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Better: A Surgeon's Notes on Performance

Better: A Surgeon's Notes on Performance by Atul Gawande from Metropolitan Books
  • ISBN13: 9780805082111
  • Condition: New
  • Notes: BUY WITH CONFIDENCE, Over one million books sold! 98% Positive feedback. Compare our books, prices and service to the competition. 100% Satisfaction Guaranteed

The New York Times bestselling author of 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 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, 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.
Atul Gawande, a MacArthur fellow, is a general surgeon at the Brigham and Women’s Hospital in Boston, a staff writer for The New Yorker, an assistant professor at Harvard Medical School and the Harvard School of Public Health. His first book Complications, was a New York Times bestseller and a finalist for the National Book Award. Gawande lives with his wife and three children in Newton, Massachusetts.
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 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, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, labor and delivery rooms in Boston, a polio outbreak in India, and 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 "a writer with a scalpel pen and an X-ray eye" (Time). 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.
"'What does it take to be good at something, when failure is so easy?' asks writer/physician Gawande . . . Diligence, ingenuity and 'doing right' . . . Gawande illustrates each of these qualities with stories from his own experience, [and] his observations of and conversations with other physicians . . . For young doctors . . . Gawande suggests five strategies: Ask unscripted questions, don't complain, 'count something' (be a scientist as well as a doctor), write something (to make yourself part of a larger world) and change in response to new ideas. A must-read for medical professionals-and a discerning, humanizing portrait of doctors at work for the rest of us."—Kirkus Reviews
"Gawande provides a cleareyed view of the medical profession that both resonates and gives pause. Once again, he spares no one, himself included. Gawande, a surgeon, manages to capture medicine in all of its complex and chaotic glory, and to put it, still squirming with life, down on the page . . . Gawande's meditation on performance is not only an absorbing collection of essays but also an exhilarating call for the rest of us to do the same . . . Gawande has the ability to deconstruct and explain the most difficult issues while preserving, even celebrating, their complexity. He applies a sly sense of humor to even the most unsettling topics. And his voice is so direct that at times it borders on painful (at least from the perspective of a fellow doctor) . . . With this book, Gawande inspires all of us, doctor or not, to be better."—Pauline W. Chen, The New York Times Book Review
"Better is a masterpiece, a series of stories set inside the four walls of a hospital that end up telling us something unforgettable about the world outside."—Malcolm Gladwell, author of Blink
"Better is a mesmerizing book with fascinations on every page, told with mastery, insight, compassion, and humility by a surgeon who doesn't flinch from taboo subjects or self-examination. His topics range from the invisible to the unspeakable, and some chapters are exciting medical mysteries. On every page, one meets a candid and thoughtful man, who pays close attention, and who somehow manages to find the right balance between intimacy and respectfulness, in a world that can be inhospitable to both."—Diane Ackerman, author of An Alchemy of Mind
"It's hard to think of a writer working today who makes such good use of man's quest to avoid pain and death. Atul Gawande is not only adding to the small shelf of books by doctors that every layman should read. He's using medicine to help anyone who hopes to do anything better."—Michael Lewis, author of The Blind Side
"'What does it take to be good at something, when failure is so easy?' asks writer/physician Gawande in his follow-up to Complications (2002). Diligence, ingenuity and "doing right," he answers. Gawande illustrates each of these qualities with stories from his own experience, as well as his observations of and conversations with other physicians. Being diligent about the simple act of hand-washing dramatically reduces hospital infections, he demonstrates, and through diligence, army surgeons in Baghdad have greatly enhanced the survival rate among casualties in Iraq. The section on doing right tackles such troublesome moral issues as whether doctors should participate in executions and at what point treatment of a patient becomes mistreatment and should be stopped. Discussing ingenuity, Gawande shows how the rating scale devised by Virginia Apgar, neither an obstetrician nor a mother, transformed the practice of obstetrics. A similar rating scale for every medical encounter, he believes, would inform patients and improve the performance of doctors and hospitals. He lauds the innovative thinking of Don Be

Basic Physics & Measurement in Anaesthesia

Basic Physics & Measurement in Anaesthesia by Paul D. Davis BSc DipAdvStSc CPhys MInstP MIPEM SRCS from Butterworth-Heinemann

    An introductory text to the physical principles and their clinical application in anaesthesia. From SHO, through specialist training, this book gives a firm grounding, avoiding complex mathematics and irrelevant detail. Measurement and monitoring are a key element of anaesthesia for both nurses and anaesthetists.

    The Echo Manual

    The Echo Manual by Jae K. Oh from Lippincott Williams & Wilkins

      Thoroughly updated for its Third Edition, this best-selling manual is a practical guide to the performance, interpretation, and clinical applications of echocardiography. The Echo Manual is written by recognized authorities at the Mayo Clinic and provides a concise, user-friendly summary of techniques, diagnostic criteria, and quantitative methods for both echocardiography and Doppler echocardiography. Discussion of each clinical problem also includes transesophageal echocardiography.

      This edition covers the latest techniques, standards, and applications and includes new contrast agents. All references have been updated. More than 900 images—well annotated and true to gray scale and color—give readers an immediate grasp of salient points.

      Handbook of Neuroanesthesia (The Lippincott Williams & Wilkins Handbook Series)

      Handbook of Neuroanesthesia (The Lippincott Williams & Wilkins Handbook Series) from Lippincott Williams & Wilkins

        Thoroughly updated for its Fourth Edition, this handbook is a complete, convenient, and practical guide to perioperative management of neurosurgical patients. In a quick-reference outline format, the book provides detailed instructions on anesthetic management during all neurosurgical and neuroradiologic procedures and on intensive care of neurosurgical patients and patients with head injury.

        This edition covers new developments in interventional neuroradiology, treatment of cerebral and spinal cord ischemia, awake craniotomy, and therapies for children with central nervous system diseases. New material is also included on acute treatment of stroke, brain death, and management of brain-dead patients during harvest of donated organs.

        The Scalpel's Edge: The Culture of Surgeons

        The Scalpel's Edge: The Culture of Surgeons by Pearl Katz from Allyn & Bacon

          This ethnography about the culture of surgeons describes how and why they differ significantly from other physicians. Historically rising from humble roots as lower-class, uneducated, itinerant barbers, the profession has evolved into one of the most prestigious in America, one that utilizes the most sophisticated technologies in medicine. Surgeons have nonetheless retained many aspects of their historical culture, such as their proclivity for quick decisions, surgical "cures," and their detachment and aloofness from patients and other physicians. This book describes in detail what surgeons actually do in and out of the operating room. It reveals how they think about disease, patients, and other physicians; how their thinking is often non-scientific; how they make decisions; and how they keep secrets from patients and colleagues. This book gives a detailed description of a professional culture and how the culture, especially their active posture, influences decisions which affect patients and the health care system. The book discusses the methodology used to obtain and maintain trust with the surgeons and how the behavior was interpreted (1). Chapter 2 explains how history can help us understand why particular culture traits appear in the culture of surgeons. Thorough descriptions of the barriers to effective communication between surgeons and their patients, and the implications of these barriers, are in chapters 5 and 6. Case studies describe how many decisions are made based on complex issues, including professional ties and financial interests (7, 8, and 9). And also includes a detailed description of operating room rituals (10). For anyone with an interest in medical culture.

          The Cardiothoracic Surgery Resident Pocket Survival Guide

          The Cardiothoracic Surgery Resident Pocket Survival Guide by Mario R. Llaneras from International Medical Publishing Inc.
          • ISBN13: 9781883205348
          • Condition: New
          • Notes: BUY WITH CONFIDENCE, Over one million books sold! 98% Positive feedback. Compare our books, prices and service to the competition. 100% Satisfaction Guaranteed

          Resident pocket survival guides

          Botulinum Toxin Injection Guide

          Botulinum Toxin Injection Guide by Lb from Demos Medical Publishing

            Botilinum toxin is used frequently by physiatrists for the treatment of patients with migraines, tics, spasms, dystonia, hyperhidrosis (excessive sweating), and pain. Botulinum Toxin Injection Guide by Ib R. Odderson, MD, PhD, is the first comprehensive manual that covers botulinum toxin injections for neurologic conditions and their wide range of practical applications.

            Strandness's Duplex Scanning in Vascular Disorders

            Strandness's Duplex Scanning in Vascular Disorders from Lippincott Williams & Wilkins

              The Fourth Edition of D. Eugene Strandness's Duplex Scanning in Vascular Disorders has been significantly revised by a new team of authors. This book shows readers how to use this technique in evaluating patients with arterial and venous disease. Chapters explain the physiologic principles of duplex scanning and methodically explore each of the major application areas: cerebrovascular, peripheral arterial, peripheral venous, visceral vascular, and specialized applications including assessment of aortic endografts, follow-up of carotid and peripheral artery stents, treatment of pseudoaneurysms, surveillance of infrainguinal bypass grafts, dialysis access procedures, and evaluation prior to coronary artery bypass grafts. Each chapter is authored by a team consisting of an MD and a sonography technologist. The book includes new Doppler scan images.

              Cardiopulmonary Bypass: Principles and Practice (Gravlee, Cardiopulmonary Bypass: Principles and Practice)

              Cardiopulmonary Bypass: Principles and Practice (Gravlee, Cardiopulmonary Bypass: Principles and Practice) from Lippincott Williams & Wilkins

                Established as the standard reference on cardiopulmonary bypass, Dr. Gravlee's text is now in its Third Edition. This comprehensive, multidisciplinary text covers all aspects of cardiopulmonary bypass including sections on equipment, physiology and pathology, hematologic aspects, and clinical applications.

                This edition features a new section on cardiopulmonary bypass in neonates, infants, and children and a new chapter on circulatory support for minimally invasive cardiac surgery. Other highlights include state-of-the-art information on low-volume circuits and other new equipment and discussions of outcomes data for on-pump and off-pump surgeries.

                Cardiac Surgery: Safeguards and Pitfalls in Operative Technique

                Cardiac Surgery: Safeguards and Pitfalls in Operative Technique by Siavosh Khonsari from Lippincott Williams & Wilkins

                  Now in its Fourth Edition, this text is a practical, heavily illustrated guide to procedures in cardiac surgery. Chapters cover acquired and congenital diseases and include surgical anatomy, surgical exposures, and step-by-step procedural details. The authors indicate pitfalls with a hazard sign and flag points of special interest with "NB" (Nota Bene).

                  This edition has contributions from Abbas Ardehali, MD, FACS, the director of the UCLA heart, heart-lung, and lung transplant program. Highlights include a new chapter on heart transplantation. Also included are updates in minimally invasive surgery and vascular and endovascular surgery.

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