People say that the most expensive piece of medical equipment is the doctor's pen. It's not that we make all the money. It's that we order all the money.
Interpretation
Doctors have control over significant resources in healthcare, which highlights the weight of their decisions.
This quote by Atul Gawande emphasizes the financial power held by doctors through their prescribing authority. It suggests that instead of merely earning high salaries, doctors significantly influence healthcare costs and the allocation of funds within the medical system, illustrating a deeper responsibility that comes with their role.
In practice
In a discussion about healthcare reform, you might say, 'As Atul Gawande noted, the most expensive piece of medical equipment is the doctor's pen, reminding us of the financial power doctors wield.'
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.
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.
Typically, when you look for role models, you want someone who has your interests and came from the same background. Well, look how restricting that is. What people should do is take role models a la carte. If there's someone whose character you appreciated, you respect that trait.
It is not the drinker, but the man who has just stopped drinking, who thinks the world is going to the dogs.
I relax and cast aside all mental burdens, allowing God to express through me His perfect love, peace, and wisdom.
I truly believe that the privilege of a lifetime is being who you are.
Hence intellect[ual perception] is both a beginning and an end, for the demonstrations arise from these, and concern them. As a result, one ought to pay attention to the undemonstrated assertions and opinions of experienced and older people, or of the prudent, no less than to demonstrations, for, because the have an experienced eye, they see correctly.
I have found, for example, that if I have to write upon sum rather difficult topic, the best plan is to think about it with very great intensity-the greatest intensity of which I am capable-for a few hours or days, and at the end of that time give orders, so to speak (to my subconscious mind) that the work is to proceed underground. After some months I return consciously to the topic and find that the work has been done.
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