Reviews of what you should be reading next.

Category: Medical (Page 5 of 7)

Clinical Pathology & Laboratory Techniques for Veterinary Technicians by Barger and MacNeill

clin path

Clinical Pathology and Laboratory Techniques for Veterinary Technicians provides a comprehensive reference of laboratory procedures featuring ‘how-to’ information as it pertains to small animals, horses, and cattle.

  • An inclusive reference on laboratory procedures pertaining to small animals, horses, and cattle
  • Provides information on hematology, hemostasis, clinical chemistry, urinalysis, parasitology, and fecal testing
  • Features high-quality photographs labelled with magnification and stain information, which clearly depict cellular morphology, inclusions, and infectious organisms
  • Offers key objectives, technician tip boxes, case examples and a glossary of key terms
  • A companion website provides images from the book for download, instructor questions and answer key to multiple choice questions in the book

Many thanks to Wiley-Blackwell for offering this review copy!

A lot of information is packed into this book’s 264 pages. Combining the clin path and lab techniques makes sense and provides a symbiotic relationship. The chapters are organized well and consist of learning objectives and key terms in the beginning, followed by case examples and some introductory paragraphs. The rest of the chapter is then in an outline form that is thorough and easy to follow. Highlighted boxes noted as “technician tips” provide valuable information through a Pearls of Practice format. Full color photos with information also provide another level of comprehension.

What makes this book stand out from the others is the case studies, complete with interpretation and comments to ensure that the technician understands what is happening.

Some chapters have multiple choice questions at the very end to further cement the objectives and make the technician think critically. Answers to the quiz and further questions can be found at http://www.wiley.com//legacy/wileychi/bager/.

Accurate results can only be gotten if the sample is prepared correctly; Chapter One – Getting Started covers proper ways to obtain and package blood, urine, and feces. Basic use of a centrifuge, microscope, stains, and blood tubes are also discussed, along with a section on laboratory safety.

Chapter Four – Clinical Chemistry explains how to prepare a sample for chemistry analysis, what normal and abnormal values are, and what the clinical significance is for those abnormal results.  Chapter Five – Urinalysis does the same as Chapter Four but with urine.

The reason I mention both of those chapters is that I believe this will be an invaluable resource to any technician; because knowing the “why” is just as important as knowing the “how to”. The information is presented clearly and concisely, and technicians can refer to the chapters repeatedly to reinforce their knowledge.

Chapter Seven – Minimizing Laboratory Errors is the final, particularly important chapter. Errors in research are inevitable, but knowing how to properly plan and be aware of how they happened is an invaluable skill. QC and QA procedures are discussed, as well as the several types of errors.

Further reading sources are cited at the end of each chapter, and there is a glossary at the back of the book.

This first edition will be welcomed by those looking for a fresh aspect on clinical pathology. Want your own copy? You can pick it up here. 

Pale Highway by Nicholas Conley

pale highway

Gabriel Schist is spending his remaining years at Bright New Day, a nursing home. He once won the Nobel Prize for inventing a vaccine for AIDS. But now, he has Alzheimer’s, and his mind is slowly slipping away.

When one of the residents comes down with a horrific virus, Gabriel realizes that he is the only one who can find a cure. Encouraged by Victor, an odd stranger, he convinces the administrator to allow him to study the virus. Soon, reality begins to shift, and Gabriel’s hallucinations interfere with his work.

As the death count mounts, Gabriel is in a race against the clock and his own mind. Can he find a cure before his brain deteriorates past the point of no return?

Thanks to the author for gifting me this book in exchange for a review!

This book was suggested to me as a combination of science fiction, surreal fantasy, and a literary commentary on aging. I can confidently say it covers all these genres and more.

What struck me first was the author’s adeptness in bringing the reader into the mind of an Alzheimer’s sufferer. Gabriel Schist, the main character, is frustrated with his lack of ability to remember simple things and care for himself. The utter lack of dignity and sense of self is explained beautifully by Conley, with poignant episodes showing Schist how helpless and dependent he is. His painful legs, his incontinence (he tries to hide it out of embarrassment) and photographs with names underneath them (so he can remember who they are) illustrate what an insidious disease Alzheimer’s is. He has flashes of brilliance, followed by blank moments where he wonders where he is and what day it is. Schist calms himself during these episodes by reciting the Fibonacci sequence, something I found oddly endearing and apropos to his backstory as a Nobel Prize winner.

We learn more about the younger Schist through chapters that highlight his days before he got into the nursing home. He is a flawed man with a kind and generous, if not stubborn, nature. He persists in his field, immunology, and eventually discovers a cure for AIDS. Suddenly the residents in his nursing home become ill with a horrific virus and he takes it upon himself to find a cure.

This is where the book turns into science fiction and surreal fantasy. Talking slugs, mysterious new residents in the nursing home, and black vomit with creatures crawling out of it are the norm. Schist isn’t sure if he’s finally gone over the edge  or not, and his kind and persistent personality demands that he try to save those who are suffering.

The old immunologist is a very sympathetic character. More than once he wishes for death to come and relieve his suffering. I couldn’t help but think of all the elderly in nursing homes, having the same thoughts, with no one to care for them or love them. The author has personal experience, having worked in a nursing home, and this is where he shines: showing younger people with healthy minds what it must be like to lose your sense of self and be betrayed by your mind.

As the talking slugs became more central to the story I cringed, hoping they were a hallucination. To me, it was a harsh transition from the familiarity of the nursing home. The final part of the story crashed full on into surrealness and wild action, with Schist willing to sacrifice his life to save the world. No spoilers here, as always –  read the book!

Conley does an excellent job with elements from multiple genres, as I mentioned before. There is something for everyone in PALE HIGHWAY, and it will absolutely leave you with sadness and respect for those abandoned in nursing homes.

Curious about those talking slugs? Want to know why everyone was vomiting black stuff? You can pick up your copy of PALE HIGHWAY [easyazon_link identifier=”1940215536″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

Unfortunate Event by Marc David Veldt

unfortunate

A man’s life can easily be shattered by a single unfortunate event.
After a patient dies following a routine operation, hospital administration needs a scapegoat. They find their victim in Dr. Jack Andrews, a brilliant anesthesiologist. Andrews’s actions had no bearing on the patient’s death, but he finds himself thrown to the legal wolves by his so-called colleagues as they scramble to protect themselves.

Facing a relentless, amoral prosecutor and allied with a malpractice insurance company acting in its own best interests, Andrews loses everything-his money and his standing in the medical community. His money-obsessed wife divorces him, taking with her their two children.

Jack’s opponents think they’ve won. They think they’re the most ruthless players in the game of life. But Jack’s about to introduce them to the game’s next level. He’s got nothing left to lose, and a mind trained to make life-or-death decisions. People start to die-people who wronged Jack Andrews.
A tense thriller, ” Unfortunate Event” explores the dark side of operating room culture, the cutthroat world of malpractice law, and the mind of one man as his world crumbles around him.

Word Slinger Publicity gave me a copy of this book in exchange for an unbiased review.

The one thing that drew me to this book was that the author is an anesthesiologist, and I was looking forward to accurate and copious medical detail.
I wasn’t disappointed! I was also pleasantly surprised by the quality of the writing and how thrilling the plot was. Jack Andrews is a very sympathetic character that undergoes a sweeping personality change as a result of his verbally abusive and emotionally absent wife, job stress, and accidental death of a patient that was not his fault.
The story line is set up well as we see a patient suddenly go downhill after a routine surgery. The medicine was good, but an unknown combination of events caused the patient to spiral downwards and eventually die. The details showing doctors scrambling to lay blame and divert attention away from themselves is chilling and unfortunate if truly accurate.
Andrews is a magnet for almost every cliché surrounding the medical profession: he’s married to a money grubbing woman who teaches their children to view their father as a giant wallet, his coworkers are a coterie of doctors that eschew their personal life to chase the almighty dollar, and his malpractice lawyer is a drunken has-been who only cares about getting the case settled quickly so he can go back to his bottle.
Author Marc David Veldt makes this situation sound plausible. Some of his most cringeworthy bits of dialogue are from the mouth of Kate, the doctor’s wife. In one chapter, she is lambasting her husband for having to miss work during his malpractice trial. She asks:
“How long will the trial take?”
“About 3 or 4 weeks.”
“You can’t be expected to miss that much work. We have no income if you aren’t working. You’ll just have to make the lawyers attend the trial. There’s no reason you have to be there all the time.”
“Gee, honey, I think it’s expected that I show up for my own trial.”
“It isn’t fair. Why should the children and I have to suffer because some guy had a poor result?”
“Dying is a very poor result.”
“You just aren’t tough enough, are you? I can’t believe I’m supposed to raise children with someone who isn’t strong and has all these problems.”

Every time Kate spoke it was pretty much along the same lines, and I hoped to read later on that he had injected her with some potassium chloride or something.

Eventually Dr Andrews gives in to let the machine chew him up and spit him out. He loses everything he cares about, and the only thing left for him is to seek justice….his own way. The brilliant, organized mind of an anesthesiologist turns to nefarious deeds, and this is where the story takes a darker turn. He plots the murder of everyone who has wronged him in a cool, calculated plot that did stretch credulity a bit, but for the most part it was easy to digest.  Even as he plots the demise of his enemies, he still remains a sympathetic character. I stayed up long past my bedtime to see what would happen to the good doctor!

Andrews’ character is well defined, whereas some of the others were not. There was an equal amount of dialogue and description to keep things constantly moving forward in a compelling way, and there was suspense as well towards the end of the book when the police started putting the pieces together.

UNFORTUNATE EVENT is a hidden gem of a book and easily readable, no medical background needed. The events put forth in the book really made me think about the world of malpractice law and how vulnerable doctors may be in this litigious society. The author writes in such a way as to exploit the desire for money, and this causes the reader to realize the pressure on doctors and how this affects each decision they make.

I’d love to see more of Veldt’s work and I hope he continues to write. Want your own copy? You can pick it up [easyazon_link identifier=”1502913402″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

 

 

 

Living With ADD – A Workbook for Adults by Roberts and Jansen

living with add

An estimated 3 to 10 million adults in the US struggle with the symptoms of attention-deficit disorder (ADD.) If you’re among this group, this interactive workbook will enable you to identify the personal problems caused by your condition and develop skills for coping with it. Learn how to assess yourself and the ways in which ADD affects your daily life. Then, work through exercises structured to help you deal with self-esteem issues; find out how to change distorted thought patterns, manage stress, and develop a structured approach to starting and finishing tasks. Final chapters offer specific suggestions for handling common problems at work and school, dealing with intimate relationships, and finding support.

 

Thanks to New Harbinger Publications for this review copy!

While LIVING WITH ADD is a book designed to help the individual struggling with ADD symptoms better understand his or her own situation, I believe that this book would be better sold as a “couples therapy” book than a “self help” book. Kyle and I read this book together, and it did much more to help us understand each other than it did to help me understand myself (to be fair, that may have more to do with my having read multiple books on this topic than with any quality inherent to the book itself).

LIVING WITH ADD follows a format of:
• Introducing a problem faced by ADDers – mood swings, for example
• Describing different ways in which people with ADD typically handle or experience the problem
• Asking the reader about his or her own experience with the problem being discussed, prompting him or her to write and answer directly onto the page
• Providing advice on how to limit the negative impact of the problem on the reader’s life

The idea of this workbook is to help the ADD’er work through frequently encountered problems related to ADD. You don’t have to follow the chapters in order, which may bring joy to an ADD’er’s heart! What’s important is that the reader take the time to think about the exercises and answer truthfully. The questions are both probing and simple, and most all of them provoke a thought process.  I found that some of the questions really forced me to come to terms with some of my actions, both in the past and recently.

Kyle would read a chapter first, and then I would read it, filling in the blanks as I went along. She would then look again to see my answers. Since she would have already read the chapter, she would have had time to think about how I might have answered, so that when I would answer differently from how she expected, it would lead to a conversation that made us understand each other more deeply.

I think that people who struggle with ADD symptoms are tired of hearing themselves explain themselves. We feel like we’re making excuses, and our experiences over time teach us that people don’t want to hear it. It’s helpful to have a disinterested third party, like this book, initiate the conversation. For couples who often find themselves getting defensive when they would really just like to get closer, this book might be the right tool to make that happen. If that doesn’t sound like you, you may still stand to learn more about each other.

The wealth of value in this workbook is bolstered by the easygoing, unambiguous prose that neither assumes prior knowledge in the reader, nor disrespects his or her intelligence. It’s an easy read even though it maintains a high level of information density. That is, you won’t find yourself sojourning multiple pages into a chapter wondering when the author will move on. Examples are usually employed to introduce new dimensions to the the problem being discussed. Otherwise, they are included to flesh out a topic that may be difficult to identify with, where the reader might think, “That isn’t me… oh wait. That actually is me.” In LIVING WITH ADD, Ph.Ds. Roberts & Jansen have provided us with a case study for the judicious use of examples in a self-help text.

Finally, the margins on these pages are enormous, leaving tons of room for notes. I was compelled to leave a doodle here and there in my copy!

I feel compelled to conjure up some criticism for this workbook, but nothing serious has come to mind. I would really have to nitpick. One or two of the writing prompts don’t leave enough room for a broad range of possible answers, forcing me to leave them blank. If this wasn’t such a fantastic book, something like this would genuinely irk me. In this case, however, this was a mild curiosity sandwiched by reams of goodness. That these questions stood out to me at all speaks to the overall quality of the rest of the book.

Want your own copy? Know someone with ADD who would like this? You can pick it up [easyazon_link identifier=”1572240636″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

 

Understanding Girls with ADHD by Kathleen Nadeau, PhD

 

adhd

First written in 1999, the new edition of Understanding Girls with ADHD is better than ever.
In this expanded and updated book, Kathleen Nadeau, Ellen Littman, and Patricia Quinn rise to the occasion and deliver a comprehensive, up-to-date, and readable book that illuminates the complexity of ADHD in girls and women, both across the lifespan and across multiple domains of life (e.g.,
home, school, the workplace, close relationships). Blending clinical examples, case material, and a masterful synthesis of research findings around the world, the authors reveal the roots of ADHD in females during the preschool years, also summarizing relevant causal factors, and display the highly individualized journeys through childhood, adolescence, and adulthood that these girls and women face. The book’s latter chapters make use of the information on ADHD and development and provide a synthesis of the kinds of treatment strategies needed to intervene with the complex issues faced by girls and families who struggle with ADHD. The authors’ working through the executive functioning deficits experienced by so many girls with ADHD―and their deployment of vivid examples of right vs. wrong ways of approaching such problems―will be of great importance for large numbers of families. Even more, the authors emphasize that ADHD rarely exists in a vacuum and that understanding and treating co-morbid disorders is essential.

Understanding Girls with ADHD does not shy away from key areas of controversy. How, for example, can a family know whether it’s ADHD or another set of problems that’s the primary issue? How does one deal with the potential use of medication, which is plagued by bad press and abundant myths but which can, as part of a multi-faceted treatment plan, provide great benefit if the right dose is found and if the doctor works with the family to monitor positive effects and side effects carefully? What about longterm risk for eating pathology, substance abuse, and other difficult areas of impairment of salience for girls? How can girls and their families break through the thicket of negative expectations and sometimes-toxic family interactions to pave the way for a different set of outcomes?

Clearly, ADHD does not look the same across different individuals, especially girls. Understanding Girls with ADHD emphasizes the multiple ways in which ADHD can manifest itself across different people, families, and ages.

Always sensitive, and without hesitation in providing an authoritative tone, this book will empower girls and their families in ways that are sorely needed. Its emphasis on gender-specific manifestations of ADHD and its inclusion of practical means of attacking the executive-function deficits that plague girls and women with ADHD will ensure its continued status as core guidebook.

Written with compassion and sensitivity, and full of the clinical wisdom that accompanies years of experience on the front lines, Understanding Girls with ADHD is the go-to book for those needing guidance, support, and knowledge about female manifestations of ADHD.

Many thanks to the author for gifting this book to me. We were introduced by Gina Pera, eminent ADHD advocate and educator. I was sure this book would provide useful information, and I was not disappointed.

Nearly all the books I’ve read about ADHD skews heavily towards males. Everyone is familiar with the stereotype of the energetic little boy, jumping out of his seat in school, and throwing tantrums in the restaurant. However, girls can have ADHD too, and the signs may not be as obvious. This book aims to educate parents and teachers about girls with ADHD and what signs to look for.

Nadeau’s tone is just right. There is no endless scientific posturing, no glib New Agey solutions; just honest talk and positive thinking. She also discusses the different way girls are affected by ADHD. For example: the hormonal changes of puberty, famous for wreaking havoc on the most stable female’s world, may cause ADHD symptoms to be seen for the first time. This is important because “these girls do not meet the DSM-5 requirement that evidence of ADHD problems must exist prior to 12 years of age in order to receive and ADHD diagnosis”.

Using case studies and real life examples, Nadeau provides short vignettes of life with an ADHD girl. These serve well to illustrate the point being discussed and parents will be able to see that Carly is not just being a typical teenager, she may have undiagnosed ADHD and need help.

Each chapter builds upon the last one, starting from grammar school all the way up to college. The chapters are further broken down into easy to grasp sections, with titles like “What Teachers See” and “Gender Role Expectations”.  A typical tomboy may be a girl struggling with hyperactivity or impulsivity, and the girl everyone knows as a sweet, quiet dreamer may have inattentive ADHD and need help with focusing on her schoolwork. Girls are also at risk for developing secondary issues such as anxiety, eating disorders, and substance abuse.  Nadeau offers advice on managing co-morbid syndromes along with the ADHD, using a complete therapy approach–utilizing family and school together. She speaks to the parents, saying not to despair, but to provide an organized environment that will work for a girl’s psyche–don’t just adapt a treatment plan constructed for the male brain. One of her tenets is that ADHD treatment should address quality of life, not just aiming to reduce ADHD symptoms. The two don’t necessarily go hand in hand.

Societal pressure on girls to “have it all” affect them deeply. The quiet, dreamy girls may need help asserting themselves, while the outspoken ones with seemingly no filter will have to be taught how not to alienate their peers. Nadeau is wise to address the minefield that the school years bring to females, who generally have a harder time as they proceed through puberty. She truly is a champion for those that need it the most.

Women have either been getting shortchanged by being told that “girls don’t get ADHD” or forced to fit the description of the male ADHD pattern. Nadeau has done a great service by realizing that girls are different (Mars vs Venus, anyone?) and thus their ADHD will manifest differently as well. The more educated parents are about this quirk of neurobiology, the better off they, and their daughters, will  be.

Want  your own copy? You can pick it up [easyazon_link identifier=”0971460973″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

How The Art Of Medicine Makes The Science More Effective by Claudia Welch

art of medicine

Does the art of medicine matter? Does it really help us become better doctors and improve results? Dr. Claudia Welch explores how the effectiveness of a physician extends far beyond the ability to prescribe correct treatments, and how mastering the art of doctoring can make the medicine more effective.
Drawing on Eastern medical traditions and experience as well as on Western science, Dr. Welch examines how we know what we know, the mechanics of doctor-patient emotional contagion, and the degree to which a patient’s sensory experience in a medical office affects their experience of treatments delivered. Dr. Welch also offers practical steps that doctors can take to cultivate more refined perceptive abilities and improve results.

Dr. Welch’s book will be essential reading for all health care practitioners interested in understanding the art of their practice and how it can enhance therapeutic outcomes, including doctors of Ayurveda, Chinese medicine, Naturopathy, as well as western medical professionals and other complementary health practitioners.

 

Thanks to NetGalley for offering this book for review!

I was pretty excited to see what this book would have to say about combining the tenets of Eastern and Western medicine, for there are certainly values to both. However, I was consistently underwhelmed by the author’s ideas, and some of them seemed way out there.

Perhaps it’s instinct to me that a physician cares for his patients, that he takes care of his own health, that he provides a welcoming and healing atmosphere for them. Apparently this does not always happen, as Welch puts forth all these suggestions in the book. I will say, that the idea of making waiting rooms a little quieter and mellower with soft colors and quiet music sounds wonderful. HIPAA laws force sick people to sit in rooms with the TV blaring away, lest we overhear sensitive health information belonging to other patients. There has got to be a better way, and Welch outlines this in a way that had me in full agreement. (See chapter 12, Healing Through Environment.)

However, the rest of the book was not captivating to me at all. Her suggestions for communication between doctors and patients were all spot on, but again common sense for me. Do all doctors talk the same way to everyone? I thought they were more empathetic, seeing the patient’s personality and using a method of communication modified to each person.

Another suggestion is to have longer appointments and sit quietly so the doctor can feel the patient’s vibrations and let the body tell the history. In today’s hustle and bustle double booked appointment schedule, there is probably no way any doctor will be able to sit quietly with a patient and take their pulse for 15 minutes, and look into their eyes and their soul and figure out if their Qi is unbalanced. I’m sure a little dose of slowing things down would be immensely helpful, but that’s not how it’s done in Western medicine. Perhaps this is one area that would benefit from the author’s suggestions.

Welch also talks about doctors keeping an optimistic outlook for very sick patients, saying that multiple studies have proven the effect of positivity. (Chapter 19, Choosing Hope.) That is also a no brainer for me, and seems to be the norm in my dealings with my own doctors. I’ve never had one tell me things were hopeless, and I’m also sure doctors who treat people with cancer are as supportive as they can be.

In Chapter 32, Reflections on Part III,  the author talks about the benefits of dexterity; not solely physical, but mental and emotional as well.

Practicing dexterity keeps our thinking flexible and our minds open and receptive to possibilities beyond our ability to predict. This can only further refine our confidence, humility, communication, empathy, and diagnostic accuracy, and result in better outcomes for our patients. (I)t would not be amiss to add dexterity to the list of qualities central to the art of medicine. 

This may be all I found germane in this book. Throughout the pages can be found stories  that strain credulity; such as the tale of how a guru healed a boy after all else failed, simply because the guru was leading a purified life and had disciplined thoughts. There is another story of how the author’s sister was in labor, ACTUAL labor two months early, and the power of positive thinking stopped the labor. I found that a bit hard to believe. (Or else it was Braxton-Hicks contractions, no matter what Welch says.)

When I read about a patient that had chronic yeast infections and it was determined that “astrological influences” were causing the infections, and all the woman had to do was continue taking the medication for 6 months (until the influences passed), I was ready to close the book and be done. The gap between Eastern and Western medicine is perhaps due to thinking like this.

Finally (yes, I kept reading) I reached a point where the author was talking about herbs and plants to heal. (Chapter 42, Potency.) The chapter progressed from information about biological responses, such as when plants secrete a noxious substance to protect themselves from insects, to a statement about being respectful to plants so as to preserve their healing qualities.

I agree we need to respect the Earth and treat our surroundings carefully; but I don’t feel that

If we are indifferent or violent to plants, they may alter their qualities and actions — their very chemistry — in an attempt to protect themselves from us. This may initiate a chain reaction, altering kindred plants, other species, and the environment.

At this point, I gave up reading. I felt I had nothing else to learn from the book. There are certainly practitioners and patients that will benefit from the ideas put forth in these pages, but I can’t say I agree with it all.

HOW THE ART OF MEDICINE MAKES THE SCIENCE MORE EFFECTIVE is well written, thought provoking, and does have ideas that will aid a thoughtful physician in his practice. But not everyone will agree with the Eastern medicine way of thinking.

Want your own copy? You can pick it up [easyazon_link identifier=”1848192290″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

 

Loving Someone With Attention Deficit Disorder by Susan Tschudi

LovingSomeonewithADD-CF.indd

Your partner’s attention deficit disorder (ADD) may not seem like a big deal at first, but eventually, the dynamics surrounding his or her impulsivity, forgetfulness, distractibility, and restlessness can really strain your relationship. You don’t want to act like a parent, yet you may feel like you can’t rely on your partner to get things done. Loving Someone with Attention Deficit Disorder is your guide to navigating a relationship with someone with ADD so you can create healthy boundaries while remaining sympathetic to your partner’s symptoms. An essential resource for every couple affected by ADD, this book will help you:

• Understand medication and other treatments
• Recover quickly when your partner’s symptoms frustrate you
• Establish personal boundaries to avoid excessive caretaking
• Identify and take care of your own needs so you can feel more relaxed

 

Thanks to Cassie Kolias at New Harbinger Publications for providing this review copy!

This book is an addition to my AD/HD  shelf. Having read work by renowned author Gina Pera, I was eager to see what this author had to say.

The first chapter was golden. Tschudi’s style is very simple, easy to understand, and speaks to the reader in an understated tone that seems comforting somehow. I especially was affected by the part where she states that ADD is a neurobiological issue—you cannot change your partner no more than you can expect a paraplegic to walk. Obviously you can assist  your partner in managing his life better, but first and foremost, he must see the issue and want to do something about it.

That is where the book begins to break down. Much of the rest of Tschudi’s advice is partly helpful, but not relevant to some situations. I did feel that this work would be most helpful to couples whose communication skills are either minimal or non existent. Many ways to broach uncomfortable subjects are offered, with scenarios detailing “real” couples and ADD-related problems.

Example: Due to the husband’s procrastination, both Clark and Marilyn were always late to church. Marilyn hated this, and was upset that nothing seemed to work; not nagging, not threats, etc. So they both sat down and tried an exercise that Tschudi puts forth: brainstorm and come up with solutions to the problem, no matter how outrageous. Write them all down and discuss each one.

This couple did just that, and came up with the idea that Marilyn would take her own car to church, thereby arriving on time and avoiding the stress and arguing that inevitably occurred. Both parties were happy.

Now for my problem with this: I’m sure there are a lot of situations where the woman would take herself to church and grow old waiting for her ADD husband to show up. The only thing changing here is the woman’s behavior. No one is helping the ADD’er to manage his issue. And this seems to be the tone of the rest of the book: to save yourself from anguish, realize that the ADD’er is suffering from neurobiology and may never be able to live a “normal” life. You must learn to live with it, and the sooner you realize this, the better.

I showed this to my resident ADD’er, and he was nonplussed. He said that just because the woman made it to the church on time, that didn’t address the man’s procrastination, and possibly even rewarded it. His take on it was this:

“When you tell someone that you no longer expect of them something that you have expected of them in the past, you may be relieving them of a responsibility, but you’re also taking something away from them. That person can feel the respect you lose for him, and he see the chance to repair it vanish when you take away the opportunity for him to get it right. Strong relationships are built upon respect. We fight for that respect when we think we can win it, but when we think that we can’t, the motivation to do anything may be gone. Obviously, both parties have a stake in the husband getting out of the house on time, but if our solution is going to be for nobody to expect anything from anyone, then these people might as well just break up. That would be even better because it would eliminate all of the conflict. Problem solved!”

 

Another scenario was a do it yourselfer leaving his unfinished projects in the garage, forcing the wife to park on the street. The “solution” was to have her say to him, “In 3 days I’m going to move your stuff so I can park in the garage”. (Apparently the man hated anyone touching his stuff.) Then she was to say. “In 2 days I’m going to park in the garage, so please move your stuff.”

If the project was not moved, the “solution” was to have the WOMAN MOVE IT HERSELF. Sure, Mr Fix It was mad that his things were touched, but that seems to be adding insult to injury to his wife. Not only did her request go unheeded–but she had to clean up his mess to boot! Not acceptable in my house. My resident ADD’er said this:

As for the matter of the garage that needed cleaning, the author concludes her tale by describing the worst possible outcome. Spoiler: the wife cleans the garage herself. She solved the problem by telling the husband to clean the garage by such-and-such date, or else “I’ll clean it myself.” What did this solve? This husband is being dealt with as if he were a particularly indolent 5th grader. I personally felt embarrassed when Kyle read this passage to me. I said something to the tune of, “I would like to think that this is not a highly recommended way of dealing with me.” We talked about it, and we decided that this book is probably meant for couples with poor communication skills. However, if this is the case, then the book still commits the crime of teaching couples with poor communication skills to deal with each other by acting in antisocial, dysfunctional ways toward each other.

As I continued to read, it seemed as if the only advice being offered me, the non ADD’er, was to understand that this is how the brain works, and the only solution is for ME to change, by not being bothered by the distractability, the mood swings, the unfinished projects, and the empty promises.

This disturbed me. I felt this was akin to putting earplugs in your ears to avoid hearing your child’s tantrum in a crowded restaurant. Yes, AD/HD is neurobiologic in origin, but that doesn’t mean you can try to make your life the best it can be, by taking your meds,  listening to those around you, making lists to help you remember, and knowing your triggers. Sure, spouses of ADD’ers need to take care of themselves too, but hiding your head in the sand about problems and offering a bandaid solution is kind of no solution at all.

So, a mixed review on this one. The sub title does say “improving communication and strengthening your relationship”, and I agree that it accomplishes this task well. Many ways are offered for partners to talk and get the lines open for a meaningful dialogue. However, I do feel that eventually, after the talking is over, the bottom line is that the non ADD’er is supposed to feel better about the improved communication but will still be dealing with the issues. The non ADD’er will have developed healthy personal boundaries and the ability to forgive, but that (to me) only goes so far.

Perhaps I’m being a bit harsh, considering my communication skills are excellent; but I was also hoping for more advice than “Your partner has ADD–forgive him for what he does, as he cannot help it”.

Want your own copy? You can pick it up [easyazon_link identifier=”B00DIKV0TY” locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

The ADHD Advantage

adhd

 

 

Why ADHD could be the key to your success

For decades physicians delivered the diagnosis of ADHD to patients as bad news and warned them about a lifelong struggle of managing symptoms. But The ADHD Advantage explodes this outlook, showing that some of the most highly successful entrepreneurs, leaders, and entertainers have reached the pinnacle of success not in spite of their ADHD but because of it.

Although the ADHD stereotype is someone who can’t sit still, in reality people with ADHD are endlessly curious, often adventurous, willing to take smart risks, and unusually resilient. They are creative, visionary, and entrepreneurial. Sharing the stories of highly successful people with ADHD, Dr. Archer offers a vitally important and inspiring new way to recognize ADHD traits in oneself or in one’s loved ones, and then leverage them to great advantage—without drugs.

As someone who not only has ADHD himself but also has never used medication to treat it, Dr. Archer understands the condition from a unique standpoint. Armed with new science and research, he hopes to generate public interest and even debate with his positive message as he guides the millions of people with ADHD worldwide toward a whole new appreciation of their many strengths and full innate potential.

 

As a reviewer of multiple ADHD books, I was eager to see what this author had to say.
Unfortunately, I was not impressed. The book seems to be padded with lots of stories about those “lucky” enough to have ADHD and had the ability to spend time traveling around the world and failing at multiple jobs before finding the “right” place for them. Not everyone has the money or the support to do this. That is not how the average person with ADHD lives. Moreover, that solution could have been illustrated with a few stories, not over and over again in each chapter. At some point, it goes from inspiring to overkill.
Archer is a big proponent of no drugs for ADHD’ers. I agree that children should be evaluated carefully and not just have pills thrown at them, but the idea of everyone not needing medication is absurd. The author has a series of questions that determine where you are on the ADHD scale, and  claims that anyone that is an 8 or lower (out of 10) does not need medication. I feel that would make for a lot of frustrated people.
He also postulates that ADHD’ers are resilient and can deal with failure well, because their constant failure makes them stronger. I can also tell you that is patently untrue, as I live with an ADHD’er and his failures just make him depressed.
If you are a person with lots of money and a personal assistant to take care of the minutiae of daily living, then you will agree with what Archer has to say.
Otherwise–pass this one up, take your meds, and get on with your life.

Want your own copy? You can pick it up [easyazon_link identifier=”1594633517″ locale=”US” nw=”y” tag=”gimmethatbook-20″]here[/easyazon_link].

 

 

 

 

 

 

The Real Doctor Will See You Shortly by Matt McCarthy

 

real doctor

In medical school, Matt McCarthy dreamed of being a different kind of doctor—the sort of mythical, unflappable physician who could reach unreachable patients. But when a new admission to the critical care unit almost died his first night on call, he found himself scrambling. Visions of mastery quickly gave way to hopes of simply surviving hospital life, where confidence was hard to come by and no amount of med school training could dispel the terror of facing actual patients.

This funny, candid memoir of McCarthy’s intern year at a New York hospital provides a scorchingly frank look at how doctors are made, taking readers into patients’ rooms and doctors’ conferences to witness a physician’s journey from ineptitude to competence. McCarthy’s one stroke of luck paired him with a brilliant second-year adviser he called “Baio” (owing to his resemblance to the Charles in Charge star), who proved to be a remarkable teacher with a wicked sense of humor. McCarthy would learn even more from the people he cared for, including a man named Benny, who was living in the hospital for months at a time awaiting a heart transplant. But no teacher could help McCarthy when an accident put his own health at risk, and showed him all too painfully the thin line between doctor and patient.

The Real Doctor Will See You Shortly
offers a window on to hospital life that dispenses with sanctimony and self-seriousness while emphasizing the black-comic paradox of becoming a doctor: How do you learn to save lives in a job where there is no practice?

 

 

Not all doctors come with the confidence and arrogance familiar to us all. Every one of them started out the same way – new graduates in their intern year, struggling to assimilate their textbook knowledge with real life. Matt McCarthy shares his experience in a self deprecating and sometimes comic way.

Taking place over a year’s time, THE REAL DOCTOR WILL SEE YOU SHORTLY shows the reader how McCarthy matures as a doctor and as a self-aware human. He was so awkward and hesitant in the beginning, I wondered if he was going to make it through the year. At times I wondered what made him so timid. There was a career decision elaborated upon early in the book, and I was disappointed in his choice. I truly felt he made the wrong move, given his character and personality. In the final part of the book, he addresses that choice and why he made it. Those words provided some sort of closure for me and I finally agreed with his decision. In his own words:

But as the year wore on, I developed the ability to think outside the diagnosis,  beyond the science of medicine to the art of medicine. I discovered that there is so much more to being a doctor than ordering tests and dispensing medications. And there is no way to teach that. It simply takes time and repetition. 

…I was meant to do whatever the hell you’d call the extraordinary stuff we did at Columbia. Intern year had fundamentally changed me–it had altered the way I viewed the world and myself–and it was unquestionably the most fun I never wanted to have again. 

Patients and cases are outlined, some with great detail, others just to show what lessons he was learning. One of the complaints I have is that some patients’ stories end abruptly with McCarthy never seeing the person again; others just aren’t followed up on. I understand that real life is like that, and these patients are composites of many; but I grew frustrated with things not being tied up neatly. Two cases that loomed large in the author’s life: Benny Santos and Carl Gladstone are featured in almost every chapter, as they illustrate just how far things have progressed over the year. Others, like “Dre” and asthmatic Darryl, just vanish into the night.

That really is my only issue with THE REAL DOCTOR. McCarthy’s writing is easy to follow, and pulls no punches in showing the lay person how hard doctors work and the struggles, internal and external, they face on a daily basis.  There is a minimum of gory details, and the medical jargon is easy to grasp. Nor is there the overly glib, broadly humorous style I’ve seen in other books. That was a relief, as I think that takes away from the truly serious nature of the subject

This was a good addition to my “true medical stories” bookshelf. Want your own copy? You can pick it up [easyazon_link identifier=”0804138656″ locale=”US” tag=”gimmethatbook-20″]here[/easyazon_link].

I received this book from Blogging for Books for this review. Check out the author’s page here.

 

 

 

Exposure: A sociologist explores sex, society, and adult entertainment by Chauntelle Tibbals

 

exposure

In Exposure: A Sociologist Explores Sex, Society, and Adult Entertainment, Chauntelle Tibbals exposes readers to one of the most mysterious businesses and significant subcultures shaping our modern world porn. Adult entertainment is a part of us – it’s a hugely influential component of our culture. Like it or not, it partially shapes who we are as a society. And we as a society help shape it right back. Porn takes on our sexual desires and dreams, often in ways that we’re uncomfortable with.

Tibbals takes us through her own process from precocious Southern California girl to marginalized sociology Ph.D. student to renowned adult industry expert. She shares her adventures and observations often hilarious, occasionally heartbreaking, and always enlightening in order to give us a nuanced look at a community that’s simultaneously influential and reviled, powerful and stigmatized. From the altered reality of pornographic film sets to wildly inappropriate fans at trade shows, Tibbals has seen it all. And she will be the first person to tell you: the adult industry is nothing like you’d expect. It’s a world that deals in sex and is shrouded in mystery but is ultimately no different from any other.

 

Thanks to author Chauntelle Tibbals and NetGalley for offering this advance review copy!  EXPOSURE will be published July 7, 2015.

If you are looking for a salacious, tell-all expose on the world of porn–this isn’t it. What it IS: an intelligent and thought provoking view into the business of sexy movies. Tibbals supports this world yet doesn’t agree with it fully, a concept I found refreshing. It’s difficult to walk that fine line between “not my kind of stuff” and revulsion, and the author maintains her position as IN the world, not OF it. This position helps to create credibility and honesty.

Censoring attitudes almost prevented Tibbals from obtaining her degree; her advisor was hostile and passive aggressive, her peers wondered what was wrong with her. Why is a nice girl like you getting involved with such filth is the undertone of the first part, as Tibbals details her struggle to defend her choices. I found it repugnant in this enlightened day and age, that an advisor could hold such power over a student’s choice, a choice that was not hurting anyone.

Good thing that Tibbals marched to the beat of her own drum. Eventually she found her way and began her thesis in earnest. Substitute any other subject for porn, and what you have is how she went about gathering information. As the industry accepted her, not as a gawker, but as a true supporter seeking understanding through knowledge, Tibbals befriended the megastars and watched literally hundreds of films. (Did you know they have their own version of the Oscars for porn films? I didn’t either.)

As she gained respect by showing respect, Tibbals found herself in many situations: watching films shot from behind the scenes, hanging out with some of the actors, and sitting as a judge for the aforementioned films awards. She explains her “walking the line” mentality with an anecdote about a movie that was esthetically sound, but directed by an unsavory character. She struggled with  trying to separate the fact that she loathed the director while appreciating the film for what it was: shot beautifully, with a plot that made sense and was actually engaging to watch.  I was quite impressed by her self awareness and willingness to share the truth, even if she didn’t personally approve/like it.

You must go into this book with an open mind, similar to the author watching those movies. As the blurb notes, porn is “just another business” and this is an insider’s view. Sex is such a hot button topic in America, and it shouldn’t be. I applaud the author’s temerity and her vociferous support for this area of our society; the part of our culture everyone has an opinion about, yet hesitates to defend.

This societal dichotomy persists with a section on how these porn stars are alternately worshipped and reviled: when the girls make appearances at trade shows (much like authors or sports figures do) their “fans” will wait in line to see them, fawning over their beauty. Once they get their audience with Tammy Tawdry, however, they will call them “sluts” or ask if their daddy is proud of what they do. This is a perfect example of the double standard and pervasive misogyny that is a staple of our society. Women walk a fine line with their sexuality; the male stars are purported as heroes with staying power, and the girls are just an object to be used. Tibbals is dead on with this chapter.

Her writing style is easy to follow and often humorous. She makes no apology for who she is or how she got there; and I found that refreshing and empowering. Being a maverick is often lonely and frustrating, but usually has its rewards. I sincerely hope Tibbals is recouping hers now.

Want your own copy? You can pick it up [easyazon_link identifier=”1626341931″ locale=”US” tag=”gimmethatbook-20″]here[/easyazon_link].

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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