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Better: A Surgeon's Notes on Performance (2007)

por Atul Gawande

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2,198697,196 (4.05)67
The struggle to perform well is universal: each of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. Author Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. Gawande's stories take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemma of lethal injections, examines the influence of money on modern medicine, and recounts the contentious history of hand washing. And he gives us an inside look at his own life as a practicing surgeon, offering a firsthand account of a field where mistakes are both unavoidable and unthinkable.--From publisher description.… (más)
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Mostrando 1-5 de 69 (siguiente | mostrar todos)
How can you not marvel at the human body? It's mysterious yet incredibly efficient, vulnerable but surprisingly resilient, rugged and delicate... it's a marvel and a mystery wrapped in an enigma. And yet Gawande and millions of others world-wide are tasked with keeping us all going for as long as possible, while (hopefully) allowing us to maintain a high quality of life.

In Better, Gawande takes us on a journey through the daily grind of medical professionals in situations as varied as dealing with blown-off limbs on the battlefield and delivering a baby in a parking lot. I've always admired those in the medical field, but after reading Better, I'm even more awed by what medical professionals do, often in adverse situations and with limited resources at hand.

I'm a big fan of Dr. Gawande. This is the second book I've read by him, and it won't be the last. I particularly appreciate his candidness in admitting his own shortcomings and reflecting on them. After holding a mirror up to himself, Gawande turns it on the medical world--and isn't afraid to reveal both its imperfections and its relentless pursuit of excellence.

What also struck me about this book is how universally applicable it is. Yes, it's about medicine, but the lessons delved into here are applicable to any profession. The themes of continuous improvement, ethical quandaries, and personal introspection are as relevant to an accountant or a lawyer as they are to a surgeon. "Better" is a perspective-changer. Whether you're in medicine, the arts, technology, or any other field, there's something in it for you. This is a book not just about being a better doctor, but about being a better human. ( )
  Elizabeth_Cooper | Dec 21, 2023 |
KInd of dry, but well meant book about how doctors and insurance companies could better serve the world of medicine and the sick. ( )
  kwskultety | Jul 4, 2023 |
Gawande gives us an inside look at his own life as a practicing surgeon, offering a searingly honest firsthand account of work in a field where mistakes are both unavoidable and unthinkable. At once unflinching and compassionate, Better is an exhilarating journey narrated by arguably the best nonfiction doctor-writer around (Salon).
  LibraryPAH | Jun 20, 2023 |
Solid set of essay reflections on what it means to perform well and how we can make the practice of medicine better.

I picked this up because I'd really enjoyed Gawande's essay on cystic fibrosis treatment over time and the persistence of our mistaken belief that "all doctors are equal" when actually there is a bell curve in performance. The rest of the book was not quite so insightful, but it was enjoyable and non-repetitious. I'm not coming away with many new insights on medicine, though -- just that medicine is another area where bureaucracy and standardization tighten the bell curve, reducing both the highs and lows. ( )
  pammab | Mar 26, 2023 |
Really good reader for the is audio book. Full, rich voice. ( )
  TeresaBlock | Feb 14, 2023 |
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The struggle to perform well is universal: each of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. Author Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. Gawande's stories take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemma of lethal injections, examines the influence of money on modern medicine, and recounts the contentious history of hand washing. And he gives us an inside look at his own life as a practicing surgeon, offering a firsthand account of a field where mistakes are both unavoidable and unthinkable.--From publisher description.

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