Diligence is a virtue. This is a theme Atul Gawande presents to the reader throughout Better: A Surgeon’s Notes on Performance. In each story, Gawande provides insight on medical studies he has previously embarked upon. For example, in “The Mop-up” the author tells us about a time when he went to India to observe the efforts to eradicate polio. Gawande explains how he followed a supervisor around and how vaccinations were performed. Additionally, in another chapter he debates on whether physicians should take part in death sentences. Throughout his adventures Gawande provides numerous enriching personal accounts of controversial events and what it is like to be a doctor; each with diligence playing a key part. For the duration of the book, …show more content…
For instance, the crux represented in each chapter of Gawande’s novel is that physicians save lives. For centuries physicians have abided by the Hippocratic Oath, in essence stating that the individual will prevent, cure, and/or save the life of a patient to the best of their ability. With no doubt is this noticed throughout every portion of the book. This can be seen when Gawande explains the development of obstetrics, the tools used in childbirth, and how infant death rates through childbirth decreased. Additionally, another example of doctors at their finest when saving patients is shown when a Cincinnati hospital did everything in its power to increase the average life expectancy of cystic fibrosis patients. Although these cases show excellent performances in saving lives, every physician takes the Hippocratic Oath to state their willingness to help patients no matter what the cost …show more content…
This, as well as numerous others, are part of notable conclusions that Gawande leaves the reader with. Furthermore, he explains and shows how medicine always needs and will improve. One instance in which this is shown is in, “The Score,” where Gawande illustrates how the field of obstetrics was developed. In this chapter it is explained how specific techniques, such as forceps and cesarean section, are performed and how the Apgar score decreased infant death rates. In addition, another prime example of how improving medicine is helpful is shown in, “The Bell Curve.” In this section the author stresses how important it is to always try to improve medical success rate. In the case of, “The Bell Curve,” the improvement was within doctor to patient discussion. As can be seen these two sections are but a few of the prime examples on why it is important to always improve medicine. Yet another conclusion the author helps the reader to draw is that healthcare is complex. Healthcare is neither in favor of the patient nor the physician. This being said, healthcare still plays a key role in the health of patients. There are many notable conclusions and subjects in Better: A Surgeon’s Notes on Performance in which Gawande produces
Dr. Gawande’s own story, Personal Best (2013), describes the event in which people tend to reach a plateau and perceive to be in a state in which people have nothing more to learn. As a highly educated surgeon, he measures his level of success based on his low rates of complication after surgery in comparison to those of his peers at the national scale. Dr. Gawande never considered the benefit or the idea of having a coach up to this point.
The writing style of the author is quite interesting to me. Atul Gawande’s honesty, a major aspect of his writing style, beautifully highlights the good and bad of any medical profession. For example, Gawande’s argument over the use of patients for resident training
Almost doctors and physicians in the world have worked at a hospital, so they must know many patients’ circumstances. They have to do many medical treatments when the patients come to the emergency room. It looks like horror films with many torture scenes, and the patients have to pay for their pains. The doctors have to give the decisions for every circumstance, so they are very stressful. They just want to die instead of suffering those medical treatments. In that time, the patients’ family just believes in the doctors and tells them to do whatever they can, but the doctors just do something that 's possible. Almost patients have died after that expensive medical treatments, but the doctors still do those medical procedures. That doctors did not have enough confidence to tell the truth to the patients’ families. Other doctors have more confidence, so they explain the health condition to the patients’ families. One time, the author could not save his patient, and the patient had found another doctor to help her. That doctor decided to cut her legs, but the patient still died in fourteen days
He wrote the first complete medical books, called, Hippocratic Corpus, a collection of approximately 70 different works that described his medical theories and practices (“Hippocrates”, 1998). He also created the Hippocratic Oath, a document that outlines the ethics and morals of medicine. Although not in their original forms, both Hippocratic Corpus and the Hippocratic Oath are used today. During commencement, graduating medical students around the United States recite a modernized version of the Hippocratic Oath. This oath upholds physicians to the ethical code of medicine, allowing the patient to receive the best possible medical care.
In the essay “When Doctors Make Mistakes” written by Atul Gawande, he writes a first-hand account of mistakes made by himself and his colleagues. The essay is divided into five parts, each named to the narrative and emotions of the story he would tell. In each story he tells, he uses such vivid language that we as readers feel as if we are one of his colleagues. Each section has its own importance to the whole point he was trying to get across, ““All doctors make terrible mistakes” (657).
Atul Gawande is not only our resident surgeon; he’s also a patient himself. He’s anxious before performing a surgery, he dwells on mistakes, and he has emotions: he’s human and he understands us. However, he does not appear to share concerns with his patients initially. Gawande experiences a long, drawn-out development from a young medical student to the doctor he is today. This process of identifying with patients is evident in his anthology of essays Complications: A Surgeon’s Notes on an Imperfect Science. Dr. Gawande appears to emphasize the value of making mistakes, and how it is a core component of his daily life as a physician. His mistakes are dependent on the “good choices or bad choices” he makes, and regardless
As a junior in high school, I am considering medicine as a possible career choice. Through my research in this field, I discovered the Hippocratic Oath. The Hippocratic Oath is the most famous of the Hippocratic documents; it has served as an ideal for the professional attitude and ethics of physicians to the present; the historical origin of the oath is so obscure that even the date of its composition is placed from the 6th to the 1st century B.C.
For countless years there has always been an urgent need for doctors. Different methods would be used to cure people from their sicknesses. However, life is given by God and it is he who can take it away. Doctors play the role of saving lives, but in the end, they are powerless because nature has to take its course leaving humanity at its limits. In Vincent Lams novel “Bloodletting and Miraculous Cures”, Lam challenges the myth that doctors are omnipotent by contending that “medicine is a science of uncertainty and an art of probability”. Using Fitzgerald as a focal point, Lam debunks the myth that doctors are omnipotent through situations of medical failure, having a loss of power and control and by inhabiting deadly diseases. By showings his mistakes, Lam proves that Fitz is not perfect and God like.
Values of caution and knowledge coincide in driving Welch to his conclusion of overdiagnosis due to society’s enthusiasm for everything medical. Welch concludes early on that the benefit of sticking to tried and true forms of healthcare overrides the belief that
“As physicians have always their instruments and knives ready for cases which suddenly require their skill, so do you have principles ready for the understanding of things divine and human, and for doing everything, even the smallest, while remembering the bond which unites the divine and human to one another. For you will not do anything well affecting humans without at the same time referring to things divine; or the contrary.”
In the text, Gawande states, “I punctured a patient’s lung, for example-the right lung of a chief of surgery from another hospital, no less-and given the odds, I’m sure such things will happen again.” This shows how fatal errors can occur during a surgical procedure however, it is something that surgical residents have to grow accustomed to since mistakes like this are likely to reoccur. Gawande also mentions that when practicing on a patient, mistakes are bound to happen however, it is a part of learning. In the text, Gawande states, “She let me continue with the next steps, which I bumbled through. I didn’t realize how long and floppy the guide wire was until I pulled the coil of its plastic sleeve, and, putting one end of it into the patient, I very nearly contaminated the other.” This quote proves that although mistakes can happen, it is a part of the learning process. In this specific part, Gawande talks about how he nearly made a severe error however, he was able to learn from his mistake and complete the procedure successfully. This shows how practicing on patients is necessary for the advancement of the medical field. Therefore, although ethical and practical tensions may arise, practicing on patients is needed in order to save the lives of many in the long
As the story begins, the unnamed doctor is introduced as one who appears to be strictly professional. “Aas often, in such cases, they weren’t telling me more than they had to, it was up to me to tell them; that’s why they were spending three dollars on me.” (par. 3) The doctor leaves the first impression that he is one that keeps his attention about the job and nothing out of the ordinary besides stating his impressions on the mother, father and the patient, Mathilda. Though he does manage to note that Mathilda has a fever. The doctor takes what he considers a “trial shot” and “point of departure” by inquiring what he suspects is a sore throat (par. 6). This point in the story, nothing remains out of the ordinary or questionable about the doctor’s methods, until the story further develops.
...l student: surrounded by books, a model of human skull at his elbow, he labored over his studies with gravity and decorum late in to the night" (Peterson 40). Because of the efforts of the enlightened few, and because of the discoveries happening in other European countries, the United Kingdom was finally able to give the medical profession the much desired respect and reform that it needed, making medicine a profession to be revered and a source of pride to all those who practiced it.
The most famous ethical work—although the exact origin of the text is unknown—is the Hippocratic Oath. In eight paragraphs, those swearing the oathpledge to “keep [patients] from harm and injustice.” The oath also requires physicians to give their loyalty and support to their fellow physicians, promise to apply dietetic measures for the benefit of the sick, refuse to provide abortion or euthanasia (the act of assisting a chronically ill person to die), and swear not to make improper sexual advances against any members of the household. “In purity and holiness I will guard my life and my art,” concludes one section of the oath. For most of the 20th century, it was common for modified versions of the Hippocratic Oath to be recited by medical students upon the awarding of their degrees. For many people, the oath still symbolizes a physician’s duties and obligations.
During his employment as a medical official the reality of reservation life could not be ignored. Although he must have wanted to help his people there were many difficulties of the time. They were far away from Western civilization and supply to medical equipment. The epidemics of small pox, measles, and influenza were attacking the people. He could not al...