Leana Wen: What your doctor won’t disclose
ลีน่า เวน: สิ่งที่แพทย์ของคุณจะไม่ยอมบอก
Dr. Leana Wen is Baltimore City's Health Commissioner. Full bio
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to my own profession,
for "Twitter-bombing" my account.
was a good or bad thing,
among other doctors.
are of being rushed to the hospital
ฉันถูกพาส่งโรงพยาบาลอย่างด่วน
that I was there nearly every week.
จนต้องไปโรงพยาบาลเกือบทุกสัปดาห์
who always took care of me.
ซึ่งเป็นผู้ดูแลฉันมาตลอด
these bright yellow flowery dresses.
(พ้องเสียง Humorous -- น่าขบขัน) ทันมั๊ยล่ะ
after having seen her.
to be just like, right?
my parents and I moved to the U.S.,
the typical immigrant narrative.
and washed dishes and pumped gas
ล้างจาน
เพื่อให้ฉันมีโอกาสไล่ตามความฝัน
and took my oath of healing and service.
ว่าจะรักษาและดูแลผู้คน
that she wasn't feeling well,
she was short of breath and tired.
who never complained about anything.
that something was the matter,
จึงเป็นเรื่องรุนแรง
stage IV breast cancer,
to her lungs, her bones, and her brain.
though, and she had hope.
phone number on the Internet
but she found something else too.
speaker to a drug company,
ให้มากที่สุด
that he had prescribed her.
chemo regimen for her,
ที่เหมาะสมสำหรับเธอแล้วก็ได้
then all that's left is fear.
สิ่งที่เหลือคือความกลัว
of this 19-year-old
his belly and inside his brain.
2,000 miles away,
ซึ่งห่างออกไป 2000 ไมล์
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.
ไม่ถามคำถาม
was deep fear,
was that to become a doctor,
when they come to the doctor.
with this terrible bellyache,
you're on this hospital gurney,
บนเตียงพยาบาลเคลื่อนที่
to poke and prod at you.
the blanket you asked for 30 minutes ago.
เมื่อ 30 นาทีก่อนมั๊ย
finding out who we are
and we hide behind them.
what it is that we're hiding.
into mistrust and poor medical care.
ทำการรักษาได้ไม่ดีพอ
and what doctors do?
what if we did the opposite?
totally transparent with their patients?
a research study to find out
to know about their healthcare.
patients in a hospital,
Suhavi Tucker and Laura Johns,
ซูฮาวี ทัคเกอร์ กับ ลอร่า จอห์นส
to the streets.
coffee shops, senior centers,
about your healthcare?"
to know about their doctors,
between them and their doctors.
want to know about your doctors?"
that their doctor is competent
that their doctor is unbiased
based on evidence and science,
something else about their doctors.
who is comfortable with LGBTQ patients
for her doctor to share her values
สอดคล้องกับเธอ
and women's rights.
hardware store owner,
อายุ 59 ปี
who believes in prevention first,
with alternative treatments.
our respondents told us
is a deeply intimate one —
their doctor's values.
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,
เราอยู่ที่นี่ เพื่อให้บริการ
can be the cure for fear.
and others wouldn't,
และบางคนก็อาจจะไม่
that would ensue.
Who's My Doctor?
to being a slave.
drug companies to serve patients."
เพื่อรับใช้คนไข้"
to serve a family of four
(เงินจากบริษัทยา)
to disclose where my income comes from.
ในการเปิดเผยที่มาของรายได้
their incomes to me."
รายได้ของเขาให้ผมรู้เสียหน่อย"
don't affect your health.
ไม่ได้กระทบสุขภาพของคุณเสียหน่อย
whether we prefer cats to dogs,
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.
และฉันก็อยู่ประเทศของฉันอยู่แล้ว
were getting calls
at my undisclosed home address
ที่ฉันไม่ได้เปิดเผยทั่วไป
the medical board to sanction me.
to quit this campaign.
4.3 ล้านครั้ง
to encourage me to continue.
they're that ashamed of,
campaign contributions.
conflicts of interests.
when we're choosing a doctor."
the total transparency pledge.
จะเปิดเผยอย่างโปร่งใส
that new of a concept at all.
across the street.
and what she stood for,
และเธอยึดถือหลักอะไร
this was the norm in the U.S. as well.
ของสหรัฐฯ มาก่อนด้วยซ้ำ
was the father of two teenage boys,
เป็นพ่อของวัยรุ่นสองคน
once at Easter
comes to town.
her cancer for eight years.
about how she wanted to live
about how she had suffered enough,
แค่ไหนเธอควรจะพอได้แล้วกับความทรมาน
in the intensive care unit.
she was about to be intubated
I said, "and we have documents."
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,
gets us to that trust.
that openness also helps doctors,
ก็ช่วยแพทย์เองเช่นกัน
about medical errors,
to the behavioral model of disease.
about trust and intimacy,
the hard lifestyle choices,
เกี่ยวกับการใช้ชีวิต
and diabetes control,
doctors have said.
closer to my patients.
that I am totally open with them.
by what I'm doing.
ให้เพื่อนร่วมงาน
to the practice of medicine.
to step off our pedestals,
and what medicine is all about,
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