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Hidden Brain

You 2.0: Check Yourself

Hidden Brain

Hidden Brain Media

Social Sciences, Performing Arts, Science, Arts

4.642.5K Ratings

🗓️ 28 August 2018

⏱️ 50 minutes

🧾️ Download transcript

Summary

The simple "to-do" list may be one of humanity's oldest tools for getting organized. But checklists are also proving essential in many modern-day workplaces, from operating rooms to the cockpits of jumbo jets. As part of our summer You 2.0 series, we explore the power of the humble checklist to help us stay on track and focus on what's important, particularly when pressure is intense and the stakes are high.

Transcript

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0:00.0

Hi there, Shankar here. Today's episode is the last one in our series called You 2.0.

0:05.9

If you haven't heard the other episodes, please take a listen.

0:09.6

This one comes from our archives. It's about a tool that humans have used for hundreds

0:13.7

of years to avoid a common mistake.

0:19.1

This is Hidden Brain, I'm Shankar Vedanthu. All of us have days when despite our best

0:23.7

efforts, everything just goes wrong. Sometimes terribly wrong.

0:32.6

Atul Gawande is a surgeon at Brighamon Women's Hospital in Boston. He's also a writer.

0:37.6

You might have read his work in the New Yorker or in Slate. A few years ago, Atul was at work,

0:43.0

operating on a patient he refers to as Mr. Hagueman.

0:46.3

I was taking out a tumor of the adrenal gland laparoscopically.

0:52.5

He'd performed this procedure dozens of times before, but this time was particularly tricky.

0:58.3

Mr. Hagueman's tumor was behind his liver, nestled tightly against an important blood vessel.

1:04.6

The main blood vessel returning the blood of the body to the heart.

1:09.9

It's known as the Vena Kiva. Atul began the surgery and everything was going smoothly.

1:16.3

He was almost done detaching the tumor when all of a sudden he nicked the blood vessel.

1:22.1

I ended up creating a hole in the Vena Kiva, which meant that he then pretty quickly lost

1:29.1

his entire blood volume into his abdomen, complete blackout on the screen and utter chaos.

1:37.7

Atul took the man's heart in his hand and began compressing it to keep blood flowing

1:42.7

to his brain.

1:43.9

I mean, he lost basically 10 times his body volume in blood, but we were able to give him

1:48.3

enough blood to keep his circulation going. He had a cardiac arrest twice.

1:53.7

We were finally able to repair the hole in the Vena Kiva, get the tumor out and have

...

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