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All Quotes by author - 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. "
Working Together
Together
Team
" Expertise is the mantra of modern medicine. "
Mantra
Expertise
Modern
" George Orwell is a pinnacle writer, for his combination of moral insight and literary writing. "
Insight
Moral
Writer
" I believe that one version of the good in life can be defined by the moments I sometimes had playing tennis as a sixteen-year-old. You'd be out on the court and for an hour, two hours, sometimes an entire roasting hot day, and every single thing you hit would go in. Hit that ball as hard as you wanted, wherever you wanted, and it went in. "
Believe
Good
Moments
" If I get hit by a bus tomorrow, my patients will not even be postponed. Another surgeon would step in and take over. The reason to do research and writing is that it at least makes me feel not entirely replaceable. If I didn't write, I don't know if I would do surgery. "
Me
Step
Research
" I have always believed that there is nothing greater than a life in rock n' roll - it has to be good rock n' roll - and I still think it is true. "
Good
True
Think
" I'm floating between multiple media. I really wish you could buy the hardcover book and it would come with the digital download and audible version. I spend stupid amounts of money because I'm usually buying my books in at least two formats. "
Stupid
Wish
You
" In every industrialized nation, the movement to reform health care has begun with stories about cruelty. "
Cruelty
Movement
Nation
" I think the extreme complexity of medicine has become more than an individual clinician can handle. But not more than teams of clinicians can handle. "
Handle
Think
More
" I think we are faced in medicine with the reality that we have to be willing to talk about our failures and think hard about them, even despite the malpractice system. I mean, there are things that we can do to make that system better. "
Talk
Medicine
Better
" I was never born to write. I was taught to write. And I am still being taught to write. "
Write
Born
Taught
" I write because it's my way of finding cool ideas, thinking through hard problems and things I don't understand, and getting better at something. "
Cool
Better
Thinking
" My vantage point on the world is the operating room where I see my patients. "
Room
See
Where
" 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. "
Skills
Skill
Hands
" 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. "
School
Think
Money
" Oliver Sacks remains my hero to this day. He was one of the first medical writers I read. The other was Lewis Thomas, who is no longer alive but is just heroic to me. "
Hero
Me
Medical
" Our great struggle in medicine these days is not just with ignorance and uncertainty. It's also with complexity: how much you have to make sure you have in your head and think about. There are a thousand ways things can go wrong. "
Great
You
Think
" People say that the most expensive piece of medical equipment is the doctor's pen. It's not that we make all the money. It's that we order all the money. "
Say
Money
Medical
" Providing health care is like building a house. The task requires experts, expensive equipment and materials, and a huge amount of coordination. "
Building
Task
House
" 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. "
Awesome
Heart
Survive
" The history of American agriculture suggests that you can have transformation without a master plan, without knowing all the answers up front. "
American
You
Transformation
" The vast majority of doctors really do try to take the money out of their minds. But to provide the best possible care requires using resources in a way that keeps you viable but improves the quality of care. "
You
Quality
Best
" The writing I love has something memorable in it - an image, a smell. It's the connection between the moment and the whole concept, weaving the micro together with the macro so that it has a hold on people - that's writing. "
People
Writing
Love
" 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. "
Like
People
Symphony
" 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. "
Time
Well
You
" 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. "
Fire
You
Moral
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