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Atul Gawande Quotes

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When [disease] can’t be stopped, that’s where we become lost  (Atul Gawande Quotes) The definition of what it means to be dying has changed radically. We are able to extend people’s lives considerably, including sometimes, good days.  (Atul Gawande Quotes) We yearn for frictionless, technological solutions. But people talking to people is still the way norms and standards change  (Atul Gawande Quotes) We always hope for the easy fix: the one simple change that will erase a problem in a stroke. But few things in life work this way. Instead, success requires making a hundred small steps go right - one after the other, no slipups, no goofs, everyone pitching in  (Atul Gawande Quotes) We’ve created a multitrillion-dollar edifice for dispensing the medical equivalent of lottery tickets - and have only the rudiments of a system to prepare patients for the near certainty that those tickets will not win. Hope is not a plan, but hope is our plan  (Atul Gawande Quotes) Cost is the spectre haunting health reform. For many decades, the great flaw in the American health-care system was its unconscionable gaps in coverage.  (Atul Gawande Quotes) If I became just a brain in a jar - as long as I can communicate back and forth with people, that would be okay with me.  (Atul Gawande Quotes) Over time I learned that there are two very different satisfactions that you can have in your life. One is the satisfaction of becoming skilled at something. It almost doesn’t matter what the terrain is. There is a deep, soul-feeding resonance in mastery itself, whether in teaching, writing a complicated software program, coaching a baseball team, or marshalling a group of people to start a new business...  (Atul Gawande Quotes) The battle of being mortal is the battle to maintain the integrity of one’s life,  (Atul Gawande Quotes) Most people are squeamish about saying how much they earn, but in medicine the situation seems especially fraught. Doctors aren’t supposed to be in it for the money, and the more concerned a doctor seems to be about making money the more suspicious people become about the care being provided.  (Atul Gawande Quotes) Having great components is not enough, and yet we’ve been obsessed in medicine with components. We want the best drugs, the best technologies, the best specialists, but we don’t think too much about how it all comes together.  (Atul Gawande Quotes) The damage that the human body can survive these days is as awesome as it is horrible: crushing, burning, bombing, a burst blood vessel in the brain, a ruptured colon, a massive heart attack, rampaging infection. These conditions had once been uniformly fatal.  (Atul Gawande Quotes) In psychology, there’s something called the broken-leg problem. A statistical formula may be highly successful in predicting whether or not a person will go to a movie in the next week. But someone who knows that this person is laid up with a broken leg will beat the formula. No formula can take into account the infinite range of such exceptional events.  (Atul Gawande Quotes) Every country in the world is battling the rising cost of health care. No community anywhere has demonstrably lowered its health-care costs (not just slowed their rate of increase) by improving medical services. They’ve lowered costs only by cutting or rationing them.  (Atul Gawande Quotes) If the conversation people think is coming is the ‘death panel’ conversation, that’s a total failure.  (Atul Gawande Quotes) The writing I love has something memorable in it - an image, a smell. It’s the connection between the moment and the whole concept, weaving the micro together with the macro so that it has a hold on people - that’s writing.  (Atul Gawande Quotes) You may not control life’s circumstances, but getting to be the author of your life means getting to control what you do with them.  (Atul Gawande Quotes) The health-care sector certainly employs more people and more machines than it did. But there have been no great strides in service. In Western Europe, most primary-care practices now use electronic health records and offer after-hours care; in the United States, most don’t.  (Atul Gawande Quotes) These are folks that keep people out of hospitals, out of emergency rooms, out of nursing homes. And not only that, they help people achieve more fulfilling lives.  (Atul Gawande Quotes) In one study, old people assigned to a geriatrics team stayed independent for far longer, and were admitted to the hospital less.  (Atul Gawande Quotes) I write because it’s my way of finding cool ideas, thinking through hard problems and things I don’t understand, and getting better at something.  (Atul Gawande Quotes) Our health-care morass is like the problems of global warming and the national debt - the kind of vast policy failure that is far easier to get into than to get out of. Americans say that they want leaders who will take on these problems.  (Atul Gawande Quotes) Doctors quickly learn that how much they make has little to do with how good they are. It largely depends on how they handle the business side of their practice.  (Atul Gawande Quotes) Expertise is the mantra of modern medicine  (Atul Gawande Quotes) Human interaction is the key force in overcoming resistance and speeding change  (Atul Gawande Quotes) Are doctors who make mistakes villains? No, because then we all are  (Atul Gawande Quotes) What is the alternative to understanding the complexity of the world?  (Atul Gawande Quotes) Arriving at an acceptance of one’s mortality is a process, not an epiphany  (Atul Gawande Quotes) Coaching done well may be the most effective intervention designed for human performance  (Atul Gawande Quotes) We recruit for attitude and train for skill  (Atul Gawande Quotes)
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