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GUARDED PROGNOSIS

A DOCTOR AND HIS PATIENTS TALK ABOUT CHRONIC DISEASE AND HOW TO COPE WITH IT

Using his patients’ personal stories to illustrate dramatically how medical care once worked and how it works today, a concerned and caring physician makes clear just why he fears the current system has a very poor prognosis. Director of the Center for Women and Rheumatic Disease at the Hospital for Special Surgery in New York, Lockshin specializes in lupus, a chronic disease that affects every organ in the body and brings its patients into contact with all segments of the medical-care system. Drawing on some 35 years of medical experience, he writes knowingly and sympathetically of patients who need long-term, expensive care, whose problems may require speedy treatment by specialists. In doing so, he questions how well such individuals would fare in a system where primary-care doctors act not as their patients’ advocates but as gatekeepers, deciding who will have access to what kind of care. He acknowledges that cost is at the heart of the medical-care crisis, but points out that this cost comes largely from common, chronic, and crippling diseases. Lockshin outlines what he perceives as the elements of an ideal system and calls for a vigorous public debate over the issues, which, he notes, seem medical but are social and political as well. He argues that decision-making criteria concerning health-care resources and spending must include compassion as well as cost-benefit. The questions he raises about cost cutting, rationing of care, doctor-patient privacy, and individual needs and rights are ones that deserve careful consideration. An able spokesman for the poor and chronically ill, those whose voices he believes are seldom heard in the debate over health policy in this country, he has given us stories to remind us that abstract policies affect individuals who could be us or those we love.

Pub Date: July 1, 1998

ISBN: 0-8090-5345-4

Page Count: 288

Publisher: Hill and Wang/Farrar, Straus and Giroux

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: June 15, 1998

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THE ELEMENTS OF STYLE

50TH ANNIVERSARY EDITION

Stricter than, say, Bergen Evans or W3 ("disinterested" means impartial — period), Strunk is in the last analysis...

Privately published by Strunk of Cornell in 1918 and revised by his student E. B. White in 1959, that "little book" is back again with more White updatings.

Stricter than, say, Bergen Evans or W3 ("disinterested" means impartial — period), Strunk is in the last analysis (whoops — "A bankrupt expression") a unique guide (which means "without like or equal").

Pub Date: May 15, 1972

ISBN: 0205632645

Page Count: 105

Publisher: Macmillan

Review Posted Online: Oct. 28, 2011

Kirkus Reviews Issue: May 1, 1972

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NUTCRACKER

This is not the Nutcracker sweet, as passed on by Tchaikovsky and Marius Petipa. No, this is the original Hoffmann tale of 1816, in which the froth of Christmas revelry occasionally parts to let the dark underside of childhood fantasies and fears peek through. The boundaries between dream and reality fade, just as Godfather Drosselmeier, the Nutcracker's creator, is seen as alternately sinister and jolly. And Italian artist Roberto Innocenti gives an errily realistic air to Marie's dreams, in richly detailed illustrations touched by a mysterious light. A beautiful version of this classic tale, which will captivate adults and children alike. (Nutcracker; $35.00; Oct. 28, 1996; 136 pp.; 0-15-100227-4)

Pub Date: Oct. 28, 1996

ISBN: 0-15-100227-4

Page Count: 136

Publisher: Harcourt

Review Posted Online: May 19, 2010

Kirkus Reviews Issue: Aug. 15, 1996

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