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Norman Makous

Time to Care: Personal Medicine in the Age of Technology Paperback – December 1, 2009

by Norman Makous MD (Author), Bruce Makous (Author)

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Proposing the patient-doctor relationship that was central in traditional medicine be brought back to the center of the healthcare system, this history observes how the high cost of technology-based care has caused an economic squeeze through wasteful and ineffective practices. Targeting habits of wrong tests and treatments by specialists, as well as the overriding role technology has come to hold in medical care, the ideas offered here are based on 60 years of medical practice and aim to humanize treatment to help reduce unnecessary spending and regain a happier and healthier society.

Print length

440 pages
Language

English
Publisher

TowPath Publications
Publication date

December 1, 2009
Dimensions

5.5 x 1.1 x 8.5 inches
ISBN-10

0977668614
ISBN-13

978-0977668618
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Editorial Reviews

Review

“Time to Care is a must read as the nation struggles with healthcare reform. Dr. Makous' patient-doctor relationship focus could lead to higher quality care, reduced costs and much more satisfaction for both patients and doctors. His research, combined with fascinating personal experiences, makes this a lively read.” —Joseph P. Sullivan, chairman of the board of advisors, RAND Health

“Young healthcare professionals will gain a sharp perspective on how the modern medical system came to be while always being cautioned not to let technological and operational advances impede the primary cornerstone of medicine the physician-patient relationship.” —Oliver C. Bullock, D.O., professor of family medicine and division chair of community medicine, Philadelphia College of Osteopathic Medicine

“In Time to Care, Dr. Makous shows that, during a period when everybody else seemed determined to snitch a piece of the health insurance money pie, the patient wanted one major thing from the doctor. He wanted to be helped through his illness. The patients loved their doctor, in what was known as the patient-doctor relationship. But a strange thing was also true. The doctors loved their patients, the only group in society who seemed to care what the doctor was trying to do.” —George Ross Fisher III, MD, author, The Hospital That Ate Chicago

About the Author

Norman Makous practiced medicine for 60 years through a private practice in Kansas City and then Philadelphia. He has held appointments on the faculties of both the University of Pennsylvania Medical School and Thomas Jefferson Medical University, as well as on the boards of several government and health insurance advisory groups. He lives in Coatesville, Pennsylvania. Bruce Makous is a health-care fund-raiser and author of Riding the Brand and Virtually Dead. He lives in Philadelphia.

Product details

Publisher ‏ : ‎ TowPath Publications (December 1, 2009)
Language ‏ : ‎ English
Paperback ‏ : ‎ 440 pages
ISBN-10 ‏ : ‎ 0977668614
ISBN-13 ‏ : ‎ 978-0977668618
Item Weight ‏ : ‎ 1.39 pounds
Dimensions ‏ : ‎ 5.5 x 1.1 x 8.5 inches

Best Sellers Rank: #8,337,555 in Books (See Top 100 in Books)
- #3,480 in Health Policy (Books)
- #9,713 in Health Care Delivery (Books)

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C. A. Lajos

Time to Care: Personal Medicine in the Age of Technology by Dr. Norman Makous: a Must-Read for General and Specialized Readers

Reviewed in the United States 🇺🇸 on January 31, 2010

Due to millions of dollars being spent on unnecessary tests and incorrect treatments, technology- based healthcare in the United States has caused an economic squeeze that already has led to rationing of medical care and services. Here Makous, a noted, now retired, extensively trained and credentialed, primary care cardiologist, who practiced in Philadelphia, PA until 2000 (M.D., University of Wisconsin Medical School, Madison, WI, 1947; American Board of Medical Specialties Certification, Internal Medicine, 1957; Subspecialty Certification, Cardiovascular Disease, 1961; faculty of The University of Pennsylvania Medical School, 1959-1995, and Thomas Jefferson Medical University, 1994; formerly, Regional President, American Heart Association; Distinguished Achievement Award, American Heart Association of Pennsylvania; author of The Road Taken (2006); [...]), with the enthusiastic, thematic and directional support of his son Bruce, a leading healthcare fundraiser and published author (Riding the Brand (2004) and Virtually Dead (2006); [...]), proposes that the patient-doctor relationship that was displaced by technology be returned to its central, fundamental position in the delivery of medical care and services in order to humanize treatment, improve the quality of care, reduce unnecessary spending and ineffective practices, increase doctor-patient satisfaction, and result in a happier and healthier society. In six parts, comprised of seventy-one, short, easy-to-read, conversational chapters, Makous discusses his medical education and healthcare services before the technological revolution, dramatic shifts in medicine resulting from technological innovations, the impact of these changes and developments in the field of cardiology, involvement by the government, hospitals, insurers, and others in the delivery of medical care and services, insights into the future of the medical system, and more. By means of his holistic approach to the subject, the author provides a wide ranging overview of the healthcare system as well as many explicit and implicit ideas and suggestions for making it better. Some of the subtopics he covers include, but are not limited to, the fundamental tenets of medical education and practice, the art of diagnosing, the art of educated guessing, shotgun testing, hospital practices, private practices, turnstile practices, medicine as an art and science, taking medical histories and doing medical examinations, patient-doctor communications and relationships, doctor-doctor communications and relationships, choosing a doctor, psychiatric cardiology, the "laying on of the hands," follow-up visits, house calls, patient worlds, patient views, lifestyles, and expectations, screenings, emergency rooms, treatment standards and guidelines, age bias, end of life issues, advance directives, technology upgrades, new drugs, paradigms of medical science, the medical reimbursement systems, doctors as servants of many masters, referrals, malpractice issues, universal care, and rationing. Filled with dozens of case anecdotes, evidencing the historical and contemporary, crucial role that the doctor-patient relationship has played and serves in the delivery of excellent healthcare in the United States, this sufficiently well-documented--it includes a glossary of medical terms, diagrams, photographs, the author's curriculum vitae, and a list of additional readings, but lacks footnoting and endnoting of the text-- compelling, fascinating, convincing, noteworthy publication, based on sixty years of medical practice by an expert physician-consultant is a must-read as the nation continues to struggle with healthcare reform. For general and more specialized readerships, it will be of particular interest to patients, aspiring physicians, practicing physicians, healthcare professionals, lawmakers, and others, who have significant, immediate stakes in the nation's medical system. It should be required reading for all of the abovementioned persons and other individuals, who care about the current and future status and quality of healthcare delivery and services in the United States. Strongly recommended for many public, academic, and special library book collections--C. A. Lajos, The Librarian's Review of Books

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A Customer

A valuable retrospective

Reviewed in the United States 🇺🇸 on December 25, 2009

As a younger physician, I enjoy stories of the bygone days of medicine, when physicians were held in high esteem and enjoyed autonomy, while providing ethical compassionate care.

This book was a delightful read, full of interesting anecdotes of medical cases, but written in an accessible way without using medical jargon. The reader gets the sense of the person with the disease, his world and perceptions, so the patient's behavior and choices make sense.

I would recommend this book to anyone who wants to know what medical care can be without pressures from the insurance companies and the threat of litigation.

Reading this book is like sitting across the table from a seasoned, kind and compassionate doctor, and hearing him tell stories about his life and work.

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R.J.K. Kendle

Time To Care-Personal Medicine In The Age Of Technology

Reviewed in the United States 🇺🇸 on December 13, 2009

Dr. Norman Makous hits the nail square on the head with this book: Time To Care-Personal Medicine In the Age Of Technology. Dr. Makous realizes the virtue in personal patient-doctor relationship and the health benefits that go along with it.
With the increasing impersonal and vast HMOs a patient may never see the same doctor twice. With this in mind it becomes increasingly difficult to find trust and rapport and thereby personal knowledge that may aid the Dr. in diagnoses and treatment. A Time To Care offers ideas and strategies to overcome the impersonal clinic and advance the personal touch. Love this book. Highly recommend it.

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Time to Care: Personal Medicine in the Age of Technology Paperback – December 1, 2009

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