Download PDF by Atul Gawande: Better: A Surgeon's Notes on Performance

By Atul Gawande

ISBN-10: 0805082115

ISBN-13: 9780805082111

The hot York instances bestselling writer of issues examines, in riveting money owed of scientific failure and triumph, how good fortune is accomplished in a posh and risk-filled profession The fight to accomplish good is common: every one folks faces fatigue, constrained assets, and imperfect talents in no matter what we do. yet nowhere is that this force to do greater extra vital than in drugs, the place lives are at the line with each selection. In his new e-book, Atul Gawande explores how medical professionals try to shut the distance among most sensible intentions and most sensible functionality within the face of hindrances that usually look insurmountable.Gawande's gripping tales of diligence, ingenuity, and what it ability to do correct through humans take us to battlefield surgical tents in Iraq, to exertions and supply rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms round the kingdom. He discusses the moral dilemmas of medical professionals' participation in deadly injections, examines the impact of cash on sleek drugs, and recounts the astoundingly contentious historical past of hand washing. And as in all his writing, Gawande provides us an inside of examine his personal existence as a working towards healthcare professional, delivering a searingly sincere firsthand account of labor in a box the place blunders are either unavoidable and unthinkable.At as soon as unflinching and compassionate, larger is an exciting trip narrated by means of "arguably the simplest nonfiction doctor-writer round" (Salon). Gawande's research into doctors and the way they growth from in simple terms sturdy to nice presents infrequent perception into the weather of good fortune, illuminating each region of human exercise.

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Sample text

I tried to make my case for Magboo. She had a breast cancer. It needed to be taken out. This had to happen sooner rather than later. The radioactive tracer, injected more than eight hours ago, was dissipating by the hour. Postponing her operation would mean she would have to undergo a second injection of a radioactive tracer--a doubling of her radiation exposure--just because an OR could not be found for her. That would be unconscionable, I said. No one, however, would make any promises. THIS IS A book about performance in medicine.

A patient had a lung cancer that needed to be removed. Another patient had a mass in his neck that needed to be biopsied. "My case is quick," one surgeon argued. "My patient cannot wait," said another. Operating rooms were offered for the next day and none of us wanted to take one. We each had other patients already scheduled who would themselves have to be canceled to make room. And what was to keep this mess from happening all over again tomorrow, anyway? I tried to make my case for Magboo. She had a breast cancer.

New cultures ten days after admission, however, came back positive for both MRSA and VRE. A few days after that, he developed fevers up to 102 degrees. His blood pressure began dropping. His heart rate climbed. He was septic. His central line--his lifeline for nutrition--had become infected, and we had to take it out. Until that moment, when I stood there looking at the sign on his door, it had not occurred to me that I might have given him that infection. But the truth is I may have. One of us certainly did.

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Better: A Surgeon's Notes on Performance by Atul Gawande

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