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Author: Richard A. Rettig
Publisher: Oxford University Press
ISBN: 0199748241
Category : Medical
Languages : en
Pages : 368
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Book Description
In the late 1980s, a promising new treatment for breast cancer emerged: high-dose chemotherapy with autologous bone marrow transplantation or HDC/ABMT. By the 1990s, it had burst upon the oncology scene and disseminated rapidly before having been carefully evaluated. By the time published studies showed that the procedure was ineffective, more than 30,000 women had received the treatment, shortening their lives and adding to their suffering. This book tells of the rise and demise of HDC/ABMT for metastatic and early stage breast cancer, and fully explores the story's implications, which go well beyond the immediate procedure, and beyond breast cancer, to how we in the United States evaluate other medical procedures, especially life-saving ones. It details how the factors that drove clinical use--patient demand, physician enthusiasm, media reporting, litigation, economic exploitation, and legislative and administrative mandates--converged to propel the procedure forward despite a lack of proven clinical effectiveness. It also analyzes the limited effect of technology assessments before randomized clinical trials evaluated decisively the procedure and the ramifications of this system on healthcare today. Sections of the book consider the initial conditions surrounding the emergence of the new breast cancer treatment, the drivers of clinical use, and the struggle for evidence-based medicine. A concluding section considers the significance of the story for our healthcare system.
Author: Richard A. Rettig
Publisher: Oxford University Press
ISBN: 0199748241
Category : Medical
Languages : en
Pages : 368
Get Book Here
Book Description
In the late 1980s, a promising new treatment for breast cancer emerged: high-dose chemotherapy with autologous bone marrow transplantation or HDC/ABMT. By the 1990s, it had burst upon the oncology scene and disseminated rapidly before having been carefully evaluated. By the time published studies showed that the procedure was ineffective, more than 30,000 women had received the treatment, shortening their lives and adding to their suffering. This book tells of the rise and demise of HDC/ABMT for metastatic and early stage breast cancer, and fully explores the story's implications, which go well beyond the immediate procedure, and beyond breast cancer, to how we in the United States evaluate other medical procedures, especially life-saving ones. It details how the factors that drove clinical use--patient demand, physician enthusiasm, media reporting, litigation, economic exploitation, and legislative and administrative mandates--converged to propel the procedure forward despite a lack of proven clinical effectiveness. It also analyzes the limited effect of technology assessments before randomized clinical trials evaluated decisively the procedure and the ramifications of this system on healthcare today. Sections of the book consider the initial conditions surrounding the emergence of the new breast cancer treatment, the drivers of clinical use, and the struggle for evidence-based medicine. A concluding section considers the significance of the story for our healthcare system.
Author: Laura Kightlinger
Publisher: Harper Perennial
ISBN: 9780380810468
Category : Fiction
Languages : en
Pages : 198
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Book Description
A bright young comic talent presents 18 bitterly funny--and frighteningly universal--tales of rejection, humiliation, and misfortune.
Author: Robbie F. Castleman
Publisher: InterVarsity Press
ISBN: 9780830819584
Category : Religion
Languages : en
Pages : 184
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Book Description
Robbie Castleman believes reclaiming purity in relationships is a journey toward holiness. In sprightly, straight-for-the-target prose, she shows how unmarried Christians can wait until marriage without turning into prudes or wallflowers.
Author: Norman Solomon
Publisher:
ISBN:
Category : Biography & Autobiography
Languages : en
Pages : 264
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Book Description
Author: Daniel Callahan
Publisher: Rutgers University Press
ISBN: 9780813526744
Category : Medical
Languages : en
Pages : 340
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Book Description
This text exposes the cause of the health care crisis and proposes an alternative to make care affordable and available to all. It shows how the quest for perfection is the core of the crisis, and suggests a medicine that bows to the limits of human nature and gives priority to meeting basic needs.
Author: Richard A. Deyo
Publisher: AMACOM/American Management Association
ISBN: 9780814428597
Category : Business & Economics
Languages : en
Pages : 364
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Book Description
Annotation Medical science has always promised -- and often delivered -- a longer, better life. But as the pace of science accelerates, do our expectations become unreasonable, fueled by an industry bent on profits and a media desperate for big news?Hope or Hype is a taboo-shattering look at what drives the American obsession with medical "miracles," exposing the equipment manufacturers and pharmaceutical companies; doctors and hospitals too quick to order surgery; the politicians; the press; and our own "technoconsumption" mindset. The authors spread blame for the parade of so-called miracle cures that too often are marginally effective at best -- and sometimes downright dangerous. They examine consumers? eager embrace of medical advances, and present riveting stories of the conscientious doctors and researchers who blew the whistle on ineffective treatments. Finally, they provide sane, practical recommendations for the adoption of new developments. The consequences of questionable practices include costly recalls, billions in wasted money, and the pain and suffering of innumerable patients and their families. In short, they must stop.
Author: Jason Sautel
Publisher: Thomas Nelson
ISBN: 1400216486
Category : Biography & Autobiography
Languages : en
Pages : 206
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Book Description
He helped save people every day—but he had no idea how to save himself. Jason Sautel had it all. Confident in his abilities and trusted by his fellow firefighters, he was making a name for himself on the streets of Oakland, California. His adrenaline-fueled job even helped him forget the pain of his childhood—until the day he looked into the eyes of a jumper on the Bay Bridge and came face to face with a darkness he knew would take him down as well. In the following months, a series of traumatic emergency calls—some successful, others impossible-to-forget failures—drove Jason deeper into depression. Even as he continued his lifesaving work, he realized he could never rescue everyone, and he had no idea how to save himself. In the end, Jason was forced to confront the truth: only the relentless power of love could pull him back from his own deadly fall. Action-packed, spiritually honest, and surprisingly romantic, The Rescuer transports readers inside the pulse-pounding world of firefighting and into the heart of a man who needed to be broken before he could finally be made whole.
Author: Roger Scruton
Publisher: Oxford University Press
ISBN: 0199798990
Category : Philosophy
Languages : en
Pages : 240
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Book Description
Ranging widely over human history and culture, from ancient Greece to the current global economic downturn, Scruton makes a counterintuitive yet persuasive case that optimists and idealists -- with their ignorance about the truths of human nature and human society, and their naive hopes about what can be changed -- have wrought havoc for centuries. Scruton's argument is nuanced, however, and his preference for pessimism is not a dark view of human nature; rather his is a 'hopeful pessimism' which urges that instead of utopian efforts to reform human society or human nature, we focus on the only reform that we can truly master -- the improvement of ourselves through the cultivation of our better instincts. Written in Scruton's trademark style-- erudite, sweeping in scope across centuries and cultures, and unafraid to offend-- this book is sure to intrigue and provoke readers concerned with the state of Western culture, the nature of human beings, and the question of whether social progress is truly possible.
Author: Jerome Groopman
Publisher: Random House Trade Paperbacks
ISBN: 0375757759
Category : Health & Fitness
Languages : en
Pages : 274
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Book Description
Why do some people find and sustain hope during difficult circumstances, while others do not? What can we learn from those who do, and how is their example applicable to our own lives? The Anatomy of Hope is a journey of inspiring discovery, spanning some thirty years of Dr. Jerome Groopman’s practice, during which he encountered many extraordinary people and sought to answer these questions. This profound exploration begins when Groopman was a medical student, ignorant of the vital role of hope in patients’ lives–and it culminates in his remarkable quest to delineate a biology of hope. With appreciation for the human elements and the science, Groopman explains how to distinguish true hope from false hope–and how to gain an honest understanding of the reach and limits of this essential emotion.
Author: Dane Calloway
Publisher:
ISBN: 9781737655817
Category :
Languages : en
Pages :
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Book Description
