Humilty in Better Diagnosis and Medicine

James Navin jnavindr at AOL.COM
Mon Sep 15 19:45:39 UTC 2014


The total lack of humility was demonstrated in an example--Patient returned to a surgeon who had done a radical mastectomy on her. She had an axillary mass. He said, "I never leave nodes behind." She said, "But  I have this lump."  He reached in his pocket,  pulled out his hearing aid and turned it off. He examined her but not the axilla and sent her home. She went to her radiation therapist who called me. I called a different surgeon in the same group. He said "send her in on Saturday--He won't be here then". The metastatic node was removed.

jn
 
 
-----Original Message-----
From: David Gordon, M.D. <davidc.gordon at DUKE.EDU>
To: IMPROVEDX <IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG>
Sent: Mon, Sep 15, 2014 9:33 am
Subject: [IMPROVEDX] Humilty in Better Diagnosis and Medicine



For those currently in attendance at the DEM conference, this is the NYT OP-ED piece I referred to that touches on many of today’s discussions on culture and humility in medicine.
 
For those not in attendance, the backdrop to sharing this piece was today’s amazing and eloquent talk by Dr. John Banja about the importance of humility  - particularly as it pertains to avoiding overconfidence.
 
http://www.nytimes.com/2014/09/05/opinion/why-do-doctors-commit-suicide.html?smid=nytcore-iphone-share&smprod=nytcore-iphone&_r=0
 
It’s a very moving piece that I think you will enjoy if you have not come across it yet.
 
-David

 
David Gordon, MD
Associate Professor
Undergraduate Education Director
Division of Emergency Medicine
Duke University
 
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