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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 Feb 26

    Dr Bernard Lown, Nobel Prize winner and hospital patient at 96, in revolt: "Healing is replaced with treating, caring is supplanted by managing." Should he be allowed to eat? Has anyone asked him? The magnificent story from the intern on his medical team.https://www.nytimes.com/2018/02/24/opinion/sunday/doctors-revolt-bernard-lown.html …

    4:28 AM - 26 Feb 2018
    • 1,259 Retweets
    • 2,159 Likes
    • David McGuire Liz Charalambous Barbara Shaw Scrub420 TI Home Decor Ideas The Cultured Ruffian Super Male Vitality Olly Benson
    58 replies 1,259 retweets 2,159 likes
      1. Atul Gawande‏Verified account @Atul_Gawande Feb 26

        The key thing I learned in doing my interviews for #BeingMortal: People have goals and priorities for their care besides just living longer. We have to ask what they are and align our care with them. When we don't ask what's important to them, the result is profound suffering.

        50 replies 874 retweets 1,689 likes
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      1. New conversation
      2. Denise P Clarke‏ @dclarke88 Feb 26
        Replying to @Atul_Gawande

        Sleep goes out the window during a hospital stay which is unfortunate since it plays such an important role in healing. I remember hating vitals checks during postpartum stays. There has to be a better way.

        3 replies 2 retweets 30 likes
      3. JoAnn Jordan‏ @JordanEM Feb 26
        Replying to @dclarke88 @Atul_Gawande

        Totally agree! It also goes out the window for the #caregiver who waits endless hours so they can talk to the doctor who "might" be in after 7am (but shows at 4pm).

        1 reply 1 retweet 21 likes
      4. Sherri Santos‏ @SherriSantosMSN Feb 26
        Replying to @JordanEM @dclarke88 @Atul_Gawande

        Waited 12+ hours after my father's 4 vessel CABG, surgeon visited while I was in the bathroom. I literally never talked to him during the hospitalization.

        3 replies 0 retweets 8 likes
      5. JoAnn Jordan‏ @JordanEM Feb 26
        Replying to @SherriSantosMSN @dclarke88 @Atul_Gawande

        My word! What a challenge.

        0 replies 1 retweet 3 likes
      6. End of conversation
      1. New conversation
      2. Karen Friedman‏ @KarenFriedman9 Feb 26
        Replying to @Atul_Gawande

        As a Program Director I was so touched by these meaningful insights of a new trainee. We must remember to always help our patients and their families to be informed. That is why we wrote this book. @Saramerwin1 @KarenFriedman9 @CornellPresspic.twitter.com/Qs7f3R0ieo

        1 reply 1 retweet 10 likes
      3. Sara L Merwin‏ @Saramerwin1 Feb 27
        Replying to @KarenFriedman9 @Atul_Gawande @CornellPress

        When patients have the information they need to partner with physicians, they can participate in the movement to humanize medicine. Our book "The Informed Patient: a complete guide to a hospital stay" empowers and prepares patients and families.

        0 replies 3 retweets 6 likes
      4. End of conversation
      1. Martha Waddell, MD‏ @MarthaWaddellMD Feb 26
        Replying to @Atul_Gawande

        I have spanned this timeframe in medicine where we have gone from Dr Marcus Welby to Dr House to soon the use of AI making the job even more analytic and robotic. But it isn’t hard or time consuming to connect with patients, listen more and show empathy. Prevents #burnout too

        0 replies 6 retweets 13 likes
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      1. New conversation
      2. Katie Kofemug‏ @KatieKofemug Feb 28
        Replying to @Atul_Gawande

        most frustrating part of hospitalization as a parent & then a patient - all these computers everyone is using don't "talk to each other" - We repeated basic health history dozens of times, gave "why are you here" statements over & over. Felt like it was all about data entry

        2 replies 1 retweet 8 likes
      3. saffyishere‏ @saffyishere Mar 1
        Replying to @KatieKofemug @Atul_Gawande

        I understand your frustration. When you are unwell/tired the last thing you have energy for is telling your 'health history' ad nuseum

        1 reply 0 retweets 3 likes
      4. Katie Kofemug‏ @KatieKofemug Mar 2
        Replying to @saffyishere @Atul_Gawande

        For my daug, I was always afraid of "what if I forget something for this Dr/Nurse/Specialist". For myself, I felt like we never got past the data collection even at discharge. Both instances I had written everything down on a 3x5 index card that evolved to 3or4 over the stay

        1 reply 0 retweets 2 likes
      5. saffyishere‏ @saffyishere Mar 2
        Replying to @KatieKofemug @Atul_Gawande

        Maybe next time, write it out once, photocopy 50 times, then hand them out to each person who asks for info....

        1 reply 0 retweets 3 likes
      6. Katie Kofemug‏ @KatieKofemug Mar 3
        Replying to @saffyishere @Atul_Gawande

        they won't take the paper - they wouldn't read the cards - I had to read them to them. It was just my way of making sure I didn't forget anything as I got tireder, and tireder.

        0 replies 0 retweets 4 likes
      7. End of conversation
      1. New conversation
      2. Martha Lucia Garcia‏ @MLGG2 Mar 3
        Replying to @Atul_Gawande @doctorcaldwell

        In Toronto at Toronto General, patients can not sleep well because the nurses keeping waking them up, the level of noise is almost inhuman and they have to pay to watch TV @HamHealthSci @SickKidsNews @StMikesHospital @UofT @UofT_dlsph @CBCToronto

        3 replies 1 retweet 5 likes
      3. Dr Gordon Caldwell‏ @doctorcaldwell Mar 3
        Replying to @MLGG2 @Atul_Gawande and

        The calm on the wards at #Oban Hospital is palpable in comparison with the Piccadilly Circus like melee of the wards at Worthing Hospital that I have just left Calm is a power for healing @McCabeC_IHE

        0 replies 0 retweets 7 likes
      4. End of conversation
      1. New conversation
      2. Shmuel Shoham‏ @ShohamTxID Feb 26
        Replying to @Atul_Gawande

        A core belief that animates my medical practice is that the patient and his immediate caretakers are the world’s experts on his body. We visit it, they live it 24/7.

        1 reply 2 retweets 30 likes
      3. 1 more reply
      1. New conversation
      2. Oliver Archibald,MD‏ @oarchibald Feb 26
        Replying to @Atul_Gawande

        I often say that if I’m a patient in hospital I would ban anyone from entering my room from 11pm to 7 am

        2 replies 0 retweets 11 likes
      3. Megan - Eucalyptus‏ @newfunerals Feb 27
        Replying to @oarchibald @Atul_Gawande

        I tried that - after a healthy birth, second go around, so very low risk - and they LAUGHED at me.

        1 reply 0 retweets 4 likes
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      5. Oliver Archibald,MD‏ @oarchibald Mar 11

        We have created unrealistic expectations for patients.

        0 replies 0 retweets 1 like
      6. End of conversation

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