This book is meant to address the science of human performance in medicine. It is, instead, an unfocused collection of anecdotes seasoned with facts drawn from the history of medicine (Semelweiss & Lister). I think the intent was to use each case to illustrate larger principles or themes, but this simply didn't happen. The stories seem randomly selected; they neither standout singlely for the wisdom they contain, nor do they build one upon the other. It would be like a research paper that's all methodology, but no results, no discussion, no conclusion.
The sections on efforts to eradicate polio and good CF programs vs great CF programs are especially long on exposition, and short on synthesis. Battlefield medicine is tough & expensive; we've had to work harder, spend more and try new things to get better survival results.
General surgeons in India don't have all the same resources as in North America, but they're willing to improvise.
The book ends(it doesn't conclude)with the authors tips on how to get better - "become a positive deviant." These don't appear to be based on the previous 7.5hours. More like, 'everything I need to know about improving my health care organization I learned in kindergarten.'
-talk to people
-listen to them
-write things down
-do things differently
A real struggle to get through. Save your money/credits. Goodkind has milked the Sword of Truth universe dry and is just going through the motions. The plot is paper-thin, the dialogue is plodding and agonizingly repetitive, the characters (which had been compelling early in the series) are 2dimensional.
Tsoutsouvas is a good narrator, but he's got nothing to work with here.
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