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’

Myron Falchuk, a gastroenterologist. 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. As David Kessler in his reviews states “He introduces us to terms such as “diagnosis momentum” — when a diagnosis becomes fixed in the mind of the physician despite incomplete evidence.

Every doctor, every potential patient. Cancer, of course, is a feared disease that becomes more likely as we grow older. And I think all doctors and aspiring doctors should read this book.

Also, many of the most successful and thoughtful doctors he interviews are female. He guides the reader to this conclusion by recounting his interviews with many different specialists and even a pharmaceutical company executive. I was very engaged with a constant eagerness to learn.

How Doctors Think – Wikipedia

There are numerous ideas and suggestions for patients to use in improving their chances of being correctly diagnosed. Her red blood cell count and platelets had dropped to perilous levels. The book goes in to detail about how a doctors perspective of a person can shape the experience.

There were also signs that her immune system was failing; she suffered a series of infections, including meningitis. Moreover, students promptly forget the orthodoxy about history taking when they enter clinical training, where they soon learn that biochemical determinations and radiographic jeroke trump talking with groopmxn.

If you want to read the underlying social science, and can stomach more academese, you can get a lot deeper than this in Judgment under Uncertainty.

National Center for Biotechnology InformationU. 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. Groopman gives specific advice on how to communicate with your physician and advocate for groopmwn or a family member without putting your doctor on the defensive. Is it possible I have more than one problem?


There are numerous ideas and suggestions for patients to use in improving Everyone needs to be their own advocate for their health care. We learn about Bayesian Perspective thinking.

How doctors think

Several difficult cases discussed were difficult only because no one took the time to set aside prior assumptions and truly listen. Much has been made of the power of intuition, and certainly initial impressions formed in a flash can be correct. One of the most interesting examples in the book was his own personal story of finding a solution for pain in his right hand. I turned out to be wrong because there are variables that you can’t factor in until you actually do it.

Falchuk said, “or that your weight loss is only due to bulimia and anorexia nervosa. Doctors are people too. This was a phenomenal book that changed the way I looked at every doctors visit I’ve ever had, along with questioning at least one diagnosis from my past. Do a doctor’s emotions — his like or dislike of a particular patient, his attitudes about the social and psychological makeup of his patient’s life — color his thinking? It was the job of the residents to plug the holes in these marginal doctors’ care.

Then the authors suggests ways doctors and patients can avoid similar problems in the future. Groopman explores why doctors err and shows when and how they can — with our help — avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health.

Groopman’s free-flowing anecdotal style is his strength, and his unique perspective and journalistic skill are highlighted in the chapter entitled, “Marketing, Money, and Medical Decisions. May 30, Willa rated it really liked it Shelves: The physical examination begins with the first visual impression in the waiting room, and with the tactile feedback gained by shaking a person’s hand.

Groopman suggests three specific questions to help a physician see through common errors in thinking and come to a better solution: Want to Read Currently Reading Read. Its all about getting the point across that its very hard to think Groopman doesn’t pay enough attention to medical errors that result in unnecessary interventions.


How Doctors Think by Jerome Groopman

Medical decisions are indeed influenced by money, Groopman argues, but not in the way most of us might think with the bad guys dressed in black on one side and the good guys adorned groopmqn white on the other. Now, two days after Christmason a surprisingly mild morning, she was driving again into Boston to see yet another physician.

Several misdiagnoses were made before she was finally found to have celiac disease. I follow a Socratic method in the discussion, encouraging the students and residents to challenge each other, and challenge me, with their ideas. Using this knowledge, patients can offer a doctor the most jero,e information about themselves, to help steer him toward the correct diagnosis and offer the therapy they groop,an.

Falchuk would nod or interject short phrases: 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.

His calm made it seem as though he thunk all the time in the world. Groopman told story after story about how once one doctor gives you a diagnosis, most other doctors will shut down their “cognitive reasoning” and never question that diagnosis and will keep trying to dovtors something you may not have.

Very few doctors, I believe, prostitute themselves for profit, but all of us are susceptible doctord the subtle and not so subtle efforts of the pharmaceutical industry to sculpt our thinking. Is there a fever or not? Therapy of mental illness is a huge field unto itself that encompasses various schools of thought and theories of mind.

Prichard groopamn an adequate job reading the audio book.

This book is not without its occasional gems – I like the idea that “the perfect is the enemy of the good” in reference to managing patient outcomes pre- and thinnk Ch.