The same shortcuts that help physicians save lives can also lead to grave errors. Jerome Groopman on the psychology of diagnosis. In this very engaging and well-researched book, Jerome Groopman, a practicing oncologist with expertise in AIDS-related malignancies. In the hands of Jerome Groopman, professor of medicine at Harvard and One of the messages of “How Doctors Think” is that patients need to.
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‘How Doctors Think’
These hypotheses should be winnowed by assigning statistical probabilities, based on existing databases, to each symptom, physical abnormality, and laboratory test; then you calculate the likely diagnosis.
Doctors made errors 2. He refers to patients in general as “they. Key questions to ask: She guessed it was close to thirty. Hadn’t the doctor spoken with her internist and looked at her records?
Much has been made of the power of intuition, and certainly initial impressions formed in a flash can be correct. Do different doctors think differently?
Primary Source How Doctors Think. Groopman tells the story of a woman named Anne Dodge, who suffered from malnutrition. He uses a narrative approach, filling the book with compelling stories that illustrate the world of patient-physician interactions. The author approaches each example with sensitivity and explains how successful physicians have learned dcotors adapt their methods to minimize errors.
What can doctors and patients do to find time to think?
How Doctors Think | The Journal of the American Osteopathic Association
I really should not have read this book! At some point in the last chapter, he states: Groopman’s storytelling skill permits him to convey complex concepts e. My problem was corrected by a series of chiropractic adjustments – no surgery and now I’m pain free and have been for years. Cogent medical judgments meld first impressions — gestalt — with deliberate analysis.
For fifteen years she’d watched it grow from visit to visit. She was taking anti-nausea medication that had greatly reduced the frequency of her vomiting but did not help the diarrhea.
Now she was tumbling forward, swept along as she had been as a child on Cape Cod when a powerful wave caught her unawares. The book also has some good insights into some of the perverse incentives, either from drug companies or from fee-for-service that may cloud physician judgement.
He takes phrases patients often hear, such as “we see this sometimes” and puts forth the idea that such generic comments deserve further questioning from the patients.
Second, he suggests cultivating doubt rather than avoiding it. It will strike roughly one in two men and one in three women over the course of their lifetime. We dial a wrong number, or accidentally put bleach in the washing machine with the jeans, or don’t see the stop sign.
You need to work with them and force them to communicate their thinking. Return to Book Page.
How Doctors Think
He is jdrome thoughtful and humble and insightful! And, while I consider this book an essential read for patients, How Doctors Think is also directed perhaps mostly so at doctors. In today’s parlance, these primary care physicians are termed “gatekeepers,” because they open the portals to specialists. By December, Anne’s weight dropped to eighty-two pounds. Emotional involvement is a constant paradox for physicians.
The author intersperses his own observations with interesting details regarding the case of a female patient who groopmam misdiagnosed as having anorexia nervosa with bulimia and irritable bowel syndrome.
After all, checklists developed at Cook County hospital improved the overall accuracy of diagnosis of chest pain there. Using many examples of this sort, including some from his own life, Dr Groopman This book was primarily about habits of thinking that can lead a doctor to misdiagnose a case or miss clues that make a difference in treatment.
J Am Osteopath Assoc ; 8: If he saw something abnormal, he would take a biopsy. Its all about getting the point across that its very hard to think