Atul Gawande
Atul Gawande
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Inside the Worst-Hit County in the Worst-Hit State in the Worst-Hit Country

Inside the Worst-Hit County in the Worst-Hit State in the Worst-Hit Country

Every day seems to bring another test of whether our democracy can succeed in managing the problems of a country as big, varied, and individualistic as ours. In Minot, a city of forty-eight thousand people in Ward County, North Dakota, the twice-monthly city-council meeting was into its fourth hour when an alderwoman named Carrie Evans put forward an unexpected motion: she wanted Minot to adopt a mandatory-mask policy. It was Monday, October 19th, two weeks before the Presidential election. In the wood-panelled council chambers of city hall, Evans and the five other alderpersons...

February 8, 2021
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What doctors don’t learn about death and dying

What doctors don’t learn about death and dying

I learned about a lot of things in medical school, but mortality wasn’t one of them. I was given a dry, leathery corpse to dissect in my first term — but that was solely a way to learn about human anatomy. Our textbooks had almost nothing on aging or frailty or dying. How the process unfolds, how people experience the end of their lives and how it affects those around them? That all seemed beside the point. The way we saw it — and the way our professors saw it — the purpose of medical schooling was to teach us how to save lives, not how to tend to their demise.The one time I remember...

November 1, 2014
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The Heroism of Incremental Care

The Heroism of Incremental Care

By 2010, Bill Haynes had spent almost four decades under attack from the inside of his skull. He was fifty-seven years old, and he suffered from severe migraines that felt as if a drill were working behind his eyes, across his forehead, and down the back of his head and neck. They left him nauseated, causing him to vomit every half hour for up to eighteen hours. He’d spend a day and a half in bed, and then another day stumbling through sentences. The pain would gradually subside, but often not entirely. And after a few days a new attack would begin.Haynes (I’ve changed his name, at his...

January 15, 2017
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Amid the Coronavirus Crisis, a Regimen for Reëntry

Amid the Coronavirus Crisis, a Regimen for Reëntry

In places around the world, lockdowns are lifting to various degrees—often . Experts have identified a few indicators that must be met to begin opening nonessential businesses safely: rates of new cases should be low and falling for at least two weeks; hospitals should be able to treat all patients in need; and there should be a capacity to test everyone with symptoms. But then what? What are the rules for reëntry? Is there any place that has figured out a way to open and have employees work safely, with one another and with their customers?Well, yes: in health care. The Boston area has...

May 13, 2020
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