A Quote by Atul Gawande
No one looks at your hands to see how much they shake when you are interviewed to be a surgeon. The physical skills required are no greater than for writing cursive script. If an operation requires so much skill only a few surgeons can do it, you modify the operation to make it simpler.
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Assume that a surgeon has discovered how to do brain surgery, that he can do only one a month, that 1,000 persons a year need such an operation if they are to survive. How is the surgeon's scarce resource to be allocated? Charge whatever price is necessary to adjust supply and demand, say $50,000! 'For shame,' some will cry. 'Your market system will save only wealthy people.' For the moment, yes. But soon there will be hundreds of surgeons who will acquire the same skill; and, as in the case of the once scarce and expensive 'miracle drugs,' the price then will be within reach of all.
I had a friend who was the King's surgeon in England. One day I asked him what makes a great surgeon. He replied, "What distinguishes a great surgeon is his knowledge. He knows more than other surgeons. During an operation he finds something which he wasn't expecting, recognizes it and knows what to do about it." It's the same thing with advertising people. The good ones know more. How do you get to know more? By reading books about advertising. By picking the brains of people who know more than you do. From the Magic Lanterns. And from experience.
The health insurance industry does not like to pay out claims, because they don't make money. The only way they can make a profit is if they don't pay for your operation. If they pay for your operation and your doctor's appointment and your pharmaceuticals, they don't make any money.
At times, non-co-operation becomes as much a duty as co-operation.
That parrot's non-co-operation with the cage, with its master, will live for ever because it looks upon renunciation, non-co-operation, as a joy.
My non-co-operation is a token of my earnest longing for real heart co-operation in the place of co-operation falsely so called.
The necessity for co-operation between Europe and the United States is bigger than ever. Only by close transatlantic co-operation can we face the world's challenges.
It's the little things that make the big things possible. Only close attention to the fine details of any operation makes the operation first class.
Whenever I see the word Operation, especially Trifling Operation, I at once write off the patient as dead.
One of my surgical giant friends had in his operating room a sign "If the operation is difficult, you aren't doing it right." What he meant was, you have to plan every operation You cannot ever be casual You have to realize that any operation is a potential fatality.
I want co-operation between nations for the salvaging of civilization, but co-operation presupposes free nations worthy of co-operation.
Good description is a learned skill, one of the prime reasons why you cannot succeed unless you read a lot and write a lot. It’s not just a question of how-to, you see; it’s also a question of how much to. Reading will help you answer how much, and only reams of writing will help you with the how. You can learn only by doing.
If you want the truth to prevail, you must cause people to realize the truth. This requires much more skill than is required to simply tell it.
How can you see something that isn't there?" yawned the Humbug, who wasn't fully awake yet. "Sometimes, it's much simpler than seeing things that are,"he said. "For instance, if something is there, you can only see it with your eyes open, but if it isn't there, you can see it just as well with your eyes closed. That's why imaginary things are often easier to see than real ones." "Then where is Reality?" barked Tock. "Right here,"cried Alec, waving his arms.
In fact, The Party has provided so much of the ground game and field operation and data operation to supplement what we already had, when I got here, and what we're building on, that we literally are doing it with them, in these swing states. The RNC is the party. And the RNC is also helping these candidates.
If you have a patient in a doctor's office who's just been told they have terminal cancer but there's this operation they could perform right now that might save their lives. ... They have a 90 percent chance of surviving the operation — if you tell them that, they respond one way. If you tell them ... that they have a 10 percent chance of being killed by the operation, they are about three times less likely to have the operation.
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