Atul Gawande: Better

Atul Gawande seems to have done quite well for himself. Not only that, but he has done a great deal for others in the process, especially patients. The Harvard Associate Professor, writer and general surgeon desparately wants doctors to be better at their jobs, which is the focus of his book, the aptly titled Better, published in 2007. It’s all about getting better at being doctors.

Better is possible. It does not take genius. It takes diligence. It takes moral clarity. It takes ingenuity. And above all, it takes a willingness to try.

Gawande is all to aware of the limits of medicine, and of the potential for doing more harm than good in our attempts to push the boundaries of modern care. I know how often I witness  doctors who fail to do simple things like washing their hands. This is nothing new. The author explores how hard it has been throughout history to get doctors to comply with simple, obvious guidelines for infection control etc.

One of the chapters which intrigued me most dealt with how more people are living longer than ever, but with more disease than ever too. Now people are living long enough to get cancer where in the past they would have died of something else first. Gawande explores this phenomenon among wounded soldiers in Iraq and Afghanistan. He asks searching questions, not least what sort of quality of life will these “saved” soldiers have if they are kept alive with no arms and only one leg. I don’t think it’s our place to judge how someone else views their quality of life, but it does make for a thought-provoking read.

Gawande acknowledges his own failings as much as he points them out in others. A good exploration of a world where mistakes happen all the time, yet where the consequences can be disastrous. Looking forward to getting my hands on his latest book Complications, out soon.

Bob Kauflin: Sure and Steadfast

Bob reminds us that the most important thing as a Church is to be sure and steadfast, not to seek to be relevant, cool etc at the expense of the gospel which saves us.

Suffering according to the will of God

“Let those who suffer according to God’s will entrust their souls to a faithful Creator while doing good.” 1 Peter 4:19:

John Bunyan had a pretty miserable life in many ways, yet he has some of the best things to say about God’s sovereignty in suffering and its ultimate fruitfulness. In his book Seasonable Counsel or Advice to Sufferers he says:

It is not what enemies will, nor what they are resolved upon, but what God will and what God appoints, that shall be done… and as no enemy can bring suffering upon a man when the will of God is otherwise, so no man can save himself out of their hands when God will deliver him up for his glory… Suffering comes not by chance or by the will of man, but by the will and appointment of God…

How kindly, therefore doth God deal with us, when he chooses to afflict us but for a little, that with everlasting kindness he may have mercy upon us. Isaiah 54:7-8.

Wilson: poor quality atheism

Found this on the Huffingdon Post today in the run-up to the release of the Collision documentary:

The atheistic worldview is nothing if not inherently reductionistic, whether this is admitted or not. Everything that happens is a chance-driven rattle-jattle jumble in the great concourse of atoms that we call time. Time and chance acting on matter have brought about, in equally aimless fashion, the 1927 New York Yankees, yesterday’s foam on a New Jersey beach, Princess Di, the arrangement of pebbles on the back side of the moon, the music of John Cage, the Fourth Crusade, and the current gaggle representing us all in Congress…

If the atheist is right, then I am not a Christian because I have mistaken beliefs, but am rather a Christian because that is what these chemicals would always do in this arrangement and at this temperature. The problem is that this atheistic assumption does the very same thing to the atheist’s case for atheism. The atheist gives us an account of all things which makes it impossible for us to believe that any account of all things could possibly be true. But no account of things can be tenable unless it provides us with the preconditions that make it possible for our “accounting” to represent genuine insight. Atheism fails to do this, and the failure is a spectacular one. Nor does atheism allow us to have any fixed ethical standard, or the possibility of beauty.

Read more here

Death by Love

Death by LoveDriscoll and Breshears give us a solid biblical treatment of issues facing many today. In terms of content, I find little to complain about. The introduction to penal substitution is brilliant. Nevertheless, the idea of reading letters meant to confront someone else’s stuggles with sin and/or dispair does seem a little wierd, even if the advice is good. Driscoll doesn’t pull any punches and I’m left feeling quite uncomfortable in places. Maybe that’s a good thing; after all, sin is a big deal and it should be dealt with seriously.

Driscoll’s explanation of modern biblical relevance is worth taking note of:

The gospel message comes from God to the culture but does not eminate in any way from the culture, though it must be effectively communicated to all cultures. Because of this, the truth of the gospel of Scripture is binding on all peoples, times, and places.