Penguin Publishing Group
Extreme Measures
Extreme Measures
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ABOUT
In medical school, no one teaches you how to let a patient die.
Jessica Zitter became a doctor because she wanted to be a hero. She elected to specialize in critical care—to become an ICU physician—and imagined herself swooping in to rescue patients from the brink of death. But then during her first code she found herself cracking the ribs of a patient so old and frail it was unimaginable he would ever come back to life. She began to question her choice.
Extreme Measures charts Zitter’s journey from wanting to be one kind of hero to becoming another—a doctor who prioritizes the patient’s values and preferences in an environment where the default choice is the extreme use of technology. In our current medical culture, the old and the ill are put on what she terms the End-of-Life Conveyor belt. They are intubated, catheterized, and even shelved away in care facilities to suffer their final days alone, confused, and often in pain. In her work Zitter has learned what patients fear more than death itself: the prospect of dying badly. She builds bridges between patients and caregivers, formulates plans to allay patients’ pain and anxiety, and enlists the support of loved ones so that life can end well, even beautifully.
Filled with rich patient stories that make a compelling medical narrative, Extreme Measures enlarges the national conversation as it thoughtfully and compassionately examines an experience that defines being human.
STANDARD, PRIMARY, DM AND VARIANT COVERS
Standard and Primary covers are widely available through general retailers. They often have higher print runs and can be cheaper, especially during sales.
In contrast, Direct Market (DM) and variant covers are primarily sold in comic shops. DM editions tend to have more limited availability and may be more valuable to collectors.
The main differences lie in artwork style, availability, price, and collector appeal. Ultimately, the choice between standard and variant covers depends on personal preference, budget, and individual collecting goals.
PRODUCT TYPES
Comic book enthusiasts have various formats to choose from when collecting their favorite stories.
Here's a brief overview of the main types:
Omnibus
- Large, hardcover collections
- Usually contain complete runs or extensive story arcs
- Typically 800-1000+ pages
- Higher price point, often €100-€150
Oversized Hardcover (OHC)
- Similar dimensions to omnibus, but thinner
- Collect shorter runs or story arcs
- Usually 300-600 pages
- Priced between €30-€50
Hardcover (HC)
- Standard-sized hardcover books
- Collect 6-12 issues typically
- Similar dimensions to single issues, but with a hard cover
- Priced around €25-€35
Trade Paperback (TP)
- Softcover collections
- Standard comic book size
- Usually collect 4-6 issues
- Most affordable option, typically €15-€25
Other Formats
- Absolute Editions: Oversized, deluxe hardcovers (mainly DC Comics)
- Compendiums: Massive paperback collections
- Graphic Novels (OGN/GN): Original stories not previously released as single issues
The choice between these formats often depends on personal preference, budget, and collecting goals. Omnibus and OHC editions offer larger artwork and more content but at a higher price, while TPs provide a more affordable way to collect complete story arcs