By Atul Gawande
The fight to accomplish good is common: each one folks faces fatigue, restricted assets, and imperfect skills in no matter what we do. yet nowhere is that this force to do greater extra very important than in medication, the place lives might be at the line with any decision.
Atul Gawande, the New York Times bestselling writer of issues, examines, in riveting bills of clinical failure and triumph, how luck is completed during this complicated and risk-filled career. immediately unflinching and compassionate, Better is an exciting trip, narrated by way of "arguably the simplest nonfiction doctor-writer round" (Salon.com).
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Additional resources for Better: A Surgeon's Notes on Performance
They have done it despite having no fundamentally new technologies or treatments since the Persian Gulf War. And they have done it despite difﬁculties with the supply of medical personnel.
Pankaj replied. “Your shouting doesn’t help anything. ” So far, few were refusing the drops, and that was good enough, he told me later. A single nasty rumor could destroy the whole operation. One difficult question came up repeatedly—from local doctors, from villagers, from workers trudging house to house. The question was: Why? Why this huge polio campaign when what we need is—ﬁll in the blank here—clean water (diarrheal illness kills 500,000 Indian children per year), better nutrition (half of children under three have stunted growth), working septic systems (which would help prevent polio as well as other diseases), irrigation (so a single rainless season would not impoverish farming families)?
Qxd 18 2/1/08 3:06 PM Page 18 Better rings, and other jewelry (which are notorious for trapping bacteria). Next, you wet your hands in warm tap water. Dispense the soap and lather all surfaces, including the lower one-third of the arms, for the full duration recommended by the manufacturer (usually ﬁfteen to thirty seconds). Rinse off for thirty full seconds. Dry completely with a clean, disposable towel. Then use the towel to turn the tap off. Repeat after any new contact with a patient. Almost no one adheres to this procedure.
Better: A Surgeon's Notes on Performance by Atul Gawande