When I first picked up Every Patient Tells a Story in the library, I expected a rather one-dimensional anthology of medical cases told from the patient’s perspective. The book certainly offered medical cases, but was also an incredibly balanced and engaging read that left me wanting more. Published in 2009, this book was written by Dr. Lisa Sanders, MD, author of “Diagnosis,” a popular weekly column in the New York Times that inspired the hit TV show House MD. ...continue reading →
The practice of evidence based diagnosis is what we are taught we should all do, but, in practice, this is quite difficult. EBM diagnosis relies on likelihood ratios, but it’s impossible to remember the diagnostic accuracies of the thousands of tests that exist.
This is why I made a simple tool to help with the scientific diagnosis of diseases spanning most specialties. It is a database of over 700 likelihood ratios of tests (history, radiology, physical exam etc.). The likelihood ratios are completely free for all to access ...continue reading →
Peggy Cumming, is a wife, mother, grandmother of 6, sister, niece, cousin and friend, as well as a teacher - retired after 34 years in the classroom - and an athlete.
I soon discovered that, "You have highly suspicious nodules”, also means, “You will have many appointments!”
"Don’t make any travel plans for the next 3 – 6 months," said my GP as he put my name into The System. The phone began to ring - MRI, PET scan, Nuclear Medicine, biopsy - to a total of ten schedules for scans, biopsies and doctors. My calendar became peppered with appointments.
One appointment was to see a Respiratory Specialist at the Cancer Assessment Centre at the General Campus of the Ottawa Hospital. I often walk or bike past the hospital, and have visited patients from time-to-time. But it has been nearly 22 years since I was a patient there, with a broken leg. Since then, I have grown to have confidence in my health. But, there I was, on the elevator, approaching the Cancer Assessment Centre.
I was trying to be very casual and nonchalant, pretending that I was going for a coffee at Bridgehead. After all, I didn’t really have cancer; I only had a ‘suspicion’, and Denial was a very comfortable place to be! But when I exited the elevator and saw the Big Lettering, CANCER ASSESSMENT CENTRE, some confidence slipped and my nonchalant attitude wobbled. ...continue reading →