How Doctors Think

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How Doctors Think

Author : Jerome Groopman
Publisher : HarperCollins
Page : 325 pages
File Size : 44,9 Mb
Release : 2008-03-12
Category : Medical
ISBN : 9780547348636

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How Doctors Think by Jerome Groopman Pdf

On average, a physician will interrupt a patient describing her symptoms within eighteen seconds. In that short time, many doctors decide on the likely diagnosis and best treatment. Often, decisions made this way are correct, but at crucial moments they can also be wrong—with catastrophic consequences. In this myth-shattering book, Jerome Groopman pinpoints the forces and thought processes behind the decisions doctors make. Groopman explores why doctors err and shows when and how they can—with our help—avoid snap judgments, embrace uncertainty, communicate effectively, and deploy other skills that can profoundly impact our health. 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 offers direct, intelligent questions patients can ask their doctors to help them get back on track. 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. He has learned many of the lessons in this book the hard way, from his own mistakes and from errors his doctors made in treating his own debilitating medical problems. 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.

How Doctors Think

Author : Kathryn Montgomery
Publisher : Oxford University Press
Page : 258 pages
File Size : 48,5 Mb
Release : 2006
Category : Medical
ISBN : 9780195187120

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How Doctors Think by Kathryn Montgomery Pdf

"Although physicians make use of science, this book argues that medicine is not itself a science, but rather an interpretive practice that relies heavily on clinical reasoning." "In How Doctors Think, Kathryn Montgomery contends that assuming medicine is strictly a science can have adverse effects. She suggests these can be significantly reduced by recognizing the vital role of clinical judgment."--BOOK JACKET.

What Doctors Feel

Author : Danielle Ofri, MD
Publisher : Beacon Press
Page : 267 pages
File Size : 45,5 Mb
Release : 2013-06-04
Category : Medical
ISBN : 9780807073339

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What Doctors Feel by Danielle Ofri, MD Pdf

“A fascinating journey into the heart and mind of a physician” that explores the doctor-patient relationship, the flaws in our health care system, and how doctors’ emotions impact medical care (Boston Globe) While much has been written about the minds and methods of the medical professionals who save our lives, precious little has been said about their emotions. Physicians are assumed to be objective, rational beings, easily able to detach as they guide patients and families through some of life’s most challenging moments. But understanding doctors’ emotional responses to the life-and-death dramas of everyday practice can make all the difference on giving and getting the best medical care. Digging deep into the lives of doctors, Dr. Danielle Ofri examines the daunting range of emotions—shame, anger, empathy, frustration, hope, pride, occasionally despair, and sometimes even love—that permeate the contemporary doctor-patient connection. Drawing on scientific studies, including some surprising research, Dr. Ofri offers up an unflinching look at the impact of emotions on health care. Dr. Ofri takes us into the swirling heart of patient care, telling stories of caregivers caught up and occasionally torn down by the whirlwind life of doctoring. She admits to the humiliation of an error that nearly killed one of her patients. She mourns when a beloved patient is denied a heart transplant. She tells the riveting stories of an intern traumatized when she is forced to let a newborn die in her arms, and of a doctor whose daily glass of wine to handle the frustrations of the ER escalates into a destructive addiction. Ofri also reveals that doctors cope through gallows humor, find hope in impossible situations, and surrender to ecstatic happiness when they triumph over illness.

Your Medical Mind

Author : Jerome Groopman,Pamela Hartzband
Publisher : Penguin Books
Page : 322 pages
File Size : 46,7 Mb
Release : 2012-08-28
Category : Health & Fitness
ISBN : 9780143122241

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Your Medical Mind by Jerome Groopman,Pamela Hartzband Pdf

Drs. Groopman and Hartzband reveal a clear path for making the right medical choices. Such factors as authority figures, statistics, other patients' stories, technology, and natural healing are key factors that shape choices.

What Patients Say, What Doctors Hear

Author : Danielle Ofri, MD
Publisher : Beacon Press
Page : 250 pages
File Size : 42,7 Mb
Release : 2017-02-07
Category : Medical
ISBN : 9780807062647

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What Patients Say, What Doctors Hear by Danielle Ofri, MD Pdf

Can refocusing conversations between doctors and their patients lead to better health? Despite modern medicine’s infatuation with high-tech gadgetry, the single most powerful diagnostic tool is the doctor-patient conversation, which can uncover the lion’s share of illnesses. However, what patients say and what doctors hear are often two vastly different things. Patients, anxious to convey their symptoms, feel an urgency to “make their case” to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements. Add in stereotypes, unconscious bias, conflicting agendas, and fear of lawsuits and the risk of misdiagnosis and medical errors multiplies dangerously. Though the gulf between what patients say and what doctors hear is often wide, Dr. Danielle Ofri proves that it doesn’t have to be. Through the powerfully resonant human stories that Dr. Ofri’s writing is renowned for, she explores the high-stakes world of doctor-patient communication that we all must navigate. Reporting on the latest research studies and interviewing scholars, doctors, and patients, Dr. Ofri reveals how better communication can lead to better health for all of us.

Being Mortal

Author : Atul Gawande
Publisher : Metropolitan Books
Page : 304 pages
File Size : 51,8 Mb
Release : 2014-10-07
Category : Social Science
ISBN : 9781627790550

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Being Mortal by Atul Gawande Pdf

#1 New York Times Bestseller In Being Mortal, bestselling author Atul Gawande tackles the hardest challenge of his profession: how medicine can not only improve life but also the process of its ending Medicine has triumphed in modern times, transforming birth, injury, and infectious disease from harrowing to manageable. But in the inevitable condition of aging and death, the goals of medicine seem too frequently to run counter to the interest of the human spirit. Nursing homes, preoccupied with safety, pin patients into railed beds and wheelchairs. Hospitals isolate the dying, checking for vital signs long after the goals of cure have become moot. Doctors, committed to extending life, continue to carry out devastating procedures that in the end extend suffering. Gawande, a practicing surgeon, addresses his profession's ultimate limitation, arguing that quality of life is the desired goal for patients and families. Gawande offers examples of freer, more socially fulfilling models for assisting the infirm and dependent elderly, and he explores the varieties of hospice care to demonstrate that a person's last weeks or months may be rich and dignified. Full of eye-opening research and riveting storytelling, Being Mortal asserts that medicine can comfort and enhance our experience even to the end, providing not only a good life but also a good end.

Every Patient Tells a Story

Author : Lisa Sanders
Publisher : Harmony
Page : 305 pages
File Size : 54,7 Mb
Release : 2010-09-21
Category : Biography & Autobiography
ISBN : 9780767922470

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Every Patient Tells a Story by Lisa Sanders Pdf

A riveting exploration of the most difficult and important part of what doctors do, by Yale School of Medicine physician Dr. Lisa Sanders, author of the monthly New York Times Magazine column "Diagnosis," the inspiration for the hit Fox TV series House, M.D. "The experience of being ill can be like waking up in a foreign country. Life, as you formerly knew it, is on hold while you travel through this other world as unknown as it is unexpected. When I see patients in the hospital or in my office who are suddenly, surprisingly ill, what they really want to know is, ‘What is wrong with me?’ They want a road map that will help them manage their new surroundings. The ability to give this unnerving and unfamiliar place a name, to know it—on some level—restores a measure of control, independent of whether or not that diagnosis comes attached to a cure. Because, even today, a diagnosis is frequently all a good doctor has to offer." A healthy young man suddenly loses his memory—making him unable to remember the events of each passing hour. Two patients diagnosed with Lyme disease improve after antibiotic treatment—only to have their symptoms mysteriously return. A young woman lies dying in the ICU—bleeding, jaundiced, incoherent—and none of her doctors know what is killing her. In Every Patient Tells a Story, Dr. Lisa Sanders takes us bedside to witness the process of solving these and other diagnostic dilemmas, providing a firsthand account of the expertise and intuition that lead a doctor to make the right diagnosis. Never in human history have doctors had the knowledge, the tools, and the skills that they have today to diagnose illness and disease. And yet mistakes are made, diagnoses missed, symptoms or tests misunderstood. In this high-tech world of modern medicine, Sanders shows us that knowledge, while essential, is not sufficient to unravel the complexities of illness. She presents an unflinching look inside the detective story that marks nearly every illness—the diagnosis—revealing the combination of uncertainty and intrigue that doctors face when confronting patients who are sick or dying. Through dramatic stories of patients with baffling symptoms, Sanders portrays the absolute necessity and surprising difficulties of getting the patient’s story, the challenges of the physical exam, the pitfalls of doctor-to-doctor communication, the vagaries of tests, and the near calamity of diagnostic errors. In Every Patient Tells a Story, Dr. Sanders chronicles the real-life drama of doctors solving these difficult medical mysteries that not only illustrate the art and science of diagnosis, but often save the patients’ lives.

The Anatomy of Hope

Author : Jerome Groopman
Publisher : Random House Trade Paperbacks
Page : 274 pages
File Size : 55,7 Mb
Release : 2005-01-11
Category : Health & Fitness
ISBN : 9780375757754

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The Anatomy of Hope by Jerome Groopman Pdf

Why do some people find and sustain hope during difficult circumstances, while others do not? What can we learn from those who do, and how is their example applicable to our own lives? The Anatomy of Hope is a journey of inspiring discovery, spanning some thirty years of Dr. Jerome Groopman’s practice, during which he encountered many extraordinary people and sought to answer these questions. This profound exploration begins when Groopman was a medical student, ignorant of the vital role of hope in patients’ lives–and it culminates in his remarkable quest to delineate a biology of hope. With appreciation for the human elements and the science, Groopman explains how to distinguish true hope from false hope–and how to gain an honest understanding of the reach and limits of this essential emotion.

What Do the Doctors Say?

Author : Janet Farrell Leontiou Ph.D.
Publisher : iUniverse
Page : 134 pages
File Size : 51,5 Mb
Release : 2010-07-16
Category : Medical
ISBN : 9781450225816

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What Do the Doctors Say? by Janet Farrell Leontiou Ph.D. Pdf

The medical world creates its own culture. This culture, however, would not continue if it were not for our participation. As consumers of health care, the way in which we talk, too, maintains the medical culture as it is. This culture frequently dismisses the wisdom of parents and talks them out of their own sense. We, as parents, co-create a culture that continually diminishes us. This collaboration has disastrous consequences for our children. How many times have you heard about a parent having a particular insight into his/her child only to be dissuaded from the truth by the doctor? What Do the Doctors Say? provides stories from the authors own experience as a mother. As a scholar of communication, she has identified twelve language patterns that are used to create medical culture. The book is written particularly for parents of children with disabilities but may be a useful tool for all consumers of health care.

Medical Investigation 101

Author : Dr. Russ Hill,Dr. Richard Griffith
Publisher : Hill and Griffith
Page : 259 pages
File Size : 55,5 Mb
Release : 2017-02-17
Category : Health & Fitness
ISBN : 9781736768143

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Medical Investigation 101 by Dr. Russ Hill,Dr. Richard Griffith Pdf

Medical Investigation 101 invites you to try out a career in medical science. Learn about medical specialties and the wide array of healthcare team careers. Try your hand at solving the sort of medical mysteries doctors confront each day. Learn some basic medical terminology and discover how doctors analyze and solve medical puzzles. Play the role of the physician as you read the realistic case histories and learn about the applicable physiology and pathophysiology. These medical investigations stress a methodical way of thinking applicable to a wide array of decision making in life. Finally, we introduce current concepts in gene editing and medical therapy that promise the emergency of new frontiers in health science careers for today’s students. Together, Drs. Hill and Griffith share over fifty years of medical and teaching experience. Our students have endorsed the experience with remarkable enthusiasm. Whether you are searching for a career or simply wanting to better understand how doctors think, we hope you enjoy your adventure into the world of medicine.

Inside the Mind of a Physician

Author : Herdley Paolini
Publisher : Florida Hospital Publishing
Page : 61 pages
File Size : 41,8 Mb
Release : 2010-02-23
Category : Business & Economics
ISBN : 9780982040904

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Inside the Mind of a Physician by Herdley Paolini Pdf

Are physicians a mystery? To many of us, yes. Physicians perform one of the most valuable personal services in the world. They care for our bodies in the most intimate of ways. We place our lives in their hands and trust they have our best interest at heart. But how much do we really know of physicians and their inner world? Relatively little. The environment for practicing medicine has changed dramatically over the past few decades. The commoditizing of physicians and their work frequently causes a dehumanization of the doctor and the doctor/patient relationship not to mention the connections between physicians and other staff. Due to the training, practice culture, constraints, liabilities, and pressures placed on physicians today, they often cannot practice the kind of personalized, relationship-enhancing medicine that would benefit both patient and caregiver. In this monograph Dr. Herdley Paolini does a great service by opening the inner world of physicians and helping us understand them, how to relate to them, and how to best support them in their critical role in healthcare. Her insights will be of great value to everyone from hospital administrators and clinical staff, to insurance providers, government agencies, and anyone who interacts with physicians. The Florida Hospital Healthcare & Leadership Monograph Series is an innovative teaching and learning tool from the largest admitting hospital in America. Monographs in this series provide focused, relevant training to individuals and organizations on a wide variety of healthcare and leadership topics.Ideal for healthcare professionals, leadership innovators, researchers, teachers, students, and other pioneering professionals each volume provides the latest information and break-through thinking on the subject in a clear, concise, readable form.

Second Opinions

Author : Jerome Groopman
Publisher : Penguin
Page : 257 pages
File Size : 47,9 Mb
Release : 2001-03-01
Category : Biography & Autobiography
ISBN : 9780140298628

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Second Opinions by Jerome Groopman Pdf

A unique insider's view of today's complex and often contentious world of medicine Anxious about the prognosis, lost in a blur of technical jargon, and fatigued from worry or pain, people who are ill are easily overwhelmed by treatment choices. Told through eight gripping clinical dramas, Second Opinions reveals the forces at play in making critical medical decisions. Dr. Jerome Groopman illuminates the world of medicine where knowledge is imperfect, no therapy is without risks, and no outcome is fully predictable. He portrays moments of astute diagnosis and misguided perception, of lifesaving triumphs and shattering failures. These real-life lessons prepare us to navigate the uncertain terrain of illness, and enable us to balance intuition and information, and thereby make the best possible decisions about our health and future.

When We Do Harm

Author : Danielle Ofri, MD
Publisher : Beacon Press
Page : 274 pages
File Size : 53,9 Mb
Release : 2020-03-23
Category : Medical
ISBN : 9780807037881

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When We Do Harm by Danielle Ofri, MD Pdf

Medical mistakes are more pervasive than we think. How can we improve outcomes? An acclaimed MD’s rich stories and research explore patient safety. Patients enter the medical system with faith that they will receive the best care possible, so when things go wrong, it’s a profound and painful breach. Medical science has made enormous strides in decreasing mortality and suffering, but there’s no doubt that treatment can also cause harm, a significant portion of which is preventable. In When We Do Harm, practicing physician and acclaimed author Danielle Ofri places the issues of medical error and patient safety front and center in our national healthcare conversation. Drawing on current research, professional experience, and extensive interviews with nurses, physicians, administrators, researchers, patients, and families, Dr. Ofri explores the diagnostic, systemic, and cognitive causes of medical error. She advocates for strategic use of concrete safety interventions such as checklists and improvements to the electronic medical record, but focuses on the full-scale cultural and cognitive shifts required to make a meaningful dent in medical error. Woven throughout the book are the powerfully human stories that Dr. Ofri is renowned for. The errors she dissects range from the hardly noticeable missteps to the harrowing medical cataclysms. While our healthcare system is—and always will be—imperfect, Dr. Ofri argues that it is possible to minimize preventable harms, and that this should be the galvanizing issue of current medical discourse.

Attending

Author : Ronald Epstein
Publisher : Simon and Schuster
Page : 304 pages
File Size : 55,7 Mb
Release : 2017-01-24
Category : Biography & Autobiography
ISBN : 9781501121739

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Attending by Ronald Epstein Pdf

With his “deeply informed and compassionate book…Dr. Epstein tells us that it is a ‘moral imperative’ [for doctors] to do right by their patients” (New York Journal of Books). The first book for the general public about the importance of mindfulness in medical practice, Attending is a groundbreaking, intimate exploration of how doctors approach their work with patients. From his early days as a Harvard Medical School student, Epstein saw what made good doctors great—more accurate diagnoses, fewer errors, and stronger connections with their patients. This made a lasting impression on him and set the stage for his life’s work—identifying the qualities and habits that distinguish master clinicians from those who are merely competent. The secret, he learned, was mindfulness. Dr. Epstein “shows how taking time to pay attention to patients can lead to better outcomes on both sides of the stethoscope” (Publishers Weekly). Drawing on his clinical experiences and current research, Dr. Epstein explores four foundations of mindfulness—Attention, Curiosity, Beginner’s Mind, and Presence—and shows how clinicians can grow their capacity to provide high-quality care. The commodification of health care has shifted doctors’ focus away from the healing of patients to the bottom line. Clinician burnout is at an all-time high. Attending is the antidote. With compassion and intelligence, Epstein offers “a concise guide to his view of what mindfulness is, its value, and how it is a skill that anyone can work to acquire” (Library Journal).

Patient Listening

Author : Loreen Herwaldt
Publisher : University of Iowa Press
Page : 175 pages
File Size : 54,6 Mb
Release : 2008-04-15
Category : Medical
ISBN : 9781587296529

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Patient Listening by Loreen Herwaldt Pdf

From the fictional portrayal of Dr. Gregory House to Jerome Groopman's bestseller How Doctors Think, both medical professionals and the general public recognize that there is more to the doctor's job than technical practice. Yet why do so many patients come away from their doctors' offices feeling dissatisfied with their interactions? In this welcome addition to the growing field of narrative medicine, physician Loreen Herwaldt uses the illness narratives of two dozen writer-patients to teach listening skills to medical students, residents, physicians, and other health care providers. Herwaldt skillfully pares each narrative down to its most basic elements, rendering them into powerful found poems that she has used successfully in her role as a teacher and in her own practice. Drawing from narratives by writers who are both emerging and well known, including Oliver Sacks, Richard Selzer, and Mary Swander, each poem reveals the experience of illness and treatment from the patient's perspective. Patient Listening includes a detailed general introduction and a how-to guide that will prove invaluable in the classroom and in clinical practice. This book will inspire thoughtfulness in everyone who reads it. It is also designed to foster discussions about all aspects of the patient experience from ethics to stigmatization to health insurance. Patient Listening is not just about bedside manner but also about how health care providers can gain the most from their interactions with patients and in turn offer more appropriate treatments, develop more cooperative and responsive relationships with their patients, and thus become better doctors.