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Analysis of Complications - A Surgeon's Notes on an Imperfect Science by Gawande Atul - Book Report/Review Example

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The paper "Analysis of Complications - A Surgeon's Notes on an Imperfect Science by Gawande Atul" discusses that patients have no other choice but to have confidence in their surgeons even if they are enmeshed in imperfect science. One has to carry on with the available choice. …
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Analysis of Complications - A Surgeons Notes on an Imperfect Science by Gawande Atul
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Download file to see previous pages Medical knowledge consists of three issues. Knowledge gained at the medical college, knowledge gained in the practical field in real-life situations in dealing with the patients and above all the self-confidence of the doctor to put into practice his latent skill. A confident doctor does not hesitate to tell the truth. Atul Gawande (2003) writes “There are surgeons who will see faults everywhere except in themselves. They have no questions and no fears about their abilities. As a result, they learn nothing from their mistakes and know nothing of their limitations.” (p.61)Such a doctor lacks loyalty to the professional ethical principles. A lie told has to be remembered all the times, but truth has no such problems. Gawande identifies something beyond the moral dilemma of teaching medicine to new learners and writes “This is the uncomfortable truth about teaching. By traditional ethics and public insistence (not to mention court rulings), a patients right to the best care possible must trump the objective of training novices. We want perfection without practice. Yet everyone is harmed if no one is trained for the future. So learning is hidden, behind drapes and anaesthesia and the elisions of language."(p.24) Truth-telling is the core of the medical profession and if the doctor takes the decision to hide the truth from the patient and his associates, it must be for a very strong ethical reason. When one is suffering, he is at the weakest state of his mind and the lowest ebb of his spirits and the doctors take the calculated decisions about the portion of information that is to be shared with the patient, and the portion to be withheld. Both types of decisions are in the best interest of the concerned patient. Medical decision making is an important ethical issue between the patient and the doctor. That it should be left to the patient is a good idea in theory, but in many cases, the patient is not inclined to make the decision and requests the doctor to decide what is best for him. If something goes wrong in such cases, one should not hold the doctor responsible for the unfortunate consequences. ...Download file to see next pagesRead More
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