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How Doctors Think
- Narrated by: Michael Prichard
- Length: 10 hrs and 27 mins
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Publisher's summary
On average, a physician will interrupt a patient describing her symptoms within 12 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. He 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 have a profound impact on our health.
Groopman draws on a wealth of research, extensive interviews with some of the country's best physicians, and his own experiences as a doctor and 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 21st-century medical practice, giving doctors and patients the vital information they need to make better judgments together.
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Eye opening
- By Amy Giglio on 07-01-18
By: Dick Teresi
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Unaccountable
- What Hospitals Won't Tell You and How Transparency Can Revolutionize Health Care
- By: Marty Makary
- Narrated by: Robertson Dean
- Length: 7 hrs and 16 mins
- Unabridged
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Dr. Marty Makary is co-developer of the life-saving checklist outlined in Atul Gawande's best-selling The Checklist Manifesto. As a busy surgeon who has worked in many of the best hospitals in the nation, he can testify to the amazing power of modern medicine to cure. But he's also been a witness to a medical culture that routinely leaves surgical sponges inside patients, amputates the wrong limbs, and overdoses children because of sloppy handwriting. Over the last 10 years, neither error rates nor costs have come down, despite scientific progress.
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Everyone should read this book.
- By Julie on 06-11-16
By: Marty Makary
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When Breath Becomes Air
- By: Paul Kalanithi, Abraham Verghese - foreword
- Narrated by: Sunil Malhotra, Cassandra Campbell
- Length: 5 hrs and 35 mins
- Unabridged
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At the age of thirty-six, on the verge of completing a decade’s worth of training as a neurosurgeon, Paul Kalanithi was diagnosed with stage IV lung cancer. One day he was a doctor treating the dying, and the next he was a patient struggling to live. And just like that, the future he and his wife had imagined evaporated.
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Phenomenal book!
- By A. Potter on 01-16-16
By: Paul Kalanithi, and others
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Birth Day
- A Pediatrician Explores the Science, the History, and the Wonder of Childbirth
- By: Mark Sloan MD
- Narrated by: Mark Sloan MD
- Length: 9 hrs and 55 mins
- Abridged
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"I delivered twenty babies in the summer of 1977. I was hardly more than a baby myself, just turned 24 and starting my third year of medical school." So began Mark Sloan's three-decades-long exploration of the wonders and oddities of human childbirth. Pediatrician, husband, and father, the author has attended nearly 3000 births since that long-ago summer, encountering everything from routine deliveries to tense labor-room dramas.
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Great Book - Heavy on the History
- By Robert Ingalls on 03-16-17
By: Mark Sloan MD
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State of the Heart
- Exploring the History, Science, and Future of Cardiac Disease
- By: Haider Warraich
- Narrated by: Neil Shah
- Length: 11 hrs and 8 mins
- Unabridged
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In State of the Heart, the journey to rid the world of heart disease is shown to be reflective of the journey of medical science at large. We are learning not only that women have as much heart disease as men, but that the type of heart disease women experience is diametrically different from that in men. We are learning that heart disease and cancer may have more in common than we could have imagined. And we are learning how human evolution itself may have led to the epidemic of heart disease
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Good information, bad organization
- By Conor Cox on 09-03-19
By: Haider Warraich
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In Shock
- My Journey from Death to Recovery and the Redemptive Power of Hope
- By: Dr. Rana Awdish
- Narrated by: Dr. Rana Awdish, Teri Schnaubelt
- Length: 9 hrs and 2 mins
- Unabridged
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In Shock is a riveting first-hand account from a young critical care physician, who in the passage of a moment is transfigured into a dying patient. This transposition, coincidentally timed at the end of her medical training, instantly lays bare the vast chasm between the conventional practice of medicine and the stark reality of the prostrate patient.
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Read this book!
- By CT on 11-08-17
By: Dr. Rana Awdish
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The Pain Chronicles
- Cures, Myths, Mysteries, Prayers, Diaries, Brain Scans, Healing, and the Science of Suffering
- By: Melanie Thernstrom
- Narrated by: Laural Merlington
- Length: 11 hrs and 30 mins
- Unabridged
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Each of us will know physical pain in our lives, but none of us knows when it will come or how long it will stay. Today as much as 10 percent of the population of the United States suffers from chronic pain. It is more widespread, misdiagnosed, and undertreated than any major disease. While recent research has shown that pain produces pathological changes to the brain and spinal cord, many doctors and patients still labor under misguided cultural notions and outdated scientific dogmas.
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Informative, well researched and nicely written
- By Nathan O'Hara on 08-21-10
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Falling into the Fire
- A Psychiatrist's Encounters with the Mind in Crisis
- By: Christine Montross
- Narrated by: Christine Montross
- Length: 8 hrs and 56 mins
- Unabridged
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Falling into the Fire is psychiatrist Christine Montross's thoughtful investigation of the gripping patient encounters that have challenged and deepened her practice. Beautifully written, deeply felt, Falling into the Fire brings us inside the doctor’s mind, illuminating the grave human costs of mental illness as well as the challenges of diagnosis and treatment. At once rigorous and meditative, Falling into the Fire is an intimate portrait of psychiatry, allowing the reader to witness the humanity of the practice and the enduring mysteries of the mind.
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Buy this book! and READ it
- By joyce on 08-15-13
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The Emperor of All Maladies
- A Biography of Cancer
- By: Siddhartha Mukherjee
- Narrated by: Fred Sanders
- Length: 22 hrs and 18 mins
- Unabridged
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The Emperor of All Maladies reveals the many faces of an iconic, shape-shifting disease that is the defining plague of our generation. The story of cancer is a story of human ingenuity, resilience, and perseverance but also of hubris, arrogance, paternalism, and misperception, all leveraged against a disease that, just three decades ago, was thought to be easily vanquished in an all-out "war against cancer".
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Incredible
- By S.R.E. on 03-02-16
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A Nation in Pain
- Healing Our Biggest Health Problem
- By: Judy Foreman
- Narrated by: Karen White
- Length: 14 hrs and 57 mins
- Unabridged
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Published in partnership with the International Association for the Study of Pain, A Nation in Pain offers a sweeping, deeply researched account of the chronic pain crisis, from neurobiology to public policy, and presents practical solutions that are within our grasp today. Drawing on both her personal experience with chronic pain and her background as an award-winning health journalist, she guides us through recent scientific discoveries, including genetic susceptibility to pain.
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Broad but superficial.
- By J. P. Murphy on 07-03-15
By: Judy Foreman
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Enjoyed the anecdotes!
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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.
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Newbie review follows. Be ware
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Frank, inside perspective on the follies of unintended consequences in medical reform
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The Great War and the Birth of Modern Medicine
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Black Man in a White Coat
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When Damon Tweedy begins medical school, he envisions a bright future where his segregated, working-class background will become largely irrelevant. Instead, he finds that he has joined a new world where race is front and center. The recipient of a scholarship designed to increase black student enrollment, Tweedy soon meets a professor who bluntly questions whether he belongs in medical school, a moment that crystallizes the challenges he will face throughout his career.
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Absolutely eye opening!
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What Doctors Feel
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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.
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Book resonates with outpatient internist
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Better
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The struggle to perform well is universal: each one of us faces fatigue, limited resources, and imperfect abilities in whatever we do. But nowhere is this drive to do better more important than in medicine, where lives are on the line with every decision. In this book, Atul Gawande explores how doctors strive to close the gap between best intentions and best performance in the face of obstacles that sometimes seem insurmountable.
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A MUST read . . .
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By: Atul Gawande
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The Checklist Manifesto
- How to Get Things Right
- By: Atul Gawande
- Narrated by: John Bedford Lloyd
- Length: 6 hrs and 9 mins
- Unabridged
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Performance
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Story
We live in a world of great and increasing complexity, where even the most expert professionals struggle to master the tasks they face. Longer training, ever more advanced technologies - neither seems to prevent grievous errors. But in a hopeful turn, acclaimed surgeon and writer Atul Gawande finds a remedy in the humblest and simplest of techniques: the checklist.
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Riveting!
- By Tad Davis on 01-11-10
By: Atul Gawande
What listeners say about How Doctors Think
Average customer ratingsReviews - Please select the tabs below to change the source of reviews.
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- Jheesekindle
- 06-13-19
Good insight to medicine but...
Not every patient has the luxury of being in a physician marriage and seeking out five highly trained specialists and a sixth specialist to review the complicated choice of treatment. This is the epitome of doctor shopping.
Not every physician who spends their whole energy through the day and past 8pm is the model clinician. Not every physician who strives for a work-life balance is a failure to her or his patients.
I appreciate the deep discussion about uncertainty in medicine, cognitive errors, biases and heuristics. Thanks.
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2 people found this helpful
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- Amazon Customer
- 04-13-22
Modestly good overall
Dr Groopman describes how doctors can be correct or incorrect in their thinking. He explains biases, how to ask questions appropriately and common pitfalls. My favorite section was when he drew on his own interactions with hand surgeons when he was a patient for physical trauma he experienced. He recounts his own problem solving to navigate the health system and visit with 4 surgeons before reaching the correct diagnosis and finally having the confidence in the level of expertise of the 5th surgeon to do the surgery. Also appreciated how he got perspective from not only doctors in various fields, but also from a woman who gets misdiagnosed and a parent who insists that her sick baby is malnourished. The audiobook narration was fine overall, but as a small detail I cringed every time he slowly spelled out E-C-M-O or M-R-S-A, as they are most often pronounced "ehk-moh" and "mer-sa" by healthcare personnel. This book was highly recommended twice to me so I thought I would have a glowing review, but I would only modestly recommend.
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Overall
- Audiophile
- 05-13-07
Disappointing
I enjoy Groopman's articles in the New Yorker, and I took this selection after hearing his compelling interview on NPR. However, I was disappointed in the content of the book. This does not really tell us too much about how doctors think; what constitutes the complexity of a diagnosis or how doctors make decisions. Rather, it is more of a collection of stories about misdiagnosis or mistreatment of patients and friends of Dr. Groopman. And it turns out that Groopman is mostly the hero of the book -- either making the tough diagnosis himself or referring to one of his friends who saves the day. His friends happen to be located at Harvard, Mayo Clinic, and Sloan-Kettering. Not exactly the answer for the masses of Americans belonging to HMOs who cannot even get a specialty referral without a letter to a congressman.
The book starts out addressing the theme that young doctors are becoming too entranced with algorithmic medicine. He complains that they follow guidelines for care like robots on an assembly line. Most would agree, however, that the bigger problem in American medical care is the failure of doctors to adhere to evidence-based guidelines, rather than over-reliance on them. Care for diabetics, asthmatics, and hypertensives fall far short of what it should be and what would improve the health of the nation.
Dr. Groopman does share our pain, however. He had a day of distress because a doctor called him at home with a fatal mis-diagnosis while his wife was away skiing. He had the diagnosis corrected the next day at work, but lost a night's sleep over it.
Once you get past the self-congratulations, the old-boy network of super-docs, the confessions of imperfection in himself, and the self-pity; there are a few good points.
1. Get a second opinion.
2. Be an informed consumer.
3. Ask questions
3. If you do not like your doctor, get another one.
Not worth the read to learn these lessons.;
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55 people found this helpful
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Overall
- Michael
- 08-07-09
Terrible narration, great idea, good execution
To begin with, the narration was horrible. I am a doctor and had looked forward to this book with great enthusiasm. However the narrator's dry, business-like narration sounded like the worst stereotype of a condescending paternalistic doctor one could imagine. But to make things worse he frequently and repeatedly mispronounced medical terms. How hard would it have been to make a list of terms he did not recognize and ask Groopman how to say them?
As far as the book goes, it was generally excellent, and I have found it very instrumental in guiding my own thinking and avoiding mistakes. There were some sections that were silly, for example there is a section in which his fellow temple congregant, a mother named Rachel, underwent an ordeal in which a child she adopted got very sick. He spent way too much time on this chapter and focused, nearly obsessively, on her religious reflections which did nothing to advance the points he was making.
At other times he was repetitious. For the most part, however, this was an exhilarating and a refreshing way to look at medical errors and medical decision making, and is getting the attention it more than deserves from medical circles.
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17 people found this helpful
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Overall
- Carol
- 07-10-07
excellent on all counts
Excellent book, wonderfully read! I held my breath for 5 whole minutes during the somewhat harrowing central story. Who'da thunk it for a book about how doctors make decisions and what they think of patients?
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3 people found this helpful
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- Cathryn
- 09-25-15
Odd narration, good book
Is there anything you would change about this book?
I thought the writing was good and the content was very interesting. Many of the cognitive issues addressed apply to areas of life other than medicine, so I think I will be able to apply some of the lessons from this book, even though I am not a doctor. It will probably make me a better patient, too.
What didn’t you like about Michael Prichard’s performance?
His voice sounded like a 1950's TV doctor. It was a bit jarring at first, especially in contrast to the content of the book. If I revisit this book, I will probably switch to reading it, rather than listening.
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3 people found this helpful
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- kenneth dalton
- 05-09-16
insightful for a medical student
Thoroughly enjoyed listening to the thought process. I may recommend this to patients as a glimpse into the mind of physicians. author does a great job of clarify technical medical terms. The jargon may be overwhelming at times, but the point is usually clear. Strongly recommend individuals who have questions about the general approach of physicians to read or listen to this book.
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- Wade
- 04-29-07
Run of the Mill
Not hard to put down. Frankly I did not even finish it.
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6 people found this helpful
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- Nonpartisan
- 09-23-07
disappointing
Disappointing......the part about Rachael and the baby from Vietnam seemed to go on forever leading nowhere.
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4 people found this helpful
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- M. Greene
- 08-10-17
Dated---couldn't finish
Great premise. Narrator was totally a throw back from the 50's. Combined with the masculine pronouns for the M.D., I had the impression that this was not current enough to represent how drs think now or the progression that may be needed.. I believe the idea is still valid but needs overhaul.
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