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Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis
Download Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis
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Audible Audiobook
Listening Length: 10 hours and 9 minutes
Program Type: Audiobook
Version: Unabridged
Publisher: Random House Audio
Audible.com Release Date: August 11, 2009
Whispersync for Voice: Ready
Language: English, English
ASIN: B002L7KSXO
Amazon Best Sellers Rank:
This book is amazing for anyone in the medical field. I read it toward the end of my residency, and it revolutionized my approach to collecting the History of Present Illness. I sit down with my patients and let them tell their story, then add clarifying questions to fill in any missing information. It takes the same amount of time, but the diagnosis is clearer and patients feel like they've been heard. Many lives have been saved with this method. I purchase this book in bulk to give to medical students, nurse practitioner students, and residents who perform their clinical rotations with me, and I teach its principals by example. Dr. Sanders is a gift to the medical community and to patients. I need ten stars to adequately express my appreciation!
I have worked with many physicians and allied health care providers ranging from nurses, respiratory therapists, EMT-Paramedics and below, and have long marveled at how formulaic and thinking-free patient assessment has become, with the quality of patient care being equally generic. While for the majority of conditions this works--hence the algorithms and pseudo-assessments, when anything out of the ordinary presents itself, the weaknesses of our healthcare education model comes through like a red-headed monster of shame. This book does a credible job of at least trying to justify the cookie-cutter approach of medicine today, but emphasizes the benefits, in case-study style, of intelligent practitioners on both the practitioners and the patients. I can only hope the concepts and ideals espoused by this book make their way into 3rd & 4th year medicine where they stand a chance, because right now, so many healthcare types are oblivious to what is in front of them. The author makes her point(s) using a number of interesting cases, and if you enjoy playing medical detective, you may like that as well. I hope to present some of the points in the book to our graduating paramedic class.
This is one of those books that everyone, medical professional and general public alike, should have to read. So often do we look to medicine as a magic 8 ball that spits out diagnoses like in Star Trek. But, as Dr. Sanders points out, we know the most about diseases that kill us quickly. For everything else, we can only hope to continue to gather more information in order to make the diagnosis easier.Sanders approaches these issues from a very personal standpoint, relating in individual case studies the thoughts and emotions of both the doctors and the patients, even stories from her own personal arsenal. But most importantly, she does a stellar job at pointing out how modern medicine is a game of statistics, and some people are bound to fall on the wrong side of the coin flip. Even with a slough of biochemical and imaging tests and studies, we simply do not know everything.The value of this book lies in the questions it asks of both the medical profession and future patients. To the profession, it asks what might be done to not only improve diagnostic tests and techniques but also how to communicate medicine's limitations to the public. And to the patient, it asks for patience in a profession that is still young and going through growing pains, but to also trust physicians in their abilities.My one negative comment concerns the last section of the book that discusses Lyme Disease. Dr. Sanders obviously has a significant agenda and treats this section greatly different than the former. She begins with a personal story but spends several chapters on the history and development of Lyme Disease and the controversial "chronic Lyme" diagnosis. While entirely interesting from a historical perspective, it lies beyond the intended scope of the book and carries the character of a major soapbox rather than an exposition on diagnosis. It would have been better (in my opinion) to have devoted these pages to multiple controversial diagnoses, comparing ones that have been refuted (like hysteria) to ones that have been confirmed (like the carcinogenic effects of tobacco).Nevertheless, this book should be read by anyone who might be a patient or medical professional one day--which would be everyone. Nobody is perfect, and Dr. Sanders points out that medicine is no different. However, the implication is that we all want to be--and can be--better. It just takes a little work.
I'm a nurse practitioner in California who happens to LOVE this book as well as Lisa Sander's Diagnosis column in the New York Times Sunday magazine. Every Patient Tells a Story IS the real deal. Teaches one how to think OUTSIDE the box. Look. LISTEN! Think. Really an EXCELLENT book. I've given several of these as gifts, usually to someone going into the nursing or medical profession. It's very educational and should be REQUIRED reading! Just wish she'd write another one. I highly recommend this book. It's short and SUPERB!
Every patient tells a story by Lisa Sanders MD. The tv series House was based on her weekly columns. The book is about how doctors go about the process of diagnosing patients, the errors they make and the biases that affect their diagnoses.She also talks about how invaluable a thorough physical examination is and the fact that it’s been lost due to the high-tech tests that are available.She mentions how much information can be gleaned just from letting the patient tell their story. However in one study they discovered that the Doctors interrupt the patient after only 16 seconds! The patient then seldom picks up where they left off.You may not want to read it if you are about to go into hospital!
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