Better
A Surgeon's Notes on Performance
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Narrated by:
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John Bedford Lloyd
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By:
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Atul Gawande
About this listen
National best seller
The New York Times best-selling author of Being Mortal and Complications examines, in riveting accounts of medical failure and triumph, how success is achieved in a complex and risk-filled profession
The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In this book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.
Gawande's gripping stories of diligence, ingenuity, and what it means to do right by people take us to battlefield surgical tents in Iraq, to labor and delivery rooms in Boston, to a polio outbreak in India, and to malpractice courtrooms around the country. He discusses the ethical dilemmas of doctors' participation in lethal injections, examines the influence of money on modern medicine, and recounts the astoundingly contentious history of hand washing. And as in all his writing, Gawande gives us an inside look at his own life as a practicing surgeon, offering a searingly honest firsthand account of work in a field where mistakes are both unavoidable and unthinkable.
At once unflinching and compassionate, Better is an exhilarating journey narrated by "arguably the best nonfiction doctor-writer around" (Salon). Gawande's investigation into medical professionals and how they progress from merely good to great provides rare insight into the elements of success, illuminating every area of human endeavor.
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Critic reviews
"Surgeon and MacArthur fellow Gawande applies his gift for dulcet prose to medical and ethical dilemmas in this collection." (Publishers Weekly)
"Better is a masterpiece, a series of stories set inside the four walls of a hospital that end up telling us something unforgettable about the world outside." (Malcolm Gladwell, author of Blink and The Tipping Point)
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There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care - nearly 44 percent of all deaths - and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape.
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Sadly, not very engaging.
- By Debra S. Long on 06-16-18
By: Sheila Himmel, and others
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Patient Care
- Death and Life in the Emergency Room
- By: Paul Seward MD
- Narrated by: Jim Seybert
- Length: 5 hrs and 21 mins
- Unabridged
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Recalling remarkable cases - and people - from a career launched in the first days of Emergency Medicine, Dr. Paul Seward leads us in his memoir through suspenseful diagnoses and explorations of anatomy. Within the conditions of great stress and rapid decision-making that are routine in the ER, Dr. Seward tells us that medical staff must be more than technicians of the body: They must be restorers of the human.
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very enjoyable
- By Patricia Oxenham on 03-21-19
By: Paul Seward MD
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The Good Death
- An Exploration of Dying in America
- By: Ann Neumann
- Narrated by: Suzanne Toren
- Length: 8 hrs and 44 mins
- Unabridged
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Following the death of her father, journalist and hospice volunteer Ann Neumann sets out to examine what it means to die well in the United States. When Ann Neumann's father was diagnosed with non-Hodgkin's lymphoma, she left her job and moved back to her hometown of Lancaster, Pennsylvania. She became his full-time caregiver - cooking, cleaning, and administering medications. When her father died, she was undone by the experience, by grief and the visceral quality of dying.
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Ugh, so boring
- By Maranto on 05-13-19
By: Ann Neumann
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Early
- An Intimate History of Premature Birth and What It Teaches Us About Being Human
- By: Sarah DiGregorio
- Narrated by: Ann Marie Gideon
- Length: 9 hrs and 47 mins
- Unabridged
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The heart of many hospitals is the Neonatal Intensive Care Unit (NICU). It is a place where humanity, ethics, and science collide in dramatic and deeply personal ways as parents, doctors, and nurses grapple with sometimes unanswerable questions: When does life begin? When and how should life end? And what does it mean to be human? Nearly 20 years ago, Dr. John D. Lantos wrote The Lazarus Case, a seminal work on ethical dilemmas in neonatology. He described the NICU as “a strong, strange, powerful place”. The
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Gripping read for this late preterm infant mom
- By R. Ash on 08-08-21
By: Sarah DiGregorio
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Epic Measures
- One Doctor. Seven Billion Patients.
- By: Jeremy N. Smith
- Narrated by: Patrick Lawlor
- Length: 10 hrs and 12 mins
- Unabridged
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Moneyball meets medicine in this remarkable chronicle of one of the greatest scientific quests of our time - the groundbreaking program to answer the most essential question for humanity: How do we live and die? - and the visionary mastermind behind it.
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Fabulously insightful read!
- By Dr. Jack E. Fincham on 10-08-15
By: Jeremy N. Smith
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Ten Drugs
- How Plants, Powders, and Pills Have Shaped the History of Medicine
- By: Thomas Hager
- Narrated by: Angelo Di Loreto
- Length: 8 hrs and 39 mins
- Unabridged
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Beginning with opium, the “joy plant,” which has been used for 10,000 years, Thomas Hager tells a captivating story of medicine. His subjects include the largely forgotten female pioneer who introduced smallpox inoculation to Britain, the infamous knockout drops, the first antibiotic, which saved countless lives, the first antipsychotic, which helped empty public mental hospitals, Viagra, statins, and the new frontier of monoclonal antibodies. This is a deep, wide-ranging, and wildly entertaining book.
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Engrossing to physicians & lay persons alike
- By C. White on 03-08-19
By: Thomas Hager
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How to Survive a Plague
- The Inside Story of How Citizens and Science Tamed AIDS
- By: David France
- Narrated by: Rory O'Malley
- Length: 24 hrs and 28 mins
- Unabridged
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A riveting, powerful telling of the story of the grassroots movement of activists, many of them in a life-or-death struggle, who seized upon scientific research to help develop the drugs that turned HIV from a mostly fatal infection to a manageable disease. Ignored by public officials, religious leaders, and the nation at large, and confronted with shame and hatred, this small group of men and women chose to fight for their right to live by educating themselves and demanding to become full partners in the race for effective treatments.
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Read This Book!
- By Kay M Hawklee on 05-30-17
By: David France
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Falling into the Fire
- A Psychiatrist's Encounters with the Mind in Crisis
- By: Christine Montross
- Narrated by: Christine Montross
- Length: 8 hrs and 56 mins
- Unabridged
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Falling into the Fire is psychiatrist Christine Montross's thoughtful investigation of the gripping patient encounters that have challenged and deepened her practice. Beautifully written, deeply felt, Falling into the Fire brings us inside the doctor’s mind, illuminating the grave human costs of mental illness as well as the challenges of diagnosis and treatment. At once rigorous and meditative, Falling into the Fire is an intimate portrait of psychiatry, allowing the reader to witness the humanity of the practice and the enduring mysteries of the mind.
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Buy this book! and READ it
- By joyce on 08-15-13
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Knocking on Heaven's Door
- The Path to a Better Way of Death
- By: Katy Butler
- Narrated by: Katy Butler
- Length: 10 hrs and 28 mins
- Unabridged
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Story
Like so many of us, award-winning writer Katy Butler always assumed her aging parents would experience healthy, active retirements before dying peacefully at home. Then her father suffered a stroke that left him incapable of easily finishing a sentence or showering without assistance. Her mother was thrust into full-time caregiving, and Katy became one of the 24 million Americans who help care for aging parents. In an effort to correct a minor and non - life threatening heart arrhythmia, doctors outfitted her father with a pacemaker.
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A better way to narrate a book about death?
- By MAUREEN on 10-21-13
By: Katy Butler
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The Price We Pay
- What Broke American Health Care - and How to Fix It
- By: Marty Makary MD
- Narrated by: Marty Makary MD
- Length: 9 hrs and 29 mins
- Unabridged
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One in five Americans now has medical debt in collections and rising health care costs today threaten every small business in America. Dr Makary, one of the nation's leading health care experts, travels across America and details why health care has become a bubble. Drawing from on-the-ground stories, his research and his own experience, The Price We Pay paints a vivid picture of price-gouging, middlemen and a series of elusive money games in need of a serious shake-up.
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Very important book!
- By Wayne on 05-17-21
By: Marty Makary MD
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Repetitive from her previous work
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While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care.
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When Breath Becomes Air
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Physicians lead. It's an integral part of what they do. They lead patients, they lead healthcare teams, they lead colleagues, departments, and organizations. But most doctors receive very little training in leadership. Leon E. Moores, MD, DSc, FACS is a neurosurgeon and seasoned healthcare leader who literally wrote the book on physician leadership for the U.S. Army. A West Point graduate, Moores became an officer and a surgeon in the Army and recognized how the lack of formal leadership training for doctors impacts physician effectiveness, team performance, and patient outcomes.
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Deceiving title and summary
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Mountains Beyond Mountains
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In medical school, Paul Farmer found his life’s calling: to cure infectious diseases and to bring the lifesaving tools of modern medicine to those who need them most. Tracy Kidder’s magnificent account shows how one person can make a difference in solving global health problems through a clear-eyed understanding of the interaction of politics, wealth, social systems, and disease. Profound, Mountains Beyond Mountains takes us from Harvard to Haiti, Peru, Cuba, and Russia as Farmer changes people’s minds through his dedication to the philosophy that “the only real nation is humanity.”
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A Great Book
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What listeners say about Better
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Brian Lowery
- 02-04-18
Another great book by Atul Gawande
I could listen to this book again and again on repeat. The conclusion drawn from the stories talked about are fascinating. Well written and well read. Definitely worth a listen!
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- SullyTheDoc
- 07-30-18
Amazing insight
One of the best books to read as someone who wants to get involved in healthcare as a surgeon. Especially loved the ending
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- Raman
- 02-14-18
Excellent narration
Details related to obstetrics, death penalty and cystic fibrosis research are amazing. Deep dive into Indian surgeons performance is impressive. Five take homes are great. Loved it. Strongly recommend this to medical students and residents and almost everyone in healthcare should read this book. Kudos once again Atul. This one as good as Being Mortal and checklist manifesto.
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- Tanner Harding
- 04-15-18
Great narrator, compelling stories, inspiring idea
What does John Bedford Lloyd bring to the story that you wouldn’t experience if you just read the book?
The presentation of the book was fantastic. John Bedford Lloyd is captivating
Was there a moment in the book that particularly moved you?
The conclusion is as motivating as it is inspiring. Gawande moves you to action
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- Matt
- 02-14-19
This book is a amzing!
I learned so much about medicine and how it is applied over all the world and how powerful washing your hands will keep people alive.
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- rob
- 04-16-19
Leaves you thinking on improving everything.
My new favorite author. Brilliant observation of the little things that separate us from being better.
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- Pranav Aurora
- 04-23-15
Great story and narration
This was my first audiobook. The narration threw me off a bit, but that's just something I need to get used to. Otherwise, the story was fantastic and the narration was solid. Would highly recommend this book and Gawande's other books to anyone interested in learning more about medicine.
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- Yogesh
- 08-12-18
(No Matter Who You Are) Read this book
Better is a very thoughtful and thought provoking piece of literature. And it touches on many aspects of betterment: moral as well as practical. It is not your typical self-help book... it is Better.
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- Peggy A
- 02-24-20
Uneven but mostly good
This book has several independent chapters, some of which I found more interesting and enlightening than others. The performance was very good.
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- Rahul Thathoo
- 07-31-21
Very enlightening book
I had a great number of insights and inspirations I came away with after finishing this book. A simple almost boring writing style but very approachable and also packed with interesting stories and insights. Author is very accomplished but no ego comes through in the writing. In fact it’s a very humble account. For anyone trying to do better in whatever their profession might be this is a must read book.
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