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Showing posts with label Atul Gawande. Show all posts
Showing posts with label Atul Gawande. Show all posts

Wednesday, December 30, 2015

Those books I never got around to reviewing in 2015

Like most of you, I hope, I have a stack of books (not a literal stack, they are e-books) that I've never gotten around to writing about. I'd like to get those out of my mind to start over fresh in 2016. These books really have nothing else in common...

Being Mortal: Medicine and What Matters in the End by Atul Gawande.  This book was everything you've heard. It was heartbreaking and fascinating and really got to me. I've put off a review for weeks because I feel like I just can't do it justice. The book addresses life and death and elder care. It's not dry and boring and is mixed with personal stories of choice and what happens when we don't make a choice. It's about quality of life verses quantity of life. This book will stick with me for a very long time, and I highly recommend it to everyone (yes, EVERYone.)  For a better review I recommend Janssen's or Amy's.


You're Never Weird on the Internet (Almost): A Memoir by Felicia Day. I was first introduced to The Guild, and it's creator Felicia Day after reading Max Wirestone's The Unfortunate Decisions of Dahlia Moss. I knew then that I'd need to read this memoir.  Day does something you rarely see in a(n interesting) memoir- she talks about her life without getting terribly personal, or criticising anyone else.  Starting with her life in Huntsville, Alabama, and ending with the creation of Geek and Sundry, this is interesting and funny from beginning to end. I don't read a ton of memoirs, and even fewer celebrity memoirs, but I enjoyed this one completely.


When a Scot Ties the Knot by Tessa Dare. I read all of Dare's Spindle Cove series back to back last year and loved them, but for some reason put off reading the Castles Ever After Series, despite owning the first two. This is the third book in the series. I loved the idea behind it- painfully shy Maddie invents a suitor, who comes true and insists they marry. I loved both the hero and heroine, and all of the side characters. In hindsight, I don't know how believable it is, but it's a fun ride and definitely makes me want to read the others in the series.




Love Irresistibly, It Happened One Wedding, and Suddenly One Summer by Julie James. The name of this series is the FBI/ US Attorney series and that should give you the hint that these are books about smart, accomplished people.  I stayed up too late with all three of these, binge reading my way through. If you're hesitant about romance novels because you worry about insipid plot lines, these are a great choice. Hot, sexy, fun with people who know who and what they are. I'm very happy to have one more left, with another coming out next spring.

Wednesday, November 26, 2008

Review: Complications by Atul Gawande

A few years ago I ended up on jury duty for a medical malpractice case. We awarded the plantiff $552,000. It wasn't what she was asking for, but it was in her favor. In this particular case, the doctor had been sued over and over and was basically run out of town.

I was reminded of this while I read this book. The full title is Complications: A Surgeon's Notes on an Imperfect Science. Amazon.com summarizes it well:

Gently dismantling the myth of medical infallibility, Dr. Atul Gawande's
Complications: A Surgeon's Notes on an Imperfect Science is essential reading
for anyone involved in medicine--on either end of the stethoscope. Medical
professionals make mistakes, learn on the job, and improvise much of their
technique and self-confidence. Gawande's tales are humane and passionate
reminders that doctors are people, too. His prose is thoughtful and deeply
engaging, shifting from sometimes painful stories of suffering patients
(including his own child) to intriguing suggestions for improving medicine with
the same care he expresses in the surgical theater. Some of his ideas will make
health care providers nervous or even angry, but his disarming style,
confessional tone, and thoughtful arguments should win over most readers.
Complications is a book with heart and an excellent bedside manner, celebrating
rather than berating doctors for being merely human.

In the first half of the book Gawande writes in general terms about how doctors are human too. That medicine changes, but doctors don't go back to med school and are instead forced to learn on the fly. They are held to impossible standards, with no room for error. Now, I don't want to be ther person they make an error on, but it sure does make sense when put that way.

The second half of the book is individual chapters about different topics- gastric bypass, flesh eating bacteria, etc. Each chapter had one main case that Gawande uses as an example. Each one is an example of how things aren't always the way they seem. There is one very short chapter in this section that I did not read. I was reading after the boys were in bed, and the chapter was about SIDS. There was no way I was gonna read that before turning off the light. I will go back... eventually.

Overall, the book is a very fast read, and very interesting. Gawande has an easy style, it seems very much as if he's just another person talking to you and not a top surgeon. The medical details were occasionally a little heavy, but there are no pictures so it's not really gross. They would also be easy to skim and not lose a lot. I see on Amazon that he has another book called Better: A Surgeon's Notes on Performance, and I have added it to my PBS wishlist.

I wonder now, if I had read this before the trial if I would have felt differently. I've tried to remember as many details as possible, and I think we still would have found in her favor. While this book does soften my attitude towards doctors, the particulars of the doctor on my case were such that he did not inspire any goodwill. I do think that it would have changed some of the particulars of how I personally would have awarded the plantiff.


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