Thoroughly revised and updated, the New Edition of this definitive text explains how to care for neonates using the very latest methods. It maintains a clinical focus while providing state-of-the-art diagnosis and treatment techniques. Written by more than 55 specialists who are actively involved in the care of sick newborns, it serves as an authoritative reference for practitioners, a valuable preparation tool for neonatal board exams, and a useful resource for the entire neonatal care team. Focuses on diagnosis and management, describing pertinent developmental physiology and the pathogenesis of neonatal problems. Includes over 500 crisp illustrations that clarify important concepts and techniques. Features the contributions of new editor Christine Gleason, a well-known neonatologist specializing in fetal physiology and drug/alcohol effects on the brain. Discusses hot topics such as ethical decisions in the neonatal-perinatal period * maternal medical disorders of fetal significance, seizure disorders, isoimmunization, cancer and mental disorders * maternal and fetal anesthesia and analgesia * prenatal genetic diagnosis * overview of clinical evaluation of metabolic disease * neonatal pain in the 21st Century * immunology of the fetus and newborn * wonders of surfactant * long-term neurological outcomes in children with congenital heart disease * developmental biology of the hematologic system * and illustrative forms and normal values: blood, CSF, urine. Features extensive cross-referencing, making it quick and easy to navigate through the organ-related sections. Includes coverage of perinatology-providing a well-rounded, comprehensive approach to patient care. Presents case studies designed to help readers recognize and manage cases in the office setting and asses their understanding of the topic.
A verse from the Old Testament came to Avery from the book of Lamentations. Remember my affliction and my wandering, the wormwood and the bitterness, surely my soul remembers and is bowed down within me. He looked out the door of the railcar. The sun was breaking through the morning clouds. The light of a new day was before him. He couldnt live in the past, but it was the past that made him what he was today; no longer the nave child, but a man hardened and bitter, very bitter he thought. He had left on his own, no one forced him to. He had chosen to do what he had done, and no one had blamed him. They deserved what they got, was the thinking. They were evil, God wanted him to do what he did. Avery could hear all the voices in his head. He reached into his pocket and pulled out the gold watch Ella had given him. He opened it and read the words on the inside. All My Love Forever. He sat there for a moment just looking at it and then he closed it and put it back in his pocket. Its all I have left, he thought. The wormwood and the bitterness