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, 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.
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.
©2002 Atul Gawande (P)2003 Audio Renaissance, a division of Holtzbrinck Publishers, LLC
"Gawande's sharp eye, crisp prose, and insightful understanding make his book as enjoyable as it is edifying." (Los Angeles Times )
"Diagnosis: riveting." (Time)
"These exquisitely crafted essays, in which medical subjects segue into explorations of much larger themes, place Gawande among the best in the field." (Publishers Weekly)
52, retired soldier and surgeon. Teach Combat Surgery and Military History and hold the rank of Brigadier. Lost wife, love dogs, ski to fast
Its in the top 10 and I have 100's. I does make the medical profession look human. As a Dr my self I found it so revealing. It visited feelings and concerns I had not looked at for 20 years or more. Its well written, well narrated and a moving account of how difficult being a Dr actually is. Well recommended.
WOW! What a great book and really informative! I am a firm believer in informed consent when planning on surgery. This is a must read/listen for any patient or health provider. Let's be honest, it can't all fall on the service provder's shoulders, we also need to take some responsibility for our own health. By working together with our service provider, we can be much more likely to reach our goals. This book allows us to be informed of what could happen so that we can learn how to avoid unnecessary complications.
Interested in medicine? Do you wonder what doctors are really like? Then you should enjoy this book. It covers medical ethics, medical mistakes, abuse, and more. Highly recommended. I enjoyed it from begining to end. You will enjoy it.
This was the best book I have listened to in my last year as an Audible Member. I am a pre-medical student, and listening to Dr. Gawande's excellent storytelling absolutely captivated me. I have listened to this book about three times total now. I highly recommend this book to anyone interested in the often mysterious world of medicine and surgery.
Wonderful! If you are familiar with science and the uncertainties of real life research (and practice) as opposed to the text book models of "scientific process", this book won't come as a shock. It is a brilliant exploration of the uncertainties in the science of medicine and the impact that human beings, with their frailties and their brilliant insights, have on a medicine. While I must admit it leaves me somewhat more nervous about major medical procedures, if more people understood medicine as presented here, we would probably not be plagued with so many law suits, the resultant high malpractice insurance fees and the final result of high cost health care. At the same time, if some of the insights presented in this book were translated into new systems and practices in the medical field, we probably would also not have so much human error to begin with. A great listen I recommend highly.
Written with both emotion and objectivity, Complications is a fascinating look at the practice of modern medicine. Through actual case histories, Gawande marvels over the successes and admits the shortcomings of today's doctors, attempting all the while to explain that they are merely human beings, capable of faults but trying, often selflessly, to reduce the suffering of other human beings. Probably best for the science-savvy, or at least the 'ER' crowd, as it is rife with clinical explanations which, though excellent and accessible, may bore the average reader. Inspiring and humbling. (I am, by the way, neither a doctor nor a relative of one.)
As a pre-med student I LOVED hearing all of these stories! It just made me more excited for the future even with the admittance of how medicine is never perfect
The performer was difficult to listen to. His "w"'s were painful.
As a consumer, this was very educational. Although we know to always seek multiple opinions, Gawande talks about the guesswork and uncertainty involved in a lot of diagnoses and treatments. This book left me less confident than ever about the information available as a layperson. The reader of this book is a good one.
"Surprising and shocking insights"
This was a very well written book with some interesting, surprising and shocking insights into the medical industry. One thing Gawande makes very clear throughout the book: doctors are human and thus as fatally flawed as the rest of us! His use of real cases is underpinned by something more striking: his knowledge of his patients as people beyond the hospital. He is not afraid to speak against his peers and admit that there are failings in the medical system itself and with individuals and that there are mistakes made that shouldn't be.
Far from leaving me reticent about ever seeing a doctor again, I applaud Gawande's plain speaking and honest admissions. Sadly, we all make mistakes and this is a profession in which mistakes can be both epic and tragic; however, perhaps the bigger tragedy is that fear of being sued for simply doing one's job to the best of one's ability but making a rare error is enough to prevent full open and frank discussion with colleagues and the patients' families to ensure that such mistakes are more easily avoided in the future.
In a world of 'Where there's blame, there's a claim' mentality, shouldn't we be assigning some blame to 'ambulance chasers' whose willingness to destroy someone's reputation and perhaps career for the sake of making money could deprive a hospital - and society - of another competent, well-skilled doctor. Not only that but they make it practically impossible for doctors to learn from the errors of others, so great is the fear of admitting 'I made a mistake'.
"excellent and informative "
I really enjoyed listening to this book. the objective nature is a fantastic format.
"Great Read, especially for med students"
Great Read, especially for med students.
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"Very good as usual!"
Dr. Atul is is a great written that can tell a story in a simple and clear personal way.
"Very interesting book"
Very interesting book
Very interesting book; really looks at medicine, how it can be improved and what issues doctors face. Also as a nurse I found it both informative and reminiscent of the nature of hospital work while also stepping back to take a deeper overview at times. The only reason I have not given it 5 stars is the episodic style which is unfortunately unavoidable given it is telling a collection of stories about different medical issues, research and first person accounts
"Excellent in all respects!"
The book is a fascinating insight into the challenges and the ethics of surgery. Excellent narration throughout. Very much enjoyed listening.
"Raises questions about healthcare"
This book raised valid points about health and social care practice. additionally, the book covers aspects of individual care and fallibility in the system. i especially enoyed the human aspect of this, the idea that we are prone to error. it is normal.
"Excellent, thought provoking"
An excellent review which, as an ex surgeon struck a real chord with me. Examines with stark honesty the strengths and failings of a medical career based around cases he has followed. Great insight, real honesty and ultimately a warming and thoroughly human story. Read it.
I am a senior surgical trainee in the UK. This is an excellent audiobook. Well written and narrated. Highly recommended for all.
"Great insight in to the mind of a doctor."
A great insight into the dilemmas of medicine and how medicine is an art and a science at the same time. Of interest to any doctor.
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