The book Complications: A Surgeon’s Notes on an Imperfect Science is written by Atul Gawande. I was on trauma duty once when a young man in his twenties was run over and shot in the buttock. His pulse, blood pressure, and breathing were all normal. A clinical assistant cut off his clothes with heavy scissors and I looked him over from head to toe, trying to be systematic but quick about it. I found the entry wound on his right buttock, a clean, red, half-inch hole. I couldn’t find any exit wounds. No other injuries were evident. He was alert and scared, more because of us than because of the bullet. “I’m fine,” he insisted. “I’m fine.” But on a rectal exam, my gloved finger was covered in fresh blood. And when I inserted a urinary catheter, bright red also flowed from his bladder.
The conclusion was obvious. The blood meant the bullet had gone through him inside, through both the rectum and the bladder, I told him. Major blood vessels, your kidney, and other sections of the intestine may also have been hit. He needed surgery, I said, and we had to go now. He saw the look in my eyes, the nurses were already packing him up to move, and he nodded, almost involuntarily, putting himself in our hands. Then the wheels of the stretcher hummed, the IV bags swayed, and people held the doors open so we could get through. In the operating room, the anesthesiologist subdued him. We made a quick, deep cut down the middle of her abdomen, from her ribcage to her pubic bone. We grab the retractors and open them. And what we found inside was. . . any.
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About the Author
ATUL GAWANDE es residente de cirugía en Boston y redactor de planta sobre medicina y ciencia para The New Yorker. Recibió su M.D. de la Escuela de Medicina de Harvard, así como un M.P.H. de la Escuela de Salud Pública de Harvard. Sus escritos han aparecido en The Best American Science and Nature Writing 2000 y en la colección de ensayos del New Yorker In Sickness and In Health. Gawande vive con su esposa y sus tres hijos en Newton, Massachusetts.
Overview of Complications: A Surgeon’s Notes on an Imperfect Science
In gripping true-case accounts, surgeon Atul Gawande explores the power and limits of medicine, offering unflinching insight from the edge of the scalpel. Complications expose a science, not in its idealized form but as it really is: uncertain, perplexing, and profoundly human.
|Book Name||Complications: A Surgeon’s Notes on an Imperfect Science|
|Author of Book||Atul Gawande|