دانلود کتاب درمان فعلی – CONN’s 2023

An axiom in clinical medicine says that from year to year the practice of medicine changes little but over 5 years there is a revolution. The 2023 edition of Conn’s Current Therapy may prove the first half of this principle to be wrong. The pace of change and imperative to adapt in health care has been breathtaking during each of the last 3 years. As one pundit put it, “the winds of change are blowing so hard, one must have nerves of steel . . . just to maintain balance.” Perhaps no other condition has forced us to alter our traditional ways of practice more than COVID- 19. Over 6.5 million people have died worldwide from COVID- 19, with more than 1 million dead in the United States since the onset of the pandemic 3 years ago. The long- term complications associated with COVID- 19 are uncertain. Novel vaccinations and treatment options are now available, though we remain challenged by the emergence of new variants and a significant number (one out of six) of US citizens who have not received a single COVID- 19 vaccination. Who could have predicted the downstream effects of COVID- 19? The virus has stimulated the use of telemedicine, insurance coverage for telemedicine services, sales of medical masks and other personal protective equipment, virtual meetings, and care of patients in medical office parking lots. Downstream effects of the pandemic have led to supply chain shortages of a variety of medications used in everyday practice and a shortage of health care workers. Physicians report increased levels of burnout and job dissatisfaction, which were already at epidemic rates prior to COVID- 19. Physicians and other health care professionals have not been immune to The Great Retirement. The pandemic has laid bare the depth of systemic health inequalities that have been just below the surface of the U.S. health care system. The pandemic has made it clear that primary care and public health are under- resourced, undervalued, and underappreciated, though both are foundational to a health care system that functions effectively, efficiently, and equitably. Now, monkeypox and a possible resurgence of polio are at the doorstep.