- Table View
- List View
Sleep in Critical Illness: Physiology, Assessment, and Its Importance to ICU Care
by Gerald L. Weinhouse John W. DevlinFor decades heavily sedated ICU patients were assumed to be asleep. However, in the past 20 years, physiologic and epidemiologic studies have established sleep is frequently disrupted in the ICU. The inter-relationship between ICU sleep, delirium, and survivorship has come to the forefront of ICU practice. We now routinely aim for lighter sedation, delirium assessment has become standardized, and knowledge regarding the ICU factors leading to Post- Intensive Care Syndrome (PICS) has evolved. The importance of sleep in routine ICU management was codified for the first time in SCCM’s 2018 PADIS guidelines. This state of the art book summarizes current knowledge regarding sleep during critical illness and recovery and how the risk factors, recognition, and outcomes associated with sleep in the ICU differ from those of healthy adults. Chapters address sleep quality in both the research environment and during routine care, the factors that disrupt sleep architecture and circadian biology in the ICU setting, medications that alter sleep architecture and those that can be used to improve it, the relationship between sleep and sedation and between sleep and delirium, and current strategies that can be used to improve sleep in the vulnerable ICU population. Written by experts in the field, Sleep in Critical Illness is a valuable resource for all members of the ICU interprofessional team including critical care physicians, nurses, physician assistants, pharmacists, and respiratory therapists as well as clinicians who consult in the ICU and post-ICU settings.
Sleep, Neuronal Plasticity and Brain Function
by Peter Meerlo Ruth M. Benca Ted AbelThis book reviews current knowledge on the importance of sleep for brain function, from molecular mechanisms to behavioral output, with special emphasis on the question of how sleep and sleep loss ultimately affect cognition and mood. It provides an extensive overview of the latest insights in the role of sleep in regulating gene expression, synaptic plasticity and neurogenesis and how that in turn is linked to learning and memory processes. In addition, readers will learn about the potential clinical implications of insufficient sleep and discover how chronically restricted or disrupted sleep may contribute to age-related cognitive decline and the development of psychiatric disorders such as schizophrenia and depression. The book consists of 19 chapters, written by experts in basic sleep research and sleep medicine, which together cover a wide range of topics on the importance of sleep and consequences of sleep disruption. This book will be of interest to students, researchers and clinicians with a general interest in brain function or a specific interest in sleep.
Sleep, Personality, and Social Behavior
by Zlatan KrižanThe purpose of this book is to survey the limited scientific knowledge about how sleep intersects with personality and social behavior. This edited volume establishes a new interdisciplinary field of inquiry about sleep that examines sleep processes in the context of social behavior and social-cognitive processes (e.g., liking, respecting, helping, hurting, achieving), as well as individual differences in personality (i.e., chronic patterns of emotion, thought, and behavior). Contributors identify key gaps in scientific knowledge about sleep and its import for personality-social processes, aiming to shape future research efforts by scholars in psychology, biology, sociology, and sleep medicine.Among the topics discussed:How sleep shapes emotion regulationSleep and temperament in early childhoodDynamics between sleep and self-controlImplications for task performanceInfluence of sleep on social cognition and judgmentSleep, Personality, and Social Behavior comprehensively examines the role of sleep in emotion and motivation, the impact of sleep on social-cognitive processes, the dynamics between sleeping and relationships functioning, the import of sleep for group behavior, the role of personality differences in sleep, and the role of sleep in personality and social development. Researchers in personality and social psychology, health psychology, and neurology will find this an insightful book that addresses the significant gaps in scientific understanding of sleep.
Sleep, Stroke, and Cardiovascular Disease
by Antonio CulebrasThe relationship between sleep disorders - in particular sleep apnea, a highly prevalent condition - and common vascular disturbances such as stroke and hypertension is an area of active research. Summarizing the clinical evidence to date between sleep disorders and vascular pathology, this is the first time a comprehensive overview of this relationship has been covered in a single volume. Bringing together some of the world's most renowned authors in the field, Sleep, Stroke and Cardiovascular Disease contains recommended treatment plans - allowing for rapid and accurate diagnosis and management of patients - enabling learning from real experience. Of interest, not only, to specialists who intervene in diagnosis and management of sleep and stroke disorders such as neurologists, cardiologists and pulmonologists, the book will also be of value to primary-care practitioners, allowing them to arrive at better diagnoses and management of sleep and vascular disorders.
Sleep-Wake Neurobiology and Pharmacology (Handbook of Experimental Pharmacology #253)
by Hans-Peter Landolt Derk-Jan DijkThis volume connects current ideas and concepts about sleep functions and circadian rhythms with the search for novel target-selective sleep-wake therapeutics. To do so, it provides a timely, state-of-the-art overview of sleep-wake mechanisms in health and disease, ongoing developments in drug discovery, and their prospects for the clinical treatment of sleep-disordered patients. It particularly focuses on the concept that sleep and wakefulness mutually affect each other, and the future therapeutic interventions with either sleep- or wake-promoting agents that are expected to not only improve the quality of sleep but also the waking behavior, cognition, mood and other sleep-associated physiological functions.The chapter 'Sleep Physiology, Circadian Rhythms, Waking Performance and the Development of Sleep-Wake Therapeutics' available open access under a CC BY 4.0 license at link.springer.com
Sleep: Circuits and Functions
by Pierre-Hervé LuppiAn estimated 40 million Americans and millions of others worldwide suffer from some type of sleep disruption or disorder, and these numbers are rapidly increasing. As biomedical technologies advance our understanding of sleep, a wave of developments in sleep research and the emergence of new technologies offer hope and help for a good night‘s
Sleep: Evolution and Functions
by Sushil K. Jha Vibha M. JhaThis book discusses the evolution of sleep and its possible function in the higher invertebrates and vertebrates, including humans. It describes the current concept of sleep and its functions, based on research on the mammalian system. To date, electrophysiological recordings of the brain waves, muscle activity, and eye movements are the only tools available for characterizing the sleep architecture in the majority of animals. In mammals and birds, only two distinct types of sleep are found – non-rapid eye movement (NREM) and rapid eye movement (REM) sleep. Since the discovery of REM sleep, studies have been performed to understand the purpose of the two distinct sleep states in higher vertebrates (birds and mammals), and how REM sleep was evolved. The book summarizes the role of both REM and NREM sleep in the proper functioning of the brain and body. It covers various aspects of the role of sleep in important physiological processes, including memory consolidation, induction of synaptic plasticity, energy restoration, enhancing immune response, and maturation of neuronal circuitries during early life. Lastly, the book reviews the effects of chronic/acute sleep deprivation on memory consolidation, obesity, and the immune system in animal models and humans.
Sleepiness: Causes, Consequences and Treatment
by Michael J. Thorpy Michel BilliardWritten and edited by leading clinicians and researchers in sleep medicine, this is the first book to focus on the causes, consequences and treatment of disorders of excessive sleepiness. Extensive coverage is provided for all known causes of sleepiness, including sleep deprivation, obstructive sleep apnea syndrome, narcolepsy and other hypersomnias of central origin, shift work, and medical and psychiatric disorders. Since many causes of sleepiness are difficult to differentiate from each other, and treatment modalities can vary greatly from one disorder to another, this book helps the clinician to formulate a differential diagnosis that will ultimately lead to the correct diagnosis. Epidemiology, evaluation of the sleepy patient, diagnostic investigations including neuroimaging, subjective and objective testing, cognitive effects of sleepiness, motor vehicle driving issues, medico-legal aspects of sleepiness, and therapy are also discussed in detail. This is an essential resource for neurologists, psychiatrists and sleep specialists.
Sleeping Through the Night: How Infants, Toddlers, and Parents Can Get a Good Night's Sleep
by Jodi A. MindellRight after "Is it a boy or a girl?" and "What's his/her name?," the next question people invariably ask new parents is "Are you getting any sleep?" Unfortunately, the answer is usually "Not much." In fact, studies show that approximately 25% of young children experience some type of sleep problem and, as any bleary-eyed parent will attest, it is one of the most difficult challenges of parenting. Drawing on her ten years of experience in the assessment and treatment of common sleep problems in children, Dr. Jodi A. Mindell now provides tips and techniques, the answers to commonly asked questions, and case studies and quotes from parents who have successfully solved their children's sleep problems. Unlike other books on the subject, Dr. Mindell also offers practical tips on bedtime, rather than middle-of-the-night-sleep training, and shows how all members of the family can cope with the stresses associated with teaching a child to sleep.
Sleepless
by Romy HausmannCOMING IN 2021: THE MIND-BENDING NEW THRILLER FROM THE NO.1 BESTSELLING AUTHOR OF DEAR CHILDIt's over, my angel. Today I'm going to die. Just like her. He's won.It's been years since Nadja Kulka was convicted of a cruel crime. After being released from prison, she's wanted nothing more than to live a normal life: nice flat, steady job, even a few friends. But when one of those friends, Laura von Hoven - free-spirited beauty and wife of Nadja's boss - kills her lover and begs Nadja for her help, Nadja can't seem to be able to refuse.The two women make for a remote house in the woods, the perfect place to bury a body. But their plan quickly falls apart and Nadja finds herself outplayed, a pawn in a bizarre game in which she is both the perfect victim and the perfect murderer . . .Dark secrets past and present collide in this haunting novel of guilt and retribution from the internationally bestselling author of Dear Child.PRAISE FOR ROMY HAUSMANN:'A chilling, original and mesmerizing work. Hausmann is a force to be reckoned with. You can't stop reading' David Baldacci'Deliciously dark' Alice Feeney'Very compelling' Peter James'Disturbingly good' Lesley Kara(P)2021 Quercus Editions Limited
Sleepless and Sleepy: 50 Challenging Sleep Medicine Cases
by Alcibiades J. RodriguezThis book presents 50 of the most interesting and challenging sleep medicine clinical cases encountered by leaders in the field. The cases encompass the full spectrum of sleep medicine, with topics covering neurology, pulmonology, psychiatry, psychology, ENT, and beyond. In addition, adults and pediatric cases will be covered. Chapters that feature cases follow a similar format. A brief clinical history, is followed by physical examination, investigations/studies, differential diagnosis, discussion and management, and final or possible diagnosis. These cases are open to discussion and include teaching points. 50 Challenging Sleep Medicine Cases will intrigue residents interested in sleep medicine, sleep medicine fellows and professionals interested in case review for certification exams and to discuss unusual cases, as well as neurologists, psychiatrists, psychologists, neuropsychologists.
Sleepless: the mind-bending new thriller from the bestselling author of DEAR CHILD
by Romy HausmannTHE MIND-BENDING NEW THRILLER FROM THE NO.1 BESTSELLING AUTHOR OF DEAR CHILD'Hausmann's novel has the feel of a nightmare, unfolding at breakneck speed' SUNDAY TIMESIt's been years since Nadja Kulka was convicted of a cruel crime. After being released from prison, she's wanted nothing more than to live a normal life: nice flat, steady job, even a few friends. But when one of those friends, Laura von Hoven - free-spirited beauty and wife of Nadja's boss - kills her lover and begs Nadja for her help, Nadja can't seem to be able to refuse. The two women make for a remote house in the woods, the perfect place to bury a body. But their plan quickly falls apart and Nadja finds herself outplayed, a pawn in a bizarre game in which she is both the perfect victim and the perfect murderer . . . Dark secrets past and present collide in this haunting novel of guilt and retribution from the internationally bestselling author of Dear Child.PRAISE FOR ROMY HAUSMANN:'Chilling' People Magazine'[A] tantalizingly disturbing debut . . . As enthralling as it is thought-provoking' New York Times'Hausmann is a force to be reckoned with. You can't stop reading' David Baldacci'Deliciously dark' Alice Feeney'Very compelling' Peter James'Disturbingly good' Lesley Kara
Sleigh Ride with the Single Dad
by Alison RobertsHer secret Christmas wish Dr. Grace Forbes's dramatic first day in Manhattan Mercy ER is unforgettable-especially when she runs into her old flame, ER chief Charles Davenport, again! That spark is still there between them but they're different people now-after losing his wife, Charles is a single dad to adorable twin boys, while Grace has survived cancer but lost her dream of having children. Yet, as the weather gets colder, she is drawn into the warmth of his family-could he make her Christmas wish come true?
Sleight of Hand (Hart and Drake Medical Suspense #2)
by CJ LyonsSecond in the series that’s “a perfect blend of romance and suspense” from the New York Times–bestselling author of Nerves of Steel (Sandra Brown).Two months ago Dr. Cassandra Hart was forced to kill a man. The man who murdered her best friend, almost killed Detective Mickey Drake, and seriously wounded her. Now she’s back at work in her Pittsburgh ER, but nothing seems the same.When she fears that a young boy is being abused by his “perfect” mother, her friends and colleagues worry that she’s returned to work too soon, imagining dangers that don’t exist. Others accuse her of trying to cover up her own alleged mistakes in the boy’s treatment by making a false report of abuse.Drake’s facing problems of his own, trying to cope with the aftermath of the night two months ago when his passion for Cassie led to a confrontation with a killer. He’s on desk duty, reviewing cold cases, and delves into the homicide case that killed his father seven years ago. But after so long, what good can he do, a cop without a gun?The stakes escalate when Cassie is almost killed and Drake finds evidence that the killer his father was tracking might be planning to strike again—this time targeting a young boy.With the lives of two children at stake, how can they walk away?Praise for the Hart and Drake series“Tensions sizzle in this hot new medical thriller.” —Lisa Gardner, #1 New York Times-bestselling author “Pulse-pounding suspense and hair-raising chills.” —Susan Wiggs, #1 New York Times-bestselling author
Slender PCI: Extremely Minimally Invasive Percutaneous Coronary Intervention
by Fuminobu YoshimachiThis book offers a valuable contribution to the field of minimally invasive coronary intervention, presenting the latest developments in slender catheters, their development and the related research findings. With the growing interest in trans-radial interventions (TRIs) and distal radial approach, "Slender PCI" has been popular in Japan. Although "Slender PCI" started with using a small diameter catheter of a 5Fr Guiding Catheter, recently it becomes a generic term for all minimally invasive catheter Interventions. "Slender PCI" not only makes less painful but also reduces exposure to radiation and contrast agents. In addition, the book highlights the distal radial approach, 5Fr guiding catheter for treating complex lesion, 4Fr guiding catheters, 3Fr diagnosis catheters. The authors share their experiences and know-how throughout, providing abundant illustrations to enhance readers’ understanding.
Slikmechanisme: Deel 5 - Handboek Stem-, Spraak- en Taalpathologie
by R. Bastiaanse P.H.O. Dejonckere K. Jansonius-Schultheiss B.J.E. Mondelaers H.F.M. Peters J. Van Borsel Sj. Van der MeulenHet Handboek Stem-Spraak-Taalpathologie verscheen tussen 1997 en 2007 gefaseerd in losse afleveringen. Daarin werd alle kennis op het gebied van de stem-, spraak- en taalpathologie vanuit verschillende disciplines samengebracht. Het Handboek is bestemd voor iedereen die klinisch-praktisch of meer theoretisch is geïnteresseerd, of vanuit een ander vakgebied hiermee in aanraking komt. Voor logopedisten, artsen, linguïsten, spraak- en taalpathologen, audiologen, pedagogen en psychologen in Nederland en België is het Handboek een onmisbare vraagbaak.Deel 5 beschrijft de belangrijkste begrippen op het gebied van de orofaryngeale slikproblematiek die van belang zijn voor therapeut en klinisch onderzoeker. In dit deel wordt de normaal lopende slikbeweging beschreven. De slikstoornissen komen aan bod in deel 16 van het Handboek.
Slikstoornissen: Deel 16 - Handboek Stem-, Spraak- en Taalpathologie
by R. Bastiaanse J. Borsel P.H.O. Dejonckere K. Jansonius-Schultheiss Sj. Meulen B.J.E. Mondelaers H.F.M. PetersHet Handboek Stem-Spraak-Taalpathologie verscheen tussen 1997 en 2007 gefaseerd in losse afleveringen. Daarin werd alle kennis op het gebied van de stem-, spraak- en taalpathologie vanuit verschillende disciplines samengebracht. Het Handboek is bestemd voor iedereen die klinisch-praktisch of meer theoretisch is geïnteresseerd, of vanuit een ander vakgebied hiermee in aanraking komt. Voor logopedisten, artsen, linguïsten, spraak- en taalpathologen, audiologen, pedagogen en psychologen in Nederland en België is het Handboek een onmisbare vraagbaak.Deel 16 is geheel gewijd aan slikstoornissen.
Slime Mould in Arts and Architecture (River Publishers Series In Biomedical Engineering Ser.)
by Andrew AdamatzkyThe slime mould Physarum polycephalum was a source of explosive growth of bioengineered hybrid sensing and computing devices in the past decade. Being in its vegetative state, the plasmodium, the slime mould configures its protoplasmic network to optimize its geometry with relation to patterns of attractants and repellents.The slime mould’s adaptability, polymorphism and aestheticism inspired artists and architects. The slime mould has been seen as a self-conscious liquid form continuously changing its shape in response to external stimulation and due to interactions of thousands of micro-oscillators in its body. Elusiveness is a magic feature of the slime mould. One moment the slime mould gives you a solution to a mathematical problem by a shape of its body, next moment it changes its shape and the solution ,disappears.Slime Mould in Arts and Architecture presents a set of unique chapters written by leading artists, architects and scientists, which resulted from creative translations of the slime mould behaviour into forms and sounds, unconventional investigations and sensorial experiences and the slime mould ability to remove boundaries between living and artificial, solid and fluid, science and arts. The book gives readers unique tools for designing architectural forms and creative works using the slime mould, understanding how pro-cognitive living substrates can be used in everyday life, it sparks new ideas and initiates further progress in many fields or arts, architecture, science and engineering.
Slouch: Posture Panic in Modern America
by Beth LinkerThe strange and surprising history of the so-called epidemic of bad posture in modern America—from eugenics and posture pageants to today&’s promoters of &“paleo posture&”In 1995, a scandal erupted when the New York Times revealed that the Smithsonian possessed a century&’s worth of nude &“posture&” photos of college students. In this riveting history, Beth Linker tells why these photos were only a small part of the incredible story of twentieth-century America&’s largely forgotten posture panic—a decades-long episode in which it was widely accepted as scientific fact that Americans were suffering from an epidemic of bad posture, with potentially catastrophic health consequences. Tracing the rise and fall of this socially manufactured epidemic, Slouch also tells how this period continues to feed today&’s widespread anxieties about posture.In the early twentieth century, the eugenics movement and fears of disability gave slouching a new scientific relevance. Bad posture came to be seen as an individual health threat, an affront to conventional race hierarchies, and a sign of American decline. What followed were massive efforts to measure, track, and prevent slouching and, later, back pain—campaigns that reached schools, workplaces, and beyond, from the creation of the American Posture League to posture pageants. The popularity of posture-enhancing products, such as girdles and lumbar supports, exploded, as did new fitness programs focused on postural muscles, such as Pilates and modern yoga. By 1970, student protests largely brought an end to school posture exams and photos, but many efforts to fight bad posture continued, despite a lack of scientific evidence.A compelling history that mixes seriousness and humor, Slouch is a unique and provocative account of the unexpected origins of our largely unquestioned ideas about bad posture.
Slow Care – Pflegen ohne Zeitdruck: Perspektiverweiterungen Für Pflegende (Essentials)
by Adelheid Von SpeeDieses essential befasst sich mit der Reflexion des eigenen Zeit- und Pflegeverständnisses. Adelheid von Spee geht in dem Band dem Zeitdruck durch Sprache, z.B. durch das Benutzen von Beschleunigungswörtern wie: „mal eben, schnell noch, kurz mal….“, nach und sensibilisiert für die Sprache als ein Werkzeug der Entschleunigung. Im Zentrum des Buches wird der Frage nachgegangen, wie Pflege in angemessener Geschwindigkeit gestaltet werden kann, so dass alle am Pflegeprozess beteiligten Personen mitgehen können und eine professionelle pflegerische Wahrnehmung und Beobachtung möglich ist. Das Buch leitet dazu an, die eigenen Slow Care Momente wahrzunehmen und zu sammeln und richtet den Blick auf das Gelingende.
Slow Cures and Bad Philosophers: Essays on Wittgenstein, Medicine, and Bioethics
by Carl ElliottSlow Cures and Bad Philosophers uses insights from the philosophy of Ludwig Wittgenstein to rethink bioethics. Although Wittgenstein produced little formal writing on ethics, this volume shows that, in fact, ethical issues permeate the entirety of his work. The scholars whom Carl Elliott has assembled in this volume pay particular attention to Wittgenstein's concern with the thick context of moral problems, his suspicion of theory, and his belief in description as the real aim of philosophy. Their aim is not to examine Wittgenstein's personal moral convictions but rather to explore how a deep engagement with his work can illuminate some of the problems that medicine and biological science present. As Elliott explains in his introduction, Wittgenstein's philosophy runs against the grain of most contemporary bioethics scholarship, which all too often ignores the context in which moral problems are situated and pays little attention to narrative, ethnography, and clinical case studies in rendering bioethical judgments. Such anonymous, impersonal, rule-writing directives in which health care workers are advised how to behave is what this volume intends to counteract. Instead, contributors stress the value of focusing on the concrete particulars of moral problems and write in the spirit of Wittgenstein's belief that philosophy should be useful. Specific topics include the concept of "good dying," the nature of clinical decision making, the treatment of neurologically damaged patients, the moral treatment of animals, and the challenges of moral particularism. Inspired by a philosopher who deplored "professional philosophy," this work brings some startling insights and clarifications to contemporary ethical problems posed by the realities of modern medicine. Contributors. Larry Churchill, David DeGrazia, Cora Diamond, James Edwards, Carl Elliott, Grant Gillett, Paul Johnston, Margaret Olivia Little, James Lindemann Nelson, Knut Erik Tranoy
Slow Dancing with a Stranger: Lost and Found in the Age of Alzheimer's
by Meryl ComerA New York Times BestsellerEmmy-award winning broadcast journalist and leading Alzheimer’s advocate Meryl Comer’s Slow Dancing With a Stranger is a profoundly personal, unflinching account of her husband’s battle with Alzheimer’s disease that serves as a much-needed wake-up call to better understand and address a progressive and deadly affliction.When Meryl Comer’s husband Harvey Gralnick was diagnosed with early onset Alzheimer’s disease in 1996, she watched as the man who headed hematology and oncology research at the National Institutes of Health started to misplace important documents and forget clinical details that had once been cataloged encyclopedically in his mind. With harrowing honesty, she brings readers face to face with this devastating condition and its effects on its victims and those who care for them. Detailing the daily realities and overwhelming responsibilities of caregiving, Comer sheds intensive light on this national health crisis, using her personal experiences—the mistakes and the breakthroughs—to put a face to a misunderstood disease, while revealing the facts everyone needs to know.Pragmatic and relentless, Meryl has dedicated herself to fighting Alzheimer’s and raising public awareness. “Nothing I do is really about me; it’s all about making sure no one ends up like me,” she writes. Deeply personal and illuminating, Slow Dancing With a Stranger offers insight and guidance for navigating Alzheimer’s challenges. It is also an urgent call to action for intensive research and a warning that we must prepare for the future, instead of being controlled by a disease and a healthcare system unable to fight it.
Slow Grows the Child: Psychosocial Aspects of Growth Delay (Psychology Revivals)
by Brian Stabler Louis E. UnderwoodOriginally published in 1986, Slow Grows the Child came out of a symposium held in Washington D.C. in 1984 which brought together researchers and practitioners in the field producing recommendations for future research. It was the beginning of an informal network among researchers. In the 1970s and 1980s, the odds that a short-statured person would be socially and emotionally fulfilled were judged by some to be not very good. There was a pervasive belief that equated tallness with strength and shortness with weakness and a lack of social desirability. The recognition that delays in growth could be modified by medical therapies had led to increased awareness of psychological and social effects on short stature children. There had been little consensus about how best to measure the psychological and social adjustment of short individuals. It was hoped this title would advance understanding of the social and psychological experience of growth delay and increase the odds that medical and psychological intervention would produce the most desirable outcome.
Slow Man: A Novel
by J. M. CoetzeeJ.M. Coetzee's latest novel, The Schooldays of Jesus, is now available from Viking. Late Essays: 2006-2016 will be available January 2018. J. M. Coetzee, one of the greatest living writers in the English language, has crafted a deeply moving tale of love and mortality in his new book, Slow Man. When photographer Paul Rayment loses his leg in a bicycle accident, he is forced to reexamine how he has lived his life. Through Paul's story, Coetzee addresses questions that define us all: What does it mean to do good? What in our lives is ultimately meaningful? How do we define the place we call "home"? In his clear and uncompromising voice, Coetzee struggles with these issues and offers a story that will dazzle the reader on every page.
Slow Medicine: The Way to Healing
by Victoria SweetA radical new understanding of how medicine is best practiced, from the award-winning author of God's Hotel Over the years that Victoria Sweet has been a physician, “healthcare” has replaced medicine, “providers” look at their laptops more than at their patients, and costs keep soaring, all in the ruthless pursuit of efficiency. Yet the remedy that economists and policy makers continue to miss is also miraculously simple. Good medicine takes more than amazing technology; it takes time—time to respond to bodies as well as data, time to arrive at the right diagnosis and the right treatment. Sweet knows this because she has learned and lived it over the course of her remarkable career. Here she relates unforgettable stories of the teachers, doctors, nurses, and patients through whom she discovered the practice of Slow Medicine, in which she has been both pioneer and inspiration. Medicine, she helps us to see, is a craft and an art as well as a science. It is relational, personal, even spiritual. To do it well requires a hard-won wisdom that no algorithm can replace—that brings together “fast” and “slow” in a truly effective, efficient, sustainable, and humane way of healing.