Better: A Surgeon's Notes on Performance
by Atul Gawande
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Read in October, 2007
recommends it for:
doctors, patients, politicians
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 "The Score." Although his main point in this essay, that a concrete, replicable measurement of baby health led to great improvements in infant mortality in the US, is well-taken, his description of the history of obstetric care and the near inevitability of an increasing c-section rate in the US is shockingly u...more
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bookshelves:
journalism,
medicine
Read in April, 2007
Not nearly as good as his first, in a number of ways.
What made Complications 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 Gawande's essays makes all the difference. We were forced to consider the ethical implications of a healthcare system that has to deploy inexperienced docto...more
What made Complications 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 Gawande's essays makes all the difference. We were forced to consider the ethical implications of a healthcare system that has to deploy inexperienced docto...more
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Read in June, 2008
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 ethics of doctors in administering lethal injections on people in death row, on the question of doctors being sued for making mistakes in doing a proper diagnosis on a patient which lead to life long n...more
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Read in January, 2008
Complications 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 thought it might make a good airplane read.
I think Complications is still my favorite of the two, but I still thought Better was very interesting. It is a little like a colle...more
I think Complications is still my favorite of the two, but I still thought Better was very interesting. It is a little like a colle...more
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Read in January, 2008
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 this book in stock. (I'll miss you, Liberty Books!)
Gawande is very skilled at writing for the layperson and putting an interesting face on medicine. In another person's hands, most of these topic...more
Gawande is very skilled at writing for the layperson and putting an interesting face on medicine. In another person's hands, most of these topic...more
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bookshelves:
non-fiction
Read in January, 2008
Gawande is the ER surgeon/nonfiction writer who wrote <em>Complications</em> a few years back. It’s practically unfair for someone to be both a talented and skilled surgeon as well as a remarkable writer – kinda like how I’m both devilishly handsome and strikingly brilliant. In any case, where <em>Complications</em> was a series of stories whose only link to each other was that they all showed how strange and complicated and astonishing medicine can be, the stories ...more
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Read in April, 2008
I found some portions of this book to be merely interesting -– the challenges of vaccinating kids in rural India against polio, for example, and the ethical dilemma of a doctor’s participation in capital punishment. But the author really caught me with his chapter “On Fighting,” in which he speaks of that very rare physician who is willing to consider new ideas or perhaps even off-label treatments for medical problems that don’t respond to the usual protocol.
I was lying in bed when...more
I was lying in bed when...more
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Read in February, 2008
First off, let me say I was no stranger to Gawande's writing, having read his previous book "Complications," as well as several articles he'd published in "The New Yorker," at least one of which showed up in this book. He is a remarkable writer and a gifted storyteller, finding a way to make even the most obscure/complicated/tedious/disappointing stories compelling, humane, and inspiring. He pays attention to detail and takes you along for the ride - whether it be his thoug...more
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I have to amend my original review of this book now that I have finished it. Now I can see exactly what David is saying below. What is definitely lacking is the humility of <b>Complications<b>, in which he presented an interesting story, an ethical dilemma with wich to tangle, and a feeling as though there are many potential answers, none of them necessarily right or wrong.
But now, there is a right answer, and it is Gawande's. It is especially irksome in "Doctors of the Deat...more
But now, there is a right answer, and it is Gawande's. It is especially irksome in "Doctors of the Deat...more
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2008,
medicine-medical
In his second collection, Gawande ranges further afield than he did in Complications: A Surgeon's Notes on an Imperfect Science. There, many of the essays dealt with surgical training and socialization. Here, while still grounded in hospital practices (such as handwashing, or the lack of it), Gawande recounts the history of Ignac Semmelweis, whose handwashing crusade against puerperal fever was thwarted by his lack of both empirical studies and interpersonal skills. Other chapters of note includ...more
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Read in February, 2008
Reading these Gawande books is as close to surgery, or medical school, as I ever want to get. So it's kind of vicarious adventure reading for me (while John reads Neal Stephenson). This new one could almost be a management book too, so it's a good thing I didn't know that or I wouldn't have read it.
There's a lot of hard things, we assume, in being a doctor, and these books don't duck a one. Gawande doesn't have answers. How do we fix the malpractice mess? When is it OK to let someone die? H...more
There's a lot of hard things, we assume, in being a doctor, and these books don't duck a one. Gawande doesn't have answers. How do we fix the malpractice mess? When is it OK to let someone die? H...more
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Read in March, 2008
Gawande tackles the question of what people can do to be "better" through a medical lens - not necessarily from a surgical point of view, and there's no scalpels-and-gore in here, but in relation to doctors and medical situations. He divides "performance" into three rough categories: diligence, morality, and ingenuity. It's interesting how these aspects play into each other. Ingenuity isn't merely about cleverness; it's about not being willing to accept the status quo, about ...more
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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?)
In his next work, 'Better', Gawande continues his Montaigne-like ruminations on his profession. The essays here are centred on the theme of improving medical performance, and the book is structured around the three ways to do this: diligence, doing right and ingenuity.
In prose that’s limpid and affecting, Gaw...more
In his next work, 'Better', Gawande continues his Montaigne-like ruminations on his profession. The essays here are centred on the theme of improving medical performance, and the book is structured around the three ways to do this: diligence, doing right and ingenuity.
In prose that’s limpid and affecting, Gaw...more
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Read in May, 2008
recommended to Tiffoknee the 3rd by:
No one.recommends it for: anyone who reads books.
I remember coming across a copy of Atul Gawande's Complications when I worked for the Austin Public Library and thinking, "I wonder if this book sucks." I'm kidding. Working with books one of two things can happen, you either try to read everything imaginable, or you learn not to read what everyone else is reading. And well, because I have strange reading tastes, I am always hesitant to sample whatever is "popular" at the moment. I'm especially repelled by the driv...more
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essays
Read in March, 2007
I liked Gawande’s essay collection, Complications, a lot. This second collection of essays on medicine and life is equally good. Several first appeared in The New Yorker so I had the pleasure of re-reading them here. The sub-title captures the unifying theme or conceit of the book, a textured consideration of performance and how it can be improved. Gawande cites three prerequisites: diligence, doing right, and ingenuity; and the essays illustrate these in differing ways that look at how the me...more
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Read in April, 2007
I read this without first checking out his earlier work, Complications. Better is a collection without real thematic unity--which is no surprise, given how the essays were written. I can endure this. As someone who is relatively new in exploring health care and who is not a medical practitioner, Gawande has helped me see patient care and the system for care anew. The piece on treating Cystic Fibrosis, which I originally read with rapt attention in The New Yorker inspired me to pursue health c...more
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Read in February, 2008
In every doctor's career, laissez-faire and disillusionment can insidiously creep into our hectic routines. Atul Gawande's book is a call to rise above being just another " white-coated cog in a machine" (health system). As an American-trained eminent surgeon and associate professor at Harvard , he elucidates his principles on being "Better" , his requisites for success simply as follows 1. diligence 2. doing right 3. Ingenuity. This, he does , by writing accounts of vario...more
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Read in May, 2008
i've read the first third of this book so far and i'm very impressed. dr. gawande is well-written and concise. his stories are clear illustrations of his points without feeling like he is banging you over the head with what he is trying to convey.
i do wish the essay on doctors in the military focused in more on the rehabilitation of soldiers who are now surviving these traumatic injuries, specifically TBI and severe PTSD. but i suppose his point in that story was the research and diligence t...more
i do wish the essay on doctors in the military focused in more on the rehabilitation of soldiers who are now surviving these traumatic injuries, specifically TBI and severe PTSD. but i suppose his point in that story was the research and diligence t...more
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3 comments
bookshelves:
medicine
Read in September, 2007
I loved Atul Gawande's first book, Complications, 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 most interest to those with a vested interest in health care. The malpractice chapter was scary (at least for me) and the capital punishment chapter was a little confusing (not Gawande's writin...more
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Read in May, 2008
I need to just sit down and finish this one. I was reading it several months ago, got distracted and put it down, and just haven't been able to pick it up again. Anyone read it who can let me know if it's worth finishing?
OK, so I finally sat down and finished it. From page 51 on, this was a very good book, if not as wonderful as Complications. I'm not sure why it as so hard to get reading, but perhaps this is just one of those books for which you need to have a certain frame of mind.
...more
OK, so I finally sat down and finished it. From page 51 on, this was a very good book, if not as wonderful as Complications. I'm not sure why it as so hard to get reading, but perhaps this is just one of those books for which you need to have a certain frame of mind.
...more
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