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.
Interpretation
Travel bans may delay but not completely prevent the spread of disease.
This quote by Atul Gawande emphasizes the limitations of travel restrictions in controlling outbreaks of infectious diseases. It highlights that while such measures might temporarily reduce travel, they cannot fully contain the spread, which may ultimately lead to a worse situation if healthcare workers are unable to provide necessary treatment and support.
In practice
In a public health seminar discussing the effectiveness of travel restrictions during an outbreak.
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.
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.
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.
Chronic disease like a troublesome relative is something you can learn to manage but never quite escape.
While we support the women who bravely face breast cancer treatments, we should also promote the prevention of breast cancer from a very early age.
You're not going to eliminate concussions. Anytime you hit your head, you have a chance of getting a concussion, in any sport, too. I think we have to learn more about it. Part of it is rules, part of it is equipment, part of it is medical studies, knowing more about the brain.
Surgeon generals are appointed by presidents, but our work isn't about politics. Our highest duty to to the public. Our true guide is science. Our job is to speak the truth about public health, even when it's controversial or perceived as political.
Slowly but surely, we're beginning to turn the tide on childhood obesity in America. Together, we are inspiring leaders from every sector to take ownership of this issue.
We all grew up in communities with grandmothers who cooked two, three vegetables that you had to eat. There was no ifs, ands or buts about it. But that's because many of our grandparents, they had community gardens; there was the vegetable man that came around. There were many other resources that allowed them to have access. So it's not that people don't know or don't want to do the right thing; they just have to have access to the foods that they know will make their families healthier.
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