SKU: 60870210739

Beyond The Bounds: A History Of UPMC

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Beyond The Bounds: A History Of UPMCBeyond the Bounds, by Mary Brignano, presents the exciting, dynamic, and unlikely story of how the architects of UPMC, the University of Pittsburgh Medical Center, created a remarkably successful global health enterprise and, in so doing, transformed the economic landscape of Pittsburgh and western Pennsylvania. Spanning 35 years, Beyond the Bounds details the ways in which two improbable heroes and their colleagues defied tradition, convention, and

Beyond the Bounds, by Mary Brignano, presents the exciting, dynamic, and unlikely story of how the architects of UPMC, the University of Pittsburgh Medical Center, created a remarkably successful global health enterprise and, in so doing, transformed the economic landscape of Pittsburgh and western Pennsylvania. Spanning 35 years, Beyond the Bounds details the ways in which two improbable heroes and their colleagues defied tradition, convention, and the dominant hospital and health care provider paradigm to grow faster and more robustly than any other medical center or nonprofit health system in this country.

Brignano writes in the book's introduction, UPMC was created out of the University of Pittsburgh. The two have risen together in national and international prestige UPMCs founders followed one core principle: Research and clinical success are synergistic and interdependent. What is good for one is good for both. Those founders were Dr. Thomas Detre, a survivor of the Holocaust and the Communist takeover of his Hungarian homeland, and Jeffrey A. Romoff, the social anthropologist who came to the university with Detre in 1973 and who remains UPMCs president and CEO.

Beautifully photographed and clearly written, Beyond the Bounds tells the story of how these two visionary and passionate protagonists adventurers, futurists, and outsiders followed their own dreams in forging alliances and building partnerships in ways never previously attempted. Their ingenuity and entrepreneurship bring to mind the towering achievements of 19th century Pittsburgh industrialists Carnegie and Frick, which took place in the same city but in a very dissimilar time and a vastly different industry. Not only were Detre and Romoff, the co-authors of this modern-day, groundbreaking saga, unique, but so also was the environment in which they found themselves. Pittsburgh, the financial, cultural, and academic hub of the region, is the second-largest city in the state, with no other major urban area nearby. And it has, within its community, key philanthropic foundations committed to improving the quality of life for the people of the area. All of these factors played critical roles in UPMCs growth and success.

UPMC, now the largest employer in western Pennsylvania, is an $8 billion integrated global health enterprise that includes hospitals, cancer centers, retirement and long-term care facilities, surgical centers, specialized imaging facilities, inpatient and rehabilitation treatment centers, and more. UPMC has built one of the countrys fastest growing and most successful provider-based health insurance plans. It has developed a hospital in Italy for organ transplantation and will also manage biomedical research there; UPMC operates two cancer centers and a hospital in Ireland; it is improving emergency medical care and established the first Level 1 trauma center in Qatar; and it will manage hospitals and cancer centers in Cyprus and conduct family medicine consulting in Japan. And with its influence and prominence, UPMC is marshalling its resources to encourage and support the formation of new companies in Pittsburgh and to stimulate economic development in the region.

In addition to Beyond the Bounds, Mary Brignano has authored or co-authored more than 40 histories for prestigious foundations, cultural organizations, businesses, hospitals, and schools. She is a graduate of the University of Wisconsin and holds a masters degree from the University of Pittsburgh. In her book, the author quotes G. Nicholas Beckwith III, chairman of the board of directors of UPMC, who states, Our relative infancy hasn't allowed us to gain the exposure nationally that we deserve right now. That will come in time. The publication of this book will go a long way toward ensuring that his prediction will soon become a reality.

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SKU: 60870210739

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Jill
Omaha, US
★★★★★ 5
One of the best dog toys I’ve bought off Amazon in a long time
Color: Green
My dog Rosie is a heavy tower so it is difficult to find balls she doesn’t destroy quickly. I came across this item on Amazon and it is honestly one of the best pet toys I’ve ever bought on Amazon. After a long day of work sometimes I come home and Rosie has a lot of energy. I turn this ball on fast mode and she has so much fun. I do worry about how much shaking in her mouth. I don’t wanna give her a headache, lol but there’s also a slow mode that you can press for the ball to slowly move around, but it’s a really good toy and I’m happy. I purchased it if you have a heavy tower, I wouldn’t worry about them breaking it because we’ve had it for a couple weeks now and she’s doing great.
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Reviewed in the United States on March 15, 2026
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Jason S.
Grantham, US
★★★★★ 4
Not indestructible, but dogs love it
Color: Green
My dog LOVES this toy. Unfortunately, she loves it so much she destroys it. I have now purchased FOUR of these, but if left unattended for 5 minutes, my American terrier breaks this apart. She loves it so much though, I keep buying replacements. This is a wonderful enrichment toy, but you must keep an eye on your toothy friend.
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Reviewed in the United States on December 29, 2025
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Simm in Seattle
Louisville, US
★★★★★ 3
Engaging and Fun, But Lacks Durability for Strong-Gripped Dogs
Color: Green
The internal mechanism of this toy works very well, and the ball’s movement immediately caught the attention of my Boxer pup. He was absolutely fascinated and spent hours each day playing with it. However, while the toy’s design is engaging, the durability of the exterior leaves much to be desired—especially for dogs who tend to pick things up with a firm grip. We didn’t know what to expect since our pup hadn’t previously played with an interactive ball, so we supervised playtime and made sure to store the ball in a safe spot when we couldn’t keep an eye on him. Despite this, the ball didn’t hold up. Our pup wasn’t intentionally chewing it. He simply carried the ball in his mouth when we moved downstairs or to another room, yet the grip while he carried the ball caused significant damage to the exterior. Within about a week of regular use (approximately 40 hours in total), the ball’s outer layer became deeply gouged by his teeth. To clarify, my pup wasn’t biting down hard or trying to destroy it, but his natural grip while carrying the ball left deep grooves in the surface. In just days, these gouges made the exterior sharp to the touch and compromised the structure. By the end of the week, we couldn’t screw the cover back together after removing it to recharge the ball, which made it unusable. And I was dismayed that there aren’t replacements readily available. Overall, my pup absolutely loved this toy — it was engaging and kept him entertained for hours. However, if your dog has a strong grip or frequently carries toys in their mouth, this may not hold up as well as expected. It’s a great concept but needs a more durable outer layer and replacement hard covers to make it a long-term investment.
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Reviewed in the United States on January 3, 2025
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Larry Z.
Massapequa, US
★★★★★ 5
My dog loves this ball
Color: Green
The battery on this lasts forever. The random on/off motion and when it gets touched inducing motion just keeps my dog guessing and occupied for a long time. My dog's tail is wagging the whole time.
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Reviewed in the United States on May 5, 2026
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DM
Lake Worth, US
★★★★★ 5
Great ball
I have bought two of these in different colors. My Yorkie loves them. They’re very interactive even if you don’t put the cover on it they move and if he’s not playing with it, it tends to go into sleep mode.My Yorkie got the cover off the ball within the first two minutes. But he loves the ball. Now bought 2nd ball. The ones with covers don’t work he rips the covers off.
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Reviewed in the United States on October 15, 2025

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