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)
I am a 27 year old nurse pursuing a nurse practitioner degree. My favorite book genres are: fantasy, science fiction, medicine and sociology
An interesting perspective on how we are all human, and the sort of subjective factors that impact surgeons and doctors on a daily basis. This was a very quick listen for me. I found it well written, peppered with humor as well as touching human perspective. I recommend it to those working in the medical profession as well as anyone interested in gaining some insight on the challenges that physicians face on a regular basis. While nobody likes to be the patient that ends up the one the doctor makes a bad judgment call on, it is inevitable, there is no perfect human being and nobody performs without error in ANY profession. The pressure is high and medicine is very tricky, and I feel books like this one help warm people's hearts and break down their ignorance. Perhaps it can help reduce the knee jerk reactions of those who are quick to judge doctors harshly or immediately want to sue over medical errors or judgment calls made in tense, critical moments of life and death.
Yes. This book humanizes doctors and demystifies medicine, revealing its errors without provoking fear. Maybe it's paradoxical, but calling into question medicine's perfectibility is actually kind of empowering because it means we can't let doctors bear all the responsibility for a well-functioning health care system -- we have to look at the whole ecosystem of hospitals and managed care to understand why things go wrong, and then take part in improving the situation. Gawande densely layers interesting anecdotes and interweaves medical marvels with ordinary human experiences -- particularly those of patients. Despite being nominally autobiographical, this isn't a compendium of war stories. Gawande is balanced, self-aware and, surprisingly for someone so successful in the mainstream, not self-aggrandizing. He only involves himself to the extent necessary to round out the anecdotes.
The book loses focus towards the end and does start to feel a little like an anthology of stories and/or essays, and I'm not sure the overall thesis is well sustained, but so far it's the best thing I've read on the practice of modern medicine.
His account of the congress of American surgeons was funny and poignant. He clearly has a goofy sense of humour and an anthropologist's eye for professional culture -- the good and the bad. This was one of the moments that did the most for me in humanizing surgeons without making them look foolish or, worse, inept.
His narration was pretty good. He mispronounces stuff from time to time which can be a little distracting, but overall he was pleasant enough to listen to.
Not really. There's no storyline or protagonist, and it jumps around in time a lot.
This is a fabulous book for anyone with an interest in medicine. I greatly admire Dr. Gawande's candor in providing this fascinating, behind the scenes account of doctors and patients. I listen to books when I drive and there were a number of evenings when I just sat in my driveway because I couldn't put this book down.
My only criticism is not about the story but the Audible.com use of random music throughout. There is annoying piano music at various places - not apparently tied to new topic areas or chapters. I found it distracting and irritating.
It provided a whole different perspective to the idea of a Dr. They are just a working stiff like the rest of us and they can screw up. And they can succeed at amazing things. Interesting take and the stories were great.
Dr. Gawande shares personal stories while weaving in details about medicine that are gripping.
Make it longer! I was shocked when it ended so soon.
A surgeon's notes on an imperfect sceince.
Really some interesting and revealing stories as well as information. I have discussed this book several times since I listened to it.
Haven't read print version.
This was a thoughtful book about risk, patient choice, and the practice of medicine. I found both the first and last 3rds of the book very good, while there was a section in the middle that was less interesting for me. Overall a v. good listen.
I enjoyed this book very much. It gave me an insight into the world of medicine - was well written and read. I've recommended the book to several friends, which I don't do as a rule.
If you have an interest in understanding how doctors think and work - this is a very good book.
A very insightful view from the perspective of a surgeon. The real-life stories were interesting, and he makes some good points about inherent problems in the medical field.
LOVED this book- the writing, the narration, everything except the fact that it was abridged.
Arrgh! Why? As an audio reader, I want the whole thing. The whole, entire book, please!
"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'.
An absolutely brilliant listen. Highly recommended to those with an interest in medicine and surgery. It really describes a real picture of how things don't always go the way you plan in medicine yet, beautifully explains how professionals overcome and learn from difficult situations
"Great book for non medical"
Great story and book.
If you have a medical or surgical training- the story is a bit basic.
Also some of science has evolved since it was written.
But would fully recommend it if you are not medical. It's a good education.
"great insight "
Really enjoyed listening to this book. Easy to listen too with interesting stories. The book covered valuable points.
"Great read "
well written and we'll narrated. I really enjoyed reading this book. full of great Insight and thoughtful ideas
"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.
word word word word word word word word word (min. 20 words)
"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.
Report Inappropriate Content