Magazine article New Statesman (1996)

Rock Doctor

Magazine article New Statesman (1996)

Rock Doctor

Article excerpt

Choosing a soundtrack for the operating theatre is not easy. "It has to be the kind of music that the nurses and the other doctors go along with," the American surgeon Atul Gawande explains. "Country tends to be out, and most hip-hop, too." He usually goes for indie. A journalist once told him that his problem was that he was too old for his iPod (he's 49), which amused him. Gawande, sharply suited and drinking orange juice in a London cafe, lists his current surgery favourites: Alt J, the National and Weezer.

His musical taste is just one way in which Gawande defies convention as a surgeon. He is also a bestselling author who has been a staff writer for the New Yorker since 1998, and he'll be giving this year's Reith Lectures. He has a knack for identifying grand themes --how checklists can save millions of lives lost through medical mistakes, why some ideas (such as anaesthetic) catch on quickly and others (such as antiseptic) don't, what hospitals can learn from the fast-food industry - and exploring these ideas through the stories of the patients he has treated. His writing is often moving - sometimes in a stomach-churning way: his account of the woman with an unstoppable itch who scratched all the way through to her brain is, perhaps regrettably, unforgettable.

Gawande's latest book, Being Mortal, explores how the medical profession, and modern society, approach the end of life. What should doctors do when the drugs won't work? Often it's easier to push one more treatment-an operation, another round of chemo--than to acknowledge that "people have priorities other than living longer".

This is a book about the "good life" and even though often sad, it is uplifting, too. We are wrong to assume that in order to be happy you need to be independent and healthy: elderly people dependent on help often report higher levels of happiness than the rest of us. …

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