I Chose Surgery Because I Thought That

When [disease] Can't Be Stopped, That's Where We Become Lost.

People Who Reach Certain Levels Of Frailty, More Important Than Getting Their Mammogram, More Important Than Getting Their Blood Pressure Tweaked, They're At High Risk Of Falling. If They Fall And Break Their Hip, They Not Only Die Sooner, They Die Miserably.

I Think The Extreme Complexity Of Medicine Has Become More Than An Individual Clinician Can Handle. But Not More Than Teams Of Clinicians Can Handle.

After Readinf Some Essay On The Nature Of Human Fallibility, I Was Very Aware That We Are The Recipients Of A Huge Amount Of Discovery Over The Last Century. Medicine Exemplifies This. And That Has Transitioned Us From A World In Which People's Lives Were Mostly Governed By Ignorance To One That's Constrained By Ineptitude. A Century Ago, We Didn't Know, For Instance, What Diseases Afflicted Us, What Their Nature Really Was, Or What To Do About Them. And That Has Changed.

Checklists Turn Out...to Be Among The Basic Tools Of The Quality And Productivity Revolution In Aviation, Engineering, Construction - In Virtually Every Field Combining High Risk And Complexity. Checklists Seem Lowly And Simplistic, But They Help Fill In For The Gaps In Our Brains And Between Our Brains.