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Routledge Handbook of Medicine and Poetry

The Routledge Handbook of Medicine and Poetry draws on an international selection of authors to ask what the cultures of poetry and medicine may gain from reciprocal critical engagement. The volume celebrates interdisciplinary inquiry, critique, and creative expansion with an emphasis upon amplifying provocative and marginalized voices.This carefully curated collection offers both historical context and future thinking from clinicians, poets, artists, humanities scholars, social scientists, and bio-scientists who collectively inquire into the nature of relationships between medicine and poetry. Importantly, these can be both productive and unproductive. How, for example, do poet-doctors reconcile the outwardly antithetical approaches of bio-scientific medicine and poetry in their daily work, where typically the former draws on technical language and associated thinking and the latter on metaphors? How does non-narrative lyrical poetry engage with narrative-based medicine? How do poets writing about medicine identify as patients? Central to the volume is the critical investigation of the consequences of varieties of medical pedagogy for clinical practice.Presenting a vision of how poetic thinking might form a medical ontology this thought-provoking book affords an essential resource for scholars and practitioners from across medicine, health and social care, medical education, the medical and health humanities, and literary studies.

Introduction to Sociology Through Comedy

Questioning society and one’s place in it is a common theme in both comedy and sociology. Understanding and subverting hierarchies and norms, exploring deviance and taboos, and relating lived experience to broader questions all hold a crucial place for them both.Introduction to Sociology Through Comedy teaches foundational sociological concepts using comedy, first considering the history of sociology before employing examples from comedians – including standalone comedy bits, sketches, characters, and scenes – to illustrate a specific theory, concept, or social phenomenon. The profession of comedy is then used as a case study for the application of sociological concepts, such as impression management, social stratification, racial segregation, deviance, and stigma, allowing readers to gain familiarity with the concepts while simultaneously practicing their application.This book explains why we laugh by applying theories of humor, which will bolster students’ understanding of sociological principles by forcing them to question their own assumptions – helping them to put why they laugh into sociological terms.

Modern Medicine: Biomedical Devices, Medical Gases, Radiopharmaceuticals, New Drug Discovery, Volume 2

Modern Medicine: Biomedical Devices, Medical Gases, Radiopharmaceuticals, New Drug Discovery, Volume 2 discusses the procedures of drug approval and regulatory requirements that must be met according to the United States Food and Drug Administration (FDA), the European Medical Agency (EMA), and the Central Drug Standard Control Organization (CDSCO). In the rapidly evolving landscape of modern medicine, groundbreaking innovations have emerged that are reshaping the way we approach healthcare. Modern Medicine delves into the cutting-edge realms of medical devices, medical gases, radiopharmaceuticals, and new drug discovery, offering a comprehensive exploration of these transformative fields that are revolutionizing patient care and medical practices. Discover the future of healthcare technology, and uncover the intricate world of biomedical engineering, where state-of-the-art devices seamlessly merge with the human body to monitor, diagnose, and treat ailments Dive deep into the utilization of medical gases for respiratory conditions, pain management, and even novel applications in regenerative medicine Unravel the mysteries of radiopharmaceuticals, a fusion of molecular imaging and therapy that offers unprecedented insights into the inner workings of the human body Embark on a journey through the intricate processes of drug discovery, where groundbreaking research and cutting-edge technologies are yielding therapies that were once deemed impossible Modern Medicine is a must-read for medical professionals, researchers, students, and anyone intrigued by the remarkable intersection of science, technology, and patient well-being. Join us on a journey to the forefront of medical innovation, where the unimaginable becomes reality, and the future of healthcare takes shape before our eyes. The chapter on regulatory implications for the approval process in this book will be the most useful resource for researchers and students, particularly those with backgrounds in pharma, forensic medicine, regulatory affairs, or those who aspire to succeed in drug research. Additionally, the information contained in this volume of the book could be of great interest to researchers working in the pharmaceutical and health industries.

Healthcare Services in the Metaverse: Game Theory, AI, IoT, and Blockchain (Emerging Trends in Biomedical Technologies and Health informatics)

This book focuses on game theory approaches utilized on various domains viz., IoT, blockchain and their applications to biomedical and healthcare services. The book bridges the gap between radiologists and Artificial Intelligence (AI)-driven automated systems by investigating various techniques such as game theoretic approach, blockchain technology basically utilized for security, and IoT applied on metaverse. Healthcare Services in the Metaverse: Game Theory, AI, IoT, and Blockchain, identifies the potential areas where game theory and block chain techniques can be harnessed in the metaverse. The book discusses the integration of virtual reality (VR) with augmented reality to identify the new emerging techniques in healthcare to metaverse, where doctors and/or patients can see any kind of operation in the VR metaverse. The authors use game theoretical and blockchain approaches to understand healthcare issues, with the aim of utilizing different technologies of metaverse platform for health informatics. This book is written to help healthcare practitioners and individuals across academia and research, as well as for those who work in biomedical, Internet of Things (IoT), Artificial Intelligence (AI), metaverse, VR, blockchain, and related technologies.

Sociology of Mental Disorder

The twelfth edition of the Sociology of Mental Disorder presents the major issues and research findings on the influence of race, social class, gender, and age on the incidence and prevalence of mental disorders. The text also examines the institutions that help those with mental disorders, mental health law, and public policy. Many important updates are new to this edition: The mental health effects of the COVID-19 pandemic are examined. Aging and mental health is discussed in more detail. Updated review of gender differences in mental disorder. A revised and more in-depth discussion of mental health and race. Problems in the community care of the mentally ill are covered. Updates of research and citations throughout. Blending foundational concepts and sociological perspectives on mental health issues with newer studies and accounts in an accessible and authoritative survey of the field, the new edition of Sociology of Mental Disorder remains an essential text and an invaluable resource for students and scholars.

Advanced Practice Psychiatric Nursing: From Bedside To Boardroom

Autoimmune Disorders: Adjuvants and Other Risk Factors in Pathogenesis

Autoimmune Disorders Comprehensive resource on the science of autoimmune disorders, covering causes, treatment, prevention, and the latest research in the field Autoimmune Disorders is an authoritative reference on the science of autoimmune disorders, covering their causes, including infections, vaccine adjuvants, environmental stimuli, and silicone implants, the latest research on the genetics, epigenetics, and immunology of autoimmunity, predictive markers, therapeutic approaches for treatment and prevention, and suggestions for future research directions. This book explores the intricate connections between adjuvants and autoimmune responses, focusing on the emergence of the Autoimmune/Inflammatory Syndrome Induced by Adjuvants (ASIA syndrome), as well as autoimmune connections in areas such as chronic fatigue syndrome, autoantibodies targeting the autonomic system, and small fiber neuropathy. The authors emphasize the profound impact of vaccines on public health, underscoring that their benefits far outweigh potential side effects and exploring the historical context of adjuvants in vaccine development. From tattoos to environmental factors, each chapter adds a unique thread to the tapestry of adjuvants, autoimmune responses, and their interactions. Sample topics covered in Autoimmune Disorders include: Food additives and dental implants as a trigger of autoimmunity and increased risk of ASIA syndrome as a result of the chemical and social factors Sustained immune activation in ASIA syndrome as a bridge to lymphomagenesis and how immune checkpoints, metals, and bisphenol connect to autoimmunity Postural Orthostatic Tachycardia syndrome (POTS), Sick Building syndrome, and Gulf War syndrome (GWS) as parts of ASIA syndrome Sarcoidosis and Sjögren’s syndrome as a proof of concept of hyperstimulation syndrome Autoimmune Disorders is an essential reference on the subject for academics, specialized postgraduate students, and practicing professionals seeking to improve integrated research strategies and foster a deeper understanding of the complex relationship between immunology, public health, and individual well-being.

Herbal Healing for Women

Simple, safe, and effective herbal home remedies for women of all ages! From menstruation to menopause, learn how to prepare natural treatments for acne, PMS, morning sickness, hot flashes, yeast infections, and more. For centuries women have turned to herbs to cope with a wide variety of health problems and conditions. Comprehensive and easy-to-use, Herbal Healing for Women explains how to create remedies—including teas, tinctures, salves, and ointments—for the common disorders that arise in the different cycles of a woman's life. Covering adolescence, childbearing years, pregnancy and childbirth, and menopause, Rosemary Gladstar teaches how herbs can be used to treat the symptoms of conditions such as acne, PMS, morning sickness, and hot flashes. A complete women's health-care manual, Herbal Healing for Women discusses: -common disorders and the herbs that are effective for treating them -how to select and store herbs -preparation of hundreds of herbal remedies -an alphabetical listing of herbs, including a brief description of the herb, the general medicinal usage, and when necessary, warnings about potential side effects. By explaining the properties of specific herbs and the art of preparation, Rosemary Gladstar demonstrates not only how to achieve healing through herbs but good health as well.

Raynaud’s Phenomenon: From Pathogenesis to Management

This book comprehensively reviews the understanding of a disorder that continues to challenge primary care clinicians and specialists. Raynaud’s phenomenon is an inappropriate and exaggerated response of the digital and cutaneous circulation to cold environmental temperatures. It is common, often causing significant morbidity and it is a major challenge for physicians at every level and specialty. A comprehensive review of Raynaud’s is now timely because of the incredible progress in understanding the molecular mechanisms of the normal regulation of cutaneous blood flow and how disease can disrupt the function of these specialized vessels. Likewise, the clinical implications of Raynaud’s phenomenon are better appreciated with studies defining its prevalence, the associated diseases, and new treatment approaches for patients suffering from it. The nomenclature used to classify cases has changed over the years and is important to understand these terms both for clinical care andresearch. This fully updated second edition comprehensively discusses various causes of Raynaud’s phenomenon including childhood Raynaud’s phenomenon, Raynaud’s phenomenon secondary to connective tissue disease, occupational causes, and a variety of other associated disorders. Careful consideration is given to the diagnosis of Raynaud’s phenomenon with state of the art discussion of nailfold capillary examination, non-invasive imaging, angiography, and appropriate serological testing. The concept that Raynaud’s phenomenon is associated with systemic disease or can be the manifestation of a systemic vasospastic disorder is also presented. In addition to reviewing both non-drug and drug therapy for patients with Raynaud’s phenomenon, this volume provides a practical approach in specific clinical situations by presenting problematic cases and the authors’ expert opinions on therapy. It also discusses mechanisms contributing to the vascular dysfunctionof primary Raynaud’s phenomenon and the vascular disease of secondary Raynaud’s phenomenon. Engaging readers with case vignettes and a plethora of visual aids, Raynaud’s Phenomenon: From Pathogenesis to Management is a state-of-the-art, authoritative reference and invaluable contribution to the literature that will be of interest to adult and pediatric physicians, rheumatologists, and clinical and basic researchers.

Management of Facial Asymmetry: Current Principles and Practice

This book provides clear practical guidance on the contemporary management of patients with asymmetry of facial structures. Patient evaluation and diagnosis are first fully described. Key radiological and orthodontic considerations are identified and the role of virtual surgical planning is explained. Individual chapters then focus on management principles in patients with craniosynostosis, hemifacial microsomia, condylar hyperactivity, and temporomandibular ankylosis/degenerative disease. The remainder of the book is devoted to the state of the art in treatment procedures, covering distraction osteogenesis, the use of facial implants, diverse soft tissue procedures, and jaw and other osteotomies. The text is augmented by informative clinical cases, easy-to-follow tables, photographs, and illustrations. The authors are highly experienced clinicians well recognized for their expertise in this area. The book will be ideal for all clinicians involved in the care of patients afflicted by facial asymmetry and will in particular be an indispensable tool for those who evaluate and treat the condition in day-to-day practice.

Nursing Practice during COVID-19: Preparation, Education and Support

This book highlights the progresses achieved in the role of nurses in the hospital, critical care unit, community field, hospital, and at home for patient care management in SARS-CoV-2 (COVID-19), especially in the South Asia and the Middle East. Nurses and allied health care professionals play a significant role in preventing and treating the infectious disease pandemic and epidemic that is COVID-19 and, on the front lines of treatment, they suffer an inescapable health risk due to the fact that they must live with, encounter, and accept the hazard of dealing with developing respiratory illnesses. Nurses also endure significant stress, burden, and mental health concerns as a result of worldwide respiratory epidemics. Because of this, nurses require ongoing assistance and training in order to increase their crisis preparation and efficacy while also coping with psychological issues and ensuring their own well-being. This book reflects the experience of Indianand Saudian nurses, develops on COVID-19 stress and challenges and informs on the technologies employed. Nurses' experiences caring for patients with COVID-19 around the world are scarcely documented. The research that has been done so far have mostly focused on the physical and psychological effects of stress. This expands on the role of nurse managers and hospital administration with key stakeholders emphasizing the need of providing support for nurses in their role, especially considering that the positive leadership responsibilities of nurse managers are highly regarded by nurses.

ADME Processes in Pharmaceutical Sciences: Dosage, Design, and Pharmacotherapy

Absorption, Distribution, Metabolism and Excretion (ADME) processes and their relationship with the design of dosage forms and the success of pharmacotherapy form the basis of this upper level undergraduate/graduate textbook. Whereas primarily oriented to Pharmacy students and graduates, it can also be useful for scientist from different fields elated to pharmaceutics and pharmacology. (e.g., material scientists, material engineers, medicinal chemists, physicians) who might be working in a positions in pharmaceutical companies or whose work might benefit from basic training in the ADME concepts and related biological background.Pedagogical features such as objectives, keywords, discussion questions, summaries and case studies are included as teaching tools. This book will provide not only general knowledge on ADME processes but also an updated insight on some hot topics such as drug transporters, multi-drug resistance related to pharmacokinetic phenomena, last generation pharmaceutical carriers (nanopharmaceuticals), in vitro and in vivo bioequivalence studies, biopharmaceuticals, pharmacogenomics, drug-drug and food-drug interactions, in silico and in vitro prediction of ADME properties, or chronopharmacokinetic. In comparison with other similar textbooks, around half of the volume would be focused on the relationship between expanding scientific fields and ADME processes. Each of these burgeoning fields has a separate chapter in the second part of the volume, and is written with experts on the correspondent topic, including industrial scientists and academics from USA and UK.Additionally, each of the initial chapters dealing with the generalities of drug absorption, distribution, metabolism and excretion would include relevant, classic examples related to each topic with appropriate illustrations. ADME Processes and Pharmaceutical Sciences is written as a core textbook for courses on pharmaceutical sciences: pharmacology, pharmacokinetics,drug delivery, biopharmaceutics, drug design and medicinal chemistry courses.

Research Partners with Lived Experience: Stories from Patients and Survivors

This book aims to foster collaborations between patients who have intense lived experience with a medical condition or family violence and researchers investigating them. Inviting patients or survivors into the research team is found to have significant advantages, and chapters review the literature on the benefits they can bring to investigative research teams. The collaboration can take place at multiple stages of research from helping to research design, participating in co-investigators, contributing to the interpretation of results, etc. The conditions addressed in this book include medical conditions from anxiety, postural orthostatic tachycardia syndrome, lupus, asthma, chronic kidney disease, etc. The authors are higher degree students, academics, and active research team members who share their experiences. This is be instrumental in helping patients and survivors decide whether to transition to research. It will also support research team leaders in determining how to benefit from the new perspectives researchers with lived experience bring. The personal narratives provide insight into the challenges and rewards of having lived experience while conducting research. This book is a valuable resource for researchers in clinical fields who have been touched by firsthand exposure to a condition and have been motivated to conduct research in the respective fields. The chapters will enrich understanding for adult patients and survivors and for parents of children suffering intense experiences, who engage with the latest research publications. It will also broaden the understanding of medical, biomedical, and health sciences students interested in reading the narrative accounts of patients and survivors. Readers will gain refreshing perspectives and insights. The book relates to patients managing all kinds of noncommunicable diseases or experiences of violence, and how they can share their valuable experiences into future advancementto research. It is related to SDG 3, good health and well-being.

Errors in Medical Science Investigations

This book introduces all common errors in medical science fields and the ways to control them. Systematic errors could be controlled both during study design and statistical analysis. Some errors have been presented in small segments but not in a comprehensive book. It covers many common errors that usually affect the research proposals, final reports, theses, and scientific presentations in the field of medical sciences as well as the rejection reasons on scientific papers. It will help researchers to control common errors using epidemiological and statistical methods.

Alternative Splicing and Cancer

This book Alternative Splicing and Cancer explores the crucial role alternative splicing, a post-transcriptional process, plays in human health and diseases, particularly cancer. Diving deep into the complexities of gene expression and protein diversity, the book illuminates how abnormal splicing contributes to aggressive tumor formation, affecting cellular functions such as proliferation, survival, and immune evasion. With a focus on understanding molecular mechanisms, this book unravels potential diagnostic and prognostic targets, opening doors for enhanced anti-cancer treatment efficacy. An indispensable resource for anyone intrigued by the interplay between gene splicing and cancer biology, it paves the way towards innovative therapeutic strategies.

Restorative Techniques in Paediatric Dentistry: An Illustrated Guide to Conventional and Contemporary Approaches

One of the first books on the market to illustrate the various clinical techniques for restoration, this revised and updated new edition offers new material on treatment planning, local analgesia, biomaterials, biological and contemporary approaches, and aesthetic crowns. The book addresses the specific needs of the paediatric patient and helps the clinician manage the restoration with those needs in mind. As a classic volume, it is essential for every dentist working with children and adolescent patients.

Clinical Examples in Pediatric Rheumatology

The book provides an introduction to the differential diagnosis and decision-making in pediatric rheumatological diseases through typical and real cases. One of the aspects in the discussion of various case scenarios is the avoidance of errors and error management. The casebook is useful for specialists and trainees in pediatrics, young doctors, and anyone on the path to specialization in pediatric rheumatology.The translation was done with the help of artificial intelligence. A subsequent human revision was done primarily in terms of content.

Porth's Pathophysiology: Concepts of Altered Health States

Trusted for more than 40 years and updated to reflect today’s nursing challenges, Porth’s Pathophysiology: Concepts of Altered Health States, 11th Edition, continues a legacy of excellence with a comprehensive, nursing-focused approach that instills a mastery of both the physical and psychological aspects of altered health. More approachable and inclusive than ever, this unique text clarifies complex ideas through diverse perspectives, the latest evidence-based information, and engaging in-text features and application exercises.

Pharmacy Labs for Technicians

Pharmacy Labs for Technicians, Second Edition teaches students detailed lab procedures and skills using hands-on practice. Included are 34 labs that teach administrative and clinical procedures such as using pharmacy reference texts, filling prescriptions, compounding medications, and preparing sterile intravenous products.

Psychological Approaches to the Treatment of Pediatric Obesity

This book offers a comprehensive review of current research and theoretical approaches​ to pediatric obesity. Pediatric obesity is a significant public health concern that currently affects 1 in 5 children and adolescents. Prevention and treatment of this complex health condition requires a multifaceted approach that acknowledges the intersecting roles of gender, race and ethnicity, socioeconomic status, and other factors that play key roles in the onset and maintenance of pediatric obesity. Written for mental health clinicians, as well as medical practitioners such as physicians, nurses, dietitians, and exercise physiologists who care for children and adolescents, this helpful resource offers a comprehensive review of current research and theoretical approaches, as well as clear descriptions of effective strategies to prevent and treat pediatric obesity. Through a lens of diversity, equity, and inclusion, the authors incorporate cutting edge research and their extensive clinical experience and expertise as they review evidence-based treatments that can be incorporated into various settings, including primary care, mental health, and specialty medical care clinics as well as schools and community organizations. With a special focus on psychological factors, including mental health conditions that frequently co-occur with pediatric obesity, this book incorporates case examples, treatment guidelines, and reproducible handouts to make addressing pediatric obesity more accessible to clinicians and practitioners.

A Psychological Approach to Diagnosis: Using the ICD-11 as a Framework

This groundbreaking volume, published by the American Psychological Association in partnership with the International Union of Psychological Science, provides a detailed guide to clinical diagnosis by psychologists and other health professionals based on the eleventh revision of the World Health Organization's International Classification of Diseases (ICD-11). The ICD-11 was adopted by the World Health Assembly in 2019 and came into effect as the global standard for health information and reporting in 2022. The ICD is the diagnostic system for mental disorders most widely used by mental health professionals around the world in their day-to-day clinical practice. This edited volume offers a step-by-step approach to diagnosis, giving mental health professionals around the world the tools they need to apply ICD-11 diagnostic requirements for mental, behavioral, and neurodevelopmental disorders as the basis for delivering high quality, evidence-informed care. A psychological approach to diagnosis is a conceptually driven, person-oriented, biopsychosociocultural formulation that integrates pertinent history, behavior, symptoms, phenomenology, and functioning. A psychological approach focuses on psychological mechanisms and principles as an aspect of diagnostic practice and case formulation, regardless of professional discipline. The chapters of this book cover the major groupings of mental disorder as well as related areas that are important parts of psychological practice, such as sexual dysfunctions, sleep-wake disorders, and relationship problems and maltreatment. The authors of this book are leading global experts in each area, many of whom were integrally involved in developing the respective sections of the ICD-11. Authors describe the overarching logic for the classificatory arrangement and the elements of a psychological approach to the set of disorders discussed in each chapter, including psychological models for conceptualizing their symptoms and recommendations for psychological assessment. The chapters also discuss presentations and symptom patterns for each major group of disorders, specifiers and subtypes, the threshold between normal variation and disorder, differential diagnoses, co-occurring disorders, developmental course, cultural and contextual considerations, and gender-related features. A Psychological Approach to Diagnosis is the first comprehensive training resource on WHO&’s ICD-11 classification of mental, behavioural and neurodevelopmental disorders. It provides practicing psychologists and other mental health professionals, primary care clinicians, educators, and trainees with essential tools for the competent practice of diagnosis using the ICD-11 as a framework.

Human-Centered Service Design for Healthcare Transformation: Development, Innovation, Change

This book explores the use of human-centered service design. Through a variety of case studies and best practices, it highlights ways to systematically improve the provision of healthcare services to different target and age groups in order to understand customer expectations and needs. The book also offers new insights into the dyadic relationship between service provider and customer, each of which has their own set of goals, purposes, and benefits and must cope with a scarcity of resources and opportunities to optimize and design. Written by recognized experts, scholars, and practitioners, this book demonstrates how, where, and when to successfully apply human-centered service design at multiple levels, including corporate, departmental, and product/service. Value-added services are not only assessed in terms of their effectiveness, efficiency, and productivity, but also bearing in mind human emotions, interactions, and communication techniques as an important part of service provision. Accordingly, the book will appeal to scholars and practitioners in the hospital and healthcare sector, and to anyone interested in organizational development, service business model innovation, customer involvement and perceptions, and the service experience.

Code White: A Novel

Ali O'Day, a dedicated young neurosurgeon, might have a Nobel Prize in her future—if she can survive the next eleven hours.Under the glare of live television cameras—and with her lover, Dr. Richard Helvelius, and her estranged husband, Kevin, both looking on—Ali is about to implant a revolutionary mini-computer into the brain of a blind boy. If it works, he will see again. But someone wants to stop her triumph. No sooner has she begun to operate than the hospital pagers crackle with the chilling announcement, "CODE WHITE." A bomb has been found in the medical center.But this is no ordinary bomb—and no ordinary bomber. As minutes tick off toward the deadline, Ali suspects that a vast, inhuman intellect lies behind the plot—and that she herself may be the true ransom demand, in Code White by Scott Britz-Cunningham.At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.

Advances and Technical Standards in Neurosurgery: Volume 49 (Advances and Technical Standards in Neurosurgery #49)

The book offers the update on several basic and clinical problems in neurosurgery compiled by internationally recognized experts. The main topics covered are cerebral tumors, epilepsy and vascular malformations, congenital and acquired spine anomalies.The first chapter is devoted to the genetic of the Moya-Moya disease, a cerebral vascular disease quite common in Asia that is not yet sufficiently known. The second chapter is devoted to the current application of VR/AR (virtual reality/augmented reality) to pediatric neurosurgery. The next four chapters discuss the management of spine diseases, respectively the tethered cord syndrome , the severe forms of spondylolisthesis, the role of perioperative checklists, and the long-term outcomes of myelomeningocele. Two chapters deal with the surgical aspects of the management of intraventricular tumors. Cerebral tumors, namely malignant gliomas and jugular foramen tumors are the subject of the remaining chapters.Approaching the issue of technical standards in the everyday clinical practice of neurosurgery, this book of great interest for neurosurgeons, neuroradiologists, vascular and plastic surgeons.

In This Together: My Story

When Mitt and Ann Romney met in their late teens, a great American love story began. And their life together would be blessed: five healthy sons, financial security, and a home filled with joy. Despite the typical ups and downs, they had a storybook life.Then, in 1998, Ann was diagnosed with multiple sclerosis. She couldn't believe it was real; there were no therapies or treatments to help her. Mitt told her that day that they would tackle the diagnosis as a team: They were in it together. "As long as it isn't fatal, we're fine. If you have to be in a wheelchair, I'll be right there to push it," he told her. And Ann thought, "But I'll be the one in the wheelchair." A caregiver and helper her whole life, she'd crossed a terrible invisible line. She wouldn't be able to care for her family anymore. She was the patient. Ann and Mitt would face the most frightening and humbling experience of their lives.From reflections on her early life, her marriage, and her diagnosis and recovery, the sources of her faith, and the stories of others who overcame adversity and inspired her to keep going, In This Together is a brave and deeply honest portrait of a family facing an unexpected blow, often in the most public of circumstances."A lot of people talk about a transformation that happens when life throws you a curve ball, and the big one in my life was my MS diagnosis. With all the blessings I've had, MS has been my greatest teacher: It has taught me about faith, compassion, and serving others. I've met many people along the way who've shared advice and demonstrated enormous resilience in the face of challenges; their stories gave me strength. In sharing my story, I want to give others hope as I've been given hope on this journey."