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Yourdog Schapendoes Senior 12 KG

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Yourdog Schapendoes Senior 12 KGYourdog Schapendoes zorgt voor de holistische gezondheid en het welzijn van jouw hond. Alle Yourdog varianten bevatten smaakvolle buffel en kip. Wij combineren dit met zorgvuldig geselecteerde groenten, fruit en kruiden om zo te komen tot de perfecte voeding voor jouw Schapendoes. Waarom Yourdog Schapendoes Rijk aan buffel en gevogelte Speciaal gemaakt voor de Schapendoes Bevat Tijm, Wortel en Banaan Bevordert een gezonde, glanzende vacht Behoud een

Yourdog Schapendoes zorgt voor de holistische gezondheid en het welzijn van jouw hond. Alle Yourdog varianten bevatten smaakvolle buffel en kip. Wij combineren dit met zorgvuldig geselecteerde groenten, fruit en kruiden om zo te komen tot de perfecte voeding voor jouw Schapendoes.

Waarom Yourdog Schapendoes

  • Rijk aan buffel en gevogelte
  • Speciaal gemaakt voor de Schapendoes
  • Bevat Tijm, Wortel en Banaan
  • Bevordert een gezonde, glanzende vacht
  • Behoud een gezonde darmflora
  • Vrij van kunstmatige geur-, kleur- of smaakstoffen
  • Ook geschikt voor de gevoelige Schapendoes

Onze ingrediënten

Voor het maken van ons voer wordt er voor een 12 kg-zak 10,6 kg vlees ingedroogd, zodat dit beter te verwerken is in onze brok. Met de juiste hoeveelheid groente, fruit en kruiden is Yourdog een gezonde, voedzame keuze voor de hond.

Buffel

Bij Yourdog gebruiken wij vlees van vrij opgegroeide en gras gevoerde buffels. Buffelvlees staat bekend om zijn romige, frisse smaak en rijke kleur en zit vol met vitaminen en mineralen. Met een lager cholesterol- en vetgehalte en minder calorieën zit dit malse vlees bomvol gezondheidsvoordelen.

Gevogelte

Bij Yourdog maken wij gebruik van eend, kip en kalkoen welke samen zorgen voor een heerlijke smaak en aroma van de brok. De hoog verteerbare eiwitten in het gevogelte zorgen voor een goede spieropbouw en zijn rijk aan vitaminen en mineralen.

Groente

Om de hond te voorzien van extra waardevolle voedingsstoffen zijn supergezonde groenten aan ons voer toegevoegd. Zo zijn groenten niet alleen voedzaam, maar hebben ze ook nog andere gezonde eigenschappen. De ruwe vezel in groenten is goed voor de darmen en kan onder andere bijdragen aan de spijsvertering.

Fruit

Wij voegen een unieke combinatie van fruit toe aan Yourdog, waardoor de hond alle essentiële, natuurlijke antioxidanten binnen krijgt. Zo kan fruit goed zijn voor het immuunsysteem van de hond, maar het kan ook bijdragen aan een frisse adem of het behouden van een gezonde spijsvertering. Deze natuurlijke ingrediënten bevorderen de gezondheid van de hond.

Kruiden

De gezonde kruiden die ons voer verrijken zijn afkomstig van planten uit Europa. Het gebruik van onder andere kruiden, wortels, bloemen, planten en wieren vindt zijn oorsprong al duizenden jaren terug. Deze ingrediënten ondersteunen de natuurlijke processen in het lichaam van de hond, zoals de spijsvertering. Ieder ingrediënt dat wij aan ons hondenvoer toevoegen is met zorg geselecteerd vanwege de positieve eigenschappen. Afhankelijk van de grootte van de hond, het ras of de rasgroep worden ingrediënten extra onder de aandacht gebracht. Rasspecifieke klachten kunnen worden verminderd door het gebruik van kruiden, wortels, bloemen en planten.

Schapendoes specifieke groente, kruiden en fruit

Wij hebben zorgvuldig de raseigenschappen van de Schapendoes onderzocht. Ook hebben we onderzoek gedaan naar de eigenschappen van de FCI-ras sectie en de FCI-rasgroep waar de Schapendoes toe behoort. Uit deze onderzoeken zijn, in overleg met vooraanstaande Nederlandse voedingsdeskundige, ingrediënten geselecteerd die de gezondheid en het welzijn van de Schapendoes optimaal ten goede komen.

Tijm

Tijm is een geslacht uit de lipbloemenfamilie. Het omvat kruidachtige of houtachtige planten met een zeer aromatische geur. Tijm is door de Grieken en Romeinen gebruikt als geneeskruid tegen longziekten, reumatiek, verlamming, maagkramp, gezwellen, hoofdpijn, koliek en zenuwzwakten.

De geneeskrachtige eigenschappen van tijm worden bevestigd door de hoge waarden aan vitamine K die het bevat. Daarnaast bevat tijm ook veel ijzer, maar ook de mineralen calcium en mangaan in. Het bevat ook het aminozuur tryptofaan en een aanmerkelijke hoeveelheid vezels.

Tijm werkt ontstekingsremmend en heeft een krachtige antibacteriële en schimmeldodende werking. Hiernaast stimuleert het de aanmaak van witte bloedlichaampjes en versterkt het het afweersysteem. Tijm is rijk aan antioxidanten en bestrijdt effectief vrije radicalen.

Bij Yourdog voegen wij tijm toe aan ons hondenvoer omdat het een positieve bijdrage zou kunnen leveren aan het voorkomen van rasspecifieke klachten in relatie tot reuma, verlamming, maag en zenuwen. Tijm is daarnaast ook een natuurlijke bacteriebestrijder.

Wortel

De wortel zoals wij die nu kennen, oftewel de oranje wortel, is het resultaat van vele jaren aan kruisingen. De eerste witte wortels kwamen oorspronkelijk uit Iran en werden in de 17e eeuw door de VOC naar Nederland gebracht.

Wortels zijn een belangrijke bron van vitamines en vezels. Zo bevatten wortels retinol (vitamine A1) en beta-carotine, wat in het lichaam wordt omgezet in vitamine A. Dit is belangrijk voor de opbouw van haarvaten en de gezondheid van alle cellen. De vezels in een wortel dragen bij aan de spijsvertering van de hond. Daarnaast zijn wortels laag in calorieën en goed voor vacht en huid.

Bij Yourdog voegen wij wortel toe aan het hondenvoer omdat dit een positieve bijdrage kan leveren aan het voorkomen van rasspecifieke klachten in relatie tot de vacht en huid van de hond. Maar ook ter bevordering van goed zicht en een gezonde spijsvertering.

Banaan

De bananenplant groeit in tropische gebieden waar de temperatuur niet onder de 10 graden Celsius komt. Er zijn zelfs aanwijzingen dat de banaan ongeveer 7.000 jaar geleden in Nieuw-Guinea zou zijn gecultiveerd. De benaming is afgeleid van het woord Œbanaana uit de taal van de Wolof bevolking.

Bananen zijn rijk aan vitamines en mineralen. Waaronder vitamine A, C en B11 (foliumzuur) en de mineralen kalium, magnesium, ijzer en zink. Het natuurlijke antioxidant, vitamine C, kan de weerstand versterken. Vitamine B11, oftewel foliumzuur, kan het immuunsysteem ondersteunen en kan bijdragen aan een goed werkend zenuwstelsel. Tevens kan het de kans op hart- en vaatziekten verminderen. Ook kan kalium bijdragen aan het verlagen van de bloeddruk bij honden met een hoge bloeddruk, magnesium kan bijdragen aan het ontspannen van de spieren en het bevorderen van de botgroei. Daarnaast bevat banaan veel goede vezels en zorgt het voor meer goede bacteriën in de darmen.

Pup, volwassen of senior?

Om je te helpen bij het maken van de juiste keuze tussen onze varianten Schapendoes hondenvoer kun je gebruik maken van de volgende richtlijnen. Is jouw Schapendoes jonger dan 11 maanden, kies dan voor de Puppy variant. Voor een Schapendoes ouder dan 7 jaar adviseren we de Yourdog Schapendoes senior. Is jouw hond ouder dan 11 maanden en jonger dan 7 jaar, dan kun je de Adult variant kiezen.

Smakelijkheidsgarantie

Wij zijn overtuigd van de kwaliteit van onze voeding. Daarom geven wij op alle Yourdog verpakkingen een smakelijkheidsgarantie. Lijkt jouw Schapendoes zijn Yourdog hondenvoer toch niet lekker te vinden, neem dan contact met ons op. Wij helpen je bij het analyseren van de problemen. Komen we er samen niet uit dan krijg je van ons het aankoopbedrag terug.

Voedingsadvies

Lichaamsgewicht (kg) Dagelijkse hoeveelheid (g)
10 - 20 190 - 315
20 - 40 315 - 525
40 - 60 525 - 750

Overstapadvies

Stap je over op Yourdog vanaf een ander voermerk dan adviseren wij de volgende stappen te volgen. Voor de eerste stap voer je 25% Yourdog en 75% van het oude hondenvoer. De hond kan hier gedurende twee dagen aan wennen. Vervolgens voer je 50% Yourdog en 50% van het oude hondenvoer. Het is belangrijk dat je de hond ook hier weer twee of drie dagen aan laat wennen. Daarna meng je 75% Yourdog en 25% van het oude hondenvoer. De hond is nu bijna helemaal over op Yourdog. Doe dit gedurende 2 dagen. Naar eigen inzicht kun je hierna 100% Yourdog Schapendoes hondenvoer gaan voeren.

Bewaaradvies

Na het openen van de Yourdog verpakking wordt de voeding blootgesteld aan zuurstof, vocht en licht, wat de houdbaarheid en smaak kan beïnvloeden. Daarom is het belangrijk de voeding na het openen van de zak op een goede manier te bewaren, bij voorkeur in een luchtdichte bewaardoos of -ton op een droge, koele en donkere plaats. Het beste is om de voeding niet los in de ton te doen, maar deze met de hele zak, die je weer zo goed mogelijk dichtmaakt, in de ton te zetten.

Samenstelling

Maïs, gedroogde kip (23%), gerst, erwten, gedroogde buffel (3.5%), gevogeltevet, choline chloride, glucosamine, chondroitine, groentemix (met o.a. wortel), fruitmix (met o.a. banaan), kruidenmix (met o.a. tijm)

Analytische bestandsdelen

Ruw eiwit 24%, ruw vet 8%, ruwe celstof 3,9%, ruw as 6%, Calcium 1,4%, Fosfor 1,1%

Nutritionele waardes

Vitamine A 20.000 IE (E672), vitamine D3 1.400 IE (E671), vitamine E als all rac-alpha-tocopherylacetat (3a700) 500 mg, E1 Fe als ijzer(II)sulfaat, monohydraat: 50 mg, E2 I als calciumjodaat, watervrij:1,5 mg, E4 Cu als koper(II)sulfaat, pentahydraat: 5,0 mg, E5 Mn als mangaan(II)oxide: 35 mg, E6 Zn als zinkoxide: 65 mg, E8 Se als natriumseleniet: 0,2 mg.

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SKU: 64385242664

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Insight Counseling
Chelsea, US
★★★★★ 5
A soaring indictment of what really needs to be reformed in American health care
Format: Paperback
Dr. Brawley has achieved something rare in a non- fiction work. He has combined his clear passion for medicine with a fair but brutal portrayal of what is terribly wrong with our system as it presently stands. Dr. Brawley is highly credentialed and has over 30 years experience in his craft, yet he writes with a balance of humility and moral outrage that is rare in this type of work. I have been in healthcare for over 20 years and have watched horrified as the system has become more, not less broken and ineffectual while at the same time knowing that no American can really know the gaping problems of pharmacuetical companies offering medicines that have questionable merit and do real harm, the multi "tier" system of care where in general the wealthy recieve MORE care, but not necessarily better care and are often over treated for pure profit and the horrific truths about incopetent and dangerous physicians and systems allowed to treat patients while no one dares to ask for QA. "How We Harm" addresses the issues every consumer of medical services need to understand before they or someone they love becomes sick. Sadly some of the families I care for only discover how broken the system is at the moment of their greatest vulnerability- when a family member or themselves become very ill and they are left to fight insurers, billing departments and conflicting prognosises and treatment plans without a rational, science based resource to ensure they are making the right choices. Dr. Brawley describes how the "system" as it currently stands seems to know that sick consumers can not fight for their rights, and are often too frightened and overwhelmed to even ask the right questions when they face major medical decisions. Insurers will be held more accountable after ACA full implementaion in 2014, but this is clearly not enough to fix the systems that you and I the taxpayer supplement when big pharma and for profit medicine have taken all the meager resources that many Americans have to pay for their co-pays and expensive treatments for serious illness. The "system" knows that eventually Medicaid will take over payment for these desperate patients. The case illustrations Dr. Brawley presents are fair and deadly accurate. I see similar terrible outcomes all the time. The book also describes aspects of caring for the 'under served' that are spirtually affirming and make this book a very positive read for that reason alone.Dr. Brawley clearly loves to teach medical students as well and he he even seems to love his patients- a rare but amazing quality in a physician. Dr. Brawley is a national voice of reason and passion for making things right. I look forward to his next move as a leader in American medical reform.
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Reviewed in the United States on April 14, 2013
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Karen Mcwilliams
Whiting, US
★★★★★ 5
A MUST READ BOOK ABOUT OUR HEALTH CRISES--REVIEWED BY AN EDUCATOR, PUBLISHED WRITER, AND BOOK REVIEWER
Format: Paperback
I am a former teacher, school librarian, published author, and book reviewer for the Society of Children's Book Writers and Illustrators, as well as judge and book reviewer for the IPPY and MOONBEAM BOOK Awards. Many years ago I was diagnosed with GUILLAIN-BARRE SYNDROME. Since I was diagnosed with this terrible neurological disease, I have continued to experience symptoms which I ignored while finishing my BA and MA degrees, teaching in several school systems including Department of Defense Overseas Schools, and traveling around the world. Even though I was often ill and constantly plagued with symptoms of my disease, I ignored the problems and did not see neurologists or undergo transfusions and/or infusions, as well as be a guinea pig for the huge variety of experimental drugs. I workout daily, eat nutriciously, and try to always be positive, laugh, and have fun. Many people have died from my disease. And I wonder if I am still alive due to NOT SEEING DOCTORS and undergoing UNPROVEN or FLAWED PROCEDURES and DRUGS. Dr. Brawley's book showed me that my choices probably helped me to be active and live, not experience an early death while doctors harmed me with their techniques. I have briefly reviewed Dr. Brawley's outstanding book which helped me to conclude that I made the best choices by not seeing neurologists over the years. Also, I was afraid my neurological disease would be labled a "PRE EXISTING CONDITION" which my insurance policies would not cover. Otis Webb Brawley, author of HOW WE DO HARM; A DOCTOR BREAKS RANKS ABOUT BEING SICK IN AMERICA, is an oncology (Cancer) professor at Georgia's prestigious Emory University as well as the Chief Medical and Scientific Officer of the American Cancer Society. Using personal anecdotes from past patients, Dr. Brawley illustrates many things which are wrong with our medical system as well as medical and nonmedical groups and doctors who need to totally change this system. Every page was packed with specific information about medical problems with protocol, procedures, chemotherapy, and uninformed patients who blindly follow doctors' suggestions as to the best way of treating thier cancers. Much of the medical research is flawed making it almost impossible for patients to research their diseases and make intelligent choices. It is imperative that everyone, men and their well-meaning wives, read about the patient, Ralph, whose wife urged him to get a free PROSTATE PSA TEST in a mall which led to horrendous FLAWED procedures which 'caused him misery and pain until he died an early death. Dr. Brawley thought prostate screening was not at all useful for anyone without symptoms. I also think that many tests we have are just to generate money for doctors and the groups they work for. In fact, just this week they are now saying women should not have MAMMOGRAMS every year as I did since I turned forty. Now the recommendation is for women to have mammograms every three to five years. Dr. Brawley said in his book that women more often find their own cancer, and mammograms should not be taken on a yearly basis. This book was the best nonfiction book I have read in years. But I was disappointed Dr. Brawley did not write a chapter on the FDA, though he referred to the organization many times. I was also interested in more specific information about drugs, particularly STATINS which are taken by most people over 50 even though they have many serious side effects. One chapter was titled GUILLAIN-BARRE SYNDROM but only mentioned the disease briefly. I am a former librarian, and like most librarians look for BIBLIOGRAPHIES, GLOSSARIES, INDEXES, and CHARTS and GRAPHS illustrating important things to better illustrate the text. In the back of the book Dr. Brawley does include specific NOTES about information in each chapter. I could only read a few pages of this information packed book per day, because there was so much information I wanted to retain. I urge every adult of both genders and any age to read this book. And if you are capable and not disabled, volunteer to help the various advocacy groups who are attempting to change our hea;th system. This book was published two years ago before Barack Obama presented his new health care plan, therefore there is nothing in the book about it. Dr. Brawley, I am looking forward to another book from you about the goings on at the FDA, since they release many drugs which are later involved in class action suits. Also, cholesterol and cholesterol drugs should be examined in detail like you did oncology. Also, Dr. B, please have your publisher publish this book in a LARGE PRINT EDITION!!! I first saw Dr. Otis Brawley on BOOKTV.ORG weeks ago. I was so impressed with Dr. Brawley's speech which was perfect as well as his honesty that I bought HOW WE DO HARM. Go to BookTV.org and look for the video of Dr. Brawley's speech. Karen Joan McWilliams, Naples, FL
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Reviewed in the United States on July 6, 2014
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jwt99
Fort Morgan, US
★★★★★ 5
Horror stories about health care, Breast Cancer, PSA Test
Format: Hardcover
I could not put this book down. I would say this is a must read for anyone that might get or who has cancer. Also anyone who has a chronic health problem should put this book in their library. I think Dr. Brawley gives compelling examples that illustrate how our health care systen is broken. Read this book! This is an excellent book unless you are a quack, a greed driven doctor or drug rep. Dr.Brawley points out that we should not waste valiable tax money or even insurance money on unproven cures or on drugs that cost 10-20 times as much as a proven drug. All medical care should be research based, rational and above all "do no harm". I hate to tell you this, but we as a country cannot afford to waste massive amounts of money anymore. If we don't get serious about health care it will break the country. We cannot afford to transfer wealth to quack doctors or for procedures that don't work. A spinal fusion costs about $80,000 yet 80% of the research says it does no good and it does a lot of harm. Is this any way to run a health care system? If you don't believe Dr. Brawley read the research for yourself. Use a little of your time to dig and see if he is telling the truth. A lot of the raw research is locked up tight and hard to access and not easy for a lay person to understand. We must rely on honest doctors like Dr. Brawley to tell us the truth about our healthcare system The chapters on the "PSA" test for prostate cancer were shocking to say the least. All the examples about the breast cancer problems are on point. My wife went through this several years ago and thank goodness we had a doctor whose first words were us was " I don't give any treatment that has not been through a double blind study." We feel like my wife received excellent treatment without receiving too much treatment. Too much can be as bad as too litttle as Dr. Brawley states. Dr. Brawley points out through his examples that "raw greed" on the part of hospitals, doctors and drug companies has layed waste to our health care system. The economic incentives are all on the side of more care not appropriate care. There is a vast difference between the two. Thank you Dr. Brawley.
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Reviewed in the United States on February 8, 2012
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BostonProfessionalCouple
Waukegan, US
★★★★★ 4
Fabulous book but seems a little biased
Format: Hardcover
I read a lot on the healthcare system and also have a biology PhD and a healthcare-related career, so I read 'How We Do Harm' with real interest and found that I tremendously enjoyed it, largely due to its distinctive and refreshing down-to-earth, no-holds-barred, friend-of-the-people style attack on many different sacred cows of the healthcare system. He exposes ignorance, shysterism, laziness and other commonplace human failings AMONG HIS FELLOW PHYSICIANS, where these everyday human foibles have an enormous impact on the life and death and quality of life of the patients treated by them. And he is not just any physician, he is the Chief Medical and Scientific Officer of the American Cancer Society. It reads like the system has turned on itself. This is a 'People's History' of the current healthcare system. The language is carefully unacademic and the cases he chooses are heart-wringing for the most part. I think there is much to learn from the diverse cases he selects, and he goes after problems originating with patients and their families as well as doctors and the system. If each of the problems that Dr. Brawley characterizes were systematically addressed, we would have a somewhat better and MUCH cheaper system - I think essentially a Canadian system, even if there were multiple payors. Once everyone followed the same rules and there was little role for physician discretion, and little role for new therapies until massive clinical studies achieved definitive conclusive results, inefficiencies in the system would be dramatically reduced, and many patients would receive better care. The problem with this objective, IMHO, is that the heterogeneity of cancer and the rate of advance in this particular field would not be well-served by a system where no new therapies were paid for until they had achieved p values of <0.05 in clinical trials IN THE PRECISE PATIENT POPULATION of the patient who needs treatment. Some cancers are so rare that this would never happen. In other cases, new research information evolves in small case series that wouldn't meet Dr. Brawley's standards but would provide vital information for selection of therapy. All-in-all, Dr. Brawley appears overly philosophically committed to the concept of clinical certainty, iron-clad treatment paradigms, and saving the system money. I'm all for saving the system money, but Dr. Brawley goes after cancer screening with the dedication of a hero confronting his nemesis. He barely acknowledges the potential for good to come from screening. For example, he is dismissive of the value provided by lung cancer screening, in spite of a roughly 50,000 patient randomized controlled study that showed a 20% reduction in cancer mortality in heavy smokers who received screening! This was without even specifying how these patients were treated - the 20% reduction in the leading cause of cancer mortality was simply from looking for a spot on the lung, and then letting the doctor and patient decide what treatment to pursue. I see that as a tremendous breakthrough. Dr. Brawley sees it as a roughly even set of risks and benefits that the system presumably should hesitate to fund. (Updated August 2013 to note that the U.S. Preventive Services Task Force has now issued a strong recommendation for CT screening of heavy smokers for early detection of lung cancer, based primarily on the data above. "As many as 20,000 deaths a year could be prevented by screening", according to Michael LeFevre, MD, co-vice chair of the task force). The book is well worth reading; but there are other intelligent, reasonable viewpoints on the burning thesis presented by this book, and one unfortunately comes away with the impression that Dr. Brawley would not acknowledge this. I found myself comforted by the fact that other checks and balances in the system will limit Dr. Brawley's impact on cancer treatment paradigms, even with his role at the ACS.
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Reviewed in the United States on June 20, 2012
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Thomas M. Loarie
Boise, US
★★★★★ 5
Intellectual Dishonesty, Malfeasance, and Conflicts of Interest...
Format: Hardcover
In "How We Do Harm,' author Otis Webb Brawley, M.D., shares his healthcare system experience from his early days at the Pritzker School of Medicine (University of Chicago), as a resident at University Hospitals of Cleveland, as a fellow at the National Cancer Institute, and as a physician specializing in medical oncology at Grady Hospital in Atlanta. Brawley has both the experience and credentials to call our attention to the systemic failures of a system that our politicians call the "best in the world (ignorance is elegant)." He is recognized as an outstanding physician-scientist who serves today as the chief medical and scientific officer of the American Cancer Society, and as professor of hematology, oncology, medicine, and epidemiology at Emory University In this book, the author takes the reader on a "guided tour of the back rooms" of the American healthcare system. He charges that "no incident failure in American medicine should be dismissed as an aberration...failure is the system, a system in which helping patients is not the point. Economic incentives dictate that the patient be ground up as expensively as possible with the goal of maximizing the cut of every practitioner who gets involved." Brawley's view is that of skeptic and health-reform advocate. Brawley uses his personal experience and stories to show how our system "fails to provide care when care is needed and fails to stop expensive, often unnecessary, and frequently harmful interventions." He feels one antidote to sure the ills of the system would be to base the system on science. His stories include: 1. The treatment provided to a woman whose breast fell-off due to cancer. 2. Misguided collegiality among physicians. "Should I tell the patient that the previous doctor was incompetent? And get hauled into court for slander?" 3. The saving of Mr. Huzjak whose daughter, despite his condition, wants everything to be done to save his life. "We never give up" when the humane thing is to give up. 4. The Wallet Biopsy - the reason why people are turned away from private hospitals and end up at public hospitals like Grady. 5. Treating colon cancer Colon Cancer. "If you are poor, black, and uninsured, you get no care until its too late. But if you are rich, white, and insured, you face another deadly menace, doctors (some socially prominent) who are just plain bad. Expensive drugs and tests that patients don't need." 6. The implantable defibrillator, and the growing disparity between the insured and the uninsured which increases as technology improves. 7. Procrit, Nexium, Vioxx, Intensity Modulation Radiation Therapy and other approved drugs and therapies that are leading patients to serious complications, and/or a worsening of disease, or death. And how overtreatment may be beneficial to everyone but the patient - doctors, hospitals, and the pharmaceutical industry. 8. The perverse incentive system in which has extended the standards of care enormously from three decades ago due to the willingness of insurance companies to pay and the willingness of private physicians to make a buck. Brawley, by "breaking the ranks about being sick in America," points to his Jesuit education as a foundational experience for his life journey. A Jesuit teacher, Fr. Richard Polakowski, early in his life taught "Say what you know, what you don't know, and what you believe - and label it accordingly." Along the way, Brawley developed a set of maxims what would shape his life: 1. Be a man for others. Find work where you can make a difference. Use your God-given gifts to improve the lot of others. Always focus on improving the lot of others. Do this for the greater glory of God. 2. Be binary, know right and wrong. Be truthful. Have the courage to speak truth to power. 3. Never worry about people thinking you are different. Realize, people, both black and white, will try to discourage you. They will try to get at your self- confidence. 4. You will be tested. Always know your subject matter better than anyone else. You must be good. You must stand up to scrutiny. 5. Do not let the naysayers make you feel you cannot do something. They will call you arrogant. They will call you aloof. They will question your intelligence...spite them by succeeding. 6. Do not tolerate fools. Don't compromise on excellence. 7. Never let people put you down. 8. Feel sorry for people who see no challenges to overcome. Feel sorry for the selfish. Feel sorry for the fools. Remember you have character they cannot understand. Relish you have overcome challenges they could never overcome. As someone who has worked for over 40 years in healthcare, Brawley's book resonated with some of my own experiences. His perspective, while not inclusive, has great value. However, he fails to note the role of government in shaping the system we have today - diagnosis related groups (DRGs), resource-based relative value scale (RBRVS), CMS CP codes, Medicare and Medicaid cost shifting, and, for me personally, the role of the FDA in driving up the cost of medical innovation. Much of what he describes as systemic failure can be attributed to government intervention. The private sector's greediness is a response, much like Wall Street's and the public's greedy response to the government's "everyone should own a home" policy which led to the Great Recession of 2007-2009.
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Reviewed in the United States on October 30, 2012

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