Put the problem into words
What was observed? What was reported? What have we assumed? Compare the explanations that fit, and be clear about the information still missing.
A book on clinical reasoning, for clinicians
Seeing
Anew
Sometimes, a better question changes how we think.
We know a lot. But how do we use that knowledge to reach a decision? Seeing Anew invites us to think actively: ask questions, compare explanations and examine the way we reason in the clinic.
Out October 19, 2026. Kindle edition, in English.
Why this book
We do not always need another answer. Sometimes we need a different question.
A patient sits down. We listen, examine and start making sense of the problem. Somewhere along the way, a possibility becomes the explanation we work with. But what made us choose it?
Seeing Anew examines the thinking behind these moments in musculoskeletal practice. How we use what we know. How a familiar story can shape our reasoning. And how we test an explanation against a detail that does not fit.
It is written for clinicians: doctors, physiotherapists, occupational therapists, osteopaths, chiropractors and professionals across clinical healthcare. It is a book about thinking in the clinic, not a guide to diagnosing or treating a particular condition.
Before moving on
If my first explanation is wrong, what should I reconsider?
Not because every decision is wrong. Because it is worth examining how we reached it.
Take a moment with this question
Think of a recent patient. What did you see? What did they tell you? What did you assume because it fitted the explanation you already had?
Try separating those three things. Then ask: what information could make me think differently?
Written for this website, not taken from the manuscript. A prompt for reflection, not clinical advice.
Questions the book explores
The first explanation is a starting point. It need not be the last.
These are questions to return to, not a formula that works for every patient.
Open a question that connects with your work.
01What could make me change my mind?
Notice where our thinking narrows
An early diagnosis can become hard to let go of. Recognising that is useful, but naming a bias is not enough. We also need to compare other explanations, reflect on our decisions and learn from feedback.
02Which detail helps me tell the possibilities apart?
Use knowledge to compare explanations
The same complaint can have more than one explanation. Organising the problem clearly helps us bring relevant knowledge to mind. Then we can look for the findings that separate one possibility from another.
03What do I know, and what am I assuming?
Leave room for uncertainty
A positive finding does not settle a diagnosis on its own. Context, frequency and new information matter. If a patient improves after treatment, that does not automatically tell us why it helped.
04What must I not miss?
Keep safety in view
An open mind does not mean overlooking danger. Red flags need attention. When a serious condition is a concern, assessment and referral should follow the needs of the case and our professional scope.
05What would a useful change mean to this person?
Decide with the patient
A measure can improve while the thing the patient cares about stays the same. Their goals, preferences and everyday life belong in the reasoning, and in the choice of what to do next.
06What would I think if I did not know the ending?
Follow the reasoning through a case
A case is easier to explain once we know how it ends. Looking at information in stages lets us examine how an explanation changes. Cases can help us learn; they do not, on their own, prove how common or effective something is.
Back in the clinic
A decision does not end with a diagnosis.
What we think about the problem shapes what we do next. What happens next should also shape what we think.
Choose a step that fits the situation
Consider the risk, your confidence and the patient's goals. Ask whether it is time to act, investigate, consult or refer.
Think again about what happened
What changed? What did not? Let the outcome help you update your explanation, rather than treating it as proof that you were right from the start.
About Eliraz
Eliraz Levi
Physiotherapist and clinical reasoning educator
This book grows out of clinical work and teaching. Both keep bringing Eliraz back to the same question: how do we use what we know to think through the needs of the person in front of us?
He teaches healthcare professionals alongside his work as a physiotherapist. The book brings together his interest in clinical reasoning, cognitive biases and the patient encounter. The aim is to examine how we think, not to point out who got it wrong.
Who it is for
For clinicians who choose to think again.
You may be starting out and trying to organise what you have learned. You may have years of experience and want to examine habits that have become familiar. Or you may teach and want to discuss how a decision was reached.
The examples focus on musculoskeletal practice. The questions about listening, uncertainty and patient goals are intended for professionals working in clinical healthcare settings.
Before you read
A few things worth knowing.
Is this a diagnostic or treatment guide?
No. It is about clinical reasoning. It does not provide treatment protocols or replace training, clinical guidance or professional assessment of a case.
Is the book mainly about cognitive biases?
Biases are an important part of it, but they are not the whole story. The book connects them with clinical examples and ways to examine a decision. Knowing the name of a bias does not fix it, and not every error is caused by bias.
What language is it in?
English. Seeing Anew comes out on October 19, 2026.
Where can I get it?
From October 19, 2026, as a Kindle book: Seeing Anew on Amazon. This website does not take payments.
Out October 19
Want to ask something about the book?
You can write to Eliraz with a question or to ask about the book.
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