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Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis, by Lisa Sanders

Download Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis, by Lisa Sanders

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Review

"Lisa Sanders is a paragon of the modern medical detective storyteller. The tales here crackle with suspense. But what sets her apart is her Holmes-like eye for the clues–and her un-Holmes-like compassion for those who suffer."—Atul Gawande, author of Better: A Surgeon’s Notes on Performance and Complications: A Surgeon’s Notes on an Imperfect Science "Dr. Lisa Sanders is the most acute observer of health care in America. In this compelling book, she opens the black box of diagnosis and lets us look inside."—Ian Ayers, author of Super Crunchers: Why Thinking-by-Numbers Is the New Way to Be Smart"Not ‘whodunit’ so much as ‘whatdunit,’ Lisa Sanders’s book brilliantly conveys the sleuthing that lies at the heart of medical diagnosis. But this is more than a set of suspenseful tales unfolded by a skilled storyteller. Amid all the flash and dazzle of the modern doctor’s high-tech armamentarium, Dr. Sanders finds that all too often it is the ancient skills, of touch and of attentive listening, that serve the physician, and her patients, best of all. Enlightening for patients, essential for practitioners, this book should be read by every doctor. I’m praying that mine will."—Geraldine Brooks, author of March, People of the Book, and Nine Parts of Desire"Lisa Sanders has written a beautiful, thought-provoking book about the sine qua non of medical care–diagnosis. She tells stories about great diagnostic triumphs and explains both the pitfalls and successes of diagnosis. Her patient stories captivate the reader as we try to solve the unfolding mystery. Through these stories we understand and remember the importance of accurate diagnosis."—Robert Centor, MedRants.com"Every Patient Tells a Story is a must-read for anyone who has ever been a patient or is a doctor. Written by a physician I respect and a writer I love, the book is filled with intriguing diagnostic dilemmas that will draw you in, and with human stories that will linger in your mind–and heart–long after you are done."—Pauline W. Chen, author of Final Exam

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About the Author

Lisa Sanders, M.D. is an Assistant Clinical Professor at the Yale University School of Medicine and a clinician educator in Yale’s Primary Care Internal Medicine Residency program. Dr. Sanders writes the popular “Diagnosis” column, which appears monthly in The New York Times Magazine. Her column was the inspiration for the acclaimed Fox television show “House M.D.,” and she currently serves as technical advisor for the show. Although teaching about clinical reasoning and diagnostic error is her first love, much of her research and practice focus on the treatment of overweight and obese patients She is the author of The Perfect Fit Diet: How to Lose Weight, Keep it Off And Still Eat the Foods You Love. Before entering medical school, Sanders was an Emmy Award-winning producer at CBS News, where she covered medicine and health and she also worked as a producer at ABC and NBC News. She lives in New Haven, Connecticut.

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Product details

Paperback: 304 pages

Publisher: Harmony; Reprint edition (September 21, 2010)

Language: English

ISBN-10: 9780767922470

ISBN-13: 978-0767922470

ASIN: 0767922476

Product Dimensions:

5.2 x 0.7 x 8 inches

Shipping Weight: 8.5 ounces (View shipping rates and policies)

Average Customer Review:

4.3 out of 5 stars

187 customer reviews

Amazon Best Sellers Rank:

#28,468 in Books (See Top 100 in Books)

I enjoyed this book for several reasons.The clinical history of the patients who were profiled was interesting. Most of the cases were of patientswho had a long history and no diagnosis. These people had had records of hospitalizations, treatmentsby various doctors and specialist. There was much discussion about the importance of doctor's listening,really listening to their patients. There was data onthe importance of the physical examination. It wassuggested that doctors today rush into technicalsolutions and testing unnecessarily to find their answers. Old fashioned methods of listening and carefulphysicals still have a place in todays clinics and hospitals.Lisa Sanders is interested in bringing about changes inmedicine. She has a platform with her monthly columnand her writing. Her cause is worthy and I wish her well.

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!

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 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.

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!

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