Timothy Ihrig: What we can do to die well
تیموتی ایرگ: آنچه که می توانیم برای بهتر مردن انجام دهیم
Timothy Ihrig advocates for an approach to healthcare that prioritizes a patient's personal values. Full bio
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today about health care.
درباره مراقبتهای سلامت صحبت می کنم.
about the health and care
سلامت و مراقبت از
population in our country --
افراد کشورمان برایتان بگویم
complex serious health issues.
مربوط به سلامت سروکار دارند
about economics as well.
should scare the hell out of you --
شما را به شدت بترساند --
about palliative medicine:
grounded in what they value.
که در ارزشهایشان ریشه دارد.
live better and longer.
زندگی بهتر و طولانی تری داشته باشند.
واقعیت را می گوید
ملاقات می کند
of my very first patient.
اولین بیمارانم شروع کنم.
پزشک کار می کردم.
Harold, 68 years old,
بنام هارولد
and worse and worse.
that had spread to his brain.
که کل مغزش را گرفته
to go share with Harold and his family
و خانواده اش
and options of care.
و گزینه های درمانی اطلاع بدهم.
که در کار جدیدم مشغول شده بودم،
news is it, sonny?"
and we listened and we shared.
that has meaning to you?
and said, "I want to go fishing."
"می خواهم بروم ماهیگیری"
my training in my career,
و به او فکر میکنم.
that had led us to crisis,
to the American way of life today,
برای زندگی امروزه آمریکایی ها
this population, the most ill,
of the gross domestic product --
take up 15 percent of the GDP.
۱۵ درصد تولید ناخالص ملی را می گیرند.
over the next two decades
تولید ناخالص ملی می رسد.
domestic product
with health care at that point.
مراقبتهای درمانی آن زمان ندارد.
every thing that we value
برای ما ارزش دارند
economy and capitalism
for a minute, forget the numbers.
ارقام را فراموش کنید.
for all these dollars we spend.
صحبت کنیم.
about six years ago,
spent by Medicare --
خرج شده بود را بررسی کرد--
the highest per capita expenditures
بالاترین مخارج سرانه را دارند،
pain, depression.
درد دارند، افسردگی.
system on the planet.
مراقبتهای درمانی دنیا را دارد.
country in the world.
and sub-Saharan African countries
و کشورهای آفریقایی جنوب صحرا
as far as quality and value.
every day in my practice,
on your own journeys have experienced:
در زندگی تجربه کردهاید این است:
more surgery, more whatever --
جراحی یا هرچیز بیشتری دارند --
long white-coat physicians --
--پزشکان روپوش سفید--
and pathology and surgery
across a continuum.
the sickest of the sick --
بیمارترین بیماریها تاسیس شد--
را بهبود دهیم؟
at this population differently,
at a different level, a deeper level,
با آنها ارتباط برقرارمیکنیم؟
of the human condition than my own?
فراتر از خودمان در نظر میگیریم؟
never had to go to the hospital?
هرگز به بیمارستان نرفتند؟
درمورد آنها در نظر گرفتیم.
and in 20 years is 60 percent of the GDP,
و ۲۰ سال بعد ۶۰ درصد تولید ناخالص ملی است،
by nearly 70 percent.
تا حدود ۷۰ درصد کاهش دادیم.
based on their values,
طبق ارزشهایشان می خواستند رسیدند،
from diagnosis through the end of life.
از مرحله تشخیص تا پایان زندگی.
that started in her cervix,
و زندگی می کند.
that you hold sacred?"
because I can barely pedal a bicycle,
چون حتی نمی توانم سوار دوچرخه شوم،
چکار میشود کرد."
one day at a time,"
بگذار روز به روز پیش برویم."
other chapter of our life.
where Richard's at day-to-day.
تلفنی حرف می زنیم.
of end-stage lung disease.
دارد رشد می کند.
just for the elderly,
joining us here today.
and I met him several years ago.
و من سالها پیش با او آشنا شدم.
metastatic testicular cancer,
from a bone marrow transplant,
understand -- what is cancer?"
"کمک کن بفهمیم سرطان چیست؟"
what we're dealing with?
without empowering somebody
بدون اینکه به کسی بفهمانیم
in who they are as human beings
اینکه به عنوان انسان، چه پدیده ای است؟
any kind of thing to you.
هرکاری بخواهیم با شما بکنیم.
to palliative care these days
مربوط به مراقبتهای تسکینی
people live better and live longer.
افراد زندگی بهتر و طولانی تری دارند.
out of the New England Journal of Medicine
by friends of mine, colleagues.
دوستانم در هاروارد روی
reported less pain,
would write a prescription for it.
آن را تجویز می کرد.
long white-coat physicians
of dealing with this,
و کار با این را یاد گرفته ایم،
all come to at some point.
همه ما روزی به آن می رسیم
is not about dying,
the chapters of our lives,
فصلهای زندگیمان را بنویسیم
needs to happen today --
باید امروز اتفاق بیفتد --
and our grandchildren.
and everything we see.
و هر چیزی که می بینیم.
to engage with human beings,
پرداختن به ذات انسان است،
that we will all face,
همه ما با آن روبرو خواهیم شد.
shout and we demand
و بهترین مراقبت ممکن را
امروز زندگی بهتری داشته باشیم
ABOUT THE SPEAKER
Timothy Ihrig - Palliative care physicianTimothy Ihrig advocates for an approach to healthcare that prioritizes a patient's personal values.
Why you should listen
Dr. Timothy Ihrig, MD practices palliative medicine, caring for the most vulnerable and sickest people, and helps other providers improve the quality and value of the care they provide to this population. His work has shown how patient-centered care improves quality and length of life, and that it has significant economic benefits to patients, healthcare systems and the economy.
Ihrig is nationally recognized for his expertise in continuum population health and community-based palliative care. He holds appointments as content expert to the Accountable Care Learning Collaborative, an industry-leading healthcare innovation collaborative co-chaired by former Health and Human Services Secretary and Utah Governor Mike Leavitt and former Food and Drug Administration Commissioner Dr. Mark McClellan. Ihrig is a member of the Advisory Council of the Iowa Healthcare Collaborative, a think-tank for strategies in health care quality, safety and value for the state of Iowa. He also serves as an Iowa Alternate-Delegate to the American Medical Association.
Ihrig has been an expert source for palliative care development for the Brookings Institution, and he was the sole practicing physician assisting the Iowa General Assembly in raising minimum standard requirements for Iowa physicians with respect to end-of-life care and oversight of prescriptive narcotics. He also acted as an expert clinician in support of Iowa Physician Orders for Life-Sustaining Treatment bill. He holds appointments as Clinical Adjunct Professor in the Department of Medicine at the University of Iowa Carver School of Medicine and acts as Palliative Care clinical instructor. He is on the board of the Hospice and Palliative Care Association of Iowa, is the former chair of the Advocacy Committee and sits on the Palliative Care Advisory Committee.
Ihrig's other interests include sexuality at the end of life and global health. He served as the Medical Chair of the Health Services Committee for Empower Tanzania Incorporated, whose mission is the development of sustainable healthcare solutions in sub-Saharan Africa for individuals suffering with HIV/AIDS, cancer and other life-limited illnesses.
Timothy Ihrig | Speaker | TED.com