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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 28

    Surgery In Old Age Can Hurt More Than Help @NPRhttp://n.pr/2FcLRvS 

    1:39 PM - 28 Feb 2018
    • 209 Retweets
    • 327 Likes
    • True Will Toscano Boxing Promotions Transparency Life Sciences © Syed Iqbal simnani joncwarner Silver Moonshots SBSS Dr David Unwin Kristin Collier
    20 replies 209 retweets 327 likes
      1. Oliver Archibald,MD‏ @oarchibald Feb 28
        Replying to @Atul_Gawande @NPR

        We have created an unrealistic expectations among our patients. Financial incentives still drive many decisions. I get a lot of criticism from specialists when I get palliative involved in many of MY patients

        0 replies 3 retweets 4 likes
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      1. Dayna M. Maniccia‏ @DrDaynaManiccia Feb 28
        Replying to @Atul_Gawande @NPR

        Sad difficult truth - just because we can doesn't always mean we always should. Technology is wonderful and has helped so much but....

        0 replies 1 retweet 6 likes
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      1. New conversation
      2. Other Alex‏ @Blue_Wave_Dogs Feb 28
        Replying to @Atul_Gawande @NPR

        Great article, @NPR! cc:@USofCare We need to discuss this more often. The way we care for our elderly seems in many cases to do more harm than good. Nobody is suggesting "death panels," but a medical professional should be required to discuss all the possible outcomes b4 an op.

        1 reply 0 retweets 2 likes
      3. Beth Frigerio‏ @frigeriobeth Mar 3
        Replying to @Blue_Wave_Dogs @Atul_Gawande and

        Exactly

        0 replies 0 retweets 2 likes
      4. End of conversation
      1. Thomas Smith‏ @pro_patient Feb 28
        Replying to @Atul_Gawande @NPR

        Quality of life vs. length of life.

        0 replies 0 retweets 4 likes
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      1. Bonnie Friedman‏ @Bonniecomm Mar 2
        Replying to @Atul_Gawande @NPR

        Most docs are trained to do all they can and fear repercussions if they don't. We need to change the culture. Patients and families need honesty and candor.

        0 replies 0 retweets 1 like
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      1. P Sunder‏ @psunder4 Mar 1
        Replying to @Atul_Gawande @NPR

        Reminds me of so many similar experiences that U hv shared in yr wonderful book: Being Mortal-Medicine and What Matters in the End. Thro yr writings (& I've read all yr books), U have helped bring the complex world of medicine close to the lay person, with all his/her concerns.

        0 replies 0 retweets 1 like
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      1. Heidi Rataj‏ @hrataj Mar 1
        Replying to @Atul_Gawande @NPR

        We need to rethink how we communicate options for patients with emphasis on quality first, quantity second AND the reality of long term care post surgery

        0 replies 0 retweets 1 like
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      2. Angsting on Avery‏ @headachemom Feb 28
        Replying to @Atul_Gawande @NPR

        Not to mention the chemo treatments given to end-stage cancer patients (not for palliative care).

        1 reply 0 retweets 1 like
      3. 1 more reply
      1. Dr Eduardo Viteri‏ @EViteriOft Mar 10
        Replying to @Atul_Gawande @NPR

        Cataract surgery may be an exception... As far as the patient has a good visual prognosis

        0 replies 0 retweets 0 likes
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      1. molly seaverns‏ @mollyseaverns Mar 6
        Replying to @Atul_Gawande @NPR

        So glad we did not opt for surgery for my mom a peaceful death is a blessing

        0 replies 0 retweets 0 likes
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      1. Nidal AL Deek‏ @NidalALDeek Mar 2
        Replying to @Atul_Gawande @GavinPrestonMD @NPR

        Common!! Where is your data on that?

        0 replies 0 retweets 0 likes
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      1. Janice Tufte‏ @Hassanah2017 Mar 2
        Replying to @Atul_Gawande @NatQualityForum @NPR

        True. Siblings okd a shunt for 84 year old elder with adult hydrocephalus, decided as first shunt was no longer functional. Not the best of outcomes, passed within a year

        0 replies 0 retweets 0 likes
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      1. Navin Sinha‏ @sinhanavin1 Mar 2
        Replying to @Atul_Gawande @NPR

        chemotherapy on terminally ill patient, brain surgery on terminally ill lung cancer patents that I saw in last 30 months. one died as predicted, lung cancer patent died early.

        0 replies 0 retweets 0 likes
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      1. Nancy Bruning‏ @nancercize Mar 2
        Replying to @Atul_Gawande @NPR

        This is all about money and denial.

        0 replies 0 retweets 0 likes
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      1. Judith Veloski‏ @nanashands Mar 1
        Replying to @Atul_Gawande @NPR

        Doctors need to be taught to understand this. Many push to give more care rather than less. Patients not medically savvy feel they have to do what the doctor says. #nursesneedtointercede

        0 replies 0 retweets 0 likes
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      1. Mike Wasserman‏ @wassdoc Feb 28
        Replying to @Atul_Gawande @NPR

        #Geriatrics

        0 replies 0 retweets 0 likes
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