Fraud is the result of government and insurance company control of health care. The growth of bureaucracy is a precursor to incompetence and soaring costs of medical care. A lack of clinical diagnosis and a dependence on expensive testing has increased costs while decreasing the doctor's competence. The FBI and the attorneys general of all states are dealing with exploding health care fraud. The result is a trillion dollars in waste and deception. Trillion Dollar Scam details the origin of this fraud and waste, and offers solutions to fixing the broken U.S. health care system.
The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive, often ineffective, and sometimes harmful medical care.
You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated—and gives you too many forms to fill out. But the central problem is that too much medical care has too little value.
Dr. H. Gilbert Welch is worried about too much medical care. It’s not to deny that some people get too little medical care, rather that the conventional concern about “too little” needs to be balanced with a concern about “too much”: too many people being made to worry about diseases they don’t have—and are at only average risk to get; too many people being tested and exposed to the harmful effects of the testing process; too many people being subjected to treatments they don’t need—or can’t benefit from.
The American public has been sold the idea that seeking medical care is one of the most important steps to maintain wellness. Surprisingly, medical care is not, in fact, well correlated with good health. So more medicine does not equal more health; in reality the opposite may be true.
The general public harbors assumptions about medical care that encourage overuse, assumptions like it’s always better to fix the problem, sooner (or newer) is always better, or it never hurts to get more information. Less Medicine, More Health pushes against established wisdom and suggests that medical care can be too aggressive. Drawing on his twenty-five years of medical practice and research, Dr. Welch notes that while economics and lawyers contribute to the excesses of American medicine, the problem is essentially created when the general public clings to these powerful assumptions about the value of tests and treatments—a number of which are just plain wrong.
By telling fascinating (and occasionally amusing) stories backed by reliable data, Dr. Welch challenges patients and the health-care establishment to rethink some very fundamental practices. His provocative prescriptions hold the potential to save money and, more important, improve health outcomes for us all.
CLINICAL BIOMECHANICS OF THE LOWER EXTREMITY is a comprehensive text addressing the principles of anatomic and biomechanical development and the clinical application of these principles to disease/disorder management. The emphasis of the book is on practical information applicable to the daily practice of lower extremity care. Topics covered include: the physical examination and the assessment of disorders having a biomechanical basis, casting techniques, prescription writing, orthotic trouble-shooting, splinting and shoe prescription for athletic activity.
Seeing is believing with the Atlas of Normal Roentgen Variants That May Simulate Disease, edited by the late Theodore Keats and Mark W. Anderson. Now streamlined into a more concise, portable print format, with a wealth of additional content online, this medical reference book's thousands of images capture the roentgenographic presentation of a full range of normal variants and pseudo-lesions that may resemble pathologic conditions, helping you avoid false positives. You'd be hard pressed to find a comparable image collection in any one place online.
- Make the correct diagnosis with hundreds of MR and CT correlations.
- Recognize the entire spectrum of normal variants with over 6,000 images, the largest collection available on this topic.
- Prepare for the pitfalls of the oral exam with an easily accessible text that's designed to help you avoid false positives.
- Find the most essential content more quickly with a much more compact print volume that covers only the most important skeletal presentations.
- Access the complete contents of the book online at www.expertconsult.com, plus
- Complete coverage of soft tissues
- Hundreds of additional skeletal images
Browse the best collection of normal variants in the world!
The Fifth Edition of this best-selling reference is a compendium of evidence-based approaches to the most common presenting complaints. Covering both musculoskeletal and visceral complaints, this text is intended to direct the chiropractor toward an appropriate plan of approach in both diagnostic evaluation and care. Highlighting these approaches are flowcharts (algorithms), relevant historical questioning, and summaries of common conditions related to the presenting complaint. What s New in the 5th Edition? Additional disorders added to Selected Causes at the conclusion of chapters Addition of Likelihood Ratio graphics Addition of approximately 500 new references New Appendix: Evidence Based Approach to the Literature Expanded Appendix: Pharmacology for the Chiropractor includes newer drugs and further explains the classifications of medications mechanisms Translation into Practice Summary (TIPS) for most of the orthopedic chapters Updated Algorith"
For student clinicians and clinical supervisors alike, clinical practicum in speech-language pathology is a learning experience that involves clearly defined expectations, ethical principles, and effective methods of treatment. This comprehensive resource provides a well-rounded discussion of the clinical practicum, including basic organization and competency guidelines, ethical and behavioral conduct between the student and supervisor and with clients, and multicultural issues encountered in clinical practice. Also presented are effective clinical methods in the treatment, control, and maintenance of communicative disorders.
Important Notice: Media content referenced within the product description or the product text may not be available in the ebook version.
The Nurse's 3-Minute Clinical Reference is organized into four sections—Disorders, Treatments, Procedures, and Diagnostic Studies—with entries within each section organized alphabetically. Each Disorders and Procedures entry is six columns on a two-page spread; each Diagnostic Studies and Treatments entry is three columns on one page. Information is provided in brief bulleted points.
Part I covers more than 300 acute and chronic health problems including the newest conditions such as metabolic syndrome. Part II covers more than 50 treatments; Part III, more than 75 procedures; and Part IV, more than 130 diagnostic tests. Entries in each section follow a consistent format.
As medical imaging plays an increasingly important role in the diagnosis and treatment of patients, it has become vital for medical practitioners to have a thorough understanding of the many complicated techniques available. The Oxford Handbook of Medical Imaging is a practical quick-reference guide to all the modalities and techniques of imaging for medical and surgical conditions. Practical and easy to use, the handbook covers all common diagnoses, symptoms, and conditions. Medical and surgical emergencies are covered, along with explanations of the rationale behind each imaging techinque and the common questions likely to be asked. Fully illustrated throughout with example images from real cases, the indications, merits, and drawbacks of all the various modalities are explained in quick bullet points for ease of understanding and quick reference. Each chapter (where appropriate) is split into handy sections on differential diagnosis, presenting symptoms, and common conditions, so you will always have the most relevant information at your fingertips. This handbook is sure to be a constant companion for all radiographers and students, junior doctors, clinicians, and anyone who works with medical imaging.
The revised, updated Fifth Edition of this pocket book is a handy reference to consult when making bedside interpretations of clinical data. Remarkably complete for its small size, the book lists nearly 200 symptoms, physical signs, laboratory test results, and radiologic findings and their differential diagnoses.
This edition has a new, more user-friendly two-color design, tabs indicating sections, and shortened lists of the most common diagnoses. An expanded section on HIV infection covers new manifestations, including immune reconstitution syndrome. The infectious disease chapter has been revised to reflect its increasing importance in clinical medicine, the emergence of multi-drug resistant bacteria, and the threat of bioterrorism.
Have you ever wanted to calculate the predicted peak flow for one of your asthmatic patients without spending valuable minutes searching for that confounded little slide rule gizmo? Wouldn’t it be great if you could somehow remember all Mrs. Jones’ medications when the nursing home calls to see if it’s OK to treat her acutely elevated blood pressure with some atenolol?
Handheld computers are emerging as the stethoscopes of the twenty-first century, and no clinician should be without this essential tool. These small, easy-to-use devices are now powerful enough to help clinicians manage information and make medical decisions at the point of care. This comprehensive how-to guide targets all levels of handheld computer users, from novices to experts, and demonstrates how to make the most of handheld computers in any medical practice.
Designed with easy-to-understand, hands-on exercises for each new skill presented, this book begins with choosing a handheld and "getting to know" your new device. It then progresses through downloading and installing software, using charge capture and e-prescription programs, Internet and evidence-based resources for your device, designing and programming your own programs, and going wireless. Written by three experienced family medicine clinicians, Handhelds in Medicine is designed to improve every day practice for any busy health professional. There are chapters written for and by nearly every health professional, including nurses, physician assistants and speech pathologists. Reviews of handheld devices and websites will be kept current at www.handheldsinmedicine.com