The concept of cortisol pumping is the use of solu-cortef used in an infusion pump programmed to disperse cortisol according to the natural circadian rhythm by programming rates of delivery into the pump. This method bypasses the gastric passage and is able to deliver cortisol in a more natural way, 24/7. With an infusion pump, an adrenal insufficient patient can receive a constant supply of cortisol and can lesson the instability experienced with oral steroid cortisol replacement. Side effects due to malabsorption can be decreased and patients have reported to have improved sleep, weight management and experience an overall improvement in their energy levels and sense of well-being. This method has also been shown to lessen the prevalence of adrenal crises and hospitalizations due to low cortisol. This book is a patient's guide to managing the cortisol pumping method. Though this method is not a cure for adrenal disease, it is an option and a ray of hope for those who are struggling with quality of life.

Breastfeeding and Human Lactation, Sixth Edition is the ultimate reference for the latest clinical techniques and research findings that direct evidence-based clinical practice for lactation consultants and specialists. It contains everything a nurse, lactation consultant, midwife, women’s health nurse practitioner, physician assistant, or Ob/Gyn needs to know about the subject. Topics include placing breastfeeding in its historical context, workplace-related issues, anatomical and biological imperatives of lactation, the prenatal and perinatal periods and concerns during the postpartum period, the mother’s health, sociocultural issues, and more vital information.

The Fourth Edition has been completely revised and updated to reflect the worldwide expansion of the lactation specialist role. New content on obstetrical issues, especially the importance of skin-to-skin care has been added and important concepts discussed in chapters are summarized at the end of each chapter. Key features throughout include key concepts, internet resources, evidence-based tables and boxes.

Now in its third edition, Breastfeeding Management for the Clinician: Using the Evidence is a trusted compendium on breastfeeding for the practicing clinician. It provides a research-based approach to breastfeeding care by including literature reviews while covering incidence, etiology, risk factors, prevention, prognosis and implications, interventions, expected outcomes, care plans, and clinical algorithms. By offering both the problem-solving approach busy clinicians need to resolve issues encountered in everyday practice and an evidence-based foundation, this reference helps impact positive change in the workplace.

Disorders associated with cortisol excess and insufficiency, although rare, deserve the attention of the entire medical community because of high associated morbidity and mortality. Both diagnosis and management of hypo- and hypercortisolism are challenging, and disease presentation, at both clinical and laboratory level is not always definite. New tools are available for non-invasive and early diagnosis, and the choice of treatment should be tailored to each patient to improve quality of life through the regulation of the levels and rhythm of hormonal secretion, while limiting complications associated with the disease and therapies. In this new volume, top experts have contributed chapters on the pathognomonic, epidemiological, clinical, radiological, and laboratory aspects of the various disorders associated with altered cortisol secretion. They also present information on still debated standpoints on management. Cortisol Excess and Insufficiency is a valuable reference book for those wishing to have a reasoned and broad overview of the pathophysiology and management of disorders associated with hypo- and hypercortisolism.

Congenital Adrenal Hyperplasia: A Comprehensive Guide addresses how hydrocortisone works, what can go wrong, and how to correct it, also explaining why the timing of doses and measurement of cortisol from a dose is extremely important. The book provides an in-depth analysis of this disorder for pediatric endocrinologists and primary care providers, allowing them to help patients with an updated model of care and appropriate treatment. Patients and family members will benefit from the trend-forward information that will empower them to approach their healthcare providers with the expectation of receiving individualized care and treatment for this disorder. - Outlines the basics of congenital adrenal hyperplasia and its interrelation with hormones and bodily functions - Presents the known cognitive and emotional aspects of the disease - Reviews multidisciplinary management as well as post-treatment management of the disease

When someone has adrenal insufficiency, they are faced with the task of not only replacing a life-sustaining hormones, but also replicating a failed body system. Artificially managing cortisol is a complex task and is vital to quality of life. An adrenal patients personal cortisol needs may differ from day to day depending on physical, emotional and environmental stressors. This book is a patient's guide on how to manage adrenal insufficiency.