How Doctors Think has ratings and reviews. Kirsti said: Things that you should find worrisome if a doctor says them to you or a loved one:*. In this very engaging and well-researched book, Jerome Groopman, a practicing oncologist with expertise in AIDS-related malignancies. ‘a series of illuminating essays that explore the rational and irrational factors that influence medical decision-making which Dr. Groopman, a clear writer and a.
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He implicates the financial pressures that lead insurance companies to increase the number of patients a hiw care physician sees on a given day and therefore necessitate the development of templates.
Falchuk had given her permission to open the floodgates, and a torrent of painful memories poured forth. There were patients on our ward with pneumonia, diabetes, and other common ailments, but there were also some with symptoms that did not readily suggest a diagnosis, or with maladies for which there was a range of possible treatments, froopman no one therapy was clearly superior to the others.
We have all asked ourselves exactly what brought him to propose a certain diagnosis and a particular treatment and to reject the alternatives.
I noticed that his wife, who’s also a doctor, insisted on coming along to some of the visits with doctors to make sure her husband would ask the foctors questions. She couldn’t recall exactly when she had had the bone marrow biopsy for her anemia. Groopman is on the right track.
She had gained nearly twelve pounds. Jan 18, Musab Abed rated it really liked it. He admits to having one glass of rum a day, but it really only was one glass, as confirmed by his daughter.
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How doctors think
I found a wealth of research that modeled “optimal” medical decision-making with complex mathematical formulas, but even the advocates of such formulas conceded that they rarely mirrored reality at the bedside groopamn could be followed practically. Falchuk would nod or interject short phrases: Of course, every doctor should consider research studies in choosing a therapy.
I could be wrong, of course, but we need to be sure, given hiw frail you are and how much you are suffering. While his description of his own personal journey with his mysterious wrist pain and its elusive diagnosis is interesting at an anecdotal level, the lessons drawn from that journey are puzzling at best.
She listened carefully as Falchuk described how he would pass a fiberoptic instrument, essentially a flexible telescope, down her esophagus and then into her stomach and small intestine. Her primary care doctor had opposed the trip, arguing that Anne’s problems were so long-standing and so well defined that this consultation would be useless.
I plan to read it again in a few years. Falchuk had already gotten her medical records, groopmman her internist had told him that Anne’s irritable bowel syndrome was yet another manifestation of her deteriorating mental health.
Maybe one day she would be, as she put it, “whole” again. I wasn’t one of the hematologists who evaluated Anne Dodge, but I could well have been, and I feared that I too could have failed to recognize what was missing in her diagnosis.
How Doctors Think by Jerome Groopman
The book is loosely laid out in the same manner that a physician works through a problem with a patient — the history, the physical exam, the lab doctora, the differential diagnosis which is al How Doctors Think by Jerome Groopman, is a book that explores the topic of the manner by which physicians are taught to think, how they arrive at correct and incorrect diagnoses and how the personality of the physician, groooman patient and the interaction between the two can affect the diagnosis and treatment.
If we erase our emotions, however, we fail to care for the patient. The book includes Groopman’s own experiences both as an oncologist gtoopman as a patient, as well as interviews by Groopman of prominent physicians in the medical community. She had been treated with four different antidepressants and had undergone weekly talk therapy.
How Doctors Think
Falchuk requested, at the beginning, groopma the long and tortuous story of her initial symptoms, the many doctors she had seen, the tests she had undergone. Tell me about when you first didn’t feel good.
I didn’t leave enough room for what seems [sic] like minor effects–the small fluctuations in oxygen levels, which might amount to one or two or three percent but actually can signal major problems in the heart Kahneman won the Nobel Prize in economics in for his work on heuristicsan honor that Groopman believes Tversky would have shared had he not died in She steeled herself for yet another somber lecture on how she had to eat more, given doctogs deteriorating condition.
People used to doing complicated things usually do complicated things in simple situations–for example, ghink tests or x-rays when waiting a few days might suffice–thus overtreating people with simple illnesses and overlooking the clues about other problems that might have brought the patient to the doctor.
Groopman closes with an epilogue giving advice for jow. Hypotheses about the diagnosis come to a doctor’s mind even before a word of the medical history is spoken. You hear this kind of criticism — that each new generation of young doctors is not as insightful or doctprs as its forebears — regularly among older physicians, often couched like this: