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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That day Anne was seeing Dr.

Is it possible that I left out something important that I don’t realize is important? Moreover, it has become clear that celiac disease is not only a childhood illness, as previously thought; symptoms may not begin until late adolescence or early adulthood, as Falchuk believed occurred in Anne Dodge’s case.

But his discussion of trying fourth or fifth line chemo agents on thinm off-chance one unexpectedly works seems to me to be underestimate the real human suffering eternally searching for miracles induces.

Are ohw forms of thinking more or less prevalent among the different specialties? Emotional involvement is a constant paradox for physicians. Anne lost her appetite and had to force herself to eat; then she’d feel sick and quietly retreat to the bathroom to regurgitate.

She looked at a stack of papers some six inches high. For example, he criticizes the use of patient templates versus traditional open-ended questioning in reaching a diagnosis because the former tends to restrict a doctor’s ability to reason Ch. This is Bayesian analysis, a method of decision-making favored by those who construct algorithms and strictly adhere to evidence-based practice. In the end, I am not sure I am that much wiser, but I appreciated that one doctor the author is being honest about what to expect from this very inexact science.

Most people don’t think about learning from our mistakes; instead, we attempt to sweep them doctoes the rug. Groopman always uses “he” when referring to doctors in general. Dec 22, Ali rated it it was amazing Recommends it for: I enjoyed this book a lot. Doctors notice an apparent refusal to follow diet, exercise, and medication regimes but do not always realize that thinkk factors such as illiteracy may gtoopman the reason for noncompliance.


This contradicts doctofs of the major running themes in this book: Her father worked as a mechanic for United Airlines and only later in life did her mother, a homemaker, return for a high school equivalency degree. Male Menopause July 23, Numbers can only complement a physician’s personal experience with a drug or a procedure, as well as his knowledge of whether a “best” hod from a clinical trial fits a patient’s particular needs and values. The multiple patient stories that he recounts in this book keeps the pace of the book moving and also provides readers with real life stories of people who have confronted challenging medical problems and how they ultimately were able to obtain the needed medical assistance.

Can Jerome Groopman be my xoctors Medical students still learn, as they did 50 years groopmam, that history-taking is by far the most important clinical skill. Is there one “best” way to think, or are there multiple, alternative styles that can reach a correct diagnosis and choose the most effective treatment?

He carefully delineates how each physician came to their consclusion and this is the type of thinking we need to engage in.

There is little follow up done by the actual grolpman to see how the procedure impacted quality of life, and when follow up is done and the patient hasn’t improved, they are simply told “well, you’re one of the people this treatment doesn’t help”.

How Doctors Think by Jerome Groopman

The case studies he presents show, for the most part, good physicians trying their best, but occasionally blinded by their own small mistakes. So I began to ask my colleagues for answers. My problem was corrected by a series of chiropractic adjustments – no surgery and now I’m pain free and have been for years. 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, where no one therapy was clearly superior to the others.

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The idea for it came to me unexpectedly, on a September morning three years ago while I was on rounds with a group of interns, residents, and medical students. Author information Copyright and License information Disclaimer.

He includes discussions on how radiologists process visual data, how doctors make decisions about prescriptions, how oncologists balance treatments, side effects, patient preference and doctor bias in order to design a treatment plan, how pharmacy companies influence doctor care, etc. Notably, he describes his difficulties with a number of orthopedic surgeons as he sought treatment for a debilitating ligament laxity he suffered in his right hand, which over several years had led to the formation of cysts in the bones of his wrist.

‘How Doctors Think’

The prospect of eliciting, living with, and exploring uncertainty is anxiety provoking for clinicians. They will know what I mean by this when they and might think like I did and get a nice slap when the point of why the problem is elaborated.

Add to this the fact that medicine is a business. After several weeks of unease about the students’ and residents’ reliance on algorithms and evidence-based therapies alone, and my equally unsettling sense that I didn’t know how to broaden their perspective and show them otherwise, I asked myself a simple question: Very similar to malaysian book Diagnosis, what i learnt here are: Doctors, like all of us, are subject to many of the ‘fast thinking’ pattern recognition System 1to use Kahneman’s phrase as all of us.

For that reason, Gtoopman do not troopman into psychiatry in this book.