Oxford Handbook of Clinical Medicine 9th ED

Book Reviews: There has seldom been a better time to be ill, one might think, on reviewing all the changes and developments since our last edition. From Angina to Zollinger Ellison syndrome, the new developments, all detailed in this volume, seem universally bright or brightening and overall death rates from the big killers such as coronary heart disease are declining faster than ever before. This superficial view hides darker forces which paint a more sombre picture. The pandemic of HIV has grown a pace or two or three. Diabetes is doubling its grip, and global warming is introducing new diseases to areas where local inhabitants have little immunity these effects are described in Chapters 9 and 14. Once-trusted antibiotics are becoming useless in the face of pathogen development (p262); airlines are spreading completely new diseases around the world eg SARS. Diseases caused by medicine have never been more common. Crucially, the world is no wealthier than when the authors first began to write on these topics.

While this book will doubtless prove indispensable in choosing correctly between self-destruction and passive extinction, some readers will point out that this received wisdom is wisdom subverted. Is SARS really an example of the darker prophesies being fulfilled? New diseases have always been appearing; what may be new about this epidemic was that it was caught early (albeit provisionally) by the rapid dissemination of knowledge via electronic media. Often the people in white coats were waiting for the disease before it arrived. Information spread faster than the disease and the organism’s genome was sequenced almost as soon as it was identified. Similarly, with HIV, not all the news is bad. Rich countries are learning, painfully slowly, to share their expensive drugs with poorer populations. There is no alternative to altruism even if one takes a purely selfish view of one’s own interests. Altruism pays! (If the rich prosper only at the expense of others, the net result is not sustainable wealth revolution, or something unknown, is more likely.)

These, and many other developments described in this book point to just what can be achieved by dialogue and teamwork. This edition sees a new beginning (our Prologue) in which the authors flesh out what teamwork really means by giving an example of when it all goes wrong. Evidence-based medicine is a prime example of teamwork going right usually. The funding organizations, the investigators, the statisticians, and the clinicians work together to provide the best possible treatment for the patient. The authors detail more fruits of this collaboration than in all other editions. The authors are using a new disc sign, with a number below ([diskette]1) to direct readers to the correct location on the web page of our references and their internet-enabled links at www.oup.com/uk/medicine/handbooks. Scholars among our readers may want to print these out to carry with them with our text to provide chapter and verse during tricky ward-rounds. Those who miss immediate access to our sources may remind themselves of Hagel’s view in his Aesthetics that the purer the form, the less space it requires and this economy of space has been one of our principal aims.

Further changes include a short section on essential drugs; a new section on Clinical Skills; more ECGs; and many new algorithms to reflect current practice as well as new topics from the all-encompassing (Patient-centred care) to rare minutiae (such as all the different types of multiple endocrine neoplasia and their nefarious genetic associations). There are new mnemonics not too intrusive, and not too rude (usually). Much re-organization is in evidence (eg Diabetes mellitus). But the most important changes are the hardest to spot thousands of small changes in the bodies of paragraphs. This incrementalism, accumulating like coral, amounts to whole new formations which, in this edition, take on a life of their own, set against backgrounds of rich tropical colours a holiday for the eye, for which the authors thank the ever-creative staff at the Press.

Selected Reviews:

The best review book for clinical medicine I have tried so far. I love the illustrations, quotes, the relative articles and historical information in each chapter in this book. Definitely not a regular dull medical book. 😉

definitely didn’t read all of it but I continue to use it.

whatever your rank is, this book is a doctor’s best friend! It’s meant to provide quick guidance and reminders, with quick & easy access to the topics and conditions.

This book gets the essence of being a doctor. It’s not how much you memorize, it’s what can you do with your knowledge. You understand, reasonably, the condition in front of you, but no one can ever memorize every investigation or procedure. This is exactly what this book is for.

Readers Reviews on Oxford Handbook of Clinical

Readers Reviews on Oxford Handbook of Clinical Source:

Bibliographical Data of Oxford Handbook of Clinical Medicine 9th ED

Reference Type: Book
Record Number: xx
Author: Murray Longmore, Ian Wilkinson, Andrew Baldwin, Elizabeth Wallin
Year: 2014
Place Published: Oxford
Publisher: Oxford University Press
Number of Pages: 920
Edition: 9th
ISBN -10: 0199609624
ISBN-13: 978-0199609628
Kindle Available: ASIN: B01JUQ0VJ4
Buy: Get it on Amazon

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