How Doctors Think

How Doctors Think

Book - 2007
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On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong -- with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. 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. This book is the first to describe in detail the warning signs of erroneous medical thinking and reveal how new technologies may actually hinder accurate diagnoses. How Doctors Think offers direct, intelligent questions patients can ask their doctors to help them get back on track.

Groopman draws on a wealth of research, extensive interviews with some of the country's best doctors, and his own experiences as a doctor and as a patient. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems.

How Doctors Think reveals a profound new view of twenty-first-century medical practice, giving doctors and patients the vital information they need to make better judgments together.
Publisher: Boston : Houghton Mifflin Co., 2007
ISBN: 9780618610037
0618610030
Characteristics: 307 p. : ill

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TheMadTabby
Dec 20, 2012

Excellent book, my only issue with it is that it's American based and some of the options he gives to patients (like switching doctors) is just impossible in our region.

f
floy
Oct 24, 2011

This book is important to all patients; it could make a real difference in your life. The author, a physician himself, critiques the way doctors often think. He estimates that 15% of diagnoses are wrong and that thinking more creatively, and one patient at a time, might help doctors diagnose better. He writes that doctors tend to disregard what conflicts with their diagnosis; they pay attention to what confirms their diagnosis, not what contradicts it. They feel a need to do something so they hurry a diagnosis. They rely on the judgement of other doctors instead of looking at the patient and the data independently. The author emphasizes the need for mutual respect between doctor & patient. If the doctor doesn't like you, your treatment may be affected. The vast majority of doctors, when surveyed, said they would instantly change doctors if they didn't like the doctor or felt the doctor didn't like them; that's how important compatability is. Also, medical school training overemphasizes using a matrix to determine diagnosis and that is not always the best way. Often doctors perpetuate whatever orthodoxy they were taught, even when there is evidence an alternative might be preferred. Radiologists disagree with each other's judgements 20-30% of the time. They disagree with themselves, when they look at an x-ray a second time, 5-10% of the time. Modern medical practice is increasing the pressure to see more & more patients, each one getting less & less attention. Obviously 2nd opinions are useful. In addition, patients & family can ask questions to assure better care. Ask the doctor: What's the worst thing that it could be? What organs are near the problem area? What else could be causing the problem? Is there any symptom or test result that doesn't fit with the diagnosis? Is it possible there could be multiple causes or problems? These questions will help the doctor think outside the box and hopefully provide better care. It's a good book that every patient and every doctor should read.

s
sanspeur
Feb 16, 2010

Research-backed insight into doctors' diagnostic processes. A must-read for physicians and patients alike.

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