Leana Wen: What your doctor won’t disclose
Leana Wen: Czego nie ujawni twój lekarz?
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,
ktoś chwalił się,
for "Twitter-bombing" my account.
was a good or bad thing,
czy to dobrze, czy źle,
among other doctors.
wśród innych lekarzy.
are of being rushed to the hospital
związane są z jazdą do szpitala,
that I was there nearly every week.
bywałam tam niemal co tydzień.
who always took care of me.
która zawsze się mną zajmowała.
these bright yellow flowery dresses.
kwieciste sukienki.
after having seen her.
jak tylko ją zobaczysz.
to be just like, right?
my parents and I moved to the U.S.,
przenieśliśmy się z rodzicami do USA.
the typical immigrant narrative.
and washed dishes and pumped gas
myli naczynia, nalewali benzyny do baków,
and took my oath of healing and service.
i złożyłam przysięgę Hipokratesa.
that she wasn't feeling well,
she was short of breath and tired.
ma duszności i jest zmęczona.
who never complained about anything.
która nigdy na nic się nie skarży.
that something was the matter,
stage IV breast cancer,
to her lungs, her bones, and her brain.
though, and she had hope.
i nie traciła nadziei.
phone number on the Internet
do swojego onkologa,
but she found something else too.
jako wysoko opłacany rzecznik
speaker to a drug company,
o tej właśnie chemoterapii,
that he had prescribed her.
chemo regimen for her,
then all that's left is fear.
of this 19-year-old
zajmowałam się 19-latkiem,
his belly and inside his brain.
2,000 miles away,
3000 kilometrów,
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.
i podadzą nas do sądu?".
was deep fear,
czaił się ogromny strach.
was that to become a doctor,
że żeby zostać lekarzem,
when they come to the doctor.
with this terrible bellyache,
trafiacie do szpitala,
you're on this hospital gurney,
na szpitalnej leżance,
to poke and prod at you.
the blanket you asked for 30 minutes ago.
o który prosiliście 30 minut temu.
finding out who we are
dowiedzą się, kim jesteśmy
and we hide behind them.
i chowamy się za nimi.
what it is that we're hiding.
wiedzieć, co chowamy.
into mistrust and poor medical care.
do braku zaufania i marnej opieki.
and what doctors do?
i działaniem lekarzy?
what if we did the opposite?
może spróbujmy czegoś odwrotnego?
totally transparent with their patients?
a research study to find out
to know about their healthcare.
na temat służby zdrowia.
patients in a hospital,
o pacjentów szpitalnych,
Suhavi Tucker and Laura Johns,
Suhavi Tucker i Laura Johns,
to the streets.
coffee shops, senior centers,
świetlicach dla seniorów,
about your healthcare?"
o służbie zdrowia?",
to know about their doctors,
wiedzy na temat lekarzy.
to dla nich przede wszystkim
between them and their doctors.
want to know about your doctors?"
wiedzieć o swoim lekarzu?"
that their doctor is competent
czy ich lekarz jest kompetentny
that their doctor is unbiased
based on evidence and science,
o wyniki badań i naukę,
something else about their doctors.
who is comfortable with LGBTQ patients
z pacjentami LGBTQ,
for her doctor to share her values
podzielał jej poglądy,
antykoncepcji i praw kobiet.
and women's rights.
hardware store owner,
sprzedawcy komputerów,
who believes in prevention first,
który stawia na profilaktykę
with alternative treatments.
our respondents told us
is a deeply intimate one —
ma bardzo intymny charakter.
their doctor's values.
jakimi on się kieruje.
have to see every patient
have to see every doctor.
nie mogą wybrać lekarza.
about their doctors first
transparency in medicine.
przejrzystość w medycynie.
about where we went to medical school
the Government in the Sunshine Act
od obecnej legislacji
z firmami farmaceutycznymi.
because of back pain,
z bólem kręgosłupa,
5,000 dollars to perform spine surgery
za przeprowadzenie operacji
to see a physical therapist,
dostanie tyle samo?
no matter what he recommends.
when it comes to women's health,
and end-of-life decisions.
that we are here to serve you,
że będziemy im służyć,
can be the cure for fear.
and others wouldn't,
się przyłączy, a część nie,
that would ensue.
jak gwałtowne reakcje wywołam.
Who's My Doctor?
to being a slave.
drug companies to serve patients."
nie mógłbym przyjmować pacjentów".
to serve a family of four
to disclose where my income comes from.
to moja prywatna sprawa,
their incomes to me."
o takie sprawy nie pytam".
don't affect your health.
nie wpływa na zdrowie lekarza.
whether we prefer cats to dogs,
czy wolimy psy czy koty,
about Toyotas or Cottonelle
samochodu lub papieru
on a woman's right to choose
and end-of-life decisions just might.
resuscytacji mogą mieć wpływ.
from a Kansas City cardiologist:
od kardiologa z Kansas:
back to her own country."
voluntary and not mandatory,
udział jest dobrowolny.
and I'm already here.
i już jestem w swoim kraju.
were getting calls
moi pracodawcy otrzymali prośby
at my undisclosed home address
przyszedł list grożący wnioskiem
the medical board to sanction me.
to quit this campaign.
by wstrzymać kampanię.
miałam dosyć,
to encourage me to continue.
do dalszych działań.
they're that ashamed of,
campaign contributions.
oświadczenia majątkowe,
conflicts of interests.
o konflikcie interesów,
when we're choosing a doctor."
the total transparency pledge.
którzy ujawnili informacje o sobie.
that new of a concept at all.
i kręconymi włosami?
across the street.
and what she stood for,
this was the norm in the U.S. as well.
w USA było podobnie.
was the father of two teenage boys,
ma dwóch nastoletnich synów,
once at Easter
comes to town.
her cancer for eight years.
przez osiem lat.
about how she wanted to live
about how she had suffered enough,
i chce spokojnie odejść.
in the intensive care unit.
jest na oddziale intensywnej terapii.
she was about to be intubated
właśnie mieli ją intubować
I said, "and we have documents."
że mamy dokumenty.
sister, and said,
i powiedział:
without your mother?"
for the rest of your life
her directives meant so well,
decision I ever made,
decyzja w moim życiu,
of those doctors with me
and what patients need.
because we've been there before,
gets us to that trust.
that openness also helps doctors,
że otwartość pomaga też lekarzowi.
about medical errors,
to the behavioral model of disease.
do chorób środowiskowych.
about trust and intimacy,
the hard lifestyle choices,
z ludzkimi słabościami,
and diabetes control,
i poziomu cukru we krwi,
doctors have said.
closer to my patients.
that I am totally open with them.
że jestem z nimi szczery.
by what I'm doing.
że wzięłam udział w kampanii,
wystawiony na widok publiczny,
to the practice of medicine.
to step off our pedestals,
and what medicine is all about,
i czym jest medycyna,
to overcome the sickness of fear.
the paradigm of medicine
opierać się na sekretach,
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