The New England Journal of Medicine lauds Dr. W. Grant Thompson as "a gifted teacher and clinician with a talent for clear exposition". In the spirit of the highly acclaimed Gut Reactions, Dr. Thompson shares his expertise on how to cope with two widespread and debilitating diseases - colitis and Crohn's disease. These two chronic, nonfatal yet devastating ailments typically strike the young and may develop into a lifetime burden. Most patients are traumatized by their diagnosis and become frustrated and depressed by the recurring nature of these illnesses. As a result, caring and open communication between patient and doctor is essential. Perhaps more so than a physician in any other specialty, a gastroenterologist must be in tune with the mind and body of his patient. Dr. Thompson, an international expert and chief of a hospital gastroenterology unit, epitomizes this valuable quality and bestows the fruit of his knowledge and compassion on the reader. In addition to highlighting the significant similarities and differences of these two syndromes and stressing the importance of a correct diagnosis, Dr. Thompson broaches more sensitive topics that seem to be ignored by the medical profession. He explores the unique psychosocial and sexual concerns, as well as the effects of pregnancy on those women who suffer from these conditions. His gift for writing and warm, caring style make the daily struggles of these illnesses seem easier to bear. One of the worst consequences of these stubborn ailments is the accompanying reduction in the quality of life. Dr. Thompson addresses common worries about body image due to illness or surgery, loss of sexual drive or ability to perform, pain andsuffering, possible effects of medication, and concern over the ominous relationship between ulcerative colitis and cancer. In accessible and supportive prose, Dr. Thompson examines the pros and cons of all possible treatments including drug therapy, nutrition, and surgery. He outlines latest theories, attempting to pinpoint the still mysterious causes of these disorders. Take control of your disease under the authoritative guidance of Dr. Thompson and his dedicated, sensible approach. You will gain a new perspective on your "angry gut" and find the courage to thrive.

Since the days when doctors routinely made house calls and sat by the bedside offering comforting words along with medical care, the doctor-patient relationship has become increasingly impersonal and superficial. As medical technology and treatment have improved, and time constraints have become more demanding, the beneficial effects of meaningful doctor-patient interactions have too often been overlooked. Nonetheless, objective clinical trials have repeatedly shown that real, measurable benefits to the patient occur through the "placebo effect," the positive effects of the doctor's presence and personality plus the patient's belief in the efficacy of the treatment.
Dr. W. Grant Thompson, a frequent consultant on the design of clinical trials, reviews the history of the placebo effect and the evidence of its benefits to health in this lively, informative, and scientifically rigorous book. He looks at both the planned use of placebos in blind clinical trials and the unplanned placebo effects arising out of the doctor-patient relationship, the passage of time, and the perceptions of the patient. Dr. Thompson emphasizes that placebos in themselves have no intrinsic benefit; what matters is how the treatment is provided and under what circumstances. He argues that understanding the placebo effect is important for the care of the ill, the design of clinical trials, and healthcare policy planning. He contends that we should be using judiciously the best medical evidence, but even that can be undermined by insensitive delivery. Healthcare policy can only gain from taking both vital components of medical care into consideration.
Praised by the New England Journal of Medicine as "a gifted teacher and clinician with a talent for clear exposition," Dr. Thompson has written an important, accessible, and interesting work that deepens our understanding of both the tangible and intangible factors that affect health. He convincingly demonstrates that patients need the best that science has to offer combined with kind and compassionate caregiving by doctors in order for a treatment to be its most effective.

How best to deal with such benign problems as the irritable bowel syndrome, diverticula, heartburn, non-ulcer dyspepsia, and gas, among other ailments. For a general audience.