He examines the factors that contribute to the creation, and protection, of “bad doctors.” In “When Good Doctors Go Bad,” Gawande profiles a doctor who destroyed his reputation and harmed patients before seeking rehabilitation. In “Nine Thousand Surgeons,” Gawande narrates his first trip to a medical convention and offers a humorous look at doctors on their time off, depicting them as susceptible to flashy displays and extra-curricular distractions just like any other person at any other convention. The essay unveils the flawed process by which hospitals seek to address and remedy errors and looks to anesthesiology for a model in error reduction. In “When Doctors Make Mistakes,” Gawande reflects on a time he made a mistake performing an emergency tracheotomy and launches into a data-driven discussion on error in medicine. “The Computer and the Hernia Factory” contains a debate about technology versus humans in the realm of diagnosis and looks at the successful example of a hospital streamlined for hernia operations, the results of a computer that reads EKGs better than people, and the inextricable role of humans in the diagnosis process.
In the first essay, “Education of a Knife,” Gawande tracks his ability over time to perform a specific procedure-installing a central line-and discusses the consequences and necessity of training doctors on the job. Complications contains 14 essays divided into three sections: Part 1, “Fallibility” Part 2, “Mystery” and Part 3, “Uncertainty.” In Part 1, Gawande embarks on a candid discussion of errors and imperfections in medicine.
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