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.
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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 resistant bacteria...
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 Ã??' we are in the Ã??'post-antibiotic eraÃ??' for certain diseases. Yet hope remains. The baby boomersÃ??' distrust of authority and Ã??'expertsÃ??' 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 physicianÃ??'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 Ã??'discovery.Ã??' 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 Ã??'advancedÃ??' as was thought. He sked his chief physician if there were any books available discussing patient outcomes. Ã??'No,Ã??' he said. Ã??'Insurance companies keep that information locked up.Ã??' 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.
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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 th
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 Ã??' 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 WhatÃ??'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 InfectionVISA Ã??' DonÃ??'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. MedicineÃ??'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
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Consumer Connection, June 2007 | More »
Consumer Connection, June 2007
The premise of Stanzak\'s book is to better inform laypersons about an alleged discrepancy between what physicians and healthcare professionals practice conventionally and what published medical literature indicates are the best evidence-based practices. His challenge to the medical sector about whether practitioners make clinical decisions based on the results of proven scientific studies or based on less evidence-oriented forces (e.g. pharmaceutical companies, potential profits) takes a broad focus. Topics covered include: detrimental pharmaceutical industry influence, prescription errors, hospital-induced illness and mortality, and a profit-driven healthcare industry. The author\'s bio notes that he has worked as a nurse and also as a molecular biologist for a major pharmaceutical company.
Stanzak\'s book is heavy on alarming statistics about dangers lurking in hospitals, prescriptions, and procedures, but light on contextualizing that information in terms of what it means to the average patient, or how patients can use the results of evidence-based medicine to empower themselves as healthcare consumers. The text is well-documented. One of the book\'s strengths is its many references to regulatory and consumer watchdog groups, giving readers resources for further investigation. This book is recommended for libraries with large consumer health collections.
Consumer Health Librarian
Delaware Academy of Medicine
www.booknews.com
Stanzak, a molecular biologist turned critical care nurse, asks if the term \"medical science\" is an oxymoron. After years of seeing patients die or have poor medical outcomes despite aggressive and advanced medical care, Stanzak began to question whether that medical care was all that advanced. Here he explains to those who are undergoing that medical care, or whose common sense informs them they will eventually undergo it, that they need not be included in the estimated 250,000 unnecessary deaths of those in care. He gives reasons for exercising due caution and retaining empowerment as he describes how doctors get their information on care, how drug companies must operate to remain profitable, poisons in prescribed drugs, invented diseases, medical malfeasance, antibiotic-proof bugs and defensive medicine lead to marginal benefits, if any, of treatment and a decided avoidance of disease prevention through diet, lifestyle and social factors.
Booknews
CHOICE, January 2007. | More »
CHOICE, January 2007.
This well-researched work gathers current information to present the \"cons\" of current medical practices, using evidence-based medicine. Stanzak has many years of experience as a critical care nurse, has authored several papers, and has filed two patents. He intends this book to connect readers with information about the field of medicine and how it affects people\'s health. The author discusses controversies such as the use of antibiotics; nurse shortages; costs of medical care; malpractice; and the use of nonmedical interventions, including nutrition and exercise. Written for the general public, this well-presented volume provides a multitude of current references to support the content and encourage further reading. An expanded table of contents allows easy location of desired information. Although numerous graphs and figures support the text, some labels are slightly blurred. Bottom Line Medicine offers a look at medical practice from the patient\'s point of view, making this book relatively unusual. Comprehensive and detailed index.
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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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