A wasted $22
Although supposedly a manual for patients, the doctors who wrote this kept forgetting their intended audience. This, they have created a book teeming with scientific minutiae that most readers won’t grasp. At the same time, the book will be too simplistic as a learning manual for physicians.
This book serves no one.
Exhibit A: “The cardinal symptom indicating a respiratory disorder is dyspnea. This can be challenging to tease out from the fatigue and deconditioning that can complicate Sjögren’s, but typically, the dyspnea is exacerbated by exertion for most of the obstructive and restrictive lung complications. Episodic non-exertional dyspnea would be atypical for most, but consideration should be given for asthma, thromboembolic disease, vocal cord dysfunction, or episodic arrhythmias. When dyspnea is aggravated in the supine position, this may indicate heart failure complicating pulmonary hypertension, respiratory muscle weakness, or upper airway disorders such as obstructive sleep apnea. Wheezing is characteristic of obstructive lung disease, including asthma, and is rarely a central airway problem.”
Exhibit B: The hypothesis that endometriosis may represent an autoimmune disease was first proposed in 1980. A number of immunologic dysfunctions have been reported among patients with endometriosis, such as an increased number and activation of peritoneal macrophages, high T- and B-lymphocyte counts, decreased T-cell reactivity and natural killer cell cytotoxicity, increased circulating antibodies, anti-endometrial antibodies, and changes in the cytokine network. It is unclear if the immunologic alterations induce endometriosis or if they are a consequence of the endometriosis. However, they appear to play an important role in allowing endometriosis implants to persist and progress and contribute to the development of infertility and pelvic pain.
I have a college degree. I’ve seen five children and a husband through 25 years of medical maladies. I can grasp basic-to-intermediate medical jargon. This book was beyond. Oddly, I wasn’t mad at the authors for talking down to me, because they weren’t. Rather, they were talking with each other and had completely forgotten that the reader existed. I would even try to find it endearingly geeky, had I not shelled out $22 for the kindle version. Better than spending $40+ for the hard copy.