Mini Theme: True Medical Mysteries

I really enjoy books where a medical case is presented, and then the doctor has to try to figure out what in the world is going on with that patient. The hope is, of course, that they do figure it out in time to save the patient. True stories--just to be clear.

If this type of book sounds interested to you, read on! I have a handful to get you started.

Every Patient Tells a Story: Medical Mysteries and the Art of Diagnosis, by Lisa Sanders

4 stars: Problems and perils of diagnosing patients, with interesting case studies to back up her points.

As the title would suggest, this book is from the POV of the doctor. Sanders says in the introduction that she hoped to put readers right there at the bedside, with the clues (symptoms) presented and the knowledge or lack thereof that the doctor has to go on in order to find the correct diagnosis. As such, it is broken into sections based on the parts of a physical exam: the patient's history, the actual physical exam, technology/testing, and what she calls "Limits of the Medical Mind." Each section has chapters within it delving into more detail about the various aspects of that method of diagnosing patients, along with case studies of real patients.

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I found this one fascinating. Then again, I also like to read my husband's medical journals when they come in the mail. There are so many variables standing between the sick patient and the saving treatment, including: the way they tell their story to the doctor (do they leave out crucial details or tell so much that the important stuff gets lost), what symptoms are presenting at the time of the exam, what the tests show or don't show, and so on.

I was reminded again of the importance of networking amongst doctors. Many of these difficult cases were solved by the doctor/s calling up a friend who was a specialist in that field, or even just another doctor with a lot of experience, and running the case by them to get some feedback. Often it was the collective memory of knowledge that came to the right conclusion, more so than one particular doctor.

(3/12/18)

If you liked this one, I've got 2 more for you!

The Medical Detectives, below, is more about epidemiologists figuring out what has caused clusters of severe illness, rather than individual cases, but still fascinating.

The Medical Detectives, by Berton Roueche

3 stars: Stories you'll want to tell someone else about! (Though maybe not over dinner...)

A compilation of 25 different unusual medical cases. A handful are presented as the doctor trying to figure out what could be causing certain symptoms, but with most, the disease is known and it's up to epidemiologists to track down the specific cause along with who else might be affected--or infected, as the case may be. 

Somewhat uneven writing between chapters, with some very slow and tedious to get through (particularly the chapter about aspirin) and others high interest to the end. Since they span decades, I suppose it was to be expected. 

I ended up retelling many of the stories to my kids. They clamored for more! In fact, my 8-year-old picked it up to read on his own, but got bogged down a chapter or two in. I guess you can tell there's a strong medical influence in our home! 

Also, wash new clothes before you wear them. Just...do it. Please. Thank you.

(01/06/17)

It has been almost 10 years since I read this one, so I can't tell you what angle it takes. I do remember that I liked it--perhaps this was the catalyst to my seeking out these others!

The Man Who Mistook His Wife for a Hat and Other Clinical Tales, by Oliver Sacks

4 stars: Fascinating.

I had to keep discussing the case studies with my husband just to be able to tell someone. I would recommend skipping all the introductions (there's one for each section), unless you're very interested in the author's research and networking with other doctors.

**My reviews were much shorter back in the day! :)

What have you read that would fit in with this Mini Theme? I'm always up for another!