Atul Gawande Quotes
Top 100 wise famous quotes and sayings by Atul Gawande
Atul Gawande Famous Quotes & Sayings
Discover top inspirational quotes from Atul Gawande on Wise Famous Quotes.
In one study, old people assigned to a geriatrics team stayed independent for far longer, and were admitted to the hospital less.
We are not omniscient or all-powerful. Even enhanced by technology, our physical and mental powers are limited.
You know, 97 percent of the time, if you come into a hospital, everything goes well. But three percent of the time, we have major complications.
In my grandfather's premodern world, how he wanted to live was his choice, and the family's role was to make it possible.
Michael Jordan always had to wear University of North Carolina boxer shorts under his Chicago Bulls uniform.
assisted living isn't really built for the sake of older people so much as for the sake of their children.
This was not guilt: guilt is what you feel when you have done something wrong. What I felt was shame: I was what was wrong.
We yearn for frictionless, technological solutions. But people talking to people is still the way norms and standards change.
Culture has tremendous inertia," he said. "That's why it's culture. It works because it lasts. Culture strangles innovation in the crib.
Medicine was just another a tool you could try, no different from a healing ritual or a family remedy and no more effective.
The companies' most effective tactic, however, was simply to put out the goods and let surgeons play.
Neuroscientists have found that the prospect of making money stimulates the same primitive reward circuits in the brain that cocaine does.
The evidence is that people who enter hospice don't have shorter lives. In many cases they are longer.
Their attitude seemed to result from incomprehension rather than cruelty, but as Tolstoy would have said, what's the difference in the end?
Courage is strength in the face of knowledge of what is to be feared or hoped. Wisdom is prudent strength.
As a person's end draws near, there comes a moment when responsibility shifts to someone else to decide what to do.
If I became just a brain in a jar - as long as I can communicate back and forth with people, that would be okay with me.
The volume and complexity of what we know has exceeded our individual ability to deliver its benefits correctly, safely, or reliably.
Mainstream doctors are turned off by geriatrics, and that's because they do not have the faculties to cope with the Old Crock," Felix Silverstone,
You may not control life's circumstances, but getting to be the author of your life means getting to control what you do with them.
Research has found that loss of bone density may be an even better predictor of death from atherosclerotic disease than cholesterol levels.
This place where half of us will typically spend a year or more of our lives was never truly made for us.
LOU SANDERS WAS on his way to joining the infantilized and catatonic denizens belted into the wheelchairs of a North Andover nursing home
Providing health care is like building a house. The task requires experts, expensive equipment and materials, and a huge amount of coordination.
Life is choices, and they are relentless. No sooner have you made one choice than another is upon you.
But the dismal finances of geriatrics are only a symptom of a deeper reality: people have not insisted on a change in priorities.
Believe that the difference in death rates can be traced to the fundamental human need for a reason to live.
We need practice to get good at what we do. There is one difference in medicine, though: it is people we practice upon.
Just using a checklist requires [doctors] to embrace different values from ones we've had, like humility, discipline, teamwork.
If the conversation people think is coming is the 'death panel' conversation, that's a total failure.
I think the extreme complexity of medicine has become more than an individual clinician can handle. But not more than teams of clinicians can handle.
I chose surgery because I thought that perhaps this would make me more like the kind of person I wanted to be.
When the prevailing fantasy is that we can be ageless, the geriatrician's uncomfortable demand is that we accept we are not.
need to understand how much you're willing to go through to have a shot at being alive and what level of being alive is tolerable to you.
Whatever the limits and travails we face, we want to retain the autonomy - the freedom - to be the authors of our lives.
They provided assisted living, but no one seemed to think it was their job to actually assist him with living
New technology also creates new occupations and requires new expertise, which further undermines the value of long experience and seasoned judgment.
In every industrialized nation, the movement to reform health care has begun with stories about cruelty.
This is normal. Although the processes can be slowed - diet and physical activity can make a difference - they cannot be stopped.
I write because it's my way of finding cool ideas, thinking through hard problems and things I don't understand, and getting better at something.
Each year, about 350,000 Americans fall and break a hip. Of those, 40 percent end up in a nursing home, and 20 percent are never able to walk again.
A young doctor is not so young nowadays; you typically don't start in independent practice until your midthirties. We
The history of American agriculture suggests that you can have transformation without a master plan, without knowing all the answers up front.
In the face of the unknown - the always nagging uncertainty about whether, under complex circumstances, things will really be okay -
Instead they choose to accept their fallibilities. They recognised the simplicity and power of using a checklist.
And then a new question arises: If independence is what we live for, what do we do when it can no longer be sustained? In
As medical progress has extended our lives, the result has been what's called the "rectangularization" of survival.
When I do an operation, it's half a dozen people. When it goes beautifully, it's like a symphony, with everybody playing their part.
The No. 2 pencils had been handed out. The timer had been started. But we had not even registered that the test had begun.
The hardest question for anyone who takes responsibility for what he or she does is, What if I turn out to be average?
The three primary risk factors for falling are poor balance, taking more than four prescription medications, and muscle weakness.
Whereas today people often understate their age to census takers, studies of past censuses have revealed that they used to overstate it.
If we took away the ability to put defibrillators in people in their last years, people would be shouting in the streets.
I was willing to be rejected. That's what allows you to be a good salesperson. You have to be willing to be rejected.