We look for medicine to be an orderly field of knowledge and procedure. But it is not. It is an imperfect science, an enterprise of constantly changing knowledge, uncertain information, fallible individuals, and at the same time lives on the line. There is science in what we do, yes, but also habit, intuition, and sometimes plain old guessing. The gap between what we know and what we aim for persists. And this gap complicates everything we do.
Interpretation
Medicine is not a precise science; it is a complex field filled with uncertainty and variability.
This quote by Atul Gawande highlights the inherent complexities and imperfections in the field of medicine. It acknowledges that while there is a foundation of scientific knowledge within healthcare, factors such as human intuition, habits, and even guesswork are crucial. This reality underscores the challenges faced by medical professionals as they navigate the uncertain terrain of healthcare, where the stakes are high and the gap between knowledge and practice remains ever-present.
In practice
During a medical conference, a speaker may quote this to underline the evolving nature of medical knowledge.
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.
No one teaches you how to think about money in medical school or residency. Yet, from the moment you start practicing, you must think about it. You must consider what is covered for a patient and what is not.
Just using a checklist requires [doctors] to embrace different values from ones we've had, like humility, discipline, teamwork.
When I do an operation, it's half a dozen people. When it goes beautifully, it's like a symphony, with everybody playing their part.
At times, in medicine, you feel you are inside a colossal and impossibly complex machine whose gears will turn for you only according to their own arbitrary rhythm. The notion that human caring, the effort to do better for people, might make a difference can seem hopelessly naive. But it isn't.
No travel ban or quarantine will seal a country completely. Even if travel could be reduced by eighty per cent-itself a feat-models predict that new transmissions would be delayed only a few weeks. Worse, it would only drive an increase in the number of cases at the source. Health-care workers who have fallen ill would not be able to get out for treatment, and the international health personnel needed to quell the outbreak would no longer be able to go in.
[T]here are depths of thousands of miles which are hidden from our inquiry. The only tidings we have from those unfathomable regions are by means of volcanoes, those burning mountains that seem to discharge their materials from the lowest abysses of the earth.
It is a capital mistake to theorize before one has data. Insensibly one begins to twist facts to suit theories, instead of theories to suit facts.
If the government regulates against use of drones or stem cells or artificial intelligence, all that means is that the work and the research leave the borders of that country and go someplace else.
The calculus was the first achievement of modern mathematics and it is difficult to overestimate its importance. I think it defines more unequivocally than anything else the inception of modern mathematics; and the system of mathematical analysis, which is its logical development, still constitutes the greatest technical advance in exact thinking.
You need to read more science fiction. Nobody who reads science fiction comes out with this crap about the end of history
My study is NOT as a climatologist, but from a completely different perspective in_x000D_ which I am an expert … For decades, as a professional experimental test engineer, I have analyzed experimental data and watched others massage and present data. I became a cynic; My conclusion - 'if someone is aggressively selling a technical product who's merits are dependent on complex experimental data, he is likely lying'. That is true whether the product is an airplane or a Carbon Credit.
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