Sunday, November 17, 2013

One Doctor


One Doctor: Close Calls, Cold Cases, and the Mysteries of Medicine Hardcover – September 3, 2013

Author: Brendan Reilly M.D. | Language: English | ISBN: 1476726299 | Format: PDF, EPUB

One Doctor: Close Calls, Cold Cases, and the Mysteries of Medicine – September 3, 2013
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  • Hardcover: 464 pages
  • Publisher: Atria Books; 1 edition (September 3, 2013)
  • Language: English
  • ISBN-10: 1476726299
  • ISBN-13: 978-1476726298
  • Product Dimensions: 9.3 x 6.3 x 1.3 inches
  • Shipping Weight: 13.6 ounces (View shipping rates and policies)
  • Amazon Best Sellers Rank: #30,923 in Books (See Top 100 in Books)
    • #14 in Books > Medical Books > Medicine > Doctor-Patient Relations
    • #30 in Books > Medical Books > History
    • #81 in Books > Biographies & Memoirs > Professionals & Academics > Medical
On this first day of 'The Affordable Care Act', I encourage everyone to read this book, we all need that 'One Doctor'.

In reading Dr Reilly's book I thought about a book I had read. Dr Jerome Groopman's, 'How Doctors Think'. Dr Groopman's explains that no one can expect a physician to be infallible, medicine is an uncertain science and every doctor sometimes makes mistakes with diagnoses and treatment. It is the frequency and seriousness of those errors that can be reduced by 'understanding how a doctor thinks and how he or she can think better'. Dr. Reilly goes one better and starts with the patient, listen to the patient, observe and examine the patient. Certainly all of the new technology is wonderful to help with diagnoses and treatment, but it can't always beat the one on one between patient and physician.

In flashbacks Dr. Reilly discusses his most recent challenging patients in 2010, while covering on-call for a two week interlude, in a large teaching hospital in New York City, and then to his career at Dartmouth Hitchcock Medical Center, in 1985 in New Hampshire. Hiram Hitchcock had given this hospital to the community in memory of his wife, Mary Hitchcock. In 1985, Dr Reilly had made house calls to his patients who needed them. He was their physician, he knew everything about them, and could see any minor abnormality. He did, however, miss the cause of one of his patient's delirium, and by the time he figured it out the patient had died. Dr Reilly discusses in detail the regrets and guilt physicians have when medical errors are made.

Reflecting on the way medicine was practiced 25 years ago and contrasting today's practice, Dr Reilly discusses some of the 19 patients he and his team round on, on a daily basis.

One Doctor: Close Calls, Cold Cases, and the Mysteries of Medicine – September 3, 2013 Download

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