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Atul Gawande quotes
Practice is funny that way. For days and days, you make out only the fragments of what to do. And then one day you've got the thing whole. Conscious learning becomes unconscious knowledge, and you cannot say precisely how.
Atul Gawande
Better is possible. It does not take genius. It takes diligence. It takes moral clarity. It takes ingenuity. And above all, it takes a willingness to try.
Atul Gawande
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
Courage is strength in the face of knowledge of what is to be feared or hoped. Wisdom is prudent strength.
Atul Gawande
Life is choices, and they are relentless. No sooner have you made one choice than another is upon you.
Atul Gawande
Don't let yourself be. Find something new to try, something to change. Count how often it succeeds and how often it doesn't. Write about it. Ask a patient or a colleague what they think about it. See if you can keep the conversation going.
Atul Gawande
Man is fallible, but maybe men are less so.
Atul Gawande
We recruit for attitude and train for skill.
Atul Gawande
You want to ensure people can do it right 99 percent of time. When we have to fire one of our surgical trainees, it is never because they don't have the physical skills but because they don't have the moral skills - to practise and admit failure.
Atul Gawande
As economists have often pointed out, we pay doctors for quantity, not quality. As they point out less often, we also pay them as individuals, rather than as members of a team working together for their patients. Both practices have made for serious problems.
Atul Gawande
No one teaches you how to think about money in medical school or residency. Yet, from the moment you start practicing, you must think about it. You must consider what is covered for a patient and what is not.
Atul Gawande
In every industrialized nation, the movement to reform health care has begun with stories about cruelty.
Atul Gawande
Expertise is the mantra of modern medicine.
Atul Gawande
Outsiders tend to be the first to recognize the inadequacies of our social institutions. But, precisely because they are outsiders, they are usually in a poor position to fix them.
Atul Gawande
You know, 97 percent of the time, if you come into a hospital, everything goes well. But three percent of the time, we have major complications.
Atul Gawande
This is the reality of intensive care: at any point, we are as apt to harm as we are to heal.
Atul Gawande
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
To become a doctor, you spend so much time in the tunnels of preparation - head down, trying not to screw up, trying to make it from one day to the next - that it is a shock to find yourself at the other end, with someone shaking your hand and asking how much money you want to make.
Atul Gawande
No one looks at your hands to see how much they shake when you are interviewed to be a surgeon. The physical skills required are no greater than for writing cursive script. If an operation requires so much skill only a few surgeons can do it, you modify the operation to make it simpler.
Atul Gawande
Our ultimate goal, after all, is not a good death but a good life to the very end.
Atul Gawande
how we seek to spend our time may depend on how much time we perceive ourselves to have.
Atul Gawande
We've been wrong about what our job is in medicine. We think our job is to ensure health and survival. But really it is larger than that. It is to enable well-being.
Atul Gawande
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