Diligence is a virtue. This is a theme Atul Gawande presents to the reader throughout Better: A Surgeon’s Notes on Performance. In each story, Gawande provides insight on medical studies he has previously embarked upon. For example, in “The Mop-up” the author tells us about a time when he went to India to observe the efforts to eradicate polio. Gawande explains how he followed a supervisor around and how vaccinations were performed. Additionally, in another chapter he debates on whether physicians should take part in death sentences. Throughout his adventures Gawande provides numerous enriching personal accounts of controversial events and what it is like to be a doctor; each with diligence playing a key part.
For the duration of the book,
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For instance, the crux represented in each chapter of Gawande’s novel is that physicians save lives. For centuries physicians have abided by the Hippocratic Oath, in essence stating that the individual will prevent, cure, and/or save the life of a patient to the best of their ability. With no doubt is this noticed throughout every portion of the book. This can be seen when Gawande explains the development of obstetrics, the tools used in childbirth, and how infant death rates through childbirth decreased. Additionally, another example of doctors at their finest when saving patients is shown when a Cincinnati hospital did everything in its power to increase the average life expectancy of cystic fibrosis patients. Although these cases show excellent performances in saving lives, every physician takes the Hippocratic Oath to state their willingness to help patients no matter what the cost …show more content…
This, as well as numerous others, are part of notable conclusions that Gawande leaves the reader with. Furthermore, he explains and shows how medicine always needs and will improve. One instance in which this is shown is in, “The Score,” where Gawande illustrates how the field of obstetrics was developed. In this chapter it is explained how specific techniques, such as forceps and cesarean section, are performed and how the Apgar score decreased infant death rates. In addition, another prime example of how improving medicine is helpful is shown in, “The Bell Curve.” In this section the author stresses how important it is to always try to improve medical success rate. In the case of, “The Bell Curve,” the improvement was within doctor to patient discussion. As can be seen these two sections are but a few of the prime examples on why it is important to always improve medicine. Yet another conclusion the author helps the reader to draw is that healthcare is complex. Healthcare is neither in favor of the patient nor the physician. This being said, healthcare still plays a key role in the health of patients. There are many notable conclusions and subjects in Better: A Surgeon’s Notes on Performance in which Gawande produces
Dr. Atul Gawande, a Harvard Medical School graduate and writer for The New Yorker, phenomenally illustrates the unknown side of healthcare professions in his book, Complications: A Surgeon’s Notes on an Imperfect Science. By exploring the ethical and analytical aspects of medicine while entertaining readers with relatable anecdotes, Gawande impresses on his audience the importance of recognizing the wonders of the healthcare field, as well as the fallibility of those within it.
In the text, Gawande states, “I punctured a patient’s lung, for example-the right lung of a chief of surgery from another hospital, no less-and given the odds, I’m sure such things will happen again.” This shows how fatal errors can occur during a surgical procedure however, it is something that surgical residents have to grow accustomed to since mistakes like this are likely to reoccur. Gawande also mentions that when practicing on a patient, mistakes are bound to happen however, it is a part of learning. In the text, Gawande states, “She let me continue with the next steps, which I bumbled through. I didn’t realize how long and floppy the guide wire was until I pulled the coil of its plastic sleeve, and, putting one end of it into the patient, I very nearly contaminated the other.” This quote proves that although mistakes can happen, it is a part of the learning process. In this specific part, Gawande talks about how he nearly made a severe error however, he was able to learn from his mistake and complete the procedure successfully. This shows how practicing on patients is necessary for the advancement of the medical field. Therefore, although ethical and practical tensions may arise, practicing on patients is needed in order to save the lives of many in the long
People trust doctors to save lives. Everyday millions of Americans swallow pills prescribed by doctors to alleviate painful symptoms of conditions they may have. Others entrust their lives to doctors, with full trust that the doctors have the patient’s best interests in mind. In cases such as the Tuskegee Syphilis Experiment, the Crownsville Hospital of the Negro Insane, and Joseph Mengele’s Research, doctors did not take care of the patients but instead focused on their self-interest. Rebecca Skloot, in her contemporary nonfiction novel The Immortal Life of Henrietta Lacks, uses logos to reveal corruption in the medical field in order to protect individuals in the future.
Dr. Gawande’s own story, Personal Best (2013), describes the event in which people tend to reach a plateau and perceive to be in a state in which people have nothing more to learn. As a highly educated surgeon, he measures his level of success based on his low rates of complication after surgery in comparison to those of his peers at the national scale. Dr. Gawande never considered the benefit or the idea of having a coach up to this point.
“When Doctors Make Mistakes” narrates an event where the author Atul Gawande, a doctor, made a mistake that cost a women her life. He relates that it is hard to talk about the mistakes that occurred with the patient's family lest it be brought up in court. In that instance the family and doctor are either wrong or right, there is no middle ground in a “black-and-white mortality case”(658). Even the most educated doctors make simple mistakes that hold immense consequences but can only speak about them with fellow doctors during a Morbidity and Mortality Conference.
In the essay “When Doctors Make Mistakes” written by Atul Gawande, he writes a first-hand account of mistakes made by himself and his colleagues. The essay is divided into five parts, each named to the narrative and emotions of the story he would tell. In each story he tells, he uses such vivid language that we as readers feel as if we are one of his colleagues. Each section has its own importance to the whole point he was trying to get across, ““All doctors make terrible mistakes” (657).
He wrote the first complete medical books, called, Hippocratic Corpus, a collection of approximately 70 different works that described his medical theories and practices (“Hippocrates”, 1998). He also created the Hippocratic Oath, a document that outlines the ethics and morals of medicine. Although not in their original forms, both Hippocratic Corpus and the Hippocratic Oath are used today. During commencement, graduating medical students around the United States recite a modernized version of the Hippocratic Oath. This oath upholds physicians to the ethical code of medicine, allowing the patient to receive the best possible medical care.
For countless years there has always been an urgent need for doctors. Different methods would be used to cure people from their sicknesses. However, life is given by God and it is he who can take it away. Doctors play the role of saving lives, but in the end, they are powerless because nature has to take its course leaving humanity at its limits. In Vincent Lams novel “Bloodletting and Miraculous Cures”, Lam challenges the myth that doctors are omnipotent by contending that “medicine is a science of uncertainty and an art of probability”. Using Fitzgerald as a focal point, Lam debunks the myth that doctors are omnipotent through situations of medical failure, having a loss of power and control and by inhabiting deadly diseases. By showings his mistakes, Lam proves that Fitz is not perfect and God like.
This internal conflict is a result of the mistakes a physician makes, and the ability to move on from it is regarded as almost unreachable. For example, in the essay, “When Doctors Make Mistakes”, Gawande is standing over his patient Louise Williams, viewing her “lips blue, her throat swollen, bloody, and suddenly closed passage” (73). The imagery of the patient’s lifeless body gives a larger meaning to the doctor’s daily preoccupations. Gawande’s use of morbid language helps the reader identify that death is, unfortunately, a facet of a physician’s career. However, Gawande does not leave the reader to ponder of what emotions went through him after witnessing the loss of his patient. He writes, “Perhaps a backup suction device should always be at hand, and better light more easily available. Perhaps the institutions could have trained me better for such crises” (“When Doctors Make Mistakes” 73). The repetition of “perhaps” only epitomizes the inability to move on from making a mistake. However, this repetitive language also demonstrates the ends a doctor will meet to save a patient’s life (73). Therefore, it is not the doctor, but medicine itself that can be seen as the gateway from life to death or vice versa. Although the limitations of medicine can allow for the death of a patient to occur, a doctor will still experience emotional turmoil after losing someone he was trying to
As a junior in high school, I am considering medicine as a possible career choice. Through my research in this field, I discovered the Hippocratic Oath. The Hippocratic Oath is the most famous of the Hippocratic documents; it has served as an ideal for the professional attitude and ethics of physicians to the present; the historical origin of the oath is so obscure that even the date of its composition is placed from the 6th to the 1st century B.C.
...l student: surrounded by books, a model of human skull at his elbow, he labored over his studies with gravity and decorum late in to the night" (Peterson 40). Because of the efforts of the enlightened few, and because of the discoveries happening in other European countries, the United Kingdom was finally able to give the medical profession the much desired respect and reform that it needed, making medicine a profession to be revered and a source of pride to all those who practiced it.
The most famous ethical work—although the exact origin of the text is unknown—is the Hippocratic Oath. In eight paragraphs, those swearing the oathpledge to “keep [patients] from harm and injustice.” The oath also requires physicians to give their loyalty and support to their fellow physicians, promise to apply dietetic measures for the benefit of the sick, refuse to provide abortion or euthanasia (the act of assisting a chronically ill person to die), and swear not to make improper sexual advances against any members of the household. “In purity and holiness I will guard my life and my art,” concludes one section of the oath. For most of the 20th century, it was common for modified versions of the Hippocratic Oath to be recited by medical students upon the awarding of their degrees. For many people, the oath still symbolizes a physician’s duties and obligations.
Almost doctors and physicians in the world have worked at a hospital, so they must know many patients’ circumstances. They have to do many medical treatments when the patients come to the emergency room. It looks like horror films with many torture scenes, and the patients have to pay for their pains. The doctors have to give the decisions for every circumstance, so they are very stressful. They just want to die instead of suffering those medical treatments. In that time, the patients’ family just believes in the doctors and tells them to do whatever they can, but the doctors just do something that 's possible. Almost patients have died after that expensive medical treatments, but the doctors still do those medical procedures. That doctors did not have enough confidence to tell the truth to the patients’ families. Other doctors have more confidence, so they explain the health condition to the patients’ families. One time, the author could not save his patient, and the patient had found another doctor to help her. That doctor decided to cut her legs, but the patient still died in fourteen days
During his employment as a medical official the reality of reservation life could not be ignored. Although he must have wanted to help his people there were many difficulties of the time. They were far away from Western civilization and supply to medical equipment. The epidemics of small pox, measles, and influenza were attacking the people. He could not al...
As the story begins, the unnamed doctor is introduced as one who appears to be strictly professional. “Aas often, in such cases, they weren’t telling me more than they had to, it was up to me to tell them; that’s why they were spending three dollars on me.” (par. 3) The doctor leaves the first impression that he is one that keeps his attention about the job and nothing out of the ordinary besides stating his impressions on the mother, father and the patient, Mathilda. Though he does manage to note that Mathilda has a fever. The doctor takes what he considers a “trial shot” and “point of departure” by inquiring what he suspects is a sore throat (par. 6). This point in the story, nothing remains out of the ordinary or questionable about the doctor’s methods, until the story further develops.