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Better: A Surgeon's Notes on Performance Audio CD – Bargain Price, April 3, 2007

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Product Details

  • Audio CD
  • Publisher: Macmillan Audio; Unabridged edition (April 3, 2007)
  • Language: English
  • ISBN-10: 0792747267
  • ISBN-13: 978-0792747260
  • ASIN: B0042P57M0
  • Product Dimensions: 5.1 x 0.8 x 5.8 inches
  • Shipping Weight: 4.8 ounces
  • Average Customer Review: 4.6 out of 5 stars  See all reviews (250 customer reviews)
  • Amazon Best Sellers Rank: #1,355,481 in Books (See Top 100 in Books)

Editorial Reviews

From Publishers Weekly

Veteran character actor Lloyd does a commendable job in narrating Gawande's arresting exposé of the razor-thin margin that separates top doctors from the rest. While the book has its share of sensational and bloodcurdling tales of virulent infections and medicine gone wrong, Lloyd resists the urge to sensationalize his reading. He rightly senses that these tales do not constitute the heart of this book. Some parts are necessarily slow-moving and methodical, including a lecture on the proper way to scrub hands or a complex rundown of India's health care system. Lloyd's quietly authoritative reading lends an unhurried air that is appropriate for a book fundamentally about taking the time to care, and care diligently, about the things that matter most. Gawande's writing works well on audio as several chapters appeared as discrete essays in the New Yorker and the New England Journal of Medicine, and still bear the stamp of stand-alone material. It's perfect for listeners who prefer thoughtful, short essays for a ride in the car or a walk on the treadmill.
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From Bookmarks Magazine

A surgeon at the Brigham and Women's Hospital in Boston and an assistant professor at the Harvard School of Public Health, Dr. Atul Gawande succeeds in putting a human face on controversial topics like malpractice and global disparities in medical care, while taking an unflinching look at his own failings as a doctor. Critics appreciated his candor, his sly sense of humor, and his skill in examining difficult issues from many perspectives. He conveys his message—that doctors are only human and therefore must always be diligent and resourceful in fulfilling their duties—in clear, confident prose. Most critics' only complaint was that half of the essays are reprints of earlier articles. Gawande's arguments, by turns inspiring and unsettling, may cause you to see your own doctor in a whole new light.

Copyright © 2004 Phillips & Nelson Media, Inc. --This text refers to the Hardcover edition.

Customer Reviews

I could go on, however I will save the book for your reading.
W. Rockwell
As a practicing family doctor, I believe that our healthcare system can do better in providing all of us the best care consistently and routinely across the country.
Davis Liu
Having thoroughly enjoyed Complications, I decided to check out Dr. Gawande's other writings and was pleasantly surprised to find this collection of stories.
B. Merritt

Most Helpful Customer Reviews

231 of 244 people found the following review helpful By Stephen R. Laniel on April 7, 2007
Format: Hardcover
First, as a quick proxy of how good it is, and as a way of enticing busy readers, I should note that I finished Atal Gawande's book Better: A Surgeon's Notes On Performance in less than four hours. I can't remember the last time that happened. True, it's a relatively short book, and I had some uninterrupted time on a bus. But mostly it's that Gawande is a straightforward, energetic, thoughtful writer whose essays relentlessly pull you forward. Each discusses one or two ideas in enough depth to make you realize that they're not easy problems -- which is all most people need, and which does a world of good on its own. Every country has its unquestioned assumptions; it's the rare writer who helps us question them and gently remind us that if there were easy solutions, we'd have found them by now. Gawande is good at that.

The most moving and thought-provoking of these essays, to me, was "The Doctors of the Death Chamber," in which Gawande interviews four doctors (whom he labels "A," "B," "C" and -- wait for it -- "D," in order to secure their anonymity) who help states carry out the death penalty humanely. The use of "humanely" here is questionable; it's humane in the sense that, if we are to use the death penalty, we must not be needlessly cruel at the time of the criminal's death. But it's inhumane in the larger sense that we are furthering a corrupt system -- we are "tinker[ing] with the machinery of death," to use Justice Blackmun's words. Since a doctor's role is to protect human lives, are anaesthesiologists who help execute people painlessly violating their roles? To put it more succinctly: should a doctor make the best of the machinery of death, or should he take no part in the machine? The American Medical Association has its answer and its role.
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85 of 90 people found the following review helpful By Dr. Jonathan Dolhenty on April 15, 2007
Format: Hardcover
Atul Gawande is a general surgeon at the Brigham and Women's Hospital in Boston and -- from everything I've heard and read about him recently -- one of the best of the new breed of medical writers who devote their prose to informing the general public about important concerns in the world of medicine. If this new book, "Better: A Surgeon's Notes on Performance," is a representative example of his usual writing talent, I will completely agree with the above assessment. This collection of original and previously published essays is highly readable and very interesting. Normally, I am not all that interested in reading about medical topics unless it impacts me personally. I'm not a great fan of hospitals nor am I enthusiastic about going to a physician. Fortunately, for most of my life I have enjoyed relatively excellent health. My attitude, however, changed five years ago and Gawande's book takes on some genuine relevance for me. How so and why?

In a section of his book, entitled "The Mop-Up," Gawande discusses polio and the campaign to wipe it out in Asia wherein he was a momentary observer in the field in 2003. Way back in ancient history, when I was a mere child in the 1940s and America was hit with a polio epidemic, I was diagnosed with polio and almost died. Hence the relevance here for me. But more than that, I am convinced to this day that I was "saved" because of the efforts of a nurse -- I'm sure she was one of Gawande's "positive deviants" which he describes in his book -- who insisted on treating me and others with a controversial treatment (opposed by most of the medical "establishment" at the time) called "The Sister Kenny Method." She never lost a patient, by the way; we all recovered without any significant aftereffects that I know of.
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50 of 52 people found the following review helpful By Kcorn TOP 100 REVIEWERVINE VOICE on May 20, 2007
Format: Hardcover Verified Purchase
I'm always on the side of self-education when it comes to medical topics, especially in light of the current health care system and its looming problems. Gawande's skill is in writing movingly ab out all sorts of medical issues, including both failures and successes, in a way that illuminates the complexities of practicing medicine in today's world of HMOs, soaring premiums and more.

Some of his essays may appeal more to you than others but I urge you to read the entire book, as well as to get his other one, Complications. I've read medical memoirs that put me to sleep and have been baffled by how someone could take life and death situations and turn them into dry writing. This isn't the case here and you'll come away from the book with a stronger understanding of all the factors (and possible solutions) that make up the world of medicine, medical ethics and patient care today.
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29 of 31 people found the following review helpful By Walter H. Bock on August 18, 2007
Format: Hardcover
This book will be a great read for you if you're interested in the practice of medicine and how it could be done better. You'll love it if you simply enjoy lucid writing about the practice of medicine.

But this book also offers you great lessons if you want to understand how science and performance management come together as they should in business or any other field of endeavor. That's because the author sets out to answer a question that is as important for people in business as it is for people in medicine.

What does it take to be good at something when it is so easy not to be?

Gawande ways that most people, especially physicians, think that success in medicine comes from canny diagnosis, technical prowess and the ability to empathize. They think that progress in medicine comes from scientific breakthroughs and sophisticated equipment and procedures.

The reality, though, is quote different. Improved performance, according to Gawande, comes from

Doing Right

Again and again Gawande demonstrates how concentrating on patients and on performance leads to improvement for both individuals and for medical practice in general. He does this with a mix of historical examples, patient stories, statistics and stories from his own life and practice.

He divides the book into three sections corresponding to his three necessities for improvement.

In the section on Diligence the chapters are on washing hands, dealing with polio in India, and dealing with casualties from the Iraq war. The chapter on military medicine and the concentration on process improvement is worth the price of the book if you're in business.
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More About the Author

Atul Gawande is the author of three bestselling books: Complications, a finalist for the National Book Award; Better, selected by as one of the ten best books of 2007; and The Checklist Manifesto. He is also a surgeon at Brigham and Women's Hospital in Boston, a staff writer for The New Yorker since 1998, and a professor at Harvard Medical School and the Harvard School of Public Health. He has won two National Magazine Awards, a MacArthur Fellowship, and been named one of the world's hundred most influential thinkers by Foreign Policy and TIME. In his work as a public health researcher, he is Director of Ariadne Labs a joint center for health system innovation. And he is also co-founder and chairman of Lifebox, a global not-for-profit implementing systems and technologies to reduce surgical deaths globally. He and his wife have three children and live in Newton, Massachusetts.

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Amazon Author Rankbeta 

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#96 Overall (See top 100 authors)
#4 in Books > Self-Help
#95 in Books
#4 in Books > Self-Help
#95 in Books

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