A Johns Hopkins Press Health Book – serie

A leading expert answers your questions about how to live to your fullest with COPD.Significant lung damage from smoking, exposure in some jobs, or even diseases such as AIDS and tuberculosis can lead to COPD. Having chronic obstructive pulmonary disease can leave you feeling short of breath, sometimes reluctant to go shopping or for a walk because you are afraid of more difficulties. You may have wheezing, tightness in the chest, or frequent coughing. Although you see a doctor for your COPD, you often have questions and need answers. In this concise and practical guide, leading medical expert Donald A. Mahler answers some of the most pressing questions that he has been asked over 30 years of seeing patients with COPD, including• Why am I short of breath?• What medications can treat my COPD?• Can surgery improve COPD?• What are flare-ups—and how can I prevent them?• How can I stop smoking?• What should I do if my breathing isn't getting better?• Can exercise help? If so, which exercises are the most beneficial?• What's the best way to prevent lung infections?• How does COVID-19 affect COPD?• How can I travel with oxygen?• Can I be sexually active with COPD?and much more. Each chapter includes a patient vignette and key points. Tables and boxes offering helpful tips are included throughout. Providing up-to-date, evidence-based content that covers more than just medications, COPD gives you the tools you need to keep active—and thrive.

Keeping Control is a compassionate, medically reliable, and thoroughly informative resource for anyone who wants to understand the possible causes of fecal incontinence, learn about important advances in management and treatment, and do something about the problem. Written by a noted Johns Hopkins physician and an experienced medical writer and editor, Keeping Control explains the mechanics of normal bowel function and describes the latest medical findings about what can cause incontinence, from pre-existing conditions and diseases to accidents and childbirth injuries. It thoroughly explains the wide range of treatment options, including remarkable successes with biofeedback and habit training. It includes special advice for managing incontinence in children and older people. And it offers important advice on how to work with your physician to take control of the problem. Keeping Control also includes a glossary of terms and valuable information about contacting support groups and using additional resources.An epilogue by Nancy Norton, founder of the International Foundation for Bowel Dysfunction, describes the personal challenge of living with fecal incontinence and explains how she and many others have found the courage to cope with the problem and live life to the fullest.

How does ADHD manifest itself in adult life? In general, the authors write, hyperactivity tends to diminish with age, impulsivity changes quality, and attention problems remain the same although they may become more disabling as organizational demands increase. The authors carefully answer the questions often posed by professionals and patients about these symptoms and other issues. They describe the diagnostic interview and the use of rating scales and include examples of the scales. They also provide a well-balanced review of associated psychiatric conditions, such as mood and anxiety disorders, Tourette's syndrome, oppositional and conduct problems, and substance abuse. Descriptions of all the primary approaches to treatment-medication, psychological therapies, and environmental restructuring-include vivid case examples.

A growing number of people choose to live their final weeks or months at home. For patients who cannot benefit from acute care in the hospital, home care offers an alternative to a nursing home or hospice. Advances in medical technology and pharmacology allow even those with serious illnesses to remain at home relatively free of pain and symptoms, and professional services are increasingly available to assist family caregivers with work that is often physically and emotionally exhausting. First published in 1991, Dying at Home examined the reasons behind this trend and offered practical advice about assuming as much control as possible over the process of dying. In this thoroughly updated edition, medical anthropologist and gerontologist Andrea Sankar keeps her focus on the patient and loved ones while providing the latest information on hospice home care teams, pain medications, HIV and AIDS, legislation on death with dignity, physician-assisted suicide, and sources of information and support for patients and families.Dying at Home is an intimate account based on extensive interviews with family and professional caregivers as well as with other family members, friends, and patients. The author addresses the concerns and problems of those who face the decision of whether to care for a dying loved one at home, including preparing the home environment for caregiving; how to use professional caregivers in the home setting; managing the patient's pain, agitation, and other conditions; and how to recognize impending death and what to do immediately after death. She draws from stories that represent a wide range of circumstances and causes of death. At home, surrounded by family and friends in a comforting environment, patients have some control over what remains of their lives. "Home death is a powerfully significant experience," the author writes, "despite the strain, exhaustion, and conflict that sometimes accompany it. Its power lies in the fact that in the face of certain death, the caregiver can give the person life, that is, the continuation of life as a social being."

Throughout the world, the incidence of malignant melanoma is increasing at an alarming rate. This dramatic rise is largely due to more frequent and prolonged exposure to intense sun, the result of major changes in clothing styles, recreation, and lifestyle (including widespread access to midwinter resort vacations). Significantly, recent scientific studies have shown an increased number of moles on, and a higher rate of melanoma in, people with the greatest sunscreen use, pointing out the mistaken belief that using sunscreen means getting a "safe" tan. The truth is that most sunscreen provides protection from UVB rays-the rays that cause the sunburn you see and feel-but not from UVA rays-the cancer-causing rays that penetrate deeper into the skin. In this book, physicians Jill R. Schofield and William A. Robinson team up to provide comprehensive information about melanoma for patients and family members as well as those who are concerned about getting the disease. They provide the latest information on prevention, diagnosis, treatment, prognosis, and follow-up, and answer a host of questions, such as: * I use a number 15 sunscreen. Is that enough?* I have been under a lot of stress lately. Did that make me get melanoma? * If the melanoma comes back, when will it happen? * Is there a blood test to tell if the melanoma has spread? * Is a mole more likely to turn into melanoma if it's in a place where my clothes rub? In addition, the authors describe who is at risk and tell readers how to determine their level of risk; describe skin warning signs and unusual forms of melanoma; talk about melanoma in children, pregnant women, and people whose immune systems are compromised; and take a look at what's on the horizon in diagnosis and treatment. The book is fully illustrated with color photographs and line drawings and includes a glossary and a guide to resources-support and advocacy organizations, and web sites-for people with melanoma.

Each person faces unique challenges when trying to lose weight. As director of the Johns Hopkins Weight Management Center, Lawrence J. Cheskin, M.D., and his team of experts have had remarkable success in helping thousands of individuals develop successful plans of action. Each plan contains the crucial ingredients for healthy success: an attainable goal, an appealing diet, and a practical program of physical activity. Based on the latest research in medicine, psychology, nutrition, and exercise physiology, the Personal Plan of Action offers a unique approach that recognizes the different reasons people gain weight-and why they have trouble losing that weight and keeping it off. The advantages of an expertly designed Johns Hopkins Weight Management Center plan are available to those who want to lose weight on their own. Losing Weight for Good: Developing Your Personal Plan of Action helps you assess your own reasons for weight gain. With this knowledge, you can design your own personal step-by-step program for weight loss based on the approach that has been so successful at the Johns Hopkins Weight Management Center.This individualized approach takes into account personal differences in such areas as emotional makeup, lifestyle, family circumstances, coping style, physical health, and economic means. Unlike typical diet books that offer simplistic or formulaic recommendations for weight loss, Losing Weight for Good tells you how to develop and follow a plan that meets your own specific needs. As you read through the book, you will establish your own weight loss goals, dietary aims, and exercise schedule, while building critical skills to help you cope with temptation, frustration, and anything else that interferes with your goal. "The basic message is this: You do not need to change everything about yourself and your life to lose weight and keep it off. You do need to identify your specific problem areas and find creative, individualized solutions."-Lawrence J. Cheskin, M.D.

How does ADHD manifest itself in adult life? In general, the authors write, hyperactivity tends to diminish with age, impulsivity changes quality, and attention problems remain the same although they may become more disabling as organizational demands increase. The authors carefully answer the questions often posed by professionals and patients about these symptoms and other issues. They describe the diagnostic interview and the use of rating scales and include examples of the scales. They also provide a well-balanced review of associated psychiatric conditions, such as mood and anxiety disorders, Tourette's syndrome, oppositional and conduct problems, and substance abuse. Descriptions of all the primary approaches to treatment-medication, psychological therapies, and environmental restructuring-include vivid case examples.

Nearly everyone has experienced heartburn, the sensation of burning discomfort in the chest, often brought on by eating a large meal. In fact, heartburn is the most common gastroesophageal disorder in the United States-more than seven in ten adult Americans suffer from heartburn each month. Few people, however, realize that heartburn is really just one symptom of the disorder known as acid reflux disease or gastroesophageal reflux disease (GERD), a condition in which stomach acid repeatedly washes up into the esophagus, or remains in the esophagus too long. Most people experience GERD as a cluster of simple symptoms-belching, chest pain, and indigestion. Others suffer painful or difficult swallowing, asthma, chronic cough, and hoarseness, symptoms that can indicate a more serious disorder or lead to such complications as bleeding, esophageal stricture, and esophageal cancer. Some people, however, experience no symptoms-and they run an especially high risk of developing complications.Healing Heartburn seeks to educate people about GERD's symptoms and the range of available treatments and also to help people take charge of their lives by doing something about their own acid reflux disease. Authors Dr. Lawrence J. Cheskin and Dr. Brian E. Lacy cover diagnostic tests, a step-by-step approach to treatment, the effectiveness of medications, complications and how to avoid them, and special considerations for pregnant women and for children. Illustrations, questionnaires, patient vignettes, answers to commonly asked questions, and a list of additional resources round out this comprehensive patient guide.

Nearly everyone has experienced heartburn, the sensation of burning discomfort in the chest, often brought on by eating a large meal. In fact, heartburn is the most common gastroesophageal disorder in the United States-more than seven in ten adult Americans suffer from heartburn each month. Few people, however, realize that heartburn is really just one symptom of the disorder known as acid reflux disease or gastroesophageal reflux disease (GERD), a condition in which stomach acid repeatedly washes up into the esophagus, or remains in the esophagus too long. Most people experience GERD as a cluster of simple symptoms-belching, chest pain, and indigestion. Others suffer painful or difficult swallowing, asthma, chronic cough, and hoarseness, symptoms that can indicate a more serious disorder or lead to such complications as bleeding, esophageal stricture, and esophageal cancer. Some people, however, experience no symptoms-and they run an especially high risk of developing complications.Healing Heartburn seeks to educate people about GERD's symptoms and the range of available treatments and also to help people take charge of their lives by doing something about their own acid reflux disease. Authors Dr. Lawrence J. Cheskin and Dr. Brian E. Lacy cover diagnostic tests, a step-by-step approach to treatment, the effectiveness of medications, complications and how to avoid them, and special considerations for pregnant women and for children. Illustrations, questionnaires, patient vignettes, answers to commonly asked questions, and a list of additional resources round out this comprehensive patient guide.

The award-winning Seizures and Epilepsy in Childhood is the standard resource for parents in need of comprehensive medical information about their child with epilepsy. Now in its third edition, this highly praised book has been thoroughly revised and updated to reflect the latest approaches to the diagnosis and treatment of epilepsy in childhood, including the use of the ketogenic diet as a treatment for children who either do not respond to traditional drug therapy or who suffer intolerable side effects from medications. In addition to providing up-to-date information about new diagnostic techniques as well as new drugs, diet, and surgical treatments, the authors have included a chapter addressing routine health care for children with epilepsy and a new chapter on complementary and alternative therapies. Also new to this edition are discussions of the progress made in the evaluation for surgery, a chapter on insurance issues, and a section detailing additional resources. "No child's life should be defined by seizures.If we understand how the brain works, what happens during seizures, and how to cope with epilepsy, we can overcome the mythology of epilepsy and fight society's prejudices, allowing every child with epilepsy to reach his or her full potential."-From Seizures and Epilepsy in Childhood

The award-winning Seizures and Epilepsy in Childhood is the standard resource for parents in need of comprehensive medical information about their child with epilepsy. Now in its third edition, this highly praised book has been thoroughly revised and updated to reflect the latest approaches to the diagnosis and treatment of epilepsy in childhood, including the use of the ketogenic diet as a treatment for children who either do not respond to traditional drug therapy or who suffer intolerable side effects from medications. In addition to providing up-to-date information about new diagnostic techniques as well as new drugs, diet, and surgical treatments, the authors have included a chapter addressing routine health care for children with epilepsy and a new chapter on complementary and alternative therapies. Also new to this edition are discussions of the progress made in the evaluation for surgery, a chapter on insurance issues, and a section detailing additional resources. "No child's life should be defined by seizures.If we understand how the brain works, what happens during seizures, and how to cope with epilepsy, we can overcome the mythology of epilepsy and fight society's prejudices, allowing every child with epilepsy to reach his or her full potential."-From Seizures and Epilepsy in Childhood

Nearly everyone has experienced heartburn, the sensation of burning discomfort in the chest, often brought on by eating a large meal. In fact, heartburn is the most common gastroesophageal disorder in the United States-more than seven in ten adult Americans suffer from heartburn each month. Few people, however, realize that heartburn is really just one symptom of the disorder known as acid reflux disease or gastroesophageal reflux disease (GERD), a condition in which stomach acid repeatedly washes up into the esophagus, or remains in the esophagus too long. Most people experience GERD as a cluster of simple symptoms-belching, chest pain, and indigestion. Others suffer painful or difficult swallowing, asthma, chronic cough, and hoarseness, symptoms that can indicate a more serious disorder or lead to such complications as bleeding, esophageal stricture, and esophageal cancer. Some people, however, experience no symptoms-and they run an especially high risk of developing complications.Healing Heartburn seeks to educate people about GERD's symptoms and the range of available treatments and also to help people take charge of their lives by doing something about their own acid reflux disease. Authors Dr. Lawrence J. Cheskin and Dr. Brian E. Lacy cover diagnostic tests, a step-by-step approach to treatment, the effectiveness of medications, complications and how to avoid them, and special considerations for pregnant women and for children. Illustrations, questionnaires, patient vignettes, answers to commonly asked questions, and a list of additional resources round out this comprehensive patient guide.

One in four babies born in the United States and Europe comes into the world via Cesarean section. Yet this procedure has been described by critics as an unnecessary and potentially dangerous medical intervention. Consequently, expectant mothers often fear this option, and women who have had C-sections can feel a sense of failure. In Cesarean Section: Understanding and Celebrating Your Baby's Birth, Drs. Michele Moore and Caroline de Costa emphasize the joy of delivering a healthy baby, however that is best achieved. They explain why Cesarean births are sometimes preferable to vaginal delivery for both mother and baby, and they help women understand the issues behind the decision to perform the procedure. From anesthesia, surgery, and recovery through at-home care of mother and child, the authors offer reassurance and practical information for all mothers and mothers-to-be. They also discuss the latest findings on postpartum depression and planning for future births, including the possibility of vaginal birth after a Cesarean section.For every woman who has a planned-or unplanned-Cesarean section, this book provides the information they need to alleviate their fears and come to value this delivery option. "Because up to a quarter of all births are Cesarean births, prenatal preparation should include information about Cesarean sections for every woman. And that is why we have written this guide...We believe strongly that it is time to speak out and say that Cesarean section is a normal birth method and that women who have a Cesarean section should not be made to feel that they have failed...We hope you find the information in this book useful and helpful in thinking about C-section, whether you have already had a Cesarean and want to understand the experience better, you wish to plan for another C-section birth, or you are expecting a baby and want to be informed about all the possibilities ahead, including this other normal way of bringing a baby into the world."-from the Introduction

One in four babies born in the United States and Europe comes into the world via Cesarean section. Yet this procedure has been described by critics as an unnecessary and potentially dangerous medical intervention. Consequently, expectant mothers often fear this option, and women who have had C-sections can feel a sense of failure. In Cesarean Section: Understanding and Celebrating Your Baby's Birth, Drs. Michele Moore and Caroline de Costa emphasize the joy of delivering a healthy baby, however that is best achieved. They explain why Cesarean births are sometimes preferable to vaginal delivery for both mother and baby, and they help women understand the issues behind the decision to perform the procedure. From anesthesia, surgery, and recovery through at-home care of mother and child, the authors offer reassurance and practical information for all mothers and mothers-to-be. They also discuss the latest findings on postpartum depression and planning for future births, including the possibility of vaginal birth after a Cesarean section.For every woman who has a planned-or unplanned-Cesarean section, this book provides the information they need to alleviate their fears and come to value this delivery option. "Because up to a quarter of all births are Cesarean births, prenatal preparation should include information about Cesarean sections for every woman. And that is why we have written this guide...We believe strongly that it is time to speak out and say that Cesarean section is a normal birth method and that women who have a Cesarean section should not be made to feel that they have failed...We hope you find the information in this book useful and helpful in thinking about C-section, whether you have already had a Cesarean and want to understand the experience better, you wish to plan for another C-section birth, or you are expecting a baby and want to be informed about all the possibilities ahead, including this other normal way of bringing a baby into the world."-from the Introduction

For women facing decisions about treatment for the symptoms of menopause, the second edition of this landmark work features a new chapter that addresses the latest findings about hormone replacement therapy. Dr. Michele Moore helps patients make informed treatment choices and offers a balanced account of options that range from traditional medical practice to holistic and alternative approaches. Drawing on her own experience as well the experiences of friends, colleagues, and patients. Dr. Moore provides information about the symptoms of perimenopause, menopause, and postmenopause. Her analysis of treatment options includes lifestyle changes and herbal and homeopathic remedies in addition to allopathic medicine. Above all, she encourages patients to participate actively in their own health care, accept responsibility for their choices, and cope with the consequences of those choices while remaining proactive. She also emphasizes the need for each woman to monitor her health condition closely and to reassess her situation as her health needs change through the years.Sympathetic and authoritative, this helpful book prepares women to deal with the inevitable changes in body, mind, and spirit that accompany menopause.

For women facing decisions about treatment for the symptoms of menopause, the second edition of this landmark work features a new chapter that addresses the latest findings about hormone replacement therapy. Dr. Michele Moore helps patients make informed treatment choices and offers a balanced account of options that range from traditional medical practice to holistic and alternative approaches. Drawing on her own experience as well the experiences of friends, colleagues, and patients, Dr. Moore provides information about the symptoms of perimenopause, menopause, and postmenopause. Her analysis of treatment options includes lifestyle changes and herbal and homeopathic remedies in addition to allopathic medicine. Above all, she encourages patients to participate actively in their own health care, accept responsibility for their choices, and cope with the consequences of those choices while remaining proactive. She also emphasizes the need for each woman to monitor her health condition closely and to reassess her situation as her health needs change through the years.Sympathetic and authoritative, this helpful books prepares women to deal with the inevitable changes in body, mind, and spirit that accompany menopause.

More and more women are having babies after the age of thirty-five and experiencing the joy of motherhood. But mothers-to-be in this age group sometimes face unique medical, emotional, and social challenges. Conception may be difficult and the risk of miscarriage during early pregnancy is higher, as is the potential for complications such as hypertension and diabetes. And having a child later in life can also be surprisingly disruptive to well-established domestic routines and carefully cultivated careers. Michele Moore and Caroline de Costa-two physicians who have been down this road themselves-offer reliable medical expertise and personal reassurance to women tackling these challenges. Pregnancy and Parenting after Thirty-Five covers a broad range of issues for mothers in mid life, from the possibility of Cesarean section to the awkwardness of being the oldest mom at PTA meetings to the joy of holding your infant in your arms. Incorporating the stories of real women who have gone through mid-life pregnancy, Moore and de Costa have created a valuable resource that will help other women do so realistically and with confidence.One of the few books devoted to prospective mothers over thirty-five, this one also includes information on surrogacy, adoption, and the first few months of being a new mother.

If you or someone you love has had a stroke, you understand that after a stroke, a person has many questions: "What is a stroke, and why did I have one?" "How can I best recover from my stroke?" "How can I make sure this never happens to me again?" Every 45 seconds someone in this country has a stroke; this means that about five million stroke survivors in the United States are facing these questions and a host of emotional and physical and practical challenges. As medical specialists treating and caring for stroke survivors, Drs. Stein, Silver, and Frates understand these challenges; they wrote this book to help people recover as fully as possible after having a stroke and to explain all of the different things a person can do to prevent a stroke or a recurrent stroke. They explain what a stroke is, how it occurs, and what kinds of injuries it can cause--and they explain all about stroke recovery. They carefully focus on how stroke survivors can work with their doctor to lower their risk of a future stroke, including taking medications and altering their lifestyle.They look at stroke research that will provide better treatment options in the future, and they offer a relatively simple plan for taking control in preventing stroke or recurrent stroke. This book, then, is for anyone whose genetics, physiology, or lifestyle make them susceptible to stroke--in other words, every one of us. It will be especially helpful to people who have already had a stroke and who understand the importance of taking steps to avoid another one. From the Foreword, by Robert J. Wityk MD, Department of Neurology, The Johns Hopkins Hospital: "This book may help you navigate the sometimes confusing corridors of medicine to empower you to take control of your health or that of your loved one. Read it and learn, and then discuss it with your physician. Between your involved interest, what you discover here and your doctor's expertise, your or your loved one's recovery lies in very good hands, indeed."

In this compassionate guide, three expert physicians who treat people with stroke describe how to navigate the path to recovery. Their practical advice on treatment, rehabilitation, and lifestyle changes is also designed to help prevent another stroke. Drs. Stein, Silver, and Frates begin by explaining how stroke occurs and what happens when different parts of the brain are injured. They describe diagnostic tools such as CT scans and MRIs as well as medications used to prevent and treat stroke, and they explain in detail how stroke survivors can heal optimally. They also set out plans to help survivors reduce the risk of another stroke, including the Stroke Savvy Exercise Plan and Stroke Savvy Diet Plan. Relating patients' experiences and bringing readers up to date on promising new treatments, Life After Stroke offers hope to stroke survivors and their families.

Depression is a mood disorder that affects one in ten Americans in any given year. At one time too stigmatized to be mentioned in polite conversation, depression is now discussed frankly in the media, and advertisements for drug therapy appear everywhere. The third edition of this widely acclaimed book reflects changes in how mood disorders are thought about, and how they are treated. Dr. Francis Mark Mondimore, author of the best-selling book Bipolar Disorder: A Guide for Patients and Families, here explains depression-its causes and symptoms, and its treatment. He discusses depression in all age groups and in both sexes, as well as bipolar disorder, seasonal affective disorders, and depression that accompanies illness. This edition encompasses more than a decade of new research, advances in pharmacology, and changes in public perception. The past ten years have seen the release of new forms of the major antidepressants as well as other promising new avenues in pharmaceutical treatments. For example "atypical" or "second generation" antidepressants, such as venlafaxine and duloxetine, provide different ways of manipulating the chemical systems in the brain concerned with mood.And there have been significant advances in the use of MAO inhibitors, now available in patch form. Dr. Mondimore reviews these and other pharmacological therapies as part of a comprehensive approach to treatment that includes psychotherapy, family and community support, and lifestyle changes. Full of information compassionately presented, this guide provides hope and help to patients and their families.

Depression is a mood disorder that affects one in ten Americans in any given year. At one time too stigmatized to be mentioned in polite conversation, depression is now discussed frankly in the media, and advertisements for drug therapy appear everywhere. The third edition of this widely acclaimed book reflects changes in how mood disorders are thought about, and how they are treated. Dr. Francis Mark Mondimore, author of the best-selling book Bipolar Disorder: A Guide for Patients and Families, here explains depression-its causes and symptoms, and its treatment. He discusses depression in all age groups and in both sexes, as well as bipolar disorder, seasonal affective disorders, and depression that accompanies illness. This edition encompasses more than a decade of new research, advances in pharmacology, and changes in public perception. The past ten years have seen the release of new forms of the major antidepressants as well as other promising new avenues in pharmaceutical treatments. For example "atypical" or "second generation" antidepressants, such as venlafaxine and duloxetine, provide different ways of manipulating the chemical systems in the brain concerned with mood.And there have been significant advances in the use of MAO inhibitors, now available in patch form. Dr. Mondimore reviews these and other pharmacological therapies as part of a comprehensive approach to treatment that includes psychotherapy, family and community support, and lifestyle changes. Full of information compassionately presented, this guide provides hope and help to patients and their families.

The Guide to Living with HIV Infection is the most complete source of medical, emotional, social, and practical advice available for those infected with HIV and their loved ones. Developed at the Johns Hopkins AIDS Clinic, the guide provides essential information for making decisions about treatment and testing in a world transformed by new research and pharmacotherapy. In this thoroughly updated sixth edition, Dr. John Bartlett and Ann K. Finkbeiner address the latest information about risks of transmission, viral mutations that confer drug resistance, and new, rapid, HIV testing. They offer guidelines for Highly Active Antiretroviral Therapy (HAART), a therapy protocol that has dramatically increased life expectancy for HIV-positive people. They describe how to follow HAART and when to change drug regimens, the symptoms of and treatments for HAART side effects, and the costs of and insurance coverage for HAART. They also outline the possibilities for a diagnosis of "no detectable virus." Accompanied by updated references and resources, the sixth edition of The Guide to Living with HIV Infection offers new hope for people living with a virus that once left no hope at all.

The Guide to Living with HIV Infection is the most complete source of medical, emotional, social, and practical advice available for those infected with HIV and their loved ones. Developed at the Johns Hopkins AIDS Clinic, the guide provides essential information for making decisions about treatment and testing in a world transformed by new research and pharmacotherapy. In this thoroughly updated sixth edition, Dr. John Bartlett and Ann K. Finkbeiner address the latest information about risks of transmission, viral mutations that confer drug resistance, and new, rapid, HIV testing. They offer guidelines for Highly Active Antiretroviral Therapy (HAART), a therapy protocol that has dramatically increased life expectancy for HIV-positive people. They describe how to follow HAART and when to change drug regimens, the symptoms of and treatments for HAART side effects, and the costs of and insurance coverage for HAART. They also outline the possibilities for a diagnosis of "no detectable virus." Accompanied by updated references and resources, the sixth edition of The Guide to Living with HIV Infection offers new hope for people living with a virus that once left no hope at all.

For children with food allergies, eating-one of the basic functions of life-can be a nightmare. Children who suffer or become dangerously ill after eating peanuts, seafood, milk, eggs, wheat, or a host of other foods require constant vigilance from caring, concerned parents, teachers, and friends. In this empathetic and comprehensive guide, Dr. Scott H. Sicherer, a specialist in pediatric food allergies, gives parents the information they need to manage their children's health and quality of life. He describes why children develop food allergy, the symptoms of food allergy (affecting the skin, the gastrointestinal tract, and the respiratory system), and the role of food allergy in behavioral problems and developmental disabilities. Parents will learn how to recognize emergency situations, how to get the most out of a visit with an allergist, what allergy test results mean, and how to protect their children-at home, at school, at summer camp, and in restaurants. Informative, compassionate, and practical, this guide will be indispensable for parents, physicians, school nurses, teachers, and everyone else who cares for children with food allergies.

Revised in 2006 for its twenty-fifth anniversary, this best-selling book is the "bible" for families caring for people with Alzheimer disease, offering comfort and support to millions worldwide. In addition to the practical and compassionate guidance that have made The 36-Hour Day invaluable to caregivers, the fourth edition is the only edition currently available that includes new information on medical research and the delivery of care. The new edition includes: -new information on diagnostic evaluation-resources for families and adult children who care for people with dementia-updated legal and financial information-the latest information on nursing homes and other communal living arrangements-new information on research, medications, and the biological causes and effects of dementia Also available in a large print edition Praise for The 36-Hour Day:

Revised in 2006 for its twenty-fifth anniversary, this best-selling book is the "bible" for families caring for people with Alzheimer disease, offering comfort and support to millions worldwide. In addition to the practical and compassionate guidance that have made The 36-Hour Day invaluable to caregivers, the fourth edition is the only edition currently available that includes new information on medical research and the delivery of care. The new edition includes: -new information on diagnostic evaluation-resources for families and adult children who care for people with dementia-updated legal and financial information-the latest information on nursing homes and other communal living arrangements-new information on research, medications, and the biological causes and effects of dementia Also available in a large print edition

It's three o'clock in the morning and your child is screaming in pain. To make matters worse, you and your family are vacationing in a strange city. What should you do? Call the front desk? Your family pediatrician? An ambulance? From in-flight earaches to strep throat, from poison ivy to insect bites, illness and injury are common and unwelcome traveling companions. You need to know when to treat your child yourself and when to seek professional medical care. This compact handbook tells you how to decide and then puts crucial information for preventing and treating acute childhood illnesses and injuries at your fingertips. In Take Your Pediatrician with You, Dr. Christopher Ryder offers expert advice on keeping children safe and healthy at home and on the road. He includes detailed instructions for creating a children's medical care kit to use at home or while traveling. Also included are descriptions of common childhood illnesses and summer woes; travel tips; accident prevention; and guidelines for emergency care. A chapter on international adoption guides parents through the process of bringing a child home safely.As well as a reassuring travel companion, this valuable resource will become the "turn-to" guide at home and in childcare centers.

It won't happen to me. I'm too busy to worry about a living will. My family will know what to do. No one wants to plan for death or incapacitating illness. But, as the emotional legal battle in the Terri Schiavo case made all too clear, people of all ages need to document and communicate clear decisions about the final details of their lives while they are healthy and have time to fully consider their own values and preferences. Here, Drs. David Doukas and William Reichel help individuals make decisions and communicate their wishes to health care providers and family members and other loved ones. Drs. Doukas and Reichel use a question-and-answer format to guide readers through the process-emphasizing the crucial connection between values and treatment preferences. They explain advance directives and the health care decision-making process, including the values history, family covenants, proxies, and proxy negation. The appendix includes resources and Web links for learning about advance directive requirements and obtaining legal forms in all fifty states.This practical guide helps people navigate the important but often intimidating process of thinking about, and planning for, an uncertain future.

It won't happen to me. I'm too busy to worry about a living will. My family will know what to do. No one wants to plan for death or incapacitating illness. But, as the emotional legal battle in the Terri Schiavo case made all too clear, people of all ages need to document and communicate clear decisions about the final details of their lives while they are healthy and have time to fully consider their own values and preferences. Here, Drs. David Doukas and William Reichel help individuals make decisions and communicate their wishes to health care providers and family members and other loved ones. Drs. Doukas and Reichel use a question-and-answer format to guide readers through the process-emphasizing the crucial connection between values and treatment preferences. They explain advance directives and the health care decision-making process, including the values history, family covenants, proxies, and proxy negation. The appendix includes resources and Web links for learning about advance directive requirements and obtaining legal forms in all fifty states.This practical guide helps people navigate the important but often intimidating process of thinking about, and planning for, an uncertain future.