by Carolyn Thomas ♥ @HeartSisters
As Audre Lorde once warned us:
“My silences have not protected me. Your silences will not protect you. Only one thing is more frightening than speaking your truth. And that is not speaking.”
I am exquisitely aware that when I write or speak about the subject of diagnostic error in medicine, some people will feel uncomfortable. It’s difficult to talk about being misdiagnosed in mid-heart attack and sent home from Emergency while somehow making that story sound flattering to the medical profession. . . Continue reading “Diagnostic error: will it go away if we just don’t talk about it?”
As a heart attack survivor who was sent home from the E.R. with a misdiagnosis of indigestion despite presenting with textbook symptoms (central chest pain, nausea, sweating and pain radiating down my left arm), I’m pretty interested in the subject of why women are far more likely to be misdiagnosed in mid-heart attack compared to our male counterparts.
Dr. Pat Croskerry is pretty interested in the subject of misdiagnosis, too. He’s an Emergency Medicine physician, a patient safety expert and director of the critical thinking program at Dalhousie University Medical School in Halifax. In fact, he implemented at Dal the first undergraduate course in Canada about medical error in clinical decision-making, specifically around why and how physicians make diagnostic errors. Every year, he gives a deceptively simple critical thinking quiz to his incoming first-year med students.
So here’s your chance to practice thinking like a doctor. Try answering these yourself, but as Dr. Croskerry advises, don’t think too hard. If you were an Emergency Department physician, paramedic or first responder, he warns, you’d have only seconds to size things up and make a decision. Don’t read ahead to peek at the answers! Now, here are your questions: Continue reading “Misdiagnosis: is it what doctors think, or HOW they think?”