Family physician, author, blogger, speaker, physician leader.

Tag Archive for healthcare reform

Book Review – When Doctors Don’t Listen: How to Avoid Misdiagnoses and Unnecessary Tests

The premise of the book When Doctors Don’t Listen is that increasingly doctors are adhering to algorithms and protocols, known as “cookbook medicine”. In the process, doctors are not listening to patients. Instead, doctors are hearing what they want to hear, ignoring the patient’s story, which results in medical evaluations and treatments which are erroneous. The consequence can be delay in care, unnecessary tests and worry, and at times the path taken is so far astray that patients need to fend for themselves. In one anecdote, a patient flees the emergency room after being evaluated for a headache after a hangover and discovers that her treatment is on the pathway to be evaluated for a possible life-threatening (and highly improbable) subarachnoid hemorrhage which includes an invasive lumbar puncture. Too far fetched? Do these problems affect a no name hospital? No. What makes the patient stories most interesting is where they […] Read More »