LEADER 04666nam 2200649Ia 450 001 9910449771503321 005 20210430022039.0 010 $a1-282-35689-5 010 $a0-520-92902-0 010 $a9786612356896 010 $a1-59734-681-0 024 7 $a10.1525/9780520929029 035 $a(CKB)1000000000004080 035 $a(EBL)224612 035 $a(OCoLC)70736492 035 $a(SSID)ssj0000180698 035 $a(PQKBManifestationID)11172196 035 $a(PQKBTitleCode)TC0000180698 035 $a(PQKBWorkID)10158299 035 $a(PQKB)11486469 035 $a(MiAaPQ)EBC224612 035 $a(DE-B1597)519149 035 $a(OCoLC)52861385 035 $a(DE-B1597)9780520929029 035 $a(Au-PeEL)EBL224612 035 $a(CaPaEBR)ebr10048955 035 $a(CaONFJC)MIL235689 035 $a(EXLCZ)991000000000004080 100 $a20040405d2000 my 0 101 0 $aeng 135 $aur|nu---|u||u 181 $ctxt 182 $cc 183 $acr 200 10$aIntensive care$b[electronic resource] $ea doctor's journal /$fJohn F. Murray 210 $aBerkeley $cUniversity of California Press$d2000 215 $a1 online resource (311 p.) 300 $aDescription based upon print version of record. 311 0 $a0-520-22089-7 311 0 $a0-520-23467-7 320 $aIncludes bibliographical references and index. 327 $tFront matter --$tContents --$tPrologue --$tDay 1. Thursday --$tDay 2. Friday --$tDay 3. Saturday --$tDay 4. Sunday --$tDay 5. Monday --$tDay 6. Tuesday --$tDay 7. Wednesday --$tDay 8. Thursday --$tDay 9. Friday --$tDay 10. Saturday --$tDay 11. Sunday --$tDay 12. Monday --$tDay 13. Tuesday --$tDay 14. Wednesday --$tDay 15. Thursday --$tDay 16. Friday --$tDay 17. Saturday --$tDay 18. Sunday --$tDay 19. Monday --$tDay 20. Tuesday --$tDay 21. Wednesday --$tDay 22. Thursday --$tDay 23. Friday --$tDay 24. Saturday --$tDay 25. Sunday --$tDay 26. Monday --$tDay 27. Tuesday --$tDay 28. Wednesday --$tEpilogue --$tNotes --$tAcknowledgments --$tIndex 330 $aIntensive 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, 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. 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