This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems-whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a ´´how to´´ manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative ´´tips and tricks´´ that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to ´´personally´´ take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery.
Strength training and ´´seniors´´ does not sound like a probable match, but in fact it is a match made in heaven. The mere thought of people who are past their physical prime pumping iron might seem vain or ludicrous, but millions of seniors are discovering the manifold benefits of strength training, and the medical community continues to produce studies showing that those who dare to incorporate strength training in their weekly routines gain all sorts of physical and emotional benefits. Unfortunately, many seniors discover the wonders of strength training while doing rehabilitation after a surgery or a fall. You don´t have to wait until you experience a health crisis to begin doing strength training. In fact, starting a regular strength training program could prevent many of the crises that force seniors to do workouts with weights. 1. Language: English. Narrator: Mike Paine. Audio sample: http://samples.audible.de/bk/acx0/010722/bk_acx0_010722_sample.mp3. Digital audiobook in aax.
From two of the world’s leading experts in endometriosis comes an essential, first-of-its kind book that unwraps the mystery of the disease and gives women the tools they need to reclaim their lives from it. Approximately one out of every 10 women has endometriosis, an inflammatory disease that causes chronic pain, limits life’s activities, and may lead to infertility. Despite the disease’s prevalence, the average woman may suffer for a decade or more before receiving an accurate diagnosis. Once she does, she’s often given little more than a prescription for pain killers and a referral for the wrong kind of surgery. Beating Endo arms women with what has long been missing - even within the medical community - namely, cutting-edge knowledge of how the disease works and what the endo sufferer can do to take charge of her fight against it. Leading gynecologist and endometriosis specialist Dr. Iris Kerin Orbuch and world-renowned pelvic pain specialist and physical therapist Dr. Amy Stein have long partnered with each other and with other healthcare practitioners to address the disease’s host of co-existing conditions - which can include pelvic floor muscle dysfunction, gastrointestinal ailments, painful bladder syndrome, central nervous system sensitization - through a whole-mind/whole-body approach. Now, Beating Endo formalizes the multimodal program they developed, offering listeners an anti-inflammatory lifestyle protocol that incorporates physical therapy, nutrition, mindfulness, and environment to systematically addresses each of the disease’s co-conditions on an ongoing basis up to and following excision surgery. This is the program that has achieved successful outcomes for their patients; it is the program that works to restore health, vitality, and quality of life to women with endo. No more ´´misdiagnosis roulette” and no more limits on women’s lives: Beating Endo puts the too 1. Language: English. Narrator: Anna Crowe. Audio sample: http://samples.audible.de/bk/harp/009100/bk_harp_009100_sample.mp3. Digital audiobook in aax.
Nominated for the Golden Flogger Award 2015 Dr. Glover has reached the pinnacle of her career. As a highly sought after sex therapist, she’s used to dealing with difficult and puzzling cases, but when a former high school classmate is referred to her care, Dr. Glover confronts the greatest challenge of her career. Treating his loss of libido will require more than long whips and iron chains. Instead, she will be forced to rewire his brain with a mental surgery that will cut deeper than any scalpel. Like all radical treatments, her unorthodox therapy carries significant risks for both her patient and herself. But one outcome is certain - Dr. Glover will enjoy the greatest power exchange of her life by witnessing a man relinquish all control for a ´´cure´´ she promises to provide. This novel incorporates the following fetishes: corporal punishment, cuckolding, feminization hypnosis, humiliation, medical fetishes, strap-on (pegging), and various forms of worship (body, foot, high heel). Depicts graphic/extreme scenes of BDSM and power exchange. Adults only. 1. Language: English. Narrator: Rebecca Wynn. Audio sample: http://samples.audible.de/bk/acx0/118863/bk_acx0_118863_sample.mp3. Digital audiobook in aax.
Live every day with the hope of heaven! A shattered leg, kidney stones, and a lump diagnosed as hyperplasia. Times were tough, money was scarce, and the bills and frustrations were piling up. It was into this kind of stressed out life that God sent Todd and Sonja Burpo the interruption of a life-threatening illness and emergency surgery for their almost four-year-old son Colton - an interruption that included his unforgettable journey to heaven. How did they cope? And how can they help us keep thoughts of eternity in mind in the midst of our own overly busy, stressed out lives? In 50 unique inspirational readings based on excerpts from their story, Todd and Sonja share their family’s responses and reactions to the Heaven Is for Real experience. They answer questions about what it’s like to struggle with and question God, to doubt, and to even get angry with him. They also offer new insights into what God might be doing with those interruptions he allows into our lives. Each reading closes with a scripture to provide biblical reinforcement of the ideas shared and a take-away thought or action point to help readers incorporate the reading´s inspiration into daily life. Keep the hope of heaven alive in your life. Heaven truly is for real, and it changes everything! 1. Language: English. Narrator: Stu Gray, Brook Bryant. Audio sample: http://samples.audible.de/bk/tnwd/000300/bk_tnwd_000300_sample.mp3. Digital audiobook in aax.
After the intense experience and range of emotion that comes with surgery, radiation, or chemotherapy (or all three), cancer patients often find themselves with little or no guidance when it comes to their health post-treatment. After Cancer Care is the much-needed authoritative, approachable guide that fills this gap. It includes information on how to maintain physical health-with chapters on epigenetics, nutrition, and exercise-as well as emotional health through stress management techniques. The cutting-edge and growingly popular science of Epigenetics has shown that you are not stuck with your genetic history: your choices in diet, exercise, and even relationships can help determine whether or not your genes promote cancer, and therefore determine your propensity for relapse. Your lifestyle has an effect on the most common types of cancer including breast cancer, prostate cancer, melanoma, endometrial cancer, colon cancer, bladder cancer, and lymphoma. The doctors present easy-to-incorporate lifestyle changes to help you ´´turn on´´ hundreds of genes that fight cancer, and ´´turn off´´ the ones that encourage cancer, while recommending lifestyle plans to address each type. In addition, they share 34 healthy recipes and tips on staying active and exercising, detoxifying your house and environment, and taking supplements to help prevent relapse. With more than three decades of post-cancer-care experience, Drs. Lemole, Mehta, and McKee break down the science into palatable, practical takeaways so that you can drastically improve your quality of life and enjoy many years of cancer-free serenity.