V. Courtney Broaddus, Joel Ernst, Talmadge E. King, Jr, Stephen Lazarus, Kathleen F. Sarmiento, Lynn M. Schnapp, Renee Stapleton, Michael B. Gotway

This seventh edition of the Textbook represents the first major reorganization since the first edition in 1988. You will notice many changes in structure and content, all aimed to enhance its readability and educational value.

There are two major changes. The first is that the number of chapters has been increased from 106 in the sixth edition to the current 142. This strategic change enabled us to create more focused shorter chapters, which we hope are easier to find and to read. We were able to bring new chapters  out  of  their  hiding  places  under  other  headings  (e.g.,  Influenza, Idiopathic Pulmonary Fibrosis, and Pneumothorax), to create new chapters on topics not directly covered before (e.g., Hypoxemia, Aspiration, and Air Travel), and to cover entirely new topics (e.g., Microbiome and COVID-19). The second major change was the creation of a new section particularly with our trainees in mind, “The Evaluation of Common Presentations in Respiratory Disease,” built on the classic triad of Dyspnea, Cough, and Chest Pain. Seven new chapters were added on topics ranging from Hypercarbia to Hemoptysis to Pulmonary Nodule, which we hope will be a valuable resource for our readers.  Other changes to the Textbook are noteworthy: in particular, the sections on Basic Science and on Sleep have been revamped, reflecting the major rethinking of those topics in the last decade.

These changes were spearheaded by our exceptional editorial board, with three new members. The makeup of our editors is now equally women and men, a remarkable change from the time in 2005 when I (V.C.B.) joined as the inaugural woman.  Our new editors have brought a fresh outlook and diverse areas of expertise that helped chart this new course. With these new editors have come a slew of new authors. Of our 317 authors, we welcome almost 180 new authors, either to take on new chapters or to take the place of authors who have rotated off. Overall, our authors come from 33 states of the United States and from 18 countries. Here, too, we have increased the participation of women; women now make up 32% of our authors, almost double that in the previous edition (17%).

The printed textbook is a gateway to rich resources online. While there are a whopping 900 figures in the printed text, they are joined by others to make a total of 1650 figures online, all available for download. The text is expanded by an additional 25% online. A total of 190 videos and audio clips are accessible online, popping up with just a click to the link in the text. All the references are online, and each one links to the actual publication. Most importantly, the online textbook will feature regular updates from our editors and authors, with the aim of realizing a “living textbook.”

We wish to thank our valuable and skilled colleagues at Elsevier, who made this herculean work possible. In particular, our thanks go to Jennifer Shreiner, who has remained dedicated to the Textbook over the last three editions and made this task a pleasure. In addition, Carrie Stetz had the attention to detail and the high standards necessary to produce a lovely book.  Thanks go also to Dolores Meloni and Robin Carter. We also wish to thank the authors and editors who contributed to the past editions.

The COVID-19 pandemic has loomed over us during this project.  Much of the book was written and edited during lockdowns and hospital surges, with many of our authors simultaneously juggling heavy frontline clinical and family responsibilities with chapter deadlines. In recognition of this momentous experience, we have added a chapter (46a) devoted to the topic—a chapter that has been updated up to the last moment and will continue to be updated frequently online—and placed an image of the novel coronavirus on our cover. The impact of the pandemic on our lives has made the successful outcome of this project all the more remarkable. A special thanks again to our authors and staff for their outstanding efforts during this particularly difficult time.

© 2022 Elsevier Inc. All rights reserved.

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Elsevier author, John F. Murray, UCSF Emeritus Professor of Medicine, died in Paris on March 24 at the age of 92. The cause of death was, sadly and ironically, respiratory failure due to acute respiratory distress syndrome (ARDS, a condition he helped define) – in this case caused by COVID-19.

Dr Murray had a huge impact on the field of pulmonary medicine locally, nationally, and internationally. He was dedicated to Zuckerberg San Francisco General Hospital (ZSFG), where he was Chief of Pulmonary for 23 years (1966-1989). He arrived as ZSFG (then called SFGH) when the hospital was being integrated into the UCSF training programs; he helped lead this integration. In addition, he served as Chief of the Medical Staff at ZSFG and developed the first professional fee billing system for the hospital.

Dr. Murray was highly regarded by trainees at all levels for his teaching of clinical respiratory physiology, generally focused on patients in the Medical Intensive Care Unit. Even after his retirement from the full-time faculty, he continued to attend in the MICU, teaching and inspiring future physicians with his intellectual rigor and his unwavering concern for the patient.

Dr. Murray was tall and distinguished – his bedside rounds were memorable for many reasons, not the least of which was his ever-present bowtie. In fact, when the nurses at ZSFG learned last week that Dr. Murray was gravely ill, many wore clip-on bowties in his honor. 

Dr. Murray’s research contributions – focused mainly on the understand and treatment of acute lung injury/ARDS, tuberculosis, and pulmonary complications of AIDS – were enormous. Through his research and leadership work, he left indelible marks on the clinical practice of pulmonary medicine, the process of selecting and training fellows in pulmonary disease, and on lung disease research. He played an instrumental role in building the American Thoracic Society (ATS) into the strong, internationally respected professional society it is today. His achievements in all of these areas owed to his clear thinking, clear writing and clear speaking, talents that he had in abundance.

The following is a brief synopsis of the professional achievements of which we think Dr. Murray would be most proud:

Creation of the National Heart, Lung and Blood Institute: Although the National Heart Institute was created in 1948, it was not until 20 years later, through an intensive lobbying campaign – led by UCSF’s Julius Comroe, John Murray, and Jay Nadel – that the lung institute was given equal stature with the heart institute. 

Assessing pulmonary manpower needs and building capacity: In the early 1970s, Dr. Murray led a national committee charged with assessing the pulmonary workforce. The group forecast a substantial deficit in pulmonary specialists, which prompted the scaling up of training programs and increased funding for both trainees and academic pulmonologists.

Selecting fellows in pulmonary medicine: To standardize the process of trainee selection, Dr. Murray catalyzed the creation of the Western Uniform Acceptance Date program, at first involving four training programs. The program ultimately grew into the Pulmonary Match, the first subspecialty matching program in the country.

Content of pulmonary training programs: Specialty training in the early 1970s was an ad hoc affair, with content choices largely open to program directors’ discretion. Dr. Murray led a group of clinical training program directors in developing and publishing the first guidelines for the organization and content of pulmonary training programs.

Medical journal leadership: Dr. Murray assumed the editorship of the American Review of Respiratory Disease in 1974. During his editorship, Dr. Murray chaired a committee that developed a set of unified requirements for manuscripts, still in use today.

Leadership in the American Thoracic Society: Dr. Murray spearheaded the formation of scientific assemblies to broaden the scientific base of the society and provide an avenue for younger members to assume leadership positions. As ATS president in 1981 to 1982, Dr. Murray helped secure increased autonomy and fiscal flexibility from the Society’s then-parent, the American Lung Association, a critical step in the ATS’s ultimate path to independence.

Pulmonary disease and AIDS: Soon after seeing the first cases of young men with pneumocystis pneumonia at San Francisco General Hospital in 1981, Dr. Murray realized that this new disease (later called AIDS) would be an immense problem, one that would frequently involve the lungs. Dr. Murray convened the first meeting on the pulmonary complications of AIDS. He later conducted a series of studies in Africa to delineate the spectrum of lung diseases in HIV infection.

Teaching through his writing: Although he ostensibly retired in 1994, Dr. Murray published 40 papers after retirement and continued to be actively involved in updating Murray & Nadel’s Textbook of Respiratory Medicine, soon to be in its 7^th edition. The book – the field’s bible – continues to reflect Dr. Murray’s clarity of thought and writing, and his commitment to the application of sound scientific principles to pulmonary medicine. To many, his most memorable contribution was The Normal Lung (1976), a concise and beautifully written treatise on pulmonary physiology that has inspired generations of pulmonologists.

John Murray played a key role in creating the field of pulmonary medicine, establishing its national society and guiding its journal, editing the leading textbook, designing its training programs, and promoting research. At ZSFG/UCSF, he established the medical intensive care unit and created a division that became, and continues to be, a national leader in clinical care, research, and teaching. It is difficult to overstate John Murray’s influence in the field of pulmonary medicine, and he will be missed.

Tribute written by Dr. Murray’s colleagues at Zuckerberg San Francisco General Hospital.

Review of Sleep Medicine, 4th Edition

By Alon Y. Avidan, MD, MPH

ISBN: 9780323462167

Pub Date: 01 Sep 2017

 

Reviewed by: Eduardo A De Sousa, MD, FAANq (University of Oklahoma College of Medicine)

 

Description

This is the fourth edition of a comprehensive book on all aspects of adult and pediatric sleep medicine that is at the same time detailed and practical. Tables and figures abound and they are well organized and easy to follow. This edition includes access to an online companion with an ebook app.

 

Purpose

The purpose is to provide a thorough and concise, updated overview of sleep medicine, with an algorithmic approach to sleep disorders. It also serves as a review with a section dedicated to questions and answers.

 

Audience

It is intended for a vast readership of health professionals in neurology, pulmonary medicine, psychiatry, pediatrics, and physiatry. The level of knowledge encompasses newcomers to the field of sleep medicine, more experienced practicing sleep consultants, and those preparing for their sleep board exam or recertification. Dr. Avidan, who is the lead author and editor, worked with over 80 other contributors to provide this complete reference.

 

Features

The book is organized into four sections: a 13-page introduction; normal sleep with chapters on physiology, genetics, and sleep evaluation tools; sleep disorders; and practice exams (23 chapters, each with multiple choice questions and commented answers in board exam format). References for additional suggested reading end each chapter.

 

Assessment

This is an outstanding sleep medicine review book. It serves as an in-depth introduction to sleep medicine and it includes an excellent “test your knowledge” group of chapters. This could become a new alternative to standard textbooks in sleep medicine.

 

Doody’s Review Service Weighted Numerical Score: 93 – 4 Stars!