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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I examine how doctors think under these conditions, how hos judgments and serious cognitive errors are made under the time pressures of the ER. The first theme is that doctors who don’t listen to their patients are likely to make serious mistakes in diagnosis and treatment.

‘How Doctors Think’ : NPR

Ultimately, following the branches to the end should lead coctors the correct diagnosis and therapy. For example, a common symptom like “sore throat” would begin the algorithm, followed by a series of branches with “yes” or “no” questions about associated symptoms. Quotes from How Doctors Think. The woman did not find the diagnosis convincing and thino much research on her own.

Atul Gawande Finally, Dr. Jan 01, Greg rated it it was amazing Shelves: The general odctors of the book was that by being aware of the possibilities for fuzzy thinking, a patient can become more of a participant in his own care.

It then illustrates this with a bunch of stories of touching stories of First of all, I should say that I’m a doc. Thanks for telling us about the problem. Is there a fever or not? It confirmed all of my worst assumptions about doctors – how little they know, how so many grooppman can influence their diagnoses and approaches, how visiting 5 different doctors may yield 5 different perspectives. The more cereal and pasta she added to her diet, the more her digestive tract was damaged, and even fewer calories and essential vitamins passed into her system.

How Doctors Think

Jul doctorz, Emma rated it it was amazing. March 15, Prichard does an adequate job reading the audio book. Then the authors suggests ways doctors and patients can avoid similar problems in the future.


The physician then explained: There were patients on our ward with pneumonia, diabetes, and other common ailments, but there were also some with symptoms that did not readily suggest a diagnosis, or with maladies for which there was a range of possible treatments, where no one therapy was clearly dctors to the others.

For a long moment Anne sat mute, still searching for the date.

How doctors think

If How Doctors Think has one limitation, it is that Groopman tends to assume that wrong decisions were necessarily “bad” decisions.

Laypeople also should inquire about how time-tested a new treatment is. What I’m left to wonder is what distinguishes this young doctor’s “insight” from the myriad of doctors who employ gfoopman similar thought processes but arrive at wrong diagnoses. And I think all doctors and aspiring doctors should read this book. Anne felt a bit perplexed but didn’t ask him why he was doing this.

‘How Doctors Think’

His calm made it seem as though he had all the time in the world. Could there be more than doctosr issue going on here? She was exhausted from endless evaluations. The traditional medical curriculum avoids dealing with internal processes and encourages trainees to concentrate their attention outward. The chapter “A New Mother’s Challenge” was probably one of the best examples of how and why doctors err and how t A must read for every doctor who practices medicine and for those patients who forget that doctors are practicing medicine and make errors in judgment and he explains why these mistakes are made in a very very entertaining way.

It is difficult to forget the misfortunes of some patients. Similarly, a laboratory test like a throat culture for bacteria would appear farther down the trunk groopkan the tree, with branches based on “yes” or “no” answers to the results of the culture. Jan 21, Imene Gouichiche rated it it was amazing. However, if he had gone forward hpw about 4 of the 6 proposed operations, the result would have either been no improvement or maybe ending up in a worse condition.

Several doctors and a pharmaceutical executive speak with great candor about the reach of drug marketing, about how natural aspects of aging are falsely made into diseases, and how patients can be alert to this. 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.


After fifteen years of struggling to get better, she had begun to lose hope. How a doctor thinks about a person or their opinion on someone can easily lead to a mistake in diagnosis or treatment. I would have liked him to have written more about the influence of insurance companies, an area barely touched on, and about finances. For example, he criticizes the use of patient templates versus traditional yroopman questioning in reaching a diagnosis because the former tends to restrict a doctor’s ability to reason Ch.

This approach is hardly practical for busy clinicians and, in fact, often can lead experts astray.

One of the most common cases of this is when someone who appears to be homeless comes into the E. Besides discussing examples of mistakes made by physicians, Dr Groopman also covers various other areas of concern related to the book’s subject matter. Falchuk is a compact man in his early sixties with a broad bald pate and lively eyes.

Jun 25, Karen rated it really liked it Shelves: One should not confuse highly technical, even complicated, medical knowledge–special practical knowledge about an unusual disease, treatment, condition, or technology–with the complex, many-sided worldly-wise knowledge we expect of the best physicians.

But today’s rigid reliance on evidence-based medicine risks having the doctor choose care passively, solely by the numbers.

For that reason, I do not delve into groopmab in this book. Falchuk, she said that he’d given her the greatest Christmas present ever.

The solution is “informed choice,” a comprehensive understanding of the risks and benefits of all available treatments, which also encompasses an understanding of how different doctors think and how factors like money, personal bias, and tradition influence that thinking. Many people do not realize “how strongly a doctors mood and temperament influence his medical judgement” Groopman 8.

This is a reasonable assumption in many situations.