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No Apparent Distress: A Doctor's Coming-of-Age on the Front Lines of American Medicine Metalwork - Other The Miracle of Flexibility offersISBN 13: 9780393249248 Publisher: Norton, W. W. & Company, Inc. Publication date: 05 09 2017 Pages: 272 Sales rank: 545,504 Product dimensions: 6. 20(w) x 9. 30(h) x 1. 20(d) A brutally frank memoir about doctors and patients in a health care system that puts the poor at risk. In medical charts, the term N. A. D. (No Apparent Distress) is used for patients who appear stable. The phrase also aptly describes Americas medical system when it comes to