In contrast to the frequency of disorders of the autonomic nervous system, detailed knowledge on the diagnosis and treatment of ANS diseases is relatively scant among the majority of clinical specialists. Taking into account the prevalence of these disorders, good autonomic skills are mandatory to put patients on the right clinical track. This book serves as a guide for the everyday clinical management of ANS disorders from identifying key symptoms for autonomic involvement to comprehensive history taking. It helps determining the anatomic distribution of the disease as well as underlying autonomic syndromes and guides the reader towards transforming the clinical picture into a coherent explanation of the patient's autonomic problem. In addition, the book provides guidelines for choosing appropriate autonomic and laboratory tests and developing appropriate non-pharmacological and pharmacological management strategies. With cases from clinical experience and a list of available online resources, this book will be a useful guide for trainees and young doctors interested in autonomic disorders from the fields of neurology, internal medicine, cardiology, diabetes and urology.
Anyone who has passed the age of seventy needs to have a positive attitude to life in order to enjoy it. This book explains how 'older cavers' develop and maintain this attitude, as well as taking an active interest in their chosen sport. There is something here for everyone, not just the cavers and non-caving pensioners, but for the younger folk, who will, one day, hopefully, experience life as 'older folk'. The book is filled with amusing and interesting articles for fire-side, or bed-time reading. The philosophies embedded in the text may also stimulate the thoughts of the perceptive reader. John Gillett is an active caver who belongs to several UK caving clubs. He has a passionate belief in the societal benefits of education and has played an active part in developing and implementing ideas on this subject internationally. He is married, with one daughter and two grand-children. He lives in Gawsworth, Cheshire.
Shirley's little sister, Doris wants to be with Shirley EVERYWHERE!