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A slow but steady transformation of deviance has taken place in American society. It has not been a change in behavior as such, but in how behavior is defined. Deviant behaviors that were once defined as immoral, sinful, or criminal have been given medical meanings. Some say that rehabilitation has replaced punishment, but in many cases medical treatments have become a new form of punishment and social control.
Peter Conrad
The apothecary’s name was Owlglass. He hummed to himself as he worked in his back room. He’d found a new type of blue fluff, which he was grinding down. It was probably good for curing something. He’d have to try it out on people until he found out what.
Terry Pratchett
I wonder if much that ails our society stems from the fact that we have allowed ourselves to be cut off from that love of, and from, the land. It is medicine for broken land and empty hearts.
Robin Wall Kimmerer
The cure of even one solid cancer in adults, Farber knew, would singularly revolutionize oncology. It would provide the most concrete proof that this was a winnable war.
Siddhartha Mukherjee
The nineteenth century is called the century of hygiene, and the twentieth is the century of medicine. The twenty-first century may be the century of behavioral change. Changing everyday, long-term behaviors--how we exercise, what we eat--is the key to adding years and quality to our lives.
Michael Stein
Though everyone may yearn for a tranquil death, the basic instinct to stay alive is a far more powerful force
Sherwin B. Nuland
Life is choices, and they are relentless. No sooner have you made one choice than another is upon you.
Atul Gawande
Science of yoga and ayurveda is subtler than the science of medicine, because science of medicine is often victim of statistical manipulation.
Amit Ray
There is a saying about surgeons, meant as a reproof: "Sometimes wrong; never in doubt." But this seemed to me their strength. Each day surgeons are faced with uncertainties. Information is inadequate; the science is ambiguous; one's knowledge and abilities are never perfect. Even with the simplest operation, it cannot be taken for granted that a patient will come through better off - or even alive. Standing at the table my first time, I wondered how the surgeon knew that he would do this patient good, that all the steps would go as planned, that the bleeding would be controlled and infection would not take hold and organs would not be injured. He didn't, of course. But still he cut.
Atul Gawande
And when comfort is what we want, one of the most powerful tonics alternative medicine offers is the word 'natural.' This word implies a medicine untroubled by human limitations, contrived wholly by nature or God or perhaps intelligent design. What 'natural' has come to mean to us in the context of medicine is 'pure' and 'safe' and 'benign'. But the use of 'natural' as a synonym for 'good' is almost certainly a product of our profound alienation from the natural world.
Eula Biss
In these days before antiseptics, doctors themselves also suffered high mortality rates. Florence Nightingale, a nurse during the Crimean War (1853-1856), watched one particularly inept surgeon cut both himself and, somehow, a bystander while blundering about during an amputation. Both men contracted an infection and died, as did the patient. Nightingale commented that it was the only surgery she'd ever seen with 300 percent mortality.
Sam Kean
The core predicament of medicine - the thing that makes being a patient so wrenching, being a doctor so difficult, and being a part of society that pays the bills they run up so vexing - is uncertainty. With all that we know nowadays about people and diseases and how to diagnose and treat them, it can be hard to see this, hard to grasp how deeply uncertainty runs. As a doctor, you come to find, however, that the struggle in caring for people is more often with what you do not know than what you do. Medicine's ground state is uncertainty. And wisdom - for both the patients and doctors - is defined by how one copes with it.
Atul Gawande
When push comes to shove we can afford to lose an arm or a leg, but I am operating on peoples thoughts and feelings... and if something goes wrong I can destroy that persons character... forever.
Henry Marsh
The simple view is that medicine exists to fight death and disease, and that is, of course, its most basic task. Death is the enemy. But the enemy has superior forces. Eventually, it wins. And, in a war that you cannot win, you don't want a general who fights to the point of total annihilation. You don't want Custer. You want Robert E. Lee, someone who knew how to fight for territory when he could and how to surrender when he couldn't, someone who understood that the damage is greatest if all you do is fight to the bitter end.
Atul Gawande
Recent sociological findings indicate that while "whites have largely abandoned principled racism... they have not necessarily given up negative racial stereotypes" or "negative sentiments and beliefs about African Americans.
John Hoberman
...my patient needed a great deal of reassurance that there had been nothing unusual about the way her mother died, that she had not done something wrong to prevent her mother from experiencing that "spiritual" death with dignity that she had anticipated. All of her efforts and expectations had been in vain, and now this very intelligent woman was in despair. I tried to make clear to her that the belief in the probability of death with dignity is our, and society's, attempt to deal with the reality of what is all too frequently a series of destructive events that involve by their very nature the disintegration of the dying person's humanity. I have not often seen much dignity in the process by which we die.
Sherwin B. Nuland
Several years ago, I realized that I didn’t want to spend all my life in medicine. It had me in a sort of spiritual box, like a plant whose roots are getting crowded. I felt I wasn’t growing. So I promised myself that I would quit while I still had the energy to get involved in something new. There’s nothing wrong with medicine. There’s more paperwork, more lawsuits, less understanding between doctors and patients. But it’s still a great business. But not for me - not any longer.
Richard S. Weeder
What is troubling is not just being average but settling for it. Everyone knows that average-ness is, for most of us, our fate. And in certain matters—looks, money, tennis—we would do well to accept this. But in your surgeon, your child's pediatrician, your police department, your local high school? When the stakes are our lives and the lives of our children, we want no one to settle for average.
Atul Gawande
[We think our job is to ensure health and survival. But really it is larger than that. It is to enable well-being. And well-being is about the reasons one wishes to be alive. Those reasons matter not just at the end of life, or when debility comes, but all along the way. Whenever serious sickness or injury strikes and your body or mind breaks down, the vital questions are the same: What is your understanding of the situation and its potential outcomes? What are your fears and what are your hopes? What are the trade-offs you are willing to make and not willing to make? And what is the course of action that best serves this understanding?
Atul Gawande
At least two kinds of courage are required in aging and sickness. The first is the courage to confront the reality of mortality- the courage to seek out the truth of what is to be feared and what is to be hoped. But even more daunting is the second kind of courage - the courage to act on the truth we find.
Atul Gawande
I always feel that young doctors are only too anxious too experiment. After they've whipped out all our teeth, and administered quantities of very peculiar glands, and removed bits of our insides, they then confess that nothing can be done for us. I really prefer the old-fashioned remedy of big black bottles of medicine. After all, one can always pour those down the sink.
Agatha Christie
A so-called antimony war had been waged between French [Galenist] physicians and [alchemical, Paracelsian] iatrochemists since the beginning of the seventeenth century. What it lacked in bloodletting, this war made up for in bile.
Philip Ball
Alcenith Crawford (a divorced ophthalmologist): "We women doctors have un-happy marriages because in our minds we are the superstars of our families. Having survived the hardship of medical school we expect to reap our rewards at home. We had to assert ourselves against all odds and when we finally graduate there are few shrinking violets amongst us. It takes a special man to be able to cope. Men like to feel important and be the undisputed head of the family. A man does not enjoy waiting for his wife while she performs life-saving operations. He expects her and their children to revolve around his needs, not the other way. But we have become accustomed to giving orders in hospitals and having them obeyed. Once home, it's difficult to adjust. Moreover, we often earn more than our husbands. It takes a generous and exceptional man to forgive all that.
Adeline Yen Mah
To talk of diseases is a sort of Arabian Nights entertainment.
William Osler
Perhaps the greatest danger in the way that alternative therapists behave is simply the promotion of their own treatments when patients should be in the care of a conventional doctor. There are numerous reports of patients with serious conditions (e.g. diabetes, cancer, AIDS) suffering harm after following irresponsible advice form alternative practitioners instead of following the advice of a doctor.
Simon Singh
(Florence) Nightingale's passion for statistics enabled her to persuade the government of the importance of a whole series of health reforms. for example, many people had argued that training nurses was a waste of time, because patients cared for by trained nurses actually had a higher mortality rate than those treated by untrained staff. Nightingale, however, pointed out that this was only because more serious cases were being sent to those wards with trained nurses. If the intention is to compare the results from two groups, then it is essential to assign patients randomly to the two groups. Sure enough, when Nightingale set up trials in which patients were randomly assigned to trained and untrained nurses, it became clear that the cohort of patients treated by trained nurses fared much better than their counterparts in wards with untrained nurses.
Simon Singh
The case which I reported on September 26, 1901, was really the last which occurred in Havana. Of course we did not know it at the time, but this case marked the first conquest of yellow fever in an endemic center; the first application of the mosquito theory to practical sanitary work in any disease.
William Crawford Gorgas
I have done so much medical and scientific research Crashing Life I am thinking about putting PhD behind my name or maybe B.S.
Juanita Ray
Turning at the sound of voices, Amelia saw Merripen carrying her sister outside. Win was dressed in a nightgown and robe and swathed in a shawl, her slim arms looped around Merripen’s neck. With her white garments and blond hair and fair skin, Win was nearly colorless except for the flags of soft pink across her cheekbones and the vivid blue of her eyes. “… that was the most terrible medicine,” she was saying cheerfully. “It worked,” Merripen pointed out, bending to settle her carefully on the chaise. “That doesn’t mean I forgive you for bullying me into taking it.” “It was for your own good.” “You’re a bully,” Win repeated, smiling into his dark face. “Yes, I know,” Merripen murmured, tucking the lap blankets around her with extreme care. Delighted by the improvement in her sister’s condition, Amelia smiled. “He really is dreadful. But if he manages to persuade more villagers to help clean the house, you will have to forgive him, Win.” Win’s blue eyes twinkled. She spoke to Amelia, while her gaze remained on Merripen. “I have every faith in his powers of persuasion.
Lisa Kleypas
When you cure a blind person, he or she is not a statistic.
Geoff Tabin
Label-locked thinking can affect treatment. For instance, I heard a doctor say about a kid with gastrointestinal issues, “Oh, he has autism. That’s the problem”—and then he didn’t treat the GI problem.
Temple Grandin
No matter who you were in sixteenth-century Europe, you could be sure of two things: you would be lucky to reach fifty years of age, and you could expect a life of discomfort and pain. Old age tires the body by thirty-five, Erasmus lamented, but half the population did not live beyond the age of twenty. There were doctors and there was medicine, but there does not seem to have been a great deal of healing. Anyone who could afford to seek a doctor's aid did so eagerly, but the doctor was as likely to maim or kill as to cure. His potions were usually noxious and sometimes fatal—but they could not have been as terrible and traumatic as the contemporary surgical methods. The surgeon and the Inquisitor differed only in their motivation: otherwise, their batteries of knives, saws, and tongs for slicing, piercing, burning, and amputating were barely distinguishable. Without any anesthetic other than strong liquor, an operation was as bad as the torments of hell.
Philip Ball
To confront death every day, to see it for yourself, you have to love the living
Judy Melinek
Medicine’s a funny business. After all, dispensing chemicals is considered mainstream and diet and nutrition is considered alternative.
Charles F. Glassman
When ill, the patient assumes what Parsons called "the sick-role". Accordingly, the sick person is, on the one hand, excused his or her social responsabilites, but, on the other hand, is expected to desire a return to health and to comply unquestioningly with the directives of medical experts in order to achieve this goal
Mary Lindemann
With all due respect to my surgeon, in a perfect world he would be out of a job.
Russ Ramsey
What are called viruses are always dead and incapable of any acts whatsoever. Dead matter may be acted upon but never acts of itself.
T.C. Fry
It just shows you that if you take a plain, ordinary, moronic intern and make him do the same things over and over again until he loses is mind, you can teach him to do almost anything. I think now that I've mastered IVs, I might take up neurosurgery in my spare time.
Robert Marion
There is an art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife
Hippocratic OAth
But against sandfly fever one could be inoculated, and I have another, hideously vivid picture of a great menacing brute of a doctor sticking a Thing that ended in a vicious needle into my mother's arm. Mad to defend my own, I scrambled off my father's knee, and flew to her rescue. I fixed my teeth in the doctor's horrible hairy wrist and hung on like a terrier, until my father succeeded in prising me away. Afterwards, everybody said how wonderful the doctor had been, because he continued calmly giving the inoculation while I was prised off him, instead of breaking the needle in my mother's arm. But nobody said how brave it was of me, only three years old, when all is said and done, and gone in the legs at that, to take on such fearful odds for the sake of love.
Rosemary Sutcliff
In the days of Columbus most medical practices were as much superstition as science. Because of infections, operations were not often performed, except for amputations under dire battlefield conditions. Most of the time these attempts to rectify an abnormality ended in disaster. Now things are different, with positive results being expected and are so frequent that people depend on elective surgery to enhance their lives.
Hank Bracker
The great error of physicians has been that of attributing recovery to the operations of their poisons, while they have left out of account the healing powers of the body itself.
Herbert M. Shelton
When our time is limited and we are uncertain about how best to serve our priorities, we are forced to deal with the fact that both the experiencing self and the remembering self matter. We do not want to endure long pain and short pleasure. Yet certain pleasures can make enduring suffering worthwhile. The peaks are important, and so is the ending.
Atul Gawande
In the pre-war era when itinerant home-remedy salesmen still wandered the country, they had a traditional patter for selling a potion that was supposed to be particularly effective in treating burns and cuts. A toad with four legs in front and six behind would be placed in a box with mirrors lining the four walls. The toad, amazed at its own appearance from every angle, would break into an oily sweat. This sweat would be collected and simmered for 3,721 days while being stirred with a willow branch. The result was the marvelous potion.When writing about myself, I feel something like that toad in the box.
Akira Kurosawa
Surgery was the most difficult thing I could imagine.And so I became a surgeon.
Abraham Verghese
I was temperamentally better suited to a cognitive discipline, to an introspective field—internal medicine, or perhaps psychiatry. The sight of the operating theater made me sweat. The idea of holding a scalpel caused coils to form in my belly. (It still does.) Surgery was the most difficult thing I could imagine.And so I became a surgeon.
Abraham Verghese
I find that it is the best trade of all; for, whether we manage well or ill, we are paid just the same.
Molière
Well, I've known over thirty men who've found out how to cure consumption. Why do people go on dying of it, Colly? Devilment I suppose!
George Bernard Shaw
A shoemaker, in making a pair of shoes, cannot spoil a scrap of leather without having to bear the loss; but in our business we may spoil a man without its costing us a farthing. The blunders are never put down to us, and it is always the fault of the fellow who dies. The best of this profession is, that there is the greatest honesty and discretion among the dead; for you never find them complain of the physician who has killed them.
Molière
If I’ve learned anything, it's that we know next to nothing. Disease is a mystery. Health is inscrutable. The body itself is scarcely understood; we can only examine the secrets of the dead. And in all that dark ignorance, we're sometimes granted a rare moment of illumination. The truth is a gift.
Courtney Milan
There has never been a miracle drug that could equal the Word of God. God’s medicine is the answer to every need.
Paul Silway
All my patients are individuals with their own story to tell, their own set of problems and their own solution. Even where the symptoms of their distress are very similar, the roads that bring them to me are not. Each of them teaches me something important, just as each new patient I meet reminds me that there is always more to learn.
Suzanne O'Sullivan
Do what is right, and do it now.
Atul Gawande
Death with dignity" is our society's expression of the universal yearning to achieve a graceful triumph over the stark and often repugnant finality of life's last sputterings. But the fact is, death is not a confrontation. It is simply an event in the sequence of nature's ongoing rhythms. Not death but disease is the real enemy, disease the malign force that requires confrontation. Death is the surcease that comes when the exhausting battle has been lost. Even the confrontation with disease should be approached with the realization that many of the sicknesses of our species are simply conveyances for the inexorable journey by which each of us is returned to the same state of physical, and perhaps spiritual, nonexistence from which we emerged at conception. Every triumph over some major pathology, no matter how ringing the victory, is only a reprieve from the inevitable end.
Sherwin B. Nuland
As pervasive as medicine has become in modern life, it remains mostly hidden and often misunderstood. We have taken it to be both more perfect than it is and less extraordinary than it can be.
Gawande Atul
Lord, give me strength and ability to understand when I can heal,but give me the wisdom to understand when my profession is useless.
Prayer of a Doctor in Ancient Egypt.
Neuroscientist Antonio Damasio describes emotions as the "continuous musical line of our minds, the unstoppable humming." This basso continuo thrums along while doctors make a steady stream of conscious medical decisions.
Danielle Ofri
Words began to feel as weightless as the breath that carried. Stepping back, I realized that I was merely confirming what I already knew: I wanted that direct experience. It was only in practicing medicine that I could pursue a serious biological philosophy. Moral speculation was puny compared to moral action.
Paul Kalanithi
It is more important to know what sort of person has a disease than to know what sort of disease a person has.
Hippocrates
Cure sometimes, treat often and comfort always.
Hippocrates
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