The book opens with a discussion of a woman in her thirties who suffered daily stomach cramps and serious weight loss, and who visited some 30 doctors over a period of 15 years. Several misdiagnoses were made before she was finally found to have celiac disease. But the frequency and seriousness of those mistakes can be reduced by "understanding how a doctor thinks and how he or she can think better". 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. 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. Groopman spends a great deal of the book discussing the challenge posed to him by Dr.
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Other editions. Enlarge cover. Error rating book. Refresh and try again. Open Preview See a Problem? Details if other :. Thanks for telling us about the problem. Return to Book Page. How Doctors Think by Jerome Groopman. 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 a On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. 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.
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. Get A Copy. Hardcover , pages. Published March 19th by Houghton Mifflin Harcourt first published More Details Original Title.
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Rating details. More filters. Sort order. Start your review of How Doctors Think. Jan 25, Kirsti rated it really liked it Shelves: nonfiction , science.
Is it possible that I left out something important that I don't realize is important? What about a false negative rating? Do you want to call or e-mail me, or should I schedule another appointment? Sad but true. Doctors notice an apparent refusal to follow diet, exercise, and medication regimes but do not always realize that other factors such as illiteracy may be the reason for noncompliance. Excellent and thoughtful book, but I subtracted one star for a minor problem: Dr.
Groopman always uses "he" when referring to doctors in general. 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 about half of younger doctors are female.
Also, many of the most successful and thoughtful doctors he interviews are female. He refers to patients in general as "they. View all 15 comments. Everyone needs to be their own advocate for their health care. A good first step is to understand how doctors think, and that's what this book attempts to do. The book generally focuses on the problem of incorrect diagnoses. Following each example of incorrect diagnosis there is an analysis of the reasons why the errors were made. Then the authors suggests ways doctors and patients can avoid similar problems in the future.
There are numerous ideas and suggestions for patients to use in improving Everyone needs to be their own advocate for their health care. There are numerous ideas and suggestions for patients to use in improving their chances of being correctly diagnosed.
Generally speaking my reaction to most of the examples in the book was that the docors are human, and they can slip up occasionally. Incidentally, that's about the same rate of accuracy as modern weather forecasting. What I was most alarmed to learn about was how inaccurate radiologist and pathologists were. After hearing the accuracy rates for those professions, I think it to be unwise to allow a serious operation be performed based upon the test results reported by a single radiologist or pathologists.
The author is a doctor himself. 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 lost count, but I think he visited about six different specialists trying to find a solution to the problem.
I noticed that his wife, who's also a doctor, insisted on coming along to some of the visits with doctors to make sure her husband would ask the corrrect questions. He used his medical connections to get in to see what are considered to be the top experts in the nation, and even he was unhappy with the way he was treated.
If he wasn't happy, imagine what happens to the rest of us. However, if he had gone forward with about 4 of the 6 proposed operations, the result would have either been no improvement or maybe ending up in a worse condition. But most doctors get most diagnoses right most of the time. The questions Groopman asks are crucial: What assumptions do doctors make about patients that lead to misdiagnoses? And what can you, the patient, do to help your doctor think clearly and avoid fatal jumps to conclusions?
This is one book that can definitely improve your health. View all 11 comments. Dec 22, Ali rated it it was amazing Recommends it for: medical students, patients, physicians. How Doctors Think by Jerome Groopman, is a book that explores the topic of the manner by which physicians are taught to think, how they arrive at correct and incorrect diagnoses and how the personality of the physician, the patient and the interaction between the two can affect the diagnosis and treatment.
The book is loosely laid out 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 al How Doctors Think by Jerome Groopman, is a book that explores the topic of the manner by which physicians are taught to think, how they arrive at correct and incorrect diagnoses and how the personality of the physician, the patient and the interaction between the two can affect the diagnosis and treatment.
The book is loosely laid out 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 book , treatment and other factors that may influence a physician with respect to a patient.
The first time was during my second year of medical school and I re-read my review of it, remembering how confusing just the process of arriving at a differential diagnosis can be. Last year when I read the book, I read it almost as a patient more than a physician. Now, in the middle of my third year of medical school, I understand more about the process of arriving at a differential diagnosis and the book had significance to me in a way it did not before.
I think that this discounts the importance of psychological problems — seeing them as a catch-all for things that the physician cannot explain — and creates a rift between the patient and physician where the physician, failing to diagnose the patient, turns to psychiatry. I also thing that he did not take into account one major thing — disbelief of the patient.
It is rampant. Not always, though. I saw an intern groan and moan about this patient who had a number of complaints and appeared to be annoying her — the patient turned out to have metastatic colon cancer. I think that this plays a large role in the patient — physician interaction and should be studied more closely. I loved this book, I hope he writes more. I plan to read it again in a few years. View 2 comments.
Jul 28, Lilo rated it it was amazing Recommends it for: everyone who has a body. Shelves: science , health , medicine , memoir. Unfortunately, I presently have no time to write a proper review of this outstanding book. So I just say that it is one of the most fascinating, and maybe, THE most fascinating medical book I have ever read. This book was written for doctors AND patients. So yesterday, I gave a copy of this book to my primary care physician.
I did this for altruistic AND for selfish reasons. If you want to do yourself a favor, please read this book, buy extra copies to make them presents for your loved ones, and l Unfortunately, I presently have no time to write a proper review of this outstanding book.
What’s the Trouble?
In How Doctors Think , Groopman analyzes how physicians come to make diagnostic and treatment decisions, and how this process can be improved upon. He approaches this in a case-based manner, by way of analyzing mistakes made in diagnosis and treatment. In each chapter, Groopman presents cases in which particular diagnoses were arrived at in error, often by separate, but not always independently thinking, physicians. He also presents cases in which difficult diagnoses were arrived at correctly, drawing attention to the important differences between the cognitive processes at play in each case and the resultant outcome. By doing this, Groopman highlights several types of common cognitive errors made by physicians.
Where Does It Hurt?
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How Doctors Think
This elegant, tough-minded book recounts stories about how doctors and patients interact with one other. In the hands of Jerome Groopman, professor of medicine at Harvard and a staff writer for The New Yorker, these clinical episodes make absorbing reading and are often deeply affecting. At the same time, the author is commenting on some of the most profound problems facing modern medicine. Historically, medical education has regarded communication skills with an indifference that approaches contempt.