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| complications surgeons notes on imperfect science: Complications Atul Gawande, 2002-04-04 A book about medicine that reads like a thriller, Complications is a uniquely soulful book about the science of mending bodies (Adam Gopnik, author of From Paris to the Moon). |
| complications surgeons notes on imperfect science: Complications Atul Gawande, 2010-07-09 The international bestseller from the author of Being Mortal In these gripping accounts of true cases, bestselling author Atul Gawande performs exploratory surgery on medicine itself, laying bare a science not in its idealised form, but as it actually is - complicated, perplexing and profoundly human. This is a stunningly well-written account of the life of a surgeon: what it is like to cut into people's bodies and the terrifying - literally life and death - decisions that have to be made: operations that go wrong; of doctors who go to the bad; why autopsies are necessary; what it feels like to insert your knife into someone. 'Written as tautly as a thriller' Observer |
| complications surgeons notes on imperfect science: Complications Atul Gawande, 2002 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 shows 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 also ponders the human factor that makes saving lives possible.--BOOK JACKET.Title Summary field provided by Blackwell North America, Inc. All Rights Reserved |
| complications surgeons notes on imperfect science: Better Atul Gawande, 2008-01-22 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. |
| complications surgeons notes on imperfect science: War Doctor David Nott, 2020-03-03 #1 International Bestseller: A frontline trauma surgeon tells his “riveting” true story of operating in the world’s most dangerous war zones (The Times). For more than twenty-five years, surgeon David Nott has volunteered in some of the world’s most perilous conflict zones. From Sarajevo under siege in 1993 to clandestine hospitals in rebel-held eastern Aleppo, he has carried out lifesaving operations in the most challenging conditions, and with none of the resources of a major metropolitan hospital. He is now widely acknowledged as the most experienced trauma surgeon in the world. War Doctor is his extraordinary story, encompassing his surgeries in nearly every major conflict zone since the end of the Cold War, as well as his struggles to return to a “normal” life and routine after each trip. Culminating in his recent trips to war-torn Syria—and the untold story of his efforts to help secure a humanitarian corridor out of besieged Aleppo to evacuate some 50,000 people—War Doctor is a heart-stopping and moving blend of medical memoir, personal journey, and nonfiction thriller that provides unforgettable, at times raw, insight into the human toll of war. “Superb . . . You are constantly amazed that men such as Nott can witness the extraordinary cruelties of the human race, so many and so foul, yet keep going.” —Sunday Times “Gripping and fascinating medical stories.” —Kirkus Reviews |
| complications surgeons notes on imperfect science: The Checklist Manifesto Atul Gawande, 2010-04-01 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. |
| complications surgeons notes on imperfect science: How Doctors Think Jerome Groopman, 2008-03-12 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 experiences 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 own 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 surgeons 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 surgeons 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 surgeons 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 surgeons notes on imperfect science: Being Mortal Atul Gawande, 2014-10-07 #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. |
| complications surgeons 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 surgeons notes on imperfect science: The Making of a Surgeon William A. Nolen, M.D., 1970 |
| complications surgeons 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 surgeons notes on imperfect science: Complications in Surgery Michael W. Mulholland, Gerard M. Doherty, 2012-11-13 Complications in Surgery, Second Edition offers authoritative recommendations for preventing and managing complications in all current general surgery procedures. The opening sections discuss institutional risk management issues and risks common to all operations, such as wound healing problems, infection, shock, and complications in immunosuppressed patients. Subsequent sections focus on complications of specific procedures in thoracic, vascular, gastric, endocrine, breast, and oncologic surgery, as well as organ transplantation and pediatric surgery. This edition includes new information on surgical quality assessment and patient safety and updated information in the organ-specific chapters. |
| complications surgeons notes on imperfect science: Management of Complications in Oral and Maxillofacial Surgery Michael Miloro, Antonia Kolokythas, 2012-02-21 Management of Complications in Oral and Maxillofacial Surgery is a comprehensive reference that covers the minor and major complications which may occur in all facets of oral maxillofacial surgery. Each chapter covers the potential complications encountered during the routine practice of oral and maxillofacial surgery, from the most commonly encountered complications, to those less frequent and more complex with which every competent oral and maxillofacial surgeon should be familiar. Drs. Miloro and Kolokythas address possible complications in every aspect of OMS, including anesthesia, third molar surgery, implant surgery, maxillofacial trauma, orthognathic surgery, temporomandibular joint surgery, cleft lip and palate surgery, head and neck oncologic surgery, soft and hard tissue reconstruction, free tissue transfer, and cosmetic facial surgery. The contributors to this textbook, recognized experts in their specific topic due to their surgical experience and expertise, focus on the prompt recognition of each complication, and consider preventative measures as well as precise management strategies considering the already compromised clinical circumstances. |
| complications surgeons notes on imperfect science: The Laparoscopic Surgery Revolution David W. Page MD, 2017-02-13 Written by a surgeon with 40 years' experience in practice and instruction, this book provides vital, up-to-date information that explains the strengths and weaknesses of the laparoscopic surgery field to enable potential surgical patients to make the best decisions and choose a surgeon wisely. More than 30 years ago, laparoscopic or keyhole surgery suddenly appeared as an operative technique. Laparoscopy quickly grew in the U.S. surgical field, where now more than two million operations annually use the technique. But is the training surgeons receive in laparoscopy sufficient to ensure patient safety? What are the specific situations where laparoscopy is beneficial and justified, and when is it ill-advised due to the additional complexity and risk factors? This is the first book written for general readers—avoiding medical jargon wherever possible—to expose the gritty history and downsides of minimally invasive surgery. Additionally, it provides the perspective and insights of an esteemed surgeon who was working at the inception of laparoscopy and has a full understanding of this now widely popular procedure across its development and lifespan. Readers will learn about the emergence of laparoscopic techniques in the 1990s, understand how minimally invasive surgery has been a boon to the business of surgery and to patient health and recovery overall, appreciate how the complexity involved in laparoscopic surgery has led to a higher incidence of surgeon incompetence, and grasp the responsibility of a patient to take steps to assure that the surgeon is qualified before going into the operating room. Examination of eye-opening statistics on the outcomes of laparoscopic procedures documents the high level of capability of most surgeons, as well as the lack of appropriate ability with certain laparoscopic operations in the hands of some surgeons. The author also spells out how informed patients can be prepared to discuss and consider all aspects of an operation—and the surgeon's training and experience—to assure the best outcome for their health. |
| complications surgeons notes on imperfect science: Patient Safety Sidney Dekker, 2016-04-19 Increased concern for patient safety has put the issue at the top of the agenda of practitioners, hospitals, and even governments. The risks to patients are many and diverse, and the complexity of the healthcare system that delivers them is huge. Yet the discourse is often oversimplified and underdeveloped. Written from a scientific, human factors |
| complications surgeons notes on imperfect science: The Human Contribution J. T. Reason, 2008 The Human Contribution is vital reading for all professionals in high-consequence environments and for managers of any complex system. The book draws its illustrative material from a wide variety of hazardous domains, with the emphasis on healthcare reflecting the author's focus on patient safety over the last decade. All students of human factors - however seasoned - will also find it an invaluable and thought-provoking read. |
| complications surgeons notes on imperfect science: Mind-Body Medicine in Inpatient Psychiatry David Lag Tomasi, 2020-03-30 David Tomasi presents new, groundbreaking research on the science and application of Mind-Body Medicine strategies to improve clinical outcomes in inpatient psychiatry settings. Much more than a list of therapeutic recommendations, this book is a thorough description of how Mind-Body Medicine can be successfully applied, from a therapeutic as well as from an organizational, cost-effective analysis viewpoint, to the full spectrum of psychiatric treatments. Furthermore, this study examines the role of multidisciplinary and interdisciplinary treatment teams, with a special focus on the profession and the role of psychotherapists and group therapists, thereby providing solid scientific evidence of the benefits of patient-provider therapeutic alliances. In this sense, this book serves as a guide for professionals and institutions both in the private and the public sphere, to learn effective treatment and management strategies. |
| complications surgeons notes on imperfect science: Encyclopedia of Pharmacy Practice and Clinical Pharmacy , 2019-06-28 Encyclopedia of Pharmacy Practice and Clinical Pharmacy, Three Volume Set covers definitions, concepts, methods, theories and applications of clinical pharmacy and pharmacy practice. It highlights why and how this field has a significant impact on healthcare. The work brings baseline knowledge, along with the latest, most cutting-edge research. In addition, new treatments, algorithms, standard treatment guidelines, and pharmacotherapies regarding diseases and disorders are also covered. The book's main focus lies on the pharmacy practice side, covering pharmacy practice research, pharmacovigilance, pharmacoeconomics, social and administrative pharmacy, public health pharmacy, pharmaceutical systems research, the future of pharmacy, and new interventional models of pharmaceutical care. By providing concise expositions on a broad range of topics, this book is an excellent resource for those seeking information beyond their specific areas of expertise. This outstanding reference is essential for anyone involved in the study of pharmacy practice. Provides a ‘one-stop’ resource for access to information written by world-leading scholars in the field Meticulously organized, with articles split into three clear sections, it is the ideal resource for students, researchers and professionals to find relevant information Contains concise and accessible chapters that are ideal as an authoritative introduction for non-specialists and readers from the undergraduate level upwards Includes multimedia options, such as hyperlinked references and further readings, cross-references and videos |
| complications surgeons notes on imperfect science: Patient Safety Alexander Gungov, 2018-10-30 In our time of well-publicized health care travails, in the USA and the UK and elsewhere, matters of financing too often subsume the dimension of patient care. In his latest book, Alexander L. Gungov studies a vital but neglected aspect of patient safety. Of the thousands of medical errors committed on a daily basis, in the bulk of unfortunate clinical decisions, a significant share pertains to various logical flows and epistemological fallacies. By focusing on the logical dimensions of clinical medicine, Gungov promotes awareness of the logical and epistemological traps that lie in the day-to-day care of patients. Such a focus not only allows us to avoid falling into them, but demonstrates the practical value of looking at medicine from a new philosophical perspective. That perspective involves a broad and unusual collection of philosophers. The discussion takes its starting point from J. S. Mill’s inductive methods and Giambattista Vico’s verum-factum principle, but then sets out a unique combination of Charles Sanders Peirce’s abductive reasoning, Immanuel Kant’s reflective judgment, as well as G. W. F. Hegel’s and D. P. Verene’s speculative thinking, all marshalled to present a novel philosophical account of clinical diagnostics. Interpretation of practical examples elucidate the logical aspect of medical errors and suggests strategies of overcoming them. The book as a whole demonstrates the value of Hans-Georg Gadamer’s hermeneutical insights into the enigmatic character of health. This much-needed book will be of interest to medical practitioners, health policy-makers, patients and their families, and to advanced students and scholars in medicine, the medical humanities, medical epistemology, and the philosophy of medicine in general. |
| complications surgeons notes on imperfect science: Another Day in the Frontal Lobe Katrina Firlik, 2007-06-12 Katrina Firlik is a neurosurgeon, one of only two hundred or so women among the alpha males who dominate this high-pressure, high-prestige medical specialty. She is also a superbly gifted writer–witty, insightful, at once deeply humane and refreshingly wry. In Another Day in the Frontal Lobe, Dr. Firlik draws on this rare combination to create a neurosurgeon’s Kitchen Confidential–a unique insider’s memoir of a fascinating profession. Neurosurgeons are renowned for their big egos and aggressive self-confidence, and Dr. Firlik confirms that timidity is indeed rare in the field. “They’re the kids who never lost at musical chairs,” she writes. A brain surgeon is not only a highly trained scientist and clinician but also a mechanic who of necessity develops an intimate, hands-on familiarity with the gray matter inside our skulls. It’s the balance between cutting-edge medical technology and manual dexterity, between instinct and expertise, that Firlik finds so appealing–and so difficult to master. Firlik recounts how her background as a surgeon’s daughter with a strong stomach and a keen interest in the brain led her to this rarefied specialty, and she describes her challenging, atypical trek from medical student to fully qualified surgeon. Among Firlik’s more memorable cases: a young roofer who walked into the hospital with a three-inch-long barbed nail driven into his forehead, the result of an accident with his partner’s nail gun, and a sweet little seven-year-old boy whose untreated earache had become a raging, potentially fatal infection of the brain lining. From OR theatrics to thorny ethical questions, from the surprisingly primitive tools in a neurosurgeon’s kit to glimpses of future techniques like the “brain lift,” Firlik cracks open medicine’s most prestigious and secretive specialty. Candid, smart, clear-eyed, and unfailingly engaging, Another Day in the Frontal Lobe is a mesmerizing behind-the-scenes glimpse into a world of incredible competition and incalculable rewards. |
| complications surgeons notes on imperfect science: Informed Consent and Clinician Accountability Steve Clarke, Justin Oakley, 2007-07-26 This timely book analyses and evaluates ethical and social implications of recent developments in reporting surgeon performance. It contains chapters by leading international specialists in philosophy, bioethics, epidemiology, medical administration, surgery, and law, demonstrating the diversity and complexity of debates about this topic, raising considerations of patient autonomy, accountability, justice, and the quality and safety of medical services. Performance information on individual cardiac surgeons has been publicly available in parts of the US for over a decade. Survival rates for individual cardiac surgeons in the UK have recently been released to the public. This trend is being driven by various factors, including concerns about accountability, patients' rights, quality and safety of medical care, and the need to avoid scandals in medical care. This trend is likely to extend to other countries, to other clinicians, and to professions beyond health care, making this text an essential addition to the literature available. |
| complications surgeons notes on imperfect science: Cancer, Radiation Therapy, and the Market Barbara Bridgman Perkins, 2017-08-16 Cancer, Radiation Therapy, and the Market shows how the radiation therapy specialty in the United States (later called radiation oncology) co-evolved with its device industry throughout the twentieth-century. Academic engineers and physicians acquired financing to develop increasingly powerful radiation devices, initiated companies to manufacture the devices competitively and designed hospital and freestanding procedure units to utilize them. In the process they incorporated market strategies into medical organization and practice. This provocative inquiry concludes that public health policy needs to re-evaluate market-driven high-tech medicine and build evidence-based health care systems. |
| complications surgeons notes on imperfect science: Subjects of Responsibility Andrew Parker, Austin Sarat, Martha Merrill Umphrey, 2011 How and why has the concept of responsibility come to pervade the fabric of American public and private life? How are ideas of responsibility instantiated in, and constituted by, the workings of social and political institutions? What place do liberal discourses of responsibility, based on the individual, have in today's biopolitical world, where responsibility is so often a matter of risk assessment, founded in statistical probabilities? Bringing together the work of scholars in anthropology, law, literary studies, philosophy, and political theory, the essays in this volume show how state and private bureaucracies play crucial roles in fashioning forms of responsibility, which they then enjoin on populations. How do government and market constitute subjects of responsibility in a culture so enamored of individuality? In what ways can those entities--centrally, in modern culture, those engaged in insuring individuals against loss or harm--themselves be held responsible, and by whom? What kinds of subjectivities are created in this process? Can such subjects be said to be truly responsible, and in what sense? |
| complications surgeons notes on imperfect science: Nonsense Jamie Holmes, 2016-10-11 An illuminating look at the surprising upside of ambiguity—and how, properly harnessed, it can inspire learning, creativity, even empathy Life today feels more overwhelming and chaotic than ever. Whether it’s a confounding work problem or a faltering relationship or an unclear medical diagnosis, we face constant uncertainty. And we’re continually bombarded with information, much of it contradictory. Managing ambiguity—in our jobs, our relationships, and daily lives—is quickly becoming an essential skill. Yet most of us don’t know where to begin. As Jamie Holmes shows in Nonsense, being confused is unpleasant, so we tend to shutter our minds as we grasp for meaning and stability, especially in stressful circumstances. We’re hard-wired to resolve contradictions quickly and extinguish anomalies. This can be useful, of course. When a tiger is chasing you, you can’t be indecisive. But as Nonsense reveals, our need for closure has its own dangers. It makes us stick to our first answer, which is not always the best, and it makes us search for meaning in the wrong places. When we latch onto fast and easy truths, we lose a vital opportunity to learn something new, solve a hard problem, or see the world from another perspective. In other words, confusion—that uncomfortable mental place—has a hidden upside. We just need to know how to use it. This lively and original book points the way. Over the last few years, new insights from social psychology and cognitive science have deepened our understanding of the role of ambiguity in our lives and Holmes brings this research together for the first time, showing how we can use uncertainty to our advantage. Filled with illuminating stories—from spy games and doomsday cults to Absolut Vodka’s ad campaign and the creation of Mad Libs—Nonsense promises to transform the way we conduct business, educate our children, and make decisions. In an increasingly unpredictable, complex world, it turns out that what matters most isn’t IQ, willpower, or confidence in what we know. It’s how we deal with what we don’t understand. |
| complications surgeons notes on imperfect science: Critical Tom Daschle, 2008-02-19 A much-needed and hard-hitting plan, from one of the great Democratic minds of our time, to reform America's broken health-care system. Undoubtedly, the biggest domestic policy issue in the coming years will be America's health-care system. Millions of Americans go without medical care because they can't afford it, and many others are mired in debt because they can't pay their medical bills. It's hard to think of another public policy problem that has lingered unaddressed for so long. Why have we failed to solve a problem that is such a high priority for so many citizens? Former Senate Majority Leader Tom Daschle believes the problem is rooted in the complexity of the health-care issue and the power of the interest groups—doctors, hospitals, insurers, drug companies, researchers, patient advocates—that have a direct stake in it. Rather than simply pointing out the major flaws and placing blame, Daschle offers key solutions and creates a blueprint for solving the crisis. Daschle's solution lies in the Federal Reserve Board, which has overseen the equally complicated financial system with great success. A Fed-like health board would offer a public framework within which a private health-care system can operate more effectively and efficiently—insulated from political pressure yet accountable to elected officials and the American people. Daschle argues that this independent board would create a single standard of care and exert tremendous influence on every other provider and payer, even those in the private sector. After decades of failed incremental measures, the American health-care system remains fundamentally broken and requires a comprehensive fix. With his bold and forward-looking plan, Daschle points us to the solution. |
| complications surgeons notes on imperfect science: The Good Doctor Ron Paterson, 2013-11-01 Drawing upon real accounts of negligence, incompetence, and distrust, this book seeks to identify the key competencies of a good doctor, the ways in which medical care fails, and the roadblocks to ensuring that every licensed doctor is capable. Arguing that it is possible to improve patient care—by lifting the veils of secrecy and better informing patients, by establishing more effective ways of checking doctors' competence, and by ensuring that medical watchdogs protect the public—this discussion offers an expert's perspective on health care. |
| complications surgeons notes on imperfect science: Medical Education: Developing A Curriculum For Practice Fish, Della, Coles, Colin, 2005-11-01 This book is written by two eminent educators and clinicians in medicine, and provides a wealth of information and food for thought for those who have responsibility for curriculum development. Journal of Orthodontics What are the contemporary problems facing curriculum designers and developers? What are the key questions that ought to be addressed with regard to curriculum design for medical practice? How might a curriculum for practice in medical education be developed? Medical Educationoffers a detailed response to these questions and shows what form a curriculum for practice should take and how one can be developed. These ideas are presented in a highly practical and readable account that is essential reading for those involved in educating the doctors of the future and for policy makers in the field of medical education. It also offers useful advice for those in related fields of health care. The authors show that recent developments of curricula for postgraduate doctors have been founded on the misguided view (promoted by politicians and policy makers) that medical practice is routine, straightforward and able to be reduced to simple protocols that professionals must learn and follow. In this view, doctors are technicians who need merely to be trained through a simple curriculum. In contrast, this book shows that the practice of medicine as experienced by working doctors is complex, uncertain and unpredictable. This requires a curriculum that provides the opportunity to learn to exercise professional judgement and make decisions based on practical wisdom. |
| complications surgeons notes on imperfect science: Patient Safety Charles Vincent, 2011-07-20 When you are ready to implement measures to improve patient safety, this is the book to consult. Charles Vincent, one of the world's pioneers in patient safety, discusses each and every aspect clearly and compellingly. He reviews the evidence of risks and harms to patients, and he provides practical guidance on implementing safer practices in health care. The second edition puts greater emphasis on this practical side. Examples of team based initiatives show how patient safety can be improved by changing practices, both cultural and technological, throughout whole organisations. Not only does this benefit patients; it also impacts positively on health care delivery, with consequent savings in the economy. Patient Safety has been praised as a gateway to understanding the subject. This second edition is more than that – it is a revelation of the pervading influence of health care errors, and a guide to how these can be overcome. ... The beauty of this book is that it describes the complexity of patient safety in a simple coherent way and captures the breadth of issues that encompass this fascinating field. The author provides numerous ways in which the reader can take this subject further with links to the international world of patient safety and evidence based research... One of the most difficult aspects of patient safety is that of implementation of safer practices and sustained change. Charles Vincent, through this book, provides all who read it clear examples to help with these challenges From a review in Hospital Medicine by Dr Suzette Woodward, Director of Patient Safety. Access 'Essentials of Patient Safety – Free Online Introduction': www.wiley.com/go/vincent/patientsafety/essentials |
| complications surgeons notes on imperfect science: Get Inside Your Doctor's Head Phillip K. Peterson, 2013-08-01 This concise and accessible guide to modern healthcare explains the 10 rules of medical decision-making—and when to break them. With so many medical tests and treatments to consider and so much information out there—some of it contradictory—it can be difficult to know what’s right for you. In Get Inside Your Doctor’s Head, Dr. Phillip K. Peterson explains the Ten Rules of Internal Medicine. Using real case examples, Peterson shows how following these commonsense rules will help you make better decisions about your medical care. Get Inside Your Doctor’s Head provides advice about when to seek treatment, when to get another opinion, and when to let time take its course. Using the Ten Rules can help you communicate more effectively with doctors and help you weigh their recommendations. As with all rules, there are occasional exceptions—and when evidence suggests that you are an exception, the relevant rule should be broken. Follow the Ten Rules to make decisions in the increasingly complicated medical world when you need guidance about health matters for yourself and your loved ones. |
| complications surgeons notes on imperfect science: Oxford Textbook of Primary Medical Care Roger Jones (Prof.), 2005 |
| complications surgeons notes on imperfect science: Behavioral Economics and Its Applications Peter Diamond, Hannu Vartiainen, 2012-01-12 In the last decade, behavioral economics, borrowing from psychology and sociology to explain decisions inconsistent with traditional economics, has revolutionized the way economists view the world. But despite this general success, behavioral thinking has fundamentally transformed only one field of applied economics-finance. Peter Diamond and Hannu Vartiainen's Behavioral Economics and Its Applications argues that behavioral economics can have a similar impact in other fields of economics. In this volume, some of the world's leading thinkers in behavioral economics and general economic theory make the case for a much greater use of behavioral ideas in six fields where these ideas have already proved useful but have not yet been fully incorporated--public economics, development, law and economics, health, wage determination, and organizational economics. The result is an attempt to set the agenda of an important development in economics--an agenda that will interest policymakers, sociologists, and psychologists as well as economists. Contributors include Ian Ayres, B. Douglas Bernheim, Truman F. Bewley, Colin F. Camerer, Anne Case, Michael D. Cohen, Peter Diamond, Christoph Engel, Richard G. Frank, Jacob Glazer, Seppo Honkapohja, Christine Jolls, Botond Koszegi, Ulrike Malmendier, Sendhil Mullainathan, Antonio Rangel, Emmanuel Saez, Eldar Shafir, Sir Nicholas Stern, Jean Tirole, Hannu Vartiainen, and Timothy D. Wilson. |
| complications surgeons notes on imperfect science: Improving Health Care Safety and Quality Judith Healy, 2016-05-13 Responding to the public concern caused by recent hospital scandals and accounts of unintended harm to patients, this author draws on her experience of analysing the health care systems of over a dozen countries and examines whether greater regulation has increased patient safety and health care quality. The book adopts a new approach to mapping developments in health care systems in Europe, North America and Australia and pieces together evidence of which regulatory strategies and mechanisms work well to ensure safer patient care. It identifies the regulatory bodies, the regulatory principles and the implementation strategies adopted to improve governance in health care systems and suggests a conceptual framework for responsive regulation. The book will be of interest to government actors, health care professionals and medico-legal scholars. |
| complications surgeons notes on imperfect science: Knocking on Heaven's Door Katy Butler, 2014-06-10 A blend of memoir and investigation of the choices we face when our terror of death collides with the technological imperatives of modern medicine-- |
| complications surgeons notes on imperfect science: Building a Sports Medicine Practice: Guide to Navigating the First Five Years, An Issue of Clinics in Sports Medicine James B. Carr II, 2024-11-11 In this issue of Clinics in Sports Medicine, guest editor Dr. James B. Carr II brings his considerable expertise to the topic of Building a Sports Medicine Practice: Guide to Navigating the First Five Years. Top experts offer practical advice to help readers navigate the crucial initial years of their sports medicine career, with guidance on how to search for and select the right job in private practice or academic institution, strategies for growing and developing a clinical practice, and tips for success in the operating room. - Contains 14 relevant, practice-oriented topics including building a strong local reputation; how to succeed in the operating room; how to manage complications and poor outcomes, passing ABOS; developing a work life balance; and more. - Provides in-depth clinical reviews on building a sports medicine practice, offering actionable insights for clinical practice. - Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews. |
| complications surgeons notes on imperfect science: Healthcare Professionalism Lynn V. Monrouxe, Charlotte E. Rees, 2017-02-21 Healthcare Professionalism: Improving Practice through Reflections on Workplace Dilemmas provides the tools and resources to help raise professional standards within the healthcare system. Taking an evidence and case-based approach to understanding professional dilemmas in healthcare, this book examines principles such as applying professional and ethical guidance in practice, as well as raising concerns and making decisions when faced with complex issues that often have no absolute right answer. Key features include: Real-life dilemmas as narrated by hundreds of healthcare students globally A wide range of professionalism and inter-professionalism related topics Information based on the latest international evidence Using personal incident narratives to illustrate these dilemmas, as well as regulatory body professionalism standards, Healthcare Professionalism is an invaluable resource for students, healthcare professionals and educators as they explore their own professional codes of behaviour. |
| complications surgeons notes on imperfect science: Why Software Sucks-- and what You Can Do about it David S. Platt, 2007 I've just finished reading the best computer book [ Why Software Sucks...] since I last re-read one of mine and I wanted to pass along the good word. . . . Put this one on your must-have list if you have software, love software, hate programmers, or even ARE a programmer, because Mr. Platt (who teaches programming) has set out to puncture the bloated egos of all those who think that just because they can write a program, they can make it easy to use. . . . This book is funny, but it is also an important wake-up call for software companies that want to reduce the size of their customer support bills. If you were ever stuck for an answer to the question, 'Why do good programmers make such awful software?' this book holds the answer. -- John McCormick, Locksmith columnist, TechRepublic.com I must say first, I don't get many computing manuscripts that make me laugh out loud. Between the laughs, Dave Platt delivers some very interesting insight and perspective, all in a lucid and engaging style. I don't get much of that either! -- Henry Leitner, assistant dean for information technology and senior lecturer on computer science, Harvard University A riotous book for all of us downtrodden computer users, written in language that we understand. -- Stacy Baratelli, author's barber David's unique take on the problems that bedevil software creation made me think about the process in new ways. If you care about the quality of the software you create or use, read this book. -- Dave Chappell, principal, Chappell & Associates I began to read it in my office but stopped before I reached the bottom of the first page. I couldn't keep a grin off my face! I'll enjoy it after I go back home and find a safe place to read. -- Tsukasa Makino, IT manager David explains, in terms that my mother-in-law can understand, why the software we use today can be so frustrating, even dangerous at times, and gives us some real ideas on what we can do about it. -- Jim Brosseau, Clarrus Consulting Group, Inc. A Book for Anyone Who Uses a Computer Today...and Just Wants to Scream! Today's software sucks. There's no other good way to say it. It's unsafe, allowing criminal programs to creep through the Internet wires into our very bedrooms. It's unreliable, crashing when we need it most, wiping out hours or days of work with no way to get it back. And it's hard to use, requiring large amounts of head-banging to figure out the simplest operations. It's no secret that software sucks. You know that from personal experience, whether you use computers for work or personal tasks. In this book, programming insider David Platt explains why that's the case and, more importantly, why it doesn't have to be that way. And he explains it in plain, jargon-free English that's a joy to read, using real-world examples with which you're already familiar. In the end, he suggests what you, as a typical user, without a technical background, can do about this sad state of our software--how you, as an informed consumer, don't have to take the abuse that bad software dishes out. As you might expect from the book's title, Dave's expose is laced with humor--sometimes outrageous, but always dead on. You'll laugh out loud as you recall incidents with your own software that made you cry. You'll slap your thigh with the same hand that so often pounded your computer desk and wished it was a bad programmer's face. But Dave hasn't written this book just for laughs. He's written it to give long-overdue voice to your own discovery--that software does, indeed, suck, but it shouldn't. |
| complications surgeons notes on imperfect science: Ethics and Neurodiversity Alexandra Perry, Anthony Yankowski, 2014-09-26 Increasingly, voices in the growing neurodiversity movement are alleging that individuals who are neurologically divergent, such as those with conditions related to bipolar disorder, autism, schizophrenia, and depression, must struggle for their civil rights. This movement therefore raises questions of interest to scholars in the humanities and social sciences, as well as to concerned members of the general public. These questions have to do with such matters as the accessibility of knowledge about mental health; autonomy and community within the realm of the mentally ill; and accommodation in civil society and its institutions. The contributors to Ethics and Neurodiversity explore these questions, and the traditional philosophical questions related to them. The authors pay special attention to the need to examine the policies and practices of institutions, such as higher education, social support, and healthcare. |
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