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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He uses a narrative approach, filling the book with compelling stories that illustrate the world of patient-physician interactions. 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. There, doctors often do not have the benefit of knowing us, and must work with limited information about our medical history.

Hope and Medicine Nov. During their conversation, Groopman asks the world-renowned cardiologist about the times in his career when he made mistakes in patient treatment. Lastly, Groopman also touches upon how the current health care system can in some cases create and foster doctor misdiagnoses. One member of the team first presents the salient aspects of the case and then we move as a group to the bedside, where we talk to the patient and examine him.

‘How Doctors Think’

He gave her antacids. However, after many tests ordered by Redelmeier, it was discovered that the man had Wilson’s disease. Your wife is a physician and female. What else could it be?

Let’s talk about the past months. Each of the chapters in How Doctors Think contains one or more such intriguing accounts of misdiagnosed or incorrectly treated patients.

Groopman also introduces many unresolved contradictions throughout the book. 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. The mechanisms to cope that Fox observed included, for example, black humormaking bets about who would be right about a patient’s prognosis, and engaging in magical thinking to maintain a sense of poise and competence in front of patients while performing circumspect procedures.


I think that this plays a large role in the patient — physician interaction and should be studied more closely.

What distinguished my learning from the learning of my young grroopman was the nature of the deficiency, the type of ggroopman. Its all about getting the point across that its very hard to think Kahneman won the Nobel Prize in economics in for his work on heuristicsan honor that Groopman believes Tversky would have shared doctorz he not died in Groopman explores why doctors err and shows when and how they can — with our help — avoid snap judgments, embrace uncertainty, communicate effectively, and doctprs other skills that can profoundly impact our health.

As patients, we expect our doctors to be infallible. 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? Now she was tumbling forward, swept along as she had been as a child on Cape Cod when a powerful wave caught her unawares. It would take time, she said, to rebuild not only her body but her mind. Several misdiagnoses were made before she was finally found to have celiac disease.

His voice has a certain droning quality, however, which did nothing to make this sound interesting. Goodreads helps you keep track of books you want to read.

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 hkw Groopman details attribution error in the case of an unkempt seventy-three-year-old patient with alcohol on his breath.

As she spoke, Dr.

How Doctors Think

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. 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 re This is an excellent read, both for physicians and those in medicine, and for patients.


I would have liked him to have written more about the influence of insurance companies, an area barely touched on, and about finances. The idea for it came to me unexpectedly, on dotors September morning three dlctors ago while I was on rounds with a group of interns, residents, and medical students.

After fifteen years of struggling to get better, she had begun to lose hope.

It has some reasonable suggestions for being aware of one’s limitations and trying to compensate for predictable lapses. The Nature of Primary Care Medicineto defend his assertion:. Doctors automatically assume the problem is associated with drugs or alcohol and jump to conclusions.

How Doctors Think by Jerome Groopman

Medicine is, at its core, an uncertain science. His ideas that the way physicians think result in the treatment and care for each and every one of us.

The book begins with a description of a woman with abdominal symptoms who for years was diagnosed with a series of functional and mental disorders, including bulimia. But Groopman well illustrates this point through research, anecdote and personal experience–including his own as both doctor and patient.