Powerful Medicines

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Publisher : Vintage
ISBN 13 : 0307489752
Total Pages : 476 pages
Book Rating : 4.3/5 (74 download)

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Book Synopsis Powerful Medicines by : Jerry Avorn, M.D.

Download or read book Powerful Medicines written by Jerry Avorn, M.D. and published by Vintage. This book was released on 2008-12-10 with total page 476 pages. Available in PDF, EPUB and Kindle. Book excerpt: If you believe that the latest blockbuster medication is worth a premium price over your generic brand, or that doctors have access to all the information they need about a drug’s safety and effectiveness each time they write a prescription, Dr. Jerry Avorn has some sobering news. Drawing on more than twenty-five years of patient care, teaching, and research at Harvard Medical School, he shares his firsthand experience of the wide gap in our knowledge of the effectiveness of one medication as compared to another. In Powerful Medicines, he reminds us that every pill we take represents a delicate compromise between the promise of healing, the risk of side effects, and an increasingly daunting price. The stakes on each front grow higher every year as new drugs with impressive power, worrisome side effects, and troubling costs are introduced. This is a comprehensive behind-the-scenes look at issues that affect everyone: our shortage of data comparing the worth of similar drugs for the same condition; alarming lapses in the detection of lethal side effects; the underuse of life-saving medications; lavish marketing campaigns that influence what doctors prescribe; and the resulting upward spiral of costs that places vital drugs beyond the reach of many Americans. In this engagingly written book, Dr. Avorn asks questions that will interest every consumer: How can a product judged safe by the Food and Drug Administration turn out to have unexpectedly lethal side effects? Why has the nation’s drug bill been growing at nearly 20 percent per year? How can physicians and patients pick the best medication in its class? How do doctors actually make their prescribing decisions, and why do those decisions sometimes go wrong? Why do so many Americans suffer preventable illnesses and deaths that proper drug use could have averted? How can the nation gain control over its escalating drug budget without resorting to rationing or draconian governmental controls? Using clinical case histories taken from his own work as a practitioner, researcher, and advocate, Dr. Avorn demonstrates the impressive power of the well-conceived prescription as well as the debacles that can result when medications are misused. He describes an innovative program that employs the pharmaceutical industry’s own marketing techniques to reduce use of some of the most overprescribed and overpriced products. Powerful Medicines offers timely and practical advice on how the nation can improve its drug-approval process, and how patients can work with doctors to make sure their prescriptions are safe, effective, and as affordable as possible. This is a passionate and provocative call for action as well as a compelling work of clear-headed science.

Strong Medicine

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Publisher : Open Road Media
ISBN 13 : 1504022203
Total Pages : 452 pages
Book Rating : 4.5/5 (4 download)

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Book Synopsis Strong Medicine by : Arthur Hailey

Download or read book Strong Medicine written by Arthur Hailey and published by Open Road Media. This book was released on 2015-10-20 with total page 452 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master storyteller Arthur Hailey’s New York Times–bestselling novel takes readers behind the scenes of the billion-dollar pharmaceutical drug industry It starts as a routine case: Mary Rowe contracts hepatitis from unclean drinking water, and the infection should work its way out of her system in a few days. But when the illness worsens and she slips into a coma, Dr. Andrew Jordan is forced to tell Rowe’s husband that his wife is dying. It’s 1957 and there simply isn’t a drug that can save her. Pharmaceutical saleswoman Celia de Grey then offers Dr. Jordan a sample of an experimental drug that cures the dying woman overnight. This marks the beginning of an epic journey—and a great romance—for a dedicated internist and an idealistic, ambitious woman. The miracle cure establishes de Grey as a rising star within the industry. But as the years pass, she and her husband, Dr. Jordan, begin to realize that her bosses are driven not by the desire to eradicate disease, but by greed. Millions can be made in matters of life and death—for those who don’t mind getting blood on their hands.

Wonder Drug

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Publisher : St. Martin's Essentials
ISBN 13 : 1250809053
Total Pages : 228 pages
Book Rating : 4.2/5 (58 download)

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Book Synopsis Wonder Drug by : Stephen Trzeciak, M.D.

Download or read book Wonder Drug written by Stephen Trzeciak, M.D. and published by St. Martin's Essentials. This book was released on 2022-06-21 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: A pair of doctors team up to illuminate, through neuroscience and captivating stories from their clinical practice, how serving others—and pitching in to the world in general—is a secret superpower. If a doctor’s prescription could bring you: - Longer life - Better health - More energy and resilience - Less burnout, depression and anxiety - More happiness, fulfillment and well-being - More personal and professional success (including higher income) - And, no harmful side effects Would you take it? In Wonder Drug, physician scientists Stephen Trzeciak, M.D., and Anthony Mazzarelli, M.D., illuminate, through neuroscience and captivating stories from their clinical practices, how being a giving, other-focused person is a secret superpower. Serving others—and pitching in to the world in general—is the evidence-based way to live your life. Kinder people not only live longer, they also live better. Science shows that serving others is not just the right thing to do, it’s also the smart thing to do. Wonder Drug will make you rethink your notions of “self-care” and “me time,” and realize that focusing on others is a potent antidote to the weariness that so many of us feel in modern times. Getting outside of your own head, outside the swirl of self-concern that may dominate your mental chatter, is, ironically, one of the best things you can do for yourself. Building upon their earlier work showing that, in the context of healthcare, having more compassion for patients is a powerful way to not only achieve better patient outcomes, but also promote well-being, resilience and resistance to burnout among healthcare workers, Trzeciak and Mazzarelli now extend their research to uncover how the power of serving others reaches far beyond the medical world and can be a life-changing therapy for everyone. Wonder Drug relates to the varying meanings of giving in real people’s daily lives. The stories in this book will convince and inspire you to make simple prism changes. You don’t need a total life upheaval, just a purposeful shift in mindset. In fact, the crucial first piece of the evidence-based prescription is this: start small. Per science, the best way to well-being and finding your true fulfillment is this: scan your orbit for the people around you in need of help, and go fill that need, as often as you can.

Your Money or Your Life

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Author :
Publisher : Oxford University Press
ISBN 13 : 019803640X
Total Pages : 175 pages
Book Rating : 4.1/5 (98 download)

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Book Synopsis Your Money or Your Life by : David M. Cutler

Download or read book Your Money or Your Life written by David M. Cutler and published by Oxford University Press. This book was released on 2004-02-05 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The problems of medical care confront us daily: a bureaucracy that makes a trip to the doctor worse than a trip to the dentist, doctors who can't practice medicine the way they choose, more than 40 million people without health insurance. "Medical care is in crisis," we are repeatedly told, and so it is. Barely one in five Americans thinks the medical system works well. Enter David M. Cutler, a Harvard economist who served on President Clinton's health care task force and later advised presidential candidate Bill Bradley. One of the nation's leading experts on the subject, Cutler argues in Your Money or Your Life that health care has in fact improved exponentially over the last fifty years, and that the successes of our system suggest ways in which we might improve care, make the system easier to deal with, and extend coverage to all Americans. Cutler applies an economic analysis to show that our spending on medicine is well worth it--and that we could do even better by spending more. Further, millions of people with easily manageable diseases, from hypertension to depression to diabetes, receive either too much or too little care because of inefficiencies in the way we reimburse care, resulting in poor health and in some cases premature death. The key to improving the system, Cutler argues, is to change the way we organize health care. Everyone must be insured for the medical system to perform well, and payments should be based on the quality of services provided not just on the amount of cutting and poking performed. Lively and compelling, Your Money or Your Life offers a realistic yet rigorous economic approach to reforming health care--one that promises to break through the stalemate of failed reform.

The Lean Prescription

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Publisher : CRC Press
ISBN 13 : 1482246384
Total Pages : 188 pages
Book Rating : 4.4/5 (822 download)

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Book Synopsis The Lean Prescription by : Patricia A. Gabow

Download or read book The Lean Prescription written by Patricia A. Gabow and published by CRC Press. This book was released on 2014-10-20 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, Dr. Gabow, former CEO of Denver Health of 20 years, teams up with Philip Goodman, a 34-year veteran of Denver Health who directed the Lean System group, to share their Lean journey. The Lean Prescription: Powerful Medicine for Our Ailing Healthcare System tells the story of how Dr. Gabow led Denver Health to become the first healthcare organization to be awarded the Shingo Bronze Medallion Prize for Operational Excellence. Detailing the foundational Lean principles, the book provides readers with the benefit of the experience of an integrated healthcare system's successful seven-year Lean journey. This book grew out Gabow’s 40 years' experience as a practicing physician, teacher, researcher, and leader of a large, urban public healthcare system. About 10 years into her 20 years as CEO of the healthcare system, she began to look at how one could actually make healthcare work right. After a year of study, she and her team concluded that Lean was exactly what healthcare needed. During the seven-year Lean journey that followed, Denver Health dramatically improved quality of care. Denver Health achieved a reduction of the expected mortality rate to the lowest among the academic health center members of the University Health System Consortium in 2011.The financial results were equally impressive. Denver Health realized almost $200 million of well-documented, hard financial benefit over seven years. This book provides authoritative guidance on how to effectively implement a Lean transformation in a healthcare system that includes hospitals, HMOs, community health centers, call centers, and paramedics. Providing an accessible explanation of the Lean philosophy and tools, the book includes helpful exercises and examples of Lean applications. The book goes beyond the hospital environment to the broader healthcare sector.

Mind Medicine

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Publisher : Collins & Brown
ISBN 13 : 9781843330288
Total Pages : 224 pages
Book Rating : 4.3/5 (32 download)

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Book Synopsis Mind Medicine by : Uri Geller

Download or read book Mind Medicine written by Uri Geller and published by Collins & Brown. This book was released on 1999 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book, Uri Geller shows that the human mind is a powerhouse of energy, untapped by most people and yet capable of restoring physical and mental health. He shows that if you believe your mind is powerful enough to affect your health, you can send that message to your brain directly.

Medications for Opioid Use Disorder Save Lives

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Publisher : National Academies Press
ISBN 13 : 0309486483
Total Pages : 175 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Medications for Opioid Use Disorder Save Lives by : National Academies of Sciences, Engineering, and Medicine

Download or read book Medications for Opioid Use Disorder Save Lives written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-06-16 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid crisis in the United States has come about because of excessive use of these drugs for both legal and illicit purposes and unprecedented levels of consequent opioid use disorder (OUD). More than 2 million people in the United States are estimated to have OUD, which is caused by prolonged use of prescription opioids, heroin, or other illicit opioids. OUD is a life-threatening condition associated with a 20-fold greater risk of early death due to overdose, infectious diseases, trauma, and suicide. Mortality related to OUD continues to escalate as this public health crisis gathers momentum across the country, with opioid overdoses killing more than 47,000 people in 2017 in the United States. Efforts to date have made no real headway in stemming this crisis, in large part because tools that already existâ€"like evidence-based medicationsâ€"are not being deployed to maximum impact. To support the dissemination of accurate patient-focused information about treatments for addiction, and to help provide scientific solutions to the current opioid crisis, this report studies the evidence base on medication assisted treatment (MAT) for OUD. It examines available evidence on the range of parameters and circumstances in which MAT can be effectively delivered and identifies additional research needed.

Ancient Remedies

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Publisher : Little, Brown Spark
ISBN 13 : 0316496472
Total Pages : 423 pages
Book Rating : 4.3/5 (164 download)

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Book Synopsis Ancient Remedies by : Dr. Josh Axe

Download or read book Ancient Remedies written by Dr. Josh Axe and published by Little, Brown Spark. This book was released on 2021-02-02 with total page 423 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bestselling author Dr. Josh Axe explains how to treat more than seventy diseases, lose weight, and increase vitality with traditional healing practices passed down through the ages. Long before the first pharmaceutical companies opened their doors in the 1850s, doctors treated people, not symptoms. And although we've become used to popping pills, Americans have finally had it with the dangerous side effects, addiction and over-prescribing—and they're desperate for an alternative. Here's the good news: That alternative has been here all along in the form of ancient treatments used for eons in traditional Chinese, Ayurvedic and Greek medicine. Ancient Remedies is the first comprehensive layman's guide that will bring together and explain to the masses the very best of these time-tested practices. In Ancient Remedies, Dr. Axe explores the foundational concepts of ancient healing—eating right for your type and living in sync with your circadian clock. Readers will learn how traditional practitioners identified the root cause of each patient's illness, then treated it with medicinal herbs, mushrooms, CBD, essential oils, and restorative mind-body practices. What's more, they'll discover how they can use these ancient treatments themselves to cope with dozens of diseases, from ADHD to diabetes, hypothyroidism, autoimmune disease, and beyond. Through engaging language and accessible explanations, Ancient Remedies teaches readers everything they need to know about getting, and staying, healthy—without toxic, costly synthetic drugs.

Healing with Poisons

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Publisher : University of Washington Press
ISBN 13 : 0295749016
Total Pages : 278 pages
Book Rating : 4.2/5 (957 download)

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Book Synopsis Healing with Poisons by : Yan Liu

Download or read book Healing with Poisons written by Yan Liu and published by University of Washington Press. This book was released on 2021-06-22 with total page 278 pages. Available in PDF, EPUB and Kindle. Book excerpt: Open access edition: DOI 10.6069/9780295749013 At first glance, medicine and poison might seem to be opposites. But in China’s formative era of pharmacy (200–800 CE), poisons were strategically employed as healing agents to cure everything from abdominal pain to epidemic disease. Healing with Poisons explores the ways physicians, religious figures, court officials, and laypersons used toxic substances to both relieve acute illnesses and enhance life. It illustrates how the Chinese concept of du—a word carrying a core meaning of “potency”—led practitioners to devise a variety of methods to transform dangerous poisons into effective medicines. Recounting scandals and controversies involving poisons from the Era of Division to the Tang, historian Yan Liu considers how the concept of du was central to how the people of medieval China perceived both their bodies and the body politic. He also examines the wide range of toxic minerals, plants, and animal products used in classical Chinese pharmacy, including everything from the herb aconite to the popular recreational drug Five-Stone Powder. By recovering alternative modes of understanding wellness and the body’s interaction with foreign substances, this study cautions against arbitrary classifications and exemplifies the importance of paying attention to the technical, political, and cultural conditions in which substances become truly meaningful. Healing with Poisons is freely available in an open access edition thanks to TOME (Toward an Open Monograph Ecosystem) and the generous support of the University of Buffalo.

Pain Killer

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Publisher : Rodale
ISBN 13 : 9781579546380
Total Pages : 348 pages
Book Rating : 4.5/5 (463 download)

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Book Synopsis Pain Killer by : Barry Meier

Download or read book Pain Killer written by Barry Meier and published by Rodale. This book was released on 2003-10-17 with total page 348 pages. Available in PDF, EPUB and Kindle. Book excerpt: Examines OxyContin, the so-called miracle prescription drug that swept the nation but led to overdoes and addiction, providing a look at the multi-billion-dollar pain managment business, its excesses and its abuses.

Powerful Medicine

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Publisher : Dog Ear Publishing
ISBN 13 : 1608443272
Total Pages : 190 pages
Book Rating : 4.6/5 (84 download)

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Book Synopsis Powerful Medicine by : Lucinda Messer

Download or read book Powerful Medicine written by Lucinda Messer and published by Dog Ear Publishing. This book was released on 2009-12 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Vitamin D deficiency is a world-wide epidemic, with over one billion people at risk for its associated diseases." www.vitamindcouncil.org Powerful Medicine: Vitamin D is the inside scoop on what has become a very real health crisis around the world. Inside these pages you'll find out exactly how vitamin D operates in the body and what happens when it's not available for protection. A deficiency in vitamin D is the main reason we have skyrocketing incidence of Cancer, MS, Diabetes, Osteoporosis, Depression, Season Affective Disorder, Autism, Hypertension and more. And what can healthy levels of vitamin D do for you? To start with, activated vitamin D can: halt tumor growth and reduce tumor size, improve heart health by regulating blood pressure, improve insulin production and regulate blood sugar levels, improve chances of survival from cancer related surgery, keep bones healthy by regulating calcium levels, improve mental health and provide protection from the common cold, viruses and much, much more. By reading this book you are stepping onto a path that will ultimately protect you and your loved ones from the natural consequences of vitamin D deficiency. In light and health, Lucinda Messer, N.D. Dr. Messer is a naturopathic physician and graduate of the prestigious Bastyr University. She has been in private practice for 15 years; specializing in women's health, nutritional and anti-aging medicine. Dr. Messer's writings on anti-aging, the thyroid and natural hormone therapies, have been widely published and she's frequently asked to speak on nutritional medicine. You can find Dr. Messer on the web at www.powerfulmedicine-vitd.com and www.DrLMesser.com. Her co-author Sidse Powell is a freelance writer with an undergrad in biochemistry and alumni of Seattle's The Film School. www.sidsewrites.com. The illustrations and cover were designed by Riley Dickens, a freelance artist with disciplines in film, animation, 2D/3D design, illustration, acrylics, digital paint, and more. www.rileydickens.com.

Best Care at Lower Cost

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Publisher : National Academies Press
ISBN 13 : 0309282810
Total Pages : 437 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Best Care at Lower Cost by : Institute of Medicine

Download or read book Best Care at Lower Cost written by Institute of Medicine and published by National Academies Press. This book was released on 2013-05-10 with total page 437 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Man's 4th Best Hospital

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Publisher : Berkley
ISBN 13 : 1984805363
Total Pages : 386 pages
Book Rating : 4.9/5 (848 download)

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Book Synopsis Man's 4th Best Hospital by : Samuel Shem

Download or read book Man's 4th Best Hospital written by Samuel Shem and published by Berkley. This book was released on 2019 with total page 386 pages. Available in PDF, EPUB and Kindle. Book excerpt: The sequel to the highly acclaimed The House of God. Years later, the Fat Man has been given leadership over a new Future of Medicine Clinic at what is now only Man's 4th Best Hospital, and has persuaded Dr. Roy Basch and some of his intern cohorts to join him to teach a new generation of interns and residents.

Instant Healing

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Publisher : Macmillan + ORM
ISBN 13 : 1250252997
Total Pages : 134 pages
Book Rating : 4.2/5 (52 download)

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Book Synopsis Instant Healing by : Serge Kahili King

Download or read book Instant Healing written by Serge Kahili King and published by Macmillan + ORM. This book was released on 2020-02-11 with total page 134 pages. Available in PDF, EPUB and Kindle. Book excerpt: Harness the power of Hawaiian Shamanism to rapidly heal yourself using the power of your body, energy, and mind. Our bodies and minds are inextricably woven together in a complex and powerful way. In Instant Healing: Mastering the Way of the Hawaiian Shaman Using Words, Images, Touch, and Energy, readers will learn how to explore and strengthen that connection to promote wellness. Using the wisdom of Hawaiian shamanism, author Serge Kahili King offers a radical path towards drug-free healing. All forms of injury—whether mental or physical, from disease, trauma, or illness— incur physical tension and stress. King offers a radical reinterpretation by showing that this physical tension and stress is not the result of the injury or disharmony, but rather the cause of it. By working to eliminate this root stress readers can achieve physical and mental healing for themselves without resorting to invasive methods. Written in a jargon-free and easily accessible style, Instant Healing will teach you to use the power of words, the power of imagination, the power of touch, and the power of energy to aide in the healing of all types of ailments. This 20th anniversary edition includes a new introduction featuring a bonus healing technique. The book also features a special section on emergency techniques that can be used with a minimum of explanation to bring rapid relief. Instant Healing will transform the way you consider your body and empower you to take control in a new way.

Colloidal Silver

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Publisher : Silver Solutions
ISBN 13 : 9780970864406
Total Pages : 156 pages
Book Rating : 4.8/5 (644 download)

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Book Synopsis Colloidal Silver by : Mark Metcalf

Download or read book Colloidal Silver written by Mark Metcalf and published by Silver Solutions. This book was released on 2001-01-01 with total page 156 pages. Available in PDF, EPUB and Kindle. Book excerpt: The most informative and comprehensive book regarding making and using colloidal silver ever published. Complete with medical references, footnotes, testimonials, and endorsed by medical doctors. Includes bibliographic material for 183 medical studies. Complete information regarding many types of colloidal silver, a wide range of possible uses, dispells much of the common myths and dis-information often found on the internet. Valuable natural healing and disease curing resource.

"Strong Medicine" Speaks

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Author :
Publisher : Simon and Schuster
ISBN 13 : 1416565957
Total Pages : 291 pages
Book Rating : 4.4/5 (165 download)

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Book Synopsis "Strong Medicine" Speaks by : Amy Hill Hearth

Download or read book "Strong Medicine" Speaks written by Amy Hill Hearth and published by Simon and Schuster. This book was released on 2008-03-18 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: From the bestselling author of Having Our Say: The Delany Sisters' First 100 Years comes the inspiring true story of Marion "Strong Medicine" Gould, a Native American matriarch, and the Indian way of life that must never be forgotten. Amy Hill Hearth's first book, Having Our Say, told the true story of two century-old African-American sisters and went on to become an enduring bestseller and the subject of a three-time Tony Award-nominated play. In "Strong Medicine" Speaks, Hearth turns her talent for storytelling to a Native American matriarch presenting a powerful account of Indian life. Born and raised in a nearly secret part of New Jersey that remains Native ancestral land, Marion "Strong Medicine" Gould is an eighty-five-year-old Elder in her Lenni-Lenape tribe and community. Taking turns with the author as the two women alternate voices throughout this moving book, Strong Medicine tells of her ancestry, tracing it back to the first Native peoples to encounter the Europeans in 1524, through the strife and bloodshed of America's early years, up to the twentieth century and her own lifetime, decades colored by oppression and terror yet still lifted up by the strength of an enduring collective spirit. This genuine and delightful telling gives voice to a powerful female Elder whose dry wit and charming humor will provide wisdom and inspiration to readers from every background.

The Principles and Practice of Narrative Medicine

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Publisher : Oxford University Press
ISBN 13 : 0199360197
Total Pages : 361 pages
Book Rating : 4.1/5 (993 download)

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Book Synopsis The Principles and Practice of Narrative Medicine by : Rita Charon

Download or read book The Principles and Practice of Narrative Medicine written by Rita Charon and published by Oxford University Press. This book was released on 2017 with total page 361 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Principles and Practice of Narrative Medicine articulates the ideas, methods, and practices of narrative medicine. Written by the originators of the field, this book provides the authoritative starting place for any clinicians or scholars committed to learning of and eventually teaching or practicing narrative medicine.