Less Medicine More Health

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Less Medicine, More Health

Author : Dr. H. Gilbert Welch
Publisher : Beacon Press
Page : 242 pages
File Size : 46,8 Mb
Release : 2016-03-01
Category : Medical
ISBN : 9780807077580

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Less Medicine, More Health by Dr. H. Gilbert Welch Pdf

A nationally recognized expert describes seven widespread assumptions that encourage excessive, ineffective, and sometimes harmful medical care—for readers of Overdiagnosed and Malcolm Gladwell You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated—and gives you too many forms to fill out. But the central problem is that too much medical care has too little value. Dr. H. Gilbert Welch is worried about too much medical care. He doesn’t deny that some people get too little medical care—rather that the conventional concern about “too little” needs to be balanced with a concern about “too much”: too many people being made to worry about diseases they don’t have and are at only average risk to get; too many people being tested and exposed to the harmful effects of the testing process; too many people being subjected to treatments they don’t need or can’t benefit from. The American public has been sold the idea that seeking medical care is one of the most important steps to maintain wellness. Surprisingly, medical care is not, in fact, well correlated with good health. More medicine does not equal more health; in reality the opposite may be true. In Less Medicine, More Health, Dr. Welch pushes against established wisdom and suggests that medical care can be too aggressive. Drawing on his twenty-five years of medical practice and research, he notes that while economics and lawyers contribute to the excesses of American medicine, the problem is essentially created when the general public clings to these powerful assumptions about the value of tests and treatments—a number of which are just plain wrong. By telling fascinating (and occasionally amusing) stories backed by reliable data, Dr. Welch challenges patients and the health-care establishment to rethink some very fundamental practices. His provocative prescriptions hold the potential to save money and, more important, improve health outcomes for us all.

Overdiagnosed

Author : H. Gilbert Welch,Lisa Schwartz,Steve Woloshin
Publisher : Beacon Press
Page : 249 pages
File Size : 48,5 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.

The Medical Book

Author : Clifford A. Pickover
Publisher : Union Square + ORM
Page : 820 pages
File Size : 40,9 Mb
Release : 2012-09-04
Category : Medical
ISBN : 9781402792335

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The Medical Book by Clifford A. Pickover Pdf

A lively, accessible, and fully illustrated guide to the history of medicine, from ancient practices to cutting edge innovations. Clifford Pickover continues his popular series that includes The Physics Book and The Math Book with this volume chronicling the advancement of medicine in 250 entertaining, illustrated landmark events. Touching on such diverse subspecialties as genetics, pharmacology, neurology, sexology, and immunology, Pickover intersperses “obvious” historical milestones—the Hippocratic Oath, general anesthesia, the Human Genome Project—with unexpected and intriguing topics like “truth serum,” the use of cocaine in eye surgery, and face transplants.

More than Medicine

Author : Robert M. Kaplan
Publisher : Harvard University Press
Page : 241 pages
File Size : 48,5 Mb
Release : 2019-02-01
Category : Medical
ISBN : 9780674975903

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More than Medicine by Robert M. Kaplan Pdf

American science produces the best medical treatments in the world. Yet U.S. citizens lag behind in life expectancy and quality of life. Robert Kaplan marshals extensive data to make the case that U.S. health care priorities are sorely misplaced—invested in attacking disease, not in solving social problems that engender disease in the first place.

The Creative Destruction of Medicine

Author : Eric Topol
Publisher : Basic Books
Page : 320 pages
File Size : 41,5 Mb
Release : 2011-12-02
Category : Technology & Engineering
ISBN : 9780465029341

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The Creative Destruction of Medicine by Eric Topol Pdf

What if your cell phone could detect cancer cells circulating in your blood or warn you of an imminent heart attack? Mobile wireless digital devices, including smartphones and tablets with seemingly limitless functionality, have brought about radical changes in our lives, providing hyper-connectivity to social networks and cloud computing. But the digital world has hardly pierced the medical cocoon. Until now. Beyond reading email and surfing the Web, we will soon be checking our vital signs on our phone. We can already continuously monitor our heart rhythm, blood glucose levels, and brain waves while we sleep. Miniature ultrasound imaging devices are replacing the icon of medicine--the stethoscope. DNA sequencing, Facebook, and the Watson supercomputer have already saved lives. For the first time we can capture all the relevant data from each individual to enable precision therapy, prevent major side effects of medications, and ultimately to prevent many diseases from ever occurring. And yet many of these digital medical innovations lie unused because of the medical community's profound resistance to change. In The Creative Destruction of Medicine, Eric Topol--one of the nation's top physicians and a leading voice on the digital revolution in medicine--argues that radical innovation and a true democratization of medical care are within reach, but only if we consumers demand it. We can force medicine to undergo its biggest shakeup in history. This book shows us the stakes--and how to win them.

The Art of Medicine

Author : Herbert Ho Ping Kong,Michael Posner
Publisher : ECW Press
Page : 249 pages
File Size : 45,6 Mb
Release : 2014-07-01
Category : Health & Fitness
ISBN : 9781770905665

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The Art of Medicine by Herbert Ho Ping Kong,Michael Posner Pdf

A renowned diagnostician shares stories of his patients and explores the importance of the human factor in medicine. In The Art of Medicine, Toronto Western Hospital’s internist Dr. Herbert Ho Ping Kong draws on his vast dossier of personal cases and five decades as a clinician to examine the core principles of a patient-centered approach to diagnosis and treatment. While HPK, as he is fondly known, recognizes and applauds the many invaluable innovations in medical technology, he makes the point that as disease and its management grow increasingly complex, physicians must learn to develop an arsenal of more basic skills, actively using the arts of seeing, hearing, palpation, empathy, and advocacy to provide a more humane and holistic form of care. Aimed at medical practitioners, aspiring doctors, or anyone interested in health and medicine, this book also contains interviews with more than a dozen of HPK’s patients, as well as short essays that explore the thinking of his professional colleagues on the art of medicine.

Tracking Medicine

Author : John E. Wennberg
Publisher : Oxford University Press
Page : 344 pages
File Size : 55,5 Mb
Release : 2010-08-26
Category : Medical
ISBN : 0199830851

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Tracking Medicine by John E. Wennberg Pdf

Written by a groundbreaking figure of modern medical study, Tracking Medicine is an eye-opening introduction to the science of health care delivery, as well as a powerful argument for its relevance in shaping the future of our country. An indispensable resource for those involved in public health and health policy, this book uses Dr. Wennberg's pioneering research to provide a framework for understanding the health care crisis; and outlines a roadmap for real change in the future. It is also a useful tool for anyone interested in understanding and forming their own opinion on the current debate.

Understanding Racial and Ethnic Differences in Health in Late Life

Author : National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life
Publisher : National Academies Press
Page : 184 pages
File Size : 44,8 Mb
Release : 2004-09-08
Category : Social Science
ISBN : 9780309165860

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Understanding Racial and Ethnic Differences in Health in Late Life by National Research Council,Division of Behavioral and Social Sciences and Education,Committee on Population,Panel on Race, Ethnicity, and Health in Later Life Pdf

As the population of older Americans grows, it is becoming more racially and ethnically diverse. Differences in health by racial and ethnic status could be increasingly consequential for health policy and programs. Such differences are not simply a matter of education or ability to pay for health care. For instance, Asian Americans and Hispanics appear to be in better health, on a number of indicators, than White Americans, despite, on average, lower socioeconomic status. The reasons are complex, including possible roles for such factors as selective migration, risk behaviors, exposure to various stressors, patient attitudes, and geographic variation in health care. This volume, produced by a multidisciplinary panel, considers such possible explanations for racial and ethnic health differentials within an integrated framework. It provides a concise summary of available research and lays out a research agenda to address the many uncertainties in current knowledge. It recommends, for instance, looking at health differentials across the life course and deciphering the links between factors presumably producing differentials and biopsychosocial mechanisms that lead to impaired health.

Slow Medicine

Author : Victoria Sweet
Publisher : Penguin
Page : 304 pages
File Size : 55,7 Mb
Release : 2017-10-17
Category : Medical
ISBN : 9780698183711

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Slow Medicine by Victoria Sweet Pdf

"Wonderful... Physicans would do well to learn this most important lesson about caring for patients." —The New York Times Book Review Over the years that Victoria Sweet has been a physician, “healthcare” has replaced medicine, “providers” look at their laptops more than at their patients, and costs keep soaring, all in the ruthless pursuit of efficiency. Yet the remedy that economists and policy makers continue to miss is also miraculously simple. Good medicine takes more than amazing technology; it takes time—time to respond to bodies as well as data, time to arrive at the right diagnosis and the right treatment. Sweet knows this because she has learned and lived it over the course of her remarkable career. Here she relates unforgettable stories of the teachers, doctors, nurses, and patients through whom she discovered the practice of Slow Medicine, in which she has been both pioneer and inspiration. Medicine, she helps us to see, is a craft and an art as well as a science. It is relational, personal, even spiritual. To do it well requires a hard-won wisdom that no algorithm can replace—that brings together “fast” and “slow” in a truly effective, efficient, sustainable, and humane way of healing.

Unwell Women

Author : Elinor Cleghorn
Publisher : Penguin
Page : 401 pages
File Size : 45,7 Mb
Release : 2021-06-08
Category : History
ISBN : 9780593182963

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Unwell Women by Elinor Cleghorn Pdf

A trailblazing, conversation-starting history of women’s health—from the earliest medical ideas about women’s illnesses to hormones and autoimmune diseases—brought together in a fascinating sweeping narrative. Elinor Cleghorn became an unwell woman ten years ago. She was diagnosed with an autoimmune disease after a long period of being told her symptoms were anything from psychosomatic to a possible pregnancy. As Elinor learned to live with her unpredictable disease she turned to history for answers, and found an enraging legacy of suffering, mystification, and misdiagnosis. In Unwell Women, Elinor Cleghorn traces the almost unbelievable history of how medicine has failed women by treating their bodies as alien and other, often to perilous effect. The result is an authoritative and groundbreaking exploration of the relationship between women and medical practice, from the "wandering womb" of Ancient Greece to the rise of witch trials across Europe, and from the dawn of hysteria as a catchall for difficult-to-diagnose disorders to the first forays into autoimmunity and the shifting understanding of hormones, menstruation, menopause, and conditions like endometriosis. Packed with character studies and case histories of women who have suffered, challenged, and rewritten medical orthodoxy—and the men who controlled their fate—this is a revolutionary examination of the relationship between women, illness, and medicine. With these case histories, Elinor pays homage to the women who suffered so strides could be made, and shows how being unwell has become normalized in society and culture, where women have long been distrusted as reliable narrators of their own bodies and pain. But the time for real change is long overdue: answers reside in the body, in the testimonies of unwell women—and their lives depend on medicine learning to listen.

The Patient Will See You Now

Author : Eric Topol
Publisher : Basic Books
Page : 400 pages
File Size : 53,7 Mb
Release : 2016-10-25
Category : Medical
ISBN : 9780465094479

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The Patient Will See You Now by Eric Topol Pdf

The essential guide by one of America's leading doctors to how digital technology enables all of us to take charge of our health A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"-but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical. In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system. The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result-better, cheaper, and more human health care-will be worth it. Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.

Can Medicine Be Cured?

Author : Seamus O'Mahony
Publisher : Bloomsbury Publishing
Page : 272 pages
File Size : 44,5 Mb
Release : 2019-02-07
Category : Medical
ISBN : 9781788544535

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Can Medicine Be Cured? by Seamus O'Mahony Pdf

A fierce, honest, elegant and often hilarious debunking of the great fallacies that drive modern medicine. By the award-winning author of The Way We Die Now. Seamus O'Mahony writes about the illusion of progress, the notion that more and more diseases can be 'conquered' ad infinitum. He punctures the idiocy of consumerism, the idea that healthcare can be endlessly adapted to the wishes of individuals. He excoriates the claims of Big Science, the spending of vast sums on research follies like the Human Genome Project. And he highlights one of the most dangerous errors of industrialized medicine: an over-reliance on metrics, and a neglect of things that can't easily be measured, like compassion. 'A deeply fascinating and rousing book' Mail on Sunday. 'What makes this book a delightful, if unsettling read, is not just O'Mahony's scholarly and witty prose, but also his brutal honesty' The Times.

The Medicine Book

Author : DK
Publisher : Penguin
Page : 716 pages
File Size : 41,8 Mb
Release : 2021-03-02
Category : Medical
ISBN : 9780744044683

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The Medicine Book by DK Pdf

Learn about astonishing medical breakthroughs and discoveries in The Medicine Book. Part of the fascinating Big Ideas series, this book tackles tricky topics and themes in a simple and easy to follow format. Learn about Medicine in this overview guide to the subject, great for novices looking to find out more and experts wishing to refresh their knowledge alike! The Medicine Book brings a fresh and vibrant take on the topic through eye-catching graphics and diagrams to immerse yourself in. This captivating book will broaden your understanding of Medicine, with: - More than 100 ground-breaking ideas in this field of science - Packed with facts, charts, timelines and graphs to help explain core concepts - A visual approach to big subjects with striking illustrations and graphics throughout - Easy to follow text makes topics accessible for people at any level of understanding The Medicine Book is a captivating introduction to the crucial breakthroughs in this science, aimed at adults with an interest in the subject and students wanting to gain more of an overview. Here you’ll discover more than 90 amazing medical discoveries through exciting text and bold graphics. Your Medical Questions, Simply Explained This fresh new guide explores the discoveries that have shaped our modern-day understanding of medicine and helped us protect and promote our health. If you thought it was difficult to learn about the important milestones in medical history The Medicine Book presents key information in an easy to follow layout. Learn about medical science’s response to new challenges - such as COVID-19, and ancient practices like herbal medicine and balancing the humors - through superb mind maps and step-by-step summaries. The Big Ideas Series With millions of copies sold worldwide, The Medicine Book is part of the award-winning Big Ideas series from DK. The series uses striking graphics along with engaging writing, making big topics easy to understand.

Diagnosis, Therapy, and Evidence

Author : Gerald N. Grob,Allan V. Horwitz
Publisher : Rutgers University Press
Page : 270 pages
File Size : 50,7 Mb
Release : 2009-11-13
Category : Medical
ISBN : 0813548128

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Diagnosis, Therapy, and Evidence by Gerald N. Grob,Allan V. Horwitz Pdf

Employing historical and contemporary data and case studies, the authors also examine tonsillectomy, cancer, heart disease, anxiety, and depression, and identify differences between rhetoric and reality and the weaknesses in diagnosis and treatment.

Understanding Global Health, 2E

Author : William H. Markle,Melanie A. Fisher,Ray A. Smego, Jr.
Publisher : McGraw Hill Professional
Page : 543 pages
File Size : 55,8 Mb
Release : 2013-11-05
Category : Medical
ISBN : 9780071791007

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Understanding Global Health, 2E by William H. Markle,Melanie A. Fisher,Ray A. Smego, Jr. Pdf

The first edition of Understanding Global Health set a new information standard for this rapidly emerging subject. Written by a remarkable group of authors and contributors, this comprehensive, engagingly written text offers unmatched coverage of every important topic--from infectious disease to economics to war. Created with the non-specialist in mind, Understanding Global Health explores the current burden of disease in the world, how health is determined, and the problems faced by populations and health care workers around the world. The second edition has been thoroughly updated to include the most current information and timely topics. New chapters cover such topics as human trafficking, malaria and neglected tropical diseases, surgical issues in global health, and mental health. Every chapter includes Learning Objectives, Summary, Study Questions, and References and, in many instances, practical case examples. --