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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The best doctors, he shows, have learned what guides Dr.

How Doctors Think – Wikipedia

These children developed right heart failure and clinically they became worse. It has some reasonable suggestions for being aware of one’s limitations and trying to compensate for predictable lapses. For example, he criticizes the use of patient templates versus traditional open-ended questioning in reaching a diagnosis because the former tends to restrict a doctor’s ability to reason Ch. How does a doctor think when he is forced to improvise, when confronted with a problem for which there is little or no precedent?

She steeled herself for yet another somber lecture on how she had to eat more, given her deteriorating condition. He also confirms and explains the necessity of seeking second opinions or for very difficult diagnoses, two, three or four doctors!

How Doctors Think by Jerome Groopman

I also realized that we must always questioned ourselves even if we have achieve a great deal of knowledgethere will be always something to learn! Have other family members suffered from this symptom? Now she had a new chance to restore her health. Until recently, I confess, I shared that nostalgic sensibility. The heuristics stuff is not terribly novel — it seems to derive from a very minimal reading of Kahneman and Tversky. Is there another physician or center that would have jerime insight into my problem?


JudyAnn Bigby is a compact woman with a round face, alert eyes, and a lilting, almost musical voice that often breaks into laughter. The mechanisms to cope that Fox observed included, for example, black humortbink 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.

‘How Doctors Think’

Her clasped hands tightened. Trivia About How Doctors Think.

Is it possible that I left out something important that I don’t realize is important? The more cereal and pasta she added to her diet, the more her digestive tract gropoman damaged, and even fewer calories and essential vitamins passed into her system. You need to work with them and force them to communicate their thinking. A must reading book for both patients and doctors! He takes phrases patients often hear, such as “we see this sometimes” and puts forth the idea that such generic comments deserve further questioning from the patients.

Whether the reader agrees or disagrees with Dr Groopman’s points, his book provides interesting reading and cogitation—as well as an excellent opportunity for introspection for physicians. I read this book after having a fascinating experience this spring with traditional Chinese medicine TCMin which my acupuncturist solved a medical mystery for which Western medicine had 0 answers.

Anne also had severe osteoporosis. Just a moment while we sign you in to your Goodreads account. Using many examples of this sort, including some from his own life, Dr Groopman This book was primarily about habits of thinking that can lead a doctor to misdiagnose a case or miss clues that make a difference in treatment.

His unstable angina did not show up on the cardiac enzymes because there wasn’t yet injury to the heart muscle, and it didn’t show up on the chest x-ray because the heart had not yet begun to fail to pump blood, so there was no fluid backup into the lungs.


If he wasn’t happy, imagine what happens to the rest of us. Many female physicians are reading your book. Groopman discusses errors in thinking physicians make, and offers suggestions to work around them.

We’ve all wondered why a doctor asked certain questions, or detoured into unexpected areas when gathering information about us. How Doctors Think by Jerome Groopman. Doctrs from ” https: Dec 17, Katie Bananas rated doctrs it was amazing Shelves: All this has made him particularly sensitive to language, its nuances and power.

Facebook Twitter Flipboard Email. His voice has a certain droning quality, however, which did nothing to make this sound interesting. The problem was uow an imbalance of the sort that isn’t even in the Western lexicon. March 15, The more that physicians develop personal awareness, the more likely they will develop the resources to listen, connect, and tuink to, their patients’ experiences.

When thinkk for a thinking doctor, look for 1 Communication 2 Critical reasoning: Many people do not realize “how strongly a doctors mood and temperament influence his medical judgement” Groopman 8.

He proposed more blood tests, which were simple enough, but then suggested a procedure called an endoscopy. 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.

Three major themes run throughout the book, and each is presented with several variations. Nutritionists closely monitored her daily caloric intake.

Each cognitive error constrains the pursuit of gropman, and correcting the error helps the doctor think of a test or procedure that he didn’t previously consider and can make the diagnosis” p.