For a Kinder, Gentler Society
Bottom Line Medicine:
A Layman's Guide to Evidence-Based Medicine
  • Richard K. Stanzak
Reviews Table of Contents Introduction «Back
Bottom Line Medicine:. A Layman's Guide to Evidence-Based Medicine
Sound Bite
Bottom Line Medicine is written to inform the public of the latest findings in the field of evidence-based medicine. Recounting the costs and the risks of hospitalization and various treatment options, it reveals the lack of research to support the majority of medical therapies, exposes the profit motive so prevalent throughout medicine, and the double standard applied to alternative therapies. Massively documented with statistics and charts as well as examples from numerous US and international studies, the book reviews the same medical literature used by physicians, providing head to head comparisons of the outcomes of medical intervention versus healthy living.

About the Author

Richard Stanzak is a critical care nurse. He also worked as a molecular biologist for fourteen years, seven of them for Eli Lilly pharmaceuticals in both research and development.

As a traveling ICU nurse he has been employed at 19 different assignments. He has worked in major trauma units, transplant units, cardiac units and hospitals from 1150 beds to 8 beds. He has experienced first-hand the problems of healthcare and can certainly attest this is a national problem.

Stanzak is the author and/or co-author of several papers and also has several patents. He is the lead author of a benchmark paper on the cloning of genes responsible for the production of erythromycin. He was engaged in research at Eli Lilly when Prozac was first discovered and Genentech first licensed the insulin gene to Lilly. As a critical care nurse, he is responsible for providing teaching to patients or families about drugs, diseases and procedures.

About the Book

The high cost and high risk of many medical procedures are big issues. Medical errors are responsible for at least 195,000 unnecessary deaths each year and indiscriminate use of antibiotics has resulted in the creation of drug...

The high cost and high risk of many medical procedures are big issues. Medical errors are responsible for at least 195,000 unnecessary deaths each year and indiscriminate use of antibiotics has resulted in the creation of drug resistant bacteria — we are in the “post-antibiotic era” for certain diseases.

Yet hope remains. The baby boomers’ distrust of authority and “experts” may once again serve them well. They are still healthy enough to have many years of quality life ahead of them, if they are proactive.

Unfortunately, even educated laymen have little understanding of medical treatment and  what constitutes good health care; often people have no choice but to follow the physician’s guidance. This book is written to fill that void. Its sole purpose is to focus on documented outcomes from medical therapy.

Books explaining disease processes and treatments are commonplace. Usually the only real difference is the author is a famous physician or celebrity, or the author is promoting a trendy new “discovery.” This book is written from a totally different perspective.

About six years ago while working in the medical intensive care unit of a regional medical center, Ithe author became disillusioned because his patients continued to die or to have poor medical outcomes despite aggressive advanced medical care. His research training significantly influences his thought processes; he reasoned that if his patients were dying despite all efforts, then perhaps the care they were receiving was not really as “advanced” as was thought. He sked his chief physician if there were any books available discussing patient outcomes. “No,” he said. “Insurance companies keep that information locked up.”

The information does exist, but it is scattered throughout the medical literature. Here, a health care professional has attempted to consolidate it into one source and simplify it as much as possible so that you can make truly informed decisions.


Table of Contents
Foreword Chapter 1. The Best Medicine for Whom? Is Medical Science an Oxymoron? Physician Prescribing Patterns Better Living through Che

Foreword
Chapter 1. The Best Medicine for Whom?
Is Medical Science an Oxymoron?
Physician Prescribing Patterns
Better Living through Chemistry?
Orphan Drugs
Why do you think they call it a check up?
There is No Such Thing as a Free Lunch
The High Cost of Health
Drug Misrepresentatives
Direct to Consumer Ads
Chapter 2. A Pill for All Ills and An Ill for All Pills
Drugs — the Fourth Leading Cause of Death
The Poison is in the Dose
Bitter Pills
Chapter 3. Profits without Honor
The Best Health Money Can Buy
Profits of Doom
Mediocre Medicine
Iatrogenesis: the Third Leading Cause of Death in the US
The Money Machine
Chapter 4. Pill Pushing for Non-Diseases
Invented Diseases
The Medicalization of Life
Inventing Diseases
Pharmacotherapy for Non-diseases
You Is What You Think You Is
Somatization and Medicalization
What’s in a Name?
Genetic Markers or Marked for Death
Misdiagnoses
Victimized by Drugs
Medical Errors and Iatrogenic Induced Illness
Chapter 5. Medical Malfeasance
Sleep Deprivation: Nightmare on Your Street
Effects of Sleep Deprivation on Health Care Workers
Hunger Pangs
Not So Free Fall
Restraining Orders
Sore Losers
Hurting for a Fix
Chapter 6. Creepy Crawlies, Bad Bugs And Malicious Microbes
Magic Bullets or Just Shooting Blanks
Superbugs
Antibiotic Abuse
Increasing rates of infection
Contaminated Equipment and Surfaces
ICU Breeding Grounds for Infection

VISA — Don’t Leave the Hospital With It Dirty Talk Bad Blood Primum non nocere: First, Do No Harm
Chapter 7. Bedpan Blues
Critical Condition
Chapter 8. Cover Your Assets
Defensive Medicine
No Apology Needed
The Devil in the Doctor
Medical Obfuscation and Uninformed Consent
Chapter 9. Medicine’s Marginal Benefits
Outcomes from Aggressive Medical Therapy
The Small Role of Medicine in Mortality
Determinants of Health
Improving Life Expectancy
Life Extension
The Failure of Medical Care to Extend Life Expectancy
Chapter 10. Disease Prevention
Preventive Medicine?
Healthiest Nations
Dietary Effects on Mortality
Exercise
Obesity
Cigarette Smoking
Social Factors
Chapter 11. Stressed to Kill
Risk Factors
Worry
Work Related Stress
Lack of Education
Environmental Stressors
Seasonal & Diurnal Stressors
Grief
Chapter 12. Broken Hearted
Boondoggles in Cardiology
Flawed Studies
Chapter 13. Bad Medicine
The Failure of Success
Epilogue - The Future of Health Care in America
Index


Reviews
Consumer Connection, June 2007 | More »
www.booknews.com | More »
CHOICE, January 2007. | More »

Pages 352
Year: 2006
LC Classification: RA427.S73
Dewey code: 616--dc22
BISAC: MED112000
BISAC: MED003000
BISAC: MED022000
Soft Cover
ISBN: 978-0-87586-455-6
Price: USD 24.95
Hard Cover
ISBN: 978-0-87586-456-3
Price: USD 32.95
eBook
ISBN: 978-0-87586-457-0
Price: USD 24.95
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