Physician, Think for Thyself
HOW DOCTORS THINK.By Jerome Groopman.Houghton Mifflin.307 pp. $26
Once upon a time, doctors made house calls and eye contact. Chatting at patients’ bedsides or with their families at kitchen tables, doctors assessed both patient and context. They understood the sensible counsel of postbellum physician William Osler: Listen, and the patient will tell you the diagnosis. So how can 21st-century physicians hope to interpret their patients’ illness narratives, when, in the typical encounter, the doctor interrupts 18 seconds after the patient begins speaking, and within 20 seconds has formed some opinion of what is wrong?
Jerome Groopman, a Harvard...