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Complications: A Surgeon's Notes on an Imperfect Science
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Complications: A Surgeon's Notes on an Imperfect Science

4.24  ·  Rating details ·  29,347 Ratings  ·  2,058 Reviews
A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine.

Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is --
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ebook, 288 pages
Published April 1st 2003 by Metropolitan Books (first published 2002)
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Patricia
Nov 12, 2008 rated it it was amazing  ·  review of another edition
Shelves: non-fiction
A year or more ago, I mistakenly placed a review for Gawande's book Better under this title. I have fixed the mix up, and I have now read Complications.

Gawande is pure pleasure to read. His writing is fluid and full of germane examples as he addresses big issues like error and incompetence as well as topics that seem less significant but which he makes worthy of consideration such as blushing and nausea. The headings for each section of the book--Fallibility, Mystery, and Uncertainty--are themat
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Ben Pederson
Feb 04, 2008 rated it did not like it  ·  review of another edition
Shelves: have-read
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:

"I had come into residency to learn how to be a surgeon. I had thought that meant simply learning the repertoire of move and techniques involved in doing an operation or making a diagnosis. In fact, there was also the new and delicate matter of talking patients through t
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Elizabeth
Oct 24, 2007 rated it it was amazing  ·  review of another edition
Recommends it for: everyone
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 fallibility arises from there being a learning curve. For example, it is hard to do a central line correctly the first time. But for a doctor to learn how to do a central line, he must have a first patient ...more
Libby Ames
Apr 10, 2008 rated it really liked it  ·  review of another edition
Shelves: contemporary
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.

Admittedly, some of his information scared me. After reading some points about surgery, I wondered how I ever allowed anyone to cut into me and place a plate and seven screws in my leg. Also, some of his writing made me squeemish. I had to pause or skip places that became t
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Jim
Oct 10, 2015 rated it really liked it  ·  review of another edition
Not quite a 4 star read, but close enough. It's fairly short & does make his major points fairly well. They boil down to medicine isn't perfect.

Doctors are humans, so need to learn & will make mistakes, even with the best intentions. Do I want a doctor to learn on me or mine? Hell no! Gawande admits that he doesn't either & he makes sure they don't, BUT we won't get any new ones if they don't start somewhere. So what's the solution? There isn't a good one. Deal with it.

Patients are h
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Sue
Apr 09, 2009 rated it really liked it  ·  review of another edition
Atul Gawande writes for The New Yorker, and I always read his articles as soon as I spot the by-line. I read "Better" 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 insight about the relationship between vulnerable sick people and those whose skill and judgment they are compelled to trust.
l.
Read these sentences and tell me that this writer isn't an unbearable idiot:

"If choice [of one's surgeon] cannot go to everyone, maybe it is better when it is not allowed at all."

"Taking time to bond with patients is fine, but every X ray must be tracked down and every drug dose must be exactly right."

"Hospital lawyers warn doctors that, although they must, of course, tell patients about injuries that occur, they are never to intimate that they were at fault, lest the 'confession' wind up in co
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reabdimation
Hmmm... I love surgery, it means.. when a handy book of more-humanity-and-less-cut of surgery was published.. how can i resist?

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 means, lumayanlah.. bukan buku sampah) of this book. but i truly disagree when sumone gave only one star rating to this stuff. (Cari deh di tinjauan lain. Huh. You make me angry dude.. pelit amat sih. Gue nggak
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Sarah
Mar 03, 2012 rated it it was amazing  ·  review of another edition
Wow! I loved this and I love Dr. Gawande.

The first section is about how it is necessary for medical residents to learn how to do procedures on people, but how it's just as necessary to sort of glide over that fact with patients. This was the most exciting part of the book because he went over his own early surgeries and the complications that arose.

The rest of the book is about how, even though medicine is a 'scientific' field, it's ultimately human and fallible. My anxiety was high during mos
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Lucy
Jul 26, 2007 rated it really liked it  ·  review of another edition
Shelves: 2007
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? "atul gawande, a 2006 macarthur fellow, is a general surgeon at the brigham and women's hospital in boston, a staff writer for the new yorker, an assistant professor at harvard medical school, and a frequent contributor to the new england journal of medicine. gawande lives with his wife and three children in newton, massachusetts." t ...more
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2015 Reading Chal...: Complications by Atul Gawande 1 13 Apr 19, 2015 09:17PM  
College Students! : Complications by Atul Gawande 1 4 Nov 12, 2014 01:08PM  
Lorenzo's Oil 2 51 Apr 18, 2013 11:56AM  
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Atul Gawande is author of three bestselling books: Complications, a finalist for the National Book Award; Better, selected by Amazon.com as one of the ten best books of 2007; and The Checklist Manifesto. His latest book is Being Mortal: Medicine and What Matters in the End.

He is also a surgeon at Brigham and Women’s Hospital in Boston, a staff writer for The New Yorker, and a professor at Harvard
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More about Atul Gawande...
“We look for medicine to be an orderly field of knowledge and procedure. But it is not. It is an imperfect science, an enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line. There is science in what we do, yes, but also habit, intuition, and sometimes plain old guessing. The gap between what we know and what we aim for persists. And this gap complicates everything we do.” 169 likes
“No matter what measures are taken, doctors will sometimes falter, and it isn't reasonable to ask that we achieve perfection. What is reasonable is to ask that we never cease to aim for it.” 39 likes
More quotes…