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| complications surgeon's notes on imperfect science: Complications Atul Gawande, 2002 In Gripping Accounts Of True Cases, Atul Gawande Performs Exploratory Surgery On Medicine Itself, Laying Bare A Science Not In Its Idealized Form But As It Actually Is Complicated, Perplexing And Profoundly Human. He 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. Dramatic, Revealing Stories Of Patients And Doctors Explore How Daily Mistakes Occur, Why Good Surgeons Go Bad, And 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. At Once Tough-Minded And Humane, Complications Is A New Kind Of Medical Writing, Nuanced And Lucid, Unafraid To Confront The Uncertainties That Lie At The Heart Of Modern Medicine, Yet Always Alive To The Possibilities Of Wisdom In This Extraordinary Endeavor. Highly Acclaimed Book That Is Destined To Be A Bestseller Literally Straight-From-The-Gut Writing |
| complications surgeon's notes on imperfect science: Complications Atul Gawande, 2003-04-01 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. |
| complications surgeon's notes on imperfect science: Better Gawande, 2007 Riveting Accounts Of Medical Failure And Triumph, And How Success Is Achieved In A Complex And Risk-Filled Profession The Struggle To Perform Well Is Universal, And Nowhere Is The Drive To Do Better More Important Than In Medicine, Where Lives Are On The Line With Every Decision. In His New 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 And Ingenuity Take Us To Battlefield Surgical Tents In Iraq, Delivery Rooms In Boston, A Polio Outbreak In India, And Malpractice Courtrooms In The Us. He Discusses The Ethical Dilemmas Of Doctors Participation In Lethal Injections, Examines The Influence Of Money On Modern Medicine, And Recounts The Contentious History Of Hand Washing. And As In All His Writing, Gawande Gives Us An Inside Look At His Own Life As A Surgeon, Offering A Firsthand Account Of Work In A Field Where Mistakes Are Both Unavoidable And Unthinkable. |
| complications surgeon's notes on imperfect science: Being Mortal Atul Gawande, 2014-10-16 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. |
| complications surgeon's notes on imperfect science: Checklist Manifesto, The (HB) Atul Gawande, 2010-04 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. |
| complications surgeon's notes on imperfect science: What Doctors Feel Danielle Ofri, MD, 2013-06-04 “A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care. Digging deep into the lives of doctors, Dr. Danielle Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Ofri offers up an unflinching look at the impact of emotions on health care. Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. Ofri also reveals that doctors cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness. |
| complications surgeon's notes on imperfect science: The Mayo Clinic David Blistein, Ken Burns, 2018-09-18 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. |
| complications surgeon's notes on imperfect science: Paris to the Moon Adam Gopnik, 2011-09-29 In 1995, Adam Gopnik and his wife, and their infant son left the familiar comforts and hassles of New York for the urbane glamour of Paris. Charmed by the beauties of the city, Gopnik set out to experience for himself the spirit and romance that has so captivated American writers throughout the Twentieth century. In the grand tradition of Stein and Hemingway, Gopnik planned to walk the paths of the Tuilleries, to enjoy philosophical discussion in cafes in short, to lead the fabled life of an American in Paris. Of course, as readers of Gopnik's beloved 'Paris Journals' in the New Yorker know, there was also the matter of raising a child and carrying on with everyday, not so fabled life. Evenings with French intellectuals precede middle-of-the night baby feedings; afternoons are filled with trips to the Musee d'Orsay and pinball games; weekday leftovers are eaten while three star chefs debate a 'culinary crisis'. With singular wit and insight, Gopnik manages to weave the magical with the mundane in a wholly delightful book. |
| complications surgeon's notes on imperfect science: The Doctor Stories William Carlos Williams, 1984 Not only for students and doctors, this volume contains Williams's thirteen doctor stories, several of his most famous poems on medical matters, and The Practice from The Autobiography. |
| complications surgeon's notes on imperfect science: A Heart for the Work Claire L. Wendland, 2010-09-15 Burnout is common among doctors in the West, so one might assume that a medical career in Malawi, one of the poorest countries in the world, would place far greater strain on the idealism that drives many doctors. But, as A Heart for the Work makes clear, Malawian medical students learn to confront poverty creatively, experiencing fatigue and frustration but also joy and commitment on their way to becoming physicians. The first ethnography of medical training in the global South, Claire L. Wendland’s book is a moving and perceptive look at medicine in a world where the transnational movement of people and ideas creates both devastation and possibility. Wendland, a physician anthropologist, conducted extensive interviews and worked in wards, clinics, and operating theaters alongside the student doctors whose stories she relates. From the relative calm of Malawi’s College of Medicine to the turbulence of training at hospitals with gravely ill patients and dramatically inadequate supplies, staff, and technology, Wendland’s work reveals the way these young doctors engage the contradictions of their circumstances, shedding new light on debates about the effects of medical training, the impact of traditional healing, and the purposes of medicine. |
| complications surgeon's notes on imperfect science: My Own Country Abraham Verghese, 1995-04-25 From the author of The Covenant of Water and New York Times bestseller Cutting for Stone: a story of medicine in the American heartland, and confronting one's deepest prejudices and fears. “Remarkable.... An account of the [AIDS] plague years in America. Beautifully written…by a doctor who was changed and shaped by his patients.” —The New York Times Book Review Nestled in the Smoky Mountains of eastern Tennessee, the town of Johnson City had always seemed exempt from the anxieties of modern American life. But when the local hospital treated its first AIDS patient, a crisis that had once seemed an “urban problem” had arrived in the town to stay. Working in Johnson City was Abraham Verghese, a young Indian doctor specializing in infectious diseases. Dr. Verghese became by necessity the local AIDS expert, soon besieged by a shocking number of male and female patients whose stories came to occupy his mind, and even take over his life. Verghese brought a singular perspective to Johnson City: as a doctor unique in his abilities; as an outsider who could talk to people suspicious of local practitioners; above all, as a writer of grace and compassion who saw that what was happening in this conservative community was both a medical and a spiritual emergency. |
| complications surgeon's notes on imperfect science: Terry Pratchett: A Life With Footnotes Rob Wilkins, 2022-09-29 WINNER OF THE 2023 LOCUS AWARD FOR NON-FICTION WINNER OF THE BRITISH SCIENCE FICTION ASSOCIATION AWARD FOR BEST NON-FICTION 'Always readable, illuminating and honest. It made me miss the real Terry.' - Neil Gaiman 'Sometimes joyfully, sometimes painfully, intimate . . . it is wonderful to have this closeup picture of the writer's working life.' - Frank Cottrell-Boyce, Observer -------- At the time of his death in 2015, award-winning and bestselling author Sir Terry Pratchett was working on his finest story yet - his own. The creator of the phenomenally bestselling Discworld series, Terry Pratchett was known and loved around the world for his hugely popular books, his smart satirical humour and the humanity of his campaign work. But that's only part of the picture. Before his untimely death, Terry was writing a memoir: the story of a boy who aged six was told by his teacher that he would never amount to anything and spent the rest of his life proving him wrong. For Terry lived a life full of astonishing achievements: becoming one of the UK's bestselling and most beloved writers, winning the prestigious Carnegie Medal and being awarded a knighthood. Now, the book Terry sadly couldn't finish has been written by Rob Wilkins, his former assistant, friend and now head of the Pratchett literary estate. Drawing on his own extensive memories, along with those of the author's family, friends and colleagues, Rob unveils the full picture of Terry's life - from childhood to his astonishing writing career, and how he met and coped with what he called the 'Embuggerance' of Alzheimer's disease. A deeply moving and personal portrait of the extraordinary life of Sir Terry Pratchett, written with unparalleled insight and filled with funny anecdotes, this is the only official biography of one of our finest authors. -------- 'Spins magic from mundanity in precisely the way Pratchett himself did.' - Telegraph 'As frank, funny and unsentimental as anything its subject might have produced himself.' - Mail on Sunday |
| complications surgeon's notes on imperfect science: The Meaning of Things A.C. Grayling, 2011-07-21 A refreshing distillation of insights into the human condition, by one of the best-known and most popular philosophers in the UK. Thinking about life, what it means and what it holds in store does not have to be a despondent experience, but rather can be enlightening and uplifting. A life truly worth living is one that is informed and considered so a degree of philosophical insight into the inevitabilities of the human condition is inherently important and such an approach will help us to deal with real personal dilemmas. This book is an accessible, lively and thought-provoking series of linked commentaries, based on A. C. Grayling's 'The Last Word' column in the GUARDIAN. Its aim is not to persuade readers to accept one particular philosophical point of view or theory, but to help us consider the wonderful range of insights which can be drawn from an immeasurably rich history of philosophical thought. Concepts covered include courage, love, betrayal, ambition, cruelty, wisdom, passion, beauty and death. This will be a wonderfully stimulating read and act as an invaluable guide as to what is truly important in living life, whether facing success, failure, justice, wrong, love, loss or any of the other profound experience life throws out. |
| complications surgeon's notes on imperfect science: Skill Christopher S. Ahmad, 2015-06 This book provides guidelines--via 40 practical tips and processes--to fulfill anyone's natural ability. It's about becoming the master of your own fate, your own skills and your own success. Greatness is not a natural gift... It is something achieved through hard work and diligent practice--not from dreaming, but from working. Commit to becoming the best: work hard, have a positive mindset, and practice, practice, practice.--Back cover. |
| complications surgeon's notes on imperfect science: Extinguish Burnout Robert Bogue, Terri Bogue, 2019 An authoritative and relevant guide that provides practical advice for how to avoid and recover from burnout and embark on the pathway to thriving. Trapped. Stuck. Helpless. These are the words that people experiencing burnout use to describe their lives, but they don't have to. The words used after extinguishing burnout are hopeful, thriving, flourishing, and powerful. Nearly everyone has experienced burnout. Some have escaped burnout's grips, but at what cost, and after how long? When we find ourselves succumbing to the pressures of today that move us towards burnout, we need a clear path to get out and avoid it in the future. That's what Rob and Terri Bogue have put together - a clear path out of burnout. In the book, you'll learn: - What causes burnout and how to escape - How to more realistically value the results you're getting - When to ask for and receive more support - What four simple physical self-care activities reduce burnout - How to change your self-talk for the better - What to do to manage your demands so you're not so exhausted - How to better recognize your personal value - How to integrate your self-image and reduce your stress - How to identify and eliminate barriers to your efficacy - How to build resilience against setbacks - Why hope is essential - Why failure isn't final - How to be detached without being disengaged Rob and Terri convert abstract concepts into tangible activities that you can do to escape burnout. They convert nearly incomprehensible research into practical steps anyone can take. Intentionally short chapters can be read in only a few minutes, so you don't have to commit to a long book or chapter to start feeling better. If you need to read one book about well-being, this is absolutely it. - Sharlyn Lauby, Author of HR Bartender |
| complications surgeon's notes on imperfect science: Open Heart Stephen Westaby, 2017-06-20 In gripping prose, one of the world's leading cardiac surgeons lays bare both the wonder and the horror of a life spent a heartbeat away from death When Stephen Westaby witnessed a patient die on the table during open-heart surgery for the first time, he was struck by the quiet, determined way the surgeons walked away. As he soon understood, this detachment is a crucial survival strategy in a profession where death is only a heartbeat away. In Open Heart, Westaby reflects on over 11,000 surgeries, showing us why the procedures have never become routine and will never be. With astonishing compassion, he recounts harrowing and sometimes hopeful stories from his operating room: we meet a pulseless man who lives with an electric heart pump, an expecting mother who refuses surgery unless the doctors let her pregnancy reach full term, and a baby who gets a heart transplant-only to die once it's in place. For readers of Atul Gawande's Being Mortal and of Henry Marsh's Do No Harm, Open Heart offers a soul-baring account of a life spent in constant confrontation with death. |
| complications surgeon's notes on imperfect science: A History of the World in 21 Women Jenni Murray, 2018-09-06 From the bestselling author of A History of Britain in 21 Women The history of the world is the history of great women. Marie Curie discovered radium and revolutionised medical science. Empress Cixi transformed China. Frida Kahlo turned an unflinching eye on life and death. Anna Politkovskaya dared to speak truth to power, no matter the cost. Their names should be shouted from the rooftops. And that is exactly what Jenni Murray is here to do. |
| complications surgeon's notes on imperfect science: When the Air Hits Your Brain: Tales from Neurosurgery Frank Vertosick Jr., 2008-03-17 The story of one man's evolution from naive and ambitious young intern to world-class neurosurgeon. With poignant insight and humor, Frank Vertosick Jr., MD, describes some of the greatest challenges of his career, including a six-week-old infant with a tumor in her brain, a young man struck down in his prime by paraplegia, and a minister with a .22-caliber bullet lodged in his skull. Told through intimate portraits of Vertosick’s patients and unsparing yet fascinatingly detailed descriptions of surgical procedures, When the Air Hits Your Brain—the culmination of decades spent struggling to learn an unforgiving craft—illuminates both the mysteries of the mind and the realities of the operating room. |
| complications surgeon's notes on imperfect science: How Doctors Think Jerome Groopman, 2010 On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can with our help avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track.Groopman draws on a wealth of research, extensive interviews with some of the country's best doctors, and his own experience as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his debilitating medical problems.How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together. |
| complications surgeon's notes on imperfect science: Life on a Knife’s Edge Rahul Jandial, 2021-06-03 'It's a brilliant book... There are lessons in every paragraph... Get it now.' Chris Evans 'Wonderous and wild. I loved this book' James Nestor, bestselling author of Breath 'Moving, raw and unflinching' Julia Samuel, bestselling author of This Too Shall Pass 'Incredible storytelling' Dr Rangan Chatterjee, bestselling author of Feel Better in 5 ____________________________________________________________________________ How do you carry on when things go deadly wrong? When Dr Rahul Jandial operated on Karina, an eleven-year-old girl whose spinal cord was splitting in two, he had to make an impossible decision. He followed his head over his gut and Karina was left permanently paralysed, altering both patient and surgeon's lives for ever. This decision would haunt Rahul for decades, a constant reminder of the fine line between saving and damaging a life. As one of the world's leading brain surgeons, Rahul is the last hope for patients with extreme forms of cancer. In treating them, he has observed humanity at its most raw and most robust. He has journeyed to unimaginable extremes with them, guiding them through the darkest moments of their lives. Life on a Knife's Edge is Rahul's poetic and beautifully written account of the resilience, courage and belief he has witnessed in his patients, and the lessons about human nature he has learned from them. It is about the impossible choices he has to make, and the fateful consequences he is forced to live with. From challenging the ethics of surgical practices, to helping a patient with locked-in syndrome communicate her dying wish to her family, Rahul shares his extraordinary experiences, revealing the depths of a surgeon's psyche that is continuously pushed to its limits. |
| complications surgeon's notes on imperfect science: What I Learned in Medical School Kevin M. Takakuwa, Nick Rubashkin, Karen E. Herzig, 2004-01-06 A group of vivid, first-person stories of medical students who don't fit the mold and have had challenges completing conventional medical training. |
| complications surgeon's notes on imperfect science: Deep Medicine Eric Topol, 2019-03-12 A Science Friday pick for book of the year, 2019 One of America's top doctors reveals how AI will empower physicians and revolutionize patient care Medicine has become inhuman, to disastrous effect. The doctor-patient relationship--the heart of medicine--is broken: doctors are too distracted and overwhelmed to truly connect with their patients, and medical errors and misdiagnoses abound. In Deep Medicine, leading physician Eric Topol reveals how artificial intelligence can help. AI has the potential to transform everything doctors do, from notetaking and medical scans to diagnosis and treatment, greatly cutting down the cost of medicine and reducing human mortality. By freeing physicians from the tasks that interfere with human connection, AI will create space for the real healing that takes place between a doctor who can listen and a patient who needs to be heard. Innovative, provocative, and hopeful, Deep Medicine shows us how the awesome power of AI can make medicine better, for all the humans involved. |
| complications surgeon's notes on imperfect science: The Making of a Surgeon William A. Nolen, M.D., 1970 |
| complications surgeon's notes on imperfect science: Everything That Makes Us Human Jay Jayamohan, 2020-02-20 Jay Jayamohan makes life and death decisions on a daily basis. That's because he's a Consultant Paediatric Neurosurgeon in a busy Oxford hospital. This is his poignant, heart-breaking, funny, harrowing and unflinchingly human memoir. |
| complications surgeon's notes on imperfect science: The Practice of Autonomy Carl Schneider, 1998 Exploring what patients do want gives direction to the author's inquiry into what they should want. What patients want, he believes, is properly more complex and ambiguous than being empowered. In this book he charts that ambiguity to take the autonomy principle past current pieties into the uncertain realities of the sick room and the hospital ward. The Practice of Autonomy is a sympathetic but trenchant study of the animating principle of modern bioethics. It speaks with freshness, insight, and even passion to bioethicists and moral philosophers (about their theories), to lawyers (about their methods), to medical sociologists (about their subject), to policy-makers (about their ambitions), to doctors (about their work), and to patients (about their lives).--BOOK JACKET. |
| complications surgeon's notes on imperfect science: Talking with Serial Killers Christopher Berry-Dee, 2013-05-23 An investigative criminologist, Christopher Berry-Dee is a man who talks to serial killers. Their pursuit of horror and violence is described in their own words, transcribed from audio and videotape interviews conducted deep inside some of the toughest prisons in the world. Berry-Dee describes the circumstances of his meetings with some of the world's most evil men and reproduces, verbatim, their very words as they describe their crimes and discuss their remorse -- or lack of it. This work offers a penetrating insight into the workings of the criminal mind. |
| complications surgeon's notes on imperfect science: Pain Abdul-Ghaaliq Lalkhen, 2021-01-14 ' Combines a career's worth of expertise with a long history of pain treatment. For anyone concerned with pain treatment, or anyone who has struggled to manage pain of any kind, it's an important read.' GQ Pain is a universal human experience, but we understand very little about the mechanics behind it. We hurt ourselves, we feel pain, we seek help from a professional or learn to avoid certain behaviours that cause pain. But the story of what goes on in our body is far from simple. Even medical practitioners themselves often fail to grasp the complexities between our minds and bodies and how they interact when dealing with pain stimulus. Common conception still equates pain with tissue damage but that is only a very small part of the story - the organ which produces pain is the brain. Case studies show that a woman who has undergone a caesarean reports dramatically less pain than a patient who has had a comparably invasive operation. The soldier who drags themselves to safety after being shot deals with pain in a remarkably different way from someone suffering a similar injury on a street. The truth is that pain is a complex mix of nerve endings, psychological state, social preconceptions and situational awareness. Using case studies and medical history, Dr Lalkhen guides us through all aspects of pain, from chronic to acute, and the current landscape of pain treatments - from medication (including opioids) to electrical nerve stimulation. Whether it's a mild ache or severe discomfort, we all encounter pain in our lives and this important and illuminating book enables us to understand and cope with an experience that for so many can become all-consuming. |
| complications surgeon's notes on imperfect science: Uglies Scott Westerfeld, 2011-05-03 A fresh repackaging of the bestselling Uglies boks...the series that started the whole dystopian trend! |
| complications surgeon's notes on imperfect science: Thanks for Waiting Doree Shafrir, 2021-06-29 An honest, witty, and insightful memoir about what happens when your coming-of-age comes later than expected “Thanks for Waiting is the loving, wise, cuttingly funny older sister we all need in book form.”—Tara Schuster, author of Buy Yourself the F*cking Lilies Doree Shafrir spent much of her twenties and thirties feeling out of sync with her peers. She was an intern at twenty-nine and met her husband on Tinder in her late thirties, after many of her friends had already gotten married, started families, and entered couples’ counseling. After a long fertility struggle, she became a first-time mom at forty-one, joining Mommy & Me classes where most of the other moms were at least ten years younger. And while she was one of Gawker’s early hires and one of the first editors at BuzzFeed, she didn’t find professional fulfillment until she co-launched the successful self-care podcast Forever35—at forty. Now, in her debut memoir, Shafrir explores the enormous pressures we feel, especially as women, to hit particular milestones at certain times and how we can redefine what it means to be a late bloomer. She writes about everything from dating to infertility, to how friendships evolve as you get older, to why being pregnant at forty-one is unexpectedly freeing—all with the goal of appreciating the lives we’ve lived so far and the lives we still hope to live. Thanks for Waiting is about how achieving the milestones you thought were so important don’t always happen on the time line you imagined. In a world of 30 Under 30 lists, this book is a welcome reminder that it’s okay to live life at your own speed. |
| complications surgeon's notes on imperfect science: Standard Deviations Gary Smith, 2016-09-22 Did you know that having a messy room will make you racist? Or that human beings possess the ability to postpone death until after important ceremonial occasions? Or that people live three to five years longer if they have positive initials, like ACE? All of these 'facts' have been argued with a straight face by researchers and backed up with reams of data and convincing statistics. As Nobel Prize-winning economist Ronald Coase once cynically observed, 'If you torture data long enough, it will confess.' Lying with statistics is a time-honoured con. In Standard Deviations, economics professor Gary Smith walks us through the various tricks and traps that people use to back up their own crackpot theories. Sometimes, the unscrupulous deliberately try to mislead us. Other times, the well-intentioned are blissfully unaware of the mischief they are committing. Today, data is so plentiful that researchers spend precious little time distinguishing between good, meaningful deductions and total rubbish. Not only do others use data to fool us, we fool ourselves. Drawing on breakthrough research in behavioural economics by luminaries like Daniel Kahneman and Dan Ariely, and taking to task some of the conclusions of Freakonomics, Standard Deviations demystifies the science behind statistics and brings into stark relief the fraud that surrounds us all. |
| complications surgeon's notes on imperfect science: The Phoenix Project Gene Kim, Kevin Behr, George Spafford, 2018-02-06 ***Over a half-million sold! And available now, the Wall Street Journal Bestselling sequel The Unicorn Project*** “Every person involved in a failed IT project should be forced to read this book.”—TIM O'REILLY, Founder & CEO of O'Reilly Media “The Phoenix Project is a must read for business and IT executives who are struggling with the growing complexity of IT.”—JIM WHITEHURST, President and CEO, Red Hat, Inc. Five years after this sleeper hit took on the world of IT and flipped it on it's head, the 5th Anniversary Edition of The Phoenix Project continues to guide IT in the DevOps revolution. In this newly updated and expanded edition of the bestselling The Phoenix Project, co-author Gene Kim includes a new afterword and a deeper delve into the Three Ways as described in The DevOps Handbook. Bill, an IT manager at Parts Unlimited, has been tasked with taking on a project critical to the future of the business, code named Phoenix Project. But the project is massively over budget and behind schedule. The CEO demands Bill must fix the mess in ninety days or else Bill's entire department will be outsourced. With the help of a prospective board member and his mysterious philosophy of The Three Ways, Bill starts to see that IT work has more in common with a manufacturing plant work than he ever imagined. With the clock ticking, Bill must organize work flow streamline interdepartmental communications, and effectively serve the other business functions at Parts Unlimited. In a fast-paced and entertaining style, three luminaries of the DevOps movement deliver a story that anyone who works in IT will recognize. Readers will not only learn how to improve their own IT organizations, they'll never view IT the same way again. “This book is a gripping read that captures brilliantly the dilemmas that face companies which depend on IT, and offers real-world solutions.”—JEZ HUMBLE, Co-author of Continuous Delivery, Lean Enterprise, Accelerate, and The DevOps Handbook |
| complications surgeon's notes on imperfect science: The Best American Science Writing 2006 Atul Gawande, 2006-09-05 Together these twenty-one articles on a wide range of today's most leading topics in science, from Dennis Overbye, Jonathan Weiner, and Richard Preston, among others, represent the full spectrum of scientific inquiry, proving once again that good science writing is evidently plentiful (American Scientist). |
| complications surgeon's notes on imperfect science: Schein's Common Sense Prevention and Management of Surgical Complications Moshe Schein,, Paul N Rogers,, Ari Leppäniemi,, Danny Rosin,, 2013-10-01 The enthusiastic feedback received from readers of the international bestseller Schein's Common Sense Emergency Abdominal Surgery (now in its 3rd edition, translated to seven languages; Springer Verlag; ISBN 9783540748205) inspired the editors to do a similar book dedicated to surgical complications: practical, non-formal, internationally relevant (in all types of practice and levels of hospitals) – and definitely not politically correct: what is considered taboo by others is not taboo for us; here we discuss everything! As in the editors’ previous book, the use of references is restricted to the absolute minimum, and citing figures and percentages is avoided as much as possible. The chapters in this book are the opinion of experts – each contributor has a vast personal knowledge and clinical experience in the field he is writing about. This book will help all surgeons (and their patients), avoid the misery of complications, and will provide advice on the management of those that are unavoidable. Complications and death are an integral component of surgery. Surgeons have to look death in the eyes, try to prevent it and vanquish it – this is what this book is all about. Schein’s books are always terrific reads, conveying pithy observations and practical advice and doing so with wit and scholarship. This latest is surely a must for every surgeon’s bookshelf. Abraham Verghese MD, author of CUTTING FOR STONE |
| complications surgeon's notes on imperfect science: Being Mortal Abookaday, 2016-07-29 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 |
| complications surgeon's notes on imperfect science: What Doesn't Kill You Tessa Miller, 2022-02 “Should be read by anyone with a body. . . . Relentlessly researched and undeniably smart.” —The New York Times Named one of BuzzFeed's Best Books of 2021 What Doesn’t Kill You is the riveting account of a young journalist’s awakening to chronic illness, weaving together personal story and reporting to shed light on living with an ailment forever. Tessa Miller was an ambitious twentysomething writer in New York City when, on a random fall day, her stomach began to seize up. At first, she toughed it out through searing pain, taking sick days from work, unable to leave the bathroom or her bed. But when it became undeniable that something was seriously wrong, Miller gave in to family pressure and went to the hospital—beginning a yearslong nightmare of procedures, misdiagnoses, and life-threatening infections. Once she was finally correctly diagnosed with Crohn’s disease, Miller faced another battle: accepting that she will never get better. Today, an astonishing three in five adults in the United States suffer from a chronic disease—a percentage expected to rise post-Covid. Whether the illness is arthritis, asthma, Crohn’s, diabetes, endometriosis, multiple sclerosis, ulcerative colitis, or any other incurable illness, and whether the sufferer is a colleague, a loved one, or you, these diseases have an impact on just about every one of us. Yet there remains an air of shame and isolation about the topic of chronic sickness. Millions must endure these disorders not only physically but also emotionally, balancing the stress of relationships and work amid the ever-present threat of health complications. Miller segues seamlessly from her dramatic personal experiences into a frank look at the cultural realities (medical, occupational, social) inherent in receiving a lifetime diagnosis. She offers hard-earned wisdom, solidarity, and an ultimately surprising promise of joy for those trying to make sense of it all. |
| complications surgeon's notes on imperfect science: HBR Guide to Making Better Decisions Harvard Business Review, 2020-02-11 Learn how to make better; faster decisions. You make decisions every day--from prioritizing your to-do list to choosing which long-term innovation projects to pursue. But most decisions don't have a clear-cut answer, and assessing the alternatives and the risks involved can be overwhelming. You need a smarter approach to making the best choice possible. The HBR Guide to Making Better Decisions provides practical tips and advice to help you generate more-creative ideas, evaluate your alternatives fairly, and make the final call with confidence. You'll learn how to: Overcome the cognitive biases that can skew your thinking Look at problems in new ways Manage the trade-offs between options Balance data with your own judgment React appropriately when you've made a bad choice Communicate your decision--and overcome any resistance Arm yourself with the advice you need to succeed on the job, from a source you trust. Packed with how-to essentials from leading experts, the HBR Guides provide smart answers to your most pressing work challenges. |
| complications surgeon's notes on imperfect science: Admissions Henry Marsh, 2017-05-04 'Sensational' SUNDAY TIMES NO. BESTSELLER 'Extraordinary...both exhilarating and alarming...fascinating' DAILY MAIL 'Wonderful...a testament to the tenacity of the human spirit' FINANCIAL TIMES Henry Marsh has spent four decades operating on the human brain. In this searing and provocative memoir following his retirement from the NHS, he reflects on the experiences that have shaped his career and life, gaining a deeper understanding of what matters to us all in the end. |
| complications surgeon's notes on imperfect science: You Have to Fucking Eat Adam Mansbach, 2014-11-12 From the author of the international best seller GO THE FUCK TO SLEEP comes a book about the other great parental frustration: getting your little angel to eat something that even vaguely resembles a normal meal. Profane, loving and deeply cathartic, You Have to Fucking Eat breaks the code of child-rearing silence, giving mums and dads new, old, grand- and expectant a much-needed chance to laugh about a universal problem. You probably shouldn't read it to your children. |
| complications surgeon's notes on imperfect science: Human Error in Medicine Marilyn Sue Bogner, 2010-02-26 It was not until 1999, five years after the publication of the then revolutionary Human Error in Medicine, that the issue of medical error received broader notice in a report by the Institute of Medicine (IOM) of the U.S. National Academies of Science. This report reinforced the commonly held but not empirically supported belief that adverse outcomes in health care are the result of errors by care providers alone. Medical errors are due most often to the convergence of multiple contributing factors. This second edition of Human Error in Medicine revisits the topic by presenting an expanded consideration of error in health care. Underlying the expansion is an emphasis on the practical, the lessons learned that can be applied not just in hospitals, but also in home care and in self care – an important concern because of the increasing prevalence of chronic illnesses. Bringing together a group of diverse experts, the book covers a wide range of topics from errors in the use of medical equipment including radiology, errors from poor or fatigued decision making, latent surgical errors, both efforts and failures to learn from mistakes, and error reduction through technical advancement and improved facility design. |
| complications surgeon's notes on imperfect science: A Kick-Ass Fairy Linda Zercoe, 2013-09 Looking for a fairy tale to make into a musical? Look somewhere else. Linda Zercoe offers up a series of unfortunate events ina memoir that rivals the stories of the Brothers Grimm. Life can be capricious and cruel. In this memoir, the author-heroine faces family tragedy and battles multiple forms of cancer. Through one trial after another, Zercoe learns to harness her talents and powers and develop the strength, gumption and resilience to make a life worth living ...--Publisher description. |
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