Most medical books offer a new perspective into the complex realm of medicine that only a few choose to delve into because of the long, exhausting hours spent constantly serving your community and ignoring your needs. Due to the shortcomings of medicine, errors occur, but only a few people are brave enough to discuss the issues that arise in medical practice and the errors that are hidden from the public eye due to fear of judgment, but Atul Gawande was one of those brave souls. complications; A Surgeon's Notes on an Imperfect Science is written by Atul Gawande in 2002. In this book, Gawande, who is a resident surgeon at a hospital in Boston, Massachusetts, discusses the inevitable complications that doctors face or, in some cases controversial, are the causes of these complications. This book collects Gawande's personal mistakes and also those of his colleagues. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get Original Essay Since this book is a book of flaws, many medical issues have been discussed in which I will write about two of them. Rumination syndrome is the first intriguing medical problem. In the book, Gawande told us the story of a pregnant woman who constantly suffered from severe nausea despite no longer being in her first trimester, which is usually when women suffer from morning sickness. Telling us about the possibilities that made the woman nauseous, she recalled a childhood classmate who vomited "at will" without feeling sick and who would eventually introduce our topic of Rumination. With rumination the food is not yet digested and tastes the same as when it was first eaten. While vomiting usually occurs when you have consumed something your body is not used to, rumination happens all the time, every day, regardless of what you have eaten and generally occurs in children and infants. It is important to keep in mind that rumination is not a conscious decision, but rather a reflex of the body. Doctors are still not sure why rumination occurs, but fortunately, physical harm almost never occurs and it can rarely cause problems with the esophagus. What is also interesting to note is that rumination syndrome has been associated with anxiety, depression, obsessive compulsive disorder, and post-traumatic stress disorder (UpToDate, 2018). The second medical issue I choose to write about is the mental impact on chronic back pain or any physical pain in general. One might assume that the chronic pain is due to a problem with the patient's bones or muscles because that would be a logical assumption and was what most doctors assumed, but it turns out that this is not always the case. In the book Atul mentions two examples. Rowland Scott Quinlan, an architect, suffered from severe back pain. It would be a very common thing, especially for workers, but what puzzles Gawande is that no one understood the origin of the pain, until one day Rowland's wife noticed that the pain always began when Rowland was in a bad mood and stopped immediately Once he was there I was in a better mood. This led Atul to conclude that Rowland's pain was a "mental" pain. Numerous studies also show that patients with chronic pain are more likely to suffer from mood disorders. (Bair MJ, 2003) Atul Gawande also wrote about the Australian pain epidemic that occurred in the early 1980s when workers, more specifically keyboard operators, felt sudden pain in their.