The same shortcuts that help physicians save lives can also lead to grave errors. Jerome Groopman on the psychology of diagnosis. In this very engaging and well-researched book, Jerome Groopman, a practicing oncologist with expertise in AIDS-related malignancies. In the hands of Jerome Groopman, professor of medicine at Harvard and One of the messages of “How Doctors Think” is that patients need to.

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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. Falchuk had already gotten her medical records, and her internist had told him that Anne’s irritable bowel syndrome was yet another manifestation of her deteriorating mental health. Sherlock Holmes is a model detective, but human biology is not a theft or a murder where all the cues can add up neatly.

Laypeople also should inquire about how time-tested a new treatment is. 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. 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’

During the presentation, Groopman was discussing the importance of compassion and communication in providing medical care when Salem posed the following question:. He is so thoughtful and humble and insightful! He suggests that the poor reimbursement and lack of recognition for primary care physicians is fundamentally flawed. When looking for a thinking doctor, look for 1 Communication 2 Critical reasoning: Can Jerome Groopman be my doctor?


First, the story line of many of the anecdotes culminated in getting a test to finally arrive at the correct diagnosis, often at the insistence of a patient that more be done.

She had gained nearly twelve pounds.

How doctors think

I have long perceived medicine to be an interpretive art, supported by data. In other words, Groopman seems to dictors and reject the exact same thought process based on the success or failure of the outcome. And you make the wrong recommendation, and the patient doesn’t survive. It is an easy read, engaging, and can be shared with family and friends.

In some stories, this resulted in the death of a patient. Moreover, students promptly 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.

Groopman also introduces many unresolved contradictions throughout the book. It was as if Dr.

How Doctors Think

The trunk of the clinical decision tree is a patient’s major symptom or laboratory result, contained within a box. The energy she had mustered for the trip was waning. Hadn’t the doctor spoken with her internist and looked at her records? And it’s close to three thousand. How Doctors Think by Jerome Groopman.

One woman adopted a child from Israel who immediately became very sick and was diagnosed as having an immunity deficiency disease.


This is an autoimmune disorder, in essence an allergy to gluten, a primary component of many grains. The main lessons that I gleaned from the book: To doftors her system, her internist had told Anne to consume three thousand calories a day, mostly in easily digested carbohydrates like cereals and pasta.

How Doctors Think

Oct 06, Ali rated it it was amazing. Doctors take care of people, some of whom have diseases and all of whom have some problem. Not long after Anne Dodge’s visit to Dr.

Trivia About How Doctors Think. Reviewed by Ronald M.

For fifteen years she’d watched it grow from visit to visit. This book is about what doctrs on in a doctor’s mind as he or she treats a patient. Favourite quote and advice: The traditional medical curriculum avoids dealing with internal processes and encourages trainees to concentrate their attention outward.

Using this knowledge, patients can offer a doctor the most vital information about themselves, to help steer him toward the correct diagnosis and gtoopman the therapy they need.

She was taking anti-nausea medication that had greatly reduced the frequency of her vomiting but did not help the diarrhea.