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This was not guilt: guilt is what you feel when you have done something wrong. What I felt was shame: I was what was wrong.
Atul Gawande
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Atul Gawande
Age: 59
Born: 1965
Born: May 11
Journalist
Medical Writer
Professor
Researcher
Surgeon
Brooklyn
New York
Atul A Gawande
Atul Gawande
Shame
Wrong
Felt
Done
Feel
Feels
Something
Guilt
More quotes by Atul Gawande
We recruit for attitude and train for skill.
Atul Gawande
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 dont have the physical skills but because they dont have the moral skills - to practise and admit failure.
Atul Gawande
People who reach certain levels of frailty, more important than getting their mammogram, more important than getting their blood pressure tweaked, they're at high risk of falling. If they fall and break their hip, they not only die sooner, they die miserably.
Atul Gawande
Checklists turn out...to be among the basic tools of the quality and productivity revolution in aviation, engineering, construction - in virtually every field combining high risk and complexity. Checklists seem lowly and simplistic, but they help fill in for the gaps in our brains and between our brains.
Atul Gawande
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.
Atul Gawande
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.
Atul Gawande
You can't make a recipe for something as complicated as surgery. Instead, you can make a recipe for how to have a team that's prepared for the unexpected.
Atul Gawande
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.
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.
Atul Gawande
Life is choices, and they are relentless. No sooner have you made one choice than another is upon you.
Atul Gawande
We yearn for frictionless, technological solutions. But people talking to people is still the way norms and standards change.
Atul Gawande
Culture matters. Of course, if physicians are rewarded or penalized for their service and results, the culture will change. But the key values we doctors are being pressed to embrace are humility, teamwork, and discipline.
Atul Gawande
This is the reality of intensive care: at any point, we are as apt to harm as we are to heal.
Atul Gawande
Making systems work is the great task of my generation of physicians and scientists. But I would go further and say that making systems work - whether in healthcare, education, climate change, making a pathway out of poverty - is the great task of our generation as a whole.
Atul Gawande
Arriving at an acceptance of one's mortality is a process, not an epiphany.
Atul Gawande
One of the consequences of if the Affordable Care Act is repealed, is that all of us now are at risk of being a preexisting - of having a preexisting condition waiting to happen. Life, increasingly, is a preexisting condition waiting to happen, now that we have more and more of this data available.
Atul Gawande
What about regular professionals, who just want to do what they do as well as they can?
Atul Gawande
We have medicalized aging, and that experiment is failing us.
Atul Gawande
Man is fallible, but maybe men are less so.
Atul Gawande
If I became just a brain in a jar - as long as I can communicate back and forth with people, that would be okay with me.
Atul Gawande