Christer Mjåset: 4 questions you should always ask your doctor
克里斯特‧米塞特: 必問醫生的四個問題
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.
像我這樣的人需要你們的協助。
about a patient of mine.
of hospital a few times
from a cervical disc,
before the consultation,
are standardized, and they're quick.
標準化且很快速的。
past the trachea,
into the internal carotid artery.
the disc and the prolapse
壓迫神經根管的地方,
脊髓神經及神經根。
and the nerve root
is the damage to the cord,
from the neck down.
she fell silent.
for me and for her.
都非常果敢的話。
right there and then?
like this woman,
像這名女子的病人時,
pulling it out of the nerve root canal
把它從神經根管中拔出來。
I wanted to operate on her.
is the most fun part of my job.
最有趣的部分。
he loves to just sit and draw
坐下來繪製和設計房子。
paying for the house
restrictions on what to do.
每一位外科醫生
to look their patient in the eye
for the person having the operation.
in the back of your throat.
of tonsillectomies in Norway
is that there is twice the chance
because this is for children --
這是針對孩子的統計——
than in Trondheim.
是在特隆赫姆的兩倍。
in both regions are the same.
no difference, but there is.
for this condition.
針對這種狀況的開刀率。
rate in Møre og Romsdal
rate in Stavanger.
比全國其他的球員更會耍小動作嗎?
than elsewhere in the country?
is the procedures performed
是在公立醫院中所進行的手術,
are light green.
in the private clinics
to treat the patients.
經濟上的動機去治療病人。
that the difference of treatment effect
一般物理治療和手術,
and operations for the knee --
of the procedures performed
even in Stavanger.
在斯塔萬格也一樣。
for treatments in the world
of treatment decisions,
the treatment that they need,
once in my career.
these words from a patient.
聽過病人這麼問過。
you'll get a "no" from a doctor
with about the same "no" rate
or suggests something
the reason for this is?
所宣稱的理由是什麼嗎?
for medical advice.
in the winter time,
whenever he went jogging.
I questioned him thoroughly,
that he probably had a degenerated disc
swimming instead of jogging,
已經沒其他的可做了。
你得要仔細做選擇。
to be more selective
有些則不是。」
through my insurance at work."
he was also, after all, my friend.
畢竟,他也是我的朋友。
to see how bad it looks back there."
背後有多糟也不錯。」
MRI scans?" I said.
磁振造影掃瞄結果了?」
"It could be cancer."
「有可能是癌症。」
他去找了我的一位同事,
of my colleagues at work,
and quit the jogging.
I met him again and he said,
with the same symptoms had an MRI?
症狀的人都去做磁振造影會如何?
would quadruple, maybe even more.
變成四倍或更長。
the spot on that list
also turns down, sometimes,
to get diagnosed or treated.
a difficult question to ask.
what to do with you,
要如何處理你的狀況,
now a general practitioner,
sanatorium as a little girl,
had been negative all along.
一直都是陰性的。
on nothing but wrong suspicion.
就把她送進療養院。
confronting him about it.
想過要和醫生對質。
health care service.
from the doctor about what to do.
如何治療的建議。
responsibility on you.
with your doctor
decisions on where to go.
you're in a doctor's office,
attached to this operation?"
手術的風險是什麼?」
will have worsening of pain symptoms.
or even a rehemorrhage
also experience permanent hoarseness
in the arms or even legs.
over some time
that you will get well.
也有微小的機會可能會好起來。
協助我們的新工具盒。
wants to send you to an MRI,
當他要把你送去做磁振造影時、
of you, 20 percent,
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