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surgery

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Greed

I sometimes wonder what it must be like to live a life without the intervention of modern medicine. What must it be like when your teeth fit together just fine without braces, when you can see without corrective lenses, when you’ve required no surgery to remove oversized adenoids, tonsils, or appendices, when your robust joints have required no surgery, when your skin grows no cancers…

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Better

Just got done reading Atul Gawande’s book Better: A Surgeon’s Notes on Performance. First off, it’s a fantastic title: it reflects the simplicity of Gawande’s language and the complexity he manages to express with those words. The book explains how, through “diligence”, “doing right”, and “ingenuity”, surgeons can improve. The anecdotal essays are fascinating and well-written… and the ideas are inspiring. The idea is, the greatest gains we will see in the delivery and efficacy of healthcare lie not in the raw advances in science, but in the persistent, thoughtful efforts of those “on the ground” fighting the same problems every day. Here’s a bit where Gawande describes the thinking of a surgeon turned malpractice lawyer:

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C-Sections

Rates of Caesarean sections are climbing, according to a Time magazine article that raises more questions than it answers:

Rates of C-sections have been climbing each year in the past decade in the U.S., reaching a record high of 31% of all live births in 2006. That’s a 50% increase since 1996. Around the world, the procedure is becoming even more common: in certain hospitals in Brazil, fully 80% of babies are delivered by caesarean. How did a procedure originally intended as an emergency measure become so popular? And is the trend a bad thing?

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Santa Ornament Bear

Santa Ornament Bear

I think I got this when I got my tonsils out.