The Patient's Playbook: How to Save Your Life and the Lives of Those You Love, by Leslie D. Michelson
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The Patient's Playbook: How to Save Your Life and the Lives of Those You Love, by Leslie D. Michelson
Free Ebook PDF The Patient's Playbook: How to Save Your Life and the Lives of Those You Love, by Leslie D. Michelson
Too many Americans die each year as a result of preventable medical error—mistakes, complications, and misdiagnoses. And many more of us are not receiving the best care possible, even though it’s readily available and we’re entitled to it. The key is knowing how to access it. The Patient’s Playbook is a call to action. It will change the way you manage your health and the health of your family, and it will show you how to choose the right doctor, coordinate the best care, and get to the No-Mistake Zone in medical decision making. Leslie D. Michelson has devoted his life’s work to helping people achieve superior medical outcomes at every stage of their lives. Michelson presents real-life stories that impart lessons and illuminate his easy-to-follow strategies for navigating complex situations and cases. The Patient’s Playbook is an essential guide to the most effective techniques for getting the best from a broken system: sourcing excellent physicians, selecting the right treatment protocols, researching with precision, and structuring the ideal support team. Along the way you will learn: Why having the right primary care physician will change your lifeThree things you can do right now to be better prepared when illness strikesThe ten must-ask questions at the end of a hospital stayHow to protect yourself from unnecessary and dangerous treatmentsWays to avoid the four most common mistakes in the first twenty-four hours of a medical emergency This book will enable you to become a smarter health care consumer—and to replace anxiety with confidence.
The Patient's Playbook: How to Save Your Life and the Lives of Those You Love, by Leslie D. Michelson- Amazon Sales Rank: #16033 in Books
- Brand: Michelson, Leslie D.
- Published on: 2015-09-01
- Released on: 2015-09-01
- Original language: English
- Number of items: 1
- Dimensions: 9.53" h x 1.19" w x 6.48" l, 1.25 pounds
- Binding: Hardcover
- 336 pages
Review A Word from the Doctors: "The decisions you make about your medical care will have a profound impact on you and your family's life . . . Successfully steering through the medical system can be a challenge. In The Patient's Playbook, Michelson gives away secrets of the trade--lessons he's learned from more than thirty years of helping people get better outcomes . . . He levels the playing field by providing average patients who have ordinary health insurance with the resources, advice, and tools they need to make better medical decisions . . . As a patient, you have more power than you think. This book will help you find that power and use it to maximum advantage." --From the Foreword by Peter T. Scardino, M.D., Chair, Department of Surgery, Memorial Sloan Kettering Cancer Center"What a tour de force! Every health care consumer (and caregiver) can greatly benefit from this practical guide to achieving better health outcomes. Simple, actionable advice abounds, and each recommendation for how to best navigate the complex health care system is enriched with Leslie Michelson's recounting of poignant stories from his extensive experience. With this playbook, all of us can better protect our most valuable asset--our health." --Jonathan E. Fielding, M.D., Distinguished Professor, UCLA Fielding School of Public Health and Geffen School of Medicine, and former director of the Los Angeles County Department of Public Health Reviews:"Trust me--you need this guide because everyone at some point faces a health crisis. Michelson details, step by crucial step, how to navigate the terrifying world of doctors, hospitals, second opinions, drug trials, and insurance so you get lifesaving results." --AARP Best Books of 2015"Michelson implores patients to be intensely involved in their own care... He urges patients...to "bring their A-game" to the doctor's office...advocat[ing] smart care, not more care." --The Wall Street Journal"In this unique and useful book, [Michelson] maps out a plan to organize competent medical care when needed....he provides advice and resources that help individuals become medically prepared, make sound health-care decisions, and more likely achieve favorable results....An invaluable resource, The Patient’s Playbook can effectively assist individuals in navigating the complex and often overwhelming world of illness." --Booklist (Starred Review)"Unlike most how-to books, this one is thick with advice and instructions....what's at stake: Your need to obtain the best possible diagnosis and treatment from an expensive but fractured netowrk of health care providers....The steps Michelson offers for negotiating the system mirror what his company does for patients--finding top experts and coordinating care....his insights about the importance of getting your caregivers to notice and talk to you is invaluable."--Sarasota Herald-Tribune "A primer on making the right moves as an active participant in your health care....Michelson is the CEO of a company that works with patients to get the best possible care--not only from the best possible physicians...but also through guiding guiding them through the process described in this book, one that shifts the role of care director over to the patient....with this useful book, patients can have more say over what direction treatment takes rather than just going along for the ride."--Kirkus Reviews
About the Author LESLIE D. MICHELSON is the founder, chairman, and CEO of Private Health Management, a unique patient-focused company dedicated to helping individuals and corporate clients obtain exceptional medical care. He is a highly sought-after expert who has spent the last thirty years guiding thousands of people through our complex health care system. Prior to founding Private Health Management in 2007, Michelson was the CEO of the Prostate Cancer Foundation. He received his B.A. from Johns Hopkins University and a J.D. from Yale Law School. He lives in Los Angeles with his wife, Beth.
Excerpt. © Reprinted by permission. All rights reserved. Introduction After I was born, in 1951, my mother went into a major postpartum depression. For the first six months of my life, she couldn’t get out of bed, leaving me in the care of my father and maternal grandmother. I actually didn’t learn about this until I was forty-five, and someone casually mentioned it at a party. Sadly, the stigma of psychiatric illness was so great at the time (and still can be today) that families touched by chronic depression often had to carry the burden in silence. My parents had been counseled by doctors that they shouldn’t discuss it, so they didn’t. My mother eventually recovered, but then she became bipolar, which meant there were days, months, and years when she’d be fine, and then long periods when she was incapable of getting up, making dinner, or holding a conversation. During her manic phases, she’d be on a high for days or weeks, talking nonstop and sometimes being cruel to me and others I know she loved. I couldn’t predict when her disease would take control of her. Coming home from school, I never knew if I’d be greeted by a fire-breathing dragon or a smiling mother with a glass of milk and a plate of cookies. I had to feel around the edges of the door for danger, the way they teach you in fire safety training. When I was ten, my mother screamed at me for forty-five minutes because I left a sneaker on the steps. The only ten-year-old who hasn’t left a sneaker on the steps is a ten-year-old who doesn’t have sneakers or steps. During an ugly scene when I was twelve or thirteen, I physically held my mother down in a chair and told her, “You will stop yelling at my brother right now.” That moment changed everything between us. She was my mother, and I loved her, but her disease was dangerous, and I had to be assertive. Although my mother’s illness was hard on me, it had to have been worse for my father. The instant I was born, he lost his wife. And yet he remained extraordinarily positive and strong. He was a genuine role model, the moral center of gravity for every community that he was in—whether it was our larger family, the synagogue, the Boy Scouts, his business, or his trade association. He was the guy who would solve other people’s problems. I could talk to Dad for hours. By my early teens, I was actively involved in helping with my mother’s care. That was when she received her first electroshock therapy treatment for recurring depression. Later, we had her on daily lithium, a mood stabilizer. I had to grow up and become a responsible caregiver at a very young age. And here’s where the story gets complicated. When I was in high school, my father came home one evening, clearly agitated. For me, the sun came up at night when my father walked through the door. As tired as he was, those hours with him were absolutely precious. If he came home anxious or upset, that was a big deal. He had gone for his annual physical that day with his primary care physician, a man with whom he’d attended high school in Newark, New Jersey. The doctor had recommended that my father see a certain cardiologist. A week or two later Dad came home even more rattled than before. The cardiologist had told him he needed to have open-heart surgery. I was overcome with worry. Was my dad going to die? Losing him wouldn’t just mean I’d be an orphan, practically speaking; it would mean I’d have to take full responsibility for my mother. That was not a reality I could handle. That night I couldn’t sleep. The next day I couldn’t concentrate at school. I got home that afternoon and picked up the phone to dial Lenox Hill Hospital in New York. Although we lived in suburban Union, New Jersey, I read The New York Times every night, and somehow I recalled “Lenox Hill” always being mentioned. I knew that when you wanted to go to a nice restaurant, see a good play, or go to a top hospital—you went to New York. “Can I please speak to the head of cardiology?” I asked. I’m sure my teenage voice must have cracked on the line as I spoke, but I wasn’t going to aim low. “Dad,” I announced when my father got home, “I set up an appointment for you to get a second opinion from the chairman of cardiology at Lenox Hill.” “You know, that’s a good idea,” he said. “I’m gonna do it.” And that was that. On the day of his appointment, I waited at home in agony. This had to go right. I couldn’t imagine a future without him. I was seeing the walls coming down. It was all I could do not to knock him over when he walked in the door. “What did he say, Dad? What did he say?” “He said, ‘There’s nothing wrong with your heart, and the doctor who recommended surgery should be shot in a public square.’ ” Exact words. He was ecstatic. And I still remember where I was standing in the kitchen when he said it. I remember this better than I remember what I had for breakfast today. My father never had any heart problems. No high blood pressure, no calcium in his coronaries, no leaky valves. He passed away in 2007, succumbing to something totally unrelated to his heart. But back in 1988, when I was building my first company, I met Dr. Robert H. Brook, who was then the vice president and director of RAND Health, a health policy think tank. He had just published research showing that many of the major surgical procedures being done in the United States were harming rather than helping patients. In fact, when it came to coronary artery bypass graft surgeries—what my father was told he needed—14 percent were done for “inappropriate reasons,” and 30 percent were done for “equivocal” reasons. I thought, My God, this doctor has found scientific evidence of what I suspected was going on some twenty years ago. I still think of my father every day and how his “case” ignited my passion for helping people to get better care. Managing serious illness is not easy, but armed with the knowledge in this book, and the support of a trusted primary care doctor, I truly believe that everyone can—and must—become a more powerful and effective health care consumer.
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76 of 78 people found the following review helpful. Entertaining and slightly skewed examples of the health care system in the US; decent advice for patients and families. By Quickbeam Michelson, an attorney, has written an interesting and lively book about accessing the best care in the US health care system. The foundation of the book is a series of stories of people he has helped access care and accurate diagnosis. It is one success story after another and that certainly builds the reader's confidence in Michelson as a health system ombudsman. He goes on to advise, with the examples he has provided, on how to get the best competent care for yourself and those you love.I liked the book a lot and feel that it is a good primer for anyone approaching the US system with a serious illness. Many of Michelson's examples are people with unusual conditions or hard to diagnose illnesses. I've been an RN for 30 years and his stories were probably more transparent to me than to the lay reader. Mistakes happen all the time and some conditions (especially auto-immune) are often frustrating to get properly diagnosed and treated. I was appalled by the example of the patient with psoriatic arthritis who was not diagnosed by her dermatologist. It was evident to me at the beginning of her case study.Michelson has a glib "follow me, boys!" aura to his writing that is a tiny bit showman. Most people do not have a health policy lawyer to compile their health binder and take it to the Mayo for them. I think his connections to the superstars in medicine remove him a bit from day to day medicine experiences for the rest of us. I also think he misses one huge aspect of the health care system; the large number of people who think they have en exotic disease and do not want to hear they have plain old hypertension of diabetes. Not everyone has a rare disease. There is a reason for the old saying that when "you hear hoofbeats, think horses, not zebras".Most people can get a lot of good solid advice from this book. I'd caution people to understand the waters of the real medical system do not part as easily for regular folks as they do for Michelson. I'd also ask that in an effort to be health care assertive, people not yell, scream and throw things at their health care workers (yes, that happens). The reality is that people do die, every one of us and no matter how assertive/aggressive you are, some outcomes are inevitable. With that caveat, I liked the book and think it can be valuable for those lost in the confusion of illness and treatment.
26 of 26 people found the following review helpful. Gem of a toolkit on how to get the best medical care for serious conditions By Jessica Weissman This book is a gem. Michelson specializes in helping people get good medical care in serious or challenging illness, but his advice and strategies make sense for routine medical care as well. Many patients are so used to doing what the doctor says that they don't take charge of their own care -and thus get overtreated, ignored, or otherwise get less than the best outcome and care.Michelson blends persoanal and individual stories with an excellent set of steps and strategies for getting the best care. Speaking up for yourself, selecting a good doctor, coordinating your care, doing research that your doctor might not have time to do, being a collaborator with the doctor and an advocate for yourself, and so on. And having someone else as your quarterback, the person who coordinates things and advocates for you. And, perhaps most important, ways to make yourself seem like a person rather than a case when you're in the hospital.Much of what Michelson recommends is essentially assertiveness, and he includes what amount to scripts for handling potentially awkward conversations with medical people. So - practical information, inspiration, and personal stories that illustrate and inspire.If you are facing a health crisis or serious chronic condition in yourself or in someone close to you, read this book and put the steps and actions into practice. It really could save your life.
21 of 22 people found the following review helpful. Be an informed consumer of your medical care By Mainiac Most of us are aware of the growing crisis in our healthcare system, but might not understand the breadth of this nor how to navigate the broken system when we need healthcare. This is such a wonderful book to learn about both.I'm not usually a fan of books that are full of anecdotes, but in this book each one is used to provide a very clear example that is anchored in the experience of the author, and many are backed up with references or resources.The book unfolds through three parts (each with mutiple chapters) that give advice on how to select and work with your primary care physician, how to escalate to an expert and deal with an emergency, and how to cope with a serious illness. The end of each chapter has a nice summary of the points in that chapter to recap.)A constant message throughout is that you should be an informed consumer of your medical care, that you should keep track of your own (and family members) medical history, and that you need to advocate for yourself and inform yourself.Since we all need medical care even in the broken system, this is a book for all of us.
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