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Idleness is the grand Pacific Ocean of life, and in that stagnant abyss the most salutary things produce no good, the most noxious no evil. Vice, indeed, abstractedly considered, may be, and often is engendered in idleness; but the moment it becomes efficiently vice, it must quit its cradle and cease to be idle.

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Atul Gawande

We yearn for frictionless, technological solutions. But people talking to people is still the way norms and standards change.

Talking, People, Way, Change
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Don’t let yourself be. Find something new to try, something to change. Count how often it succeeds and how often it doesn’t. Write about it. Ask a patient or a colleague what they think about it. See if you can keep the conversation going.

Ask, Conversation, See, Thinking, Trying, Writing

Go back to the '30s, '40s, '50s, and it was the discovery of heroic interventions, the ability to cure people with penicillin or do an operation to stop disease that was what saved the day. Primary care physicians couldn't do all that much that really demonstrated a difference. The people who control and work with you to control your blood pressure, they're not rewarded for doing that or to be innovative about doing that. So, the result is half of Americans have uncontrolled high blood pressure, despite seeing clinicians.

Care, Disease, Heroic, People, Physicians, Stop

In many ways, the effort to study philosophy was my rebellion away from medicine. I'm the son of two Indian immigrant physicians, so the natural path for me would have been to become a doctor. I ended up doing the master's degree at Oxford in politics, philosophy, and economics while already having a seat in medical school. I was keeping that as my escape hatch. But my hope was that I might become a philosopher or something else entirely.

Already, Having, Philosophy, Politics, School, Son

You know, 97 percent of the time, if you come into a hospital, everything goes well. But three percent of the time, we have major complications.

Complication, Know, Percent, Three, Wells

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.

Changed, Ignorance, Nature, World
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