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Atul_Gawande's profile
Atul Gawande
Atul Gawande
Atul Gawande
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@Atul_Gawande

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Atul GawandeVerified account

@Atul_Gawande

Surgeon, Writer, Researcher, Dilettante. https://www.ariadnelabs.org/  http://www.lifebox.org/ 

atulgawande.com
Joined January 2011

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    Atul Gawande‏Verified account @Atul_Gawande 14 Mar 2017

    Key point 1: Tell pts to expect good pain control to eat, sleep, function but not to expect zero pain. http://bit.ly/2lY6gfs 

    2:07 PM - 14 Mar 2017
    • 70 Retweets
    • 124 Likes
    • Nicky Williamson 🌏✈️🌏✈️🌏 Carmel Darcy (Burns) Pamela Bannan Patricia Heckmann kylo ran, MD Elizabeth Gundersen Kirsten Bibbins-Domingo Vasudha Goel MD #MenInNursing
    12 replies 70 retweets 124 likes
      1. New conversation
      2. Jennifer Hlusko‏ @JenniferHlusko 14 Mar 2017
        Replying to @Atul_Gawande

        We knew you meant that!

        1 reply 0 retweets 1 like
      3. Atul Gawande‏Verified account @Atul_Gawande 14 Mar 2017
        Replying to @JenniferHlusko

        Phew!

        1 reply 0 retweets 2 likes
      4. Jennifer Hlusko‏ @JenniferHlusko 14 Mar 2017
        Replying to @Atul_Gawande

        Your passion, commitment, intellect & insight is much appreciated. (& all your books!)

        0 replies 0 retweets 2 likes
      5. End of conversation
      1. KM‏ @itsDrTejontoyou 14 Mar 2017
        Replying to @Atul_Gawande

        Patient expectations are so important. If you don't expect pain and experience it, that leads to anxiety which increases pain.

        0 replies 1 retweet 1 like
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      1. M.deVere Williams MD‏ @common_sensedoc 14 Mar 2017
        Replying to @Atul_Gawande

        the absolute mantra in our Division. No pain = Death or General Anesthesia, neither of which satisfies.

        0 replies 0 retweets 1 like
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      1. Dania Palanker‏ @DaniaPal 14 Mar 2017
        Replying to @Atul_Gawande

        Would your expectation for treatment of chronic pain be somewhere between zero and sleep, eat, ambulate?

        0 replies 0 retweets 1 like
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      1. RYK  💤‏ @yathish_dr 15 Mar 2017
        Replying to @Atul_Gawande

        promise slightly less, deliver a little more 😬

        0 replies 0 retweets 0 likes
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      1. New conversation
      2. M Burford‏ @bumblebike 14 Mar 2017
        Replying to @Atul_Gawande

        I'm v curious if there's side by side data for Canada & the US - standard of care where I had full hysterectomy was to provide

        2 replies 0 retweets 0 likes
      3. M Burford‏ @bumblebike 14 Mar 2017
        Replying to @bumblebike @Atul_Gawande

        no pain relief on discharge, only recommendation for Tylenol "if you're a baby about pain". Mostly due to fear of abuse, so

        1 reply 0 retweets 0 likes
      4. M Burford‏ @bumblebike 14 Mar 2017
        Replying to @bumblebike @Atul_Gawande

        perhaps there is a sensible middle ground somewhere.

        0 replies 0 retweets 0 likes
      5. End of conversation
      1. angelena crown‏ @angelenacrown 14 Mar 2017
        Replying to @Atul_Gawande

        agree with your article 100% -- our fear of underprescribing in absence of an easy way to provide more creates huge problems

        0 replies 0 retweets 0 likes
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      1. Jenny NICE FR #PEOPLESVOTE‏ @Jenny_Nice 14 Mar 2017
        Replying to @Atul_Gawande

        thanks needs saying. I'm horrified by the stormy pain killers I've been prescribed for small things. Don't use prescriptions.

        0 replies 0 retweets 0 likes
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      1. New conversation
      2. Curtis Lanoue‏ @CurtisLanoue 14 Mar 2017
        Replying to @Atul_Gawande

        @ProfEmilyOster Funny, Dr just told me to come get my refill bcuz after 2 mos of e submissions too many pharm gave hard time

        1 reply 0 retweets 0 likes
      3. Curtis Lanoue‏ @CurtisLanoue 14 Mar 2017
        Replying to @CurtisLanoue @Atul_Gawande @ProfEmilyOster

        That's in response to article title, not your tweet.

        0 replies 0 retweets 0 likes
      4. End of conversation
      1. M. Willies‏ @dohbeedoo 14 Mar 2017
        Replying to @Atul_Gawande

        This. I'm always amazed when my 65+yo pts with terrible arthritis expect literally zero pain and increasing doses to supposedly achieve this

        0 replies 0 retweets 0 likes
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      1. Ashley Harrington‏ @AshDHarrington 14 Mar 2017
        Replying to @Atul_Gawande

        Woah, only 5 pain pills needed for a mastectomy. I think these estimates are skewed!

        0 replies 0 retweets 0 likes
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