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<book id="1580804">
  <title><![CDATA[Better: A Surgeon's Notes on Performance]]></title>
  <isbn><![CDATA[0312427654]]></isbn>
  <isbn13><![CDATA[9780312427658]]></isbn13>
  <work>
  <best-book-id type="integer">213233</best-book-id>
  <books-count type="integer">7</books-count>
  <default-description>The struggle to perform well is universal: each one 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. In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. Gawandes gripping stories of diligence, ingenuity, and what it means to do right by people 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 dilemmas of doctors participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing. And as in all his writing, 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). Gawandes investigation into medical professionals and how they progress from merely good to great provides rare insight into the elements of success, illuminating every area of human endeavor.</default-description>
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  <original-publication-day type="integer">3</original-publication-day>
  <original-publication-month type="integer">4</original-publication-month>
  <original-publication-year type="integer">2007</original-publication-year>
  <original-title>Better: A Surgeon's Notes on Performance</original-title>
  <rating-dist>total:2135|5:636|4:983|3:428|2:81|1:7|</rating-dist>
  <ratings-count type="integer">2135</ratings-count>
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  <reviews-count type="integer">3255</reviews-count>
  <text-reviews-count type="integer">531</text-reviews-count>
</work>

  <average_rating><![CDATA[4.01]]></average_rating>
  <ratings_count><![CDATA[104]]></ratings_count>
  <text_reviews_count><![CDATA[30]]></text_reviews_count>
  <url><![CDATA[http://www.goodreads.com/book/show/1580804.Better_A_Surgeon_s_Notes_on_Performance]]></url>
  <authors>
        <author id="3078">
      <name><![CDATA[Atul Gawande]]></name>
      <role><![CDATA[]]></role>
      <url><![CDATA[http://www.goodreads.com/author/show/3078.Atul_Gawande]]></url>
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  <reviews start="1" end="20" total="3251">
    <review id="1320771">
  <user id="71909">
    <name><![CDATA[David Singerman]]></name>
    <location><![CDATA[Cambridge, MA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/71909-david-singerman?utm_medium=api]]></url>
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    <rating>2</rating>
  <votes>3</votes>
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Sun Apr 01 00:00:00 -0700 2007</read_at>
  <date_added>Sun May 20 04:18:00 -0700 2007</date_added>
  <date_updated>Sun May 20 04:32:00 -0700 2007</date_updated>
  <read_count></read_count>
    <body><![CDATA[Not nearly as good as his first, in a number of ways.<br/><br/>What made <a href="http://www.goodreads.com/search/search?q= Complications" title=" Complications"> Complications</a> so exhilarating was that we were learning about being a doctor just as Gawande was learning about being a doctor. Literally: he wrote most of those essays while still a resident. The humility this brought to Ga...<a href="http://www.goodreads.com/review/show/1320771">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/1320771?utm_medium=api]]></url>
</review>
    <review id="37132872">
  <user id="1627591">
    <name><![CDATA[Robert]]></name>
    <location><![CDATA[Arlington, VA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1627591-robert?utm_medium=api]]></url>
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    <rating>5</rating>
  <votes>3</votes>
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  <read_at></read_at>
  <date_added>Fri Nov 07 13:13:17 -0800 2008</date_added>
  <date_updated>Fri Nov 07 13:25:53 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[&quot;Better&quot; collects surgeon Atul Gawande's recent essays on medicine in three categories--Diligence, Doing Right, and Ingenuity.  Each essay, on topics as diverse as washing hands to minimize infections in hospitals and doctors participating in executions, is a marvel of case study and compa...<a href="http://www.goodreads.com/review/show/37132872">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/37132872?utm_medium=api]]></url>
</review>
    <review id="24500084">
  <user id="1239138">
    <name><![CDATA[Rebecca]]></name>
    <location><![CDATA[Bainbridge Island, WA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1239138-rebecca?utm_medium=api]]></url>
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    <rating>5</rating>
  <votes>2</votes>
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  <recommended_for><![CDATA[anyone interested in the medical profession, people who like the New Yorker]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Fri Aug 01 00:00:00 -0700 2008</read_at>
  <date_added>Sat Jun 14 14:42:09 -0700 2008</date_added>
  <date_updated>Thu Aug 07 21:07:42 -0700 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[This is a great book.  From it's title, I thought it was about how doctors figure out how to make their patients better.  But instead, it is about how the medical profession makes itself and its performance better.  Gawande classifies the methods he sees in several ways.  First, there is diligence, ...<a href="http://www.goodreads.com/review/show/24500084">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/24500084?utm_medium=api]]></url>
</review>
    <review id="2389990">
  <user id="65107">
    <name><![CDATA[Sanjay]]></name>
    <location><![CDATA[Mumbai, India]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/65107-sanjay?utm_medium=api]]></url>
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    <rating>5</rating>
  <votes>2</votes>
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  <read_at></read_at>
  <date_added>Tue Jun 26 04:48:45 -0700 2007</date_added>
  <date_updated>Tue Jun 26 04:48:45 -0700 2007</date_updated>
  <read_count></read_count>
    <body><![CDATA[With 'Complications', Boston-based surgeon and New Yorker writer Atul Gawande joined the ranks of Doctors Who Can Write. (Speaking of which, whatever happened to Abraham Verghese?)<br/><br/>In his next work, 'Better', Gawande continues his Montaigne-like ruminations on his profession. The essays h...<a href="http://www.goodreads.com/review/show/2389990">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/2389990?utm_medium=api]]></url>
</review>
    <review id="42884945">
  <user id="1237196">
    <name><![CDATA[Petra X]]></name>
    <location><![CDATA[St Thomas, VI]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1237196-petra-x?utm_medium=api]]></url>
  </user>
    <rating>5</rating>
  <votes>2</votes>
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  <recommended_for><![CDATA[]]></recommended_for>
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  <read_at></read_at>
  <date_added>Tue Jan 13 05:13:47 -0800 2009</date_added>
  <date_updated>Fri Jan 16 19:02:54 -0800 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[The first chapter of this book was on the effect that hand-washing has on infection rates of MRSA and VRE in hospitals. It was fascinating!  I never thought I would find twenty pages on hand-washing so engrossing - I have high hopes for this book!<br/><br/>The book got better and better. Proper re...<a href="http://www.goodreads.com/review/show/42884945">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/42884945?utm_medium=api]]></url>
</review>
    <review id="40990565">
  <user id="107267">
    <name><![CDATA[Ann]]></name>
    <location><![CDATA[Oberlin, OH]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/107267-ann?utm_medium=api]]></url>
  </user>
    <rating>5</rating>
  <votes>3</votes>
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  <recommended_for><![CDATA[doctors, people who want to improve healthcare, improve processes, or be better in general]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Mon Jul 14 20:09:16 -0700 2008</read_at>
  <date_added>Thu Jul 03 07:21:58 -0700 2008</date_added>
  <date_updated>Sat Dec 27 00:50:38 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[A lot of improvements in healthcare can be attributed to tweaking processes, procedures, and organizations.  Gawande addresses simple things like how to get hospital employees to wash their hands properly, and more global issues like the eradication of certain infectious diseases.  Why are some cyst...<a href="http://www.goodreads.com/review/show/40990565">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/40990565?utm_medium=api]]></url>
</review>
    <review id="39138761">
  <user id="93751">
    <name><![CDATA[Gail]]></name>
    <location><![CDATA[Muncie, IN]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/93751-gail?utm_medium=api]]></url>
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    <rating>3</rating>
  <votes>1</votes>
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  <read_at>Sun Dec 14 00:00:00 -0800 2008</read_at>
  <date_added>Tue Dec 02 14:52:51 -0800 2008</date_added>
  <date_updated>Sun Dec 14 15:58:26 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[If I had to pick just one of Gawande's books to read, it would be Complications. But this is still a great collection of stories on fascinating fields of and issues related to medicine.<br/><br/>What I admire so much about Gawande is his ability to wrap his analytical mind so effortlessly around s...<a href="http://www.goodreads.com/review/show/39138761">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/39138761?utm_medium=api]]></url>
</review>
    <review id="36194734">
  <user id="1504839">
    <name><![CDATA[Patricia]]></name>
    <location><![CDATA[Jamestown, CA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1504839-patricia?utm_medium=api]]></url>
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    <rating>5</rating>
  <votes>2</votes>
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  <read_at></read_at>
  <date_added>Sat Oct 25 15:30:51 -0700 2008</date_added>
  <date_updated>Wed Nov 12 06:28:54 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[Atul Gwande's <em>Better: A Surgeon's Notes on Performance</em> is a collection of essays that probe skillfully and poignantly into the depths of medical ethics and the performance of doctors. He is a fine researcher and an astute observer who carefully delineates many facets of each issue that he explores, ...<a href="http://www.goodreads.com/review/show/36194734">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/36194734?utm_medium=api]]></url>
</review>
    <review id="23267151">
  <user id="76014">
    <name><![CDATA[Raghu]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/76014-raghu?utm_medium=api]]></url>
  </user>
    <rating>4</rating>
  <votes>1</votes>
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  <recommended_for><![CDATA[]]></recommended_for>
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  <read_at>Fri Jun 06 00:00:00 -0700 2008</read_at>
  <date_added>Thu May 29 18:32:47 -0700 2008</date_added>
  <date_updated>Fri Jun 06 15:31:08 -0700 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[This book by Dr.Atul Gawande is about ' performance' - about what it takes to grow from 'good' to better or great. Being a surgeon, the incidents relate to the practice of medicine. It is a fascinating and compassionate book and takes a very balanced view as he discusses diverse issues such as the e...<a href="http://www.goodreads.com/review/show/23267151">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/23267151?utm_medium=api]]></url>
</review>
    <review id="11793191">
  <user id="217774">
    <name><![CDATA[Christy]]></name>
    <location><![CDATA[Cleveland, OH]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/217774-christy?utm_medium=api]]></url>
  </user>
    <rating>4</rating>
  <votes>1</votes>
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  <read_at>Tue Jan 01 00:00:00 -0800 2008</read_at>
  <date_added>Sun Jan 06 11:34:49 -0800 2008</date_added>
  <date_updated>Mon Jan 14 18:24:06 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[I read a couple intriguing reviews of this book, and then I realized that I have been reading Gawande's pieces in The New Yorker for some time, which made me more intrigued.  What finally tipped the scales was that one of our favorite bookstores was having a going-out-of-business sale and they had t...<a href="http://www.goodreads.com/review/show/11793191">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/11793191?utm_medium=api]]></url>
</review>
    <review id="10772205">
  <user id="303565">
    <name><![CDATA[Amy]]></name>
    <location><![CDATA[Ann Arbor, MI]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/303565-amy?utm_medium=api]]></url>
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    <rating>4</rating>
  <votes>1</votes>
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  <read_at>Tue Jan 01 00:00:00 -0800 2008</read_at>
  <date_added>Thu Dec 20 14:13:22 -0800 2007</date_added>
  <date_updated>Sun Jan 06 07:23:24 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[<em>Complications</em> by Atul Gawande made my top ten list last year, and I've had my eye on this book for awhile now. Since it is still only available in hardback I'd resigned myself to waiting until the paperback version came out, but I found it at the public library right before I left for the break and ...<a href="http://www.goodreads.com/review/show/10772205">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/10772205?utm_medium=api]]></url>
</review>
    <review id="6643887">
  <user id="394830">
    <name><![CDATA[Cassie]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/394830-cassie?utm_medium=api]]></url>
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    <rating>3</rating>
  <votes>2</votes>
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  <recommended_for><![CDATA[doctors, patients, politicians]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Mon Oct 01 00:00:00 -0700 2007</read_at>
  <date_added>Sun Sep 23 07:03:29 -0700 2007</date_added>
  <date_updated>Fri Oct 12 07:59:22 -0700 2007</date_updated>
  <read_count></read_count>
    <body><![CDATA[I really like Gawande's writing style, and for the most part feel like he gives a very rational, nuanced look at medical care in the US. The only exception to this is the essay &quot;The Score.&quot;  Although his main point in this essay, that a concrete, replicable measurement of baby health led t...<a href="http://www.goodreads.com/review/show/6643887">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/6643887?utm_medium=api]]></url>
</review>
    <review id="4198451">
  <user id="260225">
    <name><![CDATA[Cecelia]]></name>
    <location><![CDATA[Richmond, VA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/260225-cecelia?utm_medium=api]]></url>
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    <rating>3</rating>
  <votes>1</votes>
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  <read_at>Sat Sep 01 00:00:00 -0700 2007</read_at>
  <date_added>Tue Aug 07 07:16:19 -0700 2007</date_added>
  <date_updated>Thu Sep 13 06:42:35 -0700 2007</date_updated>
  <read_count></read_count>
    <body><![CDATA[I loved Atul Gawande's first book, <em>Complications</em>, so I was excited to get my hands on this one.  I thought it was good, not great, but still makes some very thought-provoking arguments.  It's written for the general public (he thoroughly explains all the medical details) but I think it would be of m...<a href="http://www.goodreads.com/review/show/4198451">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/4198451?utm_medium=api]]></url>
</review>
    <review id="6072452">
  <user id="371765">
    <name><![CDATA[Jason]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/371765-jason?utm_medium=api]]></url>
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    <rating>2</rating>
  <votes>1</votes>
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  <read_at>Tue May 01 00:00:00 -0700 2007</read_at>
  <date_added>Tue Sep 11 19:32:14 -0700 2007</date_added>
  <date_updated>Wed Nov 14 09:01:58 -0800 2007</date_updated>
  <read_count></read_count>
    <body><![CDATA[This book is far less engaging than his first, and espouses a mildly distasteful and shockingly simplistic message about doing better in the medical profession.  Since David's review of this book describes my sentiments well, I won't rehash all of his comments.  Don't look for a enlightened analysis...<a href="http://www.goodreads.com/review/show/6072452">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/6072452?utm_medium=api]]></url>
</review>
    <review id="36210327">
  <user id="1580090">
    <name><![CDATA[Jan]]></name>
    <location><![CDATA[Oakland, CA]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1580090-jan?utm_medium=api]]></url>
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    <rating>4</rating>
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  <read_at>Mon Dec 08 00:00:00 -0800 2008</read_at>
  <date_added>Sat Oct 25 20:23:47 -0700 2008</date_added>
  <date_updated>Mon Dec 08 23:37:47 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[If Atul Gawande were a cobbler, he'd be writing for the New Yorker about how to make a better shoe. That's because Gawande is a storyteller and a craftsman. His essays appear deceptively simple and ingenuous, but it takes a great deal of art and craft to make them that way. No matter how earnest and...<a href="http://www.goodreads.com/review/show/36210327">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/36210327?utm_medium=api]]></url>
</review>
    <review id="50603854">
  <user id="1823644">
    <name><![CDATA[Brian]]></name>
    <location><![CDATA[Rockville, MD]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1823644-brian?utm_medium=api]]></url>
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    <rating>5</rating>
  <votes>0</votes>
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  <recommended_for><![CDATA[]]></recommended_for>
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  <read_at>Fri Mar 20 00:00:00 -0700 2009</read_at>
  <date_added>Fri Mar 27 07:51:33 -0700 2009</date_added>
  <date_updated>Fri Mar 27 09:23:20 -0700 2009</date_updated>
  <read_count>1</read_count>
    <body><![CDATA[An outstanding examination of medical malpractice, doctor compensation, and a defense of C-sections.<br/><br/>Dr. Atul Gawande is a 2nd generation doctor, son of a urologist. I decided to read this book after watching two excellent presentations at NIH, the <a rel="nofollow" target="_blank" href="http://videocast.nih.gov/Summary.asp?File=14906">Art of Failure</a>, and the <a rel="nofollow" target="_blank" href="http://videocast.nih.gov/Summary.asp?File=14910">Science of Failu...</a><a href="http://www.goodreads.com/review/show/50603854">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/50603854?utm_medium=api]]></url>
</review>
    <review id="47107811">
  <user id="1911547">
    <name><![CDATA[Brigitte]]></name>
    <location><![CDATA[College Station, TX]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1911547-brigitte?utm_medium=api]]></url>
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    <rating>4</rating>
  <votes>0</votes>
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Sat Feb 21 00:00:00 -0800 2009</read_at>
  <date_added>Sat Feb 21 20:29:42 -0800 2009</date_added>
  <date_updated>Sat Feb 21 20:31:34 -0800 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[The point of this book, as the title indicates, is to detail how to make the medical profession better, how to save more lives.  Dr. Gawande makes a convensing argument that it is not research science that will accomplish this, but more diligent care of the mundane (but necessary) variety.  He makes...<a href="http://www.goodreads.com/review/show/47107811">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/47107811?utm_medium=api]]></url>
</review>
    <review id="69092687">
  <user id="1191652">
    <name><![CDATA[Bill]]></name>
    <location><![CDATA[Portland, ME]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/1191652-bill?utm_medium=api]]></url>
  </user>
    <rating>3</rating>
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  <recommended_for><![CDATA[]]></recommended_for>
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  <read_at>Mon Aug 24 00:00:00 -0700 2009</read_at>
  <date_added>Thu Aug 27 09:36:26 -0700 2009</date_added>
  <date_updated>Thu Aug 27 09:47:21 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[Gawande has to be one of the clearest and most compelling writers on the quandaries of modern medical care. I don't think anyone should debate health care reform without reading his essays and books because he connects the personal and day-to-day so well to the global and system aspects of health ca...<a href="http://www.goodreads.com/review/show/69092687">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/69092687?utm_medium=api]]></url>
</review>
    <review id="64690747">
  <user id="2339196">
    <name><![CDATA[TBML]]></name>
    <location><![CDATA[Las Cruces, NM]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/2339196-tbml?utm_medium=api]]></url>
  </user>
    <rating>5</rating>
  <votes>0</votes>
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  <recommended_for><![CDATA[]]></recommended_for>
  <recommended_by><![CDATA[]]></recommended_by>
  <read_at></read_at>
  <date_added>Thu Jul 23 14:03:23 -0700 2009</date_added>
  <date_updated>Thu Jul 23 16:17:55 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[If you liked Gawande's first book COMPLICATIONS, then it's a pretty safe bet that you'll like this one as well. The same competent humility that permeates it infuses BETTER as well. In the 5 or so years since he published COMPLICATIONS, Dr. Gawande has grown and matured as both a physician and as a ...<a href="http://www.goodreads.com/review/show/64690747">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/64690747?utm_medium=api]]></url>
</review>
    <review id="64090962">
  <user id="30173">
    <name><![CDATA[Andrew]]></name>
    <location><![CDATA[The United States]]></location>        
    <url><![CDATA[http://www.goodreads.com/user/show/30173-andrew?utm_medium=api]]></url>
  </user>
    <rating>5</rating>
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  <read_at>Wed Jul 01 00:00:00 -0700 2009</read_at>
  <date_added>Sun Jul 19 09:44:01 -0700 2009</date_added>
  <date_updated>Sun Jul 19 10:10:35 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[The main theme running through the book is how the medical profession has learned to better itself over the years on numerous fronts. Interestingly, most of these advances required diligent implementation/modification of strategies already existing (having doctors wash hands, standard use of Caesari...<a href="http://www.goodreads.com/review/show/64090962">more...</a>]]></body>
    <url><![CDATA[http://www.goodreads.com/review/show/64090962?utm_medium=api]]></url>
</review>
    </reviews>
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