This Is The Reality Of Intensive Care:

I Chose Surgery Because I Thought That Perhaps This Would Make Me More Like The Kind Of Person I Wanted To Be.

We've Created A Multitrillion-dollar Edifice For Dispensing The Medical Equivalent Of Lottery Tickets - And Have Only The Rudiments Of A System To Prepare Patients For The Near Certainty That Those Tickets Will Not Win. Hope Is Not A Plan, But Hope Is Our Plan.

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.

My Own Son Has A Congenital Heart Condition, Where His Life Was Saved By A Cardiac Surgeon Stepping In At 11 Days Of Life To Save His Life. But He Is Now 21 Years Old Because Of Constant Monitoring And Working With Him With A Primary Care Physician. That's The Only Reason Now That He's Getting To Live A Long And Healthy Life. That's What We're Not Rewarding. They Don't Have The Kind Of Resources And Commitment That We Are Giving To People Like Me. I Have Millions Of Dollars Of Equipment Available To Me When I Go To Work Every Day In An Operating Room.

You Want To Ensure People Can Do It Right 99 Percent Of Time. When We Have To Fire One Of Our Surgical Trainees, It Is Never Because They Dont Have The Physical Skills But Because They Dont Have The Moral Skills - To Practise And Admit Failure.