Features of Every Deep Drawn Breath PDF
Every Deep Drawn Breath PDF-“Perhaps one lesson to draw from the pandemic, with help from books like this one, is that the ICU experience can be changed for the better” (The Washington Post) for both patients and their families. You will learn how in this timely, urgent, and compassionate work by a world-renowned critical care doctor.
Over the next ten years, 40 to 60 million people in this country will be admitted to the ICU. Most of these hospitalizations will be sudden, unexpected, and harrowing experiences that can alter patients and their families physically and emotionally, with effects that endure for years.
In this rich blend of science, medical history, profoundly humane patient stories, and personal reflection, Dr. Wes Ely describes his mission to prevent patients from being inadvertently harmed by the technology that is keeping them alive. You will experience the world of critical care through the eyes of a physician who drastically changed his clinical practice to offer person-centered health care, and through cutting-edge research convinced others to do the same.
For decades, ICU survivors left the hospital with disabling symptoms including newly acquired dementia, depression, PTSD, and nerve damage, all now recognized as Post Intensive Care Syndrome, or PICS. Dr. Ely’s groundbreaking investigations advanced the understanding of PICS and introduced crucial changes that reshaped intensive care: minimizing sedation, maximizing mobility, listening to the family, and providing supportive aftercare. Dr. Ely shows that there are ways to bring humanity into the ICU and that “technology plus touch” is the future of health care and is a proven path toward returning ICU patients to the lives they had before their hospital stay. An essential resource for anyone who will be affected by illness—which is all of us—Ely’s “personal, passionate return to the ethical heart of the Hippocratic oath…[offers] meaningful, thought-provoking insight into the world of critical care” (Kirkus Reviews).
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Description of Every Deep Drawn Breath PDF
Every Deep Drawn Breath PDF is one of the best medical books for students and for emergency medical doctors . It is a must download.
Dr. Ely is an ICU doctor, research scientist, author, professor of medicine and critical care. His focus is on amplifying human dignity, which took on a heightened role during the COVID pandemic through his NIH-funded research protocols, advocacy for patients and families, and the writing of Every Deep-Drawn Breath. He hopes these efforts allow people a way through health crises toward healing and recovery.
Dimensions and Characteristics of Every Deep Drawn Breath PDF
- Publisher : Scribner (September 7, 2021)
- Language : English
- Hardcover : 352 pages
- International Standard Book Number-10 : 1982171146
- International Standard Book Number-13 : 978-1982171148
- Item Weight : 1.23 pounds
- Dimensions : 6.25 x 1.2 x 9.25 inches
- Book Name : Every Deep Drawn Breath PDF
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Charles Sprung MD “The book “Every Deep-Drawn Breath: A Critical Care Doctor on Healing, Recovery, and Transforming Medicine in the ICU” is a must read for the general public and doctors. Most laymen will either be an ICU patient or have a relative who is admitted to the ICU. Dr. Ely presents many ‘pearls’ for people to know to make sure they or their loved ones receive the best and most appropriate care. For intensivists it provides many proven and accepted practices that unfortunately are not being used as they should be. All other doctors can also learn from Dr. Ely’s advice of looking the patient in the eye, touching patients, understanding the person rather than the organ or disease, using more palliative care, at the end of life asking about spiritual needs and stating that I will stay with you and not leave you and most important, being a human being and not just a doctor.
Dr. Ely, a world renown ICU and pulmonary clinician-researcher, describes his journey in the ICU and his research over the years leading to the A2F bundles which have saved the lives and improved the quality of life for thousands of patients around the world. His use of the stories of actual patients and their families is riveting along with his intertwining quotations from the nonmedical literature which makes the reading more interesting. The history of critical care medicine with the names of the doctors and description of their work is fascinating. Most of all the book portrays the changes that occur over the years to a dedicated and caring physician who is driven to improve the care of his patients and their families along with his humanism.
Charles Sprung MD”
kent delay “I cannot encourage this read enough to everyone.
I am a physician but on one level learned alot about how we care for those in the ICU and what they experience after they are home. I frankly had never heard of post intensive care syndrome(PICS). It is a scary entity that prevents folks from returning to the lives they had before their critical illness. Motivated by a desire to see the whole patient and their long term success Dr Ely discusses his journey in making events in the ICU translate into the patient doing well after(less sedation, ambulating patients in ICU, keeping patients connected with family). Fascinating how subtle but difficult changes In ICU care have translated into less PICS.
On on a bigger level this a story about perseverance and hope. It’s about doctors seeing humans as humans and not problems to be solved. Its about how much meaning we can find in being of service to our fellow man. Its about our meaning in a complex world.
This was truly a read that touched my heart and my head. So thankful for it and recommend it to all”
Safe Shooter “Wes Ely is a Critical Care physician who has been investigating and advocating for less sedation and more human interactions with our patients for years. I had the pleasure of attending one of his first seminars presenting the plan (the “ABCDE Bundle” which became the “A-F Bundle”) at Vanderbilt years ago. The outcome data supporting the use is strong.
On a more human level, decreasing the sedation allows us to interact with the patients more, which is a welcome change. In Critical Care we get immersed in a world of lab test and x-rays, sometimes overlooking the humanity of the patient. When they are interacting with you, the patient becomes a person. Additionally data shows that time on a ventilator and overall length of stay is decreased.
This should be required reading for people working with our sickest patients. I’ve made it required reading for our post-graduate Fellows in Critical Care. I hope it helps them in their journey.”
Reality Check “I purchased this book because I am interested in the idea that morals may be inborn — part of human nature — and that each culture shares certain basic values. I started reading the book enthusiastically, but by the end I was skimming pages and dismayed that the author had so seriously failed to provide any solutions to our political problems.
Haidt starts by dividing the human mind into what he calls the elephant and the rider. The rider is the reasoning, rational mind, whereas the elephant is the irrational, impulsive and intuitive mind. He argues that human moral decisions are guided by the elephant, and that the rider just comes up with a rationalized, post-facto “reasonable” justification after the decisions have been made by the elephant. Of course, anyone who has been alive for more than a couple decades may have noticed this kind of “logic” in his fellow humans. It goes like this: “Here are my biases, now how do I make an argument to justify it.”
Later in the book, he goes into more detail and lists the specific intuitions that may bias people towards certain moral conclusions: care/harm, liberty/oppression, fairness/cheating, loyalty/betrayal, authority/subversion, sanctity/degradation.
However, he doesn’t call them biases (that’s my own terminology). He describes them as something like the taste buds of morality, whereupon one may develop certain “tastes” over a lifetime that cause one to be liberal (progressive) or conservative. Just like we may have a preference for sweet food, we might also have partially inborn and partially acquired intuition for, to make an example, loyalty, which may lead one to make statements like “My country, right or wrong” in the face of unethical behavior by one’s government.
Haidt rejects rational thinking entirely. Indeed, he goes so far as to label those who engage in systematic rational thinking as “autistic” (pg 136). He labels modern, civilized countries as WEIRD (an insulting acronym he made up). He also has no interest in individual rights, such as America’s Bill of Rights. Rather, he finds solace in the ignorance of impoverished villagers in northeast Brazil and primitive people of India who wipe their butts with their hands (really! see pg 122). He praises studies which show that ignorant people prefer collectivism and use their intuitions (prejudices/biases) when making moral decisions. Critical thinking? Rights? To Haidt, they’re irrelevant. He’s openly hostile to critical thinking. He disparages psychological studies of advanced (“WEIRD”) countries as “statistical outliers” (pg 112).
Essentially, his ethics can be summarized as “cultural relativism”, except that Western cultures are always wrong and those on the upper half of the bell curve (advanced, civilized societies) are WEIRD. Since humans are incapable of reason (according to Haidt), we can only navigate ethical and political decisions by intuitions. Whose intuitions should we follow, you ask? Well, that’s unclear, although he does provide some helpful graphs of the intuitions of different political views towards the end of the book. I guess whoever shouts the loudest gets to make the rules.
I don’t actually disagree with any of Haidt’s psychological studies. I just come to entirely different conclusion. When Haidt finds ignorance and prejudice, he wants to build a code of ethics out of it. Where I find ignorance and prejudice, I want to educate people and help them to understand the points of views of others. How can this come about? Well, first one must accept that there is a real, physical reality out there, and that certain actions make sense in the real world and others don’t. If you compare today’s political discussion with that of previous generations, you can see how far we’ve fallen. For example, read “The Federalist Papers” and compare that to any modern day politician’s anti-intellectualism, and you can realize how much America has lost since our founding in terms of critical thinking and honest debate.
The Enlightenment-style system of individual rights has advanced society enormously. Unfortunately, there are still pseudo-intellectuals like Haidt who want to drag us back into the stone age, or worse, towards fascism, religious fundamentalism, or communism. I find this book disturbing and could go on and on about problems I have with it, however I think I’ve said enough to get my point across.”
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