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Complications: A Surgeon's Notes on an Imperfect Science [Paperback]

Atul Gawande
4.8 out of 5 stars  See all reviews (64 customer reviews)
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Book Description

April 1 2003
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.
 
Complications is a 2002 National Book Award Finalist for Nonfiction.


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Complications: A Surgeon's Notes on an Imperfect Science + Better: A Surgeon's Notes on Performance + The Checklist Manifesto: How to Get Things Right
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From Amazon

Gently dismantling the myth of medical infallibility, Dr. Atul Gawande's Complications: A Surgeon's Notes on an Imperfect Science 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. Complications is a book with heart and an excellent bedside manner, celebrating rather than berating doctors for being merely human. --Rob Lightner --This text refers to the Hardcover edition.

From Publishers Weekly

Medicine reveals itself as a fascinatingly complex and "fundamentally human endeavor" in this distinguished debut essay collection by a surgical resident and staff writer for the New Yorker. Gawande, a former Rhodes scholar and Harvard Medical School graduate, illuminates "the moments in which medicine actually happens," and describes his profession as an "enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line." Gawande's background in philosophy and ethics is evident throughout these pieces, which range from edgy accounts of medical traumas to sobering analyses of doctors' anxieties and burnout. With humor, sensitivity and critical intelligence, he explores the pros and cons of new technologies, including a controversial factory model for routine surgeries that delivers superior success rates while dramatically cutting costs. He also describes treatment of such challenging conditions as morbid obesity, chronic pain and necrotizing fasciitis the often-fatal condition caused by dreaded "flesh-eating bacteria" and probes the agonizing process by which physicians balance knowledge and intuition to make seemingly impossible decisions. What draws practitioners to this challenging profession, he concludes, is the promise of "the alterable moment the fragile but crystalline opportunity for one's know-how, ability or just gut instinct to change the course of another's life for the better." These exquisitely crafted essays, in which medical subjects segue into explorations of much larger themes, place Gawande among the best in the field. National author tour.

Copyright 2002 Cahners Business Information, Inc.

--This text refers to the Hardcover edition.

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Customer Reviews

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3 of 3 people found the following review helpful
5.0 out of 5 stars Excellent Jun 15 2004
By A Customer
Format:Hardcover
This book was on my "suggested" reading list for my first year of medical school. I was dreading this list, so I started with this book first. I was extremely surprised to find this book easy to read, entertaining, and enlightening. I managed to read it in less than a day, and it left me with many impression on what to really expect when I undergo my training as a physician and beyond when I am really going to be expected to be a machine.
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1 of 1 people found the following review helpful
By Jack Blatant TOP 1000 REVIEWER
Format:Paperback
I've enjoyed Gawande's work with The New Yorker for a number of years - his subject material is fascinating, and his honesty is compelling. As always, he makes his way to the heart of the matter - the fallibility of highly skilled physicians and why everyone pretends this isn't so - in an elegant spiral that takes us through numerous case studies. The case study approach seems to have an inherent fascination (at least it does for me), and Gawande puts this model to excellent use.

What I find remarkable, among other things, is that Gawande doesn't sacrifice his own honesty for the sake of a clear conclusion. What happens to the woman with "The Red Leg" leaves us in a quandary - the decision tree said not to investigate further, Gawande's own instinct was heavily influenced by the sheer chance that he had seen a similar case recently, so what are we left with? Is it just sheer chance? We may not want to think so, but the book ends with marvelous ambiguity.
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5.0 out of 5 stars Lecture agréable Sep 4 2011
Format:Paperback
Ce livre discute de biens des aspects de la pratique médicale courante.

De nombreux exemples concrets sont expliqués et permettent de bien saisir la dimension humaine de la vie d'un médecine.

Le langage est accessible au grand public. Les enjeux portent à réfléchir des attentes et mettent en perspective des situations souvent mal présentées dans les médias.

Une lecture d'été qui est un must pour tout professionnel de la santé ou citoyen intéressé.
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Most recent customer reviews
4.0 out of 5 stars Complications
One must think to themselves whether or not they trust the man behind the mask. Before reading this book I had never given second thought as to putting my life in my doctor's... Read more
Published on Jun 7 2004 by Jason Katz
5.0 out of 5 stars Surgery: Noble but Imperfect Medicine
Complications: by Atul Gawande
A Surgeon's Notes on an Imperfect Science

Surgery is often perceived as the most respected of all the medical professions, but one surgeon's... Read more

Published on Mar 20 2004 by Juliana LHeureux
5.0 out of 5 stars A "Must Read" Written By A Harvard Surgeon
If you have ever been a surgical patient, or expect you might become one in the future, I highly recommend that you read Dr. Read more
Published on Mar 8 2004
5.0 out of 5 stars Some insight into the mysteries of medicine
This book describes the imperfect science that is medicine. From the training of up and coming doctors to the burnout that befalls those on top of their game, Atul Gawande deftly... Read more
Published on Feb 8 2004
5.0 out of 5 stars A Must-Read Book
This is a clear, well-written and thought-provoking consideration of the humanity of the people who provide us with medical treatment and services. Read more
Published on Jan 25 2004 by David Arndt
4.0 out of 5 stars Excellent Depiction of the Good and the Bad of Medicine
Gawande's style is enthralling and straightforward. His book is broken into short stories that share the beauty, mystery, honesty, and challenge of medicine. Read more
Published on Jan 5 2004 by Tara McMichael
5.0 out of 5 stars New relationship with Doctors
This book has a great benefit both for those in the medical profession and those outside it. Gawande explores the relationships between doctors and patients by taking us through... Read more
Published on Dec 29 2003
4.0 out of 5 stars Good airplane read
This is one of those books you will not put down when the airplane lands and everyone else is waiting to get off! Read more
Published on Dec 14 2003 by Kim Johnson
5.0 out of 5 stars Neurosurgery patient...
As a frequent neurosurgery patient, it helped me to read this book- after reading it I was no longer impatient with my doctors (I am a rare case)- sometimes it would get... Read more
Published on Dec 13 2003 by cameraguy
5.0 out of 5 stars An Excellent Read
I found this book completely by accident by just browsing through Bargain Books on Amazon--and what a delight! This is most definitely one of the best books I've ever read. Read more
Published on Dec 12 2003 by Gloria B. Sheridan
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