- Series: Pocket Notebook
- Ring-bound: 280 pages
- Publisher: LWW; 5 edition (October 15, 2013)
- Language: English
- ISBN-10: 1451193785
- ISBN-13: 978-1451193787
- Product Dimensions: 1 x 4 x 6 inches
- Shipping Weight: 9.9 ounces (View shipping rates and policies)
- Average Customer Review: 497 customer reviews
- Amazon Best Sellers Rank: #8,031 in Books (See Top 100 in Books)
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Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine (Pocket Notebook) Fifth Edition 5th Edition
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I've known the details of this series for many years. See my older reviews on Pocket Medicine to see what I think about the series. Again, for the newcomers, welcome to medicine and if you're looking for a reference book, this shall be your bible. The style is that same Pocket Medicine style with lots of abbreviations, and references. If you are having trouble figuring out what that abbreviation is in the book, check the back of the book. If you can get a copy off your colleague, I recommend taking a look first before jumping the gun and buying it without looking at how this is written. I've seen people be put off by the style and so I recommend doing this first if you're completely unfamiliar with the series. Before, I would be searching things very fast on this book. But given the speed of the uptodate app on my phone, I'll admit I haven't been using this little buddy as much. The pocket book fits in any white coat.
Now I will present changes/differences:
New sections (not all inclusive): Cardiac Rhythm Management Devices, Toxicology, Lung Transplant, Dysmotility and Nutrition, Disorders of Colon, Intestinal Ischemia. Some of these were renamed sections. I haven't used the book enough to tell you if these changes make a difference if you're thinking about upgrading from purple.
New references: qSOFA for sepsis, cardiac risk assessment tables has been slightly simplified (although the basics are the same), JNC 8 is in the book. The controversial lipid guidelines from AHA are in the book now. Ophthalmic issues section has been changed a lot (I liked the purple version better but maybe its because I'm just used to it).
Dislikes: the book I bought uses a more similar flimsy paper as in the purple version. I miss the paper they used in green. But what I was really MAD about is that the publisher didn't do a good job at screening the hole punches and it was hole punched slightly off and now the first couple pages have already ripped out. I'm very unhappy about this but I did not subtract a star as the rating is about the content.
Bottomline: it's the same old pocket medicine you love and see your colleagues use. Is it worth upgrading? absolutely not. Will I stop buying future issues? I'm thinking this may be the last one I upgrade as I probably use uptodate more often now as an attending but I can appreciate all of the information that is needed to update this little book. Again, borrow one to see if you like the style before buying this.
Again, like all of my previous reviews: I didn't get paid by Dr Sabatine or Wolters Kluwer for this review.
Also a moment of silence for my purple version. RIP my battered and time tested purple version, RIP.
Now for those who had the green medicine book, you're wondering, is it really worth the 60 dollars? Medicine doesn't change very much and many treatment protocols are still the same (except for maybe chemotherapy regimens). However, after scanning through about 10 topics, there's at least a one line update (usually more in the range of 3-5). Will it change how you will practice? Unlikely, especially if you were following the green book. But yes, there's abundance of changes everywhere. For example, they updated cystitis even though it's a bread and butter IM issue - I'll leave it to you to buy the book to find out the update ;) although I warn you, its not drastically different. But there are some definite useful updates such as how aggressive you want to be on diabetic management according to the latest guidelines. How aggressive should you be on HgA1c or the BP? You could spend tons of time looking it up, or just flip to the page in 5 seconds. The new consult sections aren't real deal breakers in my opinion (Surgical, Ob/Gyn, Optho) because you're probably going to consult those specialists anyways, but its nice to have. At least you'll sound a little smarter when you talk to them for the consultation? The new sections like anaphylaxis and nutritional issues aren't major additions to warrant to buy this book over the green/4e book.
Would I still recommend buying this book? Yes. But if you're a poor resident who already had the green book and don't want to spend money that should be going to payback your loans, I would stick to the green book.
My only real negative about this edition is that they used the new "recycle"-like paper (the thin type) over what they were using for the green 4e book. It feels cheaper and easier to rip. Otherwise, I recommend it as the gold standard of pocket manuals :D
Note: This was not a paid recommendation of the book. I just enjoy Pocket Medicine a lot.