Author: Dr. Fred Voon
Publisher: FriesenPress
ISBN: 1777603420
Category : Health & Fitness
Languages : en
Pages : 153
Book Description
This is the first book for the general public, written by a physician, to guide you through what really happens in the Emergency Department (ED). In Canada there are over 15 million Emergency visits a year. In the USA, over 145 million annually – a shocking 46 visits for every 100 persons! Learn what to expect if you, or a loved one, becomes one. - What happens and why from the ambulance to the trauma bay? - What and whom should you bring? - Why do you have to wait so long? Why did that person get seen before you? - Who gets seen faster? How can you get treated sooner? - Why do you have to tell the same story over again? - Who are all these people? - What should you do to prepare? Dr. Voon also busts some common myths and provides tons of practical tips and tricks to help you stay out of the ED: - What might not be an emergency after all? - What should everyone stock in their Home Medicine Cabinet? - What internet sites can we trust? As an in-depth and comprehensible resource, this non-fiction is a reference that belongs in every household and every waiting room. Find out more on the web at DrVoon.com.
Your Inside Guide to the Emergency Department
Author: Dr. Fred Voon
Publisher: FriesenPress
ISBN: 1777603420
Category : Health & Fitness
Languages : en
Pages : 153
Book Description
This is the first book for the general public, written by a physician, to guide you through what really happens in the Emergency Department (ED). In Canada there are over 15 million Emergency visits a year. In the USA, over 145 million annually – a shocking 46 visits for every 100 persons! Learn what to expect if you, or a loved one, becomes one. - What happens and why from the ambulance to the trauma bay? - What and whom should you bring? - Why do you have to wait so long? Why did that person get seen before you? - Who gets seen faster? How can you get treated sooner? - Why do you have to tell the same story over again? - Who are all these people? - What should you do to prepare? Dr. Voon also busts some common myths and provides tons of practical tips and tricks to help you stay out of the ED: - What might not be an emergency after all? - What should everyone stock in their Home Medicine Cabinet? - What internet sites can we trust? As an in-depth and comprehensible resource, this non-fiction is a reference that belongs in every household and every waiting room. Find out more on the web at DrVoon.com.
Publisher: FriesenPress
ISBN: 1777603420
Category : Health & Fitness
Languages : en
Pages : 153
Book Description
This is the first book for the general public, written by a physician, to guide you through what really happens in the Emergency Department (ED). In Canada there are over 15 million Emergency visits a year. In the USA, over 145 million annually – a shocking 46 visits for every 100 persons! Learn what to expect if you, or a loved one, becomes one. - What happens and why from the ambulance to the trauma bay? - What and whom should you bring? - Why do you have to wait so long? Why did that person get seen before you? - Who gets seen faster? How can you get treated sooner? - Why do you have to tell the same story over again? - Who are all these people? - What should you do to prepare? Dr. Voon also busts some common myths and provides tons of practical tips and tricks to help you stay out of the ED: - What might not be an emergency after all? - What should everyone stock in their Home Medicine Cabinet? - What internet sites can we trust? As an in-depth and comprehensible resource, this non-fiction is a reference that belongs in every household and every waiting room. Find out more on the web at DrVoon.com.
Emergency Medicine
Author: Phillip M. Stephens
Publisher: LWW
ISBN: 9781496386021
Category : Emergency medicine
Languages : en
Pages : 0
Book Description
"Evidence based medicine (EBM) is the integration of the best known scientific evidence with clinical experience. Bridging the gap between the latest research and clinical application is always a challenge. This text is designed to bridge this gap"--
Publisher: LWW
ISBN: 9781496386021
Category : Emergency medicine
Languages : en
Pages : 0
Book Description
"Evidence based medicine (EBM) is the integration of the best known scientific evidence with clinical experience. Bridging the gap between the latest research and clinical application is always a challenge. This text is designed to bridge this gap"--
Avoiding Common Errors in the Emergency Department
Author: Amal Mattu
Publisher: Lippincott Williams & Wilkins
ISBN: 145115285X
Category : Medical
Languages : en
Pages : 993
Book Description
This pocket book succinctly describes 400 errors commonly made by attendings, residents, medical students, nurse practitioners, and physician assistants in the emergency department, and gives practical, easy-to-remember tips for avoiding these errors. The book can easily be read immediately before the start of a rotation or used for quick reference on call. Each error is described in a short clinical scenario, followed by a discussion of how and why the error occurs and tips on how to avoid or ameliorate problems. Areas covered include psychiatry, pediatrics, poisonings, cardiology, obstetrics and gynecology, trauma, general surgery, orthopedics, infectious diseases, gastroenterology, renal, anesthesia and airway management, urology, ENT, and oral and maxillofacial surgery.
Publisher: Lippincott Williams & Wilkins
ISBN: 145115285X
Category : Medical
Languages : en
Pages : 993
Book Description
This pocket book succinctly describes 400 errors commonly made by attendings, residents, medical students, nurse practitioners, and physician assistants in the emergency department, and gives practical, easy-to-remember tips for avoiding these errors. The book can easily be read immediately before the start of a rotation or used for quick reference on call. Each error is described in a short clinical scenario, followed by a discussion of how and why the error occurs and tips on how to avoid or ameliorate problems. Areas covered include psychiatry, pediatrics, poisonings, cardiology, obstetrics and gynecology, trauma, general surgery, orthopedics, infectious diseases, gastroenterology, renal, anesthesia and airway management, urology, ENT, and oral and maxillofacial surgery.
Emergency & Critical Care Pocket Guide
Author: Informed
Publisher: Jones & Bartlett Publishers
ISBN: 1284023710
Category : Medical
Languages : en
Pages : 242
Book Description
The most popular pocket reference in emergency nursing - now in a new edition! The Emergency & Critical Care Pocket Guide has been an essential resource for physicians, paramedics, and nurses for over a decade.The newly updated Eighth Edition features: •Updated information on poisons and emergency medications • New ECG rhythm strips •Common drugs sections •Updated pediatric medications •Revised Spanish section •Straightforward medical emergency treatments. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
Publisher: Jones & Bartlett Publishers
ISBN: 1284023710
Category : Medical
Languages : en
Pages : 242
Book Description
The most popular pocket reference in emergency nursing - now in a new edition! The Emergency & Critical Care Pocket Guide has been an essential resource for physicians, paramedics, and nurses for over a decade.The newly updated Eighth Edition features: •Updated information on poisons and emergency medications • New ECG rhythm strips •Common drugs sections •Updated pediatric medications •Revised Spanish section •Straightforward medical emergency treatments. Important Notice: The digital edition of this book is missing some of the images or content found in the physical edition.
Emergency Response Guidebook
Author: U.S. Department of Transportation
Publisher: Simon and Schuster
ISBN: 1626363765
Category : House & Home
Languages : en
Pages : 352
Book Description
Does the identification number 60 indicate a toxic substance or a flammable solid, in the molten state at an elevated temperature? Does the identification number 1035 indicate ethane or butane? What is the difference between natural gas transmission pipelines and natural gas distribution pipelines? If you came upon an overturned truck on the highway that was leaking, would you be able to identify if it was hazardous and know what steps to take? Questions like these and more are answered in the Emergency Response Guidebook. Learn how to identify symbols for and vehicles carrying toxic, flammable, explosive, radioactive, or otherwise harmful substances and how to respond once an incident involving those substances has been identified. Always be prepared in situations that are unfamiliar and dangerous and know how to rectify them. Keeping this guide around at all times will ensure that, if you were to come upon a transportation situation involving hazardous substances or dangerous goods, you will be able to help keep others and yourself out of danger. With color-coded pages for quick and easy reference, this is the official manual used by first responders in the United States and Canada for transportation incidents involving dangerous goods or hazardous materials.
Publisher: Simon and Schuster
ISBN: 1626363765
Category : House & Home
Languages : en
Pages : 352
Book Description
Does the identification number 60 indicate a toxic substance or a flammable solid, in the molten state at an elevated temperature? Does the identification number 1035 indicate ethane or butane? What is the difference between natural gas transmission pipelines and natural gas distribution pipelines? If you came upon an overturned truck on the highway that was leaking, would you be able to identify if it was hazardous and know what steps to take? Questions like these and more are answered in the Emergency Response Guidebook. Learn how to identify symbols for and vehicles carrying toxic, flammable, explosive, radioactive, or otherwise harmful substances and how to respond once an incident involving those substances has been identified. Always be prepared in situations that are unfamiliar and dangerous and know how to rectify them. Keeping this guide around at all times will ensure that, if you were to come upon a transportation situation involving hazardous substances or dangerous goods, you will be able to help keep others and yourself out of danger. With color-coded pages for quick and easy reference, this is the official manual used by first responders in the United States and Canada for transportation incidents involving dangerous goods or hazardous materials.
Urgent Care Emergencies
Author: Deepi G. Goyal
Publisher: John Wiley & Sons
ISBN: 0470657723
Category : Medical
Languages : en
Pages : 166
Book Description
This text was developed to help providers who evaluate low acuity complaints in any setting. The aim is to highlight common pitfalls in the management of those seemingly minor illnesses or injuries, which if not identified early or if managed incorrectly can have devastating and longterm consequences. This text will bring the provider's attention to high-risk aspects of chief complaints that may be encountered in a variety of low-acuity settings. Focused on high-risk pitfalls practitioners may encounter in everyday practice, each of the book's chapters is written by an expert chosen for his/her expertise in their respective topics. Chapters include clinical pearls for improving patients’ outcomes.
Publisher: John Wiley & Sons
ISBN: 0470657723
Category : Medical
Languages : en
Pages : 166
Book Description
This text was developed to help providers who evaluate low acuity complaints in any setting. The aim is to highlight common pitfalls in the management of those seemingly minor illnesses or injuries, which if not identified early or if managed incorrectly can have devastating and longterm consequences. This text will bring the provider's attention to high-risk aspects of chief complaints that may be encountered in a variety of low-acuity settings. Focused on high-risk pitfalls practitioners may encounter in everyday practice, each of the book's chapters is written by an expert chosen for his/her expertise in their respective topics. Chapters include clinical pearls for improving patients’ outcomes.
Emergency Medicine
Author: Sascha Fulde
Publisher: Elsevier Health Sciences
ISBN: 0729581462
Category : Medical
Languages : en
Pages : 1168
Book Description
The ultimate emergency medicine textbook from the renowned Professor Gordian Fulde now in a new edition. Emergency Medicine 6e presents evidence-based clinical management and treatment advice for emergency medicine students and practitioners in Australasia. The vast range of topics include paediatric, geriatric, gynaecology, psychiatric, dental, rural and Indigenous presentations, ensuring readers are well prepared for any eventuality in the Emergency Department. This outstanding text combines expertise and experience with fully up-to-date content. It is authored by Professor Gordian Fulde, Emergency Department director at Sydney's St Vincent's Hospital, with contributions from Dr Sascha Fulde and over 60 other notable emergency medicine clinicians. Readers will gain a solid understanding of effective procedural and management skills in the ED. Practical tips relate to: patient transport and retrieval; seriously ill patients; advanced nursing roles; general practitioners; working with IT; administration, legal matters, governance and quality care; and interns and students in the emergency department. The ideal complement to hands-on emergency medicine training, this new edition of Emergency Medicine also prepares readers to apply key emergency medicine skills to unique incidents such as mass casualty and chemical, biological and radiological hazard contingencies. Topics included in this edition of Emergency Medicine include:• securing the airway• resuscitation• arrhythmia management• pain management• imaging• dermatology• trauma• poisoning• envenomation• overdose - Coverage of important controversies with evidence based recommendations. - Editor comments contained in relevant chapters to provide clinical tips and advice for practice. - Increased coverage of topical issues such as deep vein thrombosis (economy class syndrome) and street drugs. - Practical rapid reference appendix. - Detailed glossary and index. - The Quick Reference Guide is updated and included in this book. It is also made available as an app - Updating all chapters – particularly toxicology, IT, Paediatrics - New resuscitation guidelines – Cardiopulmonary Resuscitation; External Automated Defibrillation in BLS; Compressions; Breathing; Airway; Unconsciousness; Priorities in an Emergency; Principles and Format for Developing Guidelines (all revised 12/2010 following ILCOR) - More comprehensive content for Indigenous and Rural Emergencies chapter - Moderate repetition arising from so many contributors - The CT Brain and C spine Rules have been added to the Quick Reference Guide.
Publisher: Elsevier Health Sciences
ISBN: 0729581462
Category : Medical
Languages : en
Pages : 1168
Book Description
The ultimate emergency medicine textbook from the renowned Professor Gordian Fulde now in a new edition. Emergency Medicine 6e presents evidence-based clinical management and treatment advice for emergency medicine students and practitioners in Australasia. The vast range of topics include paediatric, geriatric, gynaecology, psychiatric, dental, rural and Indigenous presentations, ensuring readers are well prepared for any eventuality in the Emergency Department. This outstanding text combines expertise and experience with fully up-to-date content. It is authored by Professor Gordian Fulde, Emergency Department director at Sydney's St Vincent's Hospital, with contributions from Dr Sascha Fulde and over 60 other notable emergency medicine clinicians. Readers will gain a solid understanding of effective procedural and management skills in the ED. Practical tips relate to: patient transport and retrieval; seriously ill patients; advanced nursing roles; general practitioners; working with IT; administration, legal matters, governance and quality care; and interns and students in the emergency department. The ideal complement to hands-on emergency medicine training, this new edition of Emergency Medicine also prepares readers to apply key emergency medicine skills to unique incidents such as mass casualty and chemical, biological and radiological hazard contingencies. Topics included in this edition of Emergency Medicine include:• securing the airway• resuscitation• arrhythmia management• pain management• imaging• dermatology• trauma• poisoning• envenomation• overdose - Coverage of important controversies with evidence based recommendations. - Editor comments contained in relevant chapters to provide clinical tips and advice for practice. - Increased coverage of topical issues such as deep vein thrombosis (economy class syndrome) and street drugs. - Practical rapid reference appendix. - Detailed glossary and index. - The Quick Reference Guide is updated and included in this book. It is also made available as an app - Updating all chapters – particularly toxicology, IT, Paediatrics - New resuscitation guidelines – Cardiopulmonary Resuscitation; External Automated Defibrillation in BLS; Compressions; Breathing; Airway; Unconsciousness; Priorities in an Emergency; Principles and Format for Developing Guidelines (all revised 12/2010 following ILCOR) - More comprehensive content for Indigenous and Rural Emergencies chapter - Moderate repetition arising from so many contributors - The CT Brain and C spine Rules have been added to the Quick Reference Guide.
Sheehy's Manual of Emergency Care
Author: Emergency Nurses Association
Publisher: Elsevier Health Sciences
ISBN: 0323171109
Category : Medical
Languages : en
Pages : 659
Book Description
- NEW! 2-column format features new Tricks of the Trade boxes to give you a professional's perspective on common issues in emergency nursing. - NEW! Fully revised content from the ENA and a broad panel of expert contributors includes up-to-date, practical information on topics such as critical care in the ED, time management, the morbidly obese patient, electronic medical records, disaster nursing, forensic nursing, and workplace violence.
Publisher: Elsevier Health Sciences
ISBN: 0323171109
Category : Medical
Languages : en
Pages : 659
Book Description
- NEW! 2-column format features new Tricks of the Trade boxes to give you a professional's perspective on common issues in emergency nursing. - NEW! Fully revised content from the ENA and a broad panel of expert contributors includes up-to-date, practical information on topics such as critical care in the ED, time management, the morbidly obese patient, electronic medical records, disaster nursing, forensic nursing, and workplace violence.
Emergency Department Case Management
Author: Karen S. Zander
Publisher: HC Pro, Inc.
ISBN: 1601460465
Category : Hospitals
Languages : en
Pages : 195
Book Description
Eliminate sky-high wait times and increased denials in your ED Hospitals across the country are seeing extreme backup in the emergency department (ED). In recent years, well-structured emergency department case management programs have repeatedly demonstrated their value in: Influencing capacity Assigning patients to appropriate levels of care Targeting complex discharge needs Assisting with proper utilization review Whether you are looking to implement, maintain, or evolve your ED case management program, eliminate confusion surrounding the process with the help of Emergency Department Case Management: Strategies for Creating and Sustaining a Successful Program. Examining all perspectives of ED case management, this new and comprehensive guide will help you define a program that best suits your facility's needs. All the tools you need to get your program up and running From defining goals, clarifying roles, and understanding the necessary knowledge and skill sets required from ED case management staff, Emergency Department Case Management will help to ensure that you have a solid and sustainable foundation in place. After exploring models and reviewing your infrastructure, Emergency Department Case Management will help you outline key partnerships, present multiple options for case finding, tackle observation status, address quality and evaluation issues, and identify ways ED case managers can contribute to care coordination for complex pediatric, psychiatric, homeless, and uninsured populations. Written by Kathleen Walsh, RN, MS, and Karen Zander RN, MS, CMAC, FAAN, from the Center for Case Management, Emergency Department Case Management provides advice and best practices from two of the nations top case management experts. Take a look inside at the table of contents: Chapter 1: ED Case Management: The Heart of Access Chapter 2: The Foundation Chapter 3: Partnerships Chapter 4: The Process Chapter 5: Developing interventional strategies Chapter 6: Observation status determination Chapter 7: Program-level evaluation Chapter 8: Information system support Chapter 9: Quality Chapter 10: Addressing the pediatric population Chapter 11: Responding to the psychiatric population Chapter 12: Strengthening an existing program It's also packed with 15 detailed case studies discussing ED case management strategies, as well as five spotlight accounts detailing the experiences of ED professionals from across the country, including: A case manager A social worker A psychiatric nurse An information systems specialist An ED physician Don't hesitate to jumpstart your ED case management program. From beginning to end, Emergency Department Case Management will serve as the lead architect to help you design, build, and strengthen your ED case management model--order your copy today! Learning objectives: Conceptualize a framework for setting up an ED case management program Develop policies, procedures, and role descriptions Identify structural components, tools, and processes to support an ED case management program Describe potential outcomes of an ED case management program Who should buy this book? Emergency Department Case Management is the perfect resource for case managers, directors of case management, ED nurse managers, social workers, ED directors/administrators, and CFOs. HCPro Inc. has confirmed that none of the faculty presenters or contributors has any relevant financial relationships to disclose related to the content of this educational activity.The HCPro Risk-Free, Money-Back Guarantee If for any reason you're not completely satisfied with your purchase, return it within 30 days and you will receive a prompt, polite, 100% refund--no questions asked.
Publisher: HC Pro, Inc.
ISBN: 1601460465
Category : Hospitals
Languages : en
Pages : 195
Book Description
Eliminate sky-high wait times and increased denials in your ED Hospitals across the country are seeing extreme backup in the emergency department (ED). In recent years, well-structured emergency department case management programs have repeatedly demonstrated their value in: Influencing capacity Assigning patients to appropriate levels of care Targeting complex discharge needs Assisting with proper utilization review Whether you are looking to implement, maintain, or evolve your ED case management program, eliminate confusion surrounding the process with the help of Emergency Department Case Management: Strategies for Creating and Sustaining a Successful Program. Examining all perspectives of ED case management, this new and comprehensive guide will help you define a program that best suits your facility's needs. All the tools you need to get your program up and running From defining goals, clarifying roles, and understanding the necessary knowledge and skill sets required from ED case management staff, Emergency Department Case Management will help to ensure that you have a solid and sustainable foundation in place. After exploring models and reviewing your infrastructure, Emergency Department Case Management will help you outline key partnerships, present multiple options for case finding, tackle observation status, address quality and evaluation issues, and identify ways ED case managers can contribute to care coordination for complex pediatric, psychiatric, homeless, and uninsured populations. Written by Kathleen Walsh, RN, MS, and Karen Zander RN, MS, CMAC, FAAN, from the Center for Case Management, Emergency Department Case Management provides advice and best practices from two of the nations top case management experts. Take a look inside at the table of contents: Chapter 1: ED Case Management: The Heart of Access Chapter 2: The Foundation Chapter 3: Partnerships Chapter 4: The Process Chapter 5: Developing interventional strategies Chapter 6: Observation status determination Chapter 7: Program-level evaluation Chapter 8: Information system support Chapter 9: Quality Chapter 10: Addressing the pediatric population Chapter 11: Responding to the psychiatric population Chapter 12: Strengthening an existing program It's also packed with 15 detailed case studies discussing ED case management strategies, as well as five spotlight accounts detailing the experiences of ED professionals from across the country, including: A case manager A social worker A psychiatric nurse An information systems specialist An ED physician Don't hesitate to jumpstart your ED case management program. From beginning to end, Emergency Department Case Management will serve as the lead architect to help you design, build, and strengthen your ED case management model--order your copy today! Learning objectives: Conceptualize a framework for setting up an ED case management program Develop policies, procedures, and role descriptions Identify structural components, tools, and processes to support an ED case management program Describe potential outcomes of an ED case management program Who should buy this book? Emergency Department Case Management is the perfect resource for case managers, directors of case management, ED nurse managers, social workers, ED directors/administrators, and CFOs. HCPro Inc. has confirmed that none of the faculty presenters or contributors has any relevant financial relationships to disclose related to the content of this educational activity.The HCPro Risk-Free, Money-Back Guarantee If for any reason you're not completely satisfied with your purchase, return it within 30 days and you will receive a prompt, polite, 100% refund--no questions asked.
The Beauty in Breaking
Author: Michele Harper
Publisher: Penguin
ISBN: 0525537392
Category : Biography & Autobiography
Languages : en
Pages : 305
Book Description
A NEW YORK TIMES BESTSELLER A New York Times Notable Book “Riveting, heartbreaking, sometimes difficult, always inspiring.” —The New York Times Book Review “An incredibly moving memoir about what it means to be a doctor.” —Ellen Pompeo As seen/heard on Fresh Air, The Daily Show with Trevor Noah, NBC Nightly News, MSNBC, Weekend Edition, and more An emergency room physician explores how a life of service to others taught her how to heal herself. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. Brought up in Washington, D.C., in a complicated family, she went to Harvard, where she met her husband. They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central Philadelphia, when he told her he couldn’t move with her. Her marriage at an end, Harper began her new life in a new city, in a new job, as a newly single woman. In the ensuing years, as Harper learned to become an effective ER physician, bringing insight and empathy to every patient encounter, she came to understand that each of us is broken—physically, emotionally, psychically. How we recognize those breaks, how we try to mend them, and where we go from there are all crucial parts of the healing process. The Beauty in Breaking is the poignant true story of Harper’s journey toward self-healing. Each of the patients Harper writes about taught her something important about recuperation and recovery. How to let go of fear even when the future is murky: How to tell the truth when it’s simpler to overlook it. How to understand that compassion isn’t the same as justice. As she shines a light on the systemic disenfranchisement of the patients she treats as they struggle to maintain their health and dignity, Harper comes to understand the importance of allowing ourselves to make peace with the past as we draw support from the present. In this hopeful, moving, and beautiful book, she passes along the precious, necessary lessons that she has learned as a daughter, a woman, and a physician.
Publisher: Penguin
ISBN: 0525537392
Category : Biography & Autobiography
Languages : en
Pages : 305
Book Description
A NEW YORK TIMES BESTSELLER A New York Times Notable Book “Riveting, heartbreaking, sometimes difficult, always inspiring.” —The New York Times Book Review “An incredibly moving memoir about what it means to be a doctor.” —Ellen Pompeo As seen/heard on Fresh Air, The Daily Show with Trevor Noah, NBC Nightly News, MSNBC, Weekend Edition, and more An emergency room physician explores how a life of service to others taught her how to heal herself. Michele Harper is a female, African American emergency room physician in a profession that is overwhelmingly male and white. Brought up in Washington, D.C., in a complicated family, she went to Harvard, where she met her husband. They stayed together through medical school until two months before she was scheduled to join the staff of a hospital in central Philadelphia, when he told her he couldn’t move with her. Her marriage at an end, Harper began her new life in a new city, in a new job, as a newly single woman. In the ensuing years, as Harper learned to become an effective ER physician, bringing insight and empathy to every patient encounter, she came to understand that each of us is broken—physically, emotionally, psychically. How we recognize those breaks, how we try to mend them, and where we go from there are all crucial parts of the healing process. The Beauty in Breaking is the poignant true story of Harper’s journey toward self-healing. Each of the patients Harper writes about taught her something important about recuperation and recovery. How to let go of fear even when the future is murky: How to tell the truth when it’s simpler to overlook it. How to understand that compassion isn’t the same as justice. As she shines a light on the systemic disenfranchisement of the patients she treats as they struggle to maintain their health and dignity, Harper comes to understand the importance of allowing ourselves to make peace with the past as we draw support from the present. In this hopeful, moving, and beautiful book, she passes along the precious, necessary lessons that she has learned as a daughter, a woman, and a physician.