Category: Medical (Page 7 of 7)

Final Exam: A Surgeon’s Reflections on Mortality by Pauline W. Chen

November 25, 2014 / Kyle Wendy Skultety / 0 Comments

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Final Exam was a book I picked up myself from the library. It was on my own personal reading list, which I haven’t been really able to get to these days. This is not a new book; it was published in 2007, but the ideas that Dr Chen speaks of should be relevant and in use today.

The mission of all doctors is to maintain life–by performing surgery, by prescribing medication, by encouraging life changes such as dieting or quitting smoking. But–everyone eventually dies, no matter how brilliant the surgeon was, or how much weight a patient lost. Many doctors gloss over this fact and prefer to focus on living and making a better quality of life.

Who will champion a better quality of death? No, Dr Chen is not going to talk about euthanasia, or discuss funeral services. She is going to bring to the forefront a subject that has been assiduously avoided in human medicine for a long time: death is very much a part of life, and it should not be spoken of in hushed tones or pushed to the back of one’s mind. To truly care for your patients, you must realize that death is truly part of life.

No one wants to consider their own mortality, especially someone who is going to the hospital for an operation. Dr Chen postulates that all doctors can give better care by embracing their own personal feelings and fears about death, and listening to what their patients are telling them, either with words or what their body is saying.

There is a great deal of explicit description in Final Exam: of medical procedures and people struggling to die, those with sickness or those who have developed complications after surgery. Dr Chen starts out with her own personal experience with a cadaver in medical school and brings us all the way to her visceral reaction when a good friend of hers dies.

This book’s message is a powerful one, and not for the faint of heart. I thoroughly applaud Dr Chen for suggesting that doctors make themselves more emotionally available and vulnerable. Too often a patient’s death is couched in a sense of failure, of medicine gone wrong. A delicate balance needs to be attained, and I hope Dr Chen has started a dialogue by writing this book.

I loved this. You can pick up your own copy [easyazon_link asin=”030727537X” locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”default” cloaking=”default” localization=”default” popups=”yes”]here[/easyazon_link]!

Also, if you haven’t already, download the Kindle reading app here.

The Cost of Cutting by Paul Ruggieri, MD

October 28, 2014 / Kyle Wendy Skultety / 0 Comments

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The Cost of Cutting was a book I picked up for a pleasure read from the library. Ruggieri also wrote Confessions of a Surgeon, which I enjoyed very much. The difference between the two books is that Cost is mostly about the money, and directly blames healthcare/insurance/government for the woes of doctors, and Confessions is mostly about activity in the hospital; more medicine oriented.

Cost will preface each chapter with a medical case and then peel away layers, explaining what the patient needs, how he is supposed to pay for it, how much profit the hospital will make (or not), and then Ruggieri ultimately rails against the system. I found this style of writing to be both good and bad.

I’ll admit, I picked this book up to gain some insight into hospitals and learn more about medical billing. There were a lot more facts and figures about healthcare than surgery, and this made for a rather flat book at times. That being said, I did learn a lot of interesting and scary things, such as: medical equipment sales reps may be INSIDE the surgery suite, guiding the surgeon as he uses robotic arms or the DaVinci system for the first time! Also: Medicare and Medicaid pays such small amounts for hospital stays that doctors can “cherry pick” which cases they will take…or not. The needs of the patient fall by the wayside if that person has no insurance at all, and with the passing of the Obamacare /Affordable Health Act, hospitals are forced to give up profits to handle cases, thereby forcing doctors in turn to take cases regardless of patient needs or wants.

For example: A woman needs surgery, and her doctor sends her to a specialist. The specialist has operating privileges at 2 hospitals. The hospital accountants/powers that be are pushing more surgeries towards Hospital One for profit. thus the surgeon tells the patient she will be going to Hospital One. This woman is upset because she heard bad things about the place, a friend of hers got awful care, and refuses to go there. The surgeon is caught in the middle between his patient’s wish and his boss. In the book, the patient wants to go to her preferred place, Hospital Two, and the surgeon gets upbraided for it. He strongly advises the woman to choose Hospital One, and she does, reluctantly. I’ll let you read how things work out yourself…no spoilers!

This is not how I’d like my surgery/medical care to be handled–would you? And let’s not even get started on hospital billing–how obscure codes control how things are handled by the insurance. Medical billing is a lucrative practice, a long cry from the “old days” when a doctor would give you a handwritten bill. We have all heard about the $300 aspirin or $1000 bandage billed to someone who has been in the hospital.

Ruggieri offers up solutions on how to make things better, and explains why hospitals are all about profits instead of medicine. Even if you have no interest in medical stories, I urge you to read this, simply to gain more awareness of how to protect yourself should you need surgery. Leave everything in the doctor’s hands? The implications are truly frightening.

[easyazon_link asin=”0425272311″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”yes” cloaking=”default” localization=”yes” popups=”yes”]Want your own copy? Pick it up here.[/easyazon_link]

Also, if you haven’t already, download the Kindle reading app here.

The ADHD Effect On Marriage by Melissa Orlov

September 15, 2014 / Kyle Wendy Skultety / 0 Comments

Subtitled “Understand and rebuild your relationship in six steps”, this book is mainly geared towards those who are experiencing trouble with their ADD/ADHD mate. Both people in the relationship will see themselves portrayed authentically, with explanations of WHY they are feeling those emotions. The first few chapters explain ADHD–what it is, how the brain is affected, how it is diagnosed, and the insidious ways it can creep into your relationship/marriage and cause trouble. Orlov quotes from, and suggests reading, The Dance of Anger by Harriet G Lerner as a supplement to this book. She also sprinkles the pages with lots of stories and examples from real life men and women working to save their relationship. It’s easy to sense the frustration these people have with ADHD serving as the third wheel in their marriage, and some of the stories are quite depressing.

The second part of the book is the rebuilding part, as Orlov outlines her six steps for fixing what has gone awry. She goes out of her way to explain that it’s not the ADHD causing the person to be “broken”, but a lack of understanding how it affects the brain and how ADHD’ers see the world differently.

The six steps are: cultivating empathy, addressing obstacle emotions, getting treatment for BOTH parties (as the non ADHD’er may experience depression, anger or frustration and become resentful and/or ill), improving communication, setting boundaries, and finally, reigniting romance and having fun. As someone who truly believed that ADHD was just a convenient diagnosis for little boys with ants in their pants, I can say I was literally blown away by this book. My whole way of thinking (these people just needed to focus more, be more organized, stop daydreaming, get discipline) could not have been more wrong. ADHD’ers have heard since they were young that they were “not good enough”, they were “underachieving”, they could be “so much more if you just focused better”, and they feel unloved, abandoned, and frustrated.

I am a very organized person by nature, and dealing with a man with ADHD would be a challenge, for sure. The first step is understanding that MY way is not always the RIGHT way, and ADHD’ers need to do what works best for them. Medication is a great help, but so is communication and coping strategies. Knowing your enemy is the first step to defeating him.

Included with the book are worksheets, tools and resources that can be further utilized. Both people will come away knowing their spouse better, and themselves a little better as well.

This was the first book I read about adult ADD/ADHD, and I learned a great deal. On Goodreads, this book got mixed reviews, and most reviewers suggested reading Is It You, Me, or Adult ADD? by Gina Pera as a better source of information and assistance. I’ll be reviewing that in a future post, as I’m currently working through that now. The ADD Effect On Marriage is a good, if simple, book to read to gain understanding of adult ADHD. The advice is pretty sound, and if nothing else, you will see yourself in the anecdotes of those who have experienced a rocky road in their relationship. You will know that you are not alone in this.

[easyazon_link asin=”1886941971″ locale=”US” new_window=”default” nofollow=”default” tag=”gimmethatbook-20″ add_to_cart=”default” cloaking=”default” localization=”yes” popups=”yes”]Know someone with adult ADD? Interested in learning more, even if there is no ADD in your life? Click here to get a copy.[/easyazon_link]

The Fantastic Laboratory of Dr Weigl by Arthur Allen

August 26, 2014 / Kyle Wendy Skultety / 0 Comments

The subtitle of this book is “How two brave scientists battled typhus and sabotaged the Nazis”. Those scientists are Polish zoologist Rudolf Weigl, an unsung and mostly forgotten hero of WW2, and Ludwig Fleck, a Jewish immunologist. Both men were condemned to Buchenwald and commanded by the Nazis to concoct a vaccine against typhus, a disease equated with Jews and feared more than almost anything else.

Typhus is spread by lice, and to create this vaccine it had to be obtained from live lice, that were nourished by inmates of the concentration camp. Originally there were lice that didn’t carry typhus, and so they were given the disease, allowed to feed on human blood, and then they were sacrificed and their intestines removed and made into a kind of slurry. That’s the basic way, I suppose. However, it’s not that easy to do; but these brave men in the lab convinced the Nazis that they DID make a vaccine. And they did! Thousands of doses were sent up to Germans at the front. Those vaccines didn’t prevent anything. The small batches of protective vaccines were secretly distributed at the camps to prisoners. Gutsy!

This book has everything: stories of how Jews were abused, scientific theory, intrigue (will the lying scientists get caught?) and morality (some medical personnel felt that creating a fake vaccine went against their “do no harm” tenet and wanted to truly protect the Nazis against typhus).

Sprinkled throughout the book are tidbits of Nazi behavior, such as “The camp commander, Fritz Gebauer, was generally mild-mannered but occasionally needed to strangle a woman, an action that produced a state of red-faced passion.” That is a sentence that is hard to top. Any Holocaust deniers out there: read this book. There is NO WAY that all this was made up. Realize this now.

While I read this book, I kept thinking that the Nazis weren’t really all that gullible, were they? Apparently so. They were more interested in abusing the prisoners than checking on the scientific methods being used. The political intrigue and back stabbing gets convoluted as former enemies become friends, and vice versa.

I did learn a lot about typhus, which is always a plus for me. Give me plague and pestilence and I’m a happy camper. I also marveled at the resilience and strength of the prisoners and displaced Polish Jews of the story. Time after time I shook my head in amazement after finishing a gory paragraph or three.

This book explains an important and mostly unknown back story of WW2, and I feel better for having read it. The resilience of the human spirit is truly wonderful.

You can get a copy of your own here!

Vaccine: The Controversial Story of Medicine’s Greatest Lifesaver by Arthur Allen

July 29, 2014 / Kyle Wendy Skultety / 3 Comments

Spanning over 400 pages and telling the story from 1721 to the present day, Vaccine is a work of great scope. It starts out with the smallpox epidemic in Boston, Cotton Mather, and newfangled “variolation”, then proceeds to the 1940’s and 50’s issues with polio and measles, and rounds out the tale with the controversial DTP vaccine, a discussion of the alleged link between vaccines and autism, and an entire chapter devoted to anti vaccinators, those who would see their children suffer and die a horrible death from whooping cough and other childhood sicknesses.

Blending science, mystery, drama, and politics, this book has something for everyone. Fun fact: the beloved Raggedy Ann & Andy dolls were created by a well known illustrator, Johnny Gruelle, after his daughter Marcella was supposedly sickened by a vaccine given at school without his permission. The book tells that “The doll, with its limp limbs, became a symbol of vaccine-damaged children, and Marcella was the heroine of the Raggedy Ann stories that Gruelle went on to illustrate.”

Another fun fact: During the frantic search for the flu vaccine in 2004, there was also a pertussis (Whooping Cough) epidemic quietly making the rounds, with more than 19,000 cases that year. There were only 11,647 in 2003.

Anti vaccinators would storm the Internet looking for like minded souls and then get together to protest the government’s forced vaccination requirements for school children. In a ludicrous-sounding passage, a mother tells the author that it is good when her children get ill, because then everyone can take the time to slow down and spend time together. The book then goes on to tell how one child spent 6 months coughing, for most of the day and night, with spells of alternating vomiting and coughing from his illness. Another child broke a rib coughing; and a woman had to be hospitalized because she was in danger of losing her unborn child (her cervix was being nearly ruptured from the hacking.

The descriptions of the illnesses are detailed but not gory, and as you read you will find yourself thinking a lot more about the simple “shots” we all got as a kid.

At times a bit long winded, and necessarily full of politics, Vaccine was interesting but not enthralling. I didn’t feel it was a waste of my time, because I learned a great deal, and in the end I was glad my parents took me to the doctor and protected me. Whether you are for or against vaccines, you should read this book.