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Being Mortal: Medicine and What Matters in the End

Being Mortal: Medicine and What Matters in the End

I read Atul Gawande's last book The Checklist Manifesto and was impressed at the coverage of the importance of checklists in medicine – which had primarily proven their effectiveness in aerospace applications. I was expecting from Being Mortal was a...
Better: A Surgeon’s Notes on Performance

Better: A Surgeon’s Notes on Performance

I’m sometimes a hard guy to impress. Sometimes, I strive for excellence and look for ways to get better, and I forget to appreciate that good is good enough. Maybe that is why I appreciated Better: A Surgeon’s Notes on Performance  so much. It certa...
The Checklist Manifesto

The Checklist Manifesto

Years ago I was responsible for creating the technology to support a clinical study designed to test the feasibility of improving patient outcomes for patients with diabetes. The resulting article was published in Diabetes Care Volume 24 Number 6 in June...
Cleaning Up: How Hospital Outsourcing Is Hurting Workers and Endangering Patients

Cleaning Up: How Hospital Outsourcing Is Hurting Workers and Endangering Patients

One of the challenging ethical dilemmas that faces physicians is when parents of a child tell them to do whatever they can to keep their child alive. The problem is that, no matter how painful it is, there are some situations where death is the right...
Complications: A Surgeon’s Notes on an Imperfect Science

Complications: A Surgeon’s Notes on an Imperfect Science

Complications impact every aspect of our life. We believe that we’ve got life all figured out, but then come the pesky complications to our orderly, perfect world. Atul Gawande speaks about medical complications in Complications: A Surgeon’s Notes on a...
Mistreated: Why We Think We’re Getting Good Health Care—and Why We’re Usually Wrong

Mistreated: Why We Think We’re Getting Good Health Care—and Why We’re Usually Wrong

It’s no secret that the American healthcare system is broken. While there have been great advances in healthcare that saves lives and improves the quality of lives for so many people, it is still broken. The problem is that we can’t take a step back and...
No Time to Teach: The Essence of Patient and Family Education for Health Care Providers

No Time to Teach: The Essence of Patient and Family Education for Health Care Providers

Sometimes you pick up a book because someone recommends it, and it changes the way that you view a topic – and it changes the way you view the person who recommended the book.  No Time to Teach: The Essence of Patient and Family Education for Health Ca...
Uncaring: How the Culture of Medicine Kills Doctors and Patients

Uncaring: How the Culture of Medicine Kills Doctors and Patients

It is not that they set out to be uncaring.  Quite the opposite.  Doctors, most of them anyway, got into medicine because of their concern for others.  That’s what makes the fact that modern medicine, particularly in the United States, isn’t as good a...