The Art of Forgetting
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Shelves: non-fiction , medicine , clinical-science , ebook. I don't have much to say about this -- nothing novel. If you've gone to medical school in the last years or read ANYTHING on the practice of clinical medicine in the same time frame, you probably know all of this already. Lots of peds isn't supported by science, but when there are is science we should follow it, rather than doing what saves us time or money.
Most notable for being the first ebook that I've read using the kindle app on a combination of on my laptop and on my phone. I I don't have much to say about this -- nothing novel. I'd prefer a physical copy, but it hasn't been physically published. Didn't love the ereader, but I didn't hate it as much as I thought I would have.
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Jul 30, Tricia Geil rated it liked it Shelves: non-fiction-reference. The author gives many examples of his colleagues' mistakes, but none of his own. He advocates science based medicine and appears very critical of other approaches. I agree with evidence based medicine, but experience and intuition are also important. However, there are a number of my patients as well as some other doctors that would benefit from reading this. Aug 15, Frank rated it liked it. While I agree with just about all of Dr. Palmier's premises and arguments, the book was written too simplistically for an audience of pediatricians who, IMO, should be the intended audience but perhaps too technical for the lay public.
Mar 28, Darryl rated it it was ok Recommends it for: No one. Peter Palmieri is an American pediatrician who has worked as a primary care physician and as a pediatric hospitalist, a pediatrician who, like myself, treats hospitalized children. He bemoans the current state of pediatric medicine in America, and wrote this book as a wake up call to his fellow pediatricians and to parents about his concerns. When I read his opening salvo, which claimed that primary care pediatricians "frequently mismanage the most common conditions that bring children to medical Peter Palmieri is an American pediatrician who has worked as a primary care physician and as a pediatric hospitalist, a pediatrician who, like myself, treats hospitalized children.
When I read his opening salvo, which claimed that primary care pediatricians "frequently mismanage the most common conditions that bring children to medical attention", including the use of antibiotics, which are "routinely prescribed inappropriately to treat viral infections", and the treatment of asthma, which "is mishandled with My partners and I routinely take care of kids who were prescribed an antibiotic for a reason unknown to the parents or to us. And, hardly a week goes by that I don't treat an asthmatic child that has been hospitalized for a severe asthma attack, whose pediatrician or family practitioner who did not want to label the child as asthmatic, or has told his parents that the child is "too young to be diagnosed with asthma", which is not true.
As a result, the child is undertreated and poorly managed, which significantly increases the likelihood of hospitalization for an attack. Palmieri lambasts his fellow pediatricians for practicing medicine based not on clinical evidence, but on a "laxity of discipline", including illogical patient management such as the routine ordering of laboratory tests and administration of medications such as albuterol and dexamethasone for benign, self-limited conditions such as the common cold , parental pressure e.
He elucidates, presumably for the sake of parents, common conditions which he feels are frequently mismanaged by primary care pediatricians, such as ear infections, purulent rhinitis mucus in the nasal passages, whose yellow or green in color is often incorrectly thought to indicate a bacterial infection , and pharyngitis, which is most often caused by a viral infection but is frequently mislabeled as strep throat by physicians based on the appearance of the throat rather than the performance of a rapid strep test.
He gives numerous examples of patients who were horribly mismanaged by incompetent primary care or emergency physicians, until they were fortunate enough to come to him. He, of course, never makes a mistake, and the child always makes a full recovery thanks to his brilliant diagnostic skills.
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Peter Palmieri was raised in the eclectic port city of Trieste, Italy. He returned to the United States at the age of 14 with just a suitcase and an acoustic guitar. Enjoy this Book? Share it Description A smart, sexy and stirring piece of medical suspense that will keep you thinking long after you finish reading the last words.