
Better
A Surgeon's Notes on Performance
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Narrado por:
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John Bedford Lloyd
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De:
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Atul Gawande
Acerca de esta escucha
National best seller
The New York Times best-selling 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.
©2007 Atul Gawande (P)2007 Audio Renaissance, a division of Holtzbrinck Publishers, LLCLos oyentes también disfrutaron...
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Reseñas de la Crítica
"Surgeon and MacArthur fellow Gawande applies his gift for dulcet prose to medical and ethical dilemmas in this collection." (Publishers Weekly)
"Better is a masterpiece, a series of stories set inside the four walls of a hospital that end up telling us something unforgettable about the world outside." (Malcolm Gladwell, author of Blink and The Tipping Point)
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- Duración: 14 h y 41 m
- Versión completa
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Historia
David Oshinsky, whose last book, Polio: An American Story, was awarded a Pulitzer Prize, chronicles the history of America's oldest hospital and in so doing also charts the rise of New York to the nation's preeminent city, the path of American medicine from butchery and quackery to a professional and scientific endeavor, and the growth of a civic institution.
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Fascinating
- De Jean en 12-14-16
De: David Oshinsky
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Heart
- A History
- De: Sandeep Jauhar
- Narrado por: Patrick Lawlor
- Duración: 8 h y 43 m
- Versión completa
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Historia
For centuries, the human heart seemed beyond our understanding: an inscrutable shuddering mass that was somehow the driver of emotion and the seat of the soul. As cardiologist and best-selling author Sandeep Jauhar tells in The Heart, it was only recently that we demolished age-old taboos and devised the transformative procedures that changed the way we live. Deftly alternating between historical episodes and his own work, Jauhar tells the colorful and little known story of the doctors who risked their careers and the patients who risked their lives to know and heal our most vital organ.
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Fascinating Insight
- De Ironcharles en 10-27-18
De: Sandeep Jauhar
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Birth
- The Surprising History of How We Are Born
- De: Tina Cassidy
- Narrado por: Angela Starling
- Duración: 9 h y 12 m
- Versión completa
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Historia
From evolution to the epidural and beyond, Tina Cassidy presents an intelligent, enlightening, and impeccably researched cultural history of how and why we're born the way we are. Women have been giving birth for millennia, but that's about the only constant in the final stage of the great process that is human reproduction. Why is it that every culture and generation seems to have its own ideas about the best way to give birth?
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important historical work, fascinating and fun
- De RT en 02-24-16
De: Tina Cassidy
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Doctored
- The Disillusionment of an American Physician
- De: Sandeep Jauhar
- Narrado por: Patrick Lawlor
- Duración: 10 h y 38 m
- Versión completa
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Historia
Hoping for the stability he needs to start a family, Sandeep Jauhar, an attending cardiologist, accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower.
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Frank, inside perspective on the follies of unintended consequences in medical reform
- De JW en 02-25-18
De: Sandeep Jauhar
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The Demon Under The Microscope
- De: Thomas Hager
- Narrado por: Stephen Hoye
- Duración: 12 h y 14 m
- Versión completa
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The Nazis discovered it. The Allies won the war with it. It conquered diseases, changed laws, and single-handedly launched the era of antibiotics. This incredible discovery was sulfa, the first antibiotic medication. In The Demon Under the Microscope, Thomas Hager chronicles the dramatic history of the drug that shaped modern medicine.
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Great Book!!!!!
- De Amazon Customer en 05-21-08
De: Thomas Hager
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Less Medicine, More Health
- 7 Assumptions That Drive Too Much Medical Care
- De: H. Gilbert Welch
- Narrado por: L. J. Ganser
- Duración: 8 h y 18 m
- Versión completa
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Historia
The author of the highly acclaimed Overdiagnosed describes seven widespread assumptions that encourage excessive, often ineffective, and sometimes harmful medical care. You might think the biggest problem in medical care is that it costs too much. Or that health insurance is too expensive, too uneven, too complicated - and gives you too many forms to fill out. But the central problem is that too much medical care has too little value.
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The truth will set you free
- De Rene B Milner en 04-01-16
De: H. Gilbert Welch
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The Desperate Hours
- One Hospital's Fight to Save a City on the Pandemic's Front Lines
- De: Marie Brenner
- Narrado por: Kirsten Potter
- Duración: 15 h y 41 m
- Versión completa
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Historia
In the spring of 2020, COVID-19 arrived in New York City. Before long, America’s largest metropolis was at war against a virus that mercilessly swept through its five boroughs. In The Desperate Hours, award-winning journalist Marie Brenner, having been granted unprecedented 18-month access to the entire New York-Presbyterian hospital system, tells the story of the doctors, nurses, residents, researchers, and suppliers who tried to save lives across Manhattan, Queens, and Brooklyn and the northern periphery of the city.
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Way too much politics
- De Josh en 07-18-22
De: Marie Brenner
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The Undead
- Organ Harvesting, The Ice-Water Test, Beating Heart Cadavers - How Medicine Is Blurring the Line Between Life and Death
- De: Dick Teresi
- Narrado por: David Marantz
- Duración: 9 h y 58 m
- Versión completa
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General
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Historia
Important and provocative, The Undead examines why even with the tools of advanced technology, what we think of as life and death, consciousness and nonconsciousness, is not exactly clear - and how this problem has been further complicated by the business of organ harvesting.
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Eye opening
- De Amy Giglio en 07-01-18
De: Dick Teresi
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The Butchering Art
- Joseph Lister's Quest to Transform the Grisly World of Victorian Medicine
- De: Lindsey Fitzharris
- Narrado por: Ralph Lister
- Duración: 7 h y 54 m
- Versión completa
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Historia
In The Butchering Art, the historian Lindsey Fitzharris reveals the shocking world of 19th-century surgery on the eve of profound transformation. She conjures up early operating theaters - no place for the squeamish - and surgeons, working before anesthesia, who were lauded for their speed and brute strength. They were baffled by the persistent infections that kept mortality rates stubbornly high. A young, melancholy Quaker surgeon named Joseph Lister would solve the deadly riddle and change the course of history.
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Not one boring moment!
- De WRF en 12-22-17
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Polio
- An American Story
- De: David M. Oshinsky
- Narrado por: Jonathan Hogan
- Duración: 14 h y 37 m
- Versión completa
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General
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Historia
This comprehensive and gripping narrative, which received the 2006 Pulitzer Prize for history, covers all the challenges, characters, and controversies in America's relentless struggle against polio. Funded by philanthropy and grassroots contributions, Salk's killed-virus vaccine (1954) and Sabin's live-virus vaccine (1961) began to eradicate this dreaded disease.
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Wonderful
- De Patricia B Tripoli en 07-22-08
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Birth Day
- A Pediatrician Explores the Science, the History, and the Wonder of Childbirth
- De: Mark Sloan MD
- Narrado por: Mark Sloan MD
- Duración: 9 h y 55 m
- Versión resumida
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General
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Narración:
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Historia
"I delivered twenty babies in the summer of 1977. I was hardly more than a baby myself, just turned 24 and starting my third year of medical school." So began Mark Sloan's three-decades-long exploration of the wonders and oddities of human childbirth. Pediatrician, husband, and father, the author has attended nearly 3000 births since that long-ago summer, encountering everything from routine deliveries to tense labor-room dramas.
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Great Book - Heavy on the History
- De Robert Ingalls en 03-16-17
De: Mark Sloan MD
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Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This audio is exploratory surgery on medicine itself, laying bare a science not in its idealized form, but as it actually is - complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad.
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In Being Mortal, best-selling 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.
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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.
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Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is - complicated, perplexing, and profoundly human.
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It's about time...
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Unnatural Causes
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As the country's top forensic pathologist, Dr Richard Shepherd has spent a lifetime uncovering the secrets of the dead. When death is sudden or unexplained, it falls to Shepherd to establish the cause. Each post-mortem is a detective story in its own right - and Shepherd has performed over 23,000 of them. Through his skill, dedication and insight, Dr Shepherd solves the puzzle to answer our most pressing question: how did this person die?
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Boring!
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Confessions of a Surgeon
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As an active surgeon and former department chairman, Dr. Paul A. Ruggieri has seen the good, the bad, and the ugly of his profession. In Confessions of a Surgeon, he pushes open the doors of the OR and reveals the inscrutable place where lives are improved, saved, and sometimes lost. He shares the successes, failures, remarkable advances, and camaraderie that make it exciting.
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Enjoyed the anecdotes!
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Complications
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Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This audio is exploratory surgery on medicine itself, laying bare a science not in its idealized form, but as it actually is - complicated, perplexing, and profoundly human. Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad.
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Being Mortal
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In Being Mortal, best-selling 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.
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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.
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Riveting!
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De: Atul Gawande
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Complications
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Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This book is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is - complicated, perplexing, and profoundly human.
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It's about time...
- De T.K. en 05-31-03
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Unnatural Causes
- De: Dr Richard Shepherd
- Narrado por: Dr Richard Shepherd
- Duración: 11 h y 46 m
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General
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Historia
As the country's top forensic pathologist, Dr Richard Shepherd has spent a lifetime uncovering the secrets of the dead. When death is sudden or unexplained, it falls to Shepherd to establish the cause. Each post-mortem is a detective story in its own right - and Shepherd has performed over 23,000 of them. Through his skill, dedication and insight, Dr Shepherd solves the puzzle to answer our most pressing question: how did this person die?
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Boring!
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Confessions of a Surgeon
- The Good, the Bad, and the Complicated...Life Behind the O.R. Doors
- De: Paul A. Ruggieri MD
- Narrado por: Eric Martin
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As an active surgeon and former department chairman, Dr. Paul A. Ruggieri has seen the good, the bad, and the ugly of his profession. In Confessions of a Surgeon, he pushes open the doors of the OR and reveals the inscrutable place where lives are improved, saved, and sometimes lost. He shares the successes, failures, remarkable advances, and camaraderie that make it exciting.
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Enjoyed the anecdotes!
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Diagnosis
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- Narrado por: Lisa Sanders
- Duración: 8 h y 33 m
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As a Yale School of Medicine physician, the New York Times best-selling author of Every Patient Tells a Story, and an inspiration and adviser for the hit Fox TV drama, House, M.D., Lisa Sanders has seen it all. And yet, she is often confounded by the cases she describes in her column: unexpected collections of symptoms that she and other physicians struggle to diagnose. Dr. Sanders shows how making the right diagnosis requires expertise, painstaking procedure, and sometimes a little luck.
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Repetitive from her previous work
- De anon en 03-08-21
De: Lisa Sanders
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Every Patient Tells a Story
- Medical Mysteries and the Art of Diagnosis
- De: Lisa Sanders
- Narrado por: Lisa Sanders
- Duración: 10 h y 9 m
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General
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A riveting exploration of the most difficult and important part of what doctors do, by Yale School of Medicine physician Dr. Lisa Sanders, author of the monthly New York Times Magazine column "Diagnosis", the inspiration for the hit Fox TV series House, M.D. In Every Patient Tells a Story, Dr. Lisa Sanders takes us bedside to witness the process of solving diagnostic dilemmas, providing a firsthand account of the expertise and intuition that lead a doctor to make the right diagnosis.
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Make sure this is what you think!
- De Ronda en 05-11-12
De: Lisa Sanders
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The Real Doctor Will See You Shortly
- A Physician's First Year
- De: Matt McCarthy
- Narrado por: Matt McCarthy
- Duración: 8 h y 40 m
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In medical school, Matt McCarthy dreamed of being a different kind of doctor - the sort of mythical, unflappable physician who could reach unreachable patients. But when a new admission to the critical care unit almost died his first night on call, he found himself scrambling. Visions of mastery quickly gave way to hopes of simply surviving hospital life, where confidence was hard to come by and no amount of med school training could dispel the terror of facing actual patients.
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"my neurotic inner monologue"
- De Mom/RN en 06-08-15
De: Matt McCarthy
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When the Air Hits Your Brain
- Tales from Neurosurgery
- De: Frank T Vertosick Jr. MD
- Narrado por: Kirby Heyborne
- Duración: 8 h y 42 m
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General
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Historia
With poignant insight and humor, Frank Vertosick, Jr., MD, describes some of the greatest challenges of his career, including a six-week-old infant with a tumor in her brain, a young man struck down in his prime by paraplegia, and a minister with a .22-caliber bullet lodged in his skull. Told through intimate portraits of Vertosick's patients and unsparing-yet-fascinatingly detailed descriptions of surgical procedures, When the Air Hits Your Brain illuminates both the mysteries of the mind and the realities of the operating room.
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Finished in 1 and 1/2 days
- De Philos en 04-15-17
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Uncaring
- How the Culture of Medicine Kills Doctors and Patients
- De: Robert Pearl MD
- Narrado por: James Fouhey
- Duración: 13 h y 17 m
- Versión completa
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Historia
Hardly anyone is happy with American health care these days. Patients are getting sicker and going bankrupt from medical bills. Doctors are burning out and making dangerous mistakes. Both parties blame our nation’s outdated and dysfunctional health care system. But that’s only part of the problem. In this important and timely book, Dr. Robert Pearl shines a light on the unseen and often toxic culture of medicine.
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Important to understand the current medical world
- De DMM en 07-12-21
De: Robert Pearl MD
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The Laws of Medicine
- De: Siddhartha Mukherjee
- Narrado por: Santino Fontana
- Duración: 1 h y 44 m
- Versión completa
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General
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Historia
Brimming with fascinating historical details and modern medical wonders, this important audiobook is a fascinating glimpse into the struggles and "eureka!" moments that people outside of the medical profession rarely see. Written with Dr. Mukherjee's signature eloquence and passionate prose, The Laws of Medicine is a critical book not just for those in the medical profession but for everyone who is moved to better understand how their health and well-being are being treated.
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Insightful, sincere and succinct. Not Mukherjee's best.
- De Saurav en 12-20-15
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Unaccountable
- What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
- De: Marty Makary
- Narrado por: Robertson Dean
- Duración: 7 h y 16 m
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General
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Historia
Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's best-selling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last 10 years, neither error rates nor costs have come down, despite scientific progress.
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Everyone should read this book.
- De Julie en 06-11-16
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How Doctors Think
- De: Jerome Groopman M.D.
- Narrado por: Michael Prichard
- Duración: 10 h y 27 m
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On average, a physician will interrupt a patient describing her symptoms within 12 seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong: with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make.
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Disappointing
- De Audiophile en 05-13-07
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In Shock
- My Journey from Death to Recovery and the Redemptive Power of Hope
- De: Dr. Rana Awdish
- Narrado por: Dr. Rana Awdish, Teri Schnaubelt
- Duración: 9 h y 2 m
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General
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Narración:
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Historia
In Shock is a riveting first-hand account from a young critical care physician, who in the passage of a moment is transfigured into a dying patient. This transposition, coincidentally timed at the end of her medical training, instantly lays bare the vast chasm between the conventional practice of medicine and the stark reality of the prostrate patient.
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Read this book!
- De CT en 11-08-17
De: Dr. Rana Awdish
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When Death Becomes Life
- Notes from a Transplant Surgeon
- De: Joshua D. Mezrich
- Narrado por: Josh Bloomberg
- Duración: 11 h y 2 m
- Versión completa
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General
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Narración:
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Historia
At the University of Wisconsin, Dr. Joshua Mezrich creates life from loss, transplanting organs from one body to another. In this intimate, profoundly moving work, he illuminates the extraordinary field of transplantation that enables this kind of miracle to happen every day.
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Memoir and history, beautifully written
- De Bonny en 01-22-19
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The Patient Will See You Now
- The Future of Medicine Is in Your Hands
- De: Eric Topol MD
- Narrado por: Eric Michael Summerer
- Duración: 11 h y 16 m
- Versión completa
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Historia
In The Patient Will See You Now, Eric Topol, one of the nation's top physicians, examines what he calls medicine's "Gutenberg moment". Much as the printing press liberated knowledge from the control of an elite class, new technology is poised to democratize medicine. In this new era, patients will control their data and be emancipated from a paternalistic medical regime in which "the doctor knows best."
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Explains the author's view of the future of medici
- De luv2cook en 03-24-15
De: Eric Topol MD
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Intern
- A Doctor's Initiation
- De: Sandeep Jauhar
- Narrado por: Sandeep Jauhar
- Duración: 10 h y 39 m
- Versión completa
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General
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Narración:
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Historia
A thriving cardiologist, Jauhar has all the qualities you'd want in your own doctor: expertise, insight, a feel for the human factor, a sense of humor, and a keen awareness of the worries that we all have in common. His beautifully written memoir explains the inner workings of modern medicine with rare candor and insight.
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very realistic
- De Heather Stein en 10-18-18
De: Sandeep Jauhar
Lo que los oyentes dicen sobre Better
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- Brian Lowery
- 02-04-18
Another great book by Atul Gawande
I could listen to this book again and again on repeat. The conclusion drawn from the stories talked about are fascinating. Well written and well read. Definitely worth a listen!
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- SullyTheDoc
- 07-30-18
Amazing insight
One of the best books to read as someone who wants to get involved in healthcare as a surgeon. Especially loved the ending
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- Raman
- 02-14-18
Excellent narration
Details related to obstetrics, death penalty and cystic fibrosis research are amazing. Deep dive into Indian surgeons performance is impressive. Five take homes are great. Loved it. Strongly recommend this to medical students and residents and almost everyone in healthcare should read this book. Kudos once again Atul. This one as good as Being Mortal and checklist manifesto.
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- Tanner Harding
- 04-15-18
Great narrator, compelling stories, inspiring idea
What does John Bedford Lloyd bring to the story that you wouldn’t experience if you just read the book?
The presentation of the book was fantastic. John Bedford Lloyd is captivating
Was there a moment in the book that particularly moved you?
The conclusion is as motivating as it is inspiring. Gawande moves you to action
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- Matt
- 02-14-19
This book is a amzing!
I learned so much about medicine and how it is applied over all the world and how powerful washing your hands will keep people alive.
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- rob
- 04-16-19
Leaves you thinking on improving everything.
My new favorite author. Brilliant observation of the little things that separate us from being better.
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- Pranav Aurora
- 04-23-15
Great story and narration
This was my first audiobook. The narration threw me off a bit, but that's just something I need to get used to. Otherwise, the story was fantastic and the narration was solid. Would highly recommend this book and Gawande's other books to anyone interested in learning more about medicine.
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- Yogesh
- 08-12-18
(No Matter Who You Are) Read this book
Better is a very thoughtful and thought provoking piece of literature. And it touches on many aspects of betterment: moral as well as practical. It is not your typical self-help book... it is Better.
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- Peggy A
- 02-24-20
Uneven but mostly good
This book has several independent chapters, some of which I found more interesting and enlightening than others. The performance was very good.
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- Rahul Thathoo
- 07-31-21
Very enlightening book
I had a great number of insights and inspirations I came away with after finishing this book. A simple almost boring writing style but very approachable and also packed with interesting stories and insights. Author is very accomplished but no ego comes through in the writing. In fact it’s a very humble account. For anyone trying to do better in whatever their profession might be this is a must read book.
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