PDF Download Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande
This is it guide Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande to be best seller recently. We offer you the best deal by obtaining the amazing book Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande in this site. This Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande will not just be the type of book that is difficult to locate. In this web site, all sorts of books are provided. You could look title by title, writer by author, and also author by publisher to discover the most effective book Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande that you could check out currently.
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande
PDF Download Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande
Reserve Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande is one of the valuable worth that will certainly make you consistently abundant. It will not suggest as rich as the money give you. When some individuals have absence to face the life, people with several books occasionally will be smarter in doing the life. Why need to be publication Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande It is really not meant that e-book Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande will give you power to reach everything. The publication is to check out as well as what we implied is guide that is read. You could likewise view how guide entitles Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande as well as varieties of book collections are providing right here.
As recognized, lots of people claim that publications are the home windows for the globe. It does not mean that acquiring book Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande will certainly indicate that you could purchase this globe. Just for joke! Reviewing an e-book Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande will certainly opened somebody to assume better, to keep smile, to entertain themselves, as well as to motivate the understanding. Every e-book also has their particular to influence the viewers. Have you understood why you read this Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande for?
Well, still confused of the best ways to obtain this publication Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande below without going outside? Simply attach your computer system or kitchen appliance to the net as well as begin downloading and install Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande Where? This page will show you the web link page to download Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande You never stress, your preferred publication will be faster your own now. It will certainly be a lot easier to appreciate checking out Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande by on the internet or obtaining the soft file on your device. It will certainly no concern that you are and just what you are. This e-book Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande is created for public as well as you are one of them that could enjoy reading of this publication Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande
Investing the spare time by reviewing Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande could provide such excellent encounter even you are only sitting on your chair in the office or in your bed. It will certainly not curse your time. This Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande will certainly lead you to have more valuable time while taking rest. It is extremely delightful when at the noon, with a mug of coffee or tea and also an e-book Complications: A Surgeon's Notes On An Imperfect Science, By Atul Gawande in your gizmo or computer display. By taking pleasure in the sights around, here you can start reviewing.
In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel's edge. Complications lays bare a science not in its idealized form but as it actually is―uncertain, perplexing, and profoundly human.
Complications is a 2002 National Book Award Finalist for Nonfiction.
- Sales Rank: #6912 in Books
- Brand: Picador
- Published on: 2003-04-01
- Released on: 2003-04-01
- Original language: English
- Number of items: 1
- Dimensions: 8.19" h x .83" w x 5.47" l, .61 pounds
- Binding: Paperback
- 269 pages
Features
Amazon.com Review
Gently dismantling the myth of medical infallibility, Dr. Atul Gawande's Complications: A Surgeon's Notes on an Imperfect Science is essential reading for anyone involved in medicine--on either end of the stethoscope. Medical professionals make mistakes, learn on the job, and improvise much of their technique and self-confidence. Gawande's tales are humane and passionate reminders that doctors are people, too. His prose is thoughtful and deeply engaging, shifting from sometimes painful stories of suffering patients (including his own child) to intriguing suggestions for improving medicine with the same care he expresses in the surgical theater. Some of his ideas will make health care providers nervous or even angry, but his disarming style, confessional tone, and thoughtful arguments should win over most readers. Complications is a book with heart and an excellent bedside manner, celebrating rather than berating doctors for being merely human. --Rob Lightner
From Publishers Weekly
Medicine reveals itself as a fascinatingly complex and "fundamentally human endeavor" in this distinguished debut essay collection by a surgical resident and staff writer for the New Yorker. Gawande, a former Rhodes scholar and Harvard Medical School graduate, illuminates "the moments in which medicine actually happens," and describes his profession as an "enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line." Gawande's background in philosophy and ethics is evident throughout these pieces, which range from edgy accounts of medical traumas to sobering analyses of doctors' anxieties and burnout. With humor, sensitivity and critical intelligence, he explores the pros and cons of new technologies, including a controversial factory model for routine surgeries that delivers superior success rates while dramatically cutting costs. 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. What draws practitioners to this challenging profession, he concludes, is the promise of "the alterable moment the fragile but crystalline opportunity for one's know-how, ability or just gut instinct to change the course of another's life for the better." These exquisitely crafted essays, in which medical subjects segue into explorations of much larger themes, place Gawande among the best in the field. National author tour.
Copyright 2002 Cahners Business Information, Inc.
From The New England Journal of Medicine
Atul Gawande's voice has become familiar through the articles he has published in the New Yorker over the past several years. With these and other pieces collected in Complications: A Surgeon's Notes on an Imperfect Science, his varied interests and anecdotes cohere into a fascinating meditation on medicine as a human endeavor -- a meditation not only on the state of medicine today, with its controversies, jumps in knowledge and practice, and very real limitations, but also in some ways on the intrinsic complexities and paradoxes of the profession. Gawande writes about the whole enterprise of learning surgery -- and by extension, of learning any kind of medicine -- by practicing, in both senses, on human beings. 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. By traditional ethics and public insistence (not to mention court rulings), a patient's right to the best care possible must trump the objective of training novices. We want perfection without practice. Yet everyone is harmed if no one is trained for the future. So learning is hidden, behind drapes and anesthesia and the elisions of language." 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. He looks at whether computers can read electrocardiograms more reliably than cardiologists and whether a team of nonsurgeons who perform only hernia operations, day in and day out, will do better by their patients than highly trained general surgeons. And then, inevitably, he takes on the issue of medical mistakes, both the error in judgment or technique by the otherwise reliable doctor and what happens to a doctor who makes mistake after mistake. He argues not only that uncertainty and some possibility of error come with the territory but also that many mistakes can be caught and prevented by applying lessons learned from other professions and other ways of thinking. 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. . . . Whatever the limits of the M&M [morbidity and mortality conference], its fierce ethic of personal responsibility for errors is a formidable virtue. No matter what measures are taken, doctors will sometimes falter, and it isn't reasonable to ask that we achieve perfection. What is reasonable is to ask that we never cease to aim for it." In his discussion of mysterious syndromes, of severe blushing, chronic pain, obesity, and nausea, Gawande confronts issues both at the limits of medical understanding and also, not coincidentally, at the intersection of mind and body. The sufferers he describes -- a woman who wants to be a TV anchorwoman but endures debilitating blushes, an architect with years of chronic back pain, a construction contractor who weighs 194 kg (428 lb) -- speak vividly through his clear and sympathetic writing, showing and telling how their lives have been damaged and circumscribed and even defined by these medical conditions. And yet there is always the nagging question of whether they are somehow "complicit" in their own destruction, whether the blushing problem is some compound of self-consciousness and vanity, whether the pain is "all in his head," whether the weight represents moral weakness. And in following some of these people through surgery -- an endoscopic thoracic sympathectomy to cure the blushing, a Roux-en-Y gastric bypass for the weight -- Gawande leads us to a fascinating surgical perspective. 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. 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. . . . Nevertheless, I couldn't help wincing as she did her work: she was holding the scalpel like a pen, which forced her to cut slowly and jaggedly with the tip of the blade. Surgeons are taught to stand straight and parallel to their incision, hold the knife between the thumb and four fingers, like a violin bow, and draw the belly of the blade through the skin in a single, smooth slice to the exact depth desired. The assistant was practically sawing her way through my patient." The point of the essay is the necessity of autopsy and the high likelihood of discovering a different cause of death than had been assumed -- a misdiagnosis or complicating condition -- and by extension, the continuing presence of uncertainty even when decisions must be made and action taken and even though human beings cannot be completely understood by algorithm and experience. In the closing essay, Gawande confronts intuition -- what it is, how it works, and how it plays out in medical practice -- by taking us through the remarkable story of his "great improbable save," a 23-year-old woman who came in with what looked like a cellulitis of her leg and who turned out to have necrotizing fasciitis -- a diagnosis Gawande raised early in the course of her illness partly because he happened to have seen another case of it recently. When you are through with your initiation, when the systems work to support your practice, how do you finally make your decisions? 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? Given the nature of the questions, of course, and the nature of the problems, there can be no resolution and no answers, but this book is a wonderful tribute to the complexity itself and to the intellectual, personal, and professional consequences of taking it on. Perri Klass, M.D.
Copyright � 2002 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
Most helpful customer reviews
1 of 1 people found the following review helpful.
Tells it like it is
By Ellen Schaefer
Doctor's are human. They make mistakes. It's hard when it happens to you. Lawsuits are ruining medicine. They are actually very few poorly trained doctors out there. Gawande does a great job in telling it like it is as far as doctors making mistakes. I think more doctors would be honest about their mistakes if they weren't so afraid of being sued. Most people just want to know that the doctor did his or her best. Young doctors need to be trained, and they must train on real people for most procedures. That's how they get better. I love Gawande's writing style, and have several of his books.
1 of 1 people found the following review helpful.
Great gift for an upcoming military leader
By JF
Purchased as a gift to one of my ROTC Cadets to begin their professional library. As part of a class assignment I asked each cadet what book would they no-kidding read, military or not, related to their academic major or not. After I compiled the list of books for the class I went online and ordered all the books from Amazon. I placed them at their seats prior to class and allowed them to enter the room w/o me being present for the first five minutes. It was, and still is, one of the good teaching moments of our time together. Thanks for helping me fulfill a need in their soon-to-be military career.
0 of 0 people found the following review helpful.
A great read! Unable to be put down until completed!
By Chris R.
As a former Navy Corpsman (Medic) attached to the USMC infantry, I have always had an interest in medicine, and science in general, and this book was a great insight into the medical and surgery field.
As a young Corpsman with the Marines, I was thrust into medicine, and learned very quickly what did and did not work. "Watch one, do one, teach one" is how we were instructed to learn medical practices. From diagnosing (even though we couldn't "diagnose" as Line Corpsmen...we still did essentially) cellulitis, learning to place sutures, to removing infected toenails, I made mistakes, but generally our medical skills quickly flourished, and we were able to practice outstanding medicine for the grunts.
Atul writes about this, and the decisions he had to make, which affect him to this day. As a surgeon and author, he actually cares about his patients, which is a great thing to have as a medical professional. While he doesn't touch on this very much in his book, his caring about the patients and following up is the mark of a true caregiver. For it is those doctors, medics, corpsmen, nurses, and other medical professionals that actually care and are empathic with their patients, yet know how to distance themselves when needed, that operate the best and can change medicine for the better.
A truly great read, I would recommend this book to anyone interested in the healthcare system, surgery, medicine, and anyone who has ever worked in the medical field!
See all 593 customer reviews...
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande PDF
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande EPub
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande Doc
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande iBooks
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande rtf
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande Mobipocket
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande Kindle
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande PDF
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande PDF
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande PDF
Complications: A Surgeon's Notes on an Imperfect Science, by Atul Gawande PDF
