By Atul Gawande
The fight to accomplish good is common: every one people faces fatigue, restricted assets, and imperfect skills in no matter what we do. yet nowhere is that this force to do larger extra vital than in drugs, the place lives should be at the line with any decision.
Atul Gawande, the New York Times bestselling writer of problems, examines, in riveting bills of scientific failure and triumph, how good fortune is accomplished during this complicated and risk-filled career. without delay unflinching and compassionate, Better is an exciting trip, narrated through "arguably the easiest nonfiction doctor-writer round" (Salon.com).
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Additional info for Better: A Surgeon's Notes on Performance
After a century of effort, the only successful attempt at eradication of a global disease has been the battle against smallpox—a mammoth undertaking that was, just the same, decidedly simpler than the campaign against polio. Smallpox, with its distinctive blisters and vesicles, could be readily and quickly identiﬁed; the moment a case appeared, a team could be dispatched to immunize everyone the victim might have come into contact with. That strategy, known as “ring immunization,” eradicated the disease by 1979.
The most promising approach was to focus on discovering new treatments and technologies. In the previous century, that was where progress had been found—in the discovery of new anesthetic agents and vascular surgery techniques for World War I soldiers, in the development of better burn treatments, blood transfusion methods, and penicillin for World War II soldiers, in the availability of a broad range of antibiotics for Korean War soldiers. The United States accordingly invested hundreds of millions of dollars in numerous new possibilities: the development of blood substitutes and freezedried plasma (for infusion when fresh blood is not available), gene therapies for traumatic wounds, medications to halt lung injury, miniaturized systems to monitor and transmit the vital signs of soldiers in the ﬁeld.
A look of profound sadness now swept over her. She had not understood, she said, staring down at the ground. Eventually, Pankaj continued onward, checking on the vaccinators going door to door. Then, when he was ﬁnished, we left. The road heading out of the village was a red dirt track and we rattled over it with our wheels in the ruts that the bullock carts had made. ” I asked Pankaj. “Well, there is always measles,” he said. S. Department of Defense provides an online update of American military casualties from the wars in Iraq and Afghanistan.