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:*. The same shortcuts that help physicians save lives can also lead to grave errors. Jerome Groopman on the psychology of diagnosis. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors.

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In a clinical situation a diagnosis may be made because the physician often sees similar cases in his practice — for example, the misclassification of aspirin toxicity as a viral pneumoniaor the improper recognition of an essential tremor as delirium tremens due to alcohol withdrawal in an indigent urban setting.

Arrows branch from the first box to other boxes. Using many examples of this sort, including some from his own life, Dr Groopman shows how prejudgments, high case loads, and other things can lead to erroneous thinking.

How doctors think

How Doctors Think is organized around a series of interviews of physicians mostly in a var How Doctors Think s is a smart yet accessible book that could be usefully read by patients and their families, as well as by physicians who thonk to become more effective at their job.

But few of us realize how strongly a physician’s mood and temperament influence his medical judgment.

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. Do we need to repeat tests or blood work? It takes a half decent idea from the social sciences in this case, that heuristic reasoning is essential for managing very complex environment, but that heuristics have predictable failings.

Pages to import images to Wikidata. This book was written with that goal in mind. He also spent a long time examining her nails, on both her hands and her feet. Or “availability,” which means the tendency to judge the likelihood of a medical event by the ease with which relevant examples come to mind.

Only after the attending physician pushed the interns treating him to consider other options was it discovered that he had a rare condition called Wilson’s disease. Thanks for telling us about the problem. People used to doing complicated things usually do complicated things in simple situations–for example, ordering tests or x-rays when waiting a few days might suffice–thus overtreating people with simple illnesses and overlooking the clues about other problems that might have brought the patient to the doctor.


The questions Groopman asks are crucial: Falchuk did something that caught Anne’s eye: Falchuk, she said that he’d given her the greatest Christmas present ever. After all, checklists developed at Cook County hospital improved the overall accuracy of diagnosis of chest pain there. Although intended for the general public, the book offers clinicians an irresistible promise of self-understanding, and in many ways succeeds.

Because doctors desperately need patients and their families and friends to help them think. Doctors automatically assume the problem is associated with drugs or alcohol and jump to conclusions.

Physicians make dozens, if not hundreds, of decisions a day, many significantly affecting the health and life of others; but in spite of the stakes, it would be unrealistic to expect perfection on every single one. 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.

Recently there have been great clinical successes against types of cancers that were previously intractable, but many malignancies remain that can be, at best, only temporarily controlled. Incidentally, that’s about the same rate of accuracy as modern weather forecasting. They will know what I mean by this when they and might think like I did and get a nice slap when the point of why the problem is elaborated.

‘How Doctors Think’ : NPR

Cogent doctosr judgments meld first impressions — gestalt — with deliberate analysis. After surveying the significance of a doctor’s words and feelings, the book follows the path that we take when we move through today’s medical system. Specialists take care of difficult diseases, so, of course, they will naturally do a good job on simple diseases.

And in cases like Anne’s, of course, the specialist had a diagnosis on the referral form from the internist, confirmed by the multitude of doctors’ notes in her records. Jun 23, Sarah rated it liked it. She grew up in a small town in Massachusetts, one of four sisters. It is an easy read, engaging, and can be shared with family and friends. His ideas that the way physicians think result in the treatment and care for each and every one of us.


Falchuk intently inspected the creases in her hands, as though he were a fortuneteller reading her lifelines and future.

How Doctors Think by Jerome Groopman

Dec 22, Ali rated it it was amazing Recommends it for: And by doing so, he saved her life, because for fifteen years a key aspect of her illness had been missed. She thin seen many doctors but nothing seemed to be working.

Once groopnan to be rare, the malady, also called celiac sprue, is now recognized more frequently thanks to sophisticated diagnostic tests. Do you want to call or e-mail me, or should I schedule another appointment? Support Center Support Center.

This might have given readers a more complete picture of the intersection of medicine and finances. This book will help you engage more effectively in the doctor-patient relationship. He also talks about how physician lore and influence This was a hkw book that changed the way I looked at every doctors visit I’ve ever had, along with questioning at grokpman one diagnosis from my past. Specific chapters deal with errors in primary care, where you are looking for the one sick patient in the sea of healthy ones every day, to errors in very specific subspecialities such as pediatric cardiology, where we must not forget we are making some of this up as we go along, as each patient is unique and requires a specialized treatment plan.

Author information Copyright and License information Disclaimer. Read the epilogue if you want a great summary–it reviews how to help your physician come to the best diagnosis.