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When Less Is More: The Complete Guide for Women Considering Breast Reduction Surgery
by Bethanne SnodgrassIf you have ever thought that your breasts are too big, this book is for you. Do you suffer from chronic back and neck pain? Do you struggle to sit up straight? What about frequent headaches or hand numbness? Disabling muscle and joint pain, discolored shoulder grooves from your bra straps, and rashes under your breasts are just some of the symptoms caused by heavy breasts. Many large-breasted women also suffer psychologically from poor body image and unwanted sexual attention. Sound familiar? If so, When Less Is More will provide you with the information you need to make an informed decision about a procedure that can transform your life.Breast reduction is among the top ten most commonly performed major plastic surgical procedures, as common as facelift surgery. Most women experience dramatic symptom relief and emotional benefits after the procedure. In fact, the vast majority of women who have breast reduction surgery would have it again or recommend it to a friend. Even celebrities are speaking out about their breast reductions and the life-changing benefits they have experienced as a result. However, making the decision to have surgery can be difficult, and most women consider it for years before taking action. Unfortunately, despite the media attention and increasing frequency of the procedure, there is an alarming lack of accurate information regarding the surgery and its indications. Many doctors still recommend weight loss as an effective way to reduce breast size without scientific evidence to support this approach. Insurance companies often further confuse and complicate matters by using strict, one-size-fits-all guidelines to determine coverage eligibility. When Less Is More offers much-needed help for women suffering with large breasts by providing reliable information to help them answer critical questions:Will the surgery help me?Are there alternatives to surgery?How do I find a good doctor?Will my insurance pay for the surgery?It also includes immediate steps you can take to help relieve pain, such as finding a well-fitting bra, and features a fully illustrated physical therapy program. To help you face surgery with confidence, Dr. Snodgrass also discusses many details that doctors don’t have time to tell you.You may be a teenager trying to hide your breast size, a corporate executive, a stay-at-home mom, or a grandmother with deep grooves in your shoulders from your bra straps. Whoever you are or whatever your circumstances, the bottom line is you want to look and feel better. Breast reduction is one of the most effective surgeries available to help you do that, and When Less Is More gives you the essential information you need.
When Life Gives You Pears: The Healing Power of Family, Faith, and Funny People
by Jeannie GaffiganIn a book that is The Big Sick meets Dad is Fat, Jeannie Gaffigan, writer/director/producer/accused supermom and wife of bestselling author/comedian Jim Gaffigan, writes with humor and heart about the pear-sized brain tumor she had removed, the toll it took on her enormous family, and the priceless lessons she learned along the way. <P><P>In 2017, Jeannie's life came to a crashing halt when she was diagnosed with a life-threatening brain tumor. <P><P>As the mother of 5 kids-6 if you include her husband-sat in the neurosurgery department in star-covered sweats too whimsical for the seriousness of the situation, all she could think was "Am I going to die?" <P><P>Thankfully, Jeannie and her family were able to survive their time of crisis, and now she is sharing her deeply personal journey through this miraculous story: the challenging conversations she had with her children; how she came to terms with feeling powerless and ferociously crabby while bedridden and unable to eat for a month; and how she ultimately learned, re-learned and re re-learned to be more present in life.With sincerity and hilarity, Jeannie invites you into her heart (and brain) during this trying time, emphasizing the importance of family, faith and humor as keys to her recovery and leading a more fulfilling life. <P><P><b>A New York Times Bestseller</b>
When Life Hands You Lemons, Make Lemon Meringue Pie
by Barbara Alpert Joanna LundBest-known as the creator of Healthy Exchanges ® cookbooks, JoAnna Lund not only turned her own life around with her sensible approach to healthy eating but also helped hundreds of thousands of people do the same. For more than a decade she's been sharing her common-folk wisdom through her many cookbooks, in her newsletter, on QVC, and during personal and media appearances around the country. But JoAnna has survived more than the diet wars. When she was diagnosed with a particularly aggressive form of breast cancer, the lessons that she had been sharing with friends and readers over the years were certainly tested, and none more so than one of her favorite maxims: When life hands you lemons, make lemonade. True to form, JoAnna knew that she had to take this lesson one big step further. In the kitchen, it meant whipping up some pretty scrumptious desserts, like her Heavenly Lemon Cream or Luscious Lemon Meringue Pie. In her life and in this book, it meant sharing her candid reflections and recounting the blessings that have kept her going through adversity to triumph. And this is JoAnna's most inspiring collection ever-recipes for support, comfort, and faith, for joy and peace. But most of all, they are recipes for healing and hope.
When Medicine Goes Awry: Case Studies in Medically Caused Suffering and Death
by Juanne Nancarrow ClarkeMedical error often results in disability, pain, and suffering, and it is the third leading cause of death in hospitals. Despite its frequency, medical error has been largely invisible to the mainstream public. Within the medical system itself, medical error is often understood as the result of an isolated case of malpractice. When Medicine Goes Awry argues that the causes of medical error are not an anomaly but rather the outcome of a number of factors at play, ranging from political to social to economic. When Medicine Goes Awry dismisses the common blame perspective associated with medical malpractice, instead asserting that medical error is – and will continue to be – inevitable, given the relentless and expanding processes of medicalization. Shedding light on the ways these forces lead to medicine going awry, the book examines seven well-known cases of medical error. Taking an in-depth look at both patients and medical care providers, Juanne Nancarrow Clarke offers a novel approach to medical error or mishap that applies sociological research and theory to the larger societal forces contributing to a taxing and endemic medical problem.
When Misfortune Becomes Injustice: Evolving Human Rights Struggles for Health and Social Equality (Stanford Studies in Human Rights)
by Alicia Ely YaminWhen Misfortune Becomes Injustice surveys the progress and challenges in deploying human rights to advance health and social equality over recent decades, with a focus on women's health and rights. Yamin weaves together theory and firsthand experience in a compelling narrative of how evolving legal norms, empirical knowledge, and development paradigms have interacted in the realization of health rights. When Misfortune Becomes Injustice reveals extraordinary progress in recognizing health-related claims as legal rights and understanding the policy implications of doing so over the last few decades. Yet Yamin challenges us to consider why these advances have failed to produce greater equality within and between nations, and how the human rights praxis must now urgently address threats to social and gender justice, in health and beyond.
When Misfortune Becomes Injustice: Evolving Human Rights Struggles for Health and Social Equality, Second Edition (Stanford Studies in Human Rights)
by Alicia Ely YaminWhen Misfortune Becomes Injustice surveys the progress and challenges in deploying human rights to advance health and social equality over recent decades. Alicia Ely Yamin weaves together theory and firsthand experience in a compelling narrative of how evolving legal norms, empirical knowledge, and development paradigms have interacted in the realization of health rights, and challenges us to consider why these advances have failed to produce greater equality within and between nations. In this revised and expanded second edition, Yamin incorporates crucial lessons learned about the state of global health equity and public health systems during the COVID-19 pandemic, demonstrating just how incompatible the current institutionalized world order—based on neoliberal, financialized capitalism—is with one in which the rights of diverse people around the globe can be realized. COVID-19 struck a world that had been shaped by decades of disinvestment in public health, health systems, and social protection, as well as privatization of wealth and gaping social inequalities within and between countries, and the evident crisis of confidence in the capacity of democratic political institutions and global governance was deepened by the pandemic. Yamin argues that transformative human rights praxis in health calls for addressing issues of structural inequality and political economy, and working across disciplinary silos through networks and social movements.
When My World Was Very Small: A Memoir of Family, Food, Cancer and My Couch
by Ruth RakoffIn the whirlwind of life with three young sons, an active member in her tight-knit community, Ruth Rakoff felt in supreme control of her wide world. But when a routine mammogram revealed a tumor, that world rapidly shrunk down to the size of one breast. And so begins the journey of biopsy, surgery, chemotherapy, all accompanied by tidal waves of anxiety and grief: how to tell the children? Should she consider having a healthy breast removed, in case the cancer returns? Will food ever taste good again? Amid all the worry and change, there is also overwhelming gratitude for a stalwart network of family and friends who strive to help and support, to comfort and delight -- even as everyone longs for the old normal of daily life. Through stories, confessions and anecdotes, Ruth Rakoff shows just what is at stake when cancer shows up at the party uninvited. There is no sugarcoating of either the physical or emotional pain of dealing with the disease or the effects of the poisons used to combat it. But for Rakoff, a life without laughter is not worth living. Brazen and irreverent, Ruth tells us that socks, no matter how luxurious, are not a cancer present. That no number of crystal-waving shamans can beat the healing power of good food, good friends and a raucous night on the town. And that just because you have cancer, you don't have to be a better person.Far more than just a recounting of disease and recovery, When My World Was Very Small is an intimate, colorful, one-of-a-kind memoir that celebrates life, love and family.From the Hardcover edition.
When No One Understands: Letters to a Teenager on Life, Loss, and the Hard Road to Adulthood
by Brad SachsWhen Amanda first came to Dr. Sachs for treatment, she had attempted suicide more than once. Withdrawn and cynical, she refused to speak during her therapy sessions. Determined to connect, Dr. Sachs tried something unconventional: he wrote letters to Amanda between sessions and invited her to write back, thinking she might feel more comfortable opening up in this way--and indeed she did. This correspondence gradually built trust between them, helping her to survive and ultimately to heal.When No One Understands consists of twenty letters that Dr. Sachs wrote to Amanda over the course of her therapy. In these letters, Sachs reaches out to Amanda with the core message that there is nothing wrong with her--that adolescence is painful, complex, and challenging for everyone and that her emotional pain deserves to be honored, openly explored, and viewed with compassion. Dr. Sachs also addresses many of the common questions and concerns shared by all teens on such topics as relationships, breakups, drugs and alcohol, parents, family dynamics, and more.Along the way, Dr. Sachs offers adults an inspiring image of a truly open, human-to-human relationship between an adult and a teenager. Parents, mental health professionals, guidance counselors, educators, and others who work with teens will see how they might also bring honesty, compassion, and humility to bear in their interactions with young people in order to create truly healing and supportive relationships.
When One Night Isn't Enough
by Wendy S. MarcusNurse Ali Forshay has swapped dating disasters for nights out with the girls! But after spending more time than is strictly necessary discussing the man she loves to hate -- the notoriously delicious Dr Jared Padget -- Ali's horrifying realisation is that shes one hundred per cent crazy in lust with him! The conclusion: spend a feverish night together! It would be a strictly one-time-only experience. Wouldn't it?
When Parents Die: Learning to Live with the Loss of a Parent
by Rebecca AbramsThe death of a parent marks an emotional and psychological watershed in a person's life. For children and teenagers, the loss of a parent if not handled sensitively can be a lasting trauma, and for adults too, a parent's death can be a tremendous blow. When Parents Die speaks to bereaved children of all ages. Rebecca Abrams draws on her personal and professional understandings of parental loss, as well as the experiences of many other adults, teenagers and children, to provide the reader with an honest, compassionate and insightful exploration of the experience of losing a parent. The book covers the entire course of grieving, from the immediate aftermath of a parent's death through to the point of recovery, paying particular attention to the many circumstances that can prolong and complicate mourning, including sudden death. An indispensible aid to the bereaved and the many professionals who work with them, this book is written in a clear and sympathetic style. It has been fully revised for this third edition to take recent research into account.
When People Come First: Critical Studies in Global Health
by João Biehl & Adriana PetrynaA people-centered approach to global healthWhen People Come First critically assesses the expanding field of global health. It brings together an international and interdisciplinary group of scholars to address the medical, social, political, and economic dimensions of the global health enterprise through vivid case studies and bold conceptual work. The book demonstrates the crucial role of ethnography as an empirical lantern in global health, arguing for a more comprehensive, people-centered approach.Topics include the limits of technological quick fixes in disease control, the moral economy of global health science, the unexpected effects of massive treatment rollouts in resource-poor contexts, and how right-to-health activism coalesces with the increased influence of the pharmaceutical industry on health care. The contributors explore the altered landscapes left behind after programs scale up, break down, or move on. We learn that disease is really never just one thing, technology delivery does not equate with care, and biology and technology interact in ways we cannot always predict. The most effective solutions may well be found in people themselves, who consistently exceed the projections of experts and the medical-scientific, political, and humanitarian frameworks in which they are cast.When People Come First sets a new research agenda in global health and social theory and challenges us to rethink the relationships between care, rights, health, and economic futures.
When Psychological Problems Mask Medical Disorders, Second Edition
by James MorrisonWidely regarded as a standard clinical resource, this book helps practitioners think outside the mental health box and recognize when a client may need a medical evaluation. Part I provides an accessible overview of symptoms that can be observed in a standard mental status examination and may point to medical illness. Engaging case vignettes and interviewing pointers help readers hone their diagnostic skills. Part II presents concise facts--including basic medical information and physical and mental symptoms--on more than 60 diseases and syndromes. An easy-to-read chart in Part III cross-tabulates all of the disorders and symptoms for quick reference and comparison. New to This Edition *Reflects more than 15 years of advances in medical and mental health knowledge. *Updated throughout for DSM-5. *Additional medical disorders: celiac disease, traumatic brain injury, heavy-metal toxicity, and others. *Updated links to further reading on each health condition.
When Race Counts: The Morality of Racial Preference in Britain and America
by John EdwardsWhen Race Counts investigates the use of race-conscious practices in social policy in Britain and America. It questions the distinction between affirmative action and preferential treatment, and evaluates the effectiveness of a range of education and employment policies designed to counteract both unintended and direct discrimination against ethnic minorities. The book uses both empirical and moral analyses to examine the controversial dilemma of whether and in what circumstances preferential treatment may be used as a means of improving the condition of minority groups. John Edwards looks at justifications for overriding the merit principle, particularly in employment, and shows who bears the costs of such a policy, and where the benefits lie. He argues that the merit principle is in itself so flawed that to override it would cause no great damange to justice. He then sets out the requirements of an acceptable policy of minority preference tailored to the disadvantages of specific minority groups.
When Research Goes Off the Rails
by David Streiner Souraya SidaniFew behavioral or health science studies proceed seamlessly. This refreshingly candid guide presents firsthand vignettes of obstacles on the bumpy road of research and offers feasible, easy-to-implement solutions. Contributors from a range of disciplines describe real-world problems at each stage of a quantitative or qualitative research project from gaining review board approval to collecting and analyzing data and discuss how these problems were resolved. A detailed summary chart helps readers quickly find material on specific issues, methods, and settings. Written with clarity and wit, the vignettes provide exemplars of critical thinking that researchers can apply when developing the operational plan of a study or when facing practical difficulties in a particular research phase.
When Science Sheds Light on History: Forensic Science and Anthropology
by Philippe Charlier"Well written and hard to put down. For anyone with an interest in forensic science, this book is a must-read."--Nigel McCrery, author of Silent Witnesses: The Often Gruesome but Always Fascinating History of Forensic Science "This compilation is a fascinating read for the nonspecialist and will further serve as an inspirational set of recommended readings for the next generation of forensic scientists."--Tim D. White, coauthor of The Human Bone Manual Did Richard the Lionheart really die from a simple crossbow wound, or was there foul play? Who are the two infants buried in Tutankhamun's tomb? Could a skull found in a tax collector's attic be the long-lost head of Henri IV? In When Science Sheds Light on History, Philippe Charlier, the "Indiana Jones of the graveyards," travels the globe to unravel these and other unsolved mysteries of human history. To get answers, Charlier looks for clues in medical records, fingerprints, and bloodstains. He reconstructs the face of Robespierre from masks molded from his body after death and analyzes charred bones to see if they really are Joan of Arc's. He discovers lethal levels of gold in the hair and bones of King Henry II's mistress Diane de Poitiers, who used gold salts to "preserve her eternal youth." Charlier also pieces together the stories of people whose names and lives have long been forgotten. He investigates Stone Age graves, medieval necropolises, and museum collections. Playing the role of both crime-scene investigator and forensic anthropologist, Charlier diagnoses a mummy with malaria, an ancient Greek child with Down syndrome, and a stately Roman with encephalitis. He also delves into ancient miracles and anomalies: a mute boy able to speak after making sacrifices to the gods, a woman pregnant for five years, and a serpent that cured a broken toe with its tongue. Exploring how our ancestors lived and how they died, the forty cases in this book seek to answer some of history's most enduring questions and illustrate the power of science to reveal the secrets of the past.
When Shadows Fall: When Shadows Fall What Lies Behind (A Samantha Owens Novel #3)
by J. T. EllisonThe third heart-racing story featuring medical examiner Dr. Sam Owens, only from New York Times bestselling author J.T. Ellison.Dear Dr. Owens, if you are reading this, I am dead and I would be most grateful if you could solve my murder… Forensic pathologist Dr. Samantha Owens thought life was finally returning to normal. Settling into her new job at Georgetown University, the illusion is shattered when she receives a disturbing letter from a dead man imploring her to solve his murder. There’s only one catch. Timothy Savage’s death was so obviously a suicide that the case has been closed. When Sam learns Savage left a will requesting she autopsy his body, she feels compelled to look into the case. The postmortem uncovers clear signs that Savage was indeed murdered. And she finds DNA from a kidnapped child whose remains were recovered years earlier. The investigation takes Sam into the shadows of a twenty-year-old mystery that must be solved to determine what really happened to Timothy Savage. Nothing about the case makes sense, but it is clear someone is unwilling to let anyone, especially Samantha Owens, discover the truth.Originally published in 2014
When Smoke Ran Like Water: Tales of Environmental Deception and the Battle Against Pollution
by Devra DavisIn this book, the world-renowned epidemiologist Devra Davis confronts the public triumphs and private failures of her lifelong battle against environmental pollution. She documents the shocking toll of a public-health disaster-300,000 deaths a year in the U.S. and Europe from the effects of pollution-and asks why we remain silent. For Davis, the issue is personal: Pollution is what killed many in her family and forced some of the others, survivors of the 1948 smog emergency in Donora, Pennsylvania, to live out their lives with impaired health. She describes that episode and also makes startling revelations about how the deaths from the London smog of 1952 were falsely attributed to influenza; how the oil companies and auto manufacturers fought for decades to keep lead in gasoline, while knowing it caused brain damage; and many other battles. The book makes a devastating case for change.
When Someone You Know Has Dementia: Practical Advice for Families and Caregivers
by Judi Dench June AndrewsAcross the world, almost 50 million people have dementia. Hundreds of millions of people are affected by the dementia of parents, partners, siblings, or friends. And while many countries are learning to cope with aging populations, dementia is becoming ever more of a challenge for many societies and individuals.Huge numbers of people who are diagnosed, or who are dealing with the diagnosis of a loved one, feel alone. When Someone You Know Has Dementia aims to fill this gap, providing practical information and support for people living with, or caring for someone with, dementia. It also provides insight into what is happening when a person has dementia as well as describing what dementia is, how you can deal with it, and what you can do to keep dementia at bay. Because the book offers information that has been unavailable to nurses and doctors, clinicians will also find it helpful.Most important, the book takes an honest approach, emphasizing the needs of the person who has Alzheimer's or dementia while also giving attention to the needs of caregivers and families. The book is packed with practical tips for providing what people with Alzheimer's or dementia want and need and includes many quotes from people living with or affected by dementia. With clear and sensible information about recognizing symptoms, getting help, managing financially, staying at home, getting treatment, being a caregiver, and staying positive, this guide will help people with dementia and their families make sure that they can stay well and happy as long as possible.
When Someone You Know Is Living in a Dementia Care Community: Words to Say and Things to Do (A 36-Hour Day Book)
by Rachael WonderlinA guide to help family and friends navigate the emotional and practical challenges they face when someone they love is living in community care.Life changes dramatically for the entire family when the decision is made to move a person who has dementia from home to community care. Rachael Wonderlin, a gerontologist, dementia care expert, and popular dementia care blogger, helps caregivers cope with the difficult behaviors, emotions, and anxieties that both they and their loved one may experience.Writing from her own practice and drawing on the latest research in gerontology and dementia, Wonderlin explains the different kinds of dementia, details the wide range of care communities available for people who have dementia, and speaks empathetically to the worry and guilt many families feel. "Do not let anyone make you feel like you have taken the 'easy way out' by choosing a dementia care community," she writes. "You are still going to deal with a lot of challenging behaviors, concerns, and questions regarding your loved one's care."When Someone You Know Is Living in a Dementia Care Community is an accessible guide offering answers to such questions as: How do I choose a place for my loved one to live? What can I find out by visiting a candidate memory-care community twice? What do I do if my loved one asks about going home? How can I improve the quality of my visits? What is the best way to handle conflict between residents, or between the resident and staff? How can I cope with my loved one's sundowning? What do I do if my loved one starts a romantic relationship with another resident?An indispensable book for family members and friends of people with dementia, When Someone You Know is Living in a Dementia Care Community touches the heart while explaining how to make a difficult situation better.
When Someone You Love Has Alzheimer's: The Caregiver's Journey
by Earl A. Grollman Kenneth S. Kosik"When Someone You Love Has Alzheimer's" offers help and hope to people coping with the illness of someone they love. It answers vital questions about the disease such as: What really happens to people with the disease? Can it be inherited?
When Someone You Love Has Cancer
by Dana Rae PomeroyThis book is a valuable resource for anyone with a serious illness or those who care for or about a cancer patient. It is full of emotional support and practical guidance especially for those coping with these difficult realities for the first time or those who hope to cope better than they may have at an earlier time. Brief and to the point, the author imparts Information about such issues as: accepting the diagnosis, emotions and attitudes, sexual Concerns, children's issues, the medical team, getting help from agencies, nutrition, how friends and family can help, home nursing and alternatives, caregiver health issues, insurance and medical record-keeping, the practical matters of death, and many more. The book can be read straight through or the table of contents used to look up answers to specific questions. The appendices provide models of important forms such as wills and power of attorney. There are also long lists of contact information for agencies nationwide which provide assistance. [from the back cover "DANA RAE POMEROY is a nationally known lecturer in hospice work. She wrote this personal account of her caregiver journey from the first days of her husband's cancer diagnosis through the final days to acceptance. Ms. Pomeroy owns and operates The Writer's Edge, an editorial and literary agency. She has written computer software programs and edited books for various publishers."
When Someone You Love Is Bipolar
by Cynthia Last David MiklowitzWhen bipolar disorder afflicts the person you love, you suffer too. How have other couples learned to manage the relationship strains caused by this illness? What can you do to provide your partner with truly helpful nurturance and support? No one cares more deeply about these questions than Dr. Cynthia Last, a highly regarded therapist/researcher who also has bipolar disorder. Sharing stories and solutions from her own experience and the couples she has treated, Dr. Last offers heartfelt, practical guidance for getting through the out-of-control highs and the devastating lows--together. Learn how you can help your spouse come to terms with a bipolar diagnosis, get the most out of treatment, and reduce or prevent future mood episodes, while also taking care of yourself.
When Someone You Love Suffers from Posttraumatic Stress
by Claudia ZayfertFor trauma survivors struggling with intense memories and emotions, it often feels like life won't ever be "normal" again. Effective treatments are out there, but the needs of family members are often overlooked. Will the person you love ever get better? What can you do to promote healing? Where can you turn when you just can't cope? From experienced trauma specialists Drs. Claudia Zayfert and Jason C. DeViva, this compassionate guide is packed with information, support, vivid stories, and specific advice. Learn to navigate the rough spots day by day and help your loved one find a brighter tomorrow.
When the Air Became Important: A Social History of the New England and Lancashire Textile Industries (Critical Issues in Health and Medicine)
by Janet GreenleesIn When the Air Became Important, medical historian Janet Greenlees examines the working environments of the heartlands of the British and American cotton textile industries from the nineteenth to the late twentieth centuries. Greenlees contends that the air quality within these pioneering workplaces was a key contributor to the health of the wider communities of which they were a part. Such enclosed environments, where large numbers of people labored in close quarters, were ideal settings for the rapid spread of diseases including tuberculosis, bronchitis and pneumonia. When workers left the factories for home, these diseases were transmitted throughout the local population, yet operatives also brought diseases into the factory. Other aerial hazards common to both the community and workplace included poor ventilation and noise. Emphasizing the importance of the peculiarities of place as well as employers’ balance of workers’ health against manufacturing needs, Greenlees’s pioneering book sheds light on the roots of contemporary environmentalism and occupational health reform. Her work highlights the complicated relationships among local business, local and national politics of health, and community priorities.
When the Air Hits Your Brain: Tales From Neurosurgery
by Frank Vertosick Jr.The story of one man's evolution from naive and ambitious young intern to world-class neurosurgeon. With poignant insight and humor, Frank Vertosick Jr., MD, describes some of the greatest challenges of his career, including a six-week-old infant with a tumor in her brain, a young man struck down in his prime by paraplegia, and a minister with a .22-caliber bullet lodged in his skull. Told through intimate portraits of Vertosick’s patients and unsparing yet fascinatingly detailed descriptions of surgical procedures, When the Air Hits Your Brain—the culmination of decades spent struggling to learn an unforgiving craft—illuminates both the mysteries of the mind and the realities of the operating room.