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.
0 有用 逆铭睡眼惺忪地 2019-05-10 14:05:32
作者通过各种诊断疑难杂症的小故事探讨对医疗诊断的看法。悬念丛生简直堪比侦探小说,同时又让人觉得和自己息息相关。虽然豪斯医生在书中是作为反面教材举例,现在倒有去补的冲动。
0 有用 Amber 2021-04-07 21:06:07
学到好多新病例。thoracic outlet syndrome这款太开眼界了。
0 有用 conge 2022-08-26 04:21:32 美国
本书围绕病人求医的根本目的之一“诊断”展开。通过一个个的病患与医生之间的故事,说明了完整了解病人的“故事”,以及把“诊断”处理成病人能接受的故事的重要性。随着检查诊断技术的发展,医生有了许多工具来帮助他们做判断,但是对于疑难杂症,还需要医生能通过观察,询问,身体检查等传统方式来弥补科技的不足。而现在西方的医学教育越来越不重视观察问诊和身体检查,值得警醒。AI在医疗上的应用有所发展,但之所以还没有出... 本书围绕病人求医的根本目的之一“诊断”展开。通过一个个的病患与医生之间的故事,说明了完整了解病人的“故事”,以及把“诊断”处理成病人能接受的故事的重要性。随着检查诊断技术的发展,医生有了许多工具来帮助他们做判断,但是对于疑难杂症,还需要医生能通过观察,询问,身体检查等传统方式来弥补科技的不足。而现在西方的医学教育越来越不重视观察问诊和身体检查,值得警醒。AI在医疗上的应用有所发展,但之所以还没有出现能替代医生的系统,可能是因为,没有医生会买那样的系统,也就没有市场,不容易吸引资本投入发展创新。即便有了那样的机器,对病人的情绪支持,恐怕也不是机器能取代的。最后,医学解剖是诊断的最后尝试,人们通过解剖学习关于人体与疾病的那么多知识。目前解剖率很低,但仍有用武之地。 (展开)
0 有用 👹👹👹 2020-09-03 06:15:43
打发时间看看可以,但说服性不强。
0 有用 松下野果🌈 2018-11-11 03:28:40
看太多生死病患向,免不了要焦虑起来的...
0 有用 conge 2022-08-26 04:21:32 美国
本书围绕病人求医的根本目的之一“诊断”展开。通过一个个的病患与医生之间的故事,说明了完整了解病人的“故事”,以及把“诊断”处理成病人能接受的故事的重要性。随着检查诊断技术的发展,医生有了许多工具来帮助他们做判断,但是对于疑难杂症,还需要医生能通过观察,询问,身体检查等传统方式来弥补科技的不足。而现在西方的医学教育越来越不重视观察问诊和身体检查,值得警醒。AI在医疗上的应用有所发展,但之所以还没有出... 本书围绕病人求医的根本目的之一“诊断”展开。通过一个个的病患与医生之间的故事,说明了完整了解病人的“故事”,以及把“诊断”处理成病人能接受的故事的重要性。随着检查诊断技术的发展,医生有了许多工具来帮助他们做判断,但是对于疑难杂症,还需要医生能通过观察,询问,身体检查等传统方式来弥补科技的不足。而现在西方的医学教育越来越不重视观察问诊和身体检查,值得警醒。AI在医疗上的应用有所发展,但之所以还没有出现能替代医生的系统,可能是因为,没有医生会买那样的系统,也就没有市场,不容易吸引资本投入发展创新。即便有了那样的机器,对病人的情绪支持,恐怕也不是机器能取代的。最后,医学解剖是诊断的最后尝试,人们通过解剖学习关于人体与疾病的那么多知识。目前解剖率很低,但仍有用武之地。 (展开)
0 有用 Amber 2021-04-07 21:06:07
学到好多新病例。thoracic outlet syndrome这款太开眼界了。
0 有用 👹👹👹 2020-09-03 06:15:43
打发时间看看可以,但说服性不强。
0 有用 某雲 2019-07-26 05:43:05
听起来略痛苦,太多医学单词了,而且不是很喜欢这个 narrator 😓
0 有用 逆铭睡眼惺忪地 2019-05-10 14:05:32
作者通过各种诊断疑难杂症的小故事探讨对医疗诊断的看法。悬念丛生简直堪比侦探小说,同时又让人觉得和自己息息相关。虽然豪斯医生在书中是作为反面教材举例,现在倒有去补的冲动。