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Title details for Better by Atul Gawande - Available

Better

A Surgeon's Notes on Performance

by Atul Gawande
John Bedford Lloyd
Audiobook
1 of 1 copy available
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1 of 1 copy available

NATIONAL BESTSELLER
The New York Times bestselling author of Being Mortal and 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 this 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.

  • Creators

  • Publisher

  • Release date

    April 1, 2007

  • Formats

    • OverDrive Listen audiobook

      • ISBN: 9781427200990
      • File size: 217934 KB
      • Duration: 07:34:01

  • Languages

    • English

  • Levels

    • Lexile® Measure: 1100
    • Text Difficulty: 7-9

  • Reviews

    • AudioFile Magazine
      Gawande, a surgeon and writer, mixes facts and storytelling to describe ways to better the medical profession. He opens with a question: "What does it take to be good at something in which failure is so easy?" His curiosity leads to thoughtful investigation, interviews, and reflection. Gawande's scope is broad and candid. He covers health changes related to hand-washing, changes in medicine in the Iraq War, questions faced by doctors attending executions, his own awkwardness with patients' undressing, and improvements made by honest evaluation in treating cystic fibrosis. John Bedford Lloyd's deep, rich voice delivers just the mix we look for in doctors--knowledgeable, authoritarian tones mixed with the warm, comforting style that characterizes a great bedside manner. S.W. (c) AudioFile 2007, Portland, Maine
    • Publisher's Weekly

      Starred review from February 12, 2007
      Surgeon and MacArthur fellow Gawande applies his gift for dulcet prose to medical and ethical dilemmas in this collection of 12 original and previously published essays adapted from the New England Journal of Medicine
      and the New Yorker
      . If his 2002 collection, Complications
      , addressed the unfathomable intractability of the body, this is largely about how we erect barriers to seamless and thorough care. Doctors know they should wash their hands more often to avoid bacterial transfer in the ward, but once a minute does seem extreme. Using chaperones for breast exams seems a fine idea, but it does make situations awkward. "The social dimension turns out to be as essential as the scientific," Gawande writes—a conclusion that could serve as a thumbnail summary of his entire output. The heart of the book are the chapters "What Doctors Owe," about the U.S.'s blinkered malpractice system, and "Piecework," about what doctors earn. Cheerier, paradoxically, are the chapters involving polio and cystic fibrosis, featuring Dr. Pankaj Bhatnagar and Dr. Warren Warwick, two remarkable men who have been able to catapult their humanity into their work rather than constantly stumble over it. Indeed, one suspects that once we cure the ills of the health care system, we'll look back and see that Gawande's writings were part of the story.

    • Publisher's Weekly

      July 30, 2007
      Veteran character actor Lloyd does a commendable job in narrating Gawande's arresting exposé of the razor-thin margin that separates top doctors from the rest. While the book has its share of sensational and bloodcurdling tales of virulent infections and medicine gone wrong, Lloyd resists the urge to sensationalize his reading. He rightly senses that these tales do not constitute the heart of this book. Some parts are necessarily slow-moving and methodical, including a lecture on the proper way to scrub hands or a complex rundown of India's health care system. Lloyd's quietly authoritative reading lends an unhurried air that is appropriate for a book fundamentally about taking the time to care, and care diligently, about the things that matter most. Gawande's writing works well on audio as several chapters appeared as discrete essays in the New Yorker
      and the New England Journal of Medicine
      , and still bear the stamp of stand-alone material. It's perfect for listeners who prefer thoughtful, short essays for a ride in the car or a walk on the treadmill. Simultaneous release with the Metropolitan hardcover (Reviews, Feb. 12).

    • Publisher's Weekly

      Starred review from April 2, 2007
      Surgeon and MacArthur fellow Gawande applies his gift for dulcet prose to medical and ethical dilemmas in this collection of 12 original and previously published essays adapted from theNew England Journal of Medicine and the New Yorker . If his 2002 collection,Complications , addressed the unfathomable intractability of the body, this is largely about how we erect barriers to seamless and thorough care. Doctors know they should wash their hands more often to avoid bacterial transfer in the ward, but once a minute does seem extreme. Using chaperones for breast exams seems a fine idea, but it does make situations awkward. "The social dimension turns out to be as essential as the scientific," Gawande writes\x97a conclusion that could serve as a thumbnail summary of his entire output. The heart of the book are the chapters "What Doctors Owe," about the U.S.'s blinkered malpractice system, and "Piecework," about what doctors earn. Cheerier, paradoxically, are the chapters involving polio and cystic fibrosis, featuring Dr. Pankaj Bhatnagar and Dr. Warren Warwick, two remarkable men who have been able to catapult their humanity into their work rather than constantly stumble over it. Indeed, one suspects that once we cure the ills of the health care system, we'll look back and see that Gawande's writings were part of the story.

Formats

  • OverDrive Listen audiobook

subjects

Languages

  • English

Levels

  • Lexile® Measure:1100
  • Text Difficulty:7-9

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