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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‘How Doctors Think’

Today, medicine is not separate from money. She needed to concentrate on what the doctor was saying. Are different forms of thinking more or less prevalent among the different specialties? Medical school admissions committees no longer accept a record of gentlemen’s C’s at an Ivy League college.

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.

Following the introduction are 10 chapters that further establish Dr Groopman’s thesis—offering lessons for physicians, as well as advice for patients, on improving communication to achieve more effective treatment. However, most of his stories are concerned with “false negatives” i. For more book reviews, come visit my blog, Build Enough Bookshelves. Medical students are taught that the evaluation of a patient should proceed in a discrete, linear way: The author intersperses his own observations with interesting details regarding the case of a female patient who was misdiagnosed as having anorexia nervosa with bulimia and irritable bowel syndrome.

Jun 23, Sarah rated it liked it. Dec 17, Katie Bananas rated it it was amazing Shelves: We dial a wrong number, or accidentally put bleach in the washing machine with the jeans, or don’t see the stop sign. Sometimes testing increases uncertainty or does more harm than good. Always ask why a test is being administered. 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.

Lastly, Groopman also touches upon how the current health care system can in some cases create and foster doctor misdiagnoses.


I learned this not as a doctor but when I was sick, when I was the patient. During their conversation, Groopman asks the world-renowned cardiologist about the times in his career when he made mistakes in patient treatment. How should a doctor think? Groopman does an amazing job of making confusing medical words and concepts easy to understand.

Only after all the data are compiled should you formulate hypotheses about what might be wrong.

His groopmxn has a certain droning quality, however, which did nothing to make this sound interesting. At the time of the presentation, Groopman was unable to provide a satisfactory response. This is one book that can definitely improve your health.

Hardcoverpages. He learns from his mistakes. After all that has been explained, the groolman when future problems occurhow the health professionals deal with it in a new “light.

In some ways the book reminded me of “Sway”, which is also about cognitive distortions, but this one was focused particularly on medical issues.

Each morning as rounds began, I watched the students and residents eye their algorithms and then invoke statistics from recent studies.

This made me crazy because he’s trying to note differences in older and younger doctors, and I think a rather substantial difference is that thinj half of younger doctors are female.

Clearly, I missed it [the ranger’s unstable angina] Why do even the most accomplished physicians miss a key clue about a person’s true diagnosis, or detour far afield from the right remedy?

In How Doctors ThinkDr.

How Doctors Think – Wikipedia

It may be that your body can’t digest the food you’re eating, that those three thousand calories are just passing through you, and that’s why you’re down to eighty-two pounds.

In a style familiar to readers of his New Yorker articles, Groopman uses detailed case studies of exemplary physicians to make clear, logical, and compelling arguments.

Good practices and questions for doctors, to check their first impressions from ‘fast thinking’ and move to ‘slow thinking’: Until recently, I confess, I shared that nostalgic sensibility. Sherlock Holmes is a model detective, but human biology is not a theft or a murder where all the cues can add up neatly.

Physicians are open about the way and the analytical methods they use in deliniating the final diagnosis. The book is loosely laid doctofs in the same manner that a physician works through a problem with a patient — the history, the physical exam, the lab tests, the differential diagnosis which is also spread throughout the booktreatment and other factors that may influence a physician with respect to a patient. Misdiagnosis or another diagnosis are possible with same symptom 4.

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For that reason, I do not delve doctods psychiatry in this book. In the end, I am not sure I am that much wiser, but I appreciated that one doctor the aut I really should not have read this book!

Some mistakes have minor consequences; others can be life-changing. Everything was a potential clue, telling him something about not only her physical condition but also her emotional state.

In a later chapter Groopman reports a frank discussion with Dr. There are aspects to human biology and human physiology that you just can’t predict. We need a physician and health care team that has the patient as the leader of the team.

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.

A serious ilness such as cancer can make patient dizzy in making decision, this is where the Dr needs to be straight and true. Second, he suggests cultivating doubt rather than avoiding it. Groopman recalls that in situations where he had been hesitant to take clinical action based on incomplete data, it had been wisest at times to follow the advice of his mentor Dr.

However, instead of the usual perfunctory segue into the main topic, Dr Groopman’s introduction is a page, in-depth exposition on how the practice of medicine is in essence a study in communication. Specifically, he explores their development in the early s of a concept known as the availability heuristic. You hear this kind of criticism — that each new generation of young doctors is not as insightful or competent as its forebears — regularly among older physicians, often couched like this: By continuing to use our website, you are agreeing to our privacy policy.