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We are not meant to touch hearts. We all have one, but most of us will never see one. The heart surgeon now has that privilege but, for centuries, the heart was out of reach even for surgeons. So when a surgeon nowadays opens up a ribcage and mends a heart, it remains something of a miracle, even if, to some, it is merely plumbing.
As with plumbers, the quality of surgeons’ work varies. As with plumbers, surgeons’ opinion of their own prowess and their own attitude to risk are not always reliable. Measurement is key. We’ve had a century of effective evidence-based medicine. We’ve had barely a decade of thorough monitoring of clinical outcomes. Thanks to the ground-breaking risk modelling of pioneering surgeons like Samer Nashef, we at last know how to judge whether an operation is in a patient’s best interest, which hospital and surgeon would be best for that operation, when it might best be performed and what the exact level of risk is. We have at last made what is important in surgery measurable. But how should surgeons, and their patients, use these newfound insights?
Ever since his days as a medical student, Samer Nashef has challenged the medical profession to be more open and more accurate about the success of surgical procedures, for the sake of the patients. In The Naked Surgeon, he unclothes his own profession to demonstrate to his reader (and prospective patient) many revelations, such as the paradox at the heart of the cardiac surgeon’s craft: the more an operation is likely to kill you, the better it is for you. And he does so with absolute clarity, fluency and not a little wit.
- Sales Rank: #859380 in eBooks
- Published on: 2015-06-04
- Released on: 2015-06-04
- Format: Kindle eBook
Most helpful customer reviews
0 of 0 people found the following review helpful.
Sam Nashef, you are wonderful!
By Martha Willson
At last here is a surgeon who is willing to look at the long terms benefits/risks of operations. Also here is a surgeon who is not afraid to speak out much to the annoyance of the "Establishment". I had a particular interest about the poor success rate for the 'triple A' as my brother had an emergency surgery carried out in January 1999 in Budapest - Hungary. He is the sole survivor from the patients operated on in 1999. He survived because of the fantastic surgical intervention he received and also because he realised that he was given a second chance for life and he has made substantial changes to his style of living.
The book offers a view the medical world with its merits and failings. I am re-reading the book all over again.
0 of 0 people found the following review helpful.
Great surgeon, great writer, great book
By Jimmy T-Bone Barnes
Great surgeon, great writer, great book. As a doctor, I've really enjoyed it, but it's accessible to anyone with a thinking mind. Dr Nashef explores the modern concept of evidence-based medicine, or, in this case, evidence-based surgery. It's the only sensible way, really, to think about medicine, but when he was a medical student (about the same time as I was), the 'pearls of wisdom' from your boss were strewn along the path of career glory. There was no need to check if the elder statesmen of medicine were right or wrong. Of course, they were right! Because they said so.
Dr Nashef was at the forefront of EBM, which has helped bring medicine more and more into the scientific world. Read his book. You'll love it.
0 of 0 people found the following review helpful.
Bible for today's surgeon.
By freediver
It is an encouraging well written book about a reality in everyday medicine. It is a recepie how to make things better. I think it is a bible for every sirgeon.
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