000			02949cam a22003374a 4500
001			16918827
003			OSt
005			20160304150116.0
008			110813s2012 mau b 001 0 eng
010			_a 2011027177
020			_a9780807011607 (alk. paper)
020			_a0807011606 (alk. paper)
035			_a(OCoLC)ocn724645591
040			_aSEKU
042			_apcc
050	0	0	_aRJ 253.5 _b.W6
082	0	0	_a618.92/01 _223
084			_aMED070000 _aSCI072000 _aMED050000 _2bisacsh
100	1		_aWolfberg, Adam.
245	1	0	_aFragile beginnings : _bdiscoveries and triumphs in the newborn ICU / _cAdam Wolfberg.
260			_aBoston : _bBeacon Press, _c2012.
300			_a179 p. ; _c24 cm.
490	0		_aA Harvard health publications book
504			_aIncludes bibliographical references and index.
520			_a"This is a gripping medical narrative that brings readers into the complex world of newborn intensive care, where brilliant but imperfect doctors do all they can to coax life into their tiny, injured patients. Dr. Adam Wolfberg--journalist, physician specializing in high-risk pregnancies, and father to a child born weighing under two pounds--describes his daughter Larissa's precipitous birth at six months, which left her tenuously hanging on to life in an incubator. Ultrasound had diagnosed a devastating hemorrhage in her brain that doctors reasoned would give her only a 50 percent chance of having a normal IQ. With the knowledge that their daughter could be severely impaired for life, Adam and his wife, Kelly, consider whether to take Larissa off life-support. As they make decisions about live-saving care in the first hours of a premature infant's life, doctors and parents must grapple with profound ethical and scientific questions: Who should be saved? How aggressively should doctors try to salvage the life of a premature baby, who may be severely neurologically and physically impaired? What will that child's quality of life be like after millions of dollars are spent saving him or her? Wolfberg explores the fits and starts of physicians, government policy makers, and lawyers who have struggled over the years to figure out the best way to make these wrenching decisions. Through Larissa's early hospital course and the struggle to decide what is best for her, Wolfberg examines the limitations of newborn intensive-care medicine, neuroplasticity, and decision making at the beginning of life. Featuring high-profile scientific topics and explanatory medical reporting, this is the first book to explore the profound emotional and ethical issues raised by advancing technology that allows us to save the lives of increasingly undeveloped preemies"-- _cProvided by publisher.
650		0	_aNeonatal intensive care _vPopular works.
650		0	_aMedical ethics _vPopular works.
830		0	_aHarvard health publications book.
856	4	2	_3Cover image _u978-0-8070-1160-7.jpg
942			_2lcc _cGEN
999			_c11850 _d11850