Atul Gawande

Dine kære skal dø. Du skal dø. Vi skal alle dø. Vi ved bare ikke hvornår.Medicinske fremskridt skubber hele tiden grænserne for overlevelse, og vi er blevet stadig mere løsrevet fra det faktum, at vi er dødelige.Denne bog handler om oplevelsen af dødelighed i dag. Om at blive gammel og dø. Med indsigt og følsomhed fortæller Atul Gawande om sine erfaringer som kirurg, om sine patienter og om sin egen families oplevelser. Han lærer os at acceptere livets grænser. Det endelige mål er, trods alt, ikke en god død, men et godt liv – helt frem til slutningen.“Gawande er en mesterlig fortæller og en gudsbenådet formidler. Det er en bog om livet og døden og derfor en bog for alle.” Jacob Birkler, formand for Det Etiske Råd, i bogens forord.

Populjarnaja, uvlekatelno napisannaja kniga o khirurgii.Eta kniga - svoego roda khirurgicheskoe issledovanie samoj meditsiny.Sostoit iz trekh chastej ("Neizbezhnost oshibok", "Tajna", "Neopredelennost").Voshla v spisok finalistov Natsionalnoj knizhnoj premii SSHA (National Book Award) i byla izdana bolee chem v 100 stranakh mira.Kniga Atula Gavande, praktikujuschego khirurga i izvestnogo populjarizatora nauki, - blestjaschee, smeloe i neverojatno uvlekatelnoe povestvovanie o budnjakh vracha, ezhednevno imejuschego delo s zhiznju i smertju, vynuzhdennogo prinimat reshenija podchas v situatsijakh, kogda nauka nenadezhna, informatsija ogranichena, a stavkoj javljaetsja zhizn cheloveka.Rasskazyvaja trogatelnye, pronzitelnye istorii iz svoej praktiki, avtor otkrovenno govorit o sereznykh problemakh i ogranichenijakh sovremennoj meditsiny, o zagadkakh chelovecheskogo organizma, o tom, kak khoroshie vrachi stanovjatsja plokhimi, ob udachakh i neudachakh v rabote khirurga, o lechebnykh oshibkakh i o tom, kakoe eto schaste, kogda udaetsja spasti zhizn patsienta.TsitataZagljadyvaja vnutr chelovecheskogo tela, ja ponjal, chto chelovek predstavljaet soboj nechto srednee mezhdu uraganom i kubikom lda: v odnikh otnoshenijakh - sovershennaja tajna, no v drugikh - pri dostatochnoj nauchnoj prorabotke i tschatelnom issledovanii - on polnostju poznavaem. Odnako dumat, chto my dostigli predelov chelovecheskogo znanija, tak zhe glupo, kak i rasschityvat, chto kogda-nibud my budem znat vse.Dlja kogoKniga mozhet byt interesna kak vracham, tak i samomu shirokomu krugu chitatelej, interesujuschikhsja etikoj vzaimootnoshenij vrachej i patsientov, zagadkami i problemami sovremennoj meditsiny.Ob avtoreDotsent Garvardskoj meditsinskoj shkoly i Garvardskoj shkoly zdravookhranenija, spetsialist po obschej i endokhirurgii v obedinennom tsentre Brigem i zhenskogo zdorovja v Bostone i laureat fonda Makarturov. On vozglavljaet programmu VOZ po bezopasnoj khirurgii. Gavande aktivno sotrudnichaet s zhurnalom The New Yorker i javljaetsja avtorom bestsellerov "Luchshe" (Better) i "Oslozhnenija" (Complications).

Stremlenie rabotat luchshe - universalno. Chem by my ni zanimalis, vse stalkivaemsja s ogranichennymi resursami, nam ne khvataet sposobnostej, my ustaem. No net drugoj oblasti, v kotoroj kachestvo raboty tak aktualno, kak v meditsine: veda ot kazhdogo reshenija vracha zavisit chelovecheskaja zhizn. V etoj knige Atul Gavande rasskazyvaet, kak vrachi srazhajutsja za to, chtoby razryv mezhdu luchshimi namerenijami i realnymi dostizhenijami byl kak mozhno menshe. Opisyvaja voenno-polevoj gospital v Irake, rodilnoe otdelenie v Bostone ili vaktsinatsiju ot poliomielita v Indii, Gavande pokazyvaet, kakie trudnosti prikhoditsja preodolevat, reshaja poroj, kazhetsja, nevypolnimye zadachi. Odinakovo dotoshno avtor issleduet i rutinnye voprosy, vrode mytja ruk i sistemy oplaty truda, i samye schepetilnye temy: ot eticheskoj dilemmy, stojaschej pered medikami, uchastvujuschimi v privedenii v ispolnenie smertnogo prigovora, do vrachebnykh oshibok i sudebnykh razbiratelstv po delam o khalatnosti vrachej. I vse, o chem pishet Gavande, podchineno poisku otveta na glavnyj vopros: kak v etoj neverojatno nuzhnoj i otvetstvennoj professii mozhno dobivatsja ne prosto khoroshikh, a luchshikh rezultatov?

In Being Mortal, bestselling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering. Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified. Full of eye-opening research and riveting storytelling, Being Mortal asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end.

Å være dødelig: Om legekunst og livskvalitet er en klok, rørende og viktig bok, som på kort tid har blitt en enestående suksess verden over. Den har ligget uavbrutt på New York Times' bestselgerliste i over 80 uker, og blitt oversatt til over 30 språk. Den norske utgaven har et forord av Per Fugelli. Medisinske fremskritt skyver hele tiden på grensene for hvor lenge vi kan leve. Sykdommer som for et århundre siden var dødelige er nå i mange tilfeller ufarlige. Men nettopp derfor har vi blitt stadig mer fremmede for det faktum at vi skal dø. Denne boken handler om hvordan vi opplever dødelighet i dag. Den handler om å bli gammel og dø. Døden har alltid vært en del av livet, men i vår tid behandler vi oss til døde i et forsøk på å unnslippe slutten. Har vi glemt hva det vil si å dø en verdig død?. Gawande stiller spørsmål ved hvordan vi forholder oss til pleie ved livets slutt, og han tar for seg både legenes, familienes og pasientenes valg og prioriteringer. Når et menneskes liv nærmer seg slutten, fokuserer leger og pårørende gjerne på trygghet fremfor selvstendighet. Men de døende ønsker ofte å leve resten av sine liv med så høy grad av selvstendighet og verdighet som mulig. Å være dødelig er en sterk og viktig bok om hvordan vi feil- og overbehandler syke og døende mennesker i vårt samfunn. Den bygger på forskning, fortellinger fra Gawandes egen familie, og møter med pasienter, pårørende og kollegaer. Forfatteren viser at det finnes alternativer til vår måte å behandle syke og eldre på, som kan gjøre den siste tiden i livet rikere på innhold og verdighet. Et godt liv er det viktigste for et menneske, men vi må også våge å stille det ubehagelige spørsmålet: Hva er en god død?

AS HEARD ON BBC RADIO 4 'A GOOD READ' THE INTERNATIONAL BESTSELLER 'GAWANDE'S MOST POWERFUL, AND MOVING, BOOK' MALCOLM GLADWELL 'BEING MORTAL IS NOT ONLY WISE AND DEEPLY MOVING; IT IS AN ESSENTIAL AND INSIGHTFUL BOOK FOR OUR TIMES' OLIVER SACKS For most of human history, death was a common, ever-present possibility. It didn't matter whether you were five or fifty - every day was a roll of the dice. But now, as medical advances push the boundaries of survival further each year, we have become increasingly detached from the reality of being mortal. So here is a book about the modern experience of mortality - about what it's like to get old and die, how medicine has changed this and how it hasn't, where our ideas about death have gone wrong. With his trademark mix of perceptiveness and sensitivity, Atul Gawande outlines a story that crosses the globe, as he examines his experiences as a surgeon and those of his patients and family, and learns to accept the limits of what he can do. Never before has aging been such an important topic. The systems that we have put in place to manage our mortality are manifestly failing; but, as Gawande reveals, it doesn't have to be this way. The ultimate goal, after all, is not a good death, but a good life - all the way to the very end.

Att vara dödlig ä r inte bara klok och rörande, det är också en viktig och insiktsfull bok för vår tid.< Oliver Sacks, författare och neurologI den internationellt hyllade Att vara dödlig konfronterar Atul Gawande, författare och kirurg, det faktum att vi alla en dag ska dö.Medicinvetenskapen har skänkt oss fantastiska framsteg. Sjukdomar som för bara något århundrade sedan var direkt dödliga är nu i många fall ofarliga. Men i takt med framstegen har vi, menar Gawande, blandat ihop vad medicin kan göra med vad den borde göra.Att vara dödlig bygger på sa väl forskning som berättelser från Gawandes möten med patienter, anhöriga och kollegor. Han visar att det finns alternativ till vårt sätt att i dag vårda sjuka och äldre, så att den sista tiden i livet blir rik på innehåll och värdighet. Ett bra liv är det viktigaste för en människa men vi måste också våga ställa den obekväma frågan om vad som a r en bra död.*Atul Gawande a r författare, professor vid Harvard och många rig skribent fo r The New Yorker.

#1 New York Times Bestseller In Being Mortal, bestselling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its endingMedicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering. Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified. Full of eye-opening research and riveting storytelling, Being Mortal asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end.

#1 New York Times Bestseller In Being Mortal, bestselling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering. Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified. Full of eye-opening research and riveting storytelling, Being Mortal shows how the ultimate goal is not a good death but a good life--all the way to the very end.

Giving an account of the life of a surgeon, this book looks at what it is like to cut into people s bodies and the - literally life and death - decisions that have to be made. It includes chronicles of operations that go wrong; of doctors who go to the bad; why autopsies are necessary; and what it feels like to insert your knife into someone.

THE GAME-CHANGING BOOK FROM THE BESTSELLING AUTHOR OF BEING MORTAL Today we find ourselves in possession of stupendous know-how, which we willingly place in the hands of the most highly skilled people. But avoidable failures are common, and the reason is simple: the volume and complexity of our knowledge has exceeded our ability to consistently deliver it - correctly, safely or efficiently. In this groundbreaking book, Atul Gawande makes a compelling argument for the checklist, which he believes to be the most promising method available in surmounting failure. Whether you're following a recipe, investing millions of dollars in a company or building a skyscraper, the checklist is an essential tool in virtually every area of our lives, and Gawande explains how breaking down complex, high pressure tasks into small steps can radically improve everything from airline safety to heart surgery survival rates. Fascinating and enlightening, The Checklist Manifesto shows how the simplest of ideas could transform how we operate in almost any field.

The New York Times bestselling author of Being Mortal and Complications reveals the surprising power of the ordinary checklist.We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies--neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist. First introduced decades ago by the U.S. Air Force, checklists have enabled pilots to fly aircraft of mind-boggling sophistication. Now innovative checklists are being adopted in hospitals around the world, helping doctors and nurses respond to everything from flu epidemics to avalanches. Even in the immensely complex world of surgery, a simple ninety-second variant has cut the rate of fatalities by more than a third. In riveting stories, Gawande takes us from Austria, where an emergency checklist saved a drowning victim who had spent half an hour underwater, to Michigan, where a cleanliness checklist in intensive care units virtually eliminated a type of deadly hospital infection. He explains how checklists actually work to prompt striking and immediate improvements. And he follows the checklist revolution into fields well beyond medicine, from disaster response to investment banking, skyscraper construction, and businesses of all kinds. An intellectual adventure in which lives are lost and saved and one simple idea makes a tremendous difference, The Checklist Manifesto is essential reading for anyone working to get things right.

The struggle to perform well is universal, but nowhere is this drive to do better more important than in medicine. In his new book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. His vivid stories take us to battlefield surgical tents in Iraq, to a polio outbreak in India and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine and recounts the astoundingly contentious history of hand-washing. Finally, he gives a brutally honest insight into life as a practising surgeon. Unflinching but compassionate, Gawande's investigation into medical professionals and their progression from good to great provides a detailed blueprint for success that can be used by everyone.

This is a stunningly well-written account of the life of a surgeon: what it is like to cut into people's bodies and the terrifying - literally life and death - decisions that have to be made.There are accounts of operations that go wrong; of doctors who go to the bad; why autopsies are necessary; what it feels like to insert your knife into someone.

NATIONAL BESTSELLER The New York Times bestselling author of Being Mortal and Complications examines, in riveting accounts of medical failure and triumph, how success is achieved in a complex and risk-filled profession The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In this book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable. Gawande's gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing. And as in all his writing, Gawande gives us an inside look at his own life as a practicing surgeon, offering a searingly honest firsthand account of work in a field where mistakes are both unavoidable and unthinkable. At once unflinching and compassionate, Better is an exhilarating journey narrated by "arguably the best nonfiction doctor-writer around" (Salon). Gawande's investigation into medical professionals and how they progress from merely good to great provides rare insight into the elements of success, illuminating every area of human endeavor.

The surgeon-author of Complications explores the efforts of physicians to close the gap between best intentions and best performance in the face of seemingly insurmountable obstacles, discussing such topics as the ethical considerations of lethal injections, the influence of money on modern medicine, malpractice, and surgical errors. 150,000 first printing.