Head scratchers and Insights into diagnostic problems physicians face
Clifton K. Meador, MD has a gift for filtering through tales and ‘can you beat this one’ stories that are passed around doctors’ lounges and ORs and coming up with succinct but extremely entertaining stories. A ‘Fascinoma’, as Meador defines, is medical slang for an unusually interesting medical case. He has gleaned and collected and curated 35 such cases from his own experience and the experiences of colleagues who have given permission to re-tell their own blockbusters. Each case is reads like a short story – the presentation of a strange set of symptoms, the initial response of the examining doctor(s), gradual revelation of further symptoms (sometimes via revealed secrets from the presenting patient), and the final diagnosis. Fellow Physicians will find both hilarious entertainment along with some ‘aHa!’ moments that will sharpen their diagnostic acumen. For the general reader this book is not only entertaining but very informative about many aspects of the practice of medicine that should prove fascinating in the realm of Ripley’s Believe it or Not!
Some of the cases (and each is so short that giving away too many examples would hamper the joy of reading this book for those who wish to purchase it) include a strange case of ascending paralysis in a young girl that could have proven fatal had not a curious nurse in ICU no found the bulbar tick bite in the girl’s long hair, the removal of which immediately reversed the life threatening neurologic disorder that had puzzled all physicians involved, a case of an obese couple placed on a diet to reduce – not knowing that the woman would chew exorbitant amounts of sugarless gum (containing the culprit sorbital) that resulted is serious diarrhea, cases of Munchausen Syndrome (patients who inflict harm on themselves for secondary gain), a tale of the helpful aspects of rat eating snakes, a bizarre diagnosis of carbon monoxide poisoning that is a ‘true detective mystery’ sort, a case of dose and generic pill color resulting in adverse reactions easily altered by a bright observing physician’s thoughtful input, some old wive’s tales intervening in diagnostic dilemmas that prove to be not elegant possible surgical diagnoses but chicken pox!. The lost goes on and on.
Meador’s quite the gifted writer in discussing these cases and keeps just the right amount of mirth along side pertinent learning information to make these stories appeal to both medical and non medical readers: he has been writing satiric medical articles in the best of journals for many years now! Highly recommended.
Grady Harp