Alyson McGregor: Why medicine often has dangerous side effects for women
Alyson McGregor: 為什麼女性服藥會有更嚴重的副作用
Alyson McGregor studies women's health, especially as it relates to emergency care -- when time-sensitive, life-or-death decisions are made using drugs and treatments mainly tested on men. Full bio
Double-click the English transcript below to play the video.
and the medications they're prescribing
always been the case for everyone.
over the past century
half the population?
in a medical emergency.
聽起來很 “酷” 吧
and stubbed toes,
through the door to the ER,
or gender of our patients.
any differences between men and women.
男女病患會有什麼不一樣
revealed that 80 percent of the drugs
side effects on women
released to the market?
for a drug to go from an idea
a regulatory approval process,
to prescribe to you?
通常需要很多年的時間
of dollars of funding
unacceptable side effects
after that has gone through?
無法容忍的副作用呢?
used in that laboratory,
被用來做檢測的細胞
in the animal studies were male animals,
也都是雄性動物的細胞
performed almost exclusively on men.
our framework for medical research?
醫療研究的主要對象?
popularized in the media,
在媒體上很受歡迎的例子
with the sleep aid Ambien.
over 20 years ago,
of prescriptions have been written,
suffer more sleep disorders than men.
因為女性較易有睡眠問題
recommended cutting the dose in half
that women metabolize the drug
in their system.
getting behind the wheel of the car,
for motor vehicle accidents.
as an emergency physician,
that I've cared for over the years
and acted upon 20 years ago
to be analyzed by gender?
to protect people
without informed consent.
成為醫學研究的受害者
or rules were set into place,
to protect women of childbearing age
medical research studies.
happened to the fetus during the study?
at this time actually thought
are pretty homogeneous.
男性的生理非常平穩
fluctuating levels of hormones
賀爾蒙週期性波動的問題
they could get if they had only men.
就不會因而干擾到研究數據。
there was a general assumption
were alike in every way,
and sex hormones.
applied to women.
of women's health?
with reproduction:
to as "bikini medicine."
until about the 1980s,
by the medical community
when they realized that
當他們了解
from all medical research studies
about the unique needs
of evidence has come to light
men and women are in every way.
a different physiology than normal adults.
specialty of pediatrics came to light.
in order to improve their lives.
以改善他們的生活
can be said about women.
with boobs and tubes.
anatomy and physiology
解剖構造和生理狀況
with the same intensity.
system, for example.
to try to figure out
試圖找出
completely different heart attacks.
心臟病的發作完全不同
for both men and women,
of having a heart attack than men.
女性死亡多於男性
of crushing chest pain --
壓迫性的胸口劇痛
will complain of "just not feeling right,"
women do make up half the population.
to help explain some of these differences?
are smaller in women compared to men,
女性比男性來得小
develop disease is different
if someone is at risk for a heart attack,
and tested and perfected in men,
男性完美設計及測試的
at determining that in women.
about the medications --
that we use, like aspirin.
prevent them from having a heart attack,
阿斯匹林來預防心臟病
give aspirin to a healthy woman,
給健康女性阿斯匹林
is a fast-paced business.
men and women that we could be utilizing?
我們可用以改進醫學呢?
get those runny noses
to those stubbed toes
every cell has a sex.
presents themselves in society.
人們在社會上如何表現自己
transgendered population.
that from the moment of conception,
the chromosomes that determine
male or female, man or woman.
chromosomes pictured here --
would be born with ovaries or testes,
that those organs produced
we see in the opposite sex.
that theory was wrong --
from the Whitehead Institute,
的科學家們(如:Page博士)
that those sex-determining chromosomes
決定我們性別的染色體
for our entire lives
for the differences we see
between men and women
and severity of diseases.
that continue to find that evidence,
是要繼續發現証據
to start translating this data
要解讀運用這些數據
of a national organization
我協同創立了一個全國性組織
Women's Health Collaborative,
so that it's available for teaching
研究數據用於教學
the medical educators to the table.
醫學教育家們一起研議
has been done since its inception.
醫學訓練的方式
of incorporating the gender lens
health care providers correctly.
the Department of Emergency Medicine
in Emergency Medicine,
the differences between men and women
and sepsis and substance abuse,
敗血症和藥物濫用
that education is paramount.
教育才是最重要的
model of education.
for the nurses, for the students
to the health care leaders.
都留給醫療保健的管理者
we think about medicine
to the health care system.
on the wheels of inevitability,
towards change is awareness.
medical care for women.
individualized health care for everyone.
medical care for men and women.
對男性或女生的醫療照護
to ask your doctors
我希望你詢問你的醫生
are specific to your sex and gender.
你的生理和社會性別的
and together we can all learn.
我們可以一起學習
and my colleagues in this field,
ABOUT THE SPEAKER
Alyson McGregor - Women's health pioneerAlyson McGregor studies women's health, especially as it relates to emergency care -- when time-sensitive, life-or-death decisions are made using drugs and treatments mainly tested on men.
Why you should listen
Alyson J. McGregor MD is co-founder and director for the Sex and Gender in Emergency Medicine (SGEM) Division (formerly Women’s Health in Emergency Care) within the Department of Emergency Medicine at Warren Alpert Medical School of Brown University.
Her group's aim is to establish research and educational endeavors that promote sex- and gender-specific medicine and women’s health as they relate to emergency care. Dr. McGregor received her medical degree at Boston University School of Medicine and residency training at Brown, where she continues to work as an attending physician at RI Hospital Emergency Department. Dr. McGregor is an Associate Professor of Emergency Medicine and also serves as co-director for the SGEM Fellowship and co-founder of the national organization Sex and Gender Women’s Health Collaborative.
Alyson McGregor | Speaker | TED.com