A book of poems "The mistake I swear in the night, and Other Poems" (1936), the late Nathan Crane wrote: "Whether trying to make the effort to return:" You see The real evil, if the heart is. Fame
A big mistake.
Atul Gawande, a surgeon, is the author of "Notes of a surgeon complications on an imperfect science." If my doctor, I would be grateful for the good doctor to write this book. I would like, despite the fact that Dr. Gawandecentral message is to not trust the doctors!
Drug Recall
No, we do not recommend that Dr. Gawande doctors and other health Madoff is a conspiracy of bad actors. What I did was to show that doctors, like others - is fallible. Errors. Other than the fault of an employee of cleaning to keep the bad T-shirt or something, maybe the doctors and other medical errors cost an arm or leg, or worse.
What every patient, most patients are back. While we waitPhysicians and other health professionals that it is better to get the right diagnosis and treatment, care, or both, it is unlikely, at least for the first time. Perfection is theoretically possible for most doctors to do well, mostly, but sometimes when a failure can be. You're pretty stupid if the doctor's work well done, especially if you are a little complicated (heart disease, for example). This is one reason why he had heard the terma second opinion. Or is it malpractice. Other conditions proposed by the fallibility of doctors, like all people, including medicine, iatrogenic complications and death. The idea, I'm sure.
Gawande explains why you feel that no matter what type of medical care, the effectiveness of institutions in which they work and how effective protocols for managing change are needed in other cases, the disease which are the best in the region. Be patient. Take care, andwell informed. Be vigilant and aware of opportunities, including - to do nothing. Not all problems and heal not cause disease are always treated in all symptoms.
Gawande makes clear that doctors have too high expectations of customers when your doctor for advice on obesity pills, vitamins, investigations or proceedings, drama - such as surgery. Surgery? This "mysterious, uncertain and full of the likelihood of errors, mistakes and screw-ups. Occurrence
One of the reasons doctors do not explain things (for example, when you die, your brain health models flaccid ruin, and so on) are, because they are too polite. Or do not worry. Or not really understand the situation and is not visible. This is a short list of options - many other reasons not to do all the necessary information for a doctor, the best decision in the matter, and what if anything to do withit. Examples of surgical variables. It would be nice to know these things, if there is a possibility that these results (is) to win:
* A young surgeon cut my stomach has never been a scalpel, a human being.
* The Chief Cardiologist senile, but no whistle was so popular because it's a good boy, and a community leader with great attention to the role of charities and other communities.
* The head nurse in a drugProblem.
* The hospital is higher than normal incidence of infection and inclusion in the mortality rate for all procedures.
As Gawande says, we'd all rather things, even if it means to be wrong on the facts.
Gawande adds that most of the state, and certainly one of the lawyers and the media is essentially a problem of medical errors in a bad doctor ... Errors. We tend to consider them as absurd. However, they did not.
Atrue sense of the word as part of the problem of medical education. This is little consolation to you, because nobody wants to donate an organ or a relative of medical education. If I remember, once you learn the trade, education is the process not only errors, but the experience has benefited from lessons there. No matter how expensive medical school, or the fabulous quality of learning, or how the quality control in hospitals, in practiceperfect. However, practice makes better, all things being equal, is an experienced doctor is a good thing, Weil. Other things the same!
So the question is: What is the reality of this feature?
When doctors make mistakes, both during initial training and after graduating in medicine (both safe), people. Some people are more likely to be the subject of medical errors than others, for the poor. This is becauseBad encounter several doctors in training in hospitals or medical schools. However, nobody is safe from medical errors and mistakes unpardonable than others. Any errors in various ways violated.
Gawande notes that a terrible dilemma for which there is really no solution, a bit "on the Middle East for the tort system, he said," We do not want perfection, without practice hurts, even if no one takes responsibility is educationFuture. Hard, that the present dispute.
There is always some tension in the medical field through space is as natural as possible (to reduce the number of errors), and it is not possible (perfect). The company uses the slogan, the struggle to defy common sense. In business, as the slogan of "zero defects. During the Bush years, the drug war under the slogan "zero tolerance. It is not realistic. It is not possible.
I always feel good when they make mistakes. Shocking? Yes, it ishappens. true confession: I once made a mistake! Patients are not lost or damaged members, but to talk about the confusion - the first book (in honor of Herbert L. Dunn), a high level of wellness! What type are they? Finally, the welfare of animals in a high level of function, is not it? How to get high? What is the other? Worseness low? The average height of mediocrity?
Dr. Gawande cites the model to other regions of the lower part can be adapted, but not eliminate, the incidenceand severity of the error. Otherwise, about the economy but not for non-medical solid arguments, but unpredictable, confusing, complicated and unusual. The medical variables in human patients is not easy to control, or control. Gawande believes that the practice of medicine is also good to provide a much more complex than almost any other field of human rights.
I have a medical problem, the recent meeting of the health system, theshows some complications, Gawande describes.
Poor performance in recent years with the help of the race, when more than one year apart on the surprise factor under Service Star. There are other characters in the game All is well. However, my sport competition is worse than the damage can be explained by aging (eg 5K time was a few years in the mid-18 have 24 to 25 minutes). So I went to a doctor for aYou see, a few months ago. Nothing was wrong. Chest radiography showed no abnormalities. The tests are usually nothing to be suspicious. The second series of tests in a little 'later work shows the blood without any problems a third physician, ECG Uh Oh, the doctor is worried, he looked at another test ordered -..... A cardiologist ECG was repeated It is not good. - The diagnosis was atrial flutter. This explains the reason for my performance issues in the race.
Well, that's when thingsIt was interesting, and complications were the lessons of the house in person. Treatment options include long-term medication (eg Coumadin), the process of shock (electrical cardioversion) ablation has been converted into a normal rhythm, heart and / or a catheter. Each method is to make the right decisions. Removal would lead to holes in a vein in the groin, snaking a tube up my heart. Can you imagine what might go wrong in one ormost of these approaches? And remember, there is no guarantee there is no consensus on many of the best practical solution. To me, the success of the Internet with the help of my wife and my friends get a plaque marks earned flutterdom ventricular fibrillation, or at least one direction, taking part in a short period of great information on a problem specific health to accept.
This is a fast 5K and other competitive sports, not worth the risk, such as cost and time to all concerned?Well, it's even more complicated. I went to a reputable allergist who performed a separate series of tests - and found that the asthma problem! Flicker as a byproduct of asthma, inflammation, and if not, the exhalation of oxygen inhibition during intense training. Treatment of asthma and could not flutter valve.
I'll spare you the details - the important thing is that this is a relatively simple diagnostic questions and do not require a fullNew perspectives and opportunities for me, its allies and the health system. The error can be - everyone, in particular resolution on early diagnosis and treatment. Or that the collection of medicine or bad. And so on. This is the reality of the uncertainties and complications, and the possibility of error can not be helped. Here's how it is.
That's what you'll get a medical correction. Get used to it, and the best of him. YouHomework. See: "Complications: a surgeon's notes on an imperfect science," or books like them. The fact that frailty is open to anyone, except perhaps the Pope, and there is no doubt, to the Except for condoms in Africa - knows what he has taught on the subject.
So when the doctor made a mistake, and he is still alive and trying to understand it. You made some mistakes. It is in our nature. Nobody is perfect. Look at the brightSide of life than trying to understand life as much as possible.
Error and fraud are not the same: there is an honor to be a big mistake
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