Tag: Dr. Mary Dahm

Do Emergency physicians diagnose? Or not?

~ Carolyn Thomas ~ 10 Comments

by Carolyn Thomas  ♥  @HeartSisters 

Australian researcher Dr. Mary Dahm and I were emailing back and forth about her recently published study on diagnostic uncertainty in medicine (one of my favourite subjects, I might add – especially when it involves female heart patients).  I mentioned to her that the Emergency physician who had misdiagnosed my heart attack as acid reflux seemed remarkably confident at the time – despite being remarkably wrong. That misplaced confidence is what researchers who study diagnostic error call unwarranted certainty – a contributing risk factor for misdiagnosis.  But Dr. Dahm raised the issue of whether diagnosing is what Emergency physicians actually do:

“The question about whether or not Emergency Department doctors diagnose is highly contested within the specialty. Regardless, they do exclude life-and limb-threatening conditions.”          .
 Continue reading “Do Emergency physicians diagnose? Or not?” →

When doctors won’t say “I don’t know”

~ Carolyn Thomas ~ 15 Comments

by Carolyn Thomas    ♥  @HeartSisters

I’ve often wondered – long before my own cardiac misdiagnosis – how our physicians can possibly correctly diagnose the countless medical mysteries presented to them day after day. The reality, of course, is that no doctor – even the most experienced and skilled – can be 100 per cent certain of the precise cause of every medical problem out there. And if the cause can’t be identified, the mystery won’t likely be appropriately solved.

But when doctors don’t know,  how do they communicate that uncertainty to their patients?       .     Continue reading “When doctors won’t say “I don’t know”” →