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In this new biography of Chris Barnard we not only learn about the life of South Africa’s most famous surgeon, from his Beaufort West childhood through his studies locally and abroad to his prominent marriages – and divorces – but James Styan also examines the impact of the historic heart transplant on Barnard’s personal life and South African society at large, where apartheid legislation often made the difficulties of medicine even more convoluted.
The role of black medical staff like Hamilton Naki is explored, as is the intense rivalry that arose between other famous heart surgeons and Barnard. How did Barnard manage to beat them all in this race of life and death? How much did his famous charisma have to do with it all? And in the light of his later years, his subsequent successes and considerable failures, what is Barnard’s legacy today?
Styan covers it all in this fascinating new account of a real heartbreaker that coincides with the 50th anniversary of the first heart transplant.
Vir die vroue wat hy met sy rolprentsterglimlag betower het, was Chris Barnard ’n hartebreker. Vir sy pasiŽnte ’n harteheler.
Diť nuwe biografie oor Suid-Afrika se beroemdste hartsjirurg vertel nie net van Barnard se kinderjare in Beaufort-Wes, sy prominente huwelike (en egskeidings) en flambojante lewe nie. James Styan ondersoek ook die impak van die historiese eerste hartoorplanting op Barnard se persoonlik lewe en op die Suid-Afrikaanse gemeenskap in die algemeen, waar apartheidswetgewing dikwels die probleme van geneeskunde nog ingewikkelder gemaak het. Die rol van swart mediese personeel soos Hamilton Naki word bespreek, sowel as die intense wedywering wat tussen ander beroemde hartsjirurge en Barnard ontstaan het.
Hoe het Barnard dit reggekry om hulle almal in diť resies om lewe en dood te wen? Hoeveel het sy welbekende sjarme daarmee te doen gehad? En wat is Barnard se nalatenskap vandag, in die lig van sy latere suksesse en aansienlike mislukkings? Styan dek dit alles in diť fassinerende nuwe blik op Chris Barnard wat uitgegee is om saam te val met die 50ste herdenking van die eerste hartoorplanting.
Departmentalising medicine has produced many specialities. This development is both essential and inevitable if progress is pursued. In the surgical field, at least ten disciplines have developed. Although these disciplines are very different in nature and practice, a large common ground binds them together: this title is about these common basic principles, which should form the core knowledge of all surgeons regardless of speciality. As in the past, the subjects covered in the intermediate examinations of the College of medicine of South Africa and the Universities offering Master in Surgery Degrees (Mmed) are represented. This material covers the principles of managing emergency situations across the different surgical disciplines, including intensive care, infections and trauma.
This landmark book is the most extensive and complete oculofacial plastic surgery guide available in the market. Updated and broadened from the three previous editions, it includes advances in the use of surgical navigation systems, and new techniques and treatments for diseases involving the eyelid, orbital and lacrimal system. Organized across 11 sections of in-depth, expertly written text, Smith and Nesi's Ophthalmic Plastic and Reconstructive Surgery, Fourth Edition has taken the best of the field's classic reference text and expanded upon it. Detailed chapters cover a multitude of topics relating to various ocular surgeries, pediatric considerations, ocular traumas, and anatomy. Supplemented with a myriad of high-quality illustrations, Smith and Nesi's Ophthalmic Plastic and Reconstructive Surgery, Fourth Edition is an indispensable reference for oculoplastics surgeons and physicians in other fields.
THE SUNDAY TIMES NUMBER ONE BESTSELLER
The first edition of Robotic Surgery was written only a decade after the introduction of robotic technology. It was the first comprehensive robotic surgery reference and represented the early pioneering look ahead to the future of surgery. Building upon its success, this successor edition serves as a complete multi-specialty sourcebook for robotic surgery. It seeks to explore an in-depth look into surgical robotics and remote technologies leading to the goal of achieving the benefits of traditional surgery with the least disruption to the normal functions of the human body. Written by experts in the field, chapters cover the fundamental principles of robotic surgery and provide clear instruction on their clinical application and long term results. Most notably, one chapter on "The Blueprint for the Establishment of a Successful Robotic Surgery Program: Lessons from Admiral Hymen R. Rickover and the Nuclear Navy" outlines the many valuable lessons from the transformative change which was brought about by the introduction of nuclear technology into the conventional navy with Safety as the singular goal of the change process. Robotics represents a monumental triumph of surgical technology. Undoubtedly, the safety of the patient will be the ultimate determinant of its success. The second edition of Robotic Surgery aims to erase the artificial boundaries of specialization based on regional anatomy and serves as a comprehensive multispecialty reference for all robot surgeons. It allows them to contemplate crossing boundaries which are historically defined by traditional open surgery.
As one of the world's leading brain surgeons, Dr Jandial is the last hope for many patients who have extreme forms of cancer - patients who can't be saved, but deserve more time. Life on a Knife's Edge is his account of the resilience, courage and belief he has witnessed in his patients, and the lessons he has learned from them. Both an unflinching account of extreme surgeries and a profound, moving and introspective memoir, this book reveals the depths of a surgeon's psyche who is pushed to his limits, day in, day out. From keeping a gun victim's heart pumping with his own hand, to saving a woman from paralysis and performing brain surgery while time is running out on a haemorrhaging patient, we see how making life and death decisions and facing unimaginable pressure has shaped one man's life. Now, he shares the many truths about human nature that he has learned along the way: from how we deal with trauma, loss and threat to our innate belief and sense of self. From a life spent balancing on the line between life and death, above all else he reveals what it really means to survive.
An increasing percentage of the population has at least one prosthetic joint. Imaging is required for both initial assessment and routine follow-up of the implant, and this book is intended as an informative and up-to-date guide to the subject. After an introductory section covering a range of background topics, the level of information offered by different imaging techniques in presurgical planning and postimplantation assessment is analyzed. The application of imaging to different joints is then carefully explored in chapters devoted to the foot and ankle, hip, knee, shoulder, and elbow, wrist and hand. In addition, two innovative chapters focus on periprosthetic DXA as the gold standard in monitoring implant survival and on the role of drug therapy in helping to ensure the durability of the prosthesis. A central feature of the book is its combination of the clinical and radiological perspectives; it will be of value to radiologists and orthopedic specialists, as well as residents in these disciplines.
This book collates the expertise and experience of leading medical professionals to give foreign medical graduates an understanding of the American health care system. All the fundamental stages in the preparation of a foreign medical graduate for medical training in the US are covered. The book aims to provide essential information and guidance on how to navigate the American health care system. The characteristics of it are described in this concise and easy to read volume to help foreign medical graduates integrate into the American system.
'Roger Kneebone is a legend' Mark Miodownik, author of Stuff Matters 'Fascinating and inspiring' Financial Times 'The pandemic has made the necessity of relying on experts evident to all . . . this is a rich exploration of lifelong learning' Guardian What could a lacemaker have in common with vascular surgeons? A Savile Row tailor with molecular scientists? A fighter pilot with jazz musicians? At first glance, very little. But Roger Kneebone is the expert on experts, having spent a lifetime finding the connections. In Expert, he combines his own experiences as a doctor with insights from extraordinary people and cutting-edge research to map out the path we're all following - from 'doing time' as an Apprentice, to developing your 'voice' and taking on responsibility as a Journeyman, to finally becoming a Master and passing on your skills. As Kneebone shows, although each outcome is different, the journey is always the same. Whether you're developing a new career, studying a language, learning a musical instrument or simply becoming the person you want to be, this ground-breaking book reveals the path to mastery.
This comprehensive yet concise book addresses current best practice in the combined areas of cardiac surgery and anesthesia, interventional minimally invasive cardiac procedures, perioperative management and monitoring, and critical care recovery. This book not only provides the latest best practices in the perioperative management of cardiac surgical patients, but also it summarizes the current clinical guidelines and algorithms from leading cardiac programs and professional societies. Contemporary best practice approaches are written by experts from leading cardiac surgical centers. The preoperative, intraoperative and postoperative management and recovery of surgical patients, including medication, monitoring techniques, and innovative surgical procedures, are presented by experts in the field of cardiac anesthesia and surgery. Perioperative clinical care guidelines, postoperative recovery pathways and models of care are presented with supporting protocols. Evidence-Based Practice in Perioperative Cardiac Anesthesia and Surgery is aimed at all cardiac anesthesiology consultants, fellows, and trainees; all cardiac surgery consultants, fellows, and trainees; nurses in perioperative care and those involved in patient recovery management; cardiac program administrative professionals; and all critical care consultants and trainees looking after cardiovascular surgical patients in the modern era.
Now in its sixth edition, Robert M. Bojar's Manual of Perioperative Care in Adult Cardiac Surgery remains the go-to practical guide for all of those involved in the care of the cardiac surgery patient. Written in outline format, it provides a comprehensive, detailed, and clearly explained review of cardiac surgical disease and perioperative management that is of value to practicing cardiac surgeons as well as to cardiologists, residents, fellows, advanced practice providers, critical care and floor nurses, perfusionists, and medical students. Extensively rewritten with updated references to incorporate the latest concepts, guidelines, protocols, and medications used in cardiac surgical practice, this classic text retains the pragmatic features that have made it the gold standard reference that clinicians have used worldwide for the past 30 years. Highlights include: Full coverage of cardiac surgical diseases, including pathophysiology, indications for surgery per guidelines, and figures of operative procedures and diagnostic techniques, with a panoply of examples Chronologic evaluation of patients from preoperative assessment to intraoperative considerations to postoperative care for each procedure Extensive chapters discussing organ system management in the ICU, followed by a discussion of later postoperative management and problems Incorporation of newer techniques (TAVR, Mitraclip, etc.) within the chronologic format Easy access to information using an outline format, markers on the free edges to identify chapters, synopsis pages at the beginning of each chapter, and a comprehensive index to provide easy referencing within the text Updated references throughout that are available from on-line resources 21 appendices summarizing order sheets, protocols, commonly used drug doses, body mass index, and other important information Praise for the fifth edition: "Surgeons are frequently asked to recommend a text that can be used to guide the care of their patients. This comprehensive text is the standard by which any other text should be judged." Critical Care Medicine "It remains a classic and a must have for anyone involved in cardiac surgery." Perfusion.com
Pathologists play a particularly important role in the care of patients with persistent gastrointestinal symptoms, especially those who are immunosuppressed, suffer from immune-mediated conditions, or undergo treatment for malignancies. They must be able to focus on key features present in biopsy material in order to narrow the differential diagnosis and facilitate patient management. This atlas addresses these needs in a succinct and pragmatic fashion. It describes practical approaches to the diagnosis of inflammatory gastrointestinal disorders and provides helpful criteria to distinguish between newly recognized causes of esophagitis and gastritis.
The treatment of humeral fractures is a complex issue and the source of considerable controversy. In the case of fractures of the proximal humerus, early range of motion is the main aim of treatment. If a fracture modifies the anatomy or function of the glenohumeral and scapulothoracic joints, the surgeon must adhere meticulously to treatment principles in order to ensure a satisfactory outcome. Humeral shaft fractures are frequent, accounting for 1% to 3% of all fractures in adults; while excellent functional results have been reported with nonoperative management, open reduction and internal fixation is preferred in specific clinical settings. In contrast, intra-articular fractures of the distal humerus are frequently complex and full functional recovery is difficult to achieve. This volume clearly explains the concepts that are central to an understanding of humeral fractures from the proximal to the distal tip. Indications for different forms of treatment, including nonsurgical, are presented in detail, and all of the commonly used fixation techniques are described with the help of high-quality illustrations. Further important aspects such as complications, rehabilitation, and treatment of sequelae are also fully considered. This book will be an invaluable and comprehensive aid for all surgeons who treat humeral fractures.
"Minimally Invasive Spine Surgery: A Practical Guide to Anatomy and Techniques" is a beautifully illustrated text describing the 18 most widely accepted minimally-invasive procedures in spine surgery. Written by leaders in both neurologic and orthopedic spine surgery, this book offers the most up-to-date material and the broadest perspective on the subject. Procedures range from simple to complex and cover the cervical, thoracic and lumbar regions of the spine. Chapter topics include:
image-guided spinal navigation
posterior cervical instrumentation and fusion
thoracoscopic deformity correction
facet joint and epidural injections
discography and endoscopic lumbar discectomy
transforaminal lumbar interbody fusion (TLIF)
anterior lumbar interbody fusion (ALIF)
iliac crest bone graft harvest and fusion techniques
This surgical atlas, featuring a wealth of color photographs, provides detailed step-by-step descriptions of a wide range of open head and neck procedures, including radical and conservative (organ preservation, functional) approaches, aesthetic and reconstructive surgeries with the use of axial and free flaps, and surgery within the narrow confines of the skull base. Individual chapters are dedicated to surgery of the nose and paranasal sinuses, larynx and trachea, thyroid, salivary glands, mandible, face and lips, and neck, the repair of external nose defects, the use of axial and free flaps, and surgical treatment of temporal bone malignancy. The atlas will be a comprehensive practical reference for clinicians in the various specialties involved in head and neck surgery, including otolaryngologists, head and neck surgeons, plastic surgeons, maxillofacial surgeons and surgical oncologists. It will assist practitioners in achieving the high level of competence that is essential owing to the large number of vital structures in the head and neck region.
This book is especially focused on the surgical aspect on Gender Dysphoria. Male to female surgery is widely discussed as well as the female to male conversion. Full information on hormone administration and surgical procedures are provided. Mental health issues are also described, as well as ethics, the law and psychosocial issues. The text is extensively referenced and includes numerous photos, tables and figures to clearly illustrate information. Based on collaboration between international experts in transgender health, this book is an essential guide for health care professionals, educators, students, patients and patients' families concerning the psychological, hormonal, surgical and social support of transgender individuals.
This book contains a collection of instructional course lectures given during the 15th ESSKA (European Society of Sports Traumatology, Knee Surgery and Arthroscopy) Congress, held in Geneva during May 2012. The lectures cover a wide range of hot topics in the field, including diverse injuries and management techniques. Each lecture has a practical focus and provides an up- to-date synthesis of core knowledge on the subject in question with the aid of high-quality illustrations. Take home messages and key recommendations are highlighted. This book will be of value to practitioners and researchers alike.
This is a concise, up-to-date reference on anesthesia for urological surgery. Urological anesthesia is not recognized as a specialty, and a majority of anesthesiologists and nurse anesthetists will provide anesthesia for these patients. Advances in urological procedures, the advent of treatment of patients with strong anticoagulant and antiplatelet medications, and the demographics of urology patients (many of whom are young or elderly) present challenges for the anesthesiologist and have necessitated changes in anesthesia practice. The last volume on this topic was published in 2000, and the time is right for a fresh presentation of contemporary expertise in anesthesia for urological surgery.
The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns. The book provides a brief review of renal physiology and pharmacology then addresses anesthesia for each major group of urological procedures (e.g., endoscopic, office-based, laparoscopic and robotic, nephrolithotripsy, renal transplantation, etc.) and in special populations, including the geriatric patient, the pediatric patient, and the pregnant patient. Separate chapters discuss the unique challenges of positioning the patient, and of managing the patient taking anticoagulant and antiplatelet medication, and the chapter on pain management addresses common and important perioperative concerns."
Osteoporosis is a global threat because it can impact every human being as they age. In this new edition, the authors point out the enormous scale of the problem in terms of human suffering, morbidity and mortality on the one hand, and the astronomical national costs on the other. Written in an easy-to-read style, this book updates physicians on the current knowledge about bone structure, physiology and pathology, with an emphasis on the diagnosis, therapy and prevention of osteoporosis. Its purpose is to educate members of the medical profession about this widespread and potentially disabling disease, while providing information on related current evidence-based medicine. The book covers everything from basic physiology to osteoporosis diagnosis, including utility of specialized tests and current treatment recommendations, and will provide the primary care physician with sound medical knowledge in the prevention and management of osteoporosis. It is up-beat and optimistic, with a touch of humor; it is scientifically based but provides easy-to-follow guidelines for lifelong maintenance of skeletal structure and function. Osteoporosis is preventable if doctors want it to be, and every doctor can contribute. Bone is every doctor's and every body's business.
The third edition of the Color Atlas of Emergency Trauma brings the reader to the bedside of patients with traumatic injuries, at one of the largest and busiest trauma centers in North America. It includes over 1200 images, designed as a comprehensive visual and reference guide to emergency trauma care. Organized by major body regions, this atlas explores the full spectrum of common and uncommon traumatic injuries, including those caused by firearms, stab wounds, blunt trauma, crush injury, and burns. It also covers special patient groups, such as pregnant, pediatric and geriatric populations. Each chapter is augmented with patient images at presentation, radiographic, intraoperative and autopsy images, and color illustrations and photographs showing key anatomy from the cadaver laboratory. With common pitfalls discussed and invaluable tips from a multidisciplinary group of experienced trauma care providers, this book is a useful and practical resource for all those involved in trauma care.
'It's a brilliant book... There are lessons in every paragraph... Get it now.' Chris Evans 'Wonderous and wild. I loved this book' James Nestor, bestselling author of Breath 'Moving, raw and unflinching' Julia Samuel, bestselling author of This Too Shall Pass 'Incredible storytelling' Dr Rangan Chatterjee, bestselling author of Feel Better in 5 ____________________________________________________________________________ How do you carry on when things go deadly wrong? When Dr Rahul Jandial operated on Karina, an eleven-year-old girl whose spinal cord was splitting in two, he had to make an impossible decision. He followed his head over his gut and Karina was left permanently paralysed, altering both patient and surgeon's lives for ever. This decision would haunt Rahul for decades, a constant reminder of the fine line between saving and damaging a life. As one of the world's leading brain surgeons, Rahul is the last hope for patients with extreme forms of cancer. In treating them, he has observed humanity at its most raw and most robust. He has journeyed to unimaginable extremes with them, guiding them through the darkest moments of their lives. Life on a Knife's Edge is Rahul's beautifully written account of the resilience, courage and belief he has witnessed in his patients, and the lessons about human nature he has learned from them. It is about the impossible choices he has to make, and the fateful consequences he is forced to live with. From challenging the ethics of surgical practices, to helping a patient with locked-in syndrome communicate her dying wish to her family, Rahul shares his extraordinary experiences, revealing the depths of a surgeon's psyche that is continuously pushed to its limits.
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