Leana Wen: What your doctor won’t disclose
Leana Wen: Doktorunuzun size açıklamayacakları
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.
tuttuğu için
was a good or bad thing,
among other doctors.
are of being rushed to the hospital
that I was there nearly every week.
who always took care of me.
these bright yellow flowery dresses.
elbiseler giyerdi.
after having seen her.
kahramanı vardır.
to be just like, right?
my parents and I moved to the U.S.,
the typical immigrant narrative.
and washed dishes and pumped gas
İngilizce öğrendim.
and took my oath of healing and service.
that she wasn't feeling well,
she was short of breath and tired.
için şikayet eden
who never complained about anything.
anlatmasının ardından
that something was the matter,
gittiğini biliyordum.
stage IV breast cancer,
to her lungs, her bones, and her brain.
though, and she had hope.
phone number on the Internet
uzmanının telefon numarasını
but she found something else too.
speaker to a drug company,
that he had prescribed her.
kemoterapi rejimiydi,
chemo regimen for her,
ve kuşkulandırmıştı.
then all that's left is fear.
of this 19-year-old
his belly and inside his brain.
beyin içi kanaması vardı.
2,000 miles away,
what's going on with him, right?
istersiniz, değil mi?
ve yapacaklarımızı
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,
when they come to the doctor.
geldiklerinde korkarlar.
uyandığınızı düşünün,
with this terrible bellyache,
you're on this hospital gurney,
önlüğü giymişsiniz.
to poke and prod at you.
the blanket you asked for 30 minutes ago.
bilmiyorsunuz.
gelmesin:
finding out who we are
ve tıbbın ne
and we hide behind them.
saklanıyoruz.
what it is that we're hiding.
into mistrust and poor medical care.
and what doctors do?
gelebilir miyiz?
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,
sokaktaki insanlar
Suhavi Tucker and Laura Johns,
iki tıp öğrencim
to the streets.
sokağa taşımış oldular.
coffee shops, senior centers,
istasyonlarına gittiler.
about your healthcare?"
diye sorduğumuzda,
to know about their doctors,
doktorları
between them and their doctors.
want to know about your doctors?"
ve tıbbi uygulamada
that their doctor is competent
that their doctor is unbiased
based on evidence and science,
something else about their doctors.
bambaşka bir
who is comfortable with LGBTQ patients
for her doctor to share her values
and women's rights.
hardware store owner,
sahibi Frank,
who believes in prevention first,
with alternative treatments.
our respondents told us
is a deeply intimate one —
their doctor's values.
görmek istiyorlar.
have to see every patient
zorunda diye
have to see every doctor.
görüşmesi gerekmiyor.
about their doctors first
sahibi olmak istiyor.
transparency in medicine.
bulunuyor.
about where we went to medical school
gittiğini ve
the Government in the Sunshine Act
ötesine geçtik ve
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,
alternatif
ölüm kararı
and end-of-life decisions.
değerlerimizi ekleyelim.
that we are here to serve you,
bilme hakkınız oluyor.
can be the cure for fear.
geçirebileceğine inanıyoruz.
and others wouldn't,
düşündüm, fakat ters tepme
that would ensue.
Who's My Doctor?
to being a slave.
drug companies to serve patients."
öğle yemeğine bel bağlıyorum."
to serve a family of four
tamamlamanız gerektiğini
to disclose where my income comes from.
their incomes to me."
açıklamıyorlar."
sizin
don't affect your health.
whether we prefer cats to dogs,
zorunda kalacağız."
about Toyotas or Cottonelle
hakkında hissettikleriniz
on a woman's right to choose
düşüncelerinizin
and end-of-life decisions just might.
from a Kansas City cardiologist:
benim favorim:
back to her own country."
voluntary and not mandatory,
and I'm already here.
işten
were getting calls
banayaptırım uygulanması için
at my undisclosed home address
the medical board to sanction me.
to quit this campaign.
konusunda ısrar ettiler.
artık vazgeçmiştim.
to encourage me to continue.
etmem konusunda
they're that ashamed of,
bağışlarını açıklamak zorundalar.
campaign contributions.
conflicts of interests.
zorundalar.
ve söyledi,
when we're choosing a doctor."
the total transparency pledge.
that new of a concept at all.
bir kavram değil.
hatırladınız mı?
across the street.
and what she stood for,
biliyorduk.
this was the norm in the U.S. as well.
was the father of two teenage boys,
once at Easter
şehre geldiğinde.
comes to town.
her cancer for eight years.
about how she wanted to live
about how she had suffered enough,
in the intensive care unit.
dair bir telefon aldım.
ve solunum
she was about to be intubated
I said, "and we have documents."
sister, and said,
without your mother?"
for the rest of your life
geri
kendinle yüzleşebilir miydin?"
her directives meant so well,
çok iyi anladım,
decision I ever made,
vermek hayatımda
of those doctors with me
arasındaki
and what patients need.
because we've been there before,
önce başardık.
gets us to that trust.
getireceğini biliyoruz.
that openness also helps doctors,
olduğunu gösteriyor,
about medical errors,
tıbbi
to the behavioral model of disease.
about trust and intimacy,
the hard lifestyle choices,
kararlar ile mücadele etmek,
and diabetes control,
gerektirir.
doctors have said.
closer to my patients.
bir dahiliyeci:
that I am totally open with them.
anlatın.
by what I'm doing.
olabildiğimi soruyorlar.
işim
hissediyorsunuz
to the practice of medicine.
beyaz önlükleri çıkarmak
to step off our pedestals,
and what medicine is all about,
to overcome the sickness of fear.
üstesinden gelmeye başlarız.
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