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TTC Video – Medical School for Everyone: Grand Rounds CasesQuote:More, please!Date:May 15, 2014″This was like miniature “House” episodes without the soap opera: in each lecture we’re presented with a patient’s complaints and walked through the decision to run various tests suggested by initial guesses. Dr. Benaroch tells the stories with a warm and human approach both towards the suffering patients and the anxious doctor, sometimes betraying an astonished frustration at the many wrong turns the case had previously taken. He also has some frank common sense to offer about the uselessness of certain tests that won’t contribute to a treatment likely to help the patient. He constantly brings the discussion back to what the patient needs, and to involve the patient in decisions as much as possible.The cases are fairly straightforward presentations of common complaints. I hope we’ll see more in this series. This one was over before I knew it. I’d love to see a course with some more challenging cases with harder-to-guess dianoses.”8out of8found this review helpful.http://www.thegreatcourses.com/tgc/courses/course_detail.asp… — What do you do when you’re sick? You go to a doctor to figure out what’s wrong with you. How doctors work through the clues isn’t some impenetrable medical mystery. Rather, there’s a specific art and science that goes into how they approach, diagnose, and treat patients; a set of critical skills that takes years to learn and hone. So where do doctors gain these skills? The answer: the Grand Rounds experience, one of the most essential parts of medical students’ education and the ongoing process whereby doctors learn about and practice the art and science of making accurate diagnoses by examining real patients with real complaints. And it’s in Grand Rounds where they learn how to save countless lives every year. Watching doctors investigate and solve medical problems like detectives is a fascinating way to explore the world of medicine and personal health. It’s an adventure—one filled with microscopic clues, false leads, and races against time—that rivals anything you’ll find on television. The Grand Rounds approach to how doctors think and work is also an opportunity for you to become a more informed, aware patient. By understanding how doctors help individual patients, you’ll make better sense of future visits to your doctor, from why you’re being asked specific questions to why you’re undergoing specific tests; improve the way you communicate with your doctor about your health concerns, and take a more active role in your personal wellness; get a rewarding introduction to how doctors think and work; and witness critical thinking skills at work in the medical world, and see how they’re used in situations that mean the difference between life or death. With The Great Courses, you don’t have to soldier through years of medical school to learn how doctors diagnose and treat patients. All you need is your curiosity and Medical School for Everyone: Grand Rounds Cases, in which Dr. Roy Benaroch, a practicing physician and an adjunct assistant professor of pediatrics at the Emory University School of Medicine, guides you through 24 unique Grand Rounds with patients whose cases reveal intriguing insights into how doctors do what they do. Whether you are a patient, a current or future medical professional, or someone just looking to enjoy a good mystery, you’ll discover how doctors use medical science to identify and combat a host of conditions, injuries, and diseases; uncover the tiny clues that patients can sometimes fail to notice or mention; sometimes make mistakes and misdiagnoses that lead to costly (and life-threatening) problems; handle even the most tense medical situations; and observe, listen, and think their way toward putting patients on the fast track to proper treatment. Discover How Doctors Do Their Jobs Each lecture of Medical School for Everyone is a specific Grand Rounds in which you’re presented with a perplexing problem and then follow an expert as he takes the necessary steps—from initial presentation to final diagnosis—to figure out the underlying issue and how best to treat it. Among the insights you’ll learn are what specific questions doctors ask—and why; what doctors look for during physical exams or when examining test results; what blood work, MRIs, and other medical tests tell doctors; and how doctors use a network of information to narrow down a diagnosis. Following Dr. Benaroch like an apprentice medical detective, you’ll learn how doctors hypothesize, investigate, and ultimately solve a variety of medical cases. Some of them have simple solutions. Some unfold quickly into catastrophe. Some illustrate the hope that can be found in even the most dire of cases. And some reveal the limits of what modern medicine can do. Witness Intriguing Medical Mysteries All the cases you’ll encounter offer a revealing look at how doctors help patients. Drawn from actual medical stories, these 24 Grand Rounds involve patients from a range of ages and cultural backgrounds and take you everywhere from the relative calm of a doctor’s office to the chaos of an emergency room. In each case, you’ll meet a patient whose chief complaint (such as chronic fatigue, persistent coughing, or lingering headaches) is the starting point from which you’ll uncover underlying medical issues. A 33-year-old man comes to an outpatient clinic with a fever he can’t get rid of, a worsening cough, and uncomfortable mouth sores. Yet he was perfectly healthy two months ago. How does a doctor go from this to discovering one of today’s most notorious and widespread diseases? Sammi, a four-month-old girl, has been brought by her parents to see a doctor. Over the past three days, she’s had periods where she either stiffens or shakes. How does a doctor determine what’s causing these attacks—especially when Sammi has another one on the spot? Another patient is a member of an Antarctic expedition who, initially suffering from constant nausea, actually needs emergency surgery. There’s only one problem: The patient is the only person who can perform it. Why is his nausea so life threatening—and what happens next? You’re the only eyewitness to a horrible motorcycle accident and you need to administer aid before the ambulance gets there. How does one treat a trauma patient when every second matters? How do you figure out what’s broken or damaged? And what happens after you get to the emergency room? A college student with a host of different complaints. A woman perplexed by chronic dizzy spells. An elderly man who forgets things all the time. These and other individuals offer intimate ways for you to engage with medical knowledge and to practice the same strategic thinking and decision-making skills doctors rely on to save lives. “It’ll be difficult, at first, to know what to expect around the next curve,” says Dr. Benaroch. “But as we go through these sessions, you’ll get better at knowing where each case is likely to lead.” Become a Smarter, Healthier Patient In the hands of Dr. Benaroch, you’ll get a rewarding learning experience that illustrates his knowledge of medicine, his ability to explain the way doctors think and act decisively, and, above all, his ability to transform medical cases into thrilling adventures that will have you captivated from the first minute to the last. Rather than bore you with step-by-step lists of how doctors diagnose an illness or burden you with mounds of medical jargon, he uses each Grand Rounds case as an opportunity to weave a medical story—one that never ignores the fact that what’s always at stake is the life of a person. Dr. Benaroch’s ability to teach off the strengths of his roles as a full-time practicing physician and instructor of pediatrics at Emory University means that with Medical School for Everyone, you’ll gain medical knowledge in layman’s terms that can be easily understood by the average patient. Couple that with in-studio demonstrations, diagrams of the human body, and other informative visual elements, and you’ve got an exciting new way to think about medicine—and to become the smarter, healthier patient you deserve to be. As Dr. Benaroch puts it, “The most effective medical encounters, the ones that really keep patients healthy, are the ones where patients and doctors help each other solve the mysteries.” Disclaimer: This series of lectures is intended to increase your understanding of how doctors diagnose and treat diseases and how you can improve your own health by being an active and informed patient. However, these lectures are not designed for use as medical references to diagnose, treat, or prevent medical illnesses or trauma, and neither The Teaching Company nor the lecturer is responsible for your use of this educational material or its consequences. Furthermore, participating in this course does not create a doctor-patient relationship. The information contained in these lectures is neither intended to dictate what constitutes reasonable, appropriate, or best care for any given health issue and does not take into account the unique circumstances that define the health issues of the patient. If you have questions about the diagnosis, treatment, or prevention of a medical condition or illness, you should consult your personal physician. The opinions and positions provided in these lectures reflect the opinions and positions of the relevant lecturer and do not necessarily reflect the opinions or positions of The Teaching Company or its affiliates. The Teaching Company expressly DISCLAIMS LIABILITY for any DIRECT, INDIRECT, INCIDENTAL, SPECIAL, OR CONSEQUENTIAL DAMAGES OR LOST PROFITS that result directly or indirectly from the use of these lectures. In states which do not allow some or all of the above limitations of liability, liability shall be limited to the greatest extent allowed by law. — 1 I Never Feel Good 2 A Persistent Fever 3 Puzzling Pain 4 Just Look at Me 5 Headaches in Wonderland 6 The Tennis Player 7 Sudden Collapse 8 School Failure 9 Dizzy Attacks 10 Weight Loss 11 I Can’t Walk 12 Learning from Failure 13 The Children Who Come and Go 14 Guardian’s Day 15 Dickens’s Diagnosis 16 Shaking Sammi 17 Hickam’s Dictum 18 Forgetting Jerusalem 19 Sherlock’s Investigation 20 The Boy Who Doesn’t Speak 21 Antarctic Adventure 22 A Sunday Drive 23 Cough, Cough, Cough 24 A Confused Father