4.3/5 from 9394 votes. : Complications by Atul Gawande: 1 4: Nov 12, 2014 01:08PM Lorenzo's Oil: 2 54: Apr 18, 2013 11:56AM Dolores Catania: David, Coquitlam Transfer Station Recycling, There has always been such mystique about the practice of medicine, even for those who practice it, that it's inevitable that few people know let alone understand of the doubts and responsibilities associated with this profession. It is almost as if the more this surgeon becomes practiced and comfortable with the astonishing intimacies of surgical technique, with all possible invasions and manipulations of the human body, the more intrigued he becomes by the intricacies of the mind and the spirit and their power over the body and its progress, in sickness and in health. He also describes treatment of such challenging conditions as morbid obesity, chronic pain and necrotizing fasciitis the often-fatal condition caused by dreaded "flesh-eating bacteria" and probes the agonizing process by which physicians balance knowledge and intuition to make seemingly impossible decisions. Jquery Effects, Find all the books, read about the author, and more. The main characters of this non fiction, health story are , . I have learnt so much from reading this. It's just not possible. And so the discussion extends from his own experience in learning how to put in a central line to the question of why and how repetition -- practice and more practice -- brings expertise and smoothness, and then beyond to the moral dilemma of teaching medicine to new learners: "This is the uncomfortable truth about teaching. After this introductory section about his own initiation into surgical technique, Gawande brings home the idea that everyone in medicine always needs to face questions of judgment, competence, and decision making. A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine.Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. Waheedah Wilson, In fact, Gawande discovered the power of the checklist in his research into aviation, and he extends his inquiry to architecture, finance, and legal cases. He spent years of his medical career advocating for better patient care, making himself a target as a whistleblower. A relentless, pulse-pounding, mystery thriller that grabs you by the throat and doesn't let go until the very last page. Redemption links and eBooks cannot be resold. Copyright 2002 Cahners Business Information, Inc. But after all the discussion of how changing complex systems can reduce human error, Gawande, in telling the story of his own inability to obtain an airway in a trauma patient, is left with the truth that medicine remains a human endeavor, with responsibility and even blame to be assigned accordingly: "Good doctoring is all about making the most of the hand you're dealt, and I failed to do so. I wondered how the surgeon knew that all the steps would go as planned, that bleeding would be controlled and organs would not be injured. A beautifully written essay on autopsies includes an unforgettable image of a surgeon watching the much less gentle and elegant cutting done on the body after death: "Surgeons get used to the opening of bodies. Your recently viewed items and featured recommendations, Select the department you want to search in, Complications: A Surgeon's Notes on an Imperfect Science. Verbos Irregulares En Inglés, Camilla And Jamie, Rapid Knowledge Acquisition & Synthesis: How to Quickly Learn, Comprehend, Apply, a... To calculate the overall star rating and percentage breakdown by star, we don’t use a simple average. Uzbekistan Visa Policy, русские новости ввс, Predicting the future is never easy but many of the technologies are here now - but how we will use them to make the system more patient friendly, more productive and sustainable is still for discussion. When does inconsistency in how patients with the same problem are treated reflect problems in the system or bad doctoring, and when does it reflect tiny but real differences in human presentation or in instinct and choice on the part of well-trained experts and a willingness to live with the necessary degrees of fallibility, mystery, and uncertainty? This volume was originally published in 2002, when the author was a junior doctor undergoing surgical training in an America hospital.