Rabu, 27 April 2011

[T328.Ebook] Download Ebook Managing Corporate Lifecycles, by Ichak Adizes, Adizes

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Managing Corporate Lifecycles, by Ichak Adizes, Adizes

Managing Corporate Lifecycles, by Ichak Adizes, Adizes



Managing Corporate Lifecycles, by Ichak Adizes, Adizes

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Managing Corporate Lifecycles, by Ichak Adizes, Adizes

The premier authority on organizational transformation takes his classic work to the next level, showing managers how to prevent a company from falling into a period of decline.

For three decades, Ichak Adizes, Ph.D., has studied the patterns of organizational growth and changes in businesses worldwide, from Bank of America to Domino's Pizza to small start-ups. In his breakthrough book Corporate Lifecycles, Dr. Adizes traced the typical corporate path from inception to decline. Now, in this long-awaited follow-up, he guides companies on the optimal path--and reveals how to sustain peak vitality.

Courtship, Infancy, the heady Go-Go years, and turbulent Adolescence. These are the stages every company goes through to reach what Dr. Adizes calls PRIME--the ideal stage of balanced creativity and discipline. At every stage, he shows how to anticipate and handle "normal" problems--whether with goal setting or managing employees--then quickly move on and up. Once in the PRIME stage, the author presents proactive measures for maintaining focus and vision, nurturing cohesion, and achieving "predictable excellence." He also offers strategies for avoiding the typical downhill path--starting with the Signs of Aging, such as risk avoidance; moving on to Aristocracy, where power and protocol dominate; and culminating in the final stages of decay: Recrimination, Bureaucracy, and Death.

Easing the pains of growing, MANAGING CORPORATE LIFECYCLES opens the way for every organization to thrive--indefinitely.

  • Sales Rank: #961626 in Books
  • Brand: Brand: Prentice Hall Press
  • Published on: 1999-09-14
  • Ingredients: Example Ingredients
  • Original language: English
  • Number of items: 1
  • Dimensions: 1.59" h x 6.42" w x 9.34" l, 2.00 pounds
  • Binding: Hardcover
  • 460 pages
Features
  • Detailed prescriptions for anticipating and addressing the biggest problems as companies grow
  • Highlights the typical signs and behaviors at each stage of the Corporate Lifecycle, and what to do about them
  • Shows the structural causes of aging and decline within an organization
  • Learn how to address a disfunctional culture within a ailing organization
  • Learn how to deal with change and conflict at every stage of the corporate lifecycle

About the Author
Ichak Adizes, Ph.D., is founder of the Adizes Institute in Los Angeles, California. A renowned speaker, he lectures worldwide and his many books have been translated into 22 languages. Dr. Adizes has taught at UCLA, Stanford University, and Tel Aviv University. He lives in Santa Barbara, California, and Caesaria, Israel.

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5 of 5 people found the following review helpful.
"The Bible" for working on your organization itself
By Neil LaChapelle
Ichak Adizes is not the only person to ever have written about corporate lifecycle management, but he is unique in the degree to which he has made it practical, applicable, and integral to a whole approach to organizational management. It is hard to understate how useful his framework is to people who are trying to build, manage or revive organizations. I work with a lot of startups, and I encourage everybody on the startup team to read this book, which has resulted in the book getting the nickname "the Bible" a couple of times from those who work with me. But I encourage startup teams to read it for a reason. It makes it so much easier to talk about the chemistry of the startup team, the predictable challenges we will face, and the temptations that might kill us. It's mandatory reading for startups, I would say - ideally for the whole team. But it's also useful for people at every other major organizational transition.

There's that painful stage of organizational growth when you're growing so fast the founders can't keep up, and you have to start bringing in professional managers who behave very differently from the founding group. Then there's the challenge of keeping your edge and not getting complacent when you get large and successful. There are also challenges when people in your company are kind of accustomed to being the market dominators, but down on the shop floor the signs of trouble and slipping market share are visible. Finally there are the challenges of trying to turn around a huge bureaucratic institution that no longer serves its stakeholders very well. All of these problems can be understood in terms of Adizes lifecycle theory, and this book is a coherent, practical approach to that entire problem-set.

This makes the book unlike most other business books. It's not an academic book of theory, and it's not one of those flavour-of-the-month business books that takes one or two slim points and stretches them out for 200 pages with filler and anecdote. It's a book written in practical, accessible business language that nevertheless presents a whole coherent theory. That makes it a rare beast - a practical theory book, battle tested over decades of implementation by Dr. Adizes and a global network of Adizes Associates. Few such books exist, and this is one of them.

As a result, this is crucial for people who want to manage the "big picture" of the life of an organization itself, helping it through its growing pains and keeping it from aging. The Adizes Methodology is a system of ideas, and no book by Dr. Adizes stands entirely alone, but this one is quite comprehensive and everything you need in order to understand it is contained within its pages. It is a pretty big book, however. For sharing its ideas with people who have less time to read, The Pursuit of Prime by Ichak Adizes is a shorter and more popularized version of the same ideas. To enrich your understanding of the core ideas, Mastering Change by Ichak Adizes explores the foundational concepts in a conversational tone. (Full disclosure: I got so bitten by the Adizes bug that I wrote a book myself - called The Structure of Concern: A Challenge for Thinkers on one of the core concepts of the methodology - which is sold through Amazon but legal full-text softcopies are available online at Scribd and other locations.)

The Adizes Methodology can profoundly change the way you view you business and your life. He's been called the "best kept secret in America" by Ken Blanchard, but really the time for him to be secret knowledge among a few captains of industry is over. At a time when we are needing to reinvent our institutions and our economies, more than ever we need insight into how organizations grow and die, in order to help some grow, and also to help some die to be replaced by new creative structures. I would love to see creaking fossilized bureaucracies replaced by vibrant new social institutions, and the Adizes Methodology could help us all get there.

IF you read this book, and I highly recommend you do, perhaps you'll agree!

2 of 2 people found the following review helpful.
It looks like volume 2 contains the rest the book
By Israel Lang
This updated version is only half of the original boo, through chapter 10. It looks like volume 2 contains the rest the book. Just be aware that you aren't getting what is being shown in the View Inside part on Amazon.

0 of 0 people found the following review helpful.
It is great. A non conventional approach
By Amazon Customer
It is great.
A non conventional approach, It is unique especially having the experience of Adizes philosophy and system.

S A Fotinos

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Senin, 25 April 2011

[W552.Ebook] Ebook Autism, Beyond Despair: Homeopathy has the Answers, by Dr. Tinus Smits, MD

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Autism, Beyond Despair: Homeopathy has the Answers, by Dr. Tinus Smits, MD

In this groundbreaking work, European Homeopath Dr. Tinus Smits reveals the step-by-step method which he has used for more than 300 autistic children. In many cases, the parents have declared their children 100% cured; in others, the process is still underway with significant improvement. His therapy is primarily based on Isotherapy, a form of homeopathy which is able to address the multiple causes of autism in children and correct them directly. He has made remarkable discoveries as to why autism is on the increase. This book is highly important for parents with autistic children and for all those who are involved in the care of these children. Homeopathic practitioners will find clear direction on protocols for case management and for using Isotherapy to treat autism, including precise dosing methodologies.

  • Sales Rank: #215787 in Books
  • Published on: 2010-03-01
  • Number of items: 1
  • Binding: Hardcover
  • 188 pages

About the Author
Dutch Homeopath and medical doctor Tinus Smits has been studying, practicing and teaching homeopathy for more than 30 years, right until his death in 2010. He began as a lay homeopath before entering medical school at 31 years of age, finishing his medical training in 1986. He has run a successful practice in the Netherlands and has been teaching for more than 20 years in many different countries all over the world. He has studied with eminent homeopaths including Jacques Imberechts, Alex Jacques, George Vithoulkas and Alphons Geukens. Dr. Smits always believed that the therapeutic possibilities of homeopathy could be improved by careful observation and notation of the results of homeopathic treatment. From his own careful observations, he developed Inspring Homeopathy, a system for treating the universal layers present in all people, allowing him to heal deep disorders resistant to standard homeopathic treatment. Vaccinations, environmental insults, poor nutrition, and their cumulative impact on children and adults have always had his special attention. During the past three years, he formulated and developed an effective treatment to heal autistic children, the CEASE therapy, documented by the many cases he has dealt with in his practice. He has published several other books and articles on these subjects.

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2 of 2 people found the following review helpful.
Five Stars
By Julie Lee
Excellent book with lots of information.

0 of 0 people found the following review helpful.
Homeopathy is an excellent choice. Dr
By mily
For all the parents out there looking for a miracle to help their kids. Homeopathy is an excellent choice. Dr. Smits uses some vitamins like bio medical. Homeopathy is a natural way of healing.

2 of 2 people found the following review helpful.
Five Stars
By boriana mladenova
Very helpful and inspiring

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Senin, 18 April 2011

[W344.Ebook] Ebook Free Environmental Impact Assessment, by N.S. Raman, A.R. Gajbhiye, S.R. Khandeshwar

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Environmental Impact Assessment, by N.S. Raman, A.R. Gajbhiye, S.R. Khandeshwar

The present book provides an exposure of the Environmental Impact Assessment (EIA) principles and procedures. Its focus is on the methodology of the EIA so that it becomes a viable application oriented exercise. Major dimensions of environmental pollution like air quality, noise, water quality, soil and geology, aesthetics and socio-economic concerns are covered in this book. Measurement of environmental indicators and economists approaches of EIA are also described. The methodology highlighted in the book can also be applied to several other environmental issues. The book is useful to advanced graduate students of engineering and sciences and post-graduate students of economics, management and of other disciplines who are part of project planning, implementation, operation and other related decision-making. Contents: 1. General aspects of EIA 2. EIA in india 3. Base information approach 4. Identification, prediction and assessment of impact 5. Decision-making and uncertainties 6. Monitoring 7. Case studies 8. Simulation Annexure i: Form 1 (application for obtaining EIA clearance Annexure ii: A compilation of legal instrument Annexure iii: General standards for discharge of environmental pollutants Annexure iv: Pre-feasibility report: points for possible coverage Annexure v: Types of monitoring and network design considerations Annexure vi: Guidance of assessment of baseline components and attributes Glossary Index. Audience: Civil and Environmental Engineering & Project Planning Students.

  • Sales Rank: #3447055 in Books
  • Published on: 2014-08-24
  • Binding: Paperback
  • 232 pages

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Portrait of an Addict as a Young Man: A Memoir, by Bill Clegg

Bill Clegg had a thriving business as a literary agent, representing a growing list of writers. He had a supportive partner, trusting colleagues, and loving friends when he walked away from his world and embarked on a two-month crack binge. He had been released from rehab nine months earlier, and his relapse would cost him his home, his money, his career, and very nearly his life.

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  • Sales Rank: #4720909 in Books
  • Published on: 2011-08-08
  • Format: Bargain Price
  • Number of items: 1
  • Dimensions: 8.25" h x .75" w x 5.50" l,
  • Binding: Paperback
  • 256 pages

From Publishers Weekly
A rising publishing industry star trashes his life during a bender in this intense but callow confessional. Clegg, a literary agent with William Morris Endeavor, tells the story of a two-month crack binge in which he smoked away his literary agency partnership, his $70,000 bank account, 40 pounds (he's forever cutting new holes in his belt to cinch it to his wasting frame), and his relationship with his devoted long-suffering boyfriend. There's crazed excess and tawdry sex, but also a sharply etched portrait of the addict's mindset: the veering between paranoia and a compulsive sociability with the random crackheads he picks up to party with; the shrinkage of the planning horizon to the search for the next hit; the bliss of the high (the warmest, most tender caress... then, as it recedes, the coldest hand); the bender's unstoppable acceleration until, like a cartoon character running off a cliff, it has nothing left to sustain it. The author's efforts to impart psychological depth to his addiction—he writes of wan collegiate debauches and a childhood complex about urinating—are less convincing; it's clear that the binge will end when his money runs out. Though richly rendered, Clegg's crack odyssey feels like an epic bout of self-indulgence. (June 14)
Copyright � Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.

From Bookmarks Magazine
In this chilling debut, Clegg has written a serious and compelling, if somewhat detached, addition to the subgenre of "addiction memoirs." Clegg's tight, elegant prose, earnest tone, and meticulous attention to detail call up a fairy tale world brutally transformed into a monstrous hell. While the New York Times Book Review and the Times considered the book tedious and clich�d, their comments appeared to be directed more toward the genre as a whole, whose repetitive descriptions of substance abuse are "amply familiar to anyone who has ever watched a single episode of Behind the Music on VH-1" (Times). Of course, reviewer David Carr has written his own tale of addiction, The Night of the Gun (***1/2 Nov/Dec 2008). Most critics, however, agreed with the Globe and Mail, which called Clegg's unflinching, intelligent, and grim account "a skillfully conjured, slow-motion train wreck from which it's impossible to look away."

From Booklist
Clegg was a partner in a thriving literary agency and was involved in a long-term, loving relationship when he succumbed to cocaine addiction. For two months, he went on a crack binge that emptied his bank account, ruined his business, destroyed his relationship, and nearly took his life. Clegg alternates between recollections of his slow and steady decline into addiction and his youthful discovery that he was gay, humiliated by his father's taunts and his mother's distance. As his addiction escalated, he frantically chased the high, endlessly starting over after binges of drinking and smoking crack, running away from every intervention effort by his family or his lover, indulging in anonymous sex with a string of fellow users. When his disheveled appearance prompts a hotel to reject his attempt to register, he realizes he has fallen into “the purgatory between citizen and nobody, between fine young man and bum” and begins a slow and painful recovery. This is a heartbreaking and completely absorbing look at the wreckage of cocaine addiction. --Vanessa Bush

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0 of 0 people found the following review helpful.
Surpassed expectations...not one hint of sentimentality
By D. Weaver
The narrative voice in Clegg's memoir is unusually strong, making it a real page turner. Several times I feared that he would, after some particularly vivid moment in the book, begin to lead the reader up the twelve yawn inducing steps toward recovery. But he seems to have known that choosing such a path in the middle of such a wild descent into hell would result in the kind of cloying, predictable, prostration at the altar of belief, which would have rendered his brilliant observations inert. But I'm happy to say that this never happened. And as good looking as Clegg is, the drug-induced paranoia he navigates had me thanking my lucky stars that I never had the opportunity of getting high with him. I'm eager to see how he handles recovery in his new book, "Ninety Days."

0 of 0 people found the following review helpful.
What you like
By Thomas L. Marshall
Portrait of an Addict as a Young Man is one of the best books I have ever read, it grabbed me by the balls and wouldn't let go until the end! Bill Clegg doesn't try to impress us that he is another Proust, but he does impress never-the-less, with honesty and humility, sharing in raw edged and well written detail the degradation of childhood, and dashed successes of adulthood due to drugs. Having had a rugged time of it through much of life, I sought refuge from pain for a time in self-medication--this is not exactly like addiction, but many details are the same. Bill Clegg not only helped me understand myself better but he reminded me I'm not alone, and for those reasons I am very grateful, and look forward to his next book. Some have criticized the quality of the author's writing. I object. They criticized van Gogh in the beginning, his work was not art they said. But they were wrong.

0 of 0 people found the following review helpful.
Not everyone deals with their issues by trying to "escape" reality and treating those who love us like dirt
By R D Rosenkoetter
The book, perhaps, was a true account of an addict's spiraling life. However, I'm not sure whether the point was to not do drugs or that all of us have problems. Not everyone deals with their issues by trying to "escape" reality and treating those who love us like dirt.

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Kamis, 14 April 2011

[X451.Ebook] Download PDF Bluford #15: Schooled, by Paul Langan

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Bluford #15: Schooled, by Paul Langan

Bluford High: It's not just school--it's real life.

There's no backing down for Lionel Shephard. With a dream of joining the NBA, all he wants to do at Bluford High is play basketball. But everyone's trying to stop him. His father thinks basketball is a waste of time, his teachers don't know he can barely read and threaten to fail him, and his dropout friend, Jamar, wants him to quit school. Unsure where to turn, Lionel must make a choice. Will he pursue his dream--or get caught in a nightmare?

  • Sales Rank: #581189 in Books
  • Published on: 2012-10-01
  • Original language: English
  • Number of items: 1
  • Dimensions: .50" h x 4.10" w x 6.60" l, .18 pounds
  • Binding: Mass Market Paperback
  • 144 pages

Review
“The Bluford novels have been wildly popular with young readers across the country and continue to entice reluctant readers. . . . The books are well written, treat the problems of inner-city youth with respect, and avoid easy answers to the challenges that kids face today.” –James Blasingame, Associate Professor of English Education at Arizona State University, coeditor of The ALAN Review

Here's what teens are saying about Bluford High:

“As soon as I finished one book, I couldn't wait to start the next one. No books have ever made me do that before.” –Terrance W.

“Once I started reading them, I just couldn't stop, not even to go to sleep.” –Brian M.

“When I finished these books, I went back to the beginning and read them all over again. That's how much I loved them.” –Caren B.

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Rabu, 13 April 2011

[M661.Ebook] Fee Download The Power of the Social Brain: Teaching, Learning, and Interdependent Thinking, by Arthur L. Costa

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The Power of the Social Brain: Teaching, Learning, and Interdependent Thinking, by Arthur L. Costa

The Power of the Social Brain: Teaching, Learning, and Interdependent Thinking, by Arthur L. Costa



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The Power of the Social Brain: Teaching, Learning, and Interdependent Thinking, by Arthur L. Costa

Cooperative learning has been demonstrated by research to be one of the most highly effective teaching strategies, but simply putting students in a group is not enough. The authors of The Power of the Social Brain see "interdependent thinking" as the missing piece of the collaborative puzzle. This authoritative book provides research from the neurosciences and education along with practical strategies to help groups function more effectively and thoughtfully. By adding the "cognitive dimension" to cooperative learning, this book will help readers apply strategies of successful group work in classrooms and professional educational learning communities.

  • Sales Rank: #2059974 in Books
  • Published on: 2013-03-22
  • Original language: English
  • Number of items: 1
  • Dimensions: 8.90" h x .80" w x 6.10" l, .70 pounds
  • Binding: Paperback
  • 240 pages

Review
''As the authors point out, as a society and in our institutions, we spend almost no time learning how to think, learn, and work together. Thinking with others is its own skill, and it is high time people thought about how to optimize this skill. This is exactly what this book seeks to do.'' --Matthew D. Lieberman, Professor of Psychology, Psychiatry, and Biobehavioral Sciences, University of California, Los Angeles

''A rare and relevant publication for all who care about a universally human enterprise.'' --Robin Fogarty, author and education consultant, Robin Fogarty and Associates

About the Author
Arthur L. Costa is a national and international leader in the area of thinking. Pat Wilson O'Leary is a consultant in school districts across the country to facilitate the implementation of cooperation among students and adults. Together, they have collaborated over the past 32 years co-training cooperative learning, cognitive coaching, and Habits of Mind.

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2 of 2 people found the following review helpful.
The Power of the Social Brain
By Carol
Great collection of articles on the importance of collaboration in teaching and the workplace. I like that the chapters are written by different authors as it allows the reader to experience many different views and not just those of the editors. This would be a great text for a class on collaborative learning.

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Selasa, 12 April 2011

[U127.Ebook] Free PDF Oxygen: A Novel, by Carol Cassella

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Oxygen: A Novel, by Carol Cassella

With the compassion of Jodi Picoult and the medical realism of Atul Gawande, real-life anesthesiologist Carol Cassella’s riveting national bestseller seamlessly melds compelling women’s fiction and medical drama to create an “involving debut that’s just what the doctor ordered” (People).

Dr. Marie Heaton is an anesthesiologist at the height of her profession. She has worked, lived, and breathed her career since medical school, and she now practices at a top Seattle hospital. Marie has carefully constructed and constricted her life according to empirical truths, to the science and art of medicine. But when her tried-and-true formula suddenly deserts her during a routine surgery, she must explain the nightmarish operating room disaster and face the resulting malpractice suit. Marie’s best friend, colleague, and former lover, Dr. Joe Hillary, becomes her closest confidante as she twists through depositions, accusations and a remorseful preoccupation with the mother of the patient in question. As she struggles to salvage her career and reputation, Marie must face hard truths about the path she’s chosen, the bridges she’s burned, and the colleagues and superiors she’s mistaken for friends.

A quieter crisis is simultaneously unfolding within Marie’s family. Her aging father is losing his sight and approaching an awkward dependency on Marie and her sister, Lori. But Lori has taken a more traditional path than Marie and is busy raising a family. Although Marie has been estranged from her Texas roots for decades, the ultimate responsibility for their father’s care is falling on her.

As her carefully structured life begins to collapse, Marie confronts questions of love and betrayal, family bonds and the price of her own choices. Set against the natural splendor of Seattle, and inside the closed vaults of hospital operating rooms, Oxygen climaxes in a final twist that is as heartrending as it is redeeming.

  • Sales Rank: #263567 in Books
  • Brand: Simon & Schuster
  • Published on: 2009-06-09
  • Released on: 2009-06-09
  • Original language: English
  • Number of items: 1
  • Dimensions: 8.44" h x .80" w x 5.50" l, .61 pounds
  • Binding: Paperback
  • 320 pages
Features
  • Great product!

Review
"In Oxygen, Carol Cassella's taut novel, Dr. Marie Heaton, an assured anesthesiologist at the top of her game, is forced to face the personal and professional fallout from an operating room disaster. Marie finds herself on the losing end of dollars-and-cents medicine in a malpractice suit, questioning herself, her skills, her colleagues, and her life choices. I couldn't wait to race to the end to see how her story played out, and I wasn't disappointed." -- Lalita Tademy, author of Cane River

"A subtle, compelling plot that twists and twists again. This quickly becomes a book you cannot put down." -- The Dallas Morning News

"A finely crafted mystery, as well as a sparkling literary work." -- THE DENVER POST

"Like her protagonist, Carol Cassella has the heart of a poet and the mind of a physician; the result is a striking meditation on the complexities of love, the fragile miracle that is the human body and the burdens and blessings of being a healer." -- Stephanie Kallos, author of Broken for You

"More than just an assured debut novel, this book is a tour de force, as emotionally involving as it is intelligent. Carol Cassella writes with the clarity and precision that are the hallmarks of her other profession....The fine, sharp details of her portrait of a gifted doctor facing a devastating crisis will stay with you long after the book is closed." -- Susan Wiggs, author of Fireside and Just Breathe

" A startling plot twist, combined with Cassella's first-hand understanding of our ailing healthcare system, makes this involving debut just what the doctor ordered." -- PEOPLE

Review
"In Oxygen, Carol Cassella's taut novel, Dr. Marie Heaton, an assured anesthesiologist at the top of her game, is forced to face the personal and professional fallout from an operating room disaster. Marie finds herself on the losing end of dollars-and-cents medicine in a malpractice suit, questioning herself, her skills, her colleagues, and her life choices. I couldn't wait to race to the end to see how her story played out, and I wasn't disappointed."-- Lalita Tademy, author of Cane River

"A subtle, compelling plot that twists and twists again. This quickly becomes a book you cannot put down." -- The Dallas Morning News

"A finely crafted mystery, as well as a sparkling literary work." -- THE DENVER POST

"Like her protagonist, Carol Cassella has the heart of a poet and the mind of a physician; the result is a striking meditation on the complexities of love, the fragile miracle that is the human body and the burdens and blessings of being a healer." -- Stephanie Kallos, author of Broken for You

"More than just an assured debut novel, this book is a tour de force, as emotionally involving as it is intelligent. Carol Cassella writes with the clarity and precision that are the hallmarks of her other profession....The fine, sharp details of her portrait of a gifted doctor facing a devastating crisis will stay with you long after the book is closed." -- Susan Wiggs, author of Fireside and Just Breathe

" A startling plot twist, combined with Cassella's first-hand understanding of our ailing healthcare system, makes this involving debut just what the doctor ordered." -- PEOPLE

About the Author
Carol Cassella, MD, is a practicing anesthesiologist, novelist, and speaker. She majored in English literature at Duke University and attended Baylor College of Medicine. She is the bestselling author of the novels Gemini, Oxygen, and Healer, published by Simon & Schuster. Carol lives on Bainbridge Island, Washington, with her husband and two sets of twins. Visit the author at CarolCassella.com.

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116 of 122 people found the following review helpful.
A medical/legal drama reviewed by a doctor and a lawyer
By Anne Masterson
I am a lawyer and my father is a retired surgeon. We both read this book, so we can give views from both sides of the aisle.

I found this book painful to read for its woeful lack of any substantive knowledge of how the legal system actually works. Lawyers are portrayed very badly; essentially we are all Brooks Brother wearing, BMW driving, yacht owning sharks out to get the poor innocent doctors. As I spend more than fifty percent of my practice representing abused kids, I was offended by the caricature. It is difficult to list all the legal inaccuracies without major spoilers, but I shall divulge a few. In the book it takes an extraordinary long time for the autopsy on the girl to be completed (this was something my father also noted as unrealistic). Before the autopsy is concluded, a case has been brought, experts have been hired and deposed (which would be very expensive) and the doctors have all been deposed. It would be impossible to adequately prepare a case without knowing what the cause of death actually was.

Once it is revealed, Dr. Heaton is told that she may be facing potential criminal charges. Again, this would never happen! The only time a doctor would be charged is in the event of gross negligence, e.g., performing surgery while under the influence of drugs or alcohol. That was not the case here.

Dr. Heaton has a huge "woe is me" attitude about why this is happening to her when all she wants to do is help others. There are many references in the book of other characters (particularly her sister) telling her that her work is so much more important than anyone else's as she saves people. At one point the character refers to herself as God helping people.

My father liked the book better than I did and would probably give it three stars. He liked the use of correct medical terminology, but thought it would be a bit dense for the average person to understand. I concur with him on this point. He also liked the twist at the end which I won't reveal. However, he could not buy that an anesthesiologist was left holding the bag for a potential missed underlying medical problem. It was his position that the responsibility for a medical history lay with the surgeon and not the anesthesiologist and if there were an error, it would be on all of them.

In summary, if you are employed in either of professions, I do not believe you will be able to suspend your disbelief enough to buy this story. If you are a "layman" take everything with a grain of salt. However, ultimately the character of Marie was just not that likeable. All she did was mope about why this was happening to her. There is a subplot that involves her estranged father, but never explains the estrangement nor is the plot resolved. This was not an enjoyable book to read

101 of 107 people found the following review helpful.
"There has been a complication."
By E. Bukowsky
The protagonist of Carol Cassella's "Oxygen" is thirty-seven year old anesthesiologist Dr. Marie Heaton, a dedicated and conscientious physician. After introducing herself to her patients and reassuring them that they are in good hands, she administers drugs that bring about "a temporary loss of sensation, an absence of pain during ... otherwise painful procedure[s]." Marie loves her job, "its precision and focus, its balance of technical skill and judgment." For the past seven years, her excellent performance has earned her the respect of her colleagues at First Lutheran Hospital in Seattle, Washington. Although she is single and childless, Marie is too busy to dwell on her ticking biological clock and her anemic social life. She once had a fling with a fellow anesthesiologist, Joe Hillary. However, they decided to settle for a platonic friendship and are now best buddies rather than lovers.

Marie's life comes to a screeching halt when she administers anesthesia to an eight-year old girl named Jolene Jansen. For some inexplicable reason, Jolene's heart rate plummets and her blood loses its oxygen supply. Although Dr. Heaton tries every technique at her disposal to bring the child back, she fails. This devastating tragedy leads to sleepless nights during which Marie second-guesses herself, wondering what she could have done differently. She is also on tenterhooks waiting for the inevitable malpractice suit to be filed. Marie is raked over the coals by lawyers and members of the hospital board, but she is more concerned with Jolene's mother, Bobbie, who is disconsolate over her daughter's death.

This is a touching book about a courageous and compassionate woman who is nearly brought to her knees by a series of calamities. Cassella's descriptive writing is beautifully crafted and she thoughtfully explores the ways in which people either support or undermine one another. The events in this novel demonstrate how selfish and callous individuals bring untold misery to their friends, family, and coworkers. The author, who is an anesthesiologist, provides an insider's look into the political, legal, and human sides of modern hospital care. She also imbues the story with an added dimension by shedding light on Marie's personal life. Although she has deep affection for her younger sister, Lori, and her adolescent niece, Elsa, Marie has no idea how to cope with her seventy-nine year old father. He is a former history professor who is steadily losing his eyesight and his ability to function independently.

"Oxygen" is suspenseful and engrossing; it builds in intensity until it reaches its electrifying conclusion. Marie, the first person narrator, tells her account in the present tense with an intimacy that draws us in and keeps us invested in the outcome. The title is an elegant metaphor: Just as oxygen makes physical existence possible, so do productive work and love provide the psychological and spiritual sustenance that bring meaning and fulfillment to our lives.

28 of 30 people found the following review helpful.
OXYGEN is a great read with some juicy surprises.
By Bookreporter
Dr. Marie Heaton takes great pride and pleasure in guiding her patients into the land of Nod so they can have their gallbladder out, their knee replaced or their baby delivered without pain and often even without awareness. She loves her job until the unbearable happens --- an eight-year-old girl under her care dies in surgery, despite all her best efforts. The crisis leads her to question not only her professional competence but also her personal relationships. And yet, even as she carefully documents each methodical step she took and each drug she administered, she is haunted by inconsistencies.

This first-person narrative works on many levels --- as a mystery, as an expos� of the sometimes brutal juncture of the medical and legal professions, as a family drama, and as a romance of sorts. Marie has never found time for a husband. "I never meant to dam myself off from those. I just knew they would require careful scheduling." In the aftermath of the child's death she feels more alone than ever. Taking a painful leave of absence from her duties while the investigation proceeds, Marie faces a different sort of challenge --- her aging father's demise, and the realization that if she is ever going to mend her relationship with him, now is the time. Meanwhile, new knowledge comes to light through the child's autopsy that seems to implicate Marie even further. The hospital begins to back away from her, and there is the specter of criminal charges being filed against her, on top of the malpractice suit.

Through this difficult time, Marie takes some comfort in the rejuvenation of a former love affair with Joe, another anesthesiologist on the hospital staff. As their relationship heats up, more clues trickle in about the real cause of the child's death. Marie must uncover and face some unpleasant truths to clear her name.

This novel is written with a clear, even hand, and the reader feels like a part of the heady world of high-stakes surgery. Carol Cassella, a practicing anesthesiologist herself, shows skill in giving us enough medical detail to understand the nuances of the case without overwhelming us. Marie's guilt and her desire for the mother's forgiveness are well-drawn without being overdone. It would have been easy to get maudlin here, and I applaud the author for not doing so. (I think she's a much better writer than Jodi Picoult, with whom she is compared on the cover flap.) There are some great lines here, such as "It is our job to rage against the dying of the light."

Marie is an appealing character --- smart but compassionate, needy but not blinded by her needs. In the end she saves herself with some timely medical sleuthing, although the answers come at a high personal price. All in all, OXYGEN is a great read with some juicy surprises.

--- Reviewed by Eileen Zimmerman Nicol

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