Complications: A Surgeon's Notes on an Imperfect Science

**A new unabridged recording**

A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine.


Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This audio is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human.

Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives.

At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor.

Complications was a 2002 National Book Award Finalist for Nonfiction.

A Macmillan Audio production from Henry Holt and Company

1100623122
Complications: A Surgeon's Notes on an Imperfect Science

**A new unabridged recording**

A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine.


Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This audio is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human.

Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives.

At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor.

Complications was a 2002 National Book Award Finalist for Nonfiction.

A Macmillan Audio production from Henry Holt and Company

26.99 In Stock
Complications: A Surgeon's Notes on an Imperfect Science

Complications: A Surgeon's Notes on an Imperfect Science

by Atul Gawande

Narrated by Robert Petkoff

Unabridged — 9 hours, 31 minutes

Complications: A Surgeon's Notes on an Imperfect Science

Complications: A Surgeon's Notes on an Imperfect Science

by Atul Gawande

Narrated by Robert Petkoff

Unabridged — 9 hours, 31 minutes

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Overview

**A new unabridged recording**

A brilliant and courageous doctor reveals, in gripping accounts of true cases, the power and limits of modern medicine.


Sometimes in medicine the only way to know what is truly going on in a patient is to operate, to look inside with one's own eyes. This audio is exploratory surgery on medicine itself, laying bare a science not in its idealized form but as it actually is -- complicated, perplexing, and profoundly human.

Atul Gawande offers an unflinching view from the scalpel's edge, where science is ambiguous, information is limited, the stakes are high, yet decisions must be made. In dramatic and revealing stories of patients and doctors, he explores how deadly mistakes occur and why good surgeons go bad. He also shows us what happens when medicine comes up against the inexplicable: an architect with incapacitating back pain for which there is no physical cause; a young woman with nausea that won't go away; a television newscaster whose blushing is so severe that she cannot do her job. Gawande offers a richly detailed portrait of the people and the science, even as he tackles the paradoxes and imperfections inherent in caring for human lives.

At once tough-minded and humane, Complications is a new kind of medical writing, nuanced and lucid, unafraid to confront the conflicts and uncertainties that lie at the heart of modern medicine, yet always alive to the possibilities of wisdom in this extraordinary endeavor.

Complications was a 2002 National Book Award Finalist for Nonfiction.

A Macmillan Audio production from Henry Holt and Company


Editorial Reviews

bn.com

“No one writes about medicine as a human subject as well as Atul Gawande,” says Adam Gopnik of this Boston surgeon whose articles appear regularly in The New Yorker. Gawande’s descriptions of everything from clumsy surgical mishaps to new cutting-edge operating room techniques are rendered with grace and wonder. Reading his accounts of pain experiments (in which female dancers excel) and medical-convention huckstering, one gains a sense of his stately, sometimes surrealistic profession.

Kirkus Reviews

A gem-like collection of essays on medicine by eighth-year surgical resident, Harvard Med graduate, Rhodes scholar, and New Yorker staff writer Gawande, himself the son of physicians. Part I contains chilling stories of medical errors, some the near-inevitable results of young docs learning their craft by practicing on live patients, some due to the burnout or depression of seasoned specialists. (To his credit, Gawande includes a tale of his own poor judgment in a medical emergency that fortunately ended happily.) Practice does make perfect, the author demonstrates; hospitals specializing in hernia repair, for example, maximize their efficiency for the greater benefit of patients. With profound empathy, Part II chronicles medical mysteries. Readers will feel for the pregnant woman whose nausea and vomiting could not be stopped no matter what antiemetic drug she was given-until her twins were born and that same night she was able to eat a hamburger with blue cheese and fries. Sadly, these anecdotes often serve as reminders that what doctors can't pin down they often dismiss, as when a man with incapacitating back pain was advised by specialists to see a shrink. In Part III, Gawande addresses the issue of uncertainty, an ever-daunting challenge in a profession where information is always imperfect. Autopsies, which would help clarify many cases, are performed with appalling infrequency, perhaps because they reveal a depressing rate of misdiagnosis. The new, more democratic relationship between physicians and patients may also have a downside when patients make the wrong decision. The final chapter reports on a case of heart-stopping suspense, lacking clear indications and plagued by greatuncertainty, in which the doctors' intuition was critical. If Gawande's hands in the operating room are as sure as his handling of words, his success in his chosen career is all but guaranteed. Author tour

From the Publisher

“None surpass Gawande in the ability to create a sense of immediacy, in his power to conjure the reality of the ward, the thrill of the moment-by-moment medical or surgical drama. Complications impresses for its truth and authenticity, virtues that it owes to its author being as much forceful writer as uncompromising chronicler.” —The New York Times Book Review

“No one writes about medicine as a human subject as well as Atul Gawande. His stories about becoming a surgeon are scary, funny, absorbing....Complications is a uniquely soulful book about the science of mending bodies.” —Adam Gopnik, author of Paris to the Moon

“Gawande is arguably the best nonfiction doctor-writer around....He's prescient and thoughtful...the heir to Lewis Thomas' humble, insightful and brilliantly crafted oeuvre.” —Salon.com

“Complications is a book about medicine that reads like a thriller. Every subject Atul Gawande touches is probed and dissected and turned inside out with such deftness and feeling and counterintuitive insight that the reader is left breathless.” —Malcolm Gladwell, author of The Tipping Point

“Gawande is a writer with a scalpel pen and an X-ray eye.... He turns every case--from gunshot wounds to morbid obesity to flesh-eating bacteria--into a thriller in miniature. Diagnosis: riveting.” —Time

“Gawande's prose, much like the scalpel he wields, is precise, daring, but never reckless....Much like reading George Orwell, the reader emerges entertained, enlightened, transformed and immensely satisfied.” —Abraham Verghese, author of My Own Country

“Wrenching human tales...Gawande has pushed the medical yarn in a new direction.” —The Boston Globe

“Atul Gawande is a rare and wonderful storyteller who portrays his profession with bravery and humanity.” —Ellen Goodman, Pulitzer Prize-winning columnist

The stories in Complications are gripping medical mysteries that always have something extra. Gawande draws you in with the story but leaves you wiser about science, about health care issues, and even about the human condition.” —Michael Kinsley

PAPERBACK COMMENTARY

2002 National Book Awards - Finalist, Short-listed
2003 PEN Literary Award - Nominee
2003 PEN Literary Award - Finalist, Short-listed
2003 ALA Notable Books - Winner, Winner

Product Details

BN ID: 2940177709444
Publisher: Macmillan Audio
Publication date: 07/21/2020
Edition description: Unabridged

Read an Excerpt

When you are in the operating room for the first time and see the surgeon press his scalpel to someone's body, you either shudder in horror or gape in awe. I gaped. It wasn't the blood and guts that enthralled me. It was the idea that a mere person would ever have the confidence to wield that scalpel. I wondered how the surgeon knew that all the steps would go as planned, that bleeding would be controlled and organs would not be injured. He didn't, but still he cut.

Later, I was allowed to make an incision myself. The surgeon drew a six-inch dotted line across the patient's abdomen and then, to my surprise, had the nurse hand me the knife. It was, I remember, still warm. I put the blade to the skin and cut. The experience was odd and addictive, mixing exhilaration, anxiety, a righteous faith that operating was somehow beneficial, and the slightly nauseating discovery that it took more force than I realized. The moment made me want to be a surgeon — someone with the assurance to proceed as if cutting were routine.

—Malcolm Gladwell, author of The Tipping Point

"Complications is a uniquely soulful book about the science of mending bodies."

—Adam Gopnik, author of From Paris to the Moon

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