How We Do Harm

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How We Do Harm

Otis Webb Brawley, MD,Paul Goldberg

Author : Otis Webb Brawley, MD,Paul Goldberg
Publisher : St. Martin's Press
Page : 320 pages
File Size : 40,7 Mb
Release : 2012-01-31
Category : Biography & Autobiography
ISBN : 9781429941501

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How We Do Harm by Otis Webb Brawley, MD,Paul Goldberg Pdf

How We Do Harm exposes the underbelly of healthcare today—the overtreatment of the rich, the under treatment of the poor, the financial conflicts of interest that determine the care that physicians' provide, insurance companies that don't demand the best (or even the least expensive) care, and pharmaceutical companies concerned with selling drugs, regardless of whether they improve health or do harm. Dr. Otis Brawley is the chief medical and scientific officer of The American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. How We Do Harm pulls back the curtain on how medicine is really practiced in America. Brawley tells of doctors who select treatment based on payment they will receive, rather than on demonstrated scientific results; hospitals and pharmaceutical companies that seek out patients to treat even if they are not actually ill (but as long as their insurance will pay); a public primed to swallow the latest pill, no matter the cost; and rising healthcare costs for unnecessary—and often unproven—treatments that we all pay for. Brawley calls for rational healthcare, healthcare drawn from results-based, scientifically justifiable treatments, and not just the peddling of hot new drugs. Brawley's personal history – from a childhood in the gang-ridden streets of black Detroit, to the green hallways of Grady Memorial Hospital, the largest public hospital in the U.S., to the boardrooms of The American Cancer Society—results in a passionate view of medicine and the politics of illness in America - and a deep understanding of healthcare today. How We Do Harm is his well-reasoned manifesto for change.

How We Do Harm

Otis Webb Brawley, MD,Paul Goldberg

Author : Otis Webb Brawley, MD,Paul Goldberg
Publisher : St. Martin's Griffin
Page : 320 pages
File Size : 55,5 Mb
Release : 2012-10-30
Category : Health & Fitness
ISBN : 1250015766

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How We Do Harm by Otis Webb Brawley, MD,Paul Goldberg Pdf

How We Do Harm exposes the underbelly of healthcare today—the overtreatment of the rich, the under treatment of the poor, the financial conflicts of interest that determine the care that physicians’ provide, insurance companies that don’t demand the best (or even the least expensive) care, and pharmaceutical companies concerned with selling drugs, regardless of whether they improve health or do harm. Dr. Otis Brawley is the chief medical and scientific officer of The American Cancer Society, an oncologist with a dazzling clinical, research, and policy career. How We Do Harm pulls back the curtain on how medicine is really practiced in America. Brawley tells of doctors who select treatment based on payment they will receive, rather than on demonstrated scientific results; hospitals and pharmaceutical companies that seek out patients to treat even if they are not actually ill (but as long as their insurance will pay); a public primed to swallow the latest pill, no matter the cost; and rising healthcare costs for unnecessary—and often unproven—treatments that we all pay for. Brawley calls for rational healthcare, healthcare drawn from results-based, scientifically justifiable treatments, and not just the peddling of hot new drugs. Brawley’s personal history – from a childhood in the gang-ridden streets of black Detroit, to the green hallways of Grady Memorial Hospital, the largest public hospital in the U.S., to the boardrooms of The American Cancer Society—results in a passionate view of medicine and the politics of illness in America - and a deep understanding of healthcare today. How We Do Harm is his well-reasoned manifesto for change.

How We Do Harm

Otis Webb Brawley, MD,Paul Goldberg

Author : Otis Webb Brawley, MD,Paul Goldberg
Publisher : Macmillan
Page : 317 pages
File Size : 52,5 Mb
Release : 2012-01-31
Category : Biography & Autobiography
ISBN : 9780312672973

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How We Do Harm by Otis Webb Brawley, MD,Paul Goldberg Pdf

Dr. Brawley exposes the underbelly of healthcare today--the under-treatment of the poor, the over-treatment of the rich, the financial conflicts of interests physicians face, insurance that doesn't demand the best (or even cheapest) care, and a pharmaceutical behemoth concerned with selling drugs, not providing health.

When We Do Harm

Danielle Ofri, MD

Author : Danielle Ofri, MD
Publisher : Beacon Press
Page : 274 pages
File Size : 43,5 Mb
Release : 2020-03-23
Category : Medical
ISBN : 9780807037881

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When We Do Harm by Danielle Ofri, MD Pdf

Medical mistakes are more pervasive than we think. How can we improve outcomes? An acclaimed MD’s rich stories and research explore patient safety. Patients enter the medical system with faith that they will receive the best care possible, so when things go wrong, it’s a profound and painful breach. Medical science has made enormous strides in decreasing mortality and suffering, but there’s no doubt that treatment can also cause harm, a significant portion of which is preventable. In When We Do Harm, practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversation. Drawing on current research, professional experience, and extensive interviews with nurses, physicians, administrators, researchers, patients, and families, Dr. Ofri explores the diagnostic, systemic, and cognitive causes of medical error. She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record, but focuses on the full-scale cultural and cognitive shifts required to make a meaningful dent in medical error. Woven throughout the book are the powerfully human stories that Dr. Ofri is renowned for. The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms. While our healthcare system is—and always will be—imperfect, Dr. Ofri argues that it is possible to minimize preventable harms, and that this should be the galvanizing issue of current medical discourse.

Doing Harm

Maya Dusenbery

Author : Maya Dusenbery
Publisher : HarperCollins
Page : 400 pages
File Size : 53,5 Mb
Release : 2018-03-06
Category : Health & Fitness
ISBN : 9780062470812

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Doing Harm by Maya Dusenbery Pdf

Editor of the award-winning site Feministing.com, Maya Dusenbery brings together scientific and sociological research, interviews with doctors and researchers, and personal stories from women across the country to provide the first comprehensive, accessible look at how sexism in medicine harms women today. In Doing Harm, Dusenbery explores the deep, systemic problems that underlie women’s experiences of feeling dismissed by the medical system. Women have been discharged from the emergency room mid-heart attack with a prescription for anti-anxiety meds, while others with autoimmune diseases have been labeled “chronic complainers” for years before being properly diagnosed. Women with endometriosis have been told they are just overreacting to “normal” menstrual cramps, while still others have “contested” illnesses like chronic fatigue syndrome and fibromyalgia that, dogged by psychosomatic suspicions, have yet to be fully accepted as “real” diseases by the whole of the profession. An eye-opening read for patients and health care providers alike, Doing Harm shows how women suffer because the medical community knows relatively less about their diseases and bodies and too often doesn’t trust their reports of their symptoms. The research community has neglected conditions that disproportionately affect women and paid little attention to biological differences between the sexes in everything from drug metabolism to the disease factors—even the symptoms of a heart attack. Meanwhile, a long history of viewing women as especially prone to “hysteria” reverberates to the present day, leaving women battling against a stereotype that they’re hypochondriacs whose ailments are likely to be “all in their heads.” Offering a clear-eyed explanation of the root causes of this insidious and entrenched bias and laying out its sometimes catastrophic consequences, Doing Harm is a rallying wake-up call that will change the way we look at health care for women.

First, Do No Harm

Lisa Belkin

Author : Lisa Belkin
Publisher : Simon and Schuster
Page : 272 pages
File Size : 52,5 Mb
Release : 2021-02-16
Category : Medical
ISBN : 9781982173395

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First, Do No Harm by Lisa Belkin Pdf

“Crammed with provocative insights, raw emotion, and heartbreaking dilemmas,” (The New York Times) First, Do No Harm is a powerful examination of how life and death decisions are made at a major metropolitan hospital in Houston, as told through the stories of doctors, patients, families, and hospital administrators facing unthinkable choices. What is life worth? And when is a life worth living? Journalist Lisa Belkin examines how these questions are asked and answered over one dramatic summer at Hermann Hospital in Houston, Texas. In an account that is fascinating, revealing, and almost novelistic in its immediacy, Belkin takes us inside a major hospital and introduces us to the people who must make life and death decisions every day. As we walk through the hallways of the hospital we meet a young pediatrician who must decide whether to perform a risky last-ditch surgery on a teenager who has spent most of his fifteen years in a hospital; we watch as new parents battle with doctors over whether to disconnect their fragile, premature twins from the machine that keeps them breathing; we are in the operating room as a poor immigrant, paralyzed from a gunshot in the neck, is asked by doctors whether or not he wishes to stay alive; we witness the worry of a kidney specialist as he decides whether or not to transfer an uninsured baby to the county hospital down the road. We experience critical moments in the lives of these real people as Belkin explores challenging issues and questions involving medical ethics, human suffering, modern technology, legal liability, and financial reality. As medical technology advances, the choices grow more complicated. How far should we go to save a life? Who decides? And who pays?

Do No Harm

Henry Marsh

Author : Henry Marsh
Publisher : Macmillan
Page : 289 pages
File Size : 50,5 Mb
Release : 2015-05-26
Category : Biography & Autobiography
ISBN : 9781466872806

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Do No Harm by Henry Marsh Pdf

A New York Times Bestseller Shortlisted for both the Guardian First Book Prize and the Costa Book Award Longlisted for the Samuel Johnson Prize for Non-Fiction A Finalist for the Pol Roger Duff Cooper Prize A Finalist for the Wellcome Book Prize A Financial Times Best Book of the Year An Economist Best Book of the Year A Washington Post Notable Book of the Year What is it like to be a brain surgeon? How does it feel to hold someone's life in your hands, to cut into the stuff that creates thought, feeling, and reason? How do you live with the consequences of performing a potentially lifesaving operation when it all goes wrong? In neurosurgery, more than in any other branch of medicine, the doctor's oath to "do no harm" holds a bitter irony. Operations on the brain carry grave risks. Every day, leading neurosurgeon Henry Marsh must make agonizing decisions, often in the face of great urgency and uncertainty. If you believe that brain surgery is a precise and exquisite craft, practiced by calm and detached doctors, this gripping, brutally honest account will make you think again. With astonishing compassion and candor, Marsh reveals the fierce joy of operating, the profoundly moving triumphs, the harrowing disasters, the haunting regrets, and the moments of black humor that characterize a brain surgeon's life. Do No Harm provides unforgettable insight into the countless human dramas that take place in a busy modern hospital. Above all, it is a lesson in the need for hope when faced with life's most difficult decisions.

Doing and Allowing Harm

Fiona Woollard

Author : Fiona Woollard
Publisher : OUP Oxford
Page : 256 pages
File Size : 44,8 Mb
Release : 2015-01-08
Category : Philosophy
ISBN : 9780191506550

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Doing and Allowing Harm by Fiona Woollard Pdf

Doing harm seems much harder to justify than merely allowing harm. If a boulder is rushing towards Bob, you may refuse to save Bob's life by driving your car into the path of the boulder if doing so would cost you your own life. You may not push the boulder towards Bob to save your own life. This principle—the Doctrine of Doing and Allowing—requires defence. Does the distinction between doing and allowing fall apart under scrutiny? When lives are at stake, how can it matter whether harm is done or allowed? Drawing on detailed analysis of the distinction between doing and allowing, Fiona Woollard argues that the Doctrine of Doing and Allowing is best understood as a principle that protects us from harmful imposition. Such protection against imposition is necessary for morality to recognize anything as genuinely belonging to a person, even that person's own body. As morality must recognize each person's body as belonging to her, the Doctrine of Doing and Allowing should be accepted. Woollard defends a moderate account of our obligations to aid, tackling arguments by Peter Singer and Peter Unger that we must give most of our money away and arguments from Robert Nozick that obligations to aid are incompatible with self-ownership.

Doing Harm

Kelly Parsons

Author : Kelly Parsons
Publisher : St. Martin's Press
Page : 368 pages
File Size : 44,5 Mb
Release : 2014-02-04
Category : Fiction
ISBN : 9781250033468

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Doing Harm by Kelly Parsons Pdf

There are many ways to die in a hospital...being sick is only one of them. Chief resident Steve Mitchell is the quintessential surgeon: ambitious, intelligent, confident. Charged with molding a group of medical trainees into doctors, and in line for a coveted job, Steve's future is bright. But then a patient mysteriously dies, and it quickly becomes clear that a killer is on the loose in his hospital. A killer set on playing a deadly game with Steve. A killer holding information that could ruin his career and marriage. Now, alone and under a cloud of suspicion, Steve must discover a way to outsmart his opponent and save the killer's next victim before the cycle repeats itself again and again... A chilling and compelling thriller that also takes you into the hospital and details the politics and hierarchy among doctors, as well as the life and death decisions that are made by flawed human beings, Kelly Parsons' Doing Harm marks the gripping debut of a major fiction career.

Culture of Death

Wesley J. Smith

Author : Wesley J. Smith
Publisher : Encounter Books
Page : 360 pages
File Size : 52,5 Mb
Release : 2016-05-17
Category : Medical
ISBN : 9781594038563

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Culture of Death by Wesley J. Smith Pdf

When his teenage son Christopher, brain-damaged in an auto accident, developed a 105-degree fever following weeks of unconsciousness, John Campbell asked the attending physician for help. The doctor refused. Why bother? The boy’s life was effectively over. Campbell refused to accept this verdict. He demanded treatment and threatened legal action. The doctor finally relented. With treatment, Christopher’s temperature—which had eventually reached 107.6 degrees—subsided almost immediately. Soon afterward the boy regained consciousness and was learning to walk again. This story is one of many Wesley J. Smith recounts in his award-winning classic critique of the modern bioethics movement, Culture of Death. In this newly updated edition, Smith chronicles how the threats to the equality of human life have accelerated in recent years, from the proliferation of euthanasia and the Brittany Maynard assisted suicide firestorm, to the potential for “death panels” posed by Obamacare and the explosive Terri Schiavo controversy. Culture of Death reveals how more and more doctors have withdrawn from the Hippocratic Oath and how “bioethicists” influence policy by posing questions such as whether organs may be harvested from the terminally ill and disabled. This is a passionate yet coolly reasoned book about the current crisis in medical ethics by an author who has made “the new thanatology” his consuming interest.

To Err Is Human

Institute of Medicine,Committee on Quality of Health Care in America

Author : Institute of Medicine,Committee on Quality of Health Care in America
Publisher : National Academies Press
Page : 312 pages
File Size : 47,6 Mb
Release : 2000-03-01
Category : Medical
ISBN : 9780309068376

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To Err Is Human by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. That's more than die from motor vehicle accidents, breast cancer, or AIDSâ€"three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. To Err Is Human breaks the silence that has surrounded medical errors and their consequenceâ€"but not by pointing fingers at caring health care professionals who make honest mistakes. After all, to err is human. Instead, this book sets forth a national agendaâ€"with state and local implicationsâ€"for reducing medical errors and improving patient safety through the design of a safer health system. This volume reveals the often startling statistics of medical error and the disparity between the incidence of error and public perception of it, given many patients' expectations that the medical profession always performs perfectly. A careful examination is made of how the surrounding forces of legislation, regulation, and market activity influence the quality of care provided by health care organizations and then looks at their handling of medical mistakes. Using a detailed case study, the book reviews the current understanding of why these mistakes happen. A key theme is that legitimate liability concerns discourage reporting of errorsâ€"which begs the question, "How can we learn from our mistakes?" Balancing regulatory versus market-based initiatives and public versus private efforts, the Institute of Medicine presents wide-ranging recommendations for improving patient safety, in the areas of leadership, improved data collection and analysis, and development of effective systems at the level of direct patient care. To Err Is Human asserts that the problem is not bad people in health careâ€"it is that good people are working in bad systems that need to be made safer. Comprehensive and straightforward, this book offers a clear prescription for raising the level of patient safety in American health care. It also explains how patients themselves can influence the quality of care that they receive once they check into the hospital. This book will be vitally important to federal, state, and local health policy makers and regulators, health professional licensing officials, hospital administrators, medical educators and students, health caregivers, health journalists, patient advocatesâ€"as well as patients themselves. First in a series of publications from the Quality of Health Care in America, a project initiated by the Institute of Medicine

Malignant

Vinayak K. Prasad

Author : Vinayak K. Prasad
Publisher : Johns Hopkins University Press
Page : 304 pages
File Size : 52,7 Mb
Release : 2020-04-21
Category : Medical
ISBN : 9781421437637

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Malignant by Vinayak K. Prasad Pdf

This well-written, opinionated, and engaging book explains what we can do differently to make serious and sustained progress against cancer—and how we can avoid repeating the policy and practice mistakes of the past.

Closing the Chart

Steven D. Hsi

Author : Steven D. Hsi
Publisher : UNM Press
Page : 226 pages
File Size : 40,8 Mb
Release : 2004-04-30
Category : Biography & Autobiography
ISBN : 9780826330390

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Closing the Chart by Steven D. Hsi Pdf

Dr. Steven D. Hsi, a family physician and father of two young sons, was diagnosed in 1995 with a rare coronary disease that caused his death five years later at the age of forty-four. Throughout his ordeals as a patient, including three open-heart surgeries, Dr. Hsi's outlook on the teaching and practice of medicine changed. In 1997 he began a journal intended for publication after his death. Written with the assistance of newspaper columnist Jim Belshaw and completed posthumously by Hsi's widow, Beth Corbin-Hsi, Dr. Hsi's writings urge his colleagues to become healers, to look at their patients as human beings with spiritual as well as physical lives. "Every patient should read it, if only to be made aware that they are not alone with their thoughts. Every spouse of a patient should read it. . . . Every medical student and physician should read it to learn that the biology of the disease is really just a small part of the illness."--John Saiki, M.D., Medical Oncology, University of New Mexico "Dr. Steven Hsi asks his fellow doctors to be more than physicians. He asks them to be healers. He says that when he thinks of healers, he sees traditional medicine men, people who are integral parts of their communities. They are in touch physically and spiritually with the people they serve."--Tony Hillerman "Closing the Chart is built on the personal journals and experiences of Steven D. Hsi, M.D., as he travels on an intense 5-year journey from an assumption of health, professional success, and family stability to his progressive illness and eventual death. . . . Closing the Chart is both an engaging, page-turning read and a story told with so little artifice that you cannot close the cover unchanged."--Kenneth Jacobson, executive director, American Holistic Medical Association, Explore “There are lessons on every page, lessons to make us better caregivers, more discerning patients, and better advocates for family members and friends who are sick. . . . Every reader will take away different lessons from this book based on his or her role, age, and experience. This would be an ideal book for group study by medical and nursing students with some senior physicians, patients, and family members. What a great learning experience for all participants! . . . I exhort you to pick up and read this humble story. Nothing I have encountered in the medical narrative genre has been more worthy of my time.” —David J. Elpern, M.D, Psychiatric Services

Overdiagnosed

H. Gilbert Welch,Lisa Schwartz,Steve Woloshin

Author : H. Gilbert Welch,Lisa Schwartz,Steve Woloshin
Publisher : Beacon Press
Page : 249 pages
File Size : 55,9 Mb
Release : 2012-01-03
Category : Medical
ISBN : 9780807021996

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Overdiagnosed by H. Gilbert Welch,Lisa Schwartz,Steve Woloshin Pdf

An exposé on Big Pharma and the American healthcare system’s zeal for excessive medical testing, from a nationally recognized expert More screening doesn’t lead to better health—but can turn healthy people into patients. Going against the conventional wisdom reinforced by the medical establishment and Big Pharma that more screening is the best preventative medicine, Dr. Gilbert Welch builds a compelling counterargument that what we need are fewer, not more, diagnoses. Documenting the excesses of American medical practice that labels far too many of us as sick, Welch examines the social, ethical, and economic ramifications of a health-care system that unnecessarily diagnoses and treats patients, most of whom will not benefit from treatment, might be harmed by it, and would arguably be better off without screening. Drawing on 25 years of medical practice and research on the effects of medical testing, Welch explains in a straightforward, jargon-free style how the cutoffs for treating a person with “abnormal” test results have been drastically lowered just when technological advances have allowed us to see more and more “abnormalities,” many of which will pose fewer health complications than the procedures that ostensibly cure them. Citing studies that show that 10% of 2,000 healthy people were found to have had silent strokes, and that well over half of men over age sixty have traces of prostate cancer but no impairment, Welch reveals overdiagnosis to be rampant for numerous conditions and diseases, including diabetes, high cholesterol, osteoporosis, gallstones, abdominal aortic aneuryisms, blood clots, as well as skin, prostate, breast, and lung cancers. With genetic and prenatal screening now common, patients are being diagnosed not with disease but with “pre-disease” or for being at “high risk” of developing disease. Revealing the economic and medical forces that contribute to overdiagnosis, Welch makes a reasoned call for change that would save us from countless unneeded surgeries, excessive worry, and exorbitant costs, all while maintaining a balanced view of both the potential benefits and harms of diagnosis. Drawing on data, clinical studies, and anecdotes from his own practice, Welch builds a solid, accessible case against the belief that more screening always improves health care.

Do No Harm

Mary B. Anderson

Author : Mary B. Anderson
Publisher : Lynne Rienner Publishers
Page : 180 pages
File Size : 41,8 Mb
Release : 1999
Category : Business & Economics
ISBN : 1555878342

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Do No Harm by Mary B. Anderson Pdf

Echoing the Hippocratic oath, a developmental economist and president of the Collaborative for Development Action calls for a creative redesign of international assistance programs to ensure that they become part of the solution and do not reinforce divisions among warring factions. Includes a bibliographic essay. Annotation copyrighted by Book News, Inc., Portland, OR

How We Do Harm

How We Do Harm by Otis Webb Brawley, MD,Paul Goldberg Pdf

How We Do Harm by Otis Webb Brawley, MD,Paul Goldberg Pdf

How We Do Harm by Otis Webb Brawley, MD,Paul Goldberg Pdf

When We Do Harm by Danielle Ofri, MD Pdf

Doing Harm by Maya Dusenbery Pdf

First, Do No Harm by Lisa Belkin Pdf

Do No Harm by Henry Marsh Pdf

Doing and Allowing Harm by Fiona Woollard Pdf

Doing Harm by Kelly Parsons Pdf

Culture of Death by Wesley J. Smith Pdf

To Err Is Human by Institute of Medicine,Committee on Quality of Health Care in America Pdf

Malignant by Vinayak K. Prasad Pdf

Closing the Chart by Steven D. Hsi Pdf

Overdiagnosed by H. Gilbert Welch,Lisa Schwartz,Steve Woloshin Pdf

Do No Harm by Mary B. Anderson Pdf

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