Annals of Internal Medicine Cartoon on Misdiagnosis

Rodney Omron romron at GMAIL.COM
Fri Jul 12 22:05:13 UTC 2013


This is a very powerful cartoon that demonstrates the purest and most
painful lessons I have learned and carry with me through my career:
Critical illness is not intuitive and we only see what we know.  Wonderful
cartoon that reminded me of my own ghosts. I work very hard every shift to
prevent similar ghosts for those I train.

Thank you for sharing this.

Rodney Omron, MD MPH


On Thu, Jul 11, 2013 at 3:31 PM, Peggy Zuckerman
<peggyzuckerman at gmail.com>wrote:

> Jason,
> It strikes me that the message should be less directed toward concern re
> one individual diagnosis, but the reminder that there is always a need to
> review the assumptions one makes at the outset of some diagnosis (or
> decision, in the bigger world).  The reliance on that initial information
> or initial impression can distort thinking and analysis to support that
> initial bias.
>
> Most people understand this in terms of a "first impression", and we all
> have wondered why it was so hard to change that first impression.  We are
> hired wired to make snap judgments as a primitive protective response, and
> that can be a life-saving gift.  But having also the ability to review the
> information, including a skeptical examination of that first impression and
> what led to it--or failed to lead to it--can prevent snap decisions from
> becoming disasters.
>
> This type of graphic story--maybe less grim--would be helpful to teach
> patients to question a diagnosis or treatment that doesn't make sense.
> Maybe a good dose of fear is a way to get the attention of passive patients!
>
> Peggy Z
>
>
> On Thu, Jul 11, 2013 at 11:19 AM, Jason Maude <
> Jason.Maude at isabelhealthcare.com> wrote:
>
>> Bill
>> Thanks for sharing. This is a powerful story but a very negative ending
>> as it gives the impression that the poor clinician is destined to miss
>> these cases over and over again. It would be more beneficial/positive if it
>> ended with something he could do to avoid making this mistake again such as
>> using a diagnosis check list, for example, which would put Aortic
>> Aneurysm/Dissection high on its list of suggestions. The way this is
>> portrayed is likely to scare anybody witless!
>> Regards
>> Jason
>>
>> Jason Maude
>> Founder and CEO Isabel Healthcare
>> Tel: +44 1428 644886
>> Tel: +1 703 879 1890
>> www.isabelhealthcare.com
>>
>> From: Bill Thatcher <BillThatcher at MINDSPRING.COM>
>> Reply-To: Society to Improve Diagnosis in Medicine <
>> IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>, Bill Thatcher <
>> BillThatcher at MINDSPRING.COM>
>> Date: Tuesday, 9 July 2013 20:43
>> To: "IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG" <
>> IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
>> Subject: Annals of Internal Medicine Cartoon on Misdiagnosis
>>
>> Some on this list may be more familiar than others with the use of
>> cartoons in medical training. I’ve just loaded a powerful story, told in
>> cartoon form, concerning a misdiagnosis. The cartoon originally appeared in
>> the March 5, 2013, Annals of Internal Medicine.****
>>
>> ** **
>>
>> It is being used on the SIDM website with permissions of both AIM and the
>> author.****
>>
>> ** **
>>
>> The end notes also point the reader toward other material and information
>> on the use of cartoons in this field.****
>>
>> ** **
>>
>> http://www.improvediagnosis.org/blogpost/950784/Latest-News****
>>
>> ** **
>>
>> Thanks,****
>>
>> ** **
>>
>> Bill****
>>
>> ------------------------------
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>> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair,
>> Society for Improving Diagnosis in Medicine
>>
>> To learn more about SIDM visit:
>> http://www.improvediagnosis.org/
>> Save the date: Diagnostic Error in Medicine 2013. September 22-25, 2013
>> in Chicago, IL.
>> http://www.dem2013.org
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>
>
>
> --
> Peggy Zuckerman
> www.peggyRCC.wordpress.com
>
> ------------------------------
>
>
> To unsubscribe from IMPROVEDX: click the following link:
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> http://list.improvediagnosis.org/scripts/wa-IMPDIAG.exe?SUBED1=IMPROVEDX&A=1or send email to:
> IMPROVEDX-SIGNOFF-REQUEST at LIST.IMPROVEDIAGNOSIS.ORG
>
> Moderator: Lorri Zipperer Lorri at ZPM1.com, Communication co-chair, Society
> for Improving Diagnosis in Medicine
>
> To learn more about SIDM visit:
> http://www.improvediagnosis.org/
> Save the date: Diagnostic Error in Medicine 2013. September 22-25, 2013 in
> Chicago, IL.
> http://www.dem2013.org
>








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