Leana Wen: What your doctor won’t disclose
لينا وين: ماذا يخفي طبيبك
Dr. Leana Wen is Baltimore City's Health Commissioner. Full bio
Double-click the English transcript below to play the video.
to my own profession,
for "Twitter-bombing" my account.
في تويتر
was a good or bad thing,
بين الأطباء الآخرين .
among other doctors.
are of being rushed to the hospital
that I was there nearly every week.
حيث كنت أُنقل كل أسبوع تقريبًا.
هي من كانت دائمًا تعتني بي.
who always took care of me.
these bright yellow flowery dresses.
فساتين ذات ورود صفراء.
after having seen her.
وددنا أن نصبح مثلهم تمامًا، أليس كذلك ؟
to be just like, right?
my parents and I moved to the U.S.,
انتقلت وعائلتي إلى أمريكا،
the typical immigrant narrative.
حكايات المهاجرين.
and washed dishes and pumped gas
وغسلوا الأطباق وضخوا الغاز
and took my oath of healing and service.
وأقسمت فيه قَسم العلاج والخدمة.
that she wasn't feeling well,
وضيق في التنفس ومتعبة.
she was short of breath and tired.
أن يشكو من أي شيء .
who never complained about anything.
that something was the matter,
stage IV breast cancer,
الثدي في المرحلة الرابعة،
to her lungs, her bones, and her brain.
though, and she had hope.
من العلاج الكيماوي،
phone number on the Internet
في الإنترنت، ثم وجدته،
but she found something else too.
speaker to a drug company,
المتحدثين أجرًا لشركة أدوية،
that he had prescribed her.
ربما كانت هذه هي الوصفة المناسبة لها،
chemo regimen for her,
then all that's left is fear.
of this 19-year-old
وتهشمت عظام حوضه،
his belly and inside his brain.
2,000 miles away,
what's going on with him, right?
his condition and his plan,
a chance to show them
and how much we cared.
from asking questions.
وقاضونا؟"
was deep fear,
هو خوف عميق.
was that to become a doctor,
when they come to the doctor.
with this terrible bellyache,
you're on this hospital gurney,
على السرير الطبي،
to poke and prod at you.
التي طلبتها من نصف ساعة.
the blanket you asked for 30 minutes ago.
finding out who we are
أن يعلم المرضى من نحن
and we hide behind them.
ونختبئ خلفها.
what it is that we're hiding.
وتتدنى العناية الطبية.
into mistrust and poor medical care.
and what doctors do?
وبين ما يفعله الأطباء؟
what if we did the opposite?
ماذا لو قمنا بالعكس؟
totally transparent with their patients?
مع مرضاهم؟
a research study to find out
to know about their healthcare.
patients in a hospital,
Suhavi Tucker and Laura Johns,
to the streets.
coffee shops, senior centers,
about your healthcare?"
to know about their doctors,
بما يريدون معرفته عن أطبائهم،
between them and their doctors.
want to know about your doctors?"
"ماذا تود معرفته عن أطباءك؟"
that their doctor is competent
that their doctor is unbiased
الدليل والعلم،
based on evidence and science,
something else about their doctors.
عن أطباءهم.
who is comfortable with LGBTQ patients
مرتاح لرعاية المرضى المثليين
for her doctor to share her values
أن تتفق قيمها مع قيم طبيبها
and women's rights.
الإنجاب وحقوق المرأة.
hardware store owner,
who believes in prevention first,
يؤمن بالوقاية أولًا،
with alternative treatments.
our respondents told us
is a deeply intimate one —
علاقة حميمة جدًا،
their doctor's values.
قيم ومبادئ أطباءهم.
have to see every patient
have to see every doctor.
about their doctors first
transparency in medicine.
about where we went to medical school
the Government in the Sunshine Act
because of back pain,
5,000 dollars to perform spine surgery
to see a physical therapist,
no matter what he recommends.
when it comes to women's health,
and end-of-life decisions.
that we are here to serve you,
بأننا هنا لخدمتكم،
can be the cure for fear.
and others wouldn't,
that would ensue.
Who's My Doctor?
to being a slave.
drug companies to serve patients."
من شركة أدوية لأخدم المرضى."
في السنة ويرعى عائلة من 4 أشخاص
to serve a family of four
to disclose where my income comes from.
their incomes to me."
عن مصادر دخلهم."
don't affect your health.
whether we prefer cats to dogs,
about Toyotas or Cottonelle
أو ورق كوتنيلّا
on a woman's right to choose
قد تكون كذلك.
and end-of-life decisions just might.
from a Kansas City cardiologist:
back to her own country."
voluntary and not mandatory,
وليس إجباري.
and I'm already here.
وأنا موجودة فعلًا في بلدي.
تلقوا اتصالات
were getting calls
والذي لم أكشف عنه
at my undisclosed home address
the medical board to sanction me.
لمعاقبتي.
to quit this campaign.
عن هذه الحملة.
ومحادثات تويتر،
نتج عن الموضوع حينها،
to encourage me to continue.
they're that ashamed of,
يخجلون من ذكره،
الكشف عن أية مساهمات في حملاتهم.
campaign contributions.
conflicts of interests.
أيضًا عن أية تعارضات في مصالحهم.
when we're choosing a doctor."
the total transparency pledge.
that new of a concept at all.
ليس جديدًا تمامًا.
across the street.
and what she stood for,
this was the norm in the U.S. as well.
was the father of two teenage boys,
once at Easter
comes to town.
her cancer for eight years.
about how she wanted to live
about how she had suffered enough,
كيف أنها قد عانت بما فيه الكفاية
in the intensive care unit.
العناية المركزة.
أن توضع على جهاز التنفس الصناعي.
she was about to be intubated
I said, "and we have documents."
"كما أن لدينا مستندات بذلك."
sister, and said,
without your mother?"
for the rest of your life
لبقية حياتك
her directives meant so well,
decision I ever made,
في حياتي،
of those doctors with me
الأطباء معي
and what patients need.
because we've been there before,
كنا هناك سابقًا،
gets us to that trust.
تلك الثقة.
that openness also helps doctors,
ساعدت الأطباء أيضًا،
about medical errors,
عن الأخطاء الطبية
to the behavioral model of disease.
about trust and intimacy,
بالثقة والحميمية،
the hard lifestyle choices,
أساليب الحياة الصعبة،
and diabetes control,
ونسبة السكر،
doctors have said.
closer to my patients.
that I am totally open with them.
تمامًا لهم.
by what I'm doing.
to the practice of medicine.
لمزاولة الطب.
لترك الركائز،
to step off our pedestals,
and what medicine is all about,
to overcome the sickness of fear.
مرض الخوف.
the paradigm of medicine
ABOUT THE SPEAKER
Leana Wen - Emergency physician, public health advocateDr. Leana Wen is Baltimore City's Health Commissioner.
Why you should listen
Dr. Leana Wen is the Baltimore City Health Commissioner. A physician and public health advocate, she has traveled the world listening to patients’ stories. Born in Shanghai, she was a Rhodes Scholar at Oxford, a reporter with The New York Times’ Nick Kristof, a fellow at the World Health Organization and the Director of Patient-Centered Care Research in the Department of Emergency Medicine at George Washington University.
Inspired by struggles during her mother’s long illness, she wrote When Doctors Don't Listen, a book about empowering patients to avoid misdiagnoses and unnecessary tests.
As an outspoken leader among a new generation of physicians, she served as President of the American Medical Student Association and as Chair of the International Young Professionals Commission. She also helped create Who’s My Doctor, a campaign for radical transparency in medicine. Read her own transparency statement, and find more resources on TEDMED.
In October 2015, she wrote a blanket prescription, or "standing order," in Baltimore City which covers anyone trained to administer naloxone, a medication that reverses the effects of drug overdoses. Under the order, medication will be available on demand to everyone with the proper training to use it, potentially saving many lifes that might have been lost to overdoses.
Leana Wen | Speaker | TED.com