In her first book, internist and New York Times columnist Sanders discusses how doctors deal with diagnostic dilemmas. Unlike Berton Roueché in his books of medical puzzles, Sanders not only collects difficult cases, she reflects on what each means for both patient and struggling physician. A man arrives at the hospital, delirious, his kidneys failing. Batteries of tests are unrevealing, but he quickly recovers after a resident extracts two quarts of urine. An abdominal exam would have detected the patient's obstructed, grossly swollen bladder. The author then ponders the neglect of the physical exam, by today's physicians, enamored with high-tech tests that sometimes reveal less than a simple exam. Another patient, frustrated at her doctor's failure to diagnose her fever and rash, googles her symptoms and finds the correct answer. Sanders uses this case to explain how computers can help in diagnoses (Google is not bad, she says, but better programs exist). Readers who enjoy dramatic stories of doctors fighting disease will get their fill, and they will also encounter thoughtful essays on how doctors think and go about their work, and how they might do it better. (Apr. 14)
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New York Times columnist Sanders says that misdiagnoses account for perhaps as much as 17 percent of medical errors. Some errors result in prolonged or ineffective treatment, while others lead to fatal outcomes. They occur, she says, despite the huge technological advances of recent years. Sometimes the tests and diagnostic tools are to blame; indeed, relying too heavily on test or lab results can produce a false sense of security in both patient and doctor. For all the data they collect, machines lack important components for diagnosis. They cannot hear a patient’s story, touch a patient’s skin, or look into a patient’s eyes. Good diagnosticians are—not unlike TV’s Dr. House—good at puzzles; they employ a large variety of skill sets, including the long-lost art of the thorough physical exam, to solve the mysteries of illness. Besides her own inborn capacity for problem-solving, Sanders’ experience as internist, writer, and consultant to House serves her well here, for absorbing anecdotes generously pepper the exposition. --Donna Chavez --This text refers to an out of print or unavailable edition of this title.See all Editorial Reviews
A classic argument for the importance of the hands on patient exam in today's medical profession.Published 21 days ago by K. Lisson
This was an optional book to read for an Advanced Practice Nurse course that I took in grad school. I've gifted it to my friends who are nurses and doctors and they've all raved... Read morePublished 1 month ago by Richard and Eugenia
excellent book, very interesting for the lay public to readPublished 1 month ago by Taryn Cornelius
The book cover gives a impression about the book that is misleading. The cover makes you think it is going to be cool stories about interesting diseases and how they were... Read morePublished 3 months ago by carla
As a future healthcare practitioner I found this book to be both informative and entertaining. It is truly fascinating how healthcare has both evolved and devolved again through... Read morePublished 3 months ago by Laurel M.
Really interesting book, a must read. You will learn info that can help you understand better what is going on within your body if you are not
Fascinating case histories and more. A close-up view of the doctor's office narrated by House M.D. television mystery show consultant Dr. Lisa Sanders.Published 6 months ago by tinjesu
Love this book so far. I am a physician and so it my daughter. When she was going through medical school we used to talk about the subject this author deals with. Read morePublished 6 months ago by docmom49