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Desert Island Discs

Atul Gawande

Desert Island Discs

BBC

Society & Culture, Music Commentary, Music, Personal Journals

4.413.7K Ratings

🗓️ 6 December 2015

⏱️ 35 minutes

🧾️ Download transcript

Summary

Kirsty Young's castaway is the surgeon, author and former Reith lecturer, Atul Gawande.

A general and endocrine surgeon in Boston, he is professor in both the Department of Health Policy & Management at the Harvard School of Public Health and the Department of Surgery at Harvard Medical School.

Born in Brooklyn, he is the son of two doctors who came to the US to study medicine. After graduating from Stanford and studying Philosophy, Politics and Economics at Oxford, he embarked on a brief political career, working for Bill Clinton's presidential campaign and on his health and social policy in the White House following his election. When Clinton's health policy reform floundered, Atul returned to Harvard to finish the medical degree he'd started after Oxford.

During his surgical residency he began writing for the online magazine Slate and he's been writing for the New Yorker since 1998. His 2009 article "The Cost Conundrum" was cited by President Barack Obama during his attempt to get the healthcare reform legislation through Congress. Atul has published four books to date about the achievements, but also the limitations, of medicine.

In 2014 he presented the BBC's Reith Lectures, delivering a series of four talks titled The Future of Medicine.

Producer: Cathy Drysdale.

Transcript

Click on a timestamp to play from that location

0:00.0

Hello I'm Kirsty Young. Thank you for downloading this podcast of Desert Island Disks from BBC Radio 4.

0:06.0

For rights reasons, the music choices are shorter than in the radio broadcast.

0:10.0

For more information about the program, please visit BBC.co.uk.

0:17.0

Radio 4. My My castaway this week is the surgeon and author Atal Gowandy. A Harvard professor and

0:39.8

practicing physician, the titles of his best-selling books go a long way to explaining

0:44.3

the focus of his work in life. Being mortal, illness, medicine and what matters in the end.

0:49.6

Complications are surgeon's notes on an imperfect science.

0:54.0

His writing and teaching deftly explore the complex nexus between survival and sensitivity,

1:00.0

what it truly means to treat people effectively and indeed how it might be possible to better manage decline and even have a good death.

1:09.0

Born in Brooklyn then raised in Ohio, he began learning at his mother and indeed his father's knee.

1:15.2

Both were doctors who'd travelled from India to study and then work in the States.

1:20.3

His childhood seems almost a blueprint for the brainbox offspring of first-generation immigrants

1:25.6

when he wasn't reading encyclopedias, cover to cover, he was hanging round hospitals

1:30.3

waiting for his parents to finish their long shifts. He says, we look for his parents to finish their long shifts.

1:33.0

He says, we look for medicine to be an orderly field of knowledge and procedure,

1:38.0

but it is not. It is an imperfect science, an enterprise of constantly changing knowledge, uncertain information,

1:46.4

fallible individuals and at the same time lives on the line.

1:50.6

So welcome, Atal Guanday. Listeners will be very familiar, radio four listeners with your

1:55.2

wreath lectures which you gave last year. You hold two professorial posts at Harvard Medical School and at the School of Public Health.

2:05.5

You've written four best-selling books. You carry out over 120 surgeries each and every year.

2:11.5

If you were your doctor, what would you say to you about stress and

2:15.3

getting more sleep?

...

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