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#1 New York Times Bestseller In Being Mortal, bestselling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering. Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified. Full of eye-opening research and riveting storytelling, Being Mortal asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end.
This review of Being Mortal: Medicine and What Matters in the End by Atul Gawande provides a chapter by chapter detailed summary followed by an analysis and critique of the strengths and weaknesses of this book. Gawande draws on clinical studies, case histories and stories from his own experiences as a doctor and a son to illuminate the subject of mortality relative to modern medical systems. His treatment of the subject covers a broad range of institutions and individuals that shape the lives of the aged and terminally ill. The central thesis of the book is that the experience of the end of life has been problematized and addressed by medical models that place extending life over quality of life and institutional frameworks that place safety and efficiency over the ability for people to have autonomy over the last part of their lives. Gawande is a surgeon at Brigham and Women's Hospital and a professor at the Harvard Medical School. He is a writer at The New Yorker magazine and author of three New York Times bestselling books. Download your copy today! Available on PC, Mac, smart phone, tablet or Kindle device. (c) 2015 All Rights Reserved
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 -- complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's 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 won't 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. Complications is a 2002 National Book Award Finalist for Nonfiction.
The New York Times bestselling author of Being Mortal and Complications reveals the surprising power of the ordinary checklist We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies—neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third. In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds. An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.
NATIONAL BESTSELLER The New York Times bestselling author of Being Mortal and Complications examines, in riveting accounts of medical failure and triumph, how success is achieved in a complex and risk-filled profession 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 this 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. Gawande's 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). Gawande's 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.
AS HEARD ON BBC RADIO 4 'A GOOD READ' THE INTERNATIONAL BESTSELLER 'GAWANDE'S MOST POWERFUL, AND MOVING, BOOK' MALCOLM GLADWELL 'BEING MORTAL IS NOT ONLY WISE AND DEEPLY MOVING; IT IS AN ESSENTIAL AND INSIGHTFUL BOOK FOR OUR TIMES' OLIVER SACKS For most of human history, death was a common, ever-present possibility. It didn't matter whether you were five or fifty - every day was a roll of the dice. But now, as medical advances push the boundaries of survival further each year, we have become increasingly detached from the reality of being mortal. So here is a book about the modern experience of mortality - about what it's like to get old and die, how medicine has changed this and how it hasn't, where our ideas about death have gone wrong. With his trademark mix of perceptiveness and sensitivity, Atul Gawande outlines a story that crosses the globe, as he examines his experiences as a surgeon and those of his patients and family, and learns to accept the limits of what he can do. Never before has aging been such an important topic. The systems that we have put in place to manage our mortality are manifestly failing; but, as Gawande reveals, it doesn't have to be this way. The ultimate goal, after all, is not a good death, but a good life - all the way to the very end.
In 1906 and 1907 I gave, as a part of my regular work at the Summer School of Harvard University, an “Introduction to Ethics, with Special. Reference to the Interests of Teachers” A few lectures, summing up the main principles that lay at the basis of this ethical course as it had been given in the summer of 1906, were delivered in January and February, 1907, before a general academic audience, during a brief visit of mine at the University of Illinois. In several other places, both in the West and in the East, I have also presented portions of my views upon ethics; and in the summer of 1907 four general lectures on the topic were repeated before the Summer School of Theology at Harvard. In November and December of 1907, the lectures that constitute the present book were delivered for the first time before the Lowell Institute in Boston. visiting lecturer, to give to undergraduate students at Yale University in weekly class meetings. The present book, although in this way related to present and past academic tasks, is, nevertheless, not a text-book, and does not mean to be elaborately technical philosophical research. It is simply an appeal to any reader who may be fond of ideals, and who may also be willing to review his own ideals in a somewhat new light and in a philosophical spirit. Loyalty is indeed an old word, and to my mind a precious one; and the general idea of loyalty is still far older than the word, and is immeasurably more precious. But this idea has nearly always been confused in men's minds by its chance social and traditional associations. Everybody has heard of loyalty; most prize it; but few perceive it to be what, in its inmost spirit, it really is, —the heart of all the virtues, the central duty amongst all duties. In order to be able to see that this is the true meaning of the idea of loyalty, one has to free this idea from its unessential if somewhat settled associations with this or that special social habit or circumstance. And in order to accomplish this latter end, one has indeed to give to the term a more exact meaning than popular usage defines. It is this freeing of the idea of loyalty from its chance and misleading associations; it is this vindication of the spirit of loyalty as the central spirit of the moral and reasonable life of man, —t is this that I believe to be somewhat new about my “Philosophy of Loyalty” The conception of “Loyalty to Loyalty”, as set forth in my third lecture, constitutes the most significant part of this ethical task. For the rest, if my philosophy is, as a theory, more or less new, I am still only trying to make articulate what I believe to be the true spirit and meaning of all the loyal, whoever they may be, and however they define their fidelity. The result of conceiving duty in terms of the conception of loyalty which is here expounded is, indeed, if I am right, somewhat deep-going and transforming, not only for ethics, but for most men's views of truth and reality, and of religion. My own general philosophical opinions have been set forth in various works some time since (most elaborately in the volumes entitled “The World and the Individual”). I have no change to report in my fundamental metaphysical theses. But I have not published any formulation of my ethical opinions since the brief review of ethical problems in the first part of my “Religious Aspect of Philosophy” (published in 1885). One learns a good deal about ethics as one matures. And I believe that this present statement of mine ought to help at least some readers to see that such philosophical idealism as I have long maintained is not a doctrine remote from life, but is in close touch with the most practical issues; and that religion, as well as daily life, has much to gain from the right union of ethics with a philosophical theory of the real world. At the moment there is much speech, in current philosophical literature, regarding the “nature of truth“ and regarding “pragmatism” An ethical treatise very naturally takes advantage of this situation to discuss the relation between the “practical” and —the Eternal. I have done so in my closing lectures. In order to do so, I have had to engage in a certain polemic regarding the problem of truth, —a polemic directed against certain opinions recently set forth by one of the “dearest of my friends, and by one of the most loyal of men; my teacher for a while in my youth; my honoured colleague for many years, —Professor William James. Such a polemic would be indeed much out of place in a book upon Loyalty, were it not that my friend and myself fully agree that, to both of us, truth indeed “is the greater friend” Had I not very early in my work as a student known Professor James, I doubt whether any poor book of mine would ever have been written, —least of all the present one. What I personally owe him, then, I most heartily and affectionately acknowledge. But if he and I do not see truth in the same light at present, we still do well, I think, as friends, each to speak his mind as we walk by the way, and then to wait until some other light shines for our eyes. I suppose that so to do is loyalty. Meanwhile, I am writing, in this book, not merely and not mainly for philosophers, but for all those who love, as I said, ideals, and also for those who love, as I may now add, their country, —a country so ripe at present for idealism, and so confused, nevertheless, by the vastness and the complication of its social and political problems. To simplify men's moral issues, to clear their vision for the sight of the eternal, to win hearts for loyalty, —this would be, in this land, a peculiarly precious mission, if indeed I could hope that this book could aid, however little, towards such an end. Amongst the numerous friends to whom (whether or no they agree with all my views) I am especially indebted for direct and indirect aid in preparing this book, and for criticisms and other suggestions, I must mention: first, my wife, who has constantly helped me with her counsel, and in the revision of my text; then, my sister, Miss Ruth Royce, of San José, California, with whom I discussed the plan of the work in the summer of 1907; then, Doctor and Mrs. R. C. Cabot of Boston; Doctor J. J. Putnam of Boston; and, finally, my honoured colleague, Professor George H. Palmer....FROM THE BOOKS.
The issue of physician-assisted death is now firmly on the American public agenda. Already legal in five states, it is the subject of intense public opinion battles across the country. Driven by an increasingly aging population, and a baby boom generation just starting to enter its senior years, the issue is not going to go away anytime soon. In Physician-Assisted Death, L.W. Sumner equips readers with everything they need to know to take a reasoned and informed position in this important debate. The book provides needed context for the debate by situating physician-assisted death within the wider framework of end-of-life care and explaining why the movement to legalize it now enjoys such strong public support. It also reviews that movement's successes to date, beginning in Oregon in 1994 and now extending to eleven jurisdictions across three continents. Like abortion, physician-assisted death is ethically controversial and the subject of passionately held opinions. The central chapters of the book review the main arguments utilized by both sides of the controversy: on the one hand, appeals to patient autonomy and the relief of suffering, on the other the claim that taking active steps to hasten death inevitably violates the sanctity of life. The book then explores both the case in favor of legalization and the case against, focusing in the latter instance on the risk of abuse and the possibility of slippery slopes. In this context the experience of jurisdictions that have already taken the step of legalization is carefully reviewed to see what lessons might be extracted from it. It then identifies some further issues that lie beyond the boundaries of the current debate but will have to be faced sometime down the road: euthanasia for patients who are permanently unconscious or have become seriously demented and for severely compromised newborns. The book concludes by considering the various possible routes to legalization, both political and judicial. Readers will then be prepared to decide for themselves just where they stand when they confront the issue both in their own jurisdiction and in their own lives.
Feel Satisfied with Who and Where You Are In a world of comparison and discontent, it can feel impossible to be happy with life as we know it. Other people seem to have it all together, to be finding success, to be having more fun. But we weren't meant for a life characterized by dissatisfaction. In this entertaining and relatable book, Alexandra Kuykendall chronicles her nine-month experiment to rekindle her love of her ordinary "actual" life. After wiping her calendar as clean as a mother of four can, Kuykendall focuses on one aspect of her life each month, searching for ways to more fully enjoy her current season. By intentionally adding one thing each month that will make her jump for joy, she provides a practical challenge women can easily replicate. With humor, poignancy, and plenty of personal stories, Kuykendall weaves together spiritual themes and practical application into a holy self-awareness, showing women how a few small changes in their routines can improve their enjoyment of this crazy-busy life. Endorsement "If you ever get the chance to read anything written by Alexandra Kuykendall, take it. She is a gentle, trustworthy storyteller who lives the words she writes about."--Emily P. Freeman, author of Simply Tuesday
Grounded in the art of writing, The Well-Crafted Sentence zeroes in on the building block of great prose: the sentence. With a friendly, approachable, and elegant tone, Nora Bacon shows the benefits of attention to style and offers a range of revision strategies that give students the tools to strengthen and develop their writing. Giving students the opportunity to see successful rhetorical choices at work in writing they admire, the text includes a brief anthology of readings by ten accomplished stylists, five of them new to this edition. Examples throughout the text are drawn from these model pieces, as are integrated exercises that help students apply concepts to their own writing. Additionally, a new first chapter, Approaches to Style, introduces students to the concept of style. Affordable and brief, The Well-Crafted Sentence works as a core classroom text or as a supplement.
A photo-filled history of the world-renowned medical center, based on the award-winning PBS documentary by Ken Burns, Erik Ewers, and Christopher Loren Ewers. On September 30, 1889, W.W. Mayo and his sons Will and Charlie performed the very first operation at a brand-new Catholic hospital in Rochester, Minnesota. It was called Saint Mary’s. The hospital was born out of the devastation of a tornado that had struck the town six years earlier, after which Mother Alfred Moes of the Sisters of Saint Francis told the Mayos that she had a vision of building a hospital that would “become world renowned for its medical arts.” Based on the film by acclaimed documentary filmmaker Ken Burns, The Mayo Clinic: Faith, Hope, Science chronicles the history of this unique organization, from its roots as an unlikely partnership between a country doctor and a Franciscan order of nuns to its position today as a worldwide model for patient care, research, and education. Featuring more than 400 compelling archival and modern images, as well as the complete script from the film, the book demonstrates how the institution’s remarkable history continues to inspire the way medicine is practiced there today. In addition, case studies reveal patients, doctors, and nurses in their most private moments as together they face difficult diagnoses and embark on uncertain treatments. The film and this companion book tell the story of an organization that has managed to stay true to its primary value: The needs of the patient come first. Together they make an important contribution to the critical discussions about the delivery of health care today in America—and the world.
Being Mortal: by Atul Gawande | Summary & Analysis by Elite Summaries Pdf
Atul Gawande’s Being Mortal is a #1 bestseller on the New York Times – and for a good reason. This book recounts the success and failures of modern medicine, and the requirements necessary to save patients with their best interests in mind. With that being said, there’s a bit of a conflict in terms of how patients are treated when they need to be saved, and the restrictions and oppression that is so natural in the world of medicine. Treatments can be exhaustive, and in the end, the goal can be lost by both families and practitioners. Gawande tells the tale of his field, and that change can be on the horizon. p.p1 {margin: 0.0px 0.0px 10.0px 0.0px; text-align: justify; font: 11.0px 'Trebuchet MS'; color: #000000; -webkit-text-stroke: #000000} span.s1 {font-kerning: none} In a sense, Gawande wants to remind people about the sad truth of life. There is an assurance and push for life and being saved, but death is a thought placed on the backburner. There is no preparation for failure, and often times, people are blindsided by the thought that their patient can die. Do doctors have the best interests of their patients in mind? Do patients and their families truly understand the consequences of failure? There is a sense of a lack of understanding of death, and Gawande hopes to fix that problem. If you are fearful of death, this is an excellent story for you. If you have loved ones in the hospital, or if you have experienced this and felt that natural happenings such as death are trivialized and treated as a medical issue, this book should be read. It opens the reader’s eyes to the unfortunate truths of life and death, and assures you that there is so much more to death than vital signs and a clipboard. Gawande strives to put his work into perspective, as well as contrast the beliefs of the average doctor. There is a lot of hope and assurance for the field that is waiting to be read.
Contemporary Physician-Authors by Nathan Carlin Pdf
This book examines the phenomenon of physician-authors. Focusing on the books that contemporary doctors write--the stories that they tell--with contributors critically engaging their work. A selection of original chapters from leading scholars in medical and health humanities analyze the literary output of doctors, including Oliver Sacks, Danielle Ofri, Atul Gawande, Louise Aronson, Siddhartha Mukherjee, and Abraham Verghese. Discussing issues of moral meaning in the works of contemporary doctor-writers, from memoir to poetry, this collection reflects some of the diversity of medicine today. A key reference for all students and scholars of medical and health humanities, the book will be especially useful for those interested in the relationship between literature and practising medicine.
An unforgettable, illuminating story of how men live and how they survive, from Abraham Verghese, the acclaimed New York Times bestselling author of Cutting for Stone and The Covenant of Water, an Oprah's Book Club Pick. “Heartbreaking. . . . Indelible and haunting, [The Tennis Partner] is an elegy to friendship found, and an ode to a good friend lost.”—The Boston Globe When Abraham Verghese, a physician whose marriage is unraveling, relocates to El Paso, Texas, he hopes to make a fresh start as a staff member at the county hospital. There he meets David Smith, a medical student recovering from drug addiction, and the two men begin a tennis ritual that allows them to shed their inhibitions and find security in the sport they love and with each other. This friendship between doctor and intern grows increasingly rich and complex, more intimate than two men usually allow. Just when it seems nothing can go wrong, the dark beast from David’s past emerges once again—and almost everything Verghese has come to trust and believe in is threatened as David spirals out of control.