Dear Dr Gawande,
I am becoming a super fan of yours. Much as I think this is not as important a book as Being Mortal, for many I am sure it will be somewhat of an eye opener. In the twenty five years I have been in the medical field, much has changed, the technology available, the skills surgeons such as yourself now have due to the tools and eduction available and most importantly I think there has been a huge shift in patient expectation. Patients and their families expect diagnoses and answers that sometimes cannot be answered.
You do a fine job of explaining that surgery is an imperfect science. You can have a hundred patients with the same symptoms and diagnosis, but not everybody will respond to surgery or treatment in the same way, and there can be a variety of outcomes that cannot be predicted.
Thank you for being a voice of reason, and for presenting to the public, what we in the medical fiend understand about medicine. 4/5
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