The rise of suicide and burnout among physicians has brought a new disease to the healthcare provider, which we previously thought only affected the soldier: moral distress syndrome, second only to moral injury. In this book we introduce the concept of moral distress syndrome, which includes any or all of the following: depression, PTSD, risk of suicide, divorce, emotional detachment, and the inability to build healthy relationships and empathy. While veterans can report to veteran hospitals for treatment, the physician cannot find treatment or support without fear of losing their license, their hospital privileges, and their job. Therefore, they are stuck dealing with the issue themselves, along with their family or their circle of friends. To raise decisive awareness of the problems related to moral distress, we wrote this book. This book is designed around physicians talking to other physicians about their moral distresses in a safe space. It brings all the aspects of the moral distress syndrome in a format familiar to the physician: grand rounds with a magistral lecture, where the audience asks the question and directly participates on the subject. The reader will feel like part of the audience and may want to ask their own questions as the book progresses. The format of the book is divided into three parts. In the first part, the research, data, and a crude number of problems are given: moral distress syndrome, PTSD, burnout, suicide, divorce rates, emotional detachment, legal distress syndrome, physicians leaving medicine, and the feeling of being a hamster in a wheel. In the second part, we embellish on real life experiences of physicians to highlight the pain and depth of the moral distress they feel. We share stories around the character—their family, love life, divorce, etc.—to show the individual person behind the doctor. In the third part, we focus on society and physician suffering and the birth of moral distress. This part focuses on the physician’s empathy as a way to point out his problems, weaknesses, and issues, and find possible solutions for him and other physicians facing the same issues. At the end of the third part, we discuss how it is the responsibility of physicians, patients, and society as a whole to heal in the face of moral injury, as recommended by the American Medical Association. We finish with the search for good friends and safe spaces, the cornerstones for the healing process. Structure of the Chapters. To make it easier to follow the material, at the beginning of each chapter we outline the points discussed, as a speaker outlines the material, summarizing it in the first slide of each topic. We hope that this way the readers can focus on the issues quickly throughout the book. This book is formatted as a business novel and therefore the characters and situations are drawn from liberally. As well as reading like a novel, the reader can read each chapter separately and still understand the points.

This book provides a reference and contextual basis for depression, burnout and suicide among oncology and other medical professionals. Oncology as a medical subspecialty is at a unique apex of this crisis. While the same pressures in medicine certainly apply to oncologists, oncology is particularly stressful as a changing field with diverse patient and societal expectations for outcomes. In addition to experiencing the stress of caring for patients that could succumb to their cancer diagnoses, these professionals are regularly confronted with an onslaught of new medical information and a landscape that is changing at a breakneck pace. These are just a few factors involved in the increasing rates of burnout among oncologists as well as other medcial professionals. By addressing a gap in identifying mental health problems among health care professionals, this book sheds light on mental health problems and suicide among physicians. Importantly, this book is a call to action of the professional and administrative organizations to work on improving mental health of physicians. Anxiety and depression affect not only the individual doctor but also patient care. Given the increasing attention to these issues along with limited yet applicable data regarding how to address these issues, the text aims to bring the latest data face to face with consensus opinion and can be used to ultimately enhance oncologic and psychiatric practices. Written by experts in the field, Depression, Burnout and Suicide in Physicians: Insights from Oncology and Other Medical Professions aims to significantly increase awareness and contribute to understanding the necessity of preventive measures on individual, family, and care givers levels.

Managing and treating patients with thyroid issues accounts for about 30% of an endocrinologist’s practice. The issue will be divided into two parts: thyroid cancer and other major disorders. Articles will cover new information on TSH and radioiodine therapy to treat thyroid cancer, as well as best practices for managing hypothyroidism, Graves disease and thyroiditis.

This book, part of the European Society of Intensive Care Medicine textbook series, provides detailed up-to-date information on the physical, cognitive, and psychological impairments that are frequently present following a stay in an intensive care unit and examines in depth the available preventive and therapeutic strategies, including adapted rehabilitation programs. Beyond acquainting readers with the multiple facets of post-intensive care syndrome (PICS), the book aims to promote the effective follow-up of patients, thereby enhancing their ability to work and their functional autonomy, and to identify risk factors for the development of PICS as a stimulus to beneficial organizational changes in intensive care departments. The background to the book is the realization by healthcare providers that the quality of life of patients who have required a stay in an intensive care unit can be severely impaired or even become unacceptable. All too often, the diverse sequelae are overlooked by specialists of other disciplines. Moreover, families and caregivers are also at high risk of post-traumatic stress disorder and depression. The European Society of Intensive Care Medicine has developed the Lessons from the ICU series with the vision of providing focused and state-of-the-art overviews of central topics in Intensive Care and optimal resources for clinicians working in Intensive Care. This book, written by renowned experts in the field, will facilitate the transmission of key knowledge with significant clinical and financial benefits.

In this issue of Anesthesiology Clinics, guest editors Drs. Athanasios Chalkias, Mary Jarzebowski, and Kathryn Rosenblatt bring their considerable expertise to the topic of Current Topics in Critical Care for the Anesthesiologist. Top experts in the field cover key topics such as perioperative management of the acute stroke patient; traumatic brain injury: intraoperative management and ICU multimodality monitoring; update on mechanical circulatory devices; management of intraoperative cardiac arrest; intraoperative ventilator management of the critically ill patient; and more. - Contains 16 relevant, practice-oriented topics including transfusion thresholds across surgical specialties; delirium prevention and management in frail surgical patients; perioperative fluid management and volume assessment; coagulopathy and emergent reversal of anticoagulation; impact of ICU nutrition on the microbiome and patient outcomes; massive trauma; and more. - Provides in-depth clinical reviews on current topics in critical care for the anesthesiologist, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

The book focuses on pharmacological and non-pharmacological approaches of psychiatric syndromes that commonly occur in patients with kidney disease. It specifically reviews principles of psychotherapy and psychopharmacology with an emphasis on organ impairment and drug-drug interactions specific to nephrology. This book also covers issues with medication nonadherence in patients with chronic kidney disease and psychiatric comorbidity, as well as the associated issues in dialysis and renal transplantation. Additionally, chapters cover various other topics addressing an active stance towards health promotion in chronically ill patients, including the critical role of the diet and physical activity. Such advice is often complex and changing depending on the stage of chronic kidney disease and the individual needs of the patient. Written by specialists in the field, Psychonephrology: A Guide to Principles and Practice serves as a valuable reference and teaching tool that provides an opportunity for learning across a rapidly evolving medical field.

Updates on Neonatal Chronic Lung Disease E-Book

As a leading reference on pediatric cardiology and congenital heart disease, Anderson's Pediatric Cardiology provides exhaustive coverage of potential pediatric cardiovascular anomalies, potential sequelae related to these anomalies, comorbidities and neurodevelopmental problems, and current methods for management and treatment. The fully revised 4th Edition addresses significant and ongoing changes in practice, including recent developments in fetal, neonatal, and adult congenital heart conditions as well as expanded content on intensive care, nursing issues, and societal implications. The outstanding illustration program provides superb visual guidance, and is now supplemented with a remarkable collection of more than 200 professionally curated, author-narrated videos. - Offers authoritative, long-term coverage of a broad spectrum of cardiology conditions, including congenital heart disease, adult congenital heart disease (ACHD), acquired heart disease, cardiomyopathies, and rhythm disturbances. - Features exquisite specimen images by Dr. Robert Anderson and Diane Spicer dissected in easily recognizable analogous imaging planes. These are included in the over 850 anatomic, photographic, imaging, and algorithmic figures, and incorporate new images using virtual dissections of 3D datasets obtained in living patients. - An extensive new section describing the non-cardiac consequences of congenital cardiac disease and other related issues Outside the Heart, including new chapters on quality improvement in congenital cardiac disease, models of care delivery, neurocognitive assessment and outcomes, psychosocial issues for patients and families, ethics, nursing implications, acute and chronic renal complications, and telemedicine. - Three entirely new, expanded sections on the Functionally Univentricular Heart, Fetal Congenital Cardiac Disease, and Heart Failure and Transplantation. - Provides a new focus on patient and family-centered care with expert advice on how to communicate difficult diagnoses to patients and families. - Features new integration of nursing content into all disease-specific chapters, as well as updated content on genetics, congenital heart disease and follow-up, and new imaging modalities. - Contains chapters on new and emerging topics such as MRI and Quantifying the Fetal Circulation in Congenital Cardiac Disease; Congenital Anomalies of the Coronary Arteries; and The Global Burden of Pediatric Heart Disease and Pediatric Cardiac Care in Low- and Middle-Income Countries - Shares the experience and knowledge of an international team of multidisciplinary experts in medicine and advanced practice nursing. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, tables and figures from the book on a variety of devices.

The gold standard reference for all those who work with people with mental illness, Kaplan & Sadock's Comprehensive Textbook of Psychiatry, edited by Drs. Robert Boland and Marcia L. Verduin, has consistently kept pace with the rapid growth of research and knowledge in neural science, as well as biological and psychological science. This two-volume eleventh edition offers the expertise of more than 600 renowned contributors who cover the full range of psychiatry and mental health, including neural science, genetics, neuropsychiatry, psychopharmacology, and other key areas.