Gd pt @Atul_Gawande @Gladwell "The social conditions that birthed a new idea in one place impeded the spread of that same idea in another."
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@Atul_Gawande@Gladwell An important read for docs- always tradeoffs. Too rigid and no progress, too lax and casualties of trial and error.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@GavinPrestonMD@Gladwell Physicians need reeducation to care for the 3 generations of the DES exposedThanks. Twitter will use this to make your timeline better. UndoUndo
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And it's residents who are set up to appreciate (and fear) doctors' 'personal rule-books'
@Atul_Gawande@Gladwell http://journals.lww.com/academicmedicine/Abstract/2015/11001/Thresholds_of_Principle_and_Preference___Exploring.13.aspx …Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@Gladwell want to read full book but seems Dr.dV ignores complications of Tx to focus on "wins"-which may be few and far btwnThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@Gladwell you can't let people break the rules.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@Gladwell my late daughter died waiting for ethics approval for innovative shunt surgery which extended quality of her lifeThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@Gladwell there is no progress without risk.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@Gladwell pt's should be able to sign waivet for experimental tx. Have hospital oversight panel monitor, collect dataThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande The Aeon essay by DeVita also recommended, esp citing Weinberg in Cell.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@anniecoops@Gladwell my brother in law was a good exampleDr Banerji said don't do more chemo it will kill him. It did.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@Gladwell they are really traditional patterns of care that are outdated do not meet the needs#populationhealth#ComplexcareThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@Paul_Sonnier@Gladwell the rules are there to protect the rules, otherwise patients would be hospital staff & on the boards.Thanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@Gladwell Good statistic Bad IdeaThanks. Twitter will use this to make your timeline better. UndoUndo
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@Atul_Gawande@Gladwell Balancing therapeutic innovation and patient safety is difficult. Can the pendulum ever swing too far to protection?Thanks. Twitter will use this to make your timeline better. UndoUndo
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