Tag Atul Gawande

Sorry, No Droll Cartoons

In its September-October 2009 issue, Harvard Magazine has a profile of Dr. Atul Gawande, a surgeon who is best known in the public realm not for being a doctor but for being a regular contributor to The New Yorker. (He’s also a professor at Harvard Medical School and the Harvard School of Public Health, in addition to practicing surgery at Brigham & Women’s Hospital…you know, a complete slacker).

As a long-time reader of The New Yorker, I almost always enjoy his essays, though I wasn’t particularly enamored of his ideas for reforming the health care system that he outlined in this New York Times op-ed during the middle of this summer’s contentious health care “debate”. The basic idea — taking best-practice successes in both care and cost-management from around the country and making them the models for every hospital — is merely a step, not a solution, and continues to rely on a foundation of letting the insurance companies run the show. Of course, it was shouted right out of consideration by the right-wing whackjobs, like every other suggestion that wasn’t “Do NOTHING!!”, so I guess at this juncture it doesn’t matter.

The profile is pretty standard, but it does give you a picture of this man that you might not get from his own writing, plus a bunch of links to related articles and other interesting items about Dr. Gawande.

Oh, okay… just to make you feel better, here’s a gratuitous New Yorker cartoon:

newyorker

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Getting Old Is Not For Sissies

Of all the various regular contributors to The New Yorker, I find that I most look forward to articles by the two medical contributors, Jerome Groopman and Atul Gawande. They both write with a combination of insider’s perspective and outsider’s skepticism about the medical profession.

The latest issue of The New Yorker has a piece by Gawande called “The Way We Age Now”, which contains a flurry of factoids about the degeneration of the human body as it ages, the latest reconsiderations of the question of the role of genetics in the aging process, some historical consideration as to how both the medical profession and the American public have approached dealing with age-related illness, and a couple of profiles of geriatricians at work (including a doctor who, at 85, is trying to come to terms with his own aging).

For the last few months, I’ve had a chance to spend a good deal of time with a small number of elderly people whom I’ve been helping with their computers. It’s unquestionably the most contact I’ve ever had with people over the age of 80, and has heightened my own awareness of the challenges they face constantly re-adapting to the everyday world as their bodies break down. I find it particularly poignant with these people, who are all in full possession of their mental acuity and who spent their lifetimes as artists, writers, doctors, and so on and who try to balance their fading abilities with active and engaged lives.

I don’t worry or even think about my own old age, because it’s highly unlikely that I’ll get anywhere near the age of 80; so it has been a particularly enlightening and thoughtful experience for me to know these people. This article offers some very good context.

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