1. Dr. Gawande explains that in his training as a surgeon, he has struggled with the fear of not being able to fix a problem for a patient, even when he knows the odds are not good. If you were Dr. Gawande’s patient, what would you like him to know about your hopes for how he would handle a difficult situation like this? I know I am a very sanguine person when it comes to my life and my outlook on life. As much as I like optimism, I would rather have Dr. Gawande tell it to me straight. Bot many people want to be coddled by lies, and I would much rather deal with the truth—no matter how painful it is. I would want Dr. Gawande to know that I may cry and/or sob if he told me that my chances of surviving were minimal. That way, I can prepare myself mentally for how I would like to die and arrangements for my personal belongings. 2. Dr. Nayak’s patient, Bill, tells her that he is not afraid of dying, but he is afraid of the pain he might endure. What are your own worries or fears about facing an end of life situation like his? Pain would be a concern of mine, like it was for Bill. My mind would be racing over how to deal with the realization that I won’t wake up the next day, I won’t be able to see my family or friends, etc. My biggest fear is how my family would take it. Both of my parents lost their respective parents when they were very young. My mother’s grandmother was in her nineties and in very good health, she even lived by herself. It was when three of her children
In 2002 he published, Complications: A Surgeon’s Notes on an Imperfect Science. In this novel he uses real life scenarios that he experience while in residence. This book describes the mishaps that Dr. Gawande encountered as a surgical resident. Complications: A Surgeon’s Notes on an Imperfect Science was a National Book Award Finalist. In 2007, Gawande published Better: A Surgeon’s Note on Performance. This book made Amazon’s Top 10 Book list of 2007. Two years later, The Checklist Manifesto: How to get things Right was published. This book focus spoke about checklists in the medical field and how they dramatically raise effectiveness and reduce
Dr. Gawande was a trained, licensed, practicing physician – surely he would be better equipped than most to make such a decision. Yet, here are his thoughts at that critical moment: “Even if I made what I was sure was the right choice for her, I could not live with the guilt if something went wrong… I needed Hunter’s physicians to bear the responsibility; they could live with the consequences, good or
The fear of death follows from the fear of life. A man who lives fully is prepared to die at any time.” (Mark Twain). This quote from the famous American writer is the basis for what became one of the hardest ideas to comprehend, death. Death has always been a complex term, causing one to struggle with what the true definition is. It is also hard to wrap your mind around what does it truly mean to die. These are the questions we long for the answer. Whether we acknowledge it or not, death has always been feared by many. Death remains an impossible question, one that has been unexplained since beginning of time. Even though dying is a natural, we as a human race still fear it. What can be done to defeat this never-ending battle? According to Montaigne’s “To Philosophize is to Learn to Die” and Cory Taylor’s “Questions for Me About Dying” we can overcome this by living to the fullest, living with no regrets, living a legacy, and lastly not fearing the inevitable. If you want to conquer the question of life, live in the moment.
Death is an unknown place that people tend to avoid because of the fear that surrounds it. But, there should be fear or anxiety that has built up because being in a strange place will definitely add anxiety and fear to a person. Ron Scranton confirms this idea by saying. “learning how to die isn’t easy… I was terrified by the idea”. From the time when he was in the army, he had no choice but to face the idea of death. What seems to scare individuals the most is the thought and process
Gawande in this article applies the surgeon precision to explain to us the reasons behind the uncertainty and the mess of medical care. In addition to this, Gawande provides us with some of the interventions which need to be applied and which will bring relief. This chapter therefore should be read by all students and health professionals. This is because Gawande believes that we can reduce the mistakes within the field of medicine and
"Johns Hopkins patient safety experts have calculated that more than 250,000 deaths per year are due to medical error…" (John Hopkins Medicine). This soaring number has caused medical errors to become the third leading cause of death in the United States. For many people, medicine seems foreign and unknown. People who have lost loved ones due to medical error desperately look for a reason, and many times that blame falls upon doctors. Media has put a negative connotation on doctors as well, causing their reputation to plummet whenever a hospital procedure turns badly. A renown surgeon and author, Atul Gawande, uses his knowledge and experience to give people a new perspective on medicine. In the article "When Doctors Make Mistakes," Gawande uses rhetorical appeals: ethos, pathos, and logos to prove the need for a change in the medical systems and procedures. He analyzes how the public looks at doctors, giving a new perspective to enlighten the reader that even the best doctors can make mistakes.
Part One: In the documentary "Being Mortal" by Atul Gawande talks about the death of patients and how it 's a surprise to a large amount of the patients. He also explains the fear in the medical field, and as a doctor your suppose to help people and cure them, that you 're supposed to give them a better shot and if it later doesn 't go they way you expected,the doctors start to tell themselves what went wrong or what happen everything was going so well. Gawande talks about how he wants to learn more about how to communicate with patients and telling them that they have a certain weeks, days or months left. For example, He talks about one of his patients that he had, her name was Sarah and had stage 4 lung cancer was young and just had a
According to the Institute of Medicine, “At least 44,000 people, and perhaps as many as 98,000 people, die in hospitals each year as a result of medical errors” (Kohn et al.). Despite the unfortunate consequences, medical errors provide an important foundation for medicine. An immense uncertainty envelopes the medical field, and frequent leaps must be made. Some of these ventures are prosperous; however, many render unsuccessful. In Complications, Atul Gawande crafts an alluring view of the medical unknown using tales of his personal medical mistakes. Through the use of ethos, logos, and pathos, Atul Gawande argues that medicine’s vast uncertainty has beneficial influence upon society.
When faced with a tough, and timed emergency situation, there are many directions a heath care provider can go in from there. They can freeze, act improperly, or not quick enough, but some will also act professionally and correctly perhaps saving a patient's life. What determines the direction a health care provider will take is their experience. From knowledge to observation, a medical professional can learn the most efficient ways to work. But one way in particular, past medical experiences and the patient, provider relationship, can influence the decisions a health care provider will make. This can be demonstrated by both Atul Gawande, author of Complications: A Surgeon’s Note on an Imperfect Science, and within Courtney Davis’s The
In the medical field, precision is of the utmost importance when it comes to successfully ensuring that the job is done. Even the slightest mistake can be lethal, making communication vital in the medical field. A group of doctors and nurses must communicate and act like a single unit to complete the procedure. In “When Doctors Make Mistake”, the author, Atul Gawande, recalls a case where his team worked on a specific crash victim and the breathing tube could not fit in the trachea. Due to a lack of communication, one of the staff members tried to force the tube down the trachea causing more damage. In the essay, Gawande assesses the situation and agrees with his team to bring in a specialist to solve the
Fear of the unknown, and fear of what is to come in our lives, has generations of people wondering what will our lives be like tomorrow or the next day. Death is always there and we cannot escape it. Death is a scary thing. Our own mortality or the mortality of our loved ones scares us to the point that we sometime cannot control how we are dealing with such a thing as the thought of death. Why do we fear such a thing as death? We don’t know what happens after we don’t how it feels. The fear of death is different for most but it is most certain to come and we cannot hide from it. For death is just around the corner and maybe it’s will come tomorrow or the next day! We fear not death but the unknown that comes from death, that is the scariest thing about death.
As mentioned in a Frontline interview with Gawande about Being Mortal, life’s two ‘unfixables’ are aging ang dying ("Dr. Atul Gawande On Aging, Dying And "Being Mortal"). Despite this well-known fact, most physicians and patients alike are overwhelmed by the concept of death. Moreover, in times of medical crisis, terminally ill patients allow themselves to be given “the medical equivalent of lottery tickets” in the hopes of making a miraculous recovery (Gawande 171). The allowance of end-of-life decisions to be controlled by the concepts of medicine or technology is a dangerous path which shows a lack in pragmatism regarding death (Sinclair). Although the overall avoidance of the
Gawande’s purpose in Better: A Surgeon’s notes on Performance is to show that in the medical field, following protocols is not always what is best for the patients.
His voice suggests to readers that he knew that even as a doctor, they can make mistakes which lead to part two and into the plot of Gawande describing the errors other doctors have made. For example, He talked about a general surgeon and how he foolishly “left a large metal instrument in a patient’s abdomen, where it tore through the bowel and the wall of the bladder” (507). Another involved a cancer surgeon mistakenly biopsying a woman’s breast and one where a cardiac surgeon skipped “a small but key step during a heart-valve operation, thereby killing the patient” (507). The second part contained a number of incidents in which doctors and surgeons have conjured mistakes that either left patients in the hands of more exceptional doctors or
Death is a familiar thing to most of us, whether you’ve had a loved one pass or have seen a lot of pain. The reason I picked this topic is because of all the ways and things that can happen, in our lifetime, what is the most scariest thing people have trouble with and death popped into my head. I asked the question, ‘Are you afraid of dying?’ My belief was that the youth would be less likely to be fearful of dying compared to the older populations I interview and researched. I believed that the youth would see it as a long time away and would be more focused with living rather than focusing on something they can’t control. I believe that the elderly would have a bigger problem with death because of all the problems that come with old age. As you age everything becomes closer and is more realistic.