This is the third of Dr. Gawande’s books I’ve read and reviewed for Cannonball Read, and it’s probably my least favorite. However, it’s still a decent book that I’m glad I read.
The book is ostensible about ‘how success is achieved in this complex and risk-filled profession,’ talking about medicine. And there are certainly many really compelling stories about medicine. But I wasn’t really able to follow any sort of coherent theme to the stories. I almost felt like I was reading a collection of interesting essays as opposed to a book that was seeking to make a strong point about how to improve the field of medicine (and, in turn, other field).
Dr. Gawande splits the stories into three sections: diligence, doing right, and ingenuity. There are three-five stories in each section that purport to demonstrate the benefits of diligence, doing right or ingenuity. I think the strongest, most interesting section for me is the Doing Right section, especially in areas such as the ethics of physicians participating in the death penalty. And as I said, all of the stories are interesting to read, but I don’t think Dr. Gawande does a great job connecting them or really telling the ready what point he’s looking to make.
The book ends with a few pages that seem to come out of nowhere but that I think could have been woven into the book to create that theme that I felt was missing. Dr. Gawande proposes five things to do to improve in your field: ask an unscripted question, don’t complain, count something, write something, and change. I can see applying these to my current work, and would have enjoyed reading more about them in relation to the stories he has told throughout the book.
The title reminds me of something I hear a lot of surgeons (mainly residents to their attendings) during cases: The enemy of good is better. I don’t know if I’ll check this one out but now that I know of him, maybe I’ll pick up one of his others.