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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Nutritionists closely monitored her daily caloric intake.

Here algorithms are essentially irrelevant and statistical evidence is absent. The intense nausea, the urge to vomit, the cramps and diarrhea that followed breakfast, lunch, and dinner as she struggled to fill her stomach with cereal, bread, and pasta had all abated. Anne lost her appetite and had to force herself to eat; then she’d feel sick and quietly retreat to the bathroom to regurgitate.

I could be wrong, of course, but we need to be sure, given how frail you are and how much you are suffering. Thinnk difficult cases discussed were difficult only because no one took the time to set aside prior assumptions and truly listen. This chapter is worth a read, and it’s unfortunate that it appears near the end of the book.

What distinguished my learning from the learning of my young trainees was the nature of the deficiency, the type of flaw. Insurance companies have found it particularly attractive in deciding whether groopjan approve the use of certain diagnostic tests or treatments. Doctofs 06, Ali rated it it was amazing. Groopman discusses occur because of this interplay between emotions and information. Retrieved from ” https: Besides doctofs examples of mistakes made by physicians, Dr Groopman also covers various thiink areas of concern related to the book’s subject matter.

In sum, when and why does thinking go right or go wrong in medicine?


How Doctors Think by Jerome Groopman

Some of my comments and lessons from the book. Maybe one day she would be, as she put it, “whole” again.

This book will help you engage more effectively in the doctor-patient relationship. Key questions to ask: It is a must read for everyone! That philosophy has always served me well. The solution is “informed choice,” a comprehensive understanding of the risks and benefits of all available doctprs, which also encompasses an understanding of how different doctors think and how factors like money, personal bias, and tradition influence that thinking.

We all have our stories of healthcare, and this book will give us more insight into the ‘whys and wherefores’ of our physicians’ thought processes. How does a doctor think when he is forced to improvise, when confronted with a problem for which there is little or no precedent? It may be that your body can’t digest the food you’re eating, that those three thousand calories are just passing through you, and that’s why you’re down to eighty-two pounds.

They can also gauge his emotional temperature. In other words, Groopman seems to praise and reject the exact same thought process based on the success or failure of the outcome. His calm made it seem as though he had all the time in the world. Jun 25, Karen rated it really liked it Shelves: Therapy of mental illness is a huge field unto itself that encompasses various schools of thought and theories of mind.

Groolman of all, I should say that I’m a doc.

The beauty of this book is that Groopman clearly listens. Can I tell you the story again from the beginning?

‘How Doctors Think’

The physician then explained: By Jerome Groopman, MD. She steeled herself for yet another somber lecture on how she had to eat more, given her deteriorating condition.

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. There are aspects to human biology and human physiology that you just can’t predict. J Am Osteopath Assoc ; 8: Medical students are taught that the evaluation of a patient should proceed in a discrete, linear way: That industry is a vital one; goopman it, there would be a paucity of new therapies, a slowing of progress.


I plan to read it again in a few years. Do we need to repeat tests or blood work? Recently there have been great clinical successes against types of cancers that were previously intractable, but many malignancies remain that can be, at best, only temporarily controlled.

We dial a wrong number, or accidentally put bleach in the washing machine with the jeans, or don’t see the stop sign. Jay Katza clinical instructor at Yale Law School has since termed these coping mechanisms under the rubric ‘disregard of uncertainty’, which he believes physicians develop to deal with the anxiety of shifting from the certainty of theoretical discussions of medicine early in their training to its more happenstance practical application. Groopman closes with an epilogue giving advice for patients.

There are numerous ideas and suggestions for patients to use in improving Everyone needs to be their own advocate for their health care. The multiple patient stories that he recounts in this book keeps the pace of the book moving and also provides readers with real life stories of people who have confronted challenging medical problems and how they ultimately were able to obtain the needed medical assistance. Her primary care doctor had opposed the trip, arguing that Anne’s problems were so long-standing and so well defined that this consultation would be useless.

Jan 01, Greg rated it it was amazing Shelves: