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“To fix medicine, Berwick maintained, we need to do two things: measure ourselves and be more open about what we are doing” (Gawande 214)

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“Don Berwick believes that the subtleties of high-performance medical practice can be identified and learned” (Gawande 226, 227).

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“So maybe we should never hold back, never stop pushing. in the face of uncertainty, what could be safer? It doesn’t take long to realize, however, that the rule is neither viable nor humane” (162).

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“Medicine is a fundamentally human profession. It is therefore forever troubled by human failings, failings like avarice, arrogance, insecurity, misunderstanding”(8).

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“When the stakes are our lives and the lives of out children, we want no one to settle for average”(Gawande 230).

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“Don’t complain. … resist it, it’s boring, it doesn’t solve anything, and it will get you down. … Just be prepared with something else to discuss: an idea you reas about, an interesting problem you came across, even the weather if that’s all you’ve got. See if you can keep the conversation going” (Gawande 254).

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“In a way, our task is to “Always Fight”. But our fight is not always to do more. It is to do right by our patients, even though what is right is not always clear.”

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“Better is possible. It does not take genius. It takes dilligence. It takes moral clarity. It takes ingenuity. And above all, it takes willingness to try” (P. 246)

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“You should not underestimate the effect of your contribution, however modest” (Gawande 255).

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“True success in medicine is not easy. It requires will, attention to detail, and creativity. But the lesson I took from India was that it is possible anywhere and by anyone. I can imagine a few places sure more difficult conditions. Yet astonishing successes could be found” (245).

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“Nonetheless, make yourself an early adopter. Look for the opportunity to change.” (257)

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“Arriving at meaningful solutions is an inevitably slow and difficult process. It does not take genius. It takes diligence. It takes moral clarity. It takes ingenuity. And above all, it take a willingness to try” (246). 

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“What the best may have, above all, is a capacity to learn and change—and to do so faster than anyone else” (Gawande 227).

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“‘This is not about them. It’s about the patient.’ The good doctors didn’t always get the answers right she said. Sometimes they still pushed too long or not long enough. But at least they stopped to wonder, to reconsider the path they were on” (Gawande 164).

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“In medicine, as in any profession, we must grapple with systems, resources, circumstances, people—and our own shortcomings, as well. We face obstacles of seemingly unending variety. Yet somehow we must advance, we must refine, we must improve.” (8)

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“When you make an effort, you find sometimes you are not the only one willing to do so” (10).

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“One hundred and forty years of doctors’ plagues later, however, you have to wonder whether what’s needed to stop it is precisely a lunatic” (Gawande, 17).

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“When you make an effort, you find sometimes you are not the only one willing to do so" (10).

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“‘What will you do when polio is finally gone?’ I asked Pankaj.

‘Well, there is always measles,’ he said”(Gawande, 50)

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“In the end, no guidelines can tell us what we have power over and what we don’t. In the face of uncertainty, wisdom is to err on the side of pushing, to not give up. But you have to be ready to recognize when pushing is only ego, only weakness. You have to be ready to recognize when the pushing can turn to harm”(164).

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“Arriving at meaningful solutions is an inevitable slow and difficult process. Nonetheless, what I saw was: better is possible. It does not take a genius. It takes diligence. It takes moral clarity. It takes ingenuity. And above all, it takes a willingness to try” (Gawande 246).

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“Better is possible. It does not take genius. It takes diligence. It takes moral clarity” (246).

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"We always hope for the easy fix: the one simple change that will erase a problem in a stroke. But few things in life work this way. Instead, success requires making a hundred small steps go right - one after the other, no slip ups, no goofs, everyone pitching in. Betterment is perpetual labor" (3).