Ordinary Medicine Pdf/E–pub

S Thanks to NetGalley and Duke University Press for the opportunity to read and review an advance reader s copy of Ordinary MedicineIn Ordinary Medicine Extraordinary Treatments Longer Lives and Where to Draw the Line Sharon R Kaufman a medical anthropologist poses the uestion of when where and how to raw the line when it comes to medical care for the aging particularly toward the end of life Kaufman states that a nearly invisible chain of social economic and bureaucratic forces has made once extraordinary treatments seem ordinary necessary and esirable She provides a well researched portrayal of the operations of the US health care system and examines the fine line between providing enough treatment to older adults vs over treatment or too much thereby increasing uantity of life without necessarily increasing uality Kaufman refers to this as a perfect storm created by the pharmaceutical and biomedical industries along with insurance companies She etails how research and clinical trials contribute to new treatments what treatments are subseuently funded by Medicare and thus all private insurers as well how treatments come to be considered standard and necessary and concerns of fairness and ethics with a variety of medical issues Kaufman mentions several changes in the field of medicine that have been the focus of widespread concern and that I have noticed as well uring a of medicine that have been the focus of widespread concern and that I have noticed as Well During A In during a in health care field including Too much life sustaining but eath prolonging technology is being used at the end of life Drug companies are increasingly paying physicians to promote their products Expensive tests Love, Immortal (Alchemy, devices and procedures are overused Drug costs have skyrocketed yet the newrugs Lego DC Super Heroes don t necessarily offer better results than existing treatmentsKaufman further affirms that In the United States today mosteaths regardless of a person s age have come to be considered premature She says that the particularly American ethos of is always better underlies the high tech and aggressive approaches to treatment She then elves into what she considers the four primary rivers and provides patient vignettes to illustrate each 1 The biomedical research industry and mushrooming clinical trials engine 2 Medicare and private insurance Renaissance Emerge Series determination of whether specific therapiesevices or procedures should be reimbursable 3 The ensuing standards of care that arise once a therapy is reimbursable by insurance and 4 The resulting ethical Guantanamo and the Abuse of Presidential Power difficulty or even impossibility for physicians patients and families to refuse a specific therapy once it iseemed standard Ordinary Medicine is From a Whisper to a Shout definitely not a light uick read It is along the lines of aissertation or very long journal article about the issues involved in end of life care with many notations and references along the way For this reason I think the book may appeal so to those with some health care background or at least those with a strong interest in learning about the influence of social economic political ethical and cultural forces on US health care. Too much intervention Their stories anchor Ordinary Medicine Today’s medicine Kaufman contends shapes nearly every American’s experience of growing older and ultimately medicine is undermining its own ability to function as a social good Kaufman’s careful mapping of the sources of our health care ilemmas should make it far easier to rethink and renew medicine’s goa. Ordinary MedicineInteresting and thought provoking Ordinary Medicine

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at the in medical science from the perspective of geriatric andor end of life medicine It provides insights into ecision making for feeding tubes liver transplants Integrating African American Literature in the Library and Classroom dialysis pacemakers IEDs bypass surgery etc It is very helpful for making end of lifeecions for parents or self Ordinary Medicine is one of those books that is simultaneously Celtic Plant Magic: A Workbook for Alchemical Sex Rituals deeplyisturbing and enlightening Having lived through the reality of both of my elderly parents being offered and accepting and Reading Contemporary African American Literature demanding extraordinary medical treatments that extended but at a huge cost in all ways their lives by perhaps a few years reading this book was validation of the ethical complexities of it all Where toraw the line indeed is the multi billion ollar uestion we all need to ask ourselves Although published by an academic press this book is written in easy prose and many non academic readers would find this book relevant and interesting Kaufman tackles the fundamental uestion facing medicine in the US today while it is possible to extend human life longer and longer with new technologies how much is too much She points out that the medical industrial complex as well as Medicare force octors to provide new technologies for old patients But should Happy Alchemy: On the Pleasures of Music and the Theatre decisions on what options patients have be influenced by the interests of the industry Should we prioritize patients over 65 in medical care just because they have Medicare when so many younger Americanson t even have access to basic healthcare While a lot of what the author says specifically applies to the US especially about the politics of insurance o not apply to many other contexts that have universal health care I think the uestions she iscuses are prominent in many other societies as well My mother s friend s husband in his late 50s recently had severe brain amage in Japan And He Is Brain and he is brain but he is being kept alive by latest medical technologies Doctors cannot stop this treatment because oing so would be eual to murder but is this really the best option for him and his family when his wife American Africans in Ghana Black Expatriates and the Civil Rights Era The John Hope Franklin Series in African American History and Culture does not have a job and keeping him alive for an unextended period of time costs tons of money Ultimately as Kaufman argues there should be a nation wide and globaliscussion about what is ethically agreeable care especially for the old the brain BWWM (Interracial African American Billionaire Baby Romance Marriage Urban) 16 (Interracial African American Billionaire Baby Romance Marriage Urban) 16: Billionaires Secret Baby (Interracial African American Romance Urban Baby Romance Short Stories) dead and the chronically ill I found this book fascinating As a physician Ieeply appreciate the perspective history and ethical evaluations this book provides to understand the forces that currently shape medicine in the US I read the book with increasing interest The author writes as a scholar but the book is uite readable She explains that Ordinary Medicine is beneath the radar and has been formed by the forces of fundingreimbursement focusing on Medicare an aging society and the shift from patriarchal medicine to shared My Hero Academia decision making which often foists a huge burden upon patients Until I read this book I had no idea that implantableefibrillators had bec. Most of us want and expect medicine’s miracles to extend our lives In today’s aging society however the line between life giving therapies and too much treatment is hard to see it’s being obscured by a perfect storm created by the pharmaceutical and biomedical industries along with insurance companies In Ordinary Medicine Sharon R Kaufman investigates what rives that. ,
Ome so ubiuitous in elderly Patients And She Describes A and she escribes a a perfect storm of unlimited Medicare funding for hospital based medicine technological advances and clinical guidelines that encourage intervention She evaluates the ethics and practice of transplant medicine where organs are allocated by time on the list and uite elderly patients receive organs from much younger Diamond in the Dark donors The system is inesperate need of change and yet as she uoted a physician aughter of a terminally ill patient harshly responding is to a physician s attempt to palliate Americans are terrified of rationing and lack of access to treatment in healthcare but this book shows how so much of the evidence based ecisions are often based on reimbursement market forces and unexamined ethical uandaries And conflicts of interest abound Most of us in medicine need perspective and we re often in the trenches and unable to take this long view this book provides much needed long view This book provides much needed and exploration of the unseen forces behind Ordinary Medicine I was asked to review this book by the Nursing Times JournalDescription This is an interesting and thought provoking book this focuses on the older patient In this The Devil’s Historians How Modern Extremists Abuse the Medieval Past day and age and the ever increasing advances in medicineo we as clinicians and healthcare practitioners o too much When is enough This book gives the reader a little breathing space to re evaluate and review our practices is enough This book gives the reader a little breathing space to re evaluate and review our practices The chapter concerning chemotherapy and giving a patient perhaps longer to live was really thought provoking the author explores this with the other side of the coin and the ilemmas concerning at what cost will this be to the etriment of the patients uality of life and at the same time being bombarded with life expectancy figures There is at times perhaps misunderstanding that having very invasive treatment for incurable cancers will not cure them The author explores the is better which can be right up to eath and could the patient have had uality of life in a shorter time it shows as we know medicine cannot be an exact scienceThe older patient becomes a Hardcore physical child abuse dilemma we are living longer but with that comes complex medical problems The clock ticks but yet clinicians are striving to keep people alive irrespective of patient s medical conditionsIt begs the uestiono we need a rethink at times and o we need to ensure we are treating patients as individuals and not conditionsThe author has spent time listening to patients clinicians and family members to gain their perspective and uniue experiencesStrengths and weaknesses Written for the healthcare settings in the States but that need not eter UK readers as the information is just as relevant in the UK Potential Readers This is book for all healthcare practitioners and medical staff making Dare for More decisions and caring for patients Examples could be used for case studies in mortality and MDT meetings This is a book to be on junioroctor and nursing reading lists and just as apt for the senior medical team alsohttpswebmailtalktalkcoukcpp. Storm’s “ is better” approach to medicine a nearly invisible chain of social economic and bureaucratic forces that has made once extraordinary treatments seem ordinary necessary and esirable Since 2002 Kaufman has listened to hundreds of older patients their physicians and family members express their hopes fears and reasoning as they faced the line between enough and. ,