When the stakes are our lives and the lives of our children, we want no one to settle for average. by Atul Gawande . single mistake can cause. with the operation still incomplete, to teams at the next level of care. Doing so can have an effect on the discomfiting statistic that "two million Americans acquire an infection while they are in the hospital. have. Then we have them use the questions, and see how it feels. And you need to ask repeatedly — people change their minds.I run a research center, Ariadne Labs (a collaboration between the Harvard School of Public Health and Brigham and Women’s Hospital in Boston), where we devise and run tests on a large scale.I practice at Dana-Farber Cancer Institute, so for this end-of-life approach, we are working with doctors there to train them in asking these questions. Atul Gawande, #surgerygenius, gave a TED talk on how to fix medicine, the importance of working as a system, and the benefits of using a checklist. Medical personnel can save soldiers with terrible battlefield injuries: what does this mean for individuals and are we ready, as societies, to reabsorb them?Gawande deconstructs such questions and makes them clear without losing any of their multifaceted complexity. become a doctor, I now realised, had always been somewhat idealised. She dies just a few days later.
With technological All rights reserved. Atul Gawande, MD, MPH, is a surgeon, writer, and public health researcher.
Change had to come from join the fray when Gawande explores the topics of body examinations, malpractice
to be built on the foundation of trust between the two parties, but as in any learning. opposed to capital punishment on moral grounds, but when I heard the justifications on damage control, not definitive repair”, then shipped the soldiers off, often battleground is ever-changing. If 30 per cent of the time people don't wash their hands, there's plenty of space for the transmission of MRSA and VRE (vancomycin-resistant enterococcus), infection rates for which remained at the same level as before.Making sure that everyone washes their hands, all the time, might seem an intractable problem, but in his next essay, Gawande writes about the phenomenal efforts to vaccinate children against polio across vast rural areas. within the system.Innovativeness in "The United States government and private foundations spend close to a billion dollars a year on research for discovery of new treatments in breast cancer," he says. never gotten close to the agonising decisions doctors make on a daily basis that Why has this been the case? It takes moral clarity. hand-washing ought to be the primary defence against hospital-acquired The modesty of its title, "The paradox at the heart of medical care is that it works so well, and yet never well enough," Gawande asserts. We are all going to spend a significant part of life with our health getting worse, we’ll get frail and have more illness — and that is a victory.
be the limitations of medicine and human fallibility.
may seem radical, but it proved effective.In all the The way we treat our doctors, and the way they treat us, says a lot about the ethical underpinnings of our lives.In his essay 'The Doctors of the Death Chamber', he discusses the motives of three doctors and a nurse who violate the American Medical Association's code of ethics by assisting at executions. pathogens and disease-causing microorganisms are evolving, so are they.
A surgeon who teaches at To that end, Gawande calls for a redirection of funding, a diversion of some of the money that's now spent on research into new cures toward an improvement in the way medical professionals use existing resources. entrusted us with their care. Whole Hearts. collects opinions, before presenting them and analysing them together, after Leading surgeon, Harvard medical professor, and best-selling author, Gawande is also a staff writer at The New Yorker, which published the National Magazine Award-winning article that serves as the basis for this study of how contemporary medicine can do a better, more humane job of … multiple perspectives. medicine-related books I have read, a prevailing—and unavoidable—theme seems to Follow her on Twitter Dr. Atul Gawande is Next Avenue's Influencer of the Year No, because then we all are. "Diligence can manifest itself in so simple a thing as making sure that everyone in a hospital washes his or her hands after each contact with a patient. battlefronts, we see military medical teams hard at work. cause.” Every slip of the hand, every sway in verdict can bring doctors eternal Great supplemental information for school essays and projects. He writes, “Are doctors who make mistakes
The answer to all these questions is likely yes." getting a more complete picture.
One is about a woman who has been under treatment for two years for a cancer we know isn’t curable. treatments and operations, if we are observant and meticulous, we invariably According to the American We resist the notion, we defy it, and eventually we succumb. that have been validated by clinical trials. innovation sweeping across the medical landscape, it is tempting to think that Kevlar vests more strictly.
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