Groopman draws on a wealth of research, extensive interviews with some of the country’s best doctors, and his own experiences as a doctor and as a patient. After nearly four decades, he has not lost his excitement about caring for patients. We also encounter the tension between his acknowledging uncertainty and the need to take a clinical leap and act. Falchuk intently inspected the creases in her hands, as though he were a fortuneteller reading her lifelines and future. The idea for it came to me unexpectedly, on a September morning three years ago while I was on rounds with a group of interns, residents, and medical students. She was hospitalized four times in 2004 in a mental health facility so she could try to gain weight under supervision. I saw why I found it difficult to teach the trainees on rounds how to think. Dodge was about to refuse, but then Falchuk repeated emphatically that something else might account for her condition. But her body's reaction to gluten resulted in irritation and distortion of the lining of her bowel, so nutrients were not absorbed. We carve out order by leaving the disorderly parts out. Anatomy of Hope. These wistful, aging doctors speak as if some magic that had transformed them into consummate clinicians has disappeared. Falchuk seemed to recognize her confusion. The Library of Congress has cataloged the print edition as follows: Includes bibliographical references and index. If you’re using a PC or Mac you can read this ebook online in a web browser, without downloading anything or installing software. Have other family members suffered from this symptom? Groopman: 9780547053646: Amazon.com: Books Signature Reviewed by Perri KlassI wish I had read this book when I was in medical school, and I'm glad I've read it now. Although we may listen intently to what a doctor says and try to read his facial expressions, often we are left perplexed about what is really going on in his head. Anne thought she had already explained this, that it all was detailed in her records. Anne felt even more confused and fought off the urge to cry. To do so, they need answers to the questions that I asked myself, and for which I had no ready answers. "It's a great triage tool, and is an awesome source for basic medical info, especially for laypeople, I've seen people avoid going to the doctor longer than they should, because online sources made them think they were okay, or they weren't getting the full picture.". It is how we use that information that matters.". Are swollen lymph nodes associated with the sore throat? patients. Prognosis: WebMD, in itself, is actually very useful. His accent is hard to place, and his speech has an almost musical quality. In such cases — the kinds of cases where we most need a discerning doctor — algorithms discourage physicians from thinking independently and creatively. Her internist had told her that Dr. Falchuk was a prominent specialist, that there was a long waiting list to see him. And the way she sat in the waiting room—so still, her hands clasped together—I saw how timid she was. Straight from their own proverbial mouth. After a meal, she would feel as if a hand were gripping her stomach and twisting it. But her boyfriend had stubbornly insisted. At the end of this journey through the minds of doctors, we return to language. Wil Fulton is a staff writer for Supercompressor.com; he's never played a doctor on TV, but would like to one day. The two hematologists Anne had consulted attributed the low blood counts to her nutritional deficiency. Doctors do look up their patients on Google. Cheyanne, V.L. See details. And the way she sat in the waiting room — so still, her hands clasped together — I saw how timid she was." Although she said she was forcing down close to three thousand calories, her internist and her psychiatrist took the steady loss of weight as a sure sign that Anne was not telling the truth. I’ll check it later in your records. There may be something else going on that explains why you can’t restore your weight. I could be wrong, of course, but we need to be sure, given how frail you are and how much you are suffering.". Falchuk heard in the doctor’s recitation of the case the implicit message that his role was to examine Anne’s abdomen, which had been poked and prodded many times by many physicians, and to reassure her that irritable bowel syndrome, while uncomfortable and annoying, should be treated as the internist had recommended, with an appropriate diet and tranquilizers. How Doctors Think: Jerome Groopman: 9780547053646: Amazon.com: Books Signature Reviewed by Perri KlassI wish I had read this book when I was in medical school, and I'm glad I've read it now. We have all asked ourselves exactly what brought him to propose a certain diagnosis and a particular treatment and to reject the alternatives. I was the attending physician on "general medicine," meaning that it was my responsibility to guide this team of trainees in its care of patients with a wide variety of clinical problems, not just those in my own specialties of blood diseases, cancer, and AIDS.
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