"Intensive Care" is an affecting view from the trenches, a seasoned
doctor's minute-by-minute and day-by-day account of life in the
Intensive Care Unit (ICU) of a major inner-city hospital, San
Francisco. General. John F. Murray, for many years Chief of the
Pulmonary and Critical Care Division of the hospital and a
Professor at the University of California, San Francisco, takes
readers on his daily ward rounds, introducing them to the
desperately ill patients he treats as well as to the young
physicians and medical students who accompany him.Writing with
compassion and knowledge accumulated over a long career, Murray
presents the true stories of patients who show up with myriad
disorders: asthma, cardiac failure, gastrointestinal diseases,
complications due to AIDS, the effects of drug and alcohol abuse,
and, emphysema. Readers will come away from this book with a
comprehensive understanding of what an ICU is, what it does, who
gets admitted, and how doctors and nurses make decisions concerning
life-threatening medical problems. Intensive care for critically
ill patients is a new but well-established and growing branch of
medicine.Estimates suggest that 15 to 20 percent of all
hospitalized patients in the United States are treated in an
intensive or coronary care unit during each hospital stay, so there
is a real possibility that the reader will either be admitted to an
ICU himself or herself or knows someone who will be. Murray not
only offers a real-time account of the diagnosis, treatment, and
progress of his patients over the course of one month but also
conveys a wealth of information about various diseases and medical
procedures in succinct and easy-to-understand terms. In addition,
he elaborates on ethical dilemmas that he confronts on an almost
daily basis: the extent of patient autonomy, the denial of ICU
care, the withdrawal of life support, and physician-assisted
suicide. Murray concludes that ICUs are doing their job, but they
could be even better, cheaper, and - most important - more humane.
His chronicle brings substance to a world known to most of us only
through the fiction of television.
General
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