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The Bottom Line: A Layman's Guide to Medicine
 
 
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The Bottom Line: A Layman's Guide to Medicine [Illustrated] [Paperback]

Richard K. Stanzak (Author)
4.7 out of 5 stars  See all reviews (3 customer reviews)

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Book Description

0875864554 978-0875864556 June 1, 2006 illustrated edition
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 often 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, I became disillusioned because my patients continued to die or to have poor medical outcomes despite aggressive advanced medical care. My research training significantly influences my thought processes; I I reasoned that if my patients were dying despite our efforts, then perhaps the care they were receiving was not really as "advanced" as we thought. I asked my 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, I have attempted to consolidate it into one source and simplify it as much as possible so that you can make truly informed decisions. 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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Editorial Reviews

Review

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.
Summing Up: Recommended. Public, medical, and academic libraries; all levels. --Choice Magazine, B. C. Thomsett-Scott, University of North Texas

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

Product Details

  • Paperback: 352 pages
  • Publisher: Algora Publishing; illustrated edition edition (June 1, 2006)
  • Language: English
  • ISBN-10: 0875864554
  • ISBN-13: 978-0875864556
  • Product Dimensions: 8.9 x 5.9 x 0.9 inches
  • Shipping Weight: 1.2 pounds (View shipping rates and policies)
  • Average Customer Review: 4.7 out of 5 stars  See all reviews (3 customer reviews)
  • Amazon Best Sellers Rank: #3,352,830 in Books (See Top 100 in Books)

More 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.

I am the author and/or co-author of several papers and also have several patents. I was lead author of a benchmark paper on the cloning of genes responsible for the production of erythromycin. I 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, I am responsible for providing teaching to patients or families about drugs, diseases and procedures.

I have had careers as diverse as over the road truck driver to molecular biologist. I am currently employed as a traveling critical care nurse in the San Francisco Bay area.

 

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4 of 4 people found the following review helpful:
5.0 out of 5 stars The Painful Facts about How Profit Incentives in Medicine Are Undermining Your Health, August 3, 2006
By 
Donald Mitchell "Jesus Loves You!" (Thanks for Providing My Reviews over 109,000 Helpful Votes Globally) - See all my reviews
(VINE VOICE)    (HALL OF FAME REVIEWER)    (TOP 100 REVIEWER)   
This review is from: The Bottom Line: A Layman's Guide to Medicine (Paperback)
Mr. Stanzak stands in the middle of the wide gulf between physicians and their patients as an experienced traveling critical care (ICU) nurse. He has also worked on pharmaceutical research and development for Eli Lilly. In addition, he has earned patents.

Taking that unusual vantage point, Mr. Stanzak has investigated how well modern American medicine heals its patients in terms of results and costs. While doing independent research would be beyond the resources of any individual, he has invested much time to read the clinical studies that tell you what your primary care physician, HMO, and legislators don't want you to know: You're being taken for a ride in which your health is being sacrificed so someone else can make more money at your expense.

Every American who can read at a high school level in English should pour over this book: It will save you and your loved ones much grief in the future.

In a brief, on-line review, I cannot begin to summarize all the studies that Mr. Stanzak summarizes. But you'll find the key points of all the studies you can imagine when you read the book (and if that's not enough, his footnotes are complete enough to help you access the original sources).

But let me summarize a few points that you may not know . . . that could hurt you if you don't learn these facts:

1. Physicians rarely read research on what best practices are. Instead, physicians rely on what medical salespeople tell them . . . and those salespeople don't tell it straight.

2. To make matters worse, physicians gain a lot of economic benefits from playing along with the pharmaceutical companies and writing lots of prescriptions (trips, lecture fees, lavish entertaining and gifts).

3. Most of the money earned from prescription drugs goes for profits, marketing to physicians and advertising to consumers . . . not developing new prescription drugs.

4. All of the medical interventions that physicians can make have less impact on mortality than what you can do with lifestyle and diet.

5. We are so over-prescribed for drugs that the net effect is probably to reduce our health through the many harmful drug interactions.

6. Physicians, nurses and hospital personnel kill hundreds of thousands of people annually with mistakes. With proper staffing, more rest, better hygiene and other simple measures, the bulk of these deaths could be avoided.

7. Despite what politicians tell you, malpractice suits and payments are rare (less than 2% of all mistakes lead to suits) and are in infinitesimal part of total health care costs.

8. Overhead costs absorb about half of our health care spending and add essentially no value.

9. Hospitals are more dangerous than most diseases and conditions that put you in the hospital between antibiotic resistant bacteria, personnel who don't bother to wash their hands or stethoscopes between patients, mistaken orders and medicines, and the constant disruption to your sleep, blood supply and privacy.

10. If in doubt, don't treat most diseases and you'll last longer. That's right. The medical care will probably reduce your life expectancy if you have something that can heal on its own.

Mr. Stanzak makes his points in less alarmist sentences than I have just used.

How surprised was I by these conclusions? Not very. After all, I am the father of a young pediatrician and a nursing training manager who is an RN. They've told me the same things.

But I suspect that you don't know these facts . . . or you wouldn't be taking most of the medicines you take today, going to the doctor's office as often as you do, or agreeing to the treatments that you are receiving.

The lesson: Patient, heal thyself. Your physician probably can't!
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1 of 1 people found the following review helpful:
5.0 out of 5 stars fabulous!!!, July 14, 2006
This review is from: The Bottom Line: A Layman's Guide to Medicine (Paperback)
I would highly recommend this book for nurses [who may be trying to figure out 'what it's all about LIFE and LIE in medicine'], for nursing students and no doubt, the public. Sadly, those who could benefit most from this book, vulnerable consumers, CEO's and physicians will probably never read it. "The Bottom Line : A Layman's Guide to Medicine" is a compelling reading. Whether you work in the health care industry, or are a self educated consumer, Stanzak's writing wryly covers all aspects of the medical controversies with a thoroughness rarely found in books of current affairs. The writer is witty, informative and scientifically oriented. The fact that Medicine is unable to protect anybody, and that this leaves anyone who is subjected to a hospital stay in grave danger, should be enough to give us all some motivation to put The Bottom line medicine at the top of everyone's reading list.
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4.0 out of 5 stars A. Clark, August 29, 2006
"Meaningful change can only occur after the public has been educated to the needless risks of modern healthcare." (Stanzak p.123)

The purpose behind Stanzak's presentation of the short-comings of our medical system can be summed up in this sentence. By highlighting areas for improvement (all backed up by an incredible amount of solid, well-interpreted research), this book presents the reader with an opportunity--to make more informed decisions, to ask more informed questions, to keep himself and his loved ones safe. As a healthcare professional, I found the book enlightening, not offensive, and think it would be informative to help all healthcare professionals think outside the pre-defined box. As an HMO member, the book encouraged me to stay healthy (prevention!) and be my own healthcare advocate. The objective evidence presented in the book speaks for itself, and it is asking for a change. If enough people catch on, we could find ourselves in a much healthier society.
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Inside This Book (learn more)
Key Phrases - Statistically Improbable Phrases (SIPs): (learn more)
third year medical student, emerging infectious diseases, exceptional returns, health economics, ambulatory care clinics, handwashing compliance, malpractice payouts, preoperative laboratory testing, vancomycin use, pressure sore prevention, bad bugs, glycopeptide resistance, adverse drug events, serious medication errors, drug representatives
Key Phrases - Capitalized Phrases (CAPs): (learn more)
Bottom Line Medicine, United States, New York, Creepy Crawlies, Bad Bugs And Malicious Microbes, Public Citizen, Health Affairs, Ann Intern Med, Cover Your Assets, Jehovah's Witnesses, Institute of Medicine, Annals of Internal Medicine, Arch Intern Med, West Nile, Hosp Infect, Medicine's Marginal Benefits, Eur Heart, Crit Care, Postgrad Med, International Journal of Epidemiology, Public Health, American College of Physicians, Med Nov, Infect Control Hosp Epidemiol, Ann Emerg Med
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Front Cover | Table of Contents | First Pages | Index | Back Cover | Surprise Me!
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