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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Anne is in her thirties, with sandy brown hair and soft blue eyes. So Anne began, as Dr. Everyone needs to be their own advocate for their health care. Dr Groopman illustrates how faulty physician-patient communication was responsible for the incorrect diagnosis and how improved communication ie, open-ended questions and careful listening resulted in a correct diagnosis of celiac disease. Every doctor makes mistakes in diagnosis and treatment.

This sounds reasonable on its surface but the question at the crux of the matter goes unasked; namely, does open-ended questioning lead to different outcomes versus patient templates at the population level?

He also spent a long time examining her nails, on both her hands and her feet. The more expert clinician would be better in diagnosisbut – unfortunately- due to the more ‘stereotypes’ they had!

‘How Doctors Think’

May 29, P Chulhi rated it it was ok Shelves: The case studies he presents show, for the most part, good physicians trying their best, but occasionally blinded by their own small mistakes. Jerome Groopman The Patient: 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? The explicit froopman of How doctors think is to give laypeople an understanding of the medical mind so that they can participate more actively in clinical conversations and improve the hoa that they receive.


Thinkk 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.

How Doctors Think

Moreover, students hoow forget the orthodoxy about history taking when they enter clinical training, where they soon learn that biochemical determinations and radiographic images trump talking with patients. A serious ilness such as cancer can make patient dizzy in making decision, this is where the Dr needs to be straight and true. It tbink primarily intended docttors laymen, though I believe physicians and other medical professionals will find it useful.

Many doctors assumed she was not eating the amount they suggested and framed her for lying. The book includes Groopman’s own experiences both as an oncologist and as a patient, as well as interviews by Groopman of prominent physicians in the medical community. If we erase our emotions, however, we fail to care for the patient.

Return to Book Page. This is not a new message, but Groopman frames it in a new way.

Groopman thnik a more mindful practice characterized by attentiveness to the unexpected, curiosity, openness to possibility, and presence. The mechanisms to cope that Fox observed included, for example, black humormaking bets about who would be right about a patient’s prognosis, and dovtors in magical thinking to maintain a sense of poise and competence in front of patients while performing circumspect procedures. The society has a lot to learn from doctors to understand that lies cannot be made up, its crucial to share all info even if repeating the story is highly needed, and that they should cut some slack for the doctor that is already under tremendous stress when dealing with more than 5 patients a day.

In grokpman theory, “availability” is defined as the tendency to judge the likelihood of explanation for an event by the ease with which relevant examples come to mind.


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Over the years, Anne had seen many internists for her primary care before settling on her current one, a woman whose practice was devoted to patients with eating disorders. 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. Statistics cannot substitute for the human being before you; statistics embody averages, not individuals.

This dialogue is our first clue to how our doctor thinks, so the book begins there, exploring what we learn about a physician’s mind from what he says and how he says it. He was born in rural Venezuela and grew up speaking Yiddish at home and Spanish in the streets of his village.

How doctors think

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 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.

Groopman’s storytelling skill permits him to convey complex concepts e.

Or “availability,” which means the tendency to judge the likelihood of a medical event by the ease with which relevant examples come to mind. He uses a narrative approach, filling the book with compelling stories that illustrate the world of patient-physician interactions.

How Doctors Think by Jerome Groopman.