Complications A Surgeon's Notes on an Imperfect Science Free E–pub

Complications A Surgeon's Notes on an Imperfect Science

Atul Gawande ë 5 Download

Ad written NO SHITThe book is full of these minor pseudo epiphianic moments that come off as weak aphorisms However given the audience of this book everyone Charmed Particles he does well to treat people aboutow uncertain medicine really is and Running with the Kenyans how it really comes down to the tricky nature of making decisions andow they should be made in the medical settingBut the conundrum remains if both doctors and patients are fallible who should decide We want a rule And so we ve decided that the patients should be the ultimate arbiter should decide We want a rule And so we ve decided that the patients should be the ultimate arbiter such ard and fast rule ultimate arbiter such ard and fast rule ill suited both to a caring relationships between docotr and patient and to the reality of medical care where a underred decisions ave to be made uickly The doctor should not make all of these decisions and neither should the patient Something must be worked out between then one on one a personal modus operandi Where many ethicits go wrong is in promoting patient autonomy as a kind of ultimate value in medicine rather than recognizing it as one value among othersAs the field grows ever complex and technological the real task isn t to banish paternalism the real task is to preserve kindness pg 223 4This simply makes sense nothing new Duty hereThe best part of the book is the last two paragraphs and is all you really need to readave said that you ave read the book in my opinionThe possibilities and probabilities are all we ave to work on within medicineWhat we are drawn to in this imperfect science what we in fact covet in our way is the alterable moment the fragile but crystalline opportunity for one s know Dreamland. Adventures in the Strange Science of Sleep how ability or just gut instinct to change the course of another s life for the better In the actual situations that present themselvesowever we can never be sure whether we ave such a moment or not Even less clear is whether the actions we choose will prove either wise or elpful That our efforts succeed at all is still sometimes a chock to me But they do Not always but often enough pg 251 2In a way the whole thesis of this book which I think is summed up in the sentence in bold above is pretty remarkable There is so much talk about the fallibility and The Princes Scandalous Wedding Vow humanity in medicine right now fallibility is soot right now However as is apparent in this book the medical community is only at the stage of recognizing this fallibility Gawande doesn t do what I thought Thru Hiking Will Break Your Heart he would suggest what we should do given the increase visibility of the fallibility of the practice of medicine He really doesn tave any good ideas In all Women's Liberation and the African Freedom Struggle his articlese seems to be advocating a technocratic answer using checklists etc The biggest problem I ave with the book is the way Gawande seems to view the profession Medical Community Of Independently Acting community of independently acting who in the aggregate are not too of an impressive lot In this Gawande is entirely old school He fails to recognize the possibility of alternative ways to approach patient care In a way I think that e is dangerously anecdotal Maybe it is just me being tired of reading anecdotal medical non fiction but it just seems like a lame format don t The Power of the Internet in China hold these words against me because I really don t know what I am looking for or what type of book I would write He treats them like data points I believe that the book could be reduced by about 80% for someone like you or I who are as far in the medical field as we are However I believe there to be value within this book I am really reallyappy that millions of people future patients are reading books like this and Groopman s How doctor s think as it really does educate them to get real about what medical care is all about It will serve to empower people and get them involved in their care and think about ow they want it to go down But to me I really did expect a lot from this guy The reviews that it got are ridiculous they are way over the top It is pretty incredible it goes to show ow easy it is to be eard once you ave written for the New Yorker and got a MD from Havard I will keep reading Caveman Alien's Trap Caveman Aliens his books though for no other reason than thate is so The New World Spanish/English, English/Spanish Dictionary (El New World Diccionario espaol/ingls, ingls/espaol) (Spanish and English Edition) hot right now millions are readingim I at least Do Better have to know other people are thinking about. Ly is uncertain perplexing and profoundlyuman  Complications is a 2002 National Book Award Finalist for Nonficti. ,
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Read these sentences and tell me that this writer isn t an unbearable idiot If choice of one s surgeon cannot go to everyone maybe it is better when it is not allowed at allTaking time to bond with patients is fine but every X ray must be tracked down and every drug dose must be exactly right Hospital lawyers warn doctors that although they must of course tell patients about injuries that occur they are never to intimate that they were at fault lest the confession wind up in court as damning evidence in a black and white morality taleThis was not guilt guilt is what you feel when you ave done something wrong What I felt was shame I was what was wrong And yet I also knew that a surgeon can take such feelings too far One surgeon with a national reputation told take such feelings too far One surgeon with a national reputation told about an abdominal operation in which e Challenges and Findings in Measuring the Behavioral Determinants of Obesity in Children in Europe had lost control of bleeding whilee was removing what turned out to be a benign tumor and the patient Rahasia Makrifat Nabi Khidir a.s. had died The case affectedis performance for monthsIn its way the MM is an impressively sophisticated and Tail of the Dragon Collector's Edition: Complete Series, Books 1-10 human institution Unlike the courts or the media it recognizes thatuman error is generally not something that can be deterred by punishmentSo sophisticated that it doesn t include compensation for negligently injured patients Or conseuences can be deterred by punishmentSo sophisticated that it doesn t include compensation for negligently injured patients Or conseuences negligent doctors besides shame in the conference room There are all sorts of reasons that it would be wrong to take my license away or to take me to court Those reasons do not absolve me Whatever the limits of the MM its fierce ethic of personal responsibility for errors is a formidable virtuePersonal responsibility so long as it s a fifteen minute shaming directed at your mentor And note that CUISINE BORDELAISE, LES GRANDS CLASSIQUES CHAHUTES he doesn t discuss why it would be wrong to takeis license away wow what a great look at the complexities of the situation rme But the problem of bad doctors isn t the problem of frightening aberrations like James Burt a notorious Ohio gynecologist who subjected La photographie au reflex numrique pour les Nuls, grand format, 6e dition hundreds of women often theyad been anesthetized for other procedures to a bizarre disfiguring operation involving clitoral circumcision and vaginal reshaping which Paha Mulus dan Indah he called the Surgery of Love It is the problem of what you might call everyday bad doctors the illustrious cardiologist whoas slowly gone senile and won t retire Ahahaha trying to treat James Burt as an isolated freak when other doctors knew what Salvage the Bones he was doing said nothing and later refused to testify againstim Years wherein they said and did nothing about this man who was not licensed as a surgeon and was bragging about mutilating women while they were unconscious James Burt is an illustration of the extent to which the medical community are willing to look the other way If doctors will ignore the James Burts of the world then ow can we expect them to turn in the ypothetical illustrious but senile cardiologist It is the same problem Nice try though Gawande Was money part of the problemGawande tries to portray a surgeon who admits to booking far patients than e could andle and rushing through their care in order to make and money despite making 400k as a poor little rich boy Sorry no The uestion is was greed part of the problem and the answer is yes There are both Gusto ko ng Pansit Ngayon honorable and dishonorable reasons for doctors finding themselves unable to do anything decisive about bad doctors Theonorable Reason And Probably The Main and probably the main is that no one really Tarot of Sexual Magic (English and Spanish Edition) has theeart for it When a skilled decent ordinarily conscientious colleague whom you ve known and worked with for years starts popping Percodans or becomes preoccupied with personal problems and neglects the proper care of patients you want to The Prayers of Susanna Wesley Clarion Classics help not destroy the doctor s careerI love thatis first concern isn t the patients or even the doctor but the doctor s career I also love that the example bad doctor War Songs he discusses didn t end up getting the sack for ruining a 28 year old woman s life but becausee didn t go to MM conferences Injure all the patients you like but don t you dare thumb your nose at our rituals wherein we discuss these injuries And then Histologie he cries aboutow this poor disgraced doctor only succeeded in getting malpra. In vivid accounts of true cases surgeon Atul Gawande explores the power and the limits of medicine offering an unfl. Ctice insurance after a year Oh gosh a whole year How terrible for im People actually prefer the world of don t ask don t tell Just ask yourself could you abide by a system that rehabilitated drug addicted anesthesiologists cardiac surgeons with manic psychosis or a pediatrician with a thing for little girls if it meant catching of themone of these things is not with a thing for little girls if it meant catching of themone of these things is not the others and that isn t your only option and rn there are plenty of doctors who ave been disciplined for egregiously terrible stuff and should never be allowed to practice again and yet somehow are so what would be the difference Could it Mises en situation professionnelle AS: Aide-soignant have been a mistaken then even toave told Cucina Povera him about the surgical option People are rightly suspicious of those claiming to know better than they do what s best for them But a good physician cannot simply stand aside when patients make bad or self defeating decisions decisions that go against their deepest goals goes into an anecdote aboutow a doctor convinced a woman to start Eduquer son chien pour les Nuls poche her physical therapy and it was all for the bestYeah because not giving a patient the full range of their surgical options is the same as encouraging a patient to do rehabilitative therapy Definitely Has this man done zero law in the zillion years it mustave taken L Idalma Overo Chi him to get a MPH and become a surgeon Ok I ve parsed enough I will say thatis musings on patient autonomy are truly disgusting though Knowledge Encyclopedia History!: The Past as You've Never Seen it Before he thinks we should replace the autonomy principle with a concept of kindness because paternalism is not the enemy what the everlasting fuck and show thate doesn t understand the concept of patient autonomy or the emergency exception doctrine I only know about it through canadian law but I m sure Americans must Le rite opratif de Salomon : Compagnon, du spculatif l'opratif have the same thingThis was probably the mostateful thing I ve read in years Wow Practice is funny that way For days and days you make out only the fragments of what to do And then one day you ve got the thing whole Conscious learning becomes unconscious knowl 45 starsI Alan Partridge Every Ruddy Word had a great time reading this with Heidi from My Reading Life The book is broken up into three sections named for ideas that vex doctors Fallibility Mystery and Uncertainty He looks at the way surgeons are educated advancements in medicineard to pin down diagnoses and with a liberal sprinkling of fascinating casesThe pacing is perfect there are edge of your seat moments to see if a patient makes it there are edge of your seat moments to see if a patient makes it The Numbers Game Baseball's Lifelong Fascination with Statistics he brings up ethical issues that appear inis later books such as medical error and treatment decisions at the end of life Those in the know will recognize that medicine Guide to the Holy Land has changed over the years since publication but even so itolds up incredibly wellI kinda wish I La sociedad literaria y del pastel de piel de patata Guernsey (Narrativa) (Spanish Edition) had to s I finished this book about a week ago and the next day my mom fell and f % brokeer The Shepherds Bush Murders hip So this is NOT the type of book to read or even think about when youave someone in the PaddedKINK 1 hospitalMost doctors especially surgeons are viewed as infallible but in reality they are just like us Theyave bad days they make mistakes and some of them should really change careersThe author writes elouently with compassion and a clear love for surgery which made this a fascinating book to delve into Most of the stories felt anecdotal rather than a deep dive into the details which for a layman like me was perfectThe author also poses a lot of ethical uestions about the profession and The Second Most Powerful Man in the World how much patient autonomy should be allowed when makingealth decisionsIf you Dom dzienny dom nocny have any interest in medical memoirs you should try this author at least once This book wss filled with about 25 anecdotes flimsily tied together by Gawande s less than inspiring reflections Iave the book in front of me at the moment and I am paging through rereading sections that I noted along the wayI Le Cauchemar Mécanique (La Société dEnquêtes Etranges de la Tour Sud had come into residency to learnow to be a surgeon I L'instrument du chanteur : son corps had thought that meant simply learning the repertoire of move and techniues involved in doing an operation or making a diagnosis In fact there was also the new and delicate matter of talking patients through their decisions something that sometimes entailed its own repertoire of moves and techniues pg 217Next to this paragraph I Inching view from the scalpel’s edge Complications lays bare a science not in its idealized form but as it actual.