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NOTES OF A SURGEON

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Volume 349:2383-2386 December 18, 2003 Number 25
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Dispatch from India
Atul Gawande, M.D., M.P.H.

Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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The puzzle was how the surgeons in India do it. Take a town like Nanded, 400 miles east of Mumbai (as Bombay is now called), in the center of India. The public hospital in Nanded serves a district of 1400 villages and 2.3 million people. It has 500 beds, three operating rooms and, I found when I visited, just nine general surgeons. (Think Washington, D.C., with just nine surgeons.) Its two main buildings are four stories high and made of cement and stucco. Surgeons arrive each morning to a crush of several hundred people pressing their way into the clinics. . . . [Full Text of this Article]


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From the Department of Surgery, Brigham and Women's Hospital, and the Department of Health Policy and Management, Harvard School of Public Health — both in Boston.


Related Letters:

Dispatch from India
Cherayil B. J., Sengupta N., Manohar N., Prodhan P.
Extract | Full Text | PDF  
N Engl J Med 2004; 350:1471, Apr 1, 2004. Correspondence

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