Leana Wen: What your doctor won’t disclose
溫麟衍: 你的醫生不願透露的是什麼?
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.
was a good or bad thing,
among other doctors.
are of being rushed to the hospital
that I was there nearly every week.
幾乎每週都去醫院。
who always took care of me.
these bright yellow flowery dresses.
明白嗎?
after having seen her.
覺得舒服一點。
to be just like, right?
my parents and I moved to the U.S.,
the typical immigrant narrative.
做洗碗工和為人加油賺錢,
and washed dishes and pumped gas
為治療和服務宣誓那天,
and took my oath of healing and service.
that she wasn't feeling well,
而且呼吸困難又疲憊。
she was short of breath and tired.
who never complained about anything.
從不抱怨任何事的人。
that something was the matter,
stage IV breast cancer,
她的肺、骨頭和腦部。
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,
一家製藥公司的高薪發言人,
that he had prescribed her.
chemo regimen for her,
then all that's left is fear.
of this 19-year-old
his belly and inside his brain.
2,000 miles away,
what's going on with him, right?
his condition and his plan,
病人的現況和處理方案,
a chance to show them
and how much we cared.
from asking questions.
起訴我們怎麼辦?」
was deep fear,
是深深的恐懼,
was that to become a doctor,
when they come to the doctor.
with this terrible bellyache,
you're on this hospital gurney,
你在醫院的病床上,
to poke and prod at you.
the blanket you asked for 30 minutes ago.
30 分鐘前要的毛毯。
finding out who we are
and we hide behind them.
what it is that we're hiding.
不信任和不良的醫療處置。
into mistrust and poor medical care.
搭起橋樑嗎?
and what doctors do?
what if we did the opposite?
totally transparent with their patients?
會怎麼樣呢?
a research study to find out
大家最想知道的是什麼。
to know about their healthcare.
patients in a hospital,
Suhavi Tucker and Laura Johns,
蘇哈維.塔克和勞拉.約翰,
to the streets.
coffee shops, senior centers,
about your healthcare?"
你最想知道的是什麼?」
to know about their doctors,
他們想了解的是他們的醫生,
between them and their doctors.
「你想知道關於你醫生的什麼呢?」
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
對她而言很重要,
and women's rights.
hardware store owner,
who believes in prevention first,
with alternative treatments.
our respondents told us
is a deeply intimate one —
其實是非常親密的,
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,
會提出自己的價值觀。
and end-of-life decisions.
that we are here to serve you,
can be the cure for fear.
and others wouldn't,
that would ensue.
Who's My Doctor?
to being a slave.
drug companies to serve patients."
才能服務患者。」
to serve a family of four
to disclose where my income comes from.
是侵犯我的隱私。」
their incomes to me."
don't affect your health.
whether we prefer cats to dogs,
我們喜歡貓還是狗、
about Toyotas or Cottonelle
on a woman's right to choose
and end-of-life decisions just might.
來自堪薩斯市的心臟科醫生說:
from a Kansas City cardiologist:
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.
to encourage me to continue.
感到羞恥的事情,
they're that ashamed of,
campaign contributions.
conflicts of interests.
when we're choosing a doctor."
the total transparency pledge.
完全透明的承諾。
that new of a concept at all.
across the street.
and what she stood for,
還有她的價值觀點,
this was the norm in the U.S. as well.
was the father of two teenage boys,
有兩個十幾歲的兒子,
once at Easter
一次在復活節,
comes to town.
her cancer for eight years.
about how she wanted to live
about how she had suffered enough,
她已經受夠了痛苦,
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
坦然面對自己嗎?」
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,
轉為關注疾病的行為模式時,
to the behavioral model of disease.
about trust and intimacy,
the hard lifestyle choices,
攸關性命的生活模式時,
and diabetes control,
doctors have said.
closer to my patients.
我和病人之間的距離,
that I am totally open with them.
by what I'm doing.
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