Diagnosis


Book Description

A collection of more than fifty hard-to-crack medical quandaries, featuring the best of The New York Times Magazine's popular Diagnosis column—now a Netflix original series “Lisa Sanders is a paragon of the modern medical detective storyteller.”—Atul Gawande, author of Being Mortal As a Yale School of Medicine physician, the New York Times bestselling author of Every Patient Tells a Story, and an inspiration and adviser for the hit Fox TV drama House, M.D., Lisa Sanders has seen it all. And yet she is often confounded by the cases she describes in her column: unexpected collections of symptoms that she and other physicians struggle to diagnose. A twenty-eight-year-old man, vacationing in the Bahamas for his birthday, tries some barracuda for dinner. Hours later, he collapses on the dance floor with crippling stomach pains. A middle-aged woman returns to her doctor, after visiting two days earlier with a mild rash on the back of her hands. Now the rash has turned purple and has spread across her entire body in whiplike streaks. A young elephant trainer in a traveling circus, once head-butted by a rogue zebra, is suddenly beset with splitting headaches, as if someone were “slamming a door inside his head.” In each of these cases, the path to diagnosis—and treatment—is winding, sometimes frustratingly unclear. Dr. Sanders shows how making the right diagnosis requires expertise, painstaking procedure, and sometimes a little luck. Intricate, gripping, and full of twists and turns, Diagnosis puts readers in the doctor’s place. It lets them see what doctors see, feel the uncertainty they feel—and experience the thrill when the puzzle is finally solved.




Every Patient Tells a Story


Book Description

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.




Diagnosis


Book Description

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 intensive care bleeding, jaundiced, incoherent and none of her doctors know what is killing her. Dr Lisa Sanders, whose hugely popular New York Times column inspired the hit TV show House, M.D., takes us to patients bedsides to witness the process of solving these and other diagnostic dilemmas, providing a first-hand account of the expertise and intuition that lead doctors to make the right decisions. An endlessly fascinating medical detective story, Diagnosis opens up as never before the finer workings of the human body, and celebrates the dedicated physicians who we may all someday need to trust with our lives.




What Doctors Feel


Book Description

“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.




The Immune Mystery


Book Description

A page-turning and powerful medical mystery for readers of Diagnosis by Lisa Sanders and The Beauty in Breaking by Michele Harper More than 20 million Americans have autoimmune diseases, which occur when the immune system attacks the body. Autoimmune diseases are often misdiagnosed by doctors and overlooked by medical researchers. Almost all affect women more often than men. The Immune Mystery follows doctor and researcher Anita Kåss’s quest to solve the autoimmune puzzle, beginning with the premature death of her mother, who developed rheumatoid arthritis shortly after giving birth to Anita. As a child, Anita vowed to study the illness and one day find a cure. Becoming a respected doctor and researcher, Anita devoted herself to studying auto-immune disorders like rheumatoid arthritis, lupus, and multiple sclerosis. Why do so many autoimmune diseases start to show symptoms during and after childbirth, perimenopause, and menopause? Could autoimmune diseases be linked to our changing hormones? Despite the groundbreaking nature of her research, Anita had to fight for her ideas against the conventional wisdom and casual sexism of the medical industry––even as she made a discovery that earned her a record-breaking US$95 million pharmaceutical deal. A compelling blend of incredible determination and cutting-edge science, The Immune Mystery changes the way we think about autoimmune diseases. Anita offers solace to patients struggling with questions about their health, and introduces a powerful new voice in medical storytelling.




Discover Magazine's Vital Signs


Book Description

“Vital Signs,” a popular column featured in Discover Magazine, has long been a favorite of readers, showcasing, each month, fascinating new tales of strange illnesses and diseases that baffle doctors and elude diagnosis. Each tale is true and borders on the unbelievable. It’s no wonder that throughout the years the column has become an unofficial textbook for medical students, interns, doctors, and anyone interested in human illness and staying healthy. Now, physician and “Vital Signs” editor Robert Norman has compiled the very best of the series into an intriguing and suspenseful collection for fans and new readers alike. A young woman carries a baby that wasn’t her own—and wasn’t even a human; Aretha Franklin gives a physician the insight needed to save a life; a modern gynecologist faces an ancient disease. These cases and more, representing a wide variety of unique medical anomalies and life-or-death situations, bring readers to the front lines of the medical fray. Fans of hit medical dramas such as House MD will savor the opportunity to read of the real-life cases that puzzled doctors, the gripping detective work that ensued, and the completely unexpected, often life-saving diagnoses. Discover Magazine’s Vital Signs is a glimpse into the exciting work of real medical professionals, told from their perspective, and revealing that anything can happen in medicine. Readers will never look at a “routine check-up” the same again.




The Medical Science of House, M.D.


Book Description

How can a teenager adopted at birth nearly die because his real mother didn’t get a measles shot? How can a husband’s faith in his wife’s fidelity determine whether radical treatment will cure her or kill her? How can a missed eye doctor appointment reveal a genetic disease? How can doctors choose the right course for a pregnant woman when one may kill her and the other would abort her fetus? Answers to these questions and more are pursued every week on House, M.D. Premiering in November 2004, the darkly quirky medical drama introduced a compelling new character to prime-time television: the sarcastic, abrasive—and brilliant—Dr. Gregory House. Week after week, House has held viewers’ attention with brilliant cast performances and intriguing diagnostic mysteries often solved with daring treatments. But how much of the medical detail is real and how much is fabricated? In The Medical Science of House, M.D., Andrew Holtz, a well-known medical journalist, reveals how medical detectives work—how they follow symptoms to their source. He examines each case in detail—and provides answers for every viewer who has ever wondered about the authenticity of their favorite show.




When Doctors Don't Listen


Book Description

Discusses how to avoid harmful medical mistakes, offering advice on such topics as working with a busy doctor, communicating the full story of an illness, evaluating test risks, and obtaining a working diagnosis.




Evidence-based Diagnosis


Book Description

Explains the mathematics involved in understanding and choosing an array of diagnostic and prognostic tests, in order to improve treatment.




The Little Book of Doctors’ Rules


Book Description

Clearly the science of medicine has progressed by leaps and bounds over the last twenty years—from computerized surgery to genetic modification. Yet medicine is more than just a science. It is also an art. As medical students complete their education, however, they may find that their training has been focused solely on the mechanics of diagnosis and treatment. While this scientific knowledge is fundamental to proper healthcare, it can overlook the importance of interacting with patients. In an attempt to refocus on how vital it is for doctors to consider their patients in full, Dr. Clifton K. Meador has written The Little Book of Doctors’ Rules. It offers simple and concise suggestions to humanize the practice of medicine. In this book, Dr. Meador draws on his nearly sixty-year medical career for nuggets of advice with both compassion and humor. Although there may not be a defined medical disease behind every physical symptom, Dr. Meador reminds us that the reason behind a symptom may be found if a doctor observes and listens carefully to a patient. He believes an effective physician treats a patient, not just a patient’s disease. The Little Book of Doctors’ Rules offers insightful rules that address a host of topics, which include developing a rapport with patients, treating dementia, and prescribing drugs. Designed for any healthcare professional, these short rules are easily understood and (mostly) non-technical. Here is a small sampling of Dr. Meador’s advice, from the sage and somber to the clever and sometimes controversial. While listening to a patient, do not do anything else. Just listen. Stop drug use in treatment whenever possible. If impossible, cease a patient’s use of as many drugs as possible whenever possible. Just because you know a lot of physiology, biochemistry, and anatomy does not mean you know anything about people. If all you listen to are symptoms, then all you will hear from your patients are symptoms. In addition to his own rules, Dr. Meador has included advice offered by some of the past giants of medicine. It is no coincidence that their words echo the message of this book, which gets to the true center of the healing arts.