Every surgeon carries within himself a small cemetery, where from time to time he goes to pray – a place of bitterness and regret, where he must look for an explanation for his failures.
It is apparent that the short comings and failures of his operations haunt him and he carries them around. Perhaps, that is why he is considered one of the top neurosurgeons; he has the perfect mixture of aequanimitas and empathy for his patients. Dr. Gawande, on the other hand, entered as the system was changing to having more regulations. When he was training to be a doctor there were three types of doctors to choose from, but only two were being practiced. Dr. Gawande discusses this in Being Mortal: …show more content…
We want information and control, but we also want guidance. The Emanuels described a third type of doctor-patient relationship, which they called “interpretive.” Here the doctor’s role is to help patients determine what they want. Interpretive doctors ask, “What is most important to you? What are your worries?” Then, when they know your answers, they tell you about the red pill and the blue pill and which one would most help you achieve your priorities. Experts have come to call this shared decision making. It seemed to us medical students a nice way to work with patients as