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...other day, a nurse at Florida State University in Tallahassee responded to an alarm in a hospital room where a patient named Stan D. Ardman lay gravely ill. Ardman's blood pressure had dropped precipitously, and when the nurse came in, Ardman wheezed and said, "I'm very nauseous and dizzy ... Having trouble breathing...

Author: /time Magazine | Title: The Science of Experience | 2/28/2008 | See Source »

...Thomas missed that simple solution. Instead, he asked Ardman if he had chest pain. "I'm just nauseous and dizzy," the patient replied. Just then, the monitor made an ominous noise indicating that Ardman's pressure was plummeting further. Thomas vacillated...

Author: /time Magazine | Title: The Science of Experience | 2/28/2008 | See Source »

...then he made a fatal mistake. He decided to give Ardman epinephrine, a drug that would certainly raise the patient's blood pressure but that, in combination with the dopamine Ardman had already received, would also spike his heart rate and possibly kill him. Sure enough, after epinephrine was administered, the patient lost consciousness and drifted toward death - although just before he died, the simulation ended...

Author: /time Magazine | Title: The Science of Experience | 2/28/2008 | See Source »

...Cambridge Handbook concludes that great performance comes mostly from deliberate practice but also from another activity: regularly obtaining accurate feedback. In a 1997 study published in the journal Medical Decision Making, researchers found that only 4% of interns had known a group of elderly patients for more than a week; by comparison, nearly half the highly experienced attending physicians had known the patients for more than six months. But even with the advantages of years of medical experience and months of knowing the patients, the attending physicians were no more accurate than the interns at predicting the patients...

Author: /time Magazine | Title: The Science of Experience | 2/28/2008 | See Source »

...drugs we take. But the already misfit pairing of the free market pharmaceutical industry with the trust-based medical care model was further strained when the FDA approved direct-to-consumer advertising for drugs in 1997. That allowed pharmaceutical companies to use advertising as a guise for educating patients. While patients feel more knowledgeable about diseases and their options for treating them, where does that information come from? In most cases, it's from industry-sponsored advertising, notes Watson. "The pharmaceutical marketing departments have appropriated the language of the empowered autonomous patient in the service of sales," she says. Moreover...

Author: /time Magazine | Title: The Problem with Jarvik's Prescription | 2/26/2008 | See Source »

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