Atul Gawande (previously) is a highly respected expert on systems thinking, preventative medicine and dying with dignity has published an excellent editorial about the medical shortcomings of the Senate GOP's tax-break/health cut bill. Read the rest
The lecturer for the BBC's 2014 Reith lectures is Dr Atul Gawande, a celebrated author and MD whose book The Checklist Manifesto: How to Get Things Right is a classic on how to think about systemic problem solving (which pays attention to how different people and activities come together to make and solve problems). Read the rest
Last night I listened to a New Yorker podcast interviewing Atul Gawande, author of an article in the latest issue about itching. It's fascinating.
“Scratching is one of the sweetest gratifications of nature, and as ready at hand as any,” Montaigne wrote. “But repentance follows too annoyingly close at its heels.” For M., certainly, it did: the itching was so torturous, and the area so numb, that her scratching began to go through the skin. At a later office visit, her doctor found a silver-dollar-size patch of scalp where skin had been replaced by scab. M. tried bandaging her head, wearing caps to bed. But her fingernails would always find a way to her flesh, especially while she slept.
One morning, after she was awakened by her bedside alarm, she sat up and, she recalled, “this fluid came down my face, this greenish liquid.” She pressed a square of gauze to her head and went to see her doctor again. M. showed the doctor the fluid on the dressing. The doctor looked closely at the wound. She shined a light on it and in M.’s eyes. Then she walked out of the room and called an ambulance. Only in the Emergency Department at Massachusetts General Hospital, after the doctors started swarming, and one told her she needed surgery now, did M. learn what had happened. She had scratched through her skull during the night–and all the way into her brain.