...of complaining, everybody has to do their best. Especially if we talk about the things that affects other people`s life, we should give the highest significance. Even our little mistakes can cost somebody`s life under certain circumstances. Health care workers play the most important role in the life. They should be even more careful than other people. Briefly, we have to be our life coaches ourselves to activate control mechanism. Third suggestion: We can think that numbers and counting process are very easy respect to all other things that we make in routine. However, easiness of something doesn`t mean that it is proportional with importance. In some fields like surgery, counting the operation materials has so much importance as Dr. Atul Gawande said. Complications are severe could be resulted even death. If there is potential risk in an event, we should take advantages of technology. For instance in my senior engineering design project, we have preferred to use automatic valves and controllers when we are capable to adjust them manually. The reason for that we would like to minimize safety concerns and decrease the events that can lead to worst case scenarios. Fourth suggestion: In my...
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...Atul Gawande’s Being Mortal is about experiences he learned from while being a doctor. In his final chapter, “Courage,” he discusses the idea of death and how some of his patients and family went into it. As Gawande discusses the stories and emotions he shared with these people, he explores the idea of narrative medicine that Rita Charon discusses. Rita Charon is a physician that practices narrative medicine in her practice. In her Ted Talk, “Honoring the stories of illness,” Charon presents the idea that we, as doctors and caregiver, should act as if the patient is more than their illness. Instead of treating just their physical illness, helping them understand and process it, as well as helping their mental health, are just as important....
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...In Complications A Surgeon’s Note on an Imperfect Science is a surgeon who experiences surgical procedures that is handed to him in a life or death situation that gives him an awakening of the choices he has to make. Atul Gawande, the author, gives a biography in first person of his beginning years of his career and develops his character through being trapped in his own mistakes and trusting in his intuition that will lead to a voice of self-disapproval. Atul Gawande tells his nonfiction writing in a first person narration reflecting back with each procedure done. With a downfall of using many rhetorical characteristic which leads his voice to an informal writing but, can be used to many readers advantage of not understanding jargons or medical...
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...Dr. Atul Gawande is a surgical resident who describes his experiences as a surgeon, he tries to make acceptable choices that are safe and best for his patients with his principles of his perseverance of his ability. During this time, he grows from the beginning of his career by making mistakes, trusting in his intuition, and having compassion in his career. First, during his first surgical procedures, to shadowing many doctors, led him to uncertainties of his ability to help his patients by making wise choices of finding alternatives to fix their conditions. Dr. Gawande develops his personality and routines through his question of failures in experiencing being afraid, cautious, and unsure in each situation he has to face everyday. Second,...
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...Complications: A Surgeon's Note on an Imperfect Science is one of the most important books for doctors and medical students. This book was written by Dr. Atul Gawande, he is a child of two doctors, and he is a surgical resident. This book is a collection of cases and stories that happened to Dr. Atul Gawande during his career. “Complications” is the word that describes difficulty and challenges. Dr. Gawande discussed many medical issues that face junior doctors. He talked about his job and how he became an expert. His main point in this book is to clarify for doctors, medical students the connection between complications that face doctors, and how that leads them to succeed. Dr. Gawande believes that medicine is an art which we have to practice...
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...My whole life I have heard it said that if you have a disease you look for and use the cure or treatment that has been most effective with cases similar to yours. You would never hear of someone giving up their life and not even trying to overcome what was coming their way. In Atul Gawande’s Being Mortal, he expresses how doctors today are now beginning to focus more on how patients want to spend the rest of their lives no matter what the diagnosis is, if in a state of needing to make a major medical decision. Gawande starts the novel off about how we expect and are known for dying. For example any type of cancer, or illness we can develop throughout our lifetime, not just at old age. He tells us how through his own experiences with medical...
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...The book I have recently finished is Scythe by Neal Shusterman. In Scythe, the world no longer has to worry about disease and misery. People also don't have to worry about death, unless a scythe has decided to glean them. Gleaning is to end someone's life for real. Scythes are people who are chosen and trained to end random lives to create unnatural death in a community that literally won't die. MidMerica's population is growing too large, so two children named Citra and Rowan are plucked out of this region for Scythehood. They are picked to be scythe apprentices because they have defied true scythes in the past and neither actually want to glean. You see, scythes are both sacred to people and feared. Their master, Scythe Faraday, chose them...
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...Reflection of Better, by Atul Gawande In Better, Atul Gawande takes the reader to courtrooms, clinics, war zones, and execution chambers to demonstrate the incredible environments in which doctors care for and treat patients. While drawing on a vast array of sources, including his own personal experience, Gawande interweaves into nearly every chapter fascinating vignettes about the most important person in his view of medicine: the patient. By ensuring that every message is personalized in this manner, he brings a warm, humane touch to this superb book. His idea of the “three core requirements” for successful performance in medicine— diligence, doing right, and ingenuity — and in turn considers specific problem areas in each. He cites three distinct examples in which diligence is essential to the successful execution of medical therapy: the WHO’s and their work in India with the polio outbreak, US military’s medical staff in Iraq, and the work of infection-control specialists with hand washing and disease prevention. All of their efforts are demonstrably linked by the almost obsessive diligence of the clinicians responsible. When talking about ‘doing right,’ Gawande takes on a number of compelling issues which includes the litigious nature of our society toward health care providers. We meet two intriguing people, a physician colleague of the author whose son was harmed by medical error and an ex-clinician who is now working as a medical malpractice lawyer and gains the novel...
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...Being Mortal is about a young doctor named Atuol Gwande, he has had many patients with life threatening complications. He struggles with the decision of talking with the patient about furthering treatment or going into hospice or end of life decisions. Gwande has had his own experience with his father having cancer. He was put on the other side of the white coat in this situation. He realized that what he says makes a very large impact on the patients and their families. He wanted to do this movie to raise awareness for what is morally correct when it comes to life threatening illnesses. Doctors are often asked to give timelines of their patients life expectancy. This can be very difficult for a doctor to talk about. They don't want to give...
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...Burnout can and should be prevented in all career fields today, but especially healthcare. Author Atul Gawande wrote “people believe doctors are tougher people so this burnout is usually a common thing” (94). I agree with his point, he makes it seem like this burnout is normal and doctors can handle it because of their personality, but in reality countless patients are being harmed before it is acknowledged. One thing supervisors can do to prevent this burnout from occurring is stop offering incentives that are just primary based on the quantity of patients rather than incentives based on the quality of care given. Incentives make doctors push themselves because they know they will get more money. This needs to stop if we want to see burnout...
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...Atul Gawande in his book “Letting Go” is trying to point out a medical system that is not effective in caring for the needs of patients who are terminally ill and approaching death. He writes that these patients can be placed under hospice and palliative care and end up living better and quality lives, even longer than what was expected. According to Gawande, this is a better choice than struggling to find means to stay alive when all means have been exhausted and there's no hope left. We should know when to let go. Gawande gives us the experiences of a few terminally ill individuals receiving different forms of treatment. Among those was Sarah Monopoli's touching story. She was diagnosed with an inoperable lung cancer while she was pregnant. Her long battle against this disease and trying to survive led her to trying many different types of aggressive treatments which left her weaker and more prone to infections. Although her wish was to die at home and not in the hospital, she ended dying in the hospital where she went to seek treatment for pneumonia. At last when she was in the hospital, her family decided to bring her suffering to an end and stopped medical intervention. Through her treatments, she suffered greatly...
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...emergency room is not as readily accessible as it could be, especially when someone does not know the whereabouts of healthcare facilities. These resources will help empower patients. Patient engagement will help decrease over utilization.5 This should decrease the cost of patient care and allow all communities to acquire the proper healthcare. References 1. Gwande, A. The cost conundrum. The New York. 2009; 1 June: 35-44 Retrieved from https://www.newyorker.com/magazine/2009/06/01/the-cost-conundrum 2. Gwande, A. Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it? The New York: 2015; 11 June: 41-46 Retrieved from https://www.newyorker.com/magazine/2015/05/11/overkill-atul-gawande 3. Steinwachs DM, Hughes RG. Health services research: Scope and significance. In: Hughes RG, ed. Patient safety and quality: An evidence-based handbook for nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008. http://www.ncbi.nlm.nih.gov/books/NBK2660/. Accessed Jun 3, 2018. 4. Morgan DJ, Brownlee S, Leppin AL, et al. Setting a research agenda for medical overuse. BMJ. 2015;351. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4563792/. Accessed Jun 3, 2018. doi: 10.1136/bmj.h4534. 5. 3. Andersen RS, Vedsted P, Olesen F, Bro F, Søndergaard J. Does the organizational structure of health care systems influence care-seeking decisions? A qualitative analysis of danish cancer patients' reflections on care-seeking...
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...Atul Gawande, the American surgeon and writer has gained a respectable reputation for becoming an effective writer in many different ways. Gawande is exceptional at using multiple genres of writing to advance more complex purposes to his writing. Atul Gawande commonly uses narratives and informative data/research to expound on his greater persuasive purpose. Two of Gawande’s works that present a good example of his skillful use of the narrative and informative modes are “Letting Go” and “Hellhole”. Both “Letting Go” and “Hellhole”, by Atul Gawande, are complete works of literature that consist of minor topics that build up to a major hidden meaning. By using the minor topics of discussion, Gawande seems to relate and point to the more major meaning of the essay which is not as tangible as the minor topics. In “Letting Go”, Atul Gawande brings discussion to the end of life and the difficulties doctors, families, friends, and sick individuals have understanding and grasping certain death. Gawande starts of the essay...
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...The majority of people expect doctors to be perfect, I believe. However, in Atul Gawande’s essay, “When Doctors Make Mistakes,” he tells us that is not the case. His theme is that doctors, as seemingly perfect professionals, are humans too, they make mistakes too. He mentioned one of his mistakes while treating a patient from a car crash. Afterwards, he reported his mistake to the M&M. He felt ashamed and guilty to the patient. He then develops his essay by statistic support of how often doctors make mistakes. I didn't expect doctors to be 100% accurate while they treat patients, at least while they treat light illness, like the common cold or flu. However, after reading the essay, I was shocked even when are treating serious illness they still...
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...------------------------------------------------- INTRODUCTION This case weaves leadership and organizational culture principles into the strategic fabric of a modern firm competing in a global, competitive, high tech industry. The achievements of Atul Jain, founder, CEO, and Chairman of TEOCO, are extraordinary given his limited business expertise, compliant personality, and unconventional belief system – all which he has parlayed into a competitive advantage for the his mid-sized telecommunications software company. The introduction of the case places TEOCO at a major juncture, having recently completed an acquisition which doubles the size of the company and committed to a new ownership structure with a venture capital company’s minority equity investment. Reasons behind the unlikely partnership agreement are discussed before delving into TEOCO’s background and core product categories. The industry landscape and company’s growth strategies are described next. This leads into an explanation of the TTI acquisition, which seriously tests the strength of Atul’s proven business approach. Finally, the case depicts how the shared leadership, employee ownership, and human resource practices at TEOCO are the foundation of the competitive advantage created by Atul. As the company enters a new era, the shaping of its future is already underway. The case analysis is intended to anticipate the likely impact of the TTI acquisition and TA alliance on the strategic elements that have led to TEOCO’s...
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