide to the medical complications, diagnosis, and treatment of eating disorders. In this new edition of their best-selling work, Drs. Philip S. Mehler and Arnold E. Andersen provide a user-friendly and comprehensive guide to treating and managing eating disorders for primary care physicians, mental health professionals, worried family members and friends, and nonmedical professionals (such as teachers and coaches). Mehler and Andersen identify common medical complications that people who have eating disorders face and answer questions about how to treat both physical and behavioral aspects of eating disorders. Serious complications, including cardiac arrhythmia, electrolyte abnormalities, and gastrointestinal problems, are discussed in detail. Incorporating illustrative case studies, medical background on the complications, guidelines for diagnosis and treatment, and an up-to-date list of selected references, chapters provide comprehensive coverage of topics, including team treatment and nutritional rehabilitation. The authors also address special areas of concern, such as athletes who have eating disorders, males with eating disorders, and the pharmacological treatment of obesity. New topics include diabetes and eating disorders, osteoporosis, involuntary feeding, innovative psychological strategies, and ethical dilemmas.