Dr. Lisa Sanders is the doctor who inspired the TV show House. She is apparently a genius diagnostician and if her waiting list was not three years long, I would have already seen her. Her book is marketed as tales of medical mysteries and their diagnoses, complete with the doctor’s process of diagnosing, which is why I bought it.

Approximately 20% of the book consists of that. The other 80% is her opinion that the physical examination of the patient (as opposed to mechanical scans) has a long history, is very important, is underused and poorly taught, and needs to be taught better and done more. She’s probably right but it was incredibly repetitive. She could have summed up her thoughts on that in one or two chapters, leaving the rest of the book for the stories which is undoubtedly why everyone bought it. Annoyingly not what it says on the tin.

Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis

Any recs for books that are actually about diagnosis? (Medical, not psychological; I'm good on the psych front.)

Also, any recs for a book on antibiotics that is 1) about their current use, not their history (I'm familiar with their history), 2) comprehensible to a layperson?

I am particularly interested in learning more about how, after spending my entire life being told that antibiotics have very limited and specific uses and do not cure most things (due to doctors trying to cut down on inappropriate usage) I have recently discovered that, in fact, they have an extremely wide range of uses and "condition responds to antibiotics and, as far as we can tell, to nothing else" is nowhere near as diagnostically useful as I had assumed in narrowing down what that condition might be. For instance, d-cycloserine, an antibiotic normally used to treat tuberculosis, has cognitive effects which may make it useful in the treatment of PTSD.
conuly: (Default)

From: [personal profile] conuly


Wait, back up, back up. They used a female doctor as an inspiration for a male character? Why do people do this?
ironed_orchid: pin up girl reading kant (Default)

From: [personal profile] ironed_orchid


Well, obviously it would be impossible to make the connection between a female doctor and Sherlock Holmes /sarcastic voice
shehasathree: (library)

From: [personal profile] shehasathree


The Sociology of Diagnosis by Annemarie Jutel!

There are two books called 'How Doctors Think' which I read when I was first getting into the study of social health/using intellectualisation as a defense mechanism par excellence; one is by Jerome Groopman (I think his stories inspired the tv show Gideon's Hope), and one by Katherine Montgomery. I found them both very interesting/useful/helpful.

Also, The Patient from Hell.
the_future_modernes: (Default)

From: [personal profile] the_future_modernes


So a lady inspires House.... and they turn her into an annoying dude?!?!?

From: [identity profile] osprey-archer.livejournal.com


I think I would have liked House like five times as much if it had been about a female doctor rather than, well, House.

Too bad the book isn't more focused on the cases, though.
ext_12542: My default bat icon (Default)

From: [identity profile] batwrangler.livejournal.com


Or if the show had been more sympathetic to the patients instead of dismissive of them and invested in proving House was right to disregard their own reporting. It's totally possible to have baffling cases (case in point) without setting up an unnecessarily adversarial relationship between doctor and patient just to make brilliant obnoxious doctor look brilliant and justified (which is different than having brilliant obnoxious doctor dismiss patients to highlight his obnoxiousness which is not what the show seemed to be doing before I bailed on it) ... I think I'm done ranting now. :)

From: [identity profile] osprey-archer.livejournal.com


I spent most of the few episodes of House that I watched hoping that one of his patients would attack him with a blunt instrument "You're a dismissive asshole, House! Well, dismiss this!"

But clearly I wasn't the show's target audience, because a lot of viewers seem to love him.
ext_12542: My default bat icon (Default)

From: [identity profile] batwrangler.livejournal.com


That would have made *me* very happy. (I much prefer Hugh Laurie as Bertie Wooster.)

From: [identity profile] tool-of-satan.livejournal.com


Berton Roueche's essays collected in several volumes (some called Medical Detectives) are good; many have sections about diagnosis (they all go on to give the history of whatever condition is diagnosed, etc.). They may be of more limited interest to you since none are recent and many are quite old. (I know a few of them were used as bases for House episodes.)

From: [identity profile] serialbabbler.livejournal.com


Berton Roueche is good, but definitely out of date. He died in 1994.

Unfortunately, that style of medical writing isn't very popular these days.
rosefox: Green books on library shelves. (Default)

From: [personal profile] rosefox


Nearly all antibiotics can have significant cognitive and mood effects and interact with a surprising range of other medications. No one ever tells patients this. And as far as I can tell, hardly anyone studies it. It's completely bizarre.

From: [identity profile] a2zmom.livejournal.com


Thanks for the warning about Sander's book. I was interested in getting it but I doubt I'll bother now.

Do you know if all antibiotics have a desultory affect on the gut microbiome? It's a huge concern for me.

From: [identity profile] jinian.livejournal.com


The short answer is yes, antibiotics kill bacteria, and at least a large majority of the gut (and skin, etc.) microbiome will be susceptible to any antibiotic. There exist antibiotics which target certain types of bacteria more strongly than others, but that doesn't mean they don't affect the rest, and the antibiotics you're likely to get in general medical practice tend to be broad-spectrum anyway. There are many resistant bacteria in the world, but rarely the ones you would want!

From: [identity profile] a2zmom.livejournal.com


Thanks! That was my fear.

At this point, I'd literally have to be on death's door before I'd take an antibiotic. I have Chron's and more and more research is pointing toward a huge imbalance in my gut bacteria.

From: [identity profile] serialbabbler.livejournal.com


You might actually find FOAMed (free open access medical education) more useful than books. I've found a number of medical blogs and podcasts aimed at doctors to be quite illuminating and slightly less likely to fall into the repetitive screeds that usually take over the materials aimed at the general public.

IMReasoning might be of particular interest to you although they haven't done a huge number of episodes yet. (I suspect you'd especially find The Human Diagnosis Project which they talk about in episode 9 to be worth looking into.)

From: [identity profile] pameladean.livejournal.com


There are huge yearly (at least) volumes called AHFS Drug Information, intended for the use of pharmacists. I have one somewhere given me by a friend who used to be a nurse and needed to update hers regularly. They describe in enormous detail the pharmacological activity of drugs, the metabolic pathways, the timing of side effects, etc., where these are known. The series is called the American Hospital Formulary Service Drug Information and it's issued by the American Society of Health System. All the meds I wanted to check were old ones, so having an out-of-date volume wasn't an issue. I looked on Amazon, and the most recent one they seem to have is from 2001. The reference section of a library might have a more recent one. Or various members of the medical profession whom you are friends of.

P.

From: [identity profile] pameladean.livejournal.com


Wow, that last sentence went right off the rails. I meant, if you know pharmacists, nurses, doctors, and so on personally, they might have one.

P.

From: [identity profile] rachelmanija.livejournal.com


That sounds good for specific medications, but I'm trying to get something a little less specific and more conceptual. It's really noticeable to me how much better I understand my psychiatrist than any of my doctors, and that's not because i know the drugs better (even though I do know the drugs better also). It's because I understand the conceptual underpinnings of what my psychiatrist is talking about, and I don't with the others.

Like, today I asked my psychiatrist, "Does that have an effect on norepinephrine?" I didn't know the answer to that question, but if I hadn't had him on hand I could have just looked up the answer. But the important thing was that I knew that was a relevant question to ask. The problem is that with my other doctors, I don't have the knowledge base that enables me to know what questions to ask.

From: [identity profile] casperflea.livejournal.com


If you don't already read them, Sanders has a semi-regular gig in the New York Times called Think Like a Doctor. I am sure some of the cases are in her book, but *robably some not. (My keyboard is suddenly decided that the letter between o and q shall be re*resented by *./

http://well.blogs.nytimes.com/category/doctors/think-like-a-doctor-doctors/

From: [identity profile] telophase.livejournal.com


I've asked our health sciences librarian if she has any book recommendations. If she does, I'll pass them on.
.

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