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Almost 20 billion times each year, a person walks into a doctor's office.
The person becomes a patient.
Everyone becomes this patient at some point.
How will you talk to your physicians?
What will you tell them?
What will they tell you in return?
They can't tell you what they don't know.
They can tell you when they don't know.
Will they?
What Doctors Cannot Tell You explores the uncertainty that pervades medicine.
It breaks the code of silence within which too many physician-patient conversations take place.
The patients' stories in its pages will empower you to ask questions of your physicians,
with a firm belief that healing and hope begin from honesty in those critical conversations.
This book marries surgically precise medical narrative to thinking and perspective that will
throw the curtains wide on what medicine knows, what it doesn't know, and how it tries to tell the difference between the two.
This book is Outliers meets Patch Adams, only with an added how-to twist beyond the instructive and powerfully human narratives.
At every chapter's end, the reader will find a list of principles, one for each vignette, and questions to ask his or her physician.
A few books in the last decade have focused on human errors and complications in medicine.
Each has suggested ways to improve medicine by the application of checklists and protocols.
This book adds a unique and important angle to these considerations: How firmly do we know what should go on the checklist or protocol in the first place?
How clear has medicine been with its patients about what it cannot know or does not yet know?
- Sales Rank: #1709657 in Books
- Published on: 2012-06-26
- Released on: 2012-06-26
- Original language: English
- Number of items: 1
- Dimensions: 8.40" h x 1.00" w x 5.50" l, .60 pounds
- Binding: Paperback
- 288 pages
Review
In What Doctors Cannot Tell You, Dr. Jones dissects the very heart of the doctor-patient relationship.
This collection of stories engages, empowers and compels readers to improve their own conversations with medicine. --
----Richard Paul Evans, #1 New York Times Bestselling Author
Out in patientland, we still believe that doctors are all-knowing gods, each on his --- it's always 'his' --- own mountain. A particularly thorny case? Bring on Dr. House, the unshaven, anti-social genius from the TV series. So this account of real doctors struggling to find anything close to certainty will come as a revelation to civilians --- and, perhaps, to doctors as well. If I ever need surgery, I pray I find a doctor as humble, humane and honest as Kevin Jones. --Jesse Kornbluth, HeadButler.com
Anyone acquainted with the practice of medicine knows that uncertainty is a part of the game. Most of the time, a certain constellation of symptoms suggests a certain diagnosis. But might it not be another, with a different set of expectations for evaluation, prognosis and treatment? These layers of ambiguity do not accord well with the public stereotype of the physician confident, white-coated, a mere question or test away from the correct diagnosis and definitive treatment plan. Nor do most physicians routinely discuss with their patients their doubts or the gaps in their knowledge. In What Doctors Cannot Tell You: clarity, confidence and uncertainty in medicine, a book meant for physicians and patients alike, Dr. Kevin B. Jones addresses head on this issue of uncertainty in medicine. He states at the outset that his goal is to break the code of silence within which too many physician-patient conversations take place, to encourage frank discussion of what is known and unknown, knowable and unknowable in the process of making medical decisions. Perhaps the biggest obstacle in physician-patient communication is bridging the gap in knowledge and language between the doctor and the public. Jones faces a similar dilemma in trying to address his book to both groups. In striving to bridge the gap between physician and public, Jones relies on anecdotes to make science understandable. As a physician, What Doctors Cannot Tell You rings most true to me in its descriptions of the internal debates that face doctors to one degree or another in each patient interaction. This book deftly articulates the human struggle of what to tell and what to hold back. Jones may not give us clear answers, but he clearly wants to start the conversation. If lay readers find his writing as accessible as I think they will, he may just get his wish. In the best case, What Doctors Cannot Tell You will also provoke physicians to think critically about how to communicate with patients individually and how to open up the medical discussion to the public at large. --Michael Q. Potter, MD, Iowa Orthopaedic Journal
About the Author
Kevin B. Jones has an undergraduate degree in English literature from Harvard University and received his medical degree from Johns Hopkins.
After training in orthopaedic surgery at the University of Iowa and in surgical musculoskeletal oncology at the University of Toronto, he settled in Salt Lake City with his wife and four children.
He performs cancer genetics research supported by the NIH and other cancer research foundations. He has authored over 50 scientific peer-reviewed articles.
He provides surgical care for cancer patients from all over the mountain west at the Huntsman Cancer Institute, Primary Children's Medical Center, and the University of Utah.
Most helpful customer reviews
5 of 5 people found the following review helpful.
Great book!
By S. Banecker
This is a refreshing new take on the world of medicine. It explains many uncertainties that exist and how to talk to your doctor. The patient stories bring it to life and make for a very interesting read.
3 of 3 people found the following review helpful.
Informative Book, for Patients OR Doctors
By Chuck
"What Doctors Cannot Tell You" is very worthwhile for a patient facing a big (or little) medical decison. It is also very valuable for physicians to read, as it provides valuable guidance for how to discuss very difficult topics, with a variety of patients. I am a physician who entered the field believing that patients would want to be fully informed, so that they can then make their own health decisions. While that is often true, it is not always true, and some patients still want the physician to take the authority position, and recommend one particular course of treatment. This book illustrates conversations with many different types of patients.
Dr. Jones depicts the difficulties that befall anyone who desires to make decisions based on 'facts.' Sometimes these facts are just not available. Often, all one has to work with is limited information in textbooks or journals. This book identifies those types of situations, and suggest practicle strategies.
Most of all, Kevin Jones shows that he is a human being, and his patients are human beings, in additioni to their roles as doctor and patient. His book, written in an informal, conversational style, humanizes sometimes horrific situations that occur in the medical office and hospital. This humanity (concern for people, including sensitivity to their emotional lives) is the dominant feature of this book, for me.
1 of 1 people found the following review helpful.
WHAT DOCTORS CANNOT TELL YOU: Clarity, confidence and uncertainty in medicine
By integrity
What Doctors Cannot Tell You: Clarity, Confidence and Uncertainty in Medicine
Dr. Kevin Jones has authored an excellent book providing thorough explanations justifying the uncertainty in medicine. At the end of each chapter, he provides thought-provoking questions to enhance communication between the patient and their personal physician.
Considering the time constraints felt by PMD's, I believe it is more realistic to attempt to achieve the type of relationship Dr. Jones describes, primarily with specialists, as himself.
As a healthcare professional, one would only hope to aspire to achieve the depth of candor, integrity, honesty and compassion of Dr. Jones.
" What was known was told. What wasn't yet known was acknowledged. Comfort was given."
"I have no power to change the ongoing uncertainty in my patients' situations. I will be the one to tell them about it. I will be the one to teach them what we can do about it. I will do my best to help them understand what lie ahead and will witness with them their future unfolding."
Thank you Dr. Jones....if I would be diagnosed with cancer, you would be the specialist I would consult with first.
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