Leana Wen: What your doctor won’t disclose
ליאנה וון: מה הרופא שלכם לא יחשוף
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.
להפצצת טוויטר של החשבון שלי.
was a good or bad thing,
among other doctors.
are of being rushed to the hospital
היו שלקחו אותי במהירות לבית החולים
that I was there nearly every week.
שהייתי שם כמעט כל שבוע.
who always took care of me.
שתמיד טיפלה בי,
these bright yellow flowery dresses.
פרחוניות צהובות בהירות.
(שם של עצם וגם מצחיק), מבינים?
after having seen her.
להרגיש טוב יותר אחרי שראיתם אותה.
to be just like, right?
my parents and I moved to the U.S.,
הורי ואני עברנו לארצות הברית,
the typical immigrant narrative.
and washed dishes and pumped gas
and took my oath of healing and service.
ונשבעתי לרפא ולשרת.
that she wasn't feeling well,
שהיא לא הרגישה טוב,
she was short of breath and tired.
היה לה קוצר נשימה והיא היתה עייפה.
who never complained about anything.
שלעולם לא מתלונן על כלום.
that something was the matter,
stage IV breast cancer,
to her lungs, her bones, and her brain.
לעצמות ולמוח שלה.
though, and she had hope.
phone number on the Internet
but she found something else too.
speaker to a drug company,
בשכר גבוה של חברת תרופות,
that he had prescribed her.
chemo regimen for her,
then all that's left is fear.
of this 19-year-old
his belly and inside his brain.
2,000 miles away,
what's going on with him, right?
מה קורה איתו, נכון?
his condition and his plan,
a chance to show them
and how much we cared.
from asking questions.
was deep fear,
was that to become a doctor,
לשים את החלוקים הלבנים,
when they come to the doctor.
with this terrible bellyache,
you're on this hospital gurney,
אתם על מיטת בית החולים,
to poke and prod at you.
the blanket you asked for 30 minutes ago.
את השמיכה שביקשתם לפני 30 דקות.
finding out who we are
and we hide behind them.
ואנחנו מתחבאים מאחוריהם.
what it is that we're hiding.
into mistrust and poor medical care.
חוסר האמון ולטיפול רפואי גרוע.
and what doctors do?
what if we did the opposite?
מה אם היינו עושים ההפך?
totally transparent with their patients?
לשקופים לחלוטין עם החולים שלהם?
a research study to find out
to know about their healthcare.
patients in a hospital,
Suhavi Tucker and Laura Johns,
סוהאבי טאקר ולאורה ג'ונס,
to the streets.
coffee shops, senior centers,
about your healthcare?"
to know about their doctors,
לדעת על הרופאים שלהם,
between them and their doctors.
want to know about your doctors?"
על הרופא שלכם?"
that their doctor is competent
that their doctor is unbiased
based on evidence and science,
something else about their doctors.
משהו שונה על הרופאים שלהם.
who is comfortable with LGBTQ patients
שנוח לו עם חולים מקהילת הלהט"ב
for her doctor to share her values
שהרופא שלה יחלוק את הערכים שלה
and women's rights.
hardware store owner,
who believes in prevention first,
with alternative treatments.
our respondents told us
is a deeply intimate one —
their doctor's values.
את הערכים של הרופאים שלהם.
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
מקבל 5,000 דולר לבצע ניתוח גב
to see a physical therapist,
לראות פיזיותרפיסט,
no matter what he recommends.
לא משנה מה הוא ממליץ.
when it comes to women's health,
כשזה מגיע לבריאות נשים,
and end-of-life decisions.
that we are here to serve you,
שאנחנו פה לשרת אותם,
can be the cure for fear.
and others wouldn't,
that would ensue.
מהרתיעה הגדולה שתגיע אחרי.
Who's My Doctor?
to being a slave.
drug companies to serve patients."
חברות תרופות כדי לשרת חולים.."
to serve a family of four
כדי לכלכל משפחה של ארבעה
to disclose where my income comes from.
לגלות מאיפה ההכנסה שלי מגיעה.
their incomes to me."
don't affect your health.
לא משפיע על הבריאות שלך.
whether we prefer cats to dogs,
אם אנחנו אוהבים כלבים או חתולים,
about Toyotas or Cottonelle
on a woman's right to choose
and end-of-life decisions just might.
from a Kansas City cardiologist:
back to her own country."
voluntary and not mandatory,
and I'm already here.
were getting calls
at my undisclosed home address
the medical board to sanction me.
למחלקת הרפואה להשעות אותי.
to quit this campaign.
להפסיק את הקמפיין הזה.
to encourage me to continue.
they're that ashamed of,
שהם כל כך מתביישים בו,
campaign contributions.
conflicts of interests.
when we're choosing a doctor."
the total transparency pledge.
בהתחייבות לשקיפות מלאה.
that new of a concept at all.
across the street.
and what she stood for,
this was the norm in the U.S. as well.
זו היתה הנורמה גם בארצות הברית.
was the father of two teenage boys,
היה אבא לשני נערים,
once at Easter
פעמיים בשנה: פעם בחג הפסחא
comes to town.
her cancer for eight years.
about how she wanted to live
about how she had suffered enough,
על איך היא סבלה מספיק,
in the intensive care unit.
she was about to be intubated
I said, "and we have documents."
אמרתי, "ויש לנו מסמכים."
sister, and said,
without your mother?"
for the rest of your life
her directives meant so well,
decision I ever made,
of those doctors with me
and what patients need.
because we've been there before,
מפני שהיינו שם בעבר,
gets us to that trust.
that openness also helps doctors,
about medical errors,
to the behavioral model of disease.
של הדבקות למודל התנהגותי.
about trust and intimacy,
the hard lifestyle choices,
עם החלטות חיים קשות,
and diabetes control,
doctors have said.
closer to my patients.
that I am totally open with them.
by what I'm doing.
להיות כל כך אמיצה.
to the practice of medicine.
to step off our pedestals,
and what medicine is all about,
מי אנחנו ומה היא רפואה,
to overcome the sickness of fear.
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