Электронная книга: Atul Gawande «Surelikkus. Meditsiinist ja sellest, mis on tegelikult oluline»

Surelikkus. Meditsiinist ja sellest, mis on tegelikult oluline

Surelikkus tähendab seda, et peame leppima oma bioloogilise kaduvusega – piirangutega, mille geenid, rakud, lihased ja luud meile kehtestavad. Meditsiiniteadus on andnud meile märkimisväärseid oskusi neile piirangutele vastu astuda. Aga ma ei oleks kunagi osanud oodata, et minu kõige tähendusrikkamatekskogemusteks arstina – ja tegelikult ka inimesena – kujunevad need hetked, kus aitan haigetel selgusele jõuda, mida meditsiin suudab ja mida ei suuda,” kirjutab kirurg Atul Gawande, kes raamatus „Surelikkus” keskendubki peamiselt alljärgnevatele küsimustele. Millal ja kuidas ravida ningmillal oleks õigem niinimetatud agressiivne ravimine lõpetada ja keskenduda lihtsalt sümptomite leevendamisele? Kuidas aidata neid vanu inimesi, kelle hädad ja vaevused on kuhjunud, kes ei suuda enam üksinda omaette elada? Kas panna nad hooldekodusse või leida kogu ühiskonnaga koos võimalusi, kuidas abistada neid kodus? Millises seisus on meie hooldekodud ja millistest põhimõtetest lähtub hooldekodude töö? Kas esikohal on meditsiinilised näitajad või arvestame me ka iga inimese eripäraseid soove? Kas poleks inimese heaolu seisukohast õigem otsida alternatiivseid hooldusvariante nagu näiteks hospiitsid või hospiitsiõdede teenuste pakkumine inimestele kodus? Milline on inimese enda, tema pere ja milline arstide ja kogu meditsiinisüsteemi vastutus? Kuidas pakkuda võimalikult head ravi, aga vältida olukorda, et üha enam inimesi lahkub meie hulgast meditsiiniaparaatide külge aheldatuna, jõudmata elule joont alla tõmmata ja lähedastega rahulikult hüvasti jätta? Dr Gawande arutleb nende küsimuste üle suure empaatia ja kaastundega oma patsientide vastu ning tundes ühtlasi peensusteni meditsiinisüsteemi võimalusi, püüab leida lahendusi, kuidas jõuda selleni, et surmahaigust põdevate patsientide – või lihtsalt mitut haigust põdevate vanade inimeste – viimased eluaastad ja elukuud oleksid elamisväärsed.

Издательство: "Eesti digiraamatute keskus OU"

ISBN: 9789949571536

электронная книга

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Atul Gawande

Atul Gawande (b. 1965 in Brooklyn, NY) is a general and endocrine surgeon at Brigham and Women's Hospital in Boston, Massachusetts and associate director of their Center for Surgery and Public Health. He is also an associate professor at the Harvard School of Public Health and an associate professor of surgery at Harvard Medical School. He has written extensively on medicine and public health for "The New Yorker" and "Slate", pieces which have been collected in his books "Complications" and "Better". [http://www.newyorker.com/magazine/contributors/atul_gawande Atul Gawande: Contributors: The New Yorker ] ]

Biography

Born to two Indian immigrants, both doctors, Gawande and his sister grew up in Athens, Ohio. His father runs a urology practice there and his mother is a pediatrician. He obtained an undergraduate degree from Stanford University in 1987, was a Rhodes scholar (earning a P.P.E. degree from Balliol College, Oxford in 1989), and later graduated from Harvard Medical School. He also has a Master of Public Health degree from the Harvard School of Public Health.

As a student Gawande was a volunteer for Gary Hart's campaign. As a Rhodes Scholar, he raised money for the African National Congress. After graduation, he joined Al Gore's 1988 presidential campaign. He worked as a health-care researcher for Congressman Jim Cooper (D-TN), who was author of a "managed competition" health care proposal for the Conservative Democratic Forum. After two years he left medical school to become Bill Clinton's health care lieutenant during the 1992 campaign and became a senior adviser in the Department of Health and Human Services after Clinton's inauguration. He directed one of the three committees of the Clinton Health Care Task Force, supervising 75 people and defined the benefits packages for Americans and subsidies and requirements for employers. He returned to medical school in 1993 and earned his M.D in 1995. [ [http://www.iht.com/articles/1994/05/30/uo.php Former Policymaker Opts for Hands-On Health Care - International Herald Tribune ] ]

Soon after he began his residency, his friend Jacob Weisberg, editor of "Slate", asked him to contribute to the online magazine. His pieces on the life of a surgical resident caught the eye of the "New Yorker" which published several pieces by him before making him a staff writer in 1998.

In addition to his popular writing, Gawande has published studies on topics including military surgery techniques and error in medicine, including in the "New England Journal of Medicine". He is also the director of the World Health Organization's Global Patient Safety Challenge. His essays have appeared in "The Best American Essays 2003" and "The Best American Science Writing 2002". His book, "Complications: A Surgeon's Notes on an Imperfect Science" was a National Book Award finalist in 2002 and is published in over one hundred countries. In 2006 he was named a MacArthur fellow. [ [http://www.macfound.org/site/c.lkLXJ8MQKrH/b.2070789/apps/nl/content2.asp?content_id=%7B8F16CDA4-A6FF-41A8-AE1B-A0EF9E968CE3%7D&notoc=1 MacArthur Fellows 2006. Atul Gawande] ] His second book, "Better: A Surgeon's Notes on Performance", was released in April 2007.

"Better: A Surgeon's Notes on Performance" has its foundation on virtue based ethics. In "Better", Atul Gawande offers up three virtues that he considers to be most important for success in medicine: diligence, doing right, and ingenuity. Instead of simply describing how these virtues should be used, Gawande presents real people and events where these virtues are expressed in full.

In the medical field, he is a leading expert on the removal of cancerous endocrine glands. He was also named one of the 20 Most Influential South Asians by Newsweek Magazine. Gawande lives in Newton, Massachusetts and has three children.

References

External links

* [http://www.gawande.com Gawande.com]
* [http://www.hsph.harvard.edu/faculty/AtulGawande.html Atul Gawande's Profile]
* [http://www.hsph.harvard.edu/now/jun24/gawande.html Gawande delivering HMS class day speech]
* [http://www.brighamandwomens.org/surgery/research/facultypages/GawandeResearch.aspx Dr. Gawande's research profile]
* [http://www.sajaforum.org/2006/09/ditn_atul_gawan.html SAJAforum coverage of MacArthur announcement]
* [http://www.sajaforum.org/2007/04/gawande.html SAJAforum 2007 Q&A with Gawande on publication of new book]
* [http://www.lettersonpages.com/2008/06/better-by-atul-gawande/ Book review of Better at Letters On Pages]

Источник: Atul Gawande

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Atul GawandeSurelikkus. Meditsiinist ja sellest, mis on tegelikult olulineSurelikkus tähendab seda, et peame leppima oma bioloogilise kaduvusega – piirangutega, mille geenid, rakud, lihased ja luud meile kehtestavad. Meditsiiniteadus on andnud meile märkimisväärseid… — Eesti digiraamatute keskus OU, электронная книга Подробнее...
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