Tag Archives: Medical Decision-Making

Medical Forecasting

(Cross-posted to the AAN’s stroke listserv) For your new year’s reading pleasure, I have a very interesting book recommendation: Superforecasting: The Art and Science of Prediction, by Philip Tetlock. Some of Prof. Tetlock’s academic research made news when he showed that … Continue reading

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Doing More, or Gizmo Idolatry

Writes a longtime friend and colleague (some details changed for privacy): 43yo man with right MCA stroke, found to have right ICA extracranial dissection with possible pseudoaneurysm right below petrous portion. Given the stroke, I put him on Coumadin and … Continue reading

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Stopping Antithrombotics for Surgery: Risk Assessment vs. “Clearance”

We’re often asked to “clear” patients for various surgeries, and specifically to countenance the surgeon or dentist’s recommendation to discontinue antithrombotics perioperatively. There are several issues embedded in these requests, and an important conceptual confusion that I’d like to address. … Continue reading

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A Bayesian Approach to Ruling out Neurological Disease

As most readers of this blog are aware, I’m an amateur student of the psychology of decision-making (in fact, there a tag for this over on the right). Having just finished Nate Silver’s excellent book, The Signal and the Noise, I’ve … Continue reading

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Lawyers, Engineers, and Ménière’s: The Representativeness Bias

Updated for pithier title . . . Composite case presentation: An elderly woman presents for two spells of vertigo. Both had abrupt onset and were quite severe, with associated diaphoresis and nausea. There were no other neurological symptoms such as … Continue reading

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The Neurology of Decision-Making

Talha, in this response to the introductory post, discusses some fascinating aspects of decision-making. I thought I’d pull that discussion up to the level of a new posting. He writes: a decision is based on the cummulative data we gather … Continue reading

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