Difficult Discussions Giving Bad News, #2 < Back Difficult Discussions These are NOT my original ideas. They are tidbits I garnered at the American College of Surgeons Clinical Congress in 2022. The sesions was entitled "A Multicultural Primer on Death and Dying: Improving Goals of Care Discussions for Surgical Patients Facing the End-of-Life" (PS 120). Note: These are NOT universally applicable. Please tailor your conversations for each interaction. How To Break Bad News Fire a warning shot. I'm sorry that I have some bad/ hard news to share with you. Reveal the headline. Your son came to the trauma bay after being shot/ being in an accident and I’m sorry to tell you that he died. Stop talking and be quiet after the headline. Acknowledge and legitimize their response. I recognize how hard this must be for you. Quite honestly this sucks. Other Tips and Tricks If the situation allows, you can ask the family/ patient how they like to receive information. Do they want blunt facts or generalizations? Is there a designated leader who should be the key individual that information is passed through? Note- this isn't beneficial in all situations, such as breaking the news of a family members death in the trauma bay. Avoid euphemisms and medical jargon. Tell me more about that (to encourage them to share emotions). Handling Negative Vibes If you notice tension building, either in yourself or in the room (anger, mistrust, etc), acknowledge it. Can we talk about what’s happening here? Please share your perspective with me on this. You can ask permission to share your own take on the issue. Try to find common ground- often the well being of the patient. Keep the focus on the patient. Maintaining hope and sharing the truth Hope means different things to different people and different things to the same person as they move through their illness. It’s not our job to dole out info in a way that maintains hope. It’s our job to explore what hope means to them as we share this information. Factors that can increase hope- feeling valued, maintaining relationships, time, humor, realistic goals. Adequate pain and symptom control. Factors that can decrease hope. Feeling abandoned, devalued and isolated. Don’t say “there is nothing else I can do for you”. Other Helpful Phrases Are you surprised by this conversation? That was really hard for me to say. I can only imagine how hard it was for you to hear. What would your loved one say if they could talk to us? [This lifts the decision making burden and can help them feel like they’re advocating for what their family would want]. If they’re making a decision that conflicts with your guidance? Consider asking “what are you hoping for” or what is leading you to make this decision?" Previous Next

Gadgets and Tools < Back My Favorite Things Gadgets and Tools Packing and Travel These Hopsooken packing cubes make organizing your suitcase a breeze. These noise-canceling headphones effectively drown out the rumbling noise of airplanes at a reasonable price. The Patagonia Black Hole Duffel . Multiple sizes available. Very spacious. Easily converts to a backpack when traveling for easy carrying. Therma-Rest compressible pillow from REI Quick Dry Towel from REI Cleaning Products Goo Gone - for removal of excess sticky residue. Greased Lighting - great for stain removal. It can be purchased at Lowes/ Home Depot. Kitchen Storage containers for baking ingredients. These wide-mouthed containers let you pour baking ingredients from their original bags with minimal mess. It’s also very easy to use a scoop directly into the containers when baking. This is a perfect bread box ! When I leave a loaf of bread in its original package, it gets moldy pretty quick- but if I put it in this box, it lasts much longer. Bakers Rack . My current kitchen has much less cabinet space than what I have grown accustomed to, so I sought out a solution to store my baking supplies that take up my counter space. Now my bread maker, mixing bowls, large metal colander, and rolling pin no longer hide above the fridge or clutter my counters. Writing Accessories A hand-held non-electronic datebook . After years of relying on electronic resources to maintain my schedule, I finally made the switch to a device that allows me to create/ maintain a schedule, both weekly and monthly formats. Also has blank pages at the back, perfect for lists, notes, etc. Frixion Erasable pens “We've all had a shower thought or two…They're the miniature epiphanies that occur when your brain is occupied with doing something else, but suddenly you realize that you've come up with a totally unique way of thinking.” And sadly, once we step out of the shower, the great idea seems to vanish. Thankfully, someone developed this notepaper that doesn’t fall apart in the shower! A roll of self-adhesive whiteboard paper to post to your wall, your fridge, your mirror, wherever. Handy in the kitchen- plan meals, add items to put on your grocery list when you discover you’re running low or just write reminders. My favorite highlighters when writing notes. They aren’t too heavy, so they don’t bleed or run. They are dual-tipped, with a broad highlighter on one end and a narrower tip for writing on the other end. My favorite pen . Fine tip to allow precise, small writing. Trello - a user-friendly free application with multiple functions. I use it to store frequently used documents to allow quick reference. It is also a very convenient way to create and manage lists among teams so everyone has easy access. Check it out, you might find it useful. Things for the Ladies I don’t wear many thin garments or revealing necklines, so I don’t often have to struggle to find a bra that remains concealed. However, on the rare occasion that I wear a dress or top that isn't conducive to wearing a bra, these reuseable cover-ups are incredibly handy for maintaining decency. If you're interested in making the transition from disposable monthly products, check out this product . This is the only one I've tried, so I can’t compare them, but it's worked well for me. Lume Deodorant . Doesn’t stop sweating, but eliminates odor. Highly highly recommend. If you find yourself having to unclog the shower drain with clumps of hair, you might want to check out the Tub Shroom . Previous Next

1 Trauma Lectures Ab Vasc Exposure .pdf Download PDF • 1.04MB DCR and MTP .pdf Download PDF • 42.86MB Burn .pdf Download PDF • 4.67MB Thoracic Trauma .pdf Download PDF • 69.57MB US in the Military .pdf Download PDF • 15.25MB

< Back Anorectal Disease Anorectal pain is an incredibly common condition . Thanks to our low-fiber Western diet and often inadequate hydration, constipation is a frequent occurrence. People also often spend long periods on the toilet. We used to read books, but now many play games or text on their smartphone. Constipation and prolonged sitting on the toilet can lead to several different problems. While discussing these symptoms can be awkard or uncomfortable, please talk to your doctor if your symptoms don't go away on their own. So what is anorectal pain? Although "butt pain" may be a common complaint, I want to be clear with my explanations. In reality, “butt” more accurately refers to the gluteal region, which is also known colloquially as derriere, buttock, backside, or fanny. It may be simplest to describe the butt as the area that rests on the surface of a chair when you sit. Anorectal refers to a more specific location, the anus and rectum, where stool passes through when you have a bowel movement. Please see the anatomically correct depiction below. What are the common causes of anorectal pain? Fissures Hemorrhoids Pruritis Ani Abscesses Less common- pelvic floor dysfunction, cancer Anatomy of the anus and rectum Two sphincter complexes encircle the rectal vault. The internal sphincter provides 85% of the resting tone. It is under involuntary control- this is how your body controls when you have a bowel movement. The external sphincter provides 15% of resting tone- it is under voluntary control, which means this is how you consciously control holding in a bowel movement. The internal hemorrhoids are veins that line the inside of the rectum, while the external hemorrhoid plexus is on the anal verge. These means that hemorrhoids are a NORMAL part of anatomy! They fill with blood to aid in incontinence, helping you control when you have a bowel movement. Anything that increases pressure in the abdomen, including prolonged straining, coughing, pregnancy, and enlarged prostate requiring straining to urinate, can lead to abnormally large venous plexuses, which are what most people know as hemorrhoids. See “Hemorrhoids” below for more details. Glands line the inside of the rectum and help lubricate stool. When the glands become obstructed, they can lead to abscesses. What are the common symptoms of anorectal disease? Pain Bleeding- either blood dripping in the toilet, blood on the toilet paper with wiping, and blood mixed with or on the stool's surface. Mucus drainage (constant moisture), which can cause challenges with perianal hygiene Pruritis (itching) Palpable mass Constipation/ diarrhea, incomplete voiding What causes anorectal disease? Prolonged straining or prolonged time sitting on the toilet, often due to constipation (hemorrhoids) Constipation and passing a hard stool can lead to tears in the skin (fissure) Underlying gastrointestinal disease (inflammatory bowel disease, etc.) How do I prevent anorectal disease? The goal is to improve bowel habits and minimize constipation. High fiber diet. Most Americans have a low-fiber diet, consuming way less than the recommended 20-35 grams of fiber per day. Fiber can come from dietary intake (the foods you eat) as well as supplements. Take the time to read labels. The foods we commonly think of as “high-fiber,” including lettuce, are not as fiber-rich as we think. A word of warning If you quickly add a significant amount of fiber to your diet, this can lead to gastrointestinal distress (gas, diarrhea, cramping, etc.). Add fiber slowly until you reach your goal! Stay hydrated! Fiber without adequate hydration will create hard stools (rabbit pellets), making constipation worse. The recommendation is a minimize of 64 ounces of water per day. Plain water is best, but flavoring with Crystal Light, lemon, or lime can make it more palatable. Listen to your body regarding bowel movements. Hold it until socially acceptable, but don’t hold for longer than necessary. But just as important, don’t force a bowel movement if you don’t feel the urge. Some people may be trained to try to have a bowel movement before leaving for work- if this works for you, that’s fine. But don’t let the clock dictate when you have to use the bathroom. Minimize the amount of time sitting on a toilet. Prolonged sitting increases pressure, which predisposes to pathology. If you are still having challenges, consider investing in a device to facilitate improving your posture. We are accustomed to using toilets…unfortunately, sitting creates an angle that makes it difficult to have a bowel movement. Squatting, with knees elevated closer to the chest, creates a straighter path leading to more optimal conditions to have a bowel movement. Consider a squatty potty! Specific Anorectal Pathology Hemorrhoids Anal Fissures Pruritis Ani Patient Info- Fiber Guide .pdf Download PDF • 68KB Patient Info- Hemorrhoids .pdf Download PDF • 58KB Patient Info- Anal Fissure .pdf Download PDF • 59KB Patient Info- Pruritis Ani .pdf Download PDF • 58KB Patient Info- Constipation .pdf Download PDF • 54KB Previous Next

A response to the Tweet about being offended by being referred to as anesthesia Don't Call me Anesthesia < Back A response to the Tweet about being offended by being referred to as anesthesia A response to the Twitter post about being offended by being referred to as anesthesia. "Dear world, Please do not call us “anesthesia”. We are not a medication. Acceptable alternatives would be: Are you the anesthesiologist? Are you part of the anesthesia team? What is your role? I’m Dr. X and you are? Thank you for your attention to this PSA." Yes, I often refer to the "head of the bed" (the anesthesia team) as "anesthesia" (or "head of the bed"). There is absolutely no disrespect associated with this. We aren’t actually under the impression that our colleagues in other specialties don’t have names. I don't walk down the hall and wave while saying "hey cardiology how are you" or "hey GI any good scopes recently". But when it’s a chaotic/ urgent situation (responding to a code, crash laparotomy, busy trauma bay), don't get offended that your name isn't at the tip of my tongue. When you walk in and I say "anesthesia is here" or ask "are you anesthesia", everyone in the room automatically understands the change in the dynamic. We all know that someone skilled in airway management and sedation has arrived. Trust me, it's not about reducing you to a bottle of propofol. We don't need your name…we need your skillset. When there is a time for conversation, I will ask your name if I don't know you. Or I'll say, sorry, I know we've met, remind me of your name. As for being in the OR. There is only one team that doesn't take breaks or have teammates that "sub in" in the OR, and that’s the surgical team. Nurses, scrub techs and anesthesia providers all have personnel that can relieve them during the game. So when I look back toward my scrub tech and see a different face, I will ask their name. But when you're on the other side of the blood-brain barrier (also known as the sterile blue drapes), I can't see your face. And again, you might change multiple times throughout the case, so don't expect me to keep tabs on who is there when I'm focused on the task at hand. That’s an unnecessary cognitive load. I have modified my practice this week. In the last step of every preoperative timeout, just before incision, everyone introduces themselves and states their role. It humanizes everyone and serves to remind us that we are on the same team. And breaks up the formality and rote practice that we fall into. Outside the OR, I still don't have the ego to be offended by being referred to as my specialty. You can call me “trauma” or “surgery” whenever you want. I’d be giddy if every time I walked into a room, people stopped and declared “trauma is here”. And every person in that room either knows me (regardless of whether they know or forgot or never knew my name) or doesn't know me. But my name is irrelevant- the patient is the priority. Previous Next

< Back Who is on the Trauma Team? This can vary by institution and by the severity of the anticipated trauma (Code 1 or 2, etc), but I have an tried to include all the potential participants. Please note, all members of the team are crucial to an effective and timely resuscitation. Roles and Responsibilities - Team leader- directs/ coordinate the trauma resuscitation. Typically stands at the foot of the bed so they can see the whole picture. Assist when advanced procedures are indicated, such as resuscitative thoracotomy. This role can be filled by a member of the surgery or emergency medicine team (chief resident). - Primary examining provider- performs primary/ secondary survey. Perform interventions including chest tubes, central lines. This role can be filled by a member of the surgery team or emergency medicine team (intern, resident, APP). - Airway- this role can be filled by a member of the emergency medicine team (senior resident) or anesthesia (CRNA, anesthesiologist). - Nursing- establish intravenous access, draw blood for labs, place monitors, administer medication, place foley catheter. - Writer/ scribe- creates chronological record of interventions (medication, procedures), exam findings announced by the examining physician. - Respiratory therapist- assist with establishing mechanical ventilation if needed. - Radiology technician- assists with obtaining rapid portable images. Other team members - Trauma attending- support the trauma chief, ultimately in charge of critical decisions such as proceeding to the operating room. - Trauma/ ACS fellow- functions as junior faculty, training to fill the role of trauma attending. - Emergency Medicine attending- support the emergency medicine residents, whichever role they are filling (airway, team leader, procedures, FAST). Previous Next

Learning how to live with an ostomy Peer Support < Back Learning how to live with an ostomy Acute Care Surgery can lead to a need for subsequent elective procedures, including ostomy reversals, abdominal wall reconstruction after open abdomen management, and various wounds. I frequently see young, healthy males with ostomies. Thankfully, most patients are great candidates for reversal. But there are a variety of reasons why patients can't undergo reversal, at least not immediately. Injury to the anorectal sphincter complex would put the patient at a very high risk of incontinence. Another possibility is when the ostomy was created in the setting of acute bowel perforation, with an undiagnosed underlying inflammatory process. Reversing an ostomy without further workup could be problematic. I have seen several young, healthy males who have to spend at least a handful of months with their ostomy while undergoing preoperative workup, and more than one who will likely have a prolonged or permanent ostomy. This can be daunting, especially when they were anticipating minimal delay before undergoing a reversal. Common concerns include how to wear normal clothes and how to manage the odor. While I can be supportive, I don't have any first-hand experience of living with an ostomy. One particular patient expressed a desire to return to college, but he was convinced that he couldn’t go to class with an ostomy. Essentially he was resigned to putting his life on hold until his ostomy was reversed. His situation inspired me to seek out a peer who could show him it's possible to live with an ostomy. I reached out to my network of medical personnel that might know how to connect a patient with a peer support group. We have multiple support groups, including trauma survivors, epilepsy, and stroke, to name a few. Unfortunately, I quickly realized there is no group or service to link patients with someone who will answer their questions and hopefully decrease their fears and worries. Many of the trauma patients who have an ostomy are young and healthy, leading active lives. Unlike elective ostomies, such as for inflammatory bowel disease, waking up after trauma with an ostomy is unanticipated and can be very distressing. Also, there is minimal or no chance for preoperative patient education. There is a certain taboo associated with talking about certain bodily functions, and I don't think many young males would ask their trauma surgeon if there is someone they can talk to about having an ostomy. But I think this could be an opportunity to improve the quality of life for a population that is likely overlooked. Previous Next

< Back Pre-Peritoneal Packing When: blunt pelvic trauma with hemodynamic instability. How: 1. Low vertical midline incision, stop a short distance below the umbilicus. 2. Split rectus, retract laterally, the peritoneum is just behind the rectus. 3. Slide hand directly under the rectus- palm toward peritoneum and back of your hand toward rectus. Bluntly dissect laterally toward ASIS. 4. Retract rectus anteriorly, use your other hand to place rolled laps in the potential space you just developed [This how-to guide was designed in response to a query from @obcast ] References Smith WR et al. Retroperitoneal packing as a resuscitation technique for hemodynamically unstable patients with pelvic fractures: report of two representative cases and a description of technique. J Trauma. 2005 Dec;59(6):1510-4 Filiberto DM and Fox AD. Preperitoneal pelvic packing: Technique and outcomes. Int J Surg. 2016 Sep;33(Pt B):222-224. Previous Next

Disclaimers for Vignettes Disclaimers This website is provided for educational and informational purposes only and although every effort has been made to present accurate information, this is not a substitute for professional advice. Always seek guidance from a qualified healthcare provider or physician for inquiries regarding medical conditions, treatments, or before embarking on any new healthcare regimen. Never disregard professional medical advice or delay in seeking it due to information found here. If you think you may have a medical emergency, call 911 or go to the nearest emergency room immediately. No physician-patient relationship is created by use of this website. The practice of medicine relies on using the best available evidence, but clinical scenarios often lack clear-cut answers. Every clinical situation is unique, and no single solution applies universally. Clinical guidelines attempt to provide recommendations that apply in most situations, but that are not one-size-fits-all solutions and they do not replace clinical judgment. The infinite variety of patient, disease, and environmental factors influencing clinical decision-making cannot be fully accounted for in medical literature. Therefore, any variance in the approach of physicians from what is presented here does not necessarily signify an error on their part. Some of the images on this website contain graphic content that may be disturbing or distressing to some audiences. Viewer discretion is advised. HIPPA- vignettes are presented to provide clinical education, with considerable care to prevent any patient from being identified. Protected health information and patient identifiers (name/ location/ date/ occupation/ contact information/ identifiable photos/ numerics such as SSN/MRN/insurance) have been withheld. Unique details have been removed from text and images. Details that don't impact the clinical case, such as age and gender, have been modified to obscure each patient's identity. Many stories are heavily modified to highlight the key learning points and some scenarios are complete fabrications. The scenarios span my entire 17 years of experience in the medical field, and they are seen on a routine basis in our field. I have not shared one-of-a-kind or sensational cases because the risk of disclosing identifiable details heavily outweighs any potential educational benefit. The views, opinions, and assertions expressed herein are those of the author and do not reflect the official policy or position of the Department of Defense. These scenarios are not designed to portray the comprehensive evaluation and management of acute care surgery patients. Many common steps are omitted, as the intent is to highlight unique learning points for different clinical scenarios. Trauma scenarios DO NOT teach all the basic principles of ATLS, so there is a minimal repetition of basic principles (primary and secondary survey). Any of the products found on this website are not specific endorsements. I do not receive any monetary compensation or non-monetary incentives for the sale of any items seen here.

Places to Go, Things to Do Bucket List Places to Go, Things to Do Places I Want to Visit The Narrows- Zion National Park Apostle Islands National Lakeshore Spain (went as a kid, want to go back) √ Grand Canyon Mexico Alaska Europe Machu Picchu (Peru) Australia Hawaii √ Adventures I want to Experience Watch a Bruins game at TD Gardens in Boston Hang-gliding Backcountry camping Snowboard in Canada and Europe Horseback ride on the beach Eat at a Michelin 3-star Restaurant Things I Want to Accomplish Donate blood √ Become fluent in Spanish Start a charity Own a house in Boston Own a horse ranch Own a dog Publish something non-medical Fears to Overcome Speak in front of a large audience (EAST conference, AAST conference) √ Experiences I don't care to repeat, but glad I did them once Tough Mudder Eaten alligator and shark Things others want to do that I have no desire to do Skydiving Scuba diving Attend the Masters Previous Next

Surgery trainee education. Trauma surgeon. Acute Care Surgery. FAQs Why did you make this website? Over these years of learning about the practice of surgery, I've also learned a lot about myself. I am not an expert, and I did not follow a typical pathway- but I have some knowledge and resources to share. As I transition into my new Acute Care Surgeon role after 17 years in training, I'm pausing to share my experience, tips for success, and random nuggets of wisdom. This will be a work in progress, and I look forward to seeing how it evolves. My goal is to share my experience and knowledge in the hopes of helping those who desire to follow this path. But why do we need another medical education website? There are so many good resources already... There are endless ways to explain clinical concepts- pictures, text, analogies, clinical cases, podcast discussions of cases or principles, review articles, etc. There are also different learning styles. When I was trying to grasp advanced ventilator management, I read basic critical care textbooks, a book dedicated solely to ventilator management, and various websites and journal articles. This website is another way to interact with the information. Hopefully you will understand some of the concepts in a new way that helps you remember and apply them in clinical scenarios. In addition, I have also tried to create a comprehensive collection of all the useful resources I know, like apps and open access medical education resources (websites, clinical guidelines, etc) in one place for trainees to What does Doc on the Run mean? The summer before my last year of medical school was the start of my running career. My focus was enjoying the outdoors, not pace or distance. During my residency, I met someone who helped me refine my running. I started timing myself, training, and racing. Within a year or two, I pushed through personal barriers to become a "runner." My first half marathon was on Thanksgiving in my third year of surgical residency. I am at the end of my formal training, I am now an Acute Care Surgeon. As a surgeon, there are numerous factors that I can't control. It's fast-paced, demanding, and dynamic. I enjoy the organized chaos and high-stakes cases. Running is key to my work-life balance. Unlike in the operating room or the trauma bay, I have control over most aspects of my runs- pace, distance, route, and thoughts. It's not chaotic- it's basically the polar opposite of my work. During the day, my mind is going a million miles an hour. When I run, everything becomes clearer- I can solve problems, mull over ideas, or process dilemmas. And perhaps the most concrete impact is the runner's high that I enjoy after finishing. I have continued to run 10Ks, 10 milers, and the occasional 5K or 15K. I have learned more about the science of running (HR training zones, different paces for tempo/ interval/ long runs/ short runs) and I've learned how to adapt training schedules to fit my life. Unfortunately, I have suffered my share of injuries, including most recently nerve impingement in my foot. While I may have scaled back, running will always be part of my identity. Did you really build this website yourself? Yes, I did. No, I didn't do all the intricate coding by myself. But I did design, format, and create the content. So are you a computer/ technology guru? Whatever I know about technology, I learned from my brother and from spending many hours researching problems online. While my parents might consider me an expert, I literally just search online to solve most issues. When I get to the end of the internet and still haven't found the solution, my next step is Apple tech support (obviously only if the problem is with my iPhone or Mac). What did you learn while making this website? - Formatting the working space on a website - URL redirect - Domains and subdomains - Search engine optimization (SEO) - Establishing custom domains - Which text/ background colors are easiest to read - Anchors If you weren't an Acute Care Surgeon, what would you do? I'd be a chef. I love cooking! Is there anything that is overwhelmingly gross in your job? I have had almost every body fluid on me- stool, urine, blood, etc. So very little grosses me out. But I can't stand oral or nasal secretions (aka saliva, slobber, snot, etc.).

Currently reading, Books to Read, Books I've Read Books Currently Reading Fiction St. John Strafford: Snow (#2) Lady Sherlock: Miss Moriarty, I Presume? (#6) Books I Want to Read: Fiction Crime/ Mystery A Particularly Nasty Case The Last Thing He Told Me Big Lies in a Small Town The Appeal All Good People Here Happiness Falls The Cloisters Murder Your Employer: The McMasters Guide to Homicide The God of the Woods All the Colors of the Dark The Secret History The Busybody Book Club Crime/ Mystery: Series Three Pines (Chief Inspector Gamache) : The Black Wolf (#20) Killers of a Certain Age : Kills Well with Others (#2) Charles Lenox Mysteries : The Hidden City (#15) Castle Knoll Files : How to Seal Your Own Fate (#2) Joe Talbert : The Stolen Hours (#3) Detective Max Rupert : Forsaken Country (#5) Ernest Cunningham : Everyone This Christmas has a Secret (#3) The Antique Hunter's Guide to Murder : The Antique Hunter's Death on the Red Sea (#2) Nora Breen Investigates : Murder at Gulls Nest (#1) Claire DeWitt Mysteries: The Infinite Blacktop (#3) The Checquy Files : Stiletto (#2) and Blitz (#3) Verity Kent Mysteries : Treacherous Is the Night (#2), Penny for Your Secrets (#3), A Pretty Deceit (#4), Murder Most Fair (#5), A Certain Darkness (#6), and The Cold Light of Day (#7) Terminal List : The Terminal List (#1), True Believer (#2), Savage Son (#3), The Devil’s Hand (#4), In the Blood (#5), Only the Dead (#6), and Red Sky Mourning (#7) Gabriela Rose : The Recovery Agent (#1) and The King’s Ransom (#2) The Brighton Mysteries (by Elly Griffiths) : The Zig Zag Girl* (#1), Smoke and Mirrors* (#2), The Blood Card* (#3), The Vanishing Box* (#4), Now You See Them* (#5), The Midnight Hour* (#6) and The Great Deceiver (#7) Harbinder Kaur (by Elly Griffiths) : The Stranger Diaries* (#1), The Postscript Murders* (#2), Bleeding Heart Yard (#3), and The Last Word (#4) Death in Paradise : A Meditation on Murder (#1), The Killing of Polly Carter (#2), Death Knocks Twice (#3), and Murder in the Caribbean (#4) Slough House : (9 books) Kendra Donovan : (6 books) Lady Darby Mysteries: (13 books) Tate and Bell Mysteries: (7 books) Miss Marple: (13 books) Vera Stanhope : (11 books) Kate Burkholder : (17 books) Veronica Speedwell: 10 books The Glass Library : 6 books Michael Bennett (James Patterson) Inspector Torquil McKinnon Ruth Galloway (by Elly Griffiths) Sebastian St. Cyr No. 1 Ladies' Detective Agency Hercule Poirot (Agatha Christie) Kovac and Liska Assistant to the Villain D.I. Lottie Parker Cormac Reilly Stewart Hoag The Charity Shop Detective Agency Erast Fandorin Mysteries Maisie Dobbs Colin Pendragon Mysteries Blythe Baker (multiple mystery series) Crime/ Mystery: Series: Sherlock and Spin-offs Sherlock Holmes by Arthur Conan Doyle: (9 books) Holmes, Margaret and Poe : (2) Lady Sherlock: (8 books) Mary Russell and Sherlock Holmes: (19 books) The Daughter of Sherlock Holmes : (8 books) Sherlock Holmes Pastiche by Nicholas Meyer : (7 books) Charlotte Holmes : (4 books) Historical Fiction Kate Quinn: The Huntress , The Diamond Eye Kristin Harmel: The Book of Lost Names , The Forest of Vanishing Stars , The Winemaker's Wife Marie Benedict: The Other Einstein , The Only Woman in the Room Kristin Hannah: The Nightingale The Frozen River The Lost Girls of Paris The Lobotomist's Wife The Paris Library The Clockmaker's Daughter The Bookbinder Transcription Dangerous Women The Frozen River The Shadow Key Things in Jars The Girl from Greenwich Street West with Giraffes Science Fiction/ Fantasy The Other Valley A Quantum Love Story Last Night in Montreal Hummingbird Salamander Recursion Book of Doors Shark Heart The Lost Bookshop Erin Morgenstern: The Night Circus and The Starless Sea Matt Haig: The Life Impossible , The Possession of Mr. Cave , The Humans Science Fiction/ Fantasy: Series The Invisible Library: Burning Page (#3), The Lost Plot (#4), The Mortal Word (#5), The Secret Chapter (#6), The Dark Archive (#7) and The Untold Story (#8) Borne : Borne (#1), The Strange Bird (#1.5), Dead Astronauts (#2) Winternight Trilogy : The Bear and the Nightingale (#1), The Girl in the Tower (#2), and The Winter of the Witch (#3) Romance/ Chick Lit The Wise Women The Unmaking of June Farrow The Wedding People Novels/ Series The Borrowed Life of Frederick Fife Murphy Shepherd: The Water Keeper (#1), The Letter Keeper (#2), and The Record Keeper (#2) Harold Fry : The Love Song of Miss Queenie Hennessy (#2) and Maureen (#3) The Hundred-Year-Old Man : The Accidental Further Adventures of the Hundred-Year-Old Man (#2) Ann Leary: The Good House and The Children Jason Fitger: The Shakespeare Requirement (#2) and The English Experience (#3) Books I've Read: Fiction Crime/ Mystery Paula Hawkins Collection: The Girl on the Train , A Slow Fire Burning Liane Moriarty Collection: Nine Perfect Strangers , Apples Never Fall Lucy Foley Collection: The Guest List , The Paris Apartment (read first half) A Most Agreeable Murder The Witch Elm Sometimes I Lie Before the Fall The Lovely Bones Burglars Can't Be Choosers The 7 1/2 Deaths of Evelyn Hardcastle Wrong Place, Wrong Time The House in the Pines The Golden Spoon Killers of a Certain Age The Bequest The Lifeguards The Truth about the Harry Quebert Affair The Truth and Other Lies The Finishing School Mother-Daughter Murder Night The Woman in the Library The Last Flight The Devil and the Dark Water Last Night The Husband's Secret The Man Who Died One Death at a Time Crime/ Mystery: Series Three Pines (Chief Inspector Gamache) : Still Life (#1), A Fatal Grace (#2), The Cruelest Month (#3), A Rule Against Murder (#4), The Brutal Telling (#5), Bury Your Dead (#6), A Trick of the Light (#7), The Beautiful Mystery (#8), How the Light Gets In (#9), The Long Way Home (#10), The Nature of the Beast (#11), A Great Reckoning (#12), Glass Houses (#13), Kingdom of the Blind (#14), A Better Man (#15), All the Devils are Here (#16), The Madness of Crowds (#17), and A World of Curiosities (#18), and The Grey Wolf (#19) Charles Lenox Mysteries : A Beautiful Blue Death (#1), The September Society (#2), The Fleet Street Murders (#3), A Stranger in Mayfair (#4), An East End Murder (#4.5), A Burial at Sea (#5), A Death in the Small Hours (#6), An Old Betrayal (#7), The Laws of Murder (#8), Home by Nightfall (#9), The Inheritance (#10), Gone Before Christmas (#10.5), The Woman in the Water (#11), The Vanishing Man (#12), The Last Passenger (#13), and An Extravagant Death (#14) Cormoran Strike : Cuckoo's Calling (#1), The Silkworm (#2), Career of Evil (#3), Lethal White (#4), Troubled Blood (#5), The Ink Black Heart (#6), and The Running Grave (#7) Nell Ward Mysteries : A Murder of Crows (#1), A Cast of Falcons (#2), A Mischief of Rats (#3), A Generation of Vipers (#4), A Traces of Hares (#5), and A Swarm of Butterflies (#6) Dr. Thomas Silkstone : The Anatomist’s Apprentice (#1), The Dead Shall Not Rest (#2), The Devil’s Breath (#3), The Lazarus Curse (#4), Shadow of the Raven (#5), and Secrets in the Stones (#6) Dublin Murder Squad : In the Woods (#1), The Likeness (#2), Faithful Place (#3), Broken Harbor (#4), The Secret Place (#5), and The Trespasser (#6) Detective Varg : The Department of Sensitive Crimes (#1), The Strange Case of the Moderate Extremists (#0.8), The Talented Mr. Varg (#2), The Man with the Silver Saab (#3), and The Discreet Charm of the Big Bad Wolf (#4) Hawthorne and Horowitz : The Word is Murder (#1), The Sentence is Death (#2), A Line to Kill (#3), The Twist of a Knife (#4), and Close to Death (#5) Thursday Murder Club : Thursday Murder Club (#1), The Man Who Died Twice (#2), The Bullet That Missed (#3), The Last Devil to Die (#4), and The Impossible Fortune (#5) Sam Clair : A Murder of Magpies (#1), A Bed of Scorpions (#2), A Cast of Vultures (#3), and A Howl of Wolves (#4) The Marlow Murder Club : The Marlow Murder Club (#1), Death Comes to Marlow (#2), and The Queen of Poisons (#3) Joe Talbert and Detective Max Rupert: The Life We Bury (#1) and The Shadows We Hide (#2) The Guise of Another (#2), The Heavens May Fall (#3), and The Deep Dark Descending (#4) Thomas De Quincey : Murder as a Fine Art (#1) and Inspector of the Dead (#2), and Ruler of the Night (#3) Susan Ryeland : Magpie Murders (#1), Moonflower Murders (#2), and Marble Hall Murders (#3) Quantico Files : Night Fall (#1), Dead Fall (#2), and Free Fall (#3) Letty Davenport : The Investigator (#1) and Dark Angel (#2) Jack Reacher : The Killing Floor (#1) and Die Trying (#2) Molly the Maid : The Maid (#1) and The Mystery Guest (#2) Cal Hooper : The Searcher (#1) and The Hunter (#2) Joe Talbert : The Life We Bury (#1) and The Shadows We Hide (#2) Ernest Cunningham : Everyone in My Family has Killed Someone (#1) and Everyone on this Train is a Suspect (#2) Claire DeWitt Mysteries: Claire DeWitt and the City of the Dead (#1) and Claire DeWitt and the Bohemian Highway (#2) Ghostwriter Mysteries : The Busy Body (#1) and Loose Lips (#2) Miss Marple: Murder at the Vicarage (#1) and The Body in the Library (#2) The Glass Library : The Librarian of Crooked Lane (#1) and The Medici Manuscript (#2) Kendra Donovan : A Murder in Time (#1) and A Twist in Time (#2) The Checquy Files : The Rook (#1) Inspector Ian Rutledge : A Test of Wills (#1) Castle Knoll Files : How to Solve Your Own Murder (#1) Charlotte and Thomas Pitt : The Cater Street Hangman (#1) Kaely Quinn Profiler : Mind Games (#1) Rabbit Factor : The Rabbit Factor (#1) Verity Kent Mysteries : This Side of Murder (#1) We Solve Murders : We Solve Murders (#1) Vera Stanhope : The Crow Trap (#1) Corie Geller: Takes One to Know One (#1) Slough House : Slow Horses (#1) Crime/ Mystery: Series: Sherlock and Spin-offs Sherlock Holmes by Arthur Conan Doyle: A Study in Scarlet (#1), The Sign of Four (#2), and The Adventures of Sherlock Holmes (#3) Holmes, Margaret and Poe : Holmes, Marple and Poe (#1) Lady Sherlock: A Study in Scarlet Women (#1), A Conspiracy in Belgravia (#2), The Hollow of Fear (#3), The Art of Theft (#4) and Murder on Cold Street (#5) Mary Russell and Sherlock Holmes: The Beekeeper's Apprentice (#1), A Monstrous Regiment of Women (#2), The Marriage of Mary Russell (#2.5), A Letter of Mary (#3), and The Moor (#4) Historical Fiction Nora Beady : The Girl in His Shadow (#1) and The Surgeons Daughter (#2) Kate Quinn: The Alice Network , The Rose Code Kristin Hannah: The Women Ann Leary: The Foundling All the Light We Cannot See The Kitchen Front Code Name Hélène The Dictionary of Lost Words The Lost Apothecary The Miniaturist The Book of Speculation The Summer Before the War The Secret History of Audrey James Science Fiction/ Fantasy Matt Haig: The Midnight Library , How to Stop Time Neil Gaiman: Neverwhere , Stardust , Trigger Warning: Short Fictions and Disturbances Emily St. John Mandel: Station Eleven , Sea of Tranquility , The Glass Hotel A Wrinkle in Time Hitchhikers Guide to the Galaxy The Coincidence Makers The Invisible Life of Addie LaRue Spoonbenders The Impossible Lives of Greta Wells The First 15 Lives of Harry August The Alchemist Other Birds Good Morning, Midnight Day Tripper The Last Murder at the End of the World Every Arc Bends Its Radian Science Fiction/ Fantasy: Series Maze Runner : The Maze Runner (#1), The Scorch Trials (#2), The Death Cure (#3), The Kill Order (#4), and The Fever Code (#5) Divergent : Divergent (#1), Insurgent (#2), Allegiant (#3), and Four (#4) Red Queen : Red Queen (#1), Glass Sword (#2), and King's Cage (#3) Southern Reach : Annihilation (#1), Authority (#2), and Acceptance (#3) Shades of Magic (VE Schwab): A Darker Shade of Magic (#1) Caraval : Caraval (#1), Legendary (#2), Finale (#3) Mither Mages (Orson Scott Card): The Lost Gate (#1), The Gate Thief (#2), and The Gatefather (#3) The Mortality Doctrine : The Eye of Minds (#1) Wayward Children : Every Heart a Doorway (#1) The Invisible Library: The Invisible Library (#1) Romance/ Chick Lit The Bookish Life of Nina Hall : The Bookish Life of Nina Hall (#2), Adult Assembly Required (#2) Katherine Center: Things you save in a Fire , What You Wish For , The Bodyguard The Art of Hearing Heartbeats Lessons in Chemistry The Queen of Hearts Oh Dear Silvia Ghosted The Overdue Life of Amy Byler My (not so) Perfect Life Foreign Affairs Humor Eleanor Oliphant is Completely Fine Nothing to See Here The Answer is No Novels Phaedra Patrick Collection: The Curious Charms of Arthur Pepper , The Messy Lives of Book People , The Library of Lost and Found , The Secrets of Love Story Bridge Jodi Picoult Collection: Wish You Were Here , The Book of Two Ways Tomorrow, and Tomorrow, and Tomorrow A Week in Winter Seven Days of Us I Miss You When I Blink Ella Minnow Pea The Keeper of Lost Things Gravity is the Thing The School for Good Mothers Something to Live For (Previously: How not to die alone) Anxious People The Gifted School Wicked Leaks A Thousand Pardons The Department of Rare Books and Special Collections Remarkably Bright Creatures The Chemist Dear Edward Jason Fitger: Dear Committee Members (#1) Series Millennium : The Girl with the Dragon Tattoo, The Girl Who Played with Fire, The Girl Who Kicked the Hornet's Nest, The Girl in the Spiders Web, The Girl who takes an Eye for an Eye, The Girl Who Lived Twice Penumbra : Mr. Penumbra's 24-Hour Bookstore and Ajax Penumbra 1969 Don Tillman : The Rosie Project (#1), The Rosie Effect (#2) Harold Fry : The Unlikely Pilgrimage of Harold Fry (#1) Olive Kitteridge : Olive Kitteridge (#1) The Hundred-Year-Old Man : The 100-Year-Old Man Who Climbed out the Window and Disappeared (#1) Books I Want to Read: Non-Fiction History Civilizations Rise and Fall (Jared Diamond): Guns, Germs, and Steel: The Fates of Human Societies (#1), Collapse: How Societies Choose to Fail or Succeed (#2) and Upheaval: Turning Points for Nations in Crisis (#3) The Secret History of Home Economics: How Trailblazing Women Harnessed the Power of Home and Changed the Way We Live The Secret History of Food: Strange but True Stories About the Origins of Everything We Eat Death in the Air: The True Story of a Serial Killer, the Great London Smog, and the Strangling of a City Climbing and Adventures Shackleton's Way: Leadership Lessons from the Great Antarctic Explorer Buried in the Sky: The Extraordinary Story of the Sherpa Climbers on K2's Deadliest Day Over the Edge of the World: Magellan's Terrifying Circumnavigation of the Globe Touching the Void: The True Story of One Man's Miraculous Survival The Next Everest: Surviving the Mountain's Deadliest Day and Finding the Resilience to Climb Again The Boys of Everest: Chris Bonington and the Tragedy of Climbing's Greatest Generation Forever on the Mountain: The Truth Behind One of Mountaineering's Most Controversial and Mysterious Disasters The Climb: Tragic Ambitions on Everest Climb: Stories of Survival from Rock, Snow and Ice The Third Pole: Mystery, Obsession, and Death on Mount Everest The Ledge: An Adventure Story of Friendship and Survival on Mount Rainier Medical Nine Pints: A Journey Through the Money, Medicine, and Mysteries of Blood Genius on the Edge: The Bizarre Double Life of Dr. William Stewart Halsted Blood and Guts: A History of Surgery Confessions of a Surgeon: The Good, the Bad, and the Complicated...Life Behind the O.R. Doors Do No Harm: Stories of Life, Death and Brain Surgery You Can Stop Humming Now: A Doctor's Stories of Life, Death and in Between When We Do Harm: A Doctor Confronts Medical Error Diagnosis: Solving the Most Baffling Medical Mysteries This is Going to Hurt: Secret Diaries of a Young Doctor Swallow: Foreign Bodies, Their Ingestion, Inspiration, and the Curious Doctor Who Extracted Them Expert: Understanding the Path to Mastery Women in White Coats: How the First Women Doctors Changed the World of Medicine You Bet Your Life: From Blood Transfusions to Mass Vaccination, the Long and Risky History of Medical Innovation Attending: Medicine, Mindfulness, and Humanity Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health Quackery: A Brief History of the Worst Ways to Cure Everything Psychology: Individual Think Again: Think Again: The Power of Knowing What You Don't Know How We Decide Predictably Irrational: The Hidden Forces That Shape Our Decisions Algorithms to Live By: The Computer Science of Human Decisions How Not to Be Wrong: The Power of Mathematical Thinking Amazing Decisions: The Illustrated Guide to Improving Business Deals and Family Meals The Logic of Failure: Recognizing and Avoiding Error in Complex Situations Sway: The Irresistible Pull of Irrational Behavior Anatomy of a Secret Life: The Psychology of Living a Lie The Secret Life of the Mind: How Your Brain Thinks, Feels, and Decides Gut Feelings: The Intelligence of the Unconscious Superminds: The Surprising Power of People and Computers Thinking Together Incognito: The Secret Lives of the Brain The Paradox of Choice: Why More Is Less The Forgetting Machine: Memory, Perception, and the Jennifer Aniston Neuron Atomic Habits: An Easy & Proven Way to Build Good Habits & Break Bad Ones How Emotions Are Made: The Secret Life of the Brain Subtract: The Untapped Science of Less Psychology: Interacting with Others You're Not Listening: What You're Missing and Why It Matters The Next Conversation: Argue Less, Talk More The Stuff of Thought: Language as a Window into Human Nature Invisible Women: Data Bias in a World Designed for Men Shape: The Hidden Geometry of Information, Biology, Strategy, Democracy, and Everything Else Rock Breaks Scissors: A Practical Guide to Outguessing and Outwitting Almost Everybody The Confidence Game: Why We Fall for It . . . Every Time Reading People: How Seeing the World through the Lens of Personality Changes Everything The Wisest One in the Room: How You Can Benefit from Social Psychology's Most Powerful Insights Connected: The Surprising Power of Our Social Networks and How They Shape Our Lives The Lucifer Effect: Understanding How Good People Turn Evil Flash Boys: A Wall Street Revolt Incerto by Nassim Nicholas Taleb : The Bed of Procrustes: Philosophical and Practical Aphorisms (#3) and Antifragile: Things That Gain from Disorder (#4) Expert Political Judgment: How Good Is It? How Can We Know? / Philip Tetlock Unmaking the West: "What-If?" Scenarios That Rewrite World History / Philip Tetlock Counterfactual Thought Experiments in World Politics: Logical, Methodological, and Psychological Perspectives / Philip Tetlock Revenge of the Tipping Point: Overstories, Superspreaders, and the Rise of Social Engineering Biography Furiously Happy: A Funny Book About Horrible Things Broken (In the Best Possible Way) The Journal of Best Practices: A Memoir of Marriage, Asperger Syndrome, and One Man's Quest to Be a Better Husband Self-Help Tiny Beautiful Things: Advice from Dear Sugar Crime American Sherlock: Murder, Forensics, and the Birth of American CSI All that is Wicked The Casebook of Forensic Detection: How Science Solved 100 of the World's Most Baffling Crimes Books I've Read: Non-Fiction Medical What Patients Say, What Doctors Hear When Breath Becomes Air How Doctors Think Cheating Death: The Doctors and Medical Miracles that Are Saving Lives Against All Odds Stiff: The Curious Lives of Human Cadavers The Naked Lady Who Stood on Her Head: A Psychiatrist's Stories of His Most Bizarre Cases Admissions: Life as a Brain Surgeon Patient H.M.: A Story of Memory, Madness, and Family Secrets Under the Knife: A History of Surgery in 28 Remarkable Operations Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health Medical: By Atul Gawande Being Mortal: Medicine and What Matters in the End Checklist Manifesto: How to Get Things Right Better: A Surgeon's Note on Performance Complications: A Surgeons Notes on an Imperfect Science Under the Knife: A History of Surgery in 28 Remarkable Operations History Unbroken: A World War II Story of Survival, Resilience, and Redemption Crime Never Sucks a Dead Man's Hand: Curious Adventures of a CSI Climbing Adventures Into Thin Air: A Personal Account of the Mt. Everest Disaster Biography Scrappy Little Nobody [Anna Kendrick] Bossypants [Tina Fey] Let’s Pretend This Never Happened: A Mostly True Memoir [Jenny Lawson] Big Dumb Eyes: Stories from a Simpler Mind [Nate Bargatze] Social Psychology Lying Leonard Mlodinow: The Drunkards Walk: How Randomness Rules our Lives and Elastic: Unlocking Your Brain's Ability to Embrace Change Daniel Kahneman: Thinking, Fast and Slow and Noise: A Flaw in Human Judgment Scienceblind: Why Our Intuitive Theories About the World Are So Often Wrong Contagious: Why Things Catch On Made to Stick: Why Some Ideas Survive and Others Die A Field Guide to Lies: Critical Thinking in the Information Age Loonshots: How to Nurture the Crazy Ideas That Win Wars, Cure Diseases, and Transform Industries When: The Scientific Secrets of Perfect Timing You Are Not So Smart Behave: The Biology of Humans at Our Best and Worst Grit: The Power of Passion and Perseverance Range: Why Generalists Triumph in a Specialized World Originals: How Non-Conformists Move the World Everybody Lies: Big Data, New Data, and What the Internet Can Tell Us About Who We Really Are Everything is Obvious: Once You Know the Answer The Disappearing Spoon: And Other True Tales of Madness, Love, and the History of the World from the Periodic Table of the Elements Freakanomics: A Rogue Economist Explores the Hidden Side of Everything Farsighted: How We Make the Decisions That Matter the Most Superforecasting: The Art and Science of Prediction Barking up the Wrong Tree: The Surprising Science behind why everything you know about success is [mostly] wrong Quirky: The Remarkable Story of the Traits, Foibles, and Genius of Breakthrough Innovators Who Changed the World Start with Why: How Great Leaders Inspire Everyone to Take Action Team of Teams: New Rules of Engagement for a Complex World The Knowledge Illusion: Why we never think alone The Signal and the Noise: Why So Many Predictions Fail--but Some Don't The Basic Laws of Human Stupidity Incerto/ Nassim Nicholas Taleb : Skin in the Game: Hidden Asymmetries in Daily Life, Fooled by Randomness: The Hidden Role of Chance in Life and in the Markets and Black Swan: The Impact of the Highly Improbable Maybe You Should Talk to Someone: A Therapist, HER Therapist, and Our Lives Revealed Social Psychology: By Malcolm Gladwell Outliers: The Story of Success The Tipping Point: How Little Things Can Make a Big Difference Blink: The Power of Thinking without Thinking David and Goliath: Underdogs, Misfits, and the Art of Battling Giants Where to get books Check out your local library- many have accounts with online resources, including e-books, audiobooks, etc. Library card required. Overdrive. Access to electronic books and audiobooks from your local library. Audible. $7.95 or 14.95/ month (1-month free trial). Likewise. Find new books, movies, and TV shows based on your favorites. *Follow me to check out my list of recommendations* What Should I Read Next? Enter a book you enjoyed or a favorite author, and find recommendations for other books. Military? You can access magazines, books, videos, newspapers, audiobooks, and random other stuff. First, you need to get an account with an MWR Library. Navigate from the website designated from the MWR resource page, and then save the link for the websites (can't use the generic RBDigital and Overdrive websites). Establish an account and enjoy exploring! MWR Library Resources Online Resources. List of resources- RBDigital, Overdrive, Mango Language service, etc. RBDigital Magazines, e-books, audiobooks, video Overdrive E-books, audiobooks, and videos Mango Language Services. PressReader Newspapers and magazines The Great Courses: Lecture Series. Thousands of lectures on hundreds of topics. Economics and Finance, food and wine, health/ fitness/ nutrition, history, hobby and leisure, literature and language, mathematics, music and fine arts, philosophy, professional and personal development, science, and travel. MWR Library Resources: How-To Access Navigate to: https://mwrlibrary.armybiznet.com . There is a link on this site to the Army MWR Digital Library. “Select your home library below or use the Army MWR Digital Library to search eresources only". You can also go straight to the Army MWR Digital Library page. On the top of the page, click on “find a resource. Click on Ebooks and audiobooks. Under "Overdrive/ Libby"→ click on “access” Verify your eligibility (DODID and DOB)→ you will be sent to the Overdrive website Drop-down “Select your library”→ DOD MWR Libraries Book Reviews Scienceblind Read More Range Read More Everything is Obvious Read More Start with Why Read More Freakanomics Read More Loonshots Read More A Field Guide to Lies Read More Everybody Lies Read More Team of Teams Read More When Read More Black Swan Read More Made to Stick Read More