Leana Wen: What your doctor won’t disclose
莲娜∙文: 你的医生不愿透露什么?
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.
而且还得到了其他人的赞赏。
was a good or bad thing,
among other doctors.
are of being rushed to the hospital
that I was there nearly every week.
以至于当时几乎每周都在那里。
who always took care of me.
these bright yellow flowery dresses.
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
洗盘子和给瓦斯充气
and took my oath of healing and service.
并为治疗服务宣下了誓言。
that she wasn't feeling well,
她感觉不是很好,
she was short of breath and tired.
她喘不过气而且一直很疲累。
who never complained about anything.
从来不向他人抱怨的人。
that something was the matter,
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,
that he had prescribed her.
chemo regimen for her,
then all that's left is fear.
of this 19-year-old
我一直照顾一个19岁的
his belly and inside his brain.
2,000 miles away,
what's going on with him, right?
到底发生了什么在他的身上?
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.
with this terrible bellyache,
你在医院的轮床上,
you're on this hospital gurney,
to poke and prod at you.
the blanket you asked for 30 minutes ago.
拿到你30分钟前要的毛毯。
finding out who we are
and we hide behind them.
what it is that we're hiding.
into mistrust and poor medical care.
以及贫乏的医疗救助。
and what doctors do?
what if we did the opposite?
假使我们反方向而行之了呢?
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,
苏诃毗·塔克和劳拉·约翰,
to the streets.
coffee shops, senior centers,
about your healthcare?"
to know about their doctors,
关于他们的医生的信息,
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
双性恋及跨性别患者治疗,
for her doctor to share her values
and women's rights.
对她说是重要的。
hardware store owner,
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
脊柱手术就能拿到5000美金,
to see a physical therapist,
no matter what he recommends.
他得到的支付都是一样的。
when it comes to women's health,
and end-of-life decisions.
that we are here to serve you,
保证我们在这里是为你服务。
can be the cure for fear.
and others wouldn't,
会签下这份协议, 一些不会,
that would ensue.
会产生这么大的反对意见。
Who's My Doctor?
to being a slave.
drug companies to serve patients."
to serve a family of four
to disclose where my income comes from.
是一种对我隐私的侵犯,
their incomes to me."
don't affect your health.
whether we prefer cats to dogs,
我们是否喜欢喜欢猫比狗多一点,
about Toyotas or Cottonelle
on a woman's right to choose
and end-of-life decisions just might.
from a Kansas City cardiologist:
来自于堪萨斯城的心脏科医生:
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.
to quit this campaign.
从这个活动里退出,
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.
that new of a concept at all.
狂野的头发的中国医生吗?
across the street.
and what she stood for,
和她的信仰是什么,
this was the norm in the U.S. as well.
was the father of two teenage boys,
是两个十几岁男孩的父亲,
once at Easter
comes to town.
her cancer for eight years.
about how she wanted to live
about how she had suffered enough,
关于她遭受的是怎样的痛苦,
in the intensive care unit.
she was about to be intubated
I said, "and we have documents."
我说, “我们有协议的。“
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,
about medical errors,
to the behavioral model of disease.
而不是它的传染模式。
about trust and intimacy,
the hard lifestyle choices,
and diabetes control,
doctors have said.
closer to my patients.
医患关系恰恰就是
that I am totally open with them.
by what I'm doing.
to the practice of medicine.
会带来非同凡响的益处。
to step off our pedestals,
and what medicine is all about,
和医学是关于什么的,
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