Latest Atul Gawande Quotes from Interviews

• Cuando empiezas a preguntar a los pacientes por sus prioridades, descubres para qué viven. Una vez que descubres eso, te ayuda, como médico, a decidir por qué luchar. Y cuando hacemos eso, a menudo acabamos identificando los límites del tipo de atención que la gente quiere. Uno supone que estas personas van a vivir menos tiempo, pero lo que estamos haciendo es proteger la calidad de vida. Al hacerlo, a veces acabamos ayudando a la gente a vivir más tiempo. Ciertamente, se ayuda a la gente a vivir mejor y con más sentido en sus vidas.

  Atul Gawande

  Lucha, Personas, Prioridades

  Fuente: www.guernicamag.com

• When we, doctors, ask patients what their priorities are if time is short, what we do is we use what is available to us - whether it's geriatric care or palliative care or hospice care - to make sure they're living the kind of life that they want to live.

  Atul Gawande

  Priorities, Care, Patient

  Fuente: www.guernicamag.com

• I talked to over two hundred patients and family members about their experiences with aging, serious illnesses, and the big unfixables. But I also spoke with scores of physicians, and especially geriatricians, palliative care doctors, hospice nurses, and nursing home workers. The biggest thing I found was that when these clinicians were at their best, they were recognizing that people had priorities besides merely living longer. The most important and reliable way that we can understand what people's priorities are, besides just living longer, is to simply ask. And we don't ask.

  Atul Gawande

  Home, Nursing, Nurse

  Fuente: www.guernicamag.com

• After readinf some essay on the nature of human fallibility, I was very aware that we are the recipients of a huge amount of discovery over the last century. Medicine exemplifies this. And that has transitioned us from a world in which people's lives were mostly governed by ignorance to one that's constrained by ineptitude. A century ago, we didn't know, for instance, what diseases afflicted us, what their nature really was, or what to do about them. And that has changed.

  Atul Gawande

  Ignorance, World, Changed

  Fuente: www.guernicamag.com

• One of the reasons people might be fallible, why we might fail to do what we try to do isignorance, that we have a limited understanding of the laws of the world - the physical laws that govern the world and of all the particulars of the world upon which those laws work. And then there's ineptitude, meaning that the knowledge is available, but individuals fail to apply it correctly. The third source is "necessary fallibility." That is, we're never going to be omniscient, there is some knowledge that we will simply never achieve, and there are limits to what we will be able to do.

  Atul Gawande

  Gente, Comprender, Intentar

  Fuente: www.guernicamag.com

• There are times when you have sharp elbows, and people are trying to muscle you out of certain meetings - because then people could leak to the press that you had a role in certain decisions. I, at twenty-six, was very impatient and didn't know how to keep my powder dry. I was running a team of seventy-five people when I had never been a boss. I was the worst boss ever.

  Atul Gawande

  Running, Team, People

  Fuente: www.guernicamag.com

• In many ways, the effort to study philosophy was my rebellion away from medicine. I'm the son of two Indian immigrant physicians, so the natural path for me would have been to become a doctor. I ended up doing the master's degree at Oxford in politics, philosophy, and economics while already having a seat in medical school. I was keeping that as my escape hatch. But my hope was that I might become a philosopher or something else entirely.

  Atul Gawande

  Philosophy, School, Son

  Fuente: www.guernicamag.com

• 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

  Waiting, Risk, Care

  Fuente: www.pbs.org

• The Affordable Care Act also offered protections that allow for preexisting conditions, as people know, that you're provided coverage and you can maintain steady coverage. And that's an important part of being able to stay in care and do better over the long run.

  Atul Gawande

  Correr, Largo, Gente

  Fuente: www.pbs.org

• My biggest fear, that 27 percent of Americans under 65 have an existing health condition that, without the protections of the Affordable Care Act, would mean they would - could be automatically excluded from insurance coverage. Before the ACA, they wouldn't have been able to get insurance coverage on the individual market, you know, if you're a freelancer or if you had a small business or the like.

  Atul Gawande

  Mean, Care, Protection

  Fuente: www.pbs.org

• The big thing that's happened is, in the time since the Affordable Care Act has been going on, our medical science has been advancing. We have now genomic data. We have the power of big data about what your living patterns are, what's happening in your body. Even your smartphone can collect data about your walking or your pulse or other things that could be incredibly meaningful in being able to predict whether you have disease coming in the future and help avert those problems.

  Atul Gawande

  Meaningful, Care, Helping

  Fuente: www.pbs.org

• We now have 30 percent, for example, of Medicare patients who are seeing doctors who are rewarded for doing this kind of work, like high blood pressure control. So, the Affordable Care Act has pushed this direction down the road.

  Atul Gawande

  Care, Patient, Kind

  Fuente: www.pbs.org

• Go back to the '30s, '40s, '50s, and it was the discovery of heroic interventions, the ability to cure people with penicillin or do an operation to stop disease that was what saved the day. Primary care physicians couldn't do all that much that really demonstrated a difference. The people who control and work with you to control your blood pressure, they're not rewarded for doing that or to be innovative about doing that. So, the result is half of Americans have uncontrolled high blood pressure, despite seeing clinicians.

  Atul Gawande

  People, Care, Heroic

  Fuente: www.pbs.org

• My own son has a congenital heart condition, where his life was saved by a cardiac surgeon stepping in at 11 days of life to save his life. But he is now 21 years old because of constant monitoring and working with him with a primary care physician. that's the only reason now that he's getting to live a long and healthy life. That's what we're not rewarding. They don't have the kind of resources and commitment that we are giving to people like me. I have millions of dollars of equipment available to me when I go to work every day in an operating room.

  Atul Gawande

  Commitment, Heart, Son

  Fuente: www.pbs.org

• Just look at the list of who the lowest-paid people are. Pediatricians are at the bottom. You would also look at internists. You would look at psychiatrists. You would look at family physicians, HIV specialists. People who take care of chronic illnesses by seeing people carefully over time, those are the people who get the least money. The people who have the most are people like orthopedic surgeons, interventional cardiologists. And my point isn't that there is something wrong with heroism.

  Atul Gawande

  People, Heroism, Care

  Fuente: www.pbs.org

• 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

  Teamwork, Humility, Keys

  "Ask the Author Live: Atul Gawande on Medical Costs". The New Yorker LIve Chat, www.newyorker.com. January 14, 2011.

• Our ideas of what our priorities are shift as we come face-to-face with some of the struggles.

  Atul Gawande

  Struggle, Ideas, Priorities

  "Atul Gawande: “We Have Medicalized Aging, and That Experiment Is Failing Us”". Interview with Michael Mechanic, www.motherjones.com. October 7, 2014.

• When we lived in a society where we had large families that lived together, especially in agricultural societies like my grandfather and father grew up in, the result is you always had family around to take care of you.

  Atul Gawande

  Father, Together, Care

  "Atul Gawande: “We Have Medicalized Aging, and That Experiment Is Failing Us”". Interview with Michael Mechanic, www.motherjones.com. October 7, 2014.

• 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

  Long, People, Brain

  "Atul Gawande: “We Have Medicalized Aging, and That Experiment Is Failing Us”". Interview with Michael Mechanic, www.motherjones.com. October 7, 2014.

• If the conversation people think is coming is the 'death panel' conversation, that's a total failure.

  Atul Gawande

  Thinking, People, Conversation

  "Atul Gawande: “We Have Medicalized Aging, and That Experiment Is Failing Us”". Interview with Michael Mechanic, www.motherjones.com. October 7, 2014.

• Está demostrado que las personas que ingresan en un centro de cuidados paliativos no tienen una vida más corta. En muchos casos son más largas.

  Atul Gawande

  People, Hospice, Cases

  "Atul Gawande: “We Have Medicalized Aging, and That Experiment Is Failing Us”". Interview with Michael Mechanic, www.motherjones.com. October 7, 2014.

• If we took away the ability to put defibrillators in people in their last years, people would be shouting in the streets.

  Atul Gawande

  Años, Personas, Serían

  "Atul Gawande: “We Have Medicalized Aging, and That Experiment Is Failing Us”". Interview with Michael Mechanic, www.motherjones.com. October 7, 2014.

• These are folks that keep people out of hospitals, out of emergency rooms, out of nursing homes. And not only that, they help people achieve more fulfilling lives.

  Atul Gawande

  Home, Nursing, People

  "Atul Gawande: “We Have Medicalized Aging, and That Experiment Is Failing Us”". Interview with Michael Mechanic, www.motherjones.com. October 7, 2014.

• 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

  Fall, Blood, People

  "Atul Gawande: “We Have Medicalized Aging, and That Experiment Is Failing Us”". Interview with Michael Mechanic, www.motherjones.com. October 7, 2014.

• In one study, old people assigned to a geriatrics team stayed independent for far longer, and were admitted to the hospital less.

  Atul Gawande

  Team, Independent, People

  "Atul Gawande: “We Have Medicalized Aging, and That Experiment Is Failing Us”". Interview with Michael Mechanic, www.motherjones.com. October 7, 2014.

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