请输入您要查询的百科知识:

 

词条 Draft:Better: A Surgeons Notes on performance
释义

  1. Synopsis

  2. Summary

  3. Themes

  4. References

{{DISPLAYTITLE:Better: A Surgeons Notes on performance}}

Synopsis

Gawande wrote this book as a means to show his experience in the medical field. He writes multiple essays speaking on different professions as well that are tied in with his profession. These include engineers, lawyers, and insurers. He makes sure to touch on all important parts of the profession to him. He speaks on challenges and successes on the medical field and speaks on issues that have been resolved. He backs a lot of his stories up with actual facts and catches the readers attention. The way he writes shows all of the things he saw that challenged him and made him feel like these were one of the most important moments of his life.

Summary

Part 1 Diligence: The book starts off with Gawande talking about sanitation in the medical field. He mentions facts that state the almost 2 million people a year get an infection at the hospital. He talks about how in the mid 1800s, the leading cause of maternal death was childbed fever due to doctors not being sanitary. At the end of the first chapter, Gawande wonders about the amount of times he has given a patient an infection.

           Then Gawande starts talking about diligence which is what this part of the book is about. He talks about the diligence that people have that distribute vaccines because of how much they have to learn about the technique and the amount of vaccines that they have to distribute. He talks about helping distribute polio vaccines to villages and he comes across challenges with patients and other complications. Other than the technique, he mentions that analyzing the data after is just as important and difficult.

           He then talks about the casualties in war and how important the Forward Surgical Team is. He explains how every second is important in the battlefield and that is what is important in battle. Gawande shares a story of a soldier with explosive wounds and tells us that the Forward Surgical Team reduced the damage that was done to him. The soldier was then taken to a hospital where he was later treated.

Part II Doing Right: Gawande speaks on the exam rooms and physician and patient interactions. He says that having a chaperone during an examination between a male doctor and a female patient (or vice versa) can be more uncomfortable if a female chaperone is present. However, there are some instances where there is sexual interaction between patient and physician.

           Gawande speaks on the medical field and the law. He mentions that he was sued three times and only once was it a legitimate sue because he had a medical malpractice on a patient that he felt really bad about. He goes and tells us that malpractice is a pathway for disaster because it would be patient against doctor against insurance.

           Gawande then talks about the pay of doctors and the inevitable involvement of the insurance companies. He says that if a patient is paying through the Master Chart, doctors may try to perform more tests to diagnose. If not, doctors will just charge over the standard price. He then goes over doctors and the death penalty to prisoners. He goes through old technique and judges found that people were still breathing when given the paralytic agent. Doctors did not like to distribute the medicine because they felt as if they were the ones that were executing the prisoners.

           Gawande then talks about one of the more important topics of the book, to keep fighting. He goes over many cases including one on a twelve-year-old girl that was fighting a recurring tumor. He talks about everyone should keep fighting because there is always a chance of survival.

Part III Ingenuity: He then talks about the chances of newborns being born and the development of the Apgar score which is used to measure the survival rate of a child. He also goes over Dr. Rourke’s experience in giving birth as she knew the exact procedures. She wanted to go as smoothly as possible.

           Gawande speaks on a girl named Annie with cystic fibrosis and how she was taken to Cincinnati children’s hospital and they told her that they don’t recommender her to be treated there since they are not known for treating cystic fibrosis. Gawande was trying to make a point that all of the clinics are just fighting to be the average.

           Gawande closes the novel by mentioning a fellow doctor with cystic fibrosis and how in Nanded hospitals, doctors were very skillful despite Gawande’s initial interpretation. He mentions Dr. Motewar and says that with the team’s lack of materials, they managed to find an effective way of removing ulcers. He closes the story by saying that we need to keep searching for better ways to perform procedures.

Themes

Fighting- Gawande talks a lot about survival and through the efforts of fighting through diseases by the patients, their families, and doctors. He mentions many stories throughout the book about people surviving because of both medical assistance and the strength of the patients helped them survive. The story on the soldier had his life saved due to the Forward Surgical Team and many doctors. The story of the man with the reoccurring cancer in his left kidney but his life was prolonged by the help of physicians and the perseverance of the patient.

Diligence- One of the parts of the book is called diligence and it talks about how medical professionals really try to take care of patients even with the large amount of patients there are. Some of the patients really have serious problems and doctors were able to take care of them while also caring for others. Gawande speaks on the individuals distributing the polio vaccines and how they had to make sure to give to almost the entire village. He also said that they had to learn the proper techniques and preparations. These people were distributing vaccines to an entire village and that takes diligence.

Thoughtfulness- Gawande shows that being a physician comes with challenges. He makes sure to treat all of his patients with care. He goes over the many times where he has made a mistake or may have made a mistake a lot. Through these mistakes he feels caring of the patient. When he had a medical malpractice and was sued, he said he felt really bad about what he did and he felt sorry for the patient. He also wonders at the beginning of the book if he had ever given an infection to any patient in the hospital.

References

  • Gawande, A. (2007). Better: A surgeon's notes on performance. New York: Metropolitan.
随便看

 

开放百科全书收录14589846条英语、德语、日语等多语种百科知识,基本涵盖了大多数领域的百科知识,是一部内容自由、开放的电子版国际百科全书。

 

Copyright © 2023 OENC.NET All Rights Reserved
京ICP备2021023879号 更新时间:2024/11/10 11:49:12