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Health Care Issues

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  1. 9/6/2016 • Unabridged

    In nearly every medical-decision-making encounter, the physician is at the center of the discussion, with the patient the recipient of the physician’s decisions. Dr. Robert Alan McNutt starts from a very different premise: the patient should be at the center. McNutt challenges the physician-directed, medical-expertise model of making decisions, presenting a practical approach augmented by formal exercises designed to give patients the tools and confidence to compare and contrast their healthcare options so they can make their own choices. He addresses a number of scenarios, including heart disease, breast cancer, and prostate cancer—conditions that pose a range of choices that patients may face about diagnoses and treatments. After providing a clear explanation of what is the highest quality medical-decision-making information, McNutt teaches patients to use that information to weigh the harms and benefits of their treatment options, empowering them to ask critical questions as they take a stronger hand in their own care. Your Health, Your Decisions moves from specific scenarios that commonly baffle patients to a systematic exploration of how to make medical decisions. By offering patients the tools they need to be full partners in their own health care, McNutt demystifies what can be a bewildering and even terrifying process.

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    Your Health, Your Decisions by Robert Alan McNutt, MD
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  2. 9.2 hrs • 12/8/2015 • Unabridged

    The Vaccine Book offers parents a fair, impartial, fact-based resource from the most trusted name in pediatrics. Dr. Bob devotes each chapter in the book to a disease-vaccine pair and offers a comprehensive discussion of what the disease is, how common or rare it is, how serious or harmless it is, the ingredients of the vaccine, and any possible side effects from the vaccine. This completely revised edition offers:Updated information on each vaccine and disease,More detail on vaccines’ side effects,Expanded discussions of combination vaccines,A new section on adult vaccines,Additional options for alternative vaccine schedules, andA guide to Canadian vaccinations. The Vaccine Book provides exactly the information parents want and need as they make their way through the vaccination maze.

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    The Vaccine Book

    9.2 hrs • 12/8/15 • Unabridged
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  3. 13.3 hrs • 8/21/2015 • Unabridged

    G. Edward Griffin marshals the evidence that cancer is a deficiency disease, like scurvy or pellagra, that is aggravated by the lack of an essential food compound in modern man’s diet. That substance is vitamin B17. In its purified form developed for cancer therapy, it is known as laetrile. This story is not approved by orthodox medicine. The FDA, the AMA, and the American Cancer Society have labeled it fraud and quackery. Yet the evidence is clear that here, at last, is the final answer to the cancer riddle. Why has orthodox medicine waged war against this non-drug approach? The author contends that the answer is to be found not in science but in politics—and is based upon the hidden economic and power agenda of those who dominate the medical establishment. This, Griffin’s revised and updated edition, is the most complete and authoritative treatise available on this topic.

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    World without Cancer

    13.3 hrs • 8/21/15 • Unabridged
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  4. 11.9 hrs • 3/13/2015 • Unabridged

    The definitive story of American health care today—its causes, consequences, and confusions In March 2010, the Affordable Care Act was signed into law. It was the most extensive reform of America’s health care system since at least the creation of Medicare in 1965, and perhaps ever. The ACA was controversial and highly political, and the law faced legal challenges reaching all the way to the Supreme Court; it even precipitated a government shutdown. It was a signature piece of legislation for President Obama’s first term, and it was a ball and chain for his second. Ezekiel J. Emanuel, a professor of medical ethics and health policy at the University of Pennsylvania who also served as a special adviser to the White House on health care reform, has written a brilliant diagnostic explanation of why health care in America has become such a divisive social issue, how money and medicine have their own—quite distinct—American story, and why reform has bedeviled presidents of the left and right for more than one hundred years. Emanuel also explains exactly how the ACA reforms are reshaping the health care system now. He forecasts the future, identifying six mega trends in health that will determine the market for health care to 2020 and beyond. His predictions are bold, provocative, and uniquely well-informed. Health care—one of America’s largest employment sectors, with an economy the size of the GDP of France—has never had a more comprehensive or authoritative interpreter.

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    Reinventing American Health Care

    11.9 hrs • 3/13/15 • Unabridged
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  5. 11.3 hrs • 1/6/2015 • Unabridged

    In The Patient Will See You Now, Eric Topol, one of the nation’s top physicians, examines what he calls medicine’s “Gutenberg moment.” Much as the printing press liberated knowledge from the control of an elite class, new technology is poised to democratize medicine. In this new era, patients will control their data and be emancipated from a paternalistic medical regime in which “the doctor knows best.” Mobile phones, apps, and attachments will literally put the lab and the ICU in our pockets. Computers will replace physicians for many diagnostic tasks, and enormous data sets will give us new means to attack conditions that have long been incurable. In spite of these benefits, the path forward will be complicated: some in the medical establishment will resist these changes, and digitized medicine will raise serious issues surrounding privacy. Nevertheless, the result—better, cheaper, and more humane health care for all—will be worth it.

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    The Patient Will See You Now

    11.3 hrs • 1/6/15 • Unabridged
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  6. 8.7 hrs • 9/30/2014 • Unabridged

    A critically important and startling look at the harmful effects of overusing antibiotics, from the field’s leading expert Tracing one scientist’s journey toward understanding the crucial importance of the microbiome, this revolutionary book will take readers to the forefront of trail-blazing research while revealing the damage that overuse of antibiotics is doing to our health: contributing to the rise of obesity, asthma, diabetes, and certain forms of cancer. In Missing Microbes, Dr. Martin Blaser invites us into the wilds of the human microbiome where for hundreds of thousands of years bacterial and human cells have existed in a peaceful symbiosis that is responsible for the health and equilibrium of our body. Now, this invisible eden is being irrevocably damaged by some of our most revered medical advances—antibiotics—threatening the extinction of our irreplaceable microbes with terrible health consequences. Taking us into both the lab and deep into the fields where these troubling effects can be witnessed firsthand, Blaser not only provides cutting edge evidence for the adverse effects of antibiotics, he tells us what we can do to avoid even more catastrophic health problems in the future.

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    Missing Microbes

    8.7 hrs • 9/30/14 • Unabridged
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  7. 7.3 hrs • 6/1/2014 • Unabridged

    A bold new remedy for the sprawling and wasteful health care industry Where else but the doctor’s office do you have to fill out a form on a clipboard? Have you noticed that hospital bills are almost unintelligible, except for the absurdly high dollar amount? Why is it that technology in other industries drives prices down, but in health care it’s the reverse? And why, in health care, is the customer so often treated as a mere bystander—and an ignorant one at that? The same American medical establishment that saves lives and performs wondrous miracles is also a $2.7 trillion industry in deep dysfunction. And now, with the Affordable Care Act, it is called on to extend full benefits to tens of millions of newly insured. You might think that this would leave us with a bleak choice—either to devote more of our national budget to health care or to make do with less of it. But there’s another path. In this provocative book, Jonathan Bush, cofounder and CEO of athenahealth, calls for a revolution in health care to give customers more choices, freedom, power, and information, and at far lower prices. With humor and a tell-it-like-it-is style, he picks up insights and ideas from his days as an ambulance driver in New Orleans, an army medic, and an entrepreneur launching a birthing start-up in San Diego. In struggling to save that dying business, Bush’s team created a software program that eventually became athenahealth, a cloud-based services company that handles electronic medical records, billing, and patient communications for more than fifty thousand medical providers nationwide. Bush calls for disruption of the status quo through new business models, new payment models, and new technologies that give patients more control of their care and enhance the physician/patient experience. He shows how this is already happening. From birthing centers in Florida to urgent care centers in West Virginia, upstarts are disrupting health care by focusing on efficiency, innovation, and customer service. Bush offers a vision and plan for change while bringing a breakthrough perspective to the debates surrounding Obamacare. You’ll learn how: Well-intended government regulations prop up overpriced incumbents and slow the pace of innovation. Focused, profit-driven disrupters are chipping away at the dominance of hospitals by offering routine procedures at lower cost. Scrappy digital start-ups are equipping providers and patients with new apps and technologies to access medical data and take control of care. Making informed choices about the care we receive and pay for will enable a more humane and satisfying health care system to emerge. Bush’s plan calls for Americans not only to demand more from providers but also to accept more responsibility for our health, to weigh risks and make hard choices—in short, to take back control of an industry that is central to our lives and our economy.

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    Where Does It Hurt?

    7.3 hrs • 6/1/14 • Unabridged
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  8. 7.3 hrs • 4/22/2013 • Unabridged

    Dr. Marty Makary is codeveloper of the life-saving checklist outlined in Atul Gawande’s bestselling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he’s also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last ten years, neither error rates nor costs have come down, despite scientific progress and efforts to curb expenses. Why? To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market.Unaccountable is a powerful, no-nonsense, nonpartisan diagnosis for healing our hospitals and reforming our broken healthcare system.

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    Unaccountable

    7.3 hrs • 4/22/13 • Unabridged
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  9. 0 reviews 0 5 4 4 out of 5 stars 4/5
    9.7 hrs • 4/1/2013 • Unabridged

    Conflicts of interest, misrepresentation of clinical trials, hospital price-fixing, and massive expenditures for procedures of dubious efficacy—these and other critical flaws leave little doubt that the current US health-care system is in need of an overhaul. In this essential guide, preeminent physician Nortin Hadler urges American health-care consumers to take time to understand the existing system and to visualize what the outcome of successful reform might look like. Central to this vision is a shared understanding of the primacy of the relationship between doctor and patient. Hadler shows us that a new approach is necessary if we hope to improve the health of the populace. Rational health care, he argues, is far less expensive than the irrationality of the status quo. Taking a critical view of how medical treatment, health care finance, and attitudes about health, medicine, and disease play out in broad social and political settings, Hadler applies his wealth of experience and insight to these pressing issues, answering important questions for citizen-patients and policy makers alike.

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    The Citizen Patient by Nortin M. Hadler, MD

    The Citizen Patient

    9.7 hrs • 4/1/13 • Unabridged
    0 reviews 0 5 4 4 out of 5 stars 4/5
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  10. 11.9 hrs • 2/5/2013 • Unabridged

    The author of Bad Science reveals the shocking truth about the pharmaceutical industry and the state of medicine today.

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    Bad Pharma

    11.9 hrs • 2/5/13 • Unabridged
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  11. 11.5 hrs • 9/4/2012 • Unabridged

    We've all been there, sitting uncomfortably in a paper gownas a doctor impassively describes our prognosis. Sometimes it's simple and treatable. Other times we get news we can't fathom and then are faced with decisions that are literally life and death. In this revolutionary book, physician, behavioral scientist, and bioethicist Peter Ubel, MD, reveals how hidden dynamics in the doctor/patient relationship keep us and our loved ones from making the best medical choices. From doctors who struggle to explain, to patients who fail to properly listen, countless factors alter the course of our care, causing things to go seriously awry. With riveting stories of Ubel's own experience in the field, his groundbreaking research, and his personal journey walking loved ones through difficult treatment choices, Critical Decisions will forever change the way we communicate inside hospitals and medical offices, where thoughtful decision making matters the most. Dr. Ubel has been on both ends of the stethoscope, and in this book, he shows how patients and doctors can learn to become partners and work together to make the right choices. From choosing to get surgery, to discussing the side effects of a blood pressure medication, we can finally discover the tools to improve communication, understand the issues, and make confident decisions for our future health and happiness.

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    Critical Decisions

    11.5 hrs • 9/4/12 • Unabridged
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  12. 8.5 hrs • 7/15/2012 • Abridged

    Our favorite docs, Mehmet Oz and Michael Roizen, have returned to the book that started it all. With brand new chapters on the liver and pancreas, a Q&A section, and The Owner’s Manual Workout, You: The Owner’s Manual, Updated and Expanded Edition is an even more vital guide to the most important person in your life—you.

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  13. 1.4 hrs • 7/15/2012 • Abridged

    Let’s Play Doctor is your instant guide to becoming a Real Fake Doctor. At the Why Do Men Have Nipples School of Medicine, we offer an informative, immersive, and incredibly entertaining course of study that will give you the special skills needed to get your MD on! By following the lessons in Let’s Play Doctor, you’ll learn special mental exercises to give yourself that buff, bulging doctor brain;how to impress your peers with big, polysyllabic, esoteric medical lingo (can you say Pneumonoultramicroscopicsilicovolcanoconiosis?);easy ways to diagnose your girlfriend’s goiter or your father’s fistula;do-it-yourself surgeries, from hemorrhoidectomy to breast enlargement; and, most importantly,how to craft a completely believable, official-sounding get-out-of-work-for-medical-reasons note.

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    Let’s Play Doctor

    1.4 hrs • 7/15/12 • Abridged
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  14. 6.5 hrs • 7/15/2012 • Abridged

    Did the mega-bestselling Why Do Men Have Nipples? exhaust your curiosity about stuff odd, icky, kinky, noxious, libidinous, or just plain embarrassing? “No,” you say? Well good, because the doctor and his able-bodied buddy are IN! Again! Now go-to authorities for that sort of thing, Mark Leyner and Billy Goldberg, M.D., take on the differences between the sexes. Those burning questions like, “Why Doesn't My Husband Ever Listen?” or “Why Does My Wife ALWAYS Have to Pee?” and of course, “Why Do Men Fall Asleep After Sex?” plus plenty of others to keep you fully informed. Full of smart and snarky answers to an onslaught of new questions, all in the do-ask-we’ll-tell spirit, that entertain and teach you something at the same time, Why Do Men Fall Asleep After Sex? offers the real lowdown on all the myriad of the things that everyone wants to know about all things anatomical, medical, sexual, nutritional, animal, mineral, but would only ask a physician after a few too many. Bigger, funnier, and better than ever, Why Do Men Fall Asleep After Sex? proves that in the battle of the sexes, as in most things, a little Q&A is a safe, effective, minimally invasive remedy.

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    Why Do Men Fall Asleep After Sex?

    6.5 hrs • 7/15/12 • Abridged
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  15. 6.4 hrs • 1/10/2012 • Unabridged

    When the diagnosis is serious, what makes the difference between hope and despair? As a practicing oncologist, Dr. Al Weir works daily with patients who receive bad news. A medical doctor with a pastor’s heart, Dr. Weir knows from experience that it’s the patient’s focus, not the diagnosis, that indicates whether one will slip into despair and hopelessness or have the courage to live each day fully. Resilience of spirit can powerfully influence recovery and healing, and within our crisis, the choices we make are important.  When Your Doctor Has Bad News offers no easy answers, no quick outs. But it does equip you to weather the storm you are facing and emerge whole again. Practical tips provide questions for you to ask your doctor and choices you can make to achieve your best chances for healing. Real-life stories show how others have coped with life-threatening illness, walked with God, and won. You can deepen communion with God in the midst of medical crisis.  When Your Doctor Has Bad News gives you proven principles that will enable you to choose a life worth living, no matter what news the doctor has given you.

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    When Your Doctor Has Bad News

    Foreword by Joni Eareckson Tada
    Read by Tom Parks
    6.4 hrs • 1/10/12 • Unabridged
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  16. 8.4 hrs • 1/13/2011 • Unabridged

    For years we have been told to make lists and obsessively monitor when we’re angry, what we eat, how much we worry, and how often we go to the gym. So why isn’t everyone healthy? Now based on the most extensive study of long life ever conducted The Longevity Project reveals what really matters across the long run—the personality traits, relationships, experiences, and career paths that naturally keep you vital. Gathering key new information and using modern research methods to study 1,500 Californians across eight decades, health scientists Dr. Howard S. Friedman and Dr. Leslie R. Martin bust many old dead-end myths. For instance, –People do not die from working long hours at a challenging job—many who worked hardest lived the longest –Getting and staying married is not the magic ticket to long life, especially if you’re a woman –It’s not the happy-go-lucky who thrive—it’s the prudent and persistent who flourish through the years. See why. With self-tests that illuminate your own best paths to longer life, and a deeper scientific understanding than we have seen before of the true causes of long-term health, this audio book will change the conversation about what it really takes to optimize your chances for a long, healthy life.

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    The Longevity Project

    8.4 hrs • 1/13/11 • Unabridged
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