This rocky road to success prompted Gawande to question whether putting patients at risk is a justified means of training medical novices.
Putting in a central line is one of the most basic techniques in medicine, but even this required several failed attempts before mastery came along. The Making of a Surgeonīeginning with the early days of his surgical training, Gawande shows us that the dexterity so often associated with surgery is hard-won. It was not only the medical lexicon that enthralled me, but also the intrepidity of a surgeon’s blade slicing through flesh and of the weighty decisions that accompany a doctor’s daily work. ReflectionsĪ required read for aspiring surgeons, Complications left me spellbound, and I read it in a single sitting. With words of wisdom and personal reflection scattered throughout the thrilling narratives, he brings a clarity of thought and perception to the medical profession, while simultaneously acknowledging the depth of human emotion that undergirds this enigmatic field. From a patient who could not stop blushing to another who could not stop eating, Gawande reveals how modern medicine has evolved surgical solutions to these seemingly intractable conundrums.
Gawande brings us on a journey of exploration and discovery, through his first few weeks of surgical training, when putting in a central line seemed a monumental achievement, before entering the chaotic world of a fully-trained surgeon-seeing patients presenting diverse symptoms and histories that awaken both curiosity and awe. Full of fallibility, mystery and uncertainty, it reveals the highs and lows of navigating a field that often relies on tenuous and circumstantial evidence. With a storyteller’s literary panache, Atul Gawande brings us a realistic and gripping account of surgery.
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