2013年5月4日土曜日

Who is criminal?  The secret of clinical thinking for cardiovascular
「犯人は誰か?循環器臨床の推理の極意 the great debaes from CADET」
by Shun Kouzaka

This book is made from circulation seminars of CADET (CArDiovascular Education Team), young Japanese educational cardiovascular doctors.

In the book, through the clinical situation, medical student, resident, and CADET staff discussed how they think. In the almost all clinical situation, there is no strong evidence how doctor must do. We deal with ambiguous and uncertain matter. Every clinician show humility for clinical issue.

For me, the following matters are new. BNP is useful to exclude CHF. There is no evidence that low dose dopamine is benefit for renal function.

Unfortunately, I didn't have a chance to attend to these seminars. I have a schedule for the date of next meeting.

Bookshelf of Takashi Tachibana

Book shelf of Takashi Tachibana
「立花隆の本棚」
by Takashi Tachibana, Waida Junichi

This book is half of photograph, and half of comment for the photo.
Bookshelf reflect the owner's interesting. It means a part of owner's brain realize the bookshelf.
Takashi Tachibana is a one of famous writer for various genre, from science to politics, religion. His bookshelf reflects his wide interesting. In his bookshelf, there are traditional books, scientific textbooks, philosophical books, and so on.

There were some of his books at home. When I was a high school student,  I met his book which mentions about his lecture in Tokyo University. I hated to study at a jam school for passing entrance exams. His book encouraged me to watch wide and deep knowledge of real world.

Diagnostic Gestalt and Deguslation

Diagnostic Gestalt and Degustation
「診断のゲシュタルトとデギュスタシオン」
by Iwata Kentaro

This book mentions about outlines and differential diagnosis of some diseases.
I'm not sure why they picked up these diseases,  because there are some common diseases and rare diseases which many clinicians may meet the disease once or none in their life. Every section is written by difference author. It means there is some difference quality. But almost all sections are very useful for every clinician, because top clinicians are authors in this book. I could find new aspect of these common diseases.
"Gestalt" is German word of "whole." This word is good to reflect the content of this book. "Gestalt" include both experience and evidence for the disease.

After I become PGY3, I can get time to read medical book to back up my experience as a doctor. Unfortunately or fortunately, I didn't have time to sit and to read textbooks past two years, but get a lot of clinical experience. Now a time to back up my experince by knowledge.