Christer Mjåset: 4 questions you should always ask your doctor
克里斯特·莫塞特: 四个你应该问医生的问题
Christer Mjåset, M.D. is a neurosurgeon, author, columnist and lecturer who currently works as a Harkness fellow in Health Care Policy and Practice at Harvard T.H. Chan School of Public Health in Boston studying value-based health care models. Full bio
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that people like me need your help.
像我一样的人需要你们的帮助。
about a patient of mine.
聊一下我的一个病人。
of hospital a few times
from a cervical disc,
before the consultation,
她的核磁共振成像,
are standardized, and they're quick.
很标准化,而且手术时间短,
past the trachea,
into the internal carotid artery.
the disc and the prolapse
and the nerve root
在下方仅几毫米处的
is the damage to the cord,
from the neck down.
she fell silent.
for me and for her.
一句非常果断的话。
right there and then?
like this woman,
像这位女士的病人时,
pulling it out of the nerve root canal
我几乎可以看见自己
I wanted to operate on her.
我想给她做手术。
is the most fun part of my job.
最有趣的部分。
he loves to just sit and draw
说他就喜欢坐在那
paying for the house
付款买房的事项,
restrictions on what to do.
to look their patient in the eye
看着病人的眼睛,
for the person having the operation.
in the back of your throat.
在你喉咙后面的两个肿块。
of tonsillectomies in Norway
在挪威不同地区
is that there is twice the chance
在芬马克郡的孩子
because this is for children --
than in Trondheim.
in both regions are the same.
患病的迹象是相同的。
no difference, but there is.
for this condition.
这种情况下的手术比例。
rate in Møre og Romsdal
rate in Stavanger.
than elsewhere in the country?
is the procedures performed
浅蓝色的是在公立医院
are light green.
in the private clinics
to treat the patients.
that the difference of treatment effect
and operations for the knee --
of the procedures performed
even in Stavanger.
甚至是在斯塔万格。
for treatments in the world
of treatment decisions,
治疗手段的变形,
the treatment that they need,
once in my career.
只听见过一次这个问题。
these words from a patient.
听过病人这样问。
你们觉得有几次
you'll get a "no" from a doctor
with about the same "no" rate
or suggests something
the reason for this is?
for medical advice.
咨询医疗方面的建议。
in the winter time,
不同国家进行越野滑雪,
whenever he went jogging.
感觉到了严重的背疼。
I questioned him thoroughly,
全面的对他进行问询,
that he probably had a degenerated disc
swimming instead of jogging,
”你在训练的时候,
to be more selective
through my insurance at work."
he was also, after all, my friend.
毕竟,他是我的朋友。
to see how bad it looks back there."
我的后背到底多糟糕比较好。”
MRI scans?" I said.
核磁共振扫描了?”我说。
"It could be cancer."
“可能是癌症。”
of my colleagues at work,
and quit the jogging.
I met him again and he said,
我又遇见了他,
是怎么回事了。”
with the same symptoms had an MRI?
都来做核磁共振成像呢?
would quadruple, maybe even more.
会增至四倍,甚至更多。
the spot on that list
also turns down, sometimes,
to get diagnosed or treated.
a difficult question to ask.
很难启齿的问题。
what to do with you,
now a general practitioner,
现在是一个全科医生,
sanatorium as a little girl,
曾经被送到肺结核疗养院
had been negative all along.
一直都是阴性的。
on nothing but wrong suspicion.
就送她去了疗养院。
confronting him about it.
去反抗他的做法。
health care service.
from the doctor about what to do.
得到治疗建议。
responsibility on you.
更多的责任。
with your doctor
decisions on where to go.
you're in a doctor's office,
当你在医生办公室里,
attached to this operation?"
这个手术有哪些风险?”
will have worsening of pain symptoms.
or even a rehemorrhage
also experience permanent hoarseness
永久性的声音嘶哑,
in the arms or even legs.
over some time
that you will get well.
也有很小的可能你会康复。
来帮助我们。
wants to send you to an MRI,
要问医生,
of you, 20 percent,
也就是 20%,
会改变你们的想法。
not only have made your life
and probably even better,
ABOUT THE SPEAKER
Christer Mjåset - NeurosurgeonChrister Mjåset, M.D. is a neurosurgeon, author, columnist and lecturer who currently works as a Harkness fellow in Health Care Policy and Practice at Harvard T.H. Chan School of Public Health in Boston studying value-based health care models.
Why you should listen
Christer Mjåset, M.D. holds a position as a researcher at the Oslo University Hospital analyzing data from The Norwegian Spine Registry and as a lecturer at the Department of Health Management and Economics, University of Oslo, where he teaches in a leadership program for young physicians. Mjåset was president of the Norwegian Junior Doctors 2015-2019 and the Vice President of the Norwegian Medical Association 2017-2019. This work led him to be involved with the international Choosing Wisely campaign which seeks to advance a national dialogue avoiding unnecessary medical tests, treatments and procedures. From 2017-2019 he was responsible for implementing the campaign in Norway
Mjåset is a published author of five fictional books and several short stories. He won the Oslo City Cultural Scholarship for writers in 2006. He got his medical degree and bachelor’s degree in literature and philosophy at University of Oslo, both in 2000.
Christer Mjåset | Speaker | TED.com