Making Sense of Medicine: Bridging the Gap between Doctor Guidelines and Patient Preferences

Author:   Zackary Berger
Publisher:   Rowman & Littlefield
ISBN:  

9781442242326


Pages:   182
Publication Date:   17 June 2016
Format:   Hardback
Availability:   To order   Availability explained
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Making Sense of Medicine: Bridging the Gap between Doctor Guidelines and Patient Preferences


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Author:   Zackary Berger
Publisher:   Rowman & Littlefield
Imprint:   Rowman & Littlefield
Dimensions:   Width: 15.80cm , Height: 2.00cm , Length: 23.50cm
Weight:   0.435kg
ISBN:  

9781442242326


ISBN 10:   1442242329
Pages:   182
Publication Date:   17 June 2016
Audience:   General/trade ,  General
Format:   Hardback
Publisher's Status:   Active
Availability:   To order   Availability explained
Stock availability from the supplier is unknown. We will order it for you and ship this item to you once it is received by us.

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Johns Hopkins internist Berger attempts to broadly balance the science of medicine (evidence-based guidelines) with the choices that individuals want (patient preferences). He poses a pertinent question: 'How do we bridge the doctors' advice, full of numbers, directions, and scientific studies, with the life that we have to live?' An honest response might be, 'It often isn't easy.' Focusing on common diseases-arthritis, chronic pain, depression, diabetes, and high blood pressure-Berger suggests methods for choosing treatment options in the context of individual inclinations. He emphasizes the need to understand the benefits and risks that accompany any medical action, the limits of biomedical science, and excesses in health care (testing and prescribing). His thoughtful discussions of medical uncertainty, decision making, inflated expectations, out-of-control testing, and the dogged pursuit of diagnosis are among the best parts of the book. Berger's call for a 'patient-centered route to care' is hardly new, but determining for yourself (aided by guidance and support from your physician) how to be medically treated (or not) never gets old. Booklist Medicine is a place where science tries to address a multiplicity of human needs. But often these needs go beyond anything that science can meet. Listening, compassion and openness to the complexity and uncertainty of life will always be at the heart of real medicine. Dr Berger's book is clearly based on many years of wise and patient-centered practice, and he weaves his narrative with fluency and flashes of humor. It is a wonderful read, aimed at a general audience but full of insight for every health professional. -- Richard Lehman, primary care physician, regular columnist for the BMJ, senior advisory fellow to the UK Cochrane Centre With sympathetic rigor, Dr. Berger calls clinicians and patients alike to reconsider the nature of evidence and experience in medicine. This is not therapeutic nihilism, it is a deeply human call to see each other as we are and find specific, authentic paths through illness, pain, and disability. -- Samuel Morris Brown, author of Through the Valley of Shadows: Living Wills, Intensive Care, and Making Medicine Human Medicine cannot achieve its potential without the fullest contribution of the ultimate stakeholder - the empowered, activated patient; the Institute of Medicine says best care at lower cost requires Patient-clinician partnerships, explicitly citing engaged, empowered patients. This book is an essential resource for scientifically minded patients and caregivers who want to understand medicine's limitations and biases, to enable - as the Introduction says - deciding for yourself, in partnership with empowering clinicians. -- Dave deBronkart, e-Patient Dave deBronkart, Cancer survivor and founding co-chair Society for Participatory Medicine Science, humanity, or the space between? That's the territory doctors and their patients navigate daily, with 'the space between' requiring maps, flashlights, and trail markers that must be built while on the journey. Zack Berger's book is a thoughtful, penetrating assessment of that 'space between,' including hazards to navigation like racism, and the pathways that reveal themselves when doctors and patients work together to manage the uncertainty that is a central feature of science, and of medicine. A joyful and necessary call for partnership in the most human of sciences - medicine - this is a must-read for anyone interested in improving the quality and character of healthcare. -- Casey Quinlan, Mighty Casey Media If you are a patient, caregiver or health care provider I highly recommend Making Sense of Medicine. It will make all of you think. Patients, I hope it empowers you to ask questions and become a partner in your health care. Women of Teal


Medicine is a place where science tries to address a multiplicity of human needs. But often these needs go beyond anything that science can meet. Listening, compassion and openness to the complexity and uncertainty of life will always be at the heart of real medicine. Dr Berger's book is clearly based on many years of wise and patient-centered practice, and he weaves his narrative with fluency and flashes of humor. It is a wonderful read, aimed at a general audience but full of insight for every health professional. -- Richard Lehman, primary care physician, regular columnist for the BMJ, senior advisory fellow to the UK Cochrane Centre With sympathetic rigor, Dr. Berger calls clinicians and patients alike to reconsider the nature of evidence and experience in medicine. This is not therapeutic nihilism, it is a deeply human call to see each other as we are and find specific, authentic paths through illness, pain, and disability. -- Samuel Morris Brown, author of Through the Valley of Shadows: Living Wills, Intensive Care, and Making Medicine Human Medicine cannot achieve its potential without the fullest contribution of the ultimate stakeholder - the empowered, activated patient; the Institute of Medicine says best care at lower cost requires Patient-clinician partnerships, explicitly citing engaged, empowered patients. This book is an essential resource for scientifically minded patients and caregivers who want to understand medicine's limitations and biases, to enable - as the Introduction says - deciding for yourself, in partnership with empowering clinicians. -- Dave deBronkart, e-Patient Dave deBronkart, Cancer survivor and founding co-chair Society for Participatory Medicine


Author Information

Zackary Berger, M.D., Ph.D., is a primary care doctor, internist, epidemiologist, and bioethicist. He is an Assistant Professor at the Johns Hopkins School of Medicine, where he maintains an active practice in adult medicine and teaches with residents and medical students. His research on doctor-patient communication, bioethics, and clinical epidemiology has been published in the Annals of Internal Medicine and the Journal of General Internal Medicine, as well as in numerous venues for the general public. He is also the author of Talking to Your Doctor: A Patient's Guide to Communication in the Exam Room and Beyond (Rowman & Littlefield, 2013).

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