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У каждого пациента своя история
Лиза Сандерс, врач, колумнист The New York Times Magazine, автор сценария сериала Netflix "Диагноз" и консультант создателей сериала "Доктор Хаус", рассказывает о самом сложном в работе любого врача — о постановке верного диагноза.
Вполне здоровый молодой человек внезапно теряет память — он не может удержать в голове даже то, что случилось всего час назад. Двое пациентов с болезнью Лайма идут на поправку после лечения антибиотиками, но все симптомы загадочным образом возвращаются. Молодая женщина умирает — кровотечение, спутанное сознание, пожелтевшая кожа, — и никто из докторов не знает, что с ней. Автор и врач описывает, что творится в умах и душах коллег, которые пытаются разрешить новую профессиональную головоломку — и спасти еще одну жизнь.
Никогда еще у человечества не было такого количества знаний, методов, средств, чтобы выявить болезнь. И все же ошибки случаются: врачи ставят неверные диагнозы, упускают из вида симптомы, неверно трактуют результаты анализов. Лиза Сандерс уверена: в мире высоких технологий знания и свидетельств недостаточно, чтобы лечить людей. Она доказывает, что необходимы также интуиция, изобретательность и настоящая смелость; утверждает, что важные не только показания приборов, но и личная история каждого пациента.
Вполне здоровый молодой человек внезапно теряет память — он не может удержать в голове даже то, что случилось всего час назад. Двое пациентов с болезнью Лайма идут на поправку после лечения антибиотиками, но все симптомы загадочным образом возвращаются. Молодая женщина умирает — кровотечение, спутанное сознание, пожелтевшая кожа, — и никто из докторов не знает, что с ней. Автор и врач описывает, что творится в умах и душах коллег, которые пытаются разрешить новую профессиональную головоломку — и спасти еще одну жизнь.
Никогда еще у человечества не было такого количества знаний, методов, средств, чтобы выявить болезнь. И все же ошибки случаются: врачи ставят неверные диагнозы, упускают из вида симптомы, неверно трактуют результаты анализов. Лиза Сандерс уверена: в мире высоких технологий знания и свидетельств недостаточно, чтобы лечить людей. Она доказывает, что необходимы также интуиция, изобретательность и настоящая смелость; утверждает, что важные не только показания приборов, но и личная история каждого пациента.
336 pages, Hardcover
First published January 1, 2009
1078 people are currently reading
14813 people want to read
About the author
Lisa Sanders
38 books207 followersLisa Sanders, M.D., is an internist on the faculty of the Yale University School of Medicine. She writes the monthly column Diagnosis for The New York Times Magazine, is the author of Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis, and served as a technical advisor on Fox TV's House, M.D. She lives in New Haven, Connecticut.
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Displaying 1 - 30 of 794 reviews
December 30, 2022
Review This was only so so, I can't think how to write a review. It's so much easier to write reviews of really good or really awful books, but ones in the middle... It was an interesting concept, concentrating on diagnosis told through the stories of people who couldn't get a definitive one. But it failed with the execution. The author is an internist and writes a column for the New York Times and I think maybe she just can't write longform and is best at short, punchy stories of medical mysteries.
This is the second book of hers I've read, the other is Diagnosis: Solving the Most Baffling Medical Mysteries, obviously along the same lines. But both are just 3 stars. I don't have time for 3 star books in my life.
Read October 2019, reviewed December 2022! I'm surprised I can still remember it.
This is the second book of hers I've read, the other is Diagnosis: Solving the Most Baffling Medical Mysteries, obviously along the same lines. But both are just 3 stars. I don't have time for 3 star books in my life.
Read October 2019, reviewed December 2022! I'm surprised I can still remember it.
August 12, 2023
Lisa Sanders is not only a physician (Yale School of Medicine) she is a TV Producer. In fact, she was an Emmy winning producer at “CBS News” prior to becoming a clinician/educator at Yale. She gives us an in-depth contrast to the mechanics of diagnostic medicine and how it is done “in real time” at the patient's bedside.
The physical exam and its' demise are a loss to medicine (according to Sanders). Diagnosis is a true art and how to classify such is an endeavor. From cogwheeling in Parkinson's to breast cancer; its consensus that diagnosis—by touch— and physical examination is sacrosanct.
“In medicine, uncertainty is the water we swim in....A lot of the appeal of internal medicine is Sherlockian—solving the case from the clues. We are detectives; we revel in the process of figuring it all out. It’s what doctors most love to do.”
—Lisa Sanders, MD
“Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis,” is so descriptive, one cannot feign lack of curiosity as to the corkscrew shape of tick bacteria. We learn of the case of Julia--- hypokalemia and low potassium---common in alcoholics. Sanders discloses all (Julia was her sister who died) irreverent of the personal strife and pain of losing a sister. Inspiring and sad. Buy.
The physical exam and its' demise are a loss to medicine (according to Sanders). Diagnosis is a true art and how to classify such is an endeavor. From cogwheeling in Parkinson's to breast cancer; its consensus that diagnosis—by touch— and physical examination is sacrosanct.
“In medicine, uncertainty is the water we swim in....A lot of the appeal of internal medicine is Sherlockian—solving the case from the clues. We are detectives; we revel in the process of figuring it all out. It’s what doctors most love to do.”
—Lisa Sanders, MD
“Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis,” is so descriptive, one cannot feign lack of curiosity as to the corkscrew shape of tick bacteria. We learn of the case of Julia--- hypokalemia and low potassium---common in alcoholics. Sanders discloses all (Julia was her sister who died) irreverent of the personal strife and pain of losing a sister. Inspiring and sad. Buy.
This entire review has been hidden because of spoilers.
May 5, 2010
As a medical lab tech, this book was fascinating to me. I spend my weekends working in the local hospital running diagnostic tests of all kinds. Often, I will come to know a patient ( eventhough I never see their face) through their lab resutls. I will make and view a slide of their CBC and count their different white cells. i will take note of their panic potassiums and calciums, their low hemoglobin, etc. and call these results to an er doctor and will often hear an "A-HA!" from the doctor as the test result has confirmed their initial diagnosis. But i also get to hear their puzzled questions when the test result doesn't fit their hypothesis. I will never forget the first time a pdeiatrician stood next to me as I looked at a baby's spinal fluid and when I told him there were no white cells in the fluid (it looked completely normal) he seemed baffled. i asked him what he was going to do next and he shook his head, sighed and said "I don't know." Yikes! This book is all about how doctors come (or in many cases don't come ) to the final correct diagnosis. The author is the doctor who advises the writers of House. She has wrtten a thoughtful and interesting book. Before I became a lab tech I used to think doctors were the smartest people in the world, then i came to see they are smart about their particular areas of knowledge, but jsut like any of us, they make mistakes. Not a comforting book - but well worth the read.
April 19, 2022
If someone, who is thinking of pursuing a career in medicine, reads this book, they may find it quite useful, or at least thought provoking as this book is all about the importance of listening to the patient without any hurry or too much interruption (even I prefer a doctor who allows me to finish my sentence :3)
...and how this practice can make a huge difference in proper diagnosis. (because that earns patient's trust, and they disclose everything, even the most embarrassing details, which may come across as the most vital information in the long run. I guess you know that already if you've watched House MD XD)
But hoping for some interesting and bizarre medical case studies, the ones only Dr House can solve- would most likely result in disappointment, like many other reviewers experienced the same because this book doesn't contain many of them.
In other words, this book is not as interesting as "The Man Who Mistook His Wife For A Hat", but the right kind of reader will appreciate this book. ♡
...and how this practice can make a huge difference in proper diagnosis. (because that earns patient's trust, and they disclose everything, even the most embarrassing details, which may come across as the most vital information in the long run. I guess you know that already if you've watched House MD XD)
But hoping for some interesting and bizarre medical case studies, the ones only Dr House can solve- would most likely result in disappointment, like many other reviewers experienced the same because this book doesn't contain many of them.
In other words, this book is not as interesting as "The Man Who Mistook His Wife For A Hat", but the right kind of reader will appreciate this book. ♡
May 18, 2018
If you like the author's column in the New York Times Magazine, you will like this book. It features well-written stories of so-called "medical mysteries." My problem is this frame of the "mystery" which makes it seem like these are very tough diagnoses and so the patients are just unlucky to have these weird diseases.
Most of the time, the stories reveal diagnoses that could have been made much earlier, more safely and more cheaply if only the doctor had done something basic, like look at the chart, or consult any reference at all (even Google), or take a history, or do a physical exam. When you add all these failures together, and when Sanders points out how systemic they each are, then it's clear that there's something rotten going on.
A good part of the book is going beyond the stories to try to get at why all these doctors are doing such a lousy job. The things she goes over are true, but in the end, I didn't feel that it all came together as a satisfying investigation of the problem. The book stayed too much in the "gee-whiz" zone of science/medicine reporting.
Most of the time, the stories reveal diagnoses that could have been made much earlier, more safely and more cheaply if only the doctor had done something basic, like look at the chart, or consult any reference at all (even Google), or take a history, or do a physical exam. When you add all these failures together, and when Sanders points out how systemic they each are, then it's clear that there's something rotten going on.
A good part of the book is going beyond the stories to try to get at why all these doctors are doing such a lousy job. The things she goes over are true, but in the end, I didn't feel that it all came together as a satisfying investigation of the problem. The book stayed too much in the "gee-whiz" zone of science/medicine reporting.
December 16, 2010
I was a little disappointed in this book. The author is touted writes a column that gave rise to House MD so I expected lots of interesting case histories and weird maladies! Instead the book is a lot about how diagnosis is done and a boring eulogy for what the author describes as the death of the physical exam and the lack of training in basics for doctors. For those interested in the case history type thing I recommend instead Oliver Sachs (Awakening) and The Man Who Mistook His Wife for a Hat (a book of bizarre neurological case histories).
June 22, 2020
Several years ago when I was an Intern, I was chit-chatting with Dr. Sambita Chakravarty in the Pediatrics duty doctors' room. A bearded-man in a knee long panjabi with his wife peeked through the door. The wife had their son on her lap. He was Jamal. 8 years. The man had an anxious face- definitely for his son. I couldn't see the face of the wife as it was covered in a Burqa. She must be anxious. After all she was a mother.
I asked, 'what is the problem?'
Jamal had a fever for about a week. But his main problem was he had a pain in a specific site of the right chest. Sometimes the pain became unbearable.
I looked at the face of Jamal and became a bit surprised. The normal skittishness of an eight years old was absent in him. He behaved like a sixty years old. He had black eyes and nicely combed hair.
His parents went to consult a professor of Internal Medicine (who was also my teacher). The professor advised him an X-ray and blood test. There was a classic textbook image of lung abscess in the X-ray and an elevated WBC count in the blood test. Following investigation, the professor advised the parents to get Jamal admitted in the pediatrics department. As a result, I got to meet Jamal and his family.
I carried Jamal to the examination table. There were typical findings of lung abscess. We got him admitted.
Next day, in the morning session, we told Prof. Dr. Barun Kanti Biswas, head of the Pediatrics department that a boy was admitted with lung abscess in the previous afternoon. Prof. Biswas listened to the history of the patient. He then asked Jamal, 'what is your name, boy?' Jamal answered, 'Jamal'. He asked again, 'Which class are you in?' Jamal answered, 'in class two.'
Then Dr. Biswas looked at us and said, 'this is not a case of lung abscess.'
We showed him the X-ray. He looked at the X-ray for a while and then said, 'this is not a case of lung abscess. Advise an ultra-sonogram of the chest.'
We took Jamal to the Radiology and Imaging department. Following USG, the report came- a case of lung abscess.
We notified the professor about the USG report. He looked at the image and said, 'whatever in the report, it is not a case of lung abscess. Advise a CT scan of chest'. We looked at Prof. Biswas and scratched our head. CT scan is an expensive investigation.
However, we managed to go for CT scan.
In the following day, Dr. Biswas himself had asked, 'what is the CT report?'
-Benign developmental cyst.
-Yes. This patient needs surgery. Treat him accordingly.
We asked Prof. Biswas, why did he thought it was not a case of lung abscess in the presence of so much supporting evidences? He answered, 'because I could talk with the patient. If it was a lung abscess, you couldn't talk with the patient due to the foul odor.'
While reading this book I was thinking of Prof. Biswas. The author explained with example after example, how can a small overlooked clue change the diagnosis? How each and every components on the path to diagnosis is important? For instance, in this case of Jamal, several diseases could make this problem- we doctors call them differential diagnosis. Lung abscess was one of the differential diagnosis and the most probable one. Dr. Biswas changed his diagnosis only with a simple clue. 'I was not amazed because he was right. I was amazed because of his thinking.'
Dr. Sanders said, 'thinking stops when a diagnosis is made'. And sometimes a very tiny clue becomes the most important one.
Highly recommended for the doctors.
I asked, 'what is the problem?'
Jamal had a fever for about a week. But his main problem was he had a pain in a specific site of the right chest. Sometimes the pain became unbearable.
I looked at the face of Jamal and became a bit surprised. The normal skittishness of an eight years old was absent in him. He behaved like a sixty years old. He had black eyes and nicely combed hair.
His parents went to consult a professor of Internal Medicine (who was also my teacher). The professor advised him an X-ray and blood test. There was a classic textbook image of lung abscess in the X-ray and an elevated WBC count in the blood test. Following investigation, the professor advised the parents to get Jamal admitted in the pediatrics department. As a result, I got to meet Jamal and his family.
I carried Jamal to the examination table. There were typical findings of lung abscess. We got him admitted.
Next day, in the morning session, we told Prof. Dr. Barun Kanti Biswas, head of the Pediatrics department that a boy was admitted with lung abscess in the previous afternoon. Prof. Biswas listened to the history of the patient. He then asked Jamal, 'what is your name, boy?' Jamal answered, 'Jamal'. He asked again, 'Which class are you in?' Jamal answered, 'in class two.'
Then Dr. Biswas looked at us and said, 'this is not a case of lung abscess.'
We showed him the X-ray. He looked at the X-ray for a while and then said, 'this is not a case of lung abscess. Advise an ultra-sonogram of the chest.'
We took Jamal to the Radiology and Imaging department. Following USG, the report came- a case of lung abscess.
We notified the professor about the USG report. He looked at the image and said, 'whatever in the report, it is not a case of lung abscess. Advise a CT scan of chest'. We looked at Prof. Biswas and scratched our head. CT scan is an expensive investigation.
However, we managed to go for CT scan.
In the following day, Dr. Biswas himself had asked, 'what is the CT report?'
-Benign developmental cyst.
-Yes. This patient needs surgery. Treat him accordingly.
We asked Prof. Biswas, why did he thought it was not a case of lung abscess in the presence of so much supporting evidences? He answered, 'because I could talk with the patient. If it was a lung abscess, you couldn't talk with the patient due to the foul odor.'
While reading this book I was thinking of Prof. Biswas. The author explained with example after example, how can a small overlooked clue change the diagnosis? How each and every components on the path to diagnosis is important? For instance, in this case of Jamal, several diseases could make this problem- we doctors call them differential diagnosis. Lung abscess was one of the differential diagnosis and the most probable one. Dr. Biswas changed his diagnosis only with a simple clue. 'I was not amazed because he was right. I was amazed because of his thinking.'
Dr. Sanders said, 'thinking stops when a diagnosis is made'. And sometimes a very tiny clue becomes the most important one.
Highly recommended for the doctors.
January 16, 2018
This title is far more a memoir than it is a book that is directly focused on the subject matter of the title. And it also does not follow so much of her own autobiography path for becoming a medical doctor in any linear progressive order of time or experience level so you don't get that as a "whole" either. Instead it skips. And jumps to various chapter headings which almost randomly center on different aspects or various instruments of the patient physical examination by the medical doctor.
These books usually mesmerize me. Although I read every word and appreciated many of her witnessed misdiagnosis or "troubled/ very ill and yet no answer for successful treatment" patients- I felt after about 1/2 the book that the verbiage of medical historic discoveries founders for techniques and equipment invention, those past century tales and myriads or other non-title related tangents- they all got in the way.
It's good instruction for those who know little about medicine as a diagnosis skill set and also want to know more about a base physical examination. The one a medical doctor should be doing upon first patient arrival for a well visit or for a problem to report episode.
These physical examinations of the patient (even on hospital check in) are not taught as they once were. Nor are all doctors depending on the physical exam to the extent that they did a mere few decades ago. Not only because of lab testing, but because of digital diagnosing.
Overall, the writing style became just too tangent to piece out the essence of the connection to those physical examination skills. The listening, the feeling of touch response, the communication and the related context to the exact period of times involved. It is like a story, in some ways. But far more complex than just a story. You have to hear the silences and also tread into paths that don't reveal signs which warn or point to the features for the information that you don't know that you don't know.
The reading became random memoir and quite tedious at points, as it wandered away from the subject of the diagnosis art. She entered the "tracking" and cognition skill testing too. Which I worked within for a few years, so I should have found it extremely interesting. But it seemed long-winded side explanations in the way she gets "around" the "invisible gorilla" test, for instance. Her writing became tedious, not exciting- as it could have been for such a subject. NOT seeing something that is quite there.
There was a small omission too, I think. I wanted to hear more about how doctors listen as much as what they inquire about "the story". She flirted with that about 3 times but never really delved into selective hearing as she did the "seeing".
She's probably an excellent doctor. Her memory and ability to sense emotive affect and side bars seem superior.
These books usually mesmerize me. Although I read every word and appreciated many of her witnessed misdiagnosis or "troubled/ very ill and yet no answer for successful treatment" patients- I felt after about 1/2 the book that the verbiage of medical historic discoveries founders for techniques and equipment invention, those past century tales and myriads or other non-title related tangents- they all got in the way.
It's good instruction for those who know little about medicine as a diagnosis skill set and also want to know more about a base physical examination. The one a medical doctor should be doing upon first patient arrival for a well visit or for a problem to report episode.
These physical examinations of the patient (even on hospital check in) are not taught as they once were. Nor are all doctors depending on the physical exam to the extent that they did a mere few decades ago. Not only because of lab testing, but because of digital diagnosing.
Overall, the writing style became just too tangent to piece out the essence of the connection to those physical examination skills. The listening, the feeling of touch response, the communication and the related context to the exact period of times involved. It is like a story, in some ways. But far more complex than just a story. You have to hear the silences and also tread into paths that don't reveal signs which warn or point to the features for the information that you don't know that you don't know.
The reading became random memoir and quite tedious at points, as it wandered away from the subject of the diagnosis art. She entered the "tracking" and cognition skill testing too. Which I worked within for a few years, so I should have found it extremely interesting. But it seemed long-winded side explanations in the way she gets "around" the "invisible gorilla" test, for instance. Her writing became tedious, not exciting- as it could have been for such a subject. NOT seeing something that is quite there.
There was a small omission too, I think. I wanted to hear more about how doctors listen as much as what they inquire about "the story". She flirted with that about 3 times but never really delved into selective hearing as she did the "seeing".
She's probably an excellent doctor. Her memory and ability to sense emotive affect and side bars seem superior.
August 24, 2019
“A lot of the appeal of internal medicine is Sherlockian—solving the case from the clues. We are detectives; we revel in the process of figuring it all out. It’s what doctors most love to do.”
This book is a piece of Art and I can't get enough of it!
November 8, 2017
Dead on with my experience as a complicated, chronic patient, but what makes it so good to me is that it’s from the perspective of doctors who admit the faults of medicine, the diagnostic process, the tendency to blow things off if there’s not something “normal” and initial, basic tests come back normal, the lack of desire to pursue things further, and the common problem of misdiagnosing a patient simply to give them a diagnosis (thinking they should know everything) to the detriment of the patient. It’s great to read a book by a physician who is honest about the imperfections of medicine and the importance of not saying “it must be in your head” just because they can’t find anything extraordinary. There is almost always something there if the doctor is willing to refer patients, do some research, spend more time LISTENING to the patient, and not assume it’s something as simple as the common flu...especially when it lingers. I took pictures of many passages in this book because they are dead on and I know a few docs who need to read them! It make take years to nail down a diagnosis, but it’s harmful for doctors to make a diagnosis without strong evidence just to appease the minds of patients.
August 20, 2025
একখান বিশাল সাইজের carbuncle with severe pain and fever নিয়ে কাতরাতে কাতরাতে চিন্তা করতেছি ;কাটাকুটি আর ইনজেকশনের ভয়ে সদা কম্পমান আমার জন্য মেডিসিন ছাড়া আর কিচ্ছু ভালো হতেই পারে না পেশা এবং নেশা হিসাবে।
প্রতিটা ডায়াগনোসিসের দ্বারপ্রান্তে দাঁড়িয়ে দোদুল্যমান মনের সন্দেহ যখন সত্যি তে রূপান্তরিত হয়,তার মতো নিখাদ নির্মল আনন্দ আর কিছু হতেই পারে না।
রেটিং:✨⭐🌟🌠
২০/৮/২৫
প্রতিটা ডায়াগনোসিসের দ্বারপ্রান্তে দাঁড়িয়ে দোদুল্যমান মনের সন্দেহ যখন সত্যি তে রূপান্তরিত হয়,তার মতো নিখাদ নির্মল আনন্দ আর কিছু হতেই পারে না।
রেটিং:✨⭐🌟🌠
২০/৮/২৫
May 15, 2019
In this book, Lisa Sanders who originally wrote a column for the New York Times Magazine looks into why it can be so difficult to diagnose what is wrong with a patient. She also looks into why a doctor can get it wrong. As someone who had to deal with a lot of nope it's not that let's do some more tests, I thought the book was fascinating. I couldn't believe how many times a diagnosis was found because someone asked a colleague to look at a chart. It was an unusual subject and I really loved getting an insight into it.
February 24, 2022
Will is reading this for his “Medicine and Humanities” class and in the spirit of “one tuition, two educations” I’m reading along. This book mainly talks about the diagnostic process and it’s difficulties. The author was a consultant for House MD. She explains the clear parallelism between House and Sherlock and furthermore how Conan Doyle based Sherlock on a Scottish surgeon, named Joseph Bell:
“Joseph Bell, for whom he’d worked during his medical training. Like Holmes, Bell frequently wore a deerstalker cap, smoked a pipe, and was often observed using a magnifying glass. But the most important trait they shared was a keen eye for detail combined with remarkable deductive powers.”
A lot of the book is a look at medicine as a Sherlockian endeavor. The cases are mysteries that need unraveling. But it is also a book with an agenda: bring back the physical examination of patients, stop relaying only on tests and technology. I enjoyed how Yale centric this book is (including M. Chun appearances and visits to the Yale center for British Art to learn how to observe on paintings instead of patients).
Another important element that Sanders brings forth is how practicing medicine is not only examining patients and finding what ails them, the doctor must be able to listen to her patient’s stories and be a storyteller as well. Unless the doctor can tell the patient a story about her disease that the patient understands and accepts, the healing is not possible. Dr Sanders illustrates this with a dramatic case where a woman will keep suffering terribly because her doctor could not tell the story of her illness in a way the patient could accept it. I think this part of the equation is what makes doctors who are educated in the humanities more adept.
There is also a dose of Dr Sanders bio in the book, this brings her closer and makes her more relatable until the last chapter when we bond with her over personal tragedy.
Excellent book!! I’m very excited hoping Dr Sanders will visit Will’s class to talk about the book. This things are what makes learning thrilling!
“Joseph Bell, for whom he’d worked during his medical training. Like Holmes, Bell frequently wore a deerstalker cap, smoked a pipe, and was often observed using a magnifying glass. But the most important trait they shared was a keen eye for detail combined with remarkable deductive powers.”
A lot of the book is a look at medicine as a Sherlockian endeavor. The cases are mysteries that need unraveling. But it is also a book with an agenda: bring back the physical examination of patients, stop relaying only on tests and technology. I enjoyed how Yale centric this book is (including M. Chun appearances and visits to the Yale center for British Art to learn how to observe on paintings instead of patients).
Another important element that Sanders brings forth is how practicing medicine is not only examining patients and finding what ails them, the doctor must be able to listen to her patient’s stories and be a storyteller as well. Unless the doctor can tell the patient a story about her disease that the patient understands and accepts, the healing is not possible. Dr Sanders illustrates this with a dramatic case where a woman will keep suffering terribly because her doctor could not tell the story of her illness in a way the patient could accept it. I think this part of the equation is what makes doctors who are educated in the humanities more adept.
There is also a dose of Dr Sanders bio in the book, this brings her closer and makes her more relatable until the last chapter when we bond with her over personal tragedy.
Excellent book!! I’m very excited hoping Dr Sanders will visit Will’s class to talk about the book. This things are what makes learning thrilling!
January 21, 2019
To start off with, I love medicine but I don't love this book.
This book was recommended by a professor of mine who's doing her research on clinical reasoning. Needless to say, I dived into this book in the excitement that I would be able to enhance my clinical reasoning skill.
Instead, the further I read, the more I felt repulsed by the book. This is not the medicine I knew of. Day in day out, medical students are taught to take a thorough history and perform our physical examination properly. We go through the routine under the hawk eye of our supervisors. We try hard to perfect our skills. Probably it's a different culture out there, probably I've not been to enough hospitals to experience the "lost art" of physical examinations.
Furthermore, some of the unusual cases presented did not seem so "hard to crack" for me. It just succeeded in making the doctors treating the patients appear very careless and clueless towards their profession.
Few things I like about the book that kept me continue reading is the way the author portrayed the patients, without forgetting that they are human with disease, not just as a case per se - which, surprisingly, doctors need to be reminded of this fact constantly. And thus, she makes the book readable for people from all walks of life. The chapters on Lyme disease (which is uncommon in my country) and digital diagnosis are enlightening as well.
Perhaps few years down the line, I might reread this book and see it in a different light. However, I do hope I don't need this book to remind me to listen to my patients' story closely and examine them properly.
This book was recommended by a professor of mine who's doing her research on clinical reasoning. Needless to say, I dived into this book in the excitement that I would be able to enhance my clinical reasoning skill.
Instead, the further I read, the more I felt repulsed by the book. This is not the medicine I knew of. Day in day out, medical students are taught to take a thorough history and perform our physical examination properly. We go through the routine under the hawk eye of our supervisors. We try hard to perfect our skills. Probably it's a different culture out there, probably I've not been to enough hospitals to experience the "lost art" of physical examinations.
Furthermore, some of the unusual cases presented did not seem so "hard to crack" for me. It just succeeded in making the doctors treating the patients appear very careless and clueless towards their profession.
Few things I like about the book that kept me continue reading is the way the author portrayed the patients, without forgetting that they are human with disease, not just as a case per se - which, surprisingly, doctors need to be reminded of this fact constantly. And thus, she makes the book readable for people from all walks of life. The chapters on Lyme disease (which is uncommon in my country) and digital diagnosis are enlightening as well.
Perhaps few years down the line, I might reread this book and see it in a different light. However, I do hope I don't need this book to remind me to listen to my patients' story closely and examine them properly.
August 25, 2019
Dr. Sanders book highlights how physicians spend less time on initial examinations of patients and rely on test results. Examples of clues missed because of the decline of the hands on approach go on to explore the complex and difficult world of a medical diagnosis and treatment.
Interesting reading discussing the role for computers in diagnosing disease and the generally successfully tactic of calling a knowledgeable colleague to help find the answer. Lots of medical mysteries for those of you like to read them. The last chapter is a very personal story of what happened to the author’s sister.
Interesting reading discussing the role for computers in diagnosing disease and the generally successfully tactic of calling a knowledgeable colleague to help find the answer. Lots of medical mysteries for those of you like to read them. The last chapter is a very personal story of what happened to the author’s sister.
February 1, 2021
Diagnosen. Darf man erwarten, dass Ärzte immer zu 100% und sofort eine richtige Diagnose stellen? Warum das eine überzogene Erwartungshaltung ist, zeigt uns die Autorin und erklärt anhand von echten Patienten-Arzt Besuchen, die einen Einblick in die Diagnosen geben.
Warum es eben nicht immer sofort einleuchtend ist, an was die Person erkrankt ist. Sehr spannende Patientengeschichten. Gerade die Perspektive aus der Sicht eines Arztes, fördert mein persönliches Verständnis für diesen Berufszweig und die Schwierigkeit, die dieser Beruf mit sich bringt.
Warum es eben nicht immer sofort einleuchtend ist, an was die Person erkrankt ist. Sehr spannende Patientengeschichten. Gerade die Perspektive aus der Sicht eines Arztes, fördert mein persönliches Verständnis für diesen Berufszweig und die Schwierigkeit, die dieser Beruf mit sich bringt.
January 11, 2019
I have avidly followed the author's columns about diagnosing tough medical cases in the New York Times Magazine for years, but I just recently became aware that she wrote a book that was published in 2009. I found it fascinating! It reminded me of the humanity of doctors. I am grateful to live in a time where it is possible to find so much medical information online (with the caveat of looking at reputable and peer reviewed sources, of course). That said, I believe the doctor has a vital role in the health care system and this book made me more appreciative of the work they do.
April 18, 2022
An amazing book! This book reveals the ideas about diagnosis, how doctors think, what mistakes they make. Also unveiled the future of the diagnostic procedures. A must read book for all future medicine aspirants!!!
March 26, 2025
3.5⭐️ honestly pretty fire for a book i had to read for class. lots of cool patient stories and added a lot of insight into issues i didn’t know existed in the medical world. recommend reading if you want to work in healthcare
January 24, 2012
Oh my god this book was AMAZING. I am so grateful that Amy let me read this book. It might seem boring because it's a medical book but honestly it's not. This book is a bunch of stories about diagnosising people and how one tiny detail the others. One of the most memorable story that I read was about a girl who constantly smoked weed (marijuana) and got nausea from it. When the doctors found out it was the weed that made her feel this way they told the patient. To my surprise she got angry at them!! They told her if she stopped smoking she would be fine but she refused to accept that marijuana was doing this to her. My mind was like what is wrong with you?! Let it go for your health sake. Another story I enjoyed was when you learn how a small detail can change the whole situation. For example a nurse was taking the temperature of a patient who just arrived at the hospital. The nurse couldn't get a blood pressure from the left arm but didn't say anything. The patient later died because of that detail.
This book is truly amazing. You don't have to be into the medical field to enjoy this book. There are so many stories in this book that there is one for everyone to enjoy and favor. I recommend this book to anyone and everyone who is willing to give this book a try.
This book is truly amazing. You don't have to be into the medical field to enjoy this book. There are so many stories in this book that there is one for everyone to enjoy and favor. I recommend this book to anyone and everyone who is willing to give this book a try.
December 20, 2014
As a medical scientist, and someone just generally into medical anything, this book seemed like an obvious choice. The "Every Patient Tells a Story" sounds like House, MD in a book format. SIGN ME UP! Unfortunately, uh, there are hardly any patient stories. This is one long book on the benefits of the physical exam. Sure the author throw us a bone here and there, in the form of a very brief patient case, then followed by yet another 50 pages about the physical exam and 10 more pages full of statistics about how doctors don't know how to use a stethoscope. I don't even disagree with the doctor, everything she says is true, but it's just so monotonous. I would recommend this to any health care professional who performs (or should be performing) physical exams on patients. Anyone else: skip it or borrow it so you can skim through to read the few interesting sections without feeling like you wasted your money.
March 16, 2016
I like some odd genres: Books about Books...Books about People Who Move and Start Over...Books about Cooking...and the genre this book falls into, Books about Doctors.
Don't ask me why.
Books like this one fascinate me. I'm struck by the way doctors work on people's bodies using a clever combination of science and intuition.
This is a particularly intriguing book to me as it deals with the art of diagnosis, using scientific knowledge along with experience and hunches, to figure out why things aren't right with a person.
The author started out in television and ended up becoming a medical doctor. She seems to have just the right combination of knowledge about medicine and ability to write well to create this book.
Very good book.
Don't ask me why.
Books like this one fascinate me. I'm struck by the way doctors work on people's bodies using a clever combination of science and intuition.
This is a particularly intriguing book to me as it deals with the art of diagnosis, using scientific knowledge along with experience and hunches, to figure out why things aren't right with a person.
The author started out in television and ended up becoming a medical doctor. She seems to have just the right combination of knowledge about medicine and ability to write well to create this book.
Very good book.
July 6, 2021
I’m a huge fan of House, MD, and I’m a medical student, so of course I wanted to read this book. Dr. Sanders’ past as a reporter is clear, as she tells the stories with a reporter’s precision. I also loved testing my own diagnostic skills while reading. I would think to myself, “what test would I order next?” and “what disease or category of disease do I think is happening?”
Overall this was a fun read. It’s also totally accessible to the non-medical person. Dr. Sanders is careful to define any medical jargon she uses. I love the puzzle of diagnostics, the human stories it necessitates. Diagnosis was a perfect backdrop for a hit TV show… the stakes are high and the puzzle is fascinating.
Overall this was a fun read. It’s also totally accessible to the non-medical person. Dr. Sanders is careful to define any medical jargon she uses. I love the puzzle of diagnostics, the human stories it necessitates. Diagnosis was a perfect backdrop for a hit TV show… the stakes are high and the puzzle is fascinating.
August 7, 2013
From the writer of the series House M.D, Dr. Lisa Sanders. Great read. Recommended for doctors and med students!
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Update: August 7,2013
I got what I wanted and more. This book doesn't only give information but wisdom and inspiration for every medical student who wants to forge a refreshing and exciting path for himself/herself in the medical arena. Truly a book for all (and not just medical students).
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Update: August 7,2013
I got what I wanted and more. This book doesn't only give information but wisdom and inspiration for every medical student who wants to forge a refreshing and exciting path for himself/herself in the medical arena. Truly a book for all (and not just medical students).
dnf
October 17, 2023obviously get the reasoning behind the concept being in medical school myself but this is just incredibly dull and repetitive whenever it’s not actively dealing with a case. it did however teach me that “It is much more important to know what kind of patient has the disease than what sort of disease the person has,” which was something I maybe already knew but they slayed with the phrasing.
December 14, 2022
Interesting stuff! Makes you realize what it's kind of like to think like a doctor. I had no idea that a doctor was really just an empathetic detective!!! Cool stuff.
Here are quotes I liked:
- Details that dont make sense r sometimes skipped and turn out later to be the most important
- Typical diagnoses are most likely to be made by the most and the least experienced doctors
- Most senior have most experience and allows them to see many possibilities
- Novice has no expectations so no stuff is « filtered out » I.e. no experienced based vid that would bar them from looking at the whole picture
- Over 70% of breast cancers are detected by women who feel a lump in their breast ; mammograms account for 20%; physical exam by physician detects 5%
- 20% - 45%(women) of appendix removals used to take place on healthy appendix when ppl come in complaining of belly pain! Bad appendix is potentially fatal, so was seen as still better than risk of dying. Now CT scans routinely done and can reduce that to 1%. But those how need a CT have to wait hours and then damage could be done by the appendix. The physical exam can substitute in and make it obvious which ones r truly sick appendixes without needing to wait or pay for costly exam!
- Prostate cancer 2x more common in black men than white, less common in Korean men; irresponsable of physician not to take this into account when black man presents w urinary symptoms
- Patients near more than correct diagnosis (more than just right treatment for right disorder): also: encouragement, to be heard, sympathy, emotional support
Here are quotes I liked:
- Details that dont make sense r sometimes skipped and turn out later to be the most important
- Typical diagnoses are most likely to be made by the most and the least experienced doctors
- Most senior have most experience and allows them to see many possibilities
- Novice has no expectations so no stuff is « filtered out » I.e. no experienced based vid that would bar them from looking at the whole picture
- Over 70% of breast cancers are detected by women who feel a lump in their breast ; mammograms account for 20%; physical exam by physician detects 5%
- 20% - 45%(women) of appendix removals used to take place on healthy appendix when ppl come in complaining of belly pain! Bad appendix is potentially fatal, so was seen as still better than risk of dying. Now CT scans routinely done and can reduce that to 1%. But those how need a CT have to wait hours and then damage could be done by the appendix. The physical exam can substitute in and make it obvious which ones r truly sick appendixes without needing to wait or pay for costly exam!
- Prostate cancer 2x more common in black men than white, less common in Korean men; irresponsable of physician not to take this into account when black man presents w urinary symptoms
- Patients near more than correct diagnosis (more than just right treatment for right disorder): also: encouragement, to be heard, sympathy, emotional support
March 23, 2023
This was an interesting enough book, and if you like medical diagnosis stories / medical mysteries, you won't be terribly disappointed by this. That said, there's a lot more content about the general state of medical education and medical diagnosis than I expected in here. She spends a lot of time alternately lamenting the demise of the physical exam and vacillating about the validity of it. It actually is quite interesting, just not really what I was expecting.
If you are looking for some super intense stories of medical diagnosis, I recommend The Woman with a Worm in Her Head by Pamela Nagami (an infectious disease specialist). That is closer to what I was expecting from this book, and also if you like this book you'll probably like that one. If you want similar stories but from further back in history, Thomas Morris has written extensively about that on his blog (archive link, since it seems to be offline now), and the super interesting stories were compiled into the books The Mystery of the Exploding Teeth and The Matter of the Heart , both of which were excellent.
3.5 of 5 stars
If you are looking for some super intense stories of medical diagnosis, I recommend The Woman with a Worm in Her Head by Pamela Nagami (an infectious disease specialist). That is closer to what I was expecting from this book, and also if you like this book you'll probably like that one. If you want similar stories but from further back in history, Thomas Morris has written extensively about that on his blog (archive link, since it seems to be offline now), and the super interesting stories were compiled into the books The Mystery of the Exploding Teeth and The Matter of the Heart , both of which were excellent.
3.5 of 5 stars
July 28, 2018
☯️
Good things :
-Acknowledgment of amazing internist Faith Fitzgerald,Dr.Joseph bell the real inspiration of Sherlock holmes for arther conan doyle(so technically house m.d. medical series was inspired by Sherlock detective series which was inspired by dr bell medical man),Giovanni Battista the anatomy guy,rené theophylline hyacinth laennec the stetho guy.
-evolution of the definition of disease (symptoms~organ dysfunction ~&then add objective observations )
-importance of autopsy & physical exam
-I personally like the history of Lyme disease
-and yeah as the title suggests stories of patients
Bad thing in good things:
there should be more mysterious stuff , more stories
Bad things:
It felt like author’s memoir I didn’t sign up for that
And author had focused on to much tedious observation ,reiteration of physical examination(p.e.),dull research studies.
Good thing in bad things:
P.e. Is so much important
Favourite quote: television reaches millions but touches few
Good things :
-Acknowledgment of amazing internist Faith Fitzgerald,Dr.Joseph bell the real inspiration of Sherlock holmes for arther conan doyle(so technically house m.d. medical series was inspired by Sherlock detective series which was inspired by dr bell medical man),Giovanni Battista the anatomy guy,rené theophylline hyacinth laennec the stetho guy.
-evolution of the definition of disease (symptoms~organ dysfunction ~&then add objective observations )
-importance of autopsy & physical exam
-I personally like the history of Lyme disease
-and yeah as the title suggests stories of patients
Bad thing in good things:
there should be more mysterious stuff , more stories
Bad things:
It felt like author’s memoir I didn’t sign up for that
And author had focused on to much tedious observation ,reiteration of physical examination(p.e.),dull research studies.
Good thing in bad things:
P.e. Is so much important
Favourite quote: television reaches millions but touches few
October 7, 2020
Equal parts satisfying and disturbing.
January 18, 2021
this spoke to a large chunk of the population with chronic health conditions (including myself) who have suffered due to the miscommunication and discrepancy between doctor and patient and I'm glad it exists because of that
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