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  <title><![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]></title>
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  <description><![CDATA[Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with ones own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually iscomplicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpels edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that wont go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives.At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor.]]></description>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <date_added>Sat Mar 29 08:22:30 -0700 2008</date_added>
  <date_updated>Sat Mar 29 08:59:16 -0700 2008</date_updated>
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    <body><![CDATA[Hmmm... I love surgery, it means.. when a handy book of more-humanity-and-less-cut of surgery was published.. how can i resist?<br/><br/>Well.. for being honest, it makes me feel bored when i've red the middle-part. it turns 'in' again in a few last chapter. I agree to middle-rating, (in Indonesia...<a href="http://www.goodreads.com/review/show/18914691">more...</a>]]></body>
    
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Sun Nov 09 00:00:00 -0800 2008</read_at>
  <date_added>Wed Nov 12 06:36:09 -0800 2008</date_added>
  <date_updated>Wed Nov 12 06:37:05 -0800 2008</date_updated>
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    <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/37505907">more...</a>]]></body>
    
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      <review>
  <id>19911980</id>
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    <name><![CDATA[Libby]]></name>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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    <rating>4</rating>
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  <read_at>Sat Apr 18 00:00:00 -0700 2009</read_at>
  <date_added>Thu Apr 10 20:38:49 -0700 2008</date_added>
  <date_updated>Sat Apr 18 13:31:14 -0700 2009</date_updated>
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    <body><![CDATA[Although I am interested in the medical profession, motivation to learn more about it often elludes me.  Gawande was able to keep my attention and present points that I could understand in spite of my limited medical knowledge.<br/><br/>Admittedly, some of his information scared me.  After reading...<a href="http://www.goodreads.com/review/show/19911980">more...</a>]]></body>
    
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      <review>
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    <name><![CDATA[Ben]]></name>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Mon Jan 01 00:00:00 -0800 2007</read_at>
  <date_added>Mon Feb 04 11:59:51 -0800 2008</date_added>
  <date_updated>Mon Feb 04 12:01:45 -0800 2008</date_updated>
  <read_count></read_count>
    <body><![CDATA[This book wss filled with about 25 anecdotes flimsily tied together by Gawande's less than inspiring reflections.  I have the book in front of me at the moment and I am paging through rereading sections that I noted along the way:<br/><br/>&quot;I had come into residency to learn how to be a surgeon...<a href="http://www.goodreads.com/review/show/14539979">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/14539979]]></url>
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      <review>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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    <rating>5</rating>
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  <read_at>Sat Oct 01 00:00:00 -0700 2005</read_at>
  <date_added>Wed Oct 24 15:56:11 -0700 2007</date_added>
  <date_updated>Wed Oct 24 17:03:58 -0700 2007</date_updated>
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    <body><![CDATA[Complications is a book of anecdotes about a surgical resident’s experiences and impressions of the current health care environment.  Gawande divides his stories into three sections: fallibility, mystery, and uncertainty.  The fallibility section demonstrates that doctors can make mistakes.  Some ...<a href="http://www.goodreads.com/review/show/8198611">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/8198611]]></url>
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      <review>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Tue Oct 16 21:19:30 -0700 2007</read_at>
  <date_added>Sat Oct 13 19:39:58 -0700 2007</date_added>
  <date_updated>Tue Oct 16 21:19:15 -0700 2007</date_updated>
  <read_count></read_count>
    <body><![CDATA[Complications is a good, compulsive read.  <br/><br/>If you put it down, don't be surprised if someone picks it up and starts reading any random chapter and then you have to fight them for it.  This book started as a series of essays in The New Yorker and Slate, and each chapter has that stand-alo...<a href="http://www.goodreads.com/review/show/7688942">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/7688942]]></url>
  <link><![CDATA[http://www.goodreads.com/review/show/7688942]]></link>
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      <review>
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    <name><![CDATA[Katie]]></name>
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  <average_rating>4.11</average_rating>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <published>2002</published>
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    <rating>4</rating>
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  <recommended_for><![CDATA[Everyone]]></recommended_for>
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  <read_at>Fri Jun 01 00:00:00 -0700 2007</read_at>
  <date_added>Fri Aug 10 15:22:41 -0700 2007</date_added>
  <date_updated>Fri Aug 10 15:27:38 -0700 2007</date_updated>
  <read_count></read_count>
    <body><![CDATA[An very well written book in which Gawande argues that surgery is an evolving and imperfect art. He begins by describing in compulsively readable detail some occasions during which it has failed its patients.  An overarching theme in the book is an idea of what makes a good surgeon;  Gawande points ...<a href="http://www.goodreads.com/review/show/4375122">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/4375122]]></url>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Sat Apr 04 00:00:00 -0700 2009</read_at>
  <date_added>Thu Apr 09 19:22:18 -0700 2009</date_added>
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    <body><![CDATA[Atul Gawande writes for The New Yorker, and I always read his articles as soon as I spot the by-line.  I read &quot;Better&quot; last year and think it is even, yes, better.  But both books have rare qualities.  Gawande is a physician who can step back from his ego and write with compassion and insi...<a href="http://www.goodreads.com/review/show/52139306">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/52139306]]></url>
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      <review>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Thu May 01 00:00:00 -0700 2008</read_at>
  <date_added>Thu May 22 12:28:14 -0700 2008</date_added>
  <date_updated>Thu May 22 12:31:42 -0700 2008</date_updated>
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    <body><![CDATA[This was a fun and interesting book, full of little insights and things to think about.  The author is a doctor, who also happens to have written columns for a couple of on-line magazines, and several of the chapters bagan as such columns-- which is about how the book reads.  It's like sitting down ...<a href="http://www.goodreads.com/review/show/22762910">more...</a>]]></body>
    
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      <review>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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    <![CDATA[Gently dismantling the myth of medical infallibility, Dr. Atul Gawande's <em>Complications: A Surgeon's Notes on an Imperfect Science</em> is essential reading for anyone involved in medicine--on either end of the stethoscope. Medical professionals make mistakes, learn on the job, and improvise much of their technique and self-confidence. Gawande's tales are humane and passionate reminders that doctors are people, too. His prose is thoughtful and deeply engaging, shifting from sometimes painful stories of suffering patients (including his own child) to intriguing suggestions for improving medicine with the same care he expresses in the surgical theater. Some of his ideas will make health care providers nervous or even angry, but his disarming style, confessional tone, and thoughtful arguments should win over most readers. <em>Complications</em> is a book with heart and an excellent bedside manner, celebrating rather than berating doctors for being merely human.  <em>--Rob Lightner</em>]]>
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  <date_added>Thu Jul 26 12:59:17 -0700 2007</date_added>
  <date_updated>Thu Dec 17 02:13:12 -0800 2009</date_updated>
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    <body><![CDATA[this was a very interesting book. i liked his writing style, too. it was far more engaging than the stupid tree book. isn't this author bio a bit sickening, though? &quot;atul gawande, a 2006 macarthur fellow, is a general surgeon at the brigham and women's hospital in boston, a staff writer for the...<a href="http://www.goodreads.com/review/show/3590508">more...</a>]]></body>
    
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      <review>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <date_added>Thu Jun 04 22:58:41 -0700 2009</date_added>
  <date_updated>Thu Jun 04 22:58:41 -0700 2009</date_updated>
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    <body><![CDATA[I read it all in one sitting.[return][return]I especially liked the chapter &quot;Nine Thousand Surgeons&quot;, where he captured the feeling of attending Clinical Congress of Surgeons annual convention and trade show. His description of the joy of getting to play with beyond the state of the art ma...<a href="http://www.goodreads.com/review/show/58506691">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/58506691]]></url>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Sat Feb 21 00:00:00 -0800 2009</read_at>
  <date_added>Sat Feb 28 17:41:43 -0800 2009</date_added>
  <date_updated>Sat Feb 28 17:56:13 -0800 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[I've been on the very outer fringes of the medical profession for years now, with a mom as a nurse, a girlfriend studying to be a doctor and having several hundred hours training myself as a massage therapist. I was a big fan of the 1990's television series, &quot;The Operation&quot;. So I confess u...<a href="http://www.goodreads.com/review/show/47834644">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/47834644]]></url>
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      <review>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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  <average_rating>4.11</average_rating>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Sun Nov 01 00:00:00 -0700 2009</read_at>
  <date_added>Sat Dec 05 20:36:40 -0800 2009</date_added>
  <date_updated>Sat Dec 05 21:25:55 -0800 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[Atul Gawande is a gifted writer. After reading his second book Better, I decided to read Complications, which was also highly touted by my friends and colleagues. The book lived up to all the high expectations. Gawande's narration is credible and nuanced. The confessional and honest tone of the book...<a href="http://www.goodreads.com/review/show/80034092">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/80034092]]></url>
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      <review>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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  <average_rating>4.11</average_rating>
  <ratings_count>3461</ratings_count>
  <description>
    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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    <rating>3</rating>
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  <recommended_for><![CDATA[]]></recommended_for>
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  <read_at>Sat Sep 19 00:00:00 -0700 2009</read_at>
  <date_added>Sat Sep 19 12:02:26 -0700 2009</date_added>
  <date_updated>Sat Sep 19 12:12:29 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[This is a fascinating book about the doctors and their decisions, patients and theirs, and if you're someone who worries about being the 5% of people who have X reaction to Y drug, this is not the book for you.  This is a book about instinct and hunches as much about science, and it would give anyon...<a href="http://www.goodreads.com/review/show/71787691">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/71787691]]></url>
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      <review>
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    <name><![CDATA[Alan]]></name>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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  <average_rating>4.11</average_rating>
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  <description>
    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <recommended_by><![CDATA[]]></recommended_by>
  <read_at>Fri Aug 18 00:00:00 -0700 2006</read_at>
  <date_added>Sun Jul 19 15:47:02 -0700 2009</date_added>
  <date_updated>Sun Jul 19 15:48:50 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[an inner journey<br/><br/>Atul Gawande's book &quot;Complications&quot; is a rewarding read on many levels. The reader is drawn in smoothly along a thread of entertaining medical vignettes. These anecdotes serve as the framework for a set of well reasoned essays that explore the inner life of the su...<a href="http://www.goodreads.com/review/show/64135614">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/64135614]]></url>
  <link><![CDATA[http://www.goodreads.com/review/show/64135614]]></link>
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      <review>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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  <average_rating>4.11</average_rating>
  <ratings_count>3461</ratings_count>
  <description>
    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Sun Jul 01 00:00:00 -0700 2007</read_at>
  <date_added>Sun Jul 19 15:30:29 -0700 2009</date_added>
  <date_updated>Sun Jul 19 15:36:51 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[In full disclosure I picked up this book because I've been watching Grey's Anatomy and am totally fascinated by what goes on in surgery and in an hospital. This book covers a range of topics, from practicing as a resident to decision-making to the physiology and psychology of pain. Apparently what h...<a href="http://www.goodreads.com/review/show/64133844">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/64133844]]></url>
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      <review>
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    <name><![CDATA[Sarah]]></name>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Wed Jun 10 00:00:00 -0700 2009</read_at>
  <date_added>Tue Jun 16 19:16:51 -0700 2009</date_added>
  <date_updated>Wed Jun 17 14:32:49 -0700 2009</date_updated>
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    <body><![CDATA[Atul Gawande explains in the intro that his book is divided into three parts: One, the fallibility of doctors; Two, on medical mysteries (e.g. chronic back pain but no physical injury evident); Three, on uncertainty. My favorite chapters where the last ones in the Uncertainty section. Dr. Gawande de...<a href="http://www.goodreads.com/review/show/59968784">more...</a>]]></body>
    
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      <review>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Fri May 01 00:00:00 -0700 2009</read_at>
  <date_added>Mon May 25 06:47:37 -0700 2009</date_added>
  <date_updated>Mon May 25 06:59:55 -0700 2009</date_updated>
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    <body><![CDATA[Dear Bill Bryson --<br/>Next time you'd like to have lunch with a like-minded writer who loves the backstory, the implications, the big picture, and the human element in crafting an engrossing story, I recommend you call up Atul Gawande.<br/><br/>Bill, I think Atul is a guy after your own heart. ...<a href="http://www.goodreads.com/review/show/57240041">more...</a>]]></body>
    
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      <review>
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Thu Dec 11 00:00:00 -0800 2008</read_at>
  <date_added>Tue Dec 09 02:28:57 -0800 2008</date_added>
  <date_updated>Thu Dec 11 03:48:31 -0800 2008</date_updated>
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    <body><![CDATA[Over all, I really enjoyed this book. I found certain stories very interesting and engaging such as the one about placing central lines, the one about gastric bypass, and the one about necrotizing fasciitis.<br/><br/>The negatives, for the most part, were focus and organization. Although the very ...<a href="http://www.goodreads.com/review/show/39668537">more...</a>]]></body>
    
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    <![CDATA[Complications: A Surgeon's Notes on an Imperfect Science]]>
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    <![CDATA[In gripping accounts of true cases, surgeon Atul Gawande explores the power and the limits of medicine, offering an unflinching view from the scalpel’s edge. Complications lays bare a science not in its idealized form but as it actually is—uncertain, perplexing, and profoundly human.]]>
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  <read_at>Thu Aug 13 00:00:00 -0700 2009</read_at>
  <date_added>Wed Aug 12 10:52:21 -0700 2009</date_added>
  <date_updated>Thu Aug 13 19:02:55 -0700 2009</date_updated>
  <read_count></read_count>
    <body><![CDATA[I loved this book.  The thesis is simple: Medicine is an incomplete, uncertain, mind-bogglingly complex science.  But there's also a fair amount of &quot;Doctors are people, too&quot; and not in the &quot;cut us some slack&quot; sense, but in the &quot;everybody makes mistakes&quot; sense.  If you h...<a href="http://www.goodreads.com/review/show/67097310">more...</a>]]></body>
    
  <url><![CDATA[http://www.goodreads.com/review/show/67097310]]></url>
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