Thomas Fisher

The riveting, pulse-pounding story of a year in the life of an emergency room doctor trying to steer his patients and colleagues through a crushing pandemic and a violent summer, amidst a healthcare system that seems determined to leave them behind ONE OF NEWSWEEK’S MOST ANTICIPATED BOOKS OF 2022 As an emergency room doctor working on the rapid evaluation unit, Dr. Thomas Fisher has about three minutes to spend with the patients who come into the South Side of Chicago ward where he works before directing them to the next stage of their care. Bleeding: three minutes. Untreated wound that becomes life-threatening: three minutes. Kidney failure: three minutes. He examines his patients inside and out, touches their bodies, comforts and consoles them, and holds their hands on what is often the worst day of their lives. Like them, he grew up on the South Side; this is his community and he grinds day in and day out to heal them. Through twenty years of clinical practice, time as a White House fellow, and work as a healthcare entrepreneur, Dr. Fisher has seen firsthand how our country’s healthcare system can reflect the worst of society: treating the poor as expendable in order to provide top-notch care to a few. In The Emergency, Fisher brings us through his shift, as he works with limited time and resources to treat incoming patients. And when he goes home, he remains haunted by what he sees throughout his day. The brutal wait times, the disconnect between hospital executives and policymakers and the people they're supposed to serve, and the inaccessible solutions that could help his patients. To cope with the relentless onslaught exacerbated by the pandemic, Fisher begins writing letters to patients and colleagues—letters he will never send—explaining it all to them as best he can. As fast-paced as an ER shift, The Emergency has all the elements that make doctors’ stories so compelling—the high stakes, the fascinating science and practice of medicine, the deep and fraught interactions between patients and doctors, the persistent contemplation of mortality. And, with the rare dual perspective of somebody who also has his hands deep in policy work, Fisher connects these human stories to the sometimes-cruel machinery of care. Beautifully written, vulnerable and deeply empathetic, The Emergency is a call for reform that offers a fresh vision of health care as a foundation of social justice.

A Year of Healing and Heartbreak in a Chicago ER

The Emergency

Ta-Nehisi Coates

Emergency

The riveting, pulse-pounding story of a year in the life of an emergency room doctor trying to steer his patients and colleagues through a crushing pandemic and a violent summer, amidst a healthcare system that seems determined to leave them behind “Gripping . . . eloquent . . . This book reminds us how permanently interesting our bodies are, especially when they go wrong.”—The New York Times ONE OF THE BEST BOOKS OF THE YEAR: Time As an emergency room doctor working on the rapid evaluation unit, Dr. Thomas Fisher has about three minutes to spend with the patients who come into the South Side of Chicago ward where he works before directing them to the next stage of their care. Bleeding: three minutes. Untreated wound that becomes life-threatening: three minutes. Kidney failure: three minutes. He examines his patients inside and out, touches their bodies, comforts and consoles them, and holds their hands on what is often the worst day of their lives. Like them, he grew up on the South Side; this is his community and he grinds day in and day out to heal them. Through twenty years of clinical practice, time as a White House fellow, and work as a healthcare entrepreneur, Dr. Fisher has seen firsthand how our country’s healthcare system can reflect the worst of society: treating the poor as expendable in order to provide top-notch care to a few. In The Emergency, Fisher brings us through his shift, as he works with limited time and resources to treat incoming patients. And when he goes home, he remains haunted by what he sees throughout his day. The brutal wait times, the disconnect between hospital executives and policymakers and the people they're supposed to serve, and the inaccessible solutions that could help his patients. To cope with the relentless onslaught exacerbated by the pandemic, Fisher begins writing letters to patients and colleagues—letters he will never send—explaining it all to them as best he can. As fast-paced as an ER shift, The Emergency has all the elements that make doctors’ stories so compelling—the high stakes, the fascinating science and practice of medicine, the deep and fraught interactions between patients and doctors, the persistent contemplation of mortality. And, with the rare dual perspective of somebody who also has his hands deep in policy work, Fisher connects these human stories to the sometimes-cruel machinery of care. Beautifully written, vulnerable and deeply empathetic, The Emergency is a call for reform that offers a fresh vision of health care as a foundation of social justice.

The riveting, pulse-pounding story of a year in the life of an emergency room doctor trying to steer his patients and colleagues through a crushing pandemic and a violent summer, amidst a healthcare system that seems determined to leave them behind ONE OF NEWSWEEK'S MOST ANTICIPATED BOOKS OF 2022 As an emergency room doctor working on the rapid evaluation unit, Dr. Thomas Fisher has about three minutes to spend with the patients who come into the South Side of Chicago ward where he works before directing them to the next stage of their care. Bleeding: three minutes. Untreated wound that becomes life-threatening: three minutes. Kidney failure: three minutes. He examines his patients inside and out, touches their bodies, comforts and consoles them, and holds their hands on what is often the worst day of their lives. Like them, he grew up on the South Side; this is his community and he grinds day in and day out to heal them. Through twenty years of clinical practice, time as a White House fellow, and work as a healthcare entrepreneur, Dr. Fisher has seen firsthand how our country's healthcare system can reflect the worst of society: treating the poor as expendable in order to provide top-notch care to a few. In The Emergency, Fisher brings us through his shift, as he works with limited time and resources to treat incoming patients. And when he goes home, he remains haunted by what he sees throughout his day. The brutal wait times, the disconnect between hospital executives and policymakers and the people they're supposed to serve, and the inaccessible solutions that could help his patients. To cope with the relentless onslaught exacerbated by the pandemic, Fisher begins writing letters to patients and colleagues--letters he will never send--explaining it all to them as best he can. As fast-paced as an ER shift, The Emergency has all the elements that make doctors' stories so compelling--the high stakes, the fascinating science and practice of medicine, the deep and fraught interactions between patients and doctors, the persistent contemplation of mortality. And, with the rare dual perspective of somebody who also has his hands deep in policy work, Fisher connects these human stories to the sometimes-cruel machinery of care. Beautifully written, vulnerable and deeply empathetic, The Emergency is a call for reform that offers a fresh vision of health care as a foundation of social justice.

Architectural Design and Ethics offers both professional architects and architecture students a theoretical base and numerous suggestions as to how we might rethink our responsibilities to the natural world and design a more sustainable future for ourselves. As we find ourselves on the steep slope of several exponential growth curves – in global population, in heat-trapping atmospheric gases, in the gap between the rich and poor, and in the demand for finite resources, Fisher lays down a theory of architecture based on ethics and explores how buildings can and do provide both social and moral dimensions. The book also has practical goals, demonstrating how architects can make better and more beautiful buildings whilst nurturing more responsible, sustainable development. Architectural Design and Ethics will prove an invaluable text not only to those in the architecture field, but to anyone simply interested in the ethical issues surrounding our built environment.

Architectural Design and Ethics

In a Descriptive View of the Towns, Villages, Remarkable Buildings, and Antiquities, Situated on Or Near the Road from London ... Illustrated with a Correct Map of the Road, and a Table of Distances ...

The Kentish Traveller's Companion

Thomas J. Smith

Robert A. Henning

Michael G. Wade

Understanding the conditions under which variability in performance may arise, and the processes related to its emergence, gives us insight into the development of techniques for improving the quality of performance. Variability in Human Performance details the scientific and the practical implications of human performance variability by providing a broad perspective on how and why such variability occurs across a number of disciplinary domains. The text takes an approach that rests upon the idea of context, or design, specificity in performance, namely that variability in performance is closely referenced to design factors in the environment in which performance is occurring. An exploration of the link between variability and related processes, the book introduces a comprehensive framework for understanding human performance variability, presented in terms of how human control of behavior is closely tied to design factors in the performance environment. The authors introduce empirical evidence, as well as practical examples and application areas, in support of this framework. The book begins with coverage of neurobiological and biomechanical basis of movement variability, then examines rich and extensive empirical evidence available for context specificity in cognitive performance and learning, as a basis for cognitive performance variability. The book then reviews the evidence for context specificity in: Student learning Displaced feedback conditions Human error behavior Affective performance Social and team performance The authors also explore work performance as influenced by complex sociotechnical systems and as a basis for performance variability, applying control systems concepts to an interpretation of the nature and basis of performance variability in all of these domains. They conclude by taking an evolutionary perspective on the origins and behavioral significance of human performance variability. The book then provides strategies on how individuals, groups, and organizations can significantly reduce variability in human performance that often leads to systems failures.

Variability in Human Performance

Wolfgang F. E. Preiser

Jack Nasar

First published in 2007, this book examines the designs of seventeen architecture and design schools and answers questions such as: How has architectural education evolved and what is its future? Are architectural schools discernible types of designs and what are their effects on those who experience them? What lessons can be learned from evaluations of recently completed school buildings and what guidance do they provide for the design of future ones? Included in the multiple approaches to evaluation are examinations of the history of architectural education and building form; typologies of school for architecture; and the systematic user evaluations of the aesthetics, function, and technology which reveal the strengths to encourage and weaknesses to avoid in future designs. While offering specific guidelines for schools of design, it also includes findings that extend beyond the walls of design schools and can be applied to everything from the interiors of educational and campus buildings to planning offices and gathering places to build communities. This book will make readers more aware of problems in architectural interiors and suggest ways to make interiors work better for the building occupants.

Lessons Learned from Schools of Architecture

Designing for Designers (Routledge Revivals)

And Other Poems

Song of the Sea Shells

A handbook designed for the military planner. This handbook provides all of the reference material needed to conduct planning of any type (military, business, government) and at any level. While focused on the aspects of operational art and military science at the operational level, it includes discussion of strategy and policy as it pertains to the creation of plans. Forward by GEN Gary Luck. For those interested in a version with a coil binder that lays open during planning sessions, see 'The Planner Handbook - OPT Edition'.

The Planner Handbook

In this new Architecture Brief, Ethics for Architects, Thomas Fisher presents fifty case studies representing a broad range of ethical dilemmas facing today's architects, from questions regarding which clients to work for, to the moral imperatives of reclaiming building materials for construction instead of sending them to landfills. This timely book features newly relevant interpretations adapted to the pervasive demands of globalization, sustainability, and developments in information technology. Fisher's analysis of architecture's thorniest ethical issues are written in a style that is accessible to the amateur philosopher and appealing to professional architects and students alike. Thought-provoking and essential, Ethics for Architects is required reading for any designer who wants to work responsibly in today's complex world.

50 Dilemmas of Professional Practice

Ethics for Architects

Mig Halpine

Pickard Chilton

The Architecture of David Salmela

The Invisible Element of Place

Envisioning what we need, when it doesn’t yet exist: this, Thomas Fisher tells us, is what design does. And if what we need now is a better world—functioning schools, working infrastructure, thriving cities—why not design one? Fisher shows how the principles of design apply to services and systems that seem to evolve naturally, systems whose failures sometimes seem as arbitrary and inevitable as the weather. But the “invisible” systems we depend on for our daily lives (in education, politics, economics, and public health) are designed every bit as much as the products we buy and the environments we inhabit—and are just as susceptible to creative reimagining. Designing Our Way to a Better World challenges the assumptions that have led to so much poor performance in the public and private realms: that our schools cannot teach creativity, that our governments cannot predict the disasters that befall us, that our health system will protect us from pandemics, that our politics will remain polarized, that our economy cannot avoid inequality, and that our industry cannot help but pollute the environment. Targeting these assumptions, Fisher's approach reveals the power of design to synthesize our knowledge about the world into greater wholes. In doing so, this book opens up possible futures—and better futures—than the unsustainable and inequitable one we now face.

Designing Our Way to a Better World

M. S. Sriram

Beyond Micro-Credit sets out how Indian Micro-Finance Initiatives are combining micro-finance with a wide range of development goals, these include not only poverty alleviation through providing savings, credit and insurance services but also promoting livelihoods, empowering women, building people's organizations and changing institutions.

Putting Development Back Into Micro-finance

Beyond Micro-credit

Architectural Design and Ethics offers both professional architects and architecture students a theoretical base and numerous suggestions as to how we might rethink our responsibilities to the natural world and design a more sustainable future for ourselves. As we find ourselves on the steep slope of several exponential growth curves – in global population, in heat-trapping atmospheric gases, in the gap between the rich and poor, and in the demand for finite resources, Fisher lays down a theory of architecture based on ethics and explores how buildings can and do provide both social and moral dimensions. The book also has practical goals, demonstrating how architects can make better and more beautiful buildings whilst nurturing more responsible, sustainable development. Architectural Design and Ethics will prove an invaluable text not only to those in the architecture field, but to anyone simply interested in the ethical issues surrounding our built environment. * Joins the dots between architectural form, ethics and professional practice * Uses the history of ethics to present relevant lessons for today's practitioners * A wake up call to architects, advocating a greater focus on ethics over aesthetics

Thomas Fisher

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