How often do you hear a doctor saying doctors need to be more accountable, Medicare needs more support and family medicine deserves more respect? Dissident Doctor bristles with refreshingly frank criticisms from inside the health sector, and its author is not just any doctor but a distinguished scientific researcher, veteran medical administrator, Professor Emeritus, recipient of the Order of Canada and lifelong gadfly. In Dissident Doctor, Michael C. Klein intersperses fascinating tales of individual cases with formative elements of his personal life. As the son of American left-wing activists, he grew up singing folk songs about justice and racial equality; as a young doctor his refusal to serve as a military physician during the Vietnam War prompted his immigration to Canada. His early experience working with midwives in Ethiopia—delivering babies using techniques for natural pain relief and without routine episiotomy—were formative, leading him to question many standard but unjustified procedures in Western maternity care. He made many unconventional decisions as a result of his focus on humane medicine, transitioning from a specialization in pediatrics and newborn care to become a family physician, and embracing midwifery before it was approved in Canada. Klein’s determination in the face of great opposition, the strength of his convictions, and his humility and sense of humour drive this powerful story of a life and career dedicated to his patients and his principles.

The book contains the memoirs of Robert van Voren covering the period 1977-2008 and provides unique insights into the dissident movement in the Soviet Union in the 1980s, both inside the country and abroad. As a result of his close friendship with many of the leading dissidents and his dozens of trips to the USSR as a courier, he had intimate knowledge of the ins and outs of the dissident movement and participated in many of the campaigns to obtain the release of Soviet political prisoners. In the late 1980s he became involved in building a humane and ethical practice of psychiatry in Eastern Europe and the (ex-) USSR, based on respect for the human rights of persons with mental illness. The book describes the dissident movement and many of the people who formed it, mental health reformers in Eastern Europe and the response of the Western psychiatric community, the battle with the World Psychiatric Association over Soviet, and later, Chinese political abuse of psychiatry, his contacts with former KGB officers and problems with the KGB's successor organization, the FSB. It also vividly describes the emotional effects of serving as a courier for the dissident movement, the fear of arrest, the pain of seeing friends disappear for many years into camps and prisons, sometimes never to return.

The Patient-Centered Clinical Method (PCCM) has been a core tenet of the practice and teaching of medicine since the first edition of Patient-Centered Medicine - Transforming the Clinical Method was published in 1995. This timely fourth edition continues to define the principles underpinning the patient-centered clinical method using four major components, clarifying its evolution and consequent development, and it brings the reader fully up to date. It reinforces the relevance of the method in the current much-changed realities of health care in a world where virtual care will remain common, dependence on technology is rising, and societal changes away from compassion, equity, and relationships toward confrontation, inequity, and self-absorption. Fully revised by its highly experienced author team ensuring wide interest and written for those practising now and for the practitioners of the future, this new edition will be welcomed by a wide international audience comprising all health professionals from medicine, nursing, social work, occupational therapy, physical therapy, pharmacy, veterinary medicine, and other fields.

The nearly forgotten story of Soviet dissidents It has been nearly three decades since the collapse of the Soviet Union—enough time for the role that the courageous dissidents ultimately contributed to the communist system's collapse to have been largely forgotten, especially in the West. This book brings to life, for contemporary readers, the often underground work of the men and women who opposed the regime and authored dissident texts, known as samizdat, that exposed the tyrannies and weaknesses of the Soviet state both inside and outside the country. Peter Reddaway spent decades studying the Soviet Union and got to know these dissidents and their work, publicizing their writings in the West and helping some of them to escape the Soviet Union and settle abroad. In this memoir he captures the human costs of the repression that marked the Soviet state, focusing in particular on Pavel Litvinov, Larisa Bogoraz, General Petro Grigorenko, Anatoly Marchenko, Alexander Podrabinek, Vyacheslav Bakhmin, and Andrei Sinyavsky. His book describes their courage but also puts their work in the context of the power struggles in the Kremlin, where politicians competed with and even succeeded in ousting one another. Reddaway's book takes readers beyond Moscow, describing politics and dissident work in other major Russian cities as well as in the outlying republics.

SIMKIN’S LABOR PROGRESS HANDBOOK Get ready to enhance your expertise in the world of childbirth with Simkin’s Labor Progress Handbook — a trusted resource tailored for childbirth medical practitioners This invaluable guide unravels the complexities of labor, equipping you with practical strategies to overcome challenges encountered along the way. Inside this comprehensive book, you’ll discover a wealth of low-technology, evidence-based interventions designed to prevent and manage difficult or prolonged labors. Grounded in research and practical experience, these approaches are tailored by doulas and clinicians to provide optimal care and achieve successful outcomes. The fifth edition of this prestigious text includes information on: Labor dystocia causes and early interventions and strategies promoting normal labor and birth Application of fetal heart rate monitoring (intermittent auscultation, continuous electronic fetal monitoring, and wireless telemetry) while promoting movement and labor progress The role of oxytocin and labor progress, and ethical considerations in oxytocin administration Prolonged prelabor and latent first through fourth stage labor, addressing factors associated with dystocia Positions, comfort measures and respectful care With meticulous referencing and clear, practical instructions throughout, Simkin’s Labor Progress Handbook continues to be a timely and accessible guide for novices and experts alike, including doulas, nurses, midwives, physicians, and students.

The physicians’ oath ‘Do no harm’ is attributed to the ancient Greek physician Hippocrates, but it isn’t a part of the Hippocratic Oath. It is actually from another of his works Of the Epidemics. Hippocrates’ Of the Epidemics says: The physician must be able to tell the antecedents, know the present, and foretell the future — have two special objects in view with regard to disease, namely, to do good or to do no harm. In this work, Hippocrates acts as a prognosticator, raising concerns about not just one malady and one patient, but encompassing the past, present and future of many patients and the maladies they might face. Following this rationale, this book, When Doctors Finally Said No, came to be. Although fiction, these true, medically related stories weave together a movement that is building barriers between doctors and their patients by using criteria based on outcomes instead of efforts. The oath, once the bedrock of this still unpredictable science has now become its Achilles heel. Many of those in the federal government, the insurers, the hospital corporations and the bottom-feeders from the legal community feel they can legislate, regulate, administrate and litigate without real concern what harm might come from their actions, because doctors pledged to do no harm. Hippocrates’ pronouncements laid out an additional duty for doctors beside do no harm and that is doing nothing. When Doctors Finally Said No is the gripping story of the intrusions into the practice of medicine by the payers, the government, and the large hospital corporations that force physicians into a battle they never anticipated.

Over the past two decades, the Sanctuary City movement has resulted in hundreds of jurisdictions declaring themselves safe spaces for undocumented migrants and people without status. Although they often draw on historical precedent, public sanctuary efforts amongst settler societies are markedly different from how refuge was conceptualized in the past. To explore these broad shifts, Sanctuary in Pieces looks at the history of protection and hospitality in Montreal/Mooniyaang/Tiohtià:ke over two hundred years. Laura Madokoro traces the movements and experiences of fugitives from slavery, wanted criminals, internationally renowned anarchists, and war resisters before turning to instances of public sanctuary practices since the 1970s. As people sought and forged refuge, they navigated a web of social connections, political agendas, and economic realities, testing the notion of the city and whom it was for. Even as those in search of sanctuary imagined, and often enacted, possible futures in the city, sanctuary was far from easy: it lay in an underground marked by refusal and denial, selective compassion and solidarity, and sometimes outright animosity. This contested and tumultuous history offers a profound challenge to the symbolism and substance of contemporary sanctuary city efforts. Conceptually innovative, Sanctuary in Pieces speaks to activist and policy considerations in the present, the making and unmaking of community, and how historical practice can accommodate silence in studies of intimate experiences of mobility and, on occasion, refuge.

This benchmark collection of cross-cultural essays on reproduction and childbirth extends and enriches the work of Brigitte Jordan, who helped generate and define the field of the anthropology of birth. The authors' focus on authoritative knowledge—the knowledge that counts, on the basis of which decisions are made and actions taken—highlights the vast differences between birthing systems that give authority of knowing to women and their communities and those that invest it in experts and machines. Childbirth and Authoritative Knowledge offers first-hand ethnographic research conducted by anthropologists in sixteen different societies and cultures and includes the interdisciplinary perspectives of a social psychologist, a sociologist, an epidemiologist, a staff member of the World Health Organization, and a community midwife. Exciting directions for further research as well as pressing needs for policy guidance emerge from these illuminating explorations of authoritative knowledge about birth. This book is certain to follow Jordan's Birth in Four Cultures as the definitive volume in a rapidly expanding field. This title is part of UC Press's Voices Revived program, which commemorates University of California Press's mission to seek out and cultivate the brightest minds and give them voice, reach, and impact. Drawing on a backlist dating to 1893, Voices Revived makes high-quality, peer-reviewed scholarship accessible once again using print-on-demand technology. This title was originally published in 1999. This benchmark collection of cross-cultural essays on reproduction and childbirth extends and enriches the work of Brigitte Jordan, who helped generate and define the field of the anthropology of birth. The authors' focus on authoritative knowledge—the kn