Skip to main content
book cover for White Coats and Black Swans

White Coats and Black Swans

A Doctor's Descent Into Misdiagnosis and Madness

Sign In or Register Now to see if this title is available for request.

Buy on BN.com Buy on Bookshop.org
*This page contains affiliate links, so we may earn a small commission when you make a purchase through links on our site at no additional cost to you.

Send NetGalley books directly to your Kindle or Kindle app


1

To read on a Kindle or Kindle app, please add kindle@netgalley.com as an approved email address to receive files in your Amazon account. Click here for step-by-step instructions.

2

Also find your Kindle email address within your Amazon account, and enter it here.

Pub Date Oct 13 2026 | Archive Date Nov 16 2026


Talking about this book? Use #WhiteCoatsandBlackSwans #NetGalley. More hashtag tips!


Description

When Scott Standage, MD—a successful rehabilitation medicine physician—began experiencing persistent fatigue, brain fog, and extreme daytime sleepiness, he initially chalked it up to stress or burnout. Instead, a sleep study revealed severe obstructive sleep apnea (OSA), a common condition that is serious if untreated but readily managed with appropriate care. Yet when he sought treatment through his healthcare network, the diagnosis was dismissed out of hand. Instead, doctors incorrectly labeled him with periodic limb movement disorder (PLMD)—a rare, widely disputed diagnosis that many sleep experts question as even legitimate—and prescribed powerful psychoactive medications. Predictably, his symptoms spiraled.

What followed was a devastating descent into full-blown psychosis—paranoid delusions, multiple involuntary psychiatric holds, career collapse, and nearly total rejection by friends and family. The true cause? Misdiagnosis, untreated sleep apnea, and polypharmacy. As both a doctor and a patient, Scott was uniquely positioned to understand the system’s failures—but powerless to escape them. His survival—and the consequences he still carries—along with his hard-fought legal vindication expose a profound diagnostic failure at the heart of modern medicine.

When Scott Standage, MD—a successful rehabilitation medicine physician—began experiencing persistent fatigue, brain fog, and extreme daytime sleepiness, he initially chalked it up to stress or...


Advance Praise

“Dr. Scott Standage bravely shares his deeply personal story about the devastating consequences of overlooking a differential diagnosis. If such a critical mistake can happen to an experienced physician in the heart of Silicon Valley, it serves as a powerful reminder that it can happen to anyone.”
—Katharine Ball, MD, Palo Alto Medical Foundation

“White Coats and Black Swans feels like the film Memento trapped inside an episode of The Pitt for the prior-authorization generation, where every doctor insists that the chart matters more than the patient. A terrifying reminder that one bad diagnosis can turn your entire life into a reality you no longer recognize.”
—Matthew Zachary, author of We the Patients: Understanding, Navigating, and Surviving America’s Healthcare Nightmare

“A heart-wrenching view into the complex and often imperfect patient experience. Dr. Standage shares his personal journey in vivid detail, allowing a rare glimpse into the collisions between patients, doctors, the pharmaceutical industry, hospital systems, and broader society. Hopefully, Dr. Standage’s courage in sharing these details will help other patients and physicians by highlighting some of the dangers lurking in our healthcare delivery systems today.”
—Brendan McCarthy, MD, ophthalmologist at Harvard Medical School

“I became aware of Dr. Standage’s odyssey over the past few years as a colleague in the same office. Following a differential diagnosis and taking the time to do your own examination and critical thinking makes all the difference in arriving at the optimal outcome. We, as physicians, are extraordinarily privileged to obtain all the training and knowledge from those who came before us and have the power to use it to help others. [What happened to Dr. Standage] is a complete dereliction of duty by all those complicit in his ordeal.”
—David Kassel, MD, FACC, board-certified in cardiovascular disease and internal medicine

“Dr. Scott Standage bravely shares his deeply personal story about the devastating consequences of overlooking a differential diagnosis. If such a critical mistake can happen to an experienced...


Available Editions

EDITION Hardcover
ISBN 9798891389946
PRICE $29.99 (USD)
PAGES 280

Available on NetGalley

NetGalley Reader (EPUB)
NetGalley Shelf App (EPUB)
Send to Kindle (EPUB)
Send to Kobo (EPUB)
Download (EPUB)

Available to Buy

Buy on BN.com Buy on Bookshop.org
*This page contains affiliate links, so we may earn a small commission when you make a purchase through links on our site at no additional cost to you.

Average rating from 8 members


Featured Reviews

5 stars
5 stars
5 stars
5 stars
5 stars

Thank you to Netgalley and Amplify publishing for providing this eARC in exchange for an honest review.

This is a book about the current medical system, and how it can so easily lead to misdiagnoses and medical malpractice. This follows the life of the author, as a misdiagnosis led him to a vicious cycle of taking meds he didn't need that triggered psychosis coupled with his untreated sleep apnea, with the psychosis leading to more misdiagnoses, and more meds that made the situation worse.

Furthermore, this book also delves into the failures of not just the medical system but also of the judicial system and police when it comes to dealing with mentally ill people. One such example is conservatorship, which is still lacking enough safeguards to prevent potential abuse.

Another important part of this book is the rationale of the author as he progressively falls into paranoia and psychosis. And although he can look back on it now and say that he was acting in an unhinged way, the thought process that led to these actions? It made sense to him at the time, and we can see how he got to that point. Which makes this a great book to understand psychosis, and to remember that at the end of the day, we're all human, regardless of mental illness, and deserve to be treated with dignity and respect.

I can only hope that this book will become a bestseller, because this is something that more people need to know about. So that it doesn't happen to them. So that they can intervene if it happens to their loved ones. So that the people that can prevent this from occurring altogether, such as medical staff, are more careful. Because if it can happen to a doctor, it can happen to anyone. And as a disabled person, I certainly wish that I had been able to read this years ago, because I would likely have been more willing to push my doctors to just listen to me, and I would have switched doctors much earlier, avoiding a slew of misdiagnoses.

5 stars
5 stars
5 stars
5 stars
5 stars
Was this review helpful?
4 stars
4 stars
4 stars
4 stars
4 stars

An interesting book about misdiagnosis and its harmful effects, all exacerbated by a medical system based on profits not patients. Most disturbing is that this patient was a doctor but he didn’t bother to investigate his mistreatment and the improper medications he was prescribed. This really proves that we must advocate for ourselves and not be blinded by white coats.

4 stars
4 stars
4 stars
4 stars
4 stars
Was this review helpful?
5 stars
5 stars
5 stars
5 stars
5 stars

A wow of a memoir about a physician misdiagnosed, put on meds that led to psychosis, psych hospitalizations, and a career and life collapse. A cautionary tale about what can happen when healthcare goes really really wrong.

5 stars
5 stars
5 stars
5 stars
5 stars
Was this review helpful?
4 stars
4 stars
4 stars
4 stars
4 stars

Thank you to NetGalley and the publisher for providing this book in exchange for an honest review.
What a terrifying story! To think that so many doctors (and pharmacists) misdiagnosed and mismanaged the author's health is appalling.
I had a very rare major illness (Toxic Epidermal Necrolysis) but thankfully got the correct diagnosis right away. I still have to live with a lot of damage to my body but to think of how easily things could've gone wrong is scary.
The author brings up a lot of important elements to medical care overall, especially the money aspect of facilities trying to cut costs at the expense of good patient care.

4 stars
4 stars
4 stars
4 stars
4 stars
Was this review helpful?
4 stars
4 stars
4 stars
4 stars
4 stars

Thank you NetGalley and Amplify Publishing for the ARC. As a professional in healthcare this book was a really interesting read into doctors treating other doctors and the negligence and appalling treatment of Dr Standage. I do not work in the mental or behavior health speciality in medicine so I cannot fully understand the complete failure of care, but it is so important in healthcare to take a good history and ask questions relevant to the patient's medical history if it is appropriate. I read this book in just a few settings as I was interested in the catastrophic failure of the medical system at the hands of Dr Standage's care. Healthcare professional or not this is a good non fiction read into the life of someone who had a mental health crisis and was not treated properly.

4 stars
4 stars
4 stars
4 stars
4 stars
Was this review helpful?
4 stars
4 stars
4 stars
4 stars
4 stars

I received a free copy of, White Coats and Black Swans, by Scott Standage, MD, from the publisher and Netgalley in exchange for an honest review. Its ironic that even a doctor get misdiagnosed. Why are so many people getting misdiagnosed? This book also proves how invaluable it is to have some fighting for us.

4 stars
4 stars
4 stars
4 stars
4 stars
Was this review helpful?
4 stars
4 stars
4 stars
4 stars
4 stars

This is Scott Standage’s story of being misdiagnosed with a rare movement disorder when what he actually had was a sleep disorder, and the catastrophic turmoil that resulted from his taking inappropriate medications for years as a result of that misdiagnosis. Though a doctor himself, Standage trusted a supposedly highly regarded specialist who gave him the harmful diagnosis, albeit in a slapdash way with inaccurate information. The inappropriate medications induced paranoia in Standage that had ruinous effects on his life. This book is a stark cautionary tale of misplaced trust in medical opinions, and a clear undercurrent of resentment runs through it—this is understandable, though I might have wished Standage had attained a little more mental distance before writing this book.

4 stars
4 stars
4 stars
4 stars
4 stars
Was this review helpful?

Readers who liked this book also liked: