At times, in medicine, you feel you are inside a colossal and impossibly complex machine whose gears will turn for you only according to their own arbitrary rhythm. The notion that human caring, the effort to do better for people, might make a difference can seem hopelessly naive. But it isn't.
Interpretation
Medical practice can feel overwhelming and mechanical, but compassion and effort can still have a meaningful impact.
In this quote, Atul Gawande reflects on the challenges faced in the field of medicine, where the processes and systems often appear to function independently of human intention. He acknowledges the frustration that can arise from this perception but emphasizes that the determination to care for patients and to strive for improvement is fundamentally valuable and not naive, as it can indeed lead to positive changes.
In practice
In a medical conference emphasizing the importance of empathy in patient care, this quote can be introduced to highlight the balance between the technical and personal aspects of medicine.
A failure often does not have to be a failure at all. However, you have to be ready for it-will you admit when things go wrong? Will you take steps to set them right?-because the difference between triumph and defeat, you'll find, isn't about willingness to take risks. It's about mastery of rescue.
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.
Just using a checklist requires [doctors] to embrace different values from ones we've had, like humility, discipline, teamwork.
When I do an operation, it's half a dozen people. When it goes beautifully, it's like a symphony, with everybody playing their part.
We look for medicine to be an orderly field of knowledge and procedure. But it is not. It is an imperfect science, an enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line. There is science in what we do, yes, but also habit, intuition, and sometimes plain old guessing. The gap between what we know and what we aim for persists. And this gap complicates everything we do.
No travel ban or quarantine will seal a country completely. Even if travel could be reduced by eighty per cent-itself a feat-models predict that new transmissions would be delayed only a few weeks. Worse, it would only drive an increase in the number of cases at the source. Health-care workers who have fallen ill would not be able to get out for treatment, and the international health personnel needed to quell the outbreak would no longer be able to go in.
What does it mean to be an oncologist? It means that you get to sit in at a moment of another person's life that is so hyper-acute, and not just because they're medically ill. It's also a moment of hope and expectation and concern.
I wasn't driven into medicine by a social conscience but by rampant curiosity.
It's only a thought, and a thought can be changed. I am not limited by any past thinking. I choose my thoughts with care. I constantly have new insights and new ways of looking at my world. I am willing to change and grow.
It was reasonable to struggle, to suffer, perhaps even to die, for a more just, a more compassionate society, but not in a world with no future where, all to soon, the very words "justice," "compassion," "society," "struggle," "evil," would be unheard echoes on an empty air.
Slavery is such an atrocious debasement of human nature, that its very extirpation, if not performed with solicitous care, may sometimes open a source of serious evils.
I had good care going. I had Meredith and the family. And I didn't want to become the object of some kind of pity, most of all. I didn't want to show up on the Internet, 'Tom Brokaw has cancer.'
Subscribe for the occasional hand-picked quote. No noise.