Sunday Tribune. 'Riveting'. Irish Examiner. Atul Gawande. is one of the world's most distinguished. doctors. A MacArthur Fellow, he is a general surgeon at . PDF | 5+ minutes read | On Jun 1, , Ara Darzi and others published Better: A surgeon's notes on performance. Atul Gawande, best-selling author of Com-. PDF | A dear colleague gave me the book 'Better, a surgeon's notes on performance' by Atul Gawande as a present. He seemed surprised that.

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Better: A Surgeon's Notes on Performance. Better is Dr Atul Gawande's second book of medical vignettes, written in his characteristic limpid prose. It is. The New York Times bestselling author of Better and Complications presents a case for the surprising power of the ordinary checklist. We live in a world of great . A dear colleague gave me the book 'Better, a surgeon's notes on performance' by Atul Gawande as a present. He seemed surprised that I had not read any.

We grabbed retractors and pulled him open. And what we found inside was. No blood. No hole in the bladder.

No hole in the rectum. No bullet. We peeked under the drapes at the urine coming out of the catheter. It was normal now, clear yellow. It didn't have even a tinge of blood anymore. We had an X-ray machine brought into the room and got X rays of his pelvis, his abdomen, and also his chest.

They showed no bullet anywhere. All of this was odd, to say the least. After almost an hour more of fruitless searching, however, there seemed nothing to do for him but sew him up. A couple days later we got yet another abdominal X ray. This one revealed a bullet lodged inside the right upper quadrant of his abdomen. We had no explanation for any of this how a half-inch-long lead bullet had gotten from his buttock to his upper belly without injuring anything, why it hadn't appeared on the previous X rays, or where the blood we had seen had come from.

Having already done more harm than the bullet had, however, we finally left it and the young man alone. We kept him in the hospital for a week.

Except for our gash, he turned out fine. Medicine is, I have found, a strange and in many ways disturbing business.

The stakes are high, the liberties taken tremendous. We drug people, put needles and tubes into them, manipulate their chemistry, biology, and physics, lay them unconscious and open their bodies up to the world.

Better, a surgeon’s notes on performance

We do so out of an abiding confidence in our know-how as a profession. What you find when you get in close, howeverclose enough to see the furrowed brows, the doubts and missteps, the failures as well as the successes is how messy, uncertain, and also surprising medicine turns out to be. The thing that still startles me is how fundamentally human an endeavor it is. Usually, when we think about medicine and its remarkable abilities, what comes to mind is the science and all it has given us to fight sickness and misery: the tests, the machines, the drugs, the procedures.

But we rarely see how it all actually works. You have a cough that won't go awayand then? It's not science you call upon but a doctor. A doctor with good days and bad days. A doctor with a weird laugh and a bad haircut.

A doctor with three other patients to see and, inevitably, gaps in what he knows and skills he's still trying to learn. Recently, a boy was flown in by helicopter to one of the hospitals where I work as a resident. Lee Tran, as we can call him, was a small, spiky-haired kid barely out of elementary school.


He had always been healthy. But for the previous week, his mother had noticed he had a dry, persistent cough and seemed less energetic than usual. For the last couple days he'd hardly eaten. She thought it was probably a flu. That evening, however, he came to her pale, tremulous, and wheezing, suddenly unable to catch his breath.

At a local emergency room, the doctors gave him vaporized breathing treatments, thinking he was having an asthma attack. But then an X ray revealed an immense mass filling the middle of his chest.

They got a CT scan for a more detailed picture. In stark black and white, it showed the mass to be a dense, almost football-size tumor enveloping the vessels to his heart, pushing the heart itself to one side, and compressing the airway to both lungs.

The tumor had already completely crushed the passage to his right lung, and without air coming through, the lung had collapsed to a gray nubbin on the scan. A sea of fluid from the tumor occupied his right chest instead. Jerome Groopman.

How Doctors Think. New York: Houghton Mifflin, Not so long ago, most of the writing associated with doctors was limited to illegible scribbles on prescription pads.

Physician-writers were a rare and precious breed. But in the last decade or so, physician-writers seem to be cropping up everywhere one looks—particularly if where one looks is the New York Times best-seller list.

The need for physicians to communicate is, of course, critical to their day-to-day care of patients. Histories inscribed in patient charts and even indecipherable prescriptions are predecessors to the wide variety of physician essays, memoirs, and nonfiction published today.

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Better.pdf - Book Review Better 2 Better is written by Atul...

Atul Gawande Publisher: Profile Books, English View all editions and formats Summary: The struggle to perform well is universal, but nowhere is this drive to do better more important than in medicine.

In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.

His vivid stories take us to battlefield surgical tents in Iraq, to a polio outbreak in India and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine and recounts the astounding.

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Find a copy in the library Finding libraries that hold this item Print version: Gawande, Atul. A Surgeon's Notes on Performance. Document, Internet resource Document Type: Atul Gawande Find more information about: Atul Gawande. Explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.

This book discusses the ethical dilemmas of doctors' participation in lethal injections and examines the influence of money on modern medicine. Reviews Editorial reviews. Publisher Synopsis I found I had been gripping the book so hard that my fingers hurt User-contributed reviews Add a review and share your thoughts with other readers. Be the first. Add a review and share your thoughts with other readers. Similar Items Related Subjects: Internal medicine -- Case studies.It seems impossible.

The second time, he found her blood pressure had dropped and the nurses had switched her oxygen to a face mask, and he transferred her to the intensive care unit.

I gave her my phone number, hoping that she would call me and let me know how she was doing. The chaperone, however, must be a medical professional.

Giving him sedatives or anesthesia could do the same. A Manhattan friend in her thirties told me about seeing a dermatologist because of a mole she was worried about. It helps very few people.

REGENIA from Fort Lauderdale
See my other posts. I enjoy homebrewing. I do enjoy reading comics mostly .