Agricoltura, Atul Gawande: How do we heal medicine?
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http://www.ted.com Our medical systems are broken. Doctors are capable of extraordinary (and expensive) treatments, but they are losing their core focus: actually treating people. Doctor and writer Atul Gawande suggests we take a step back and look at new ways to do medicine -- with fewer cowboys and more pit crews.
TEDTalks is a daily video podcast of the best talks and performances from the TED Conference, where the world's leading thinkers and doers give the talk of their lives in 18 minutes. Featured speakers have included Al Gore on climate change, Philippe Starck on design, Jill Bolte Taylor on observing her own stroke, Nicholas Negroponte on One Laptop per Child, Jane Goodall on chimpanzees, Bill Gates on malaria and mosquitoes, Pattie Maes on the "Sixth Sense" wearable tech, and "Lost" producer JJ Abrams on the allure of mystery. TED stands for Technology, Entertainment, Design, and TEDTalks cover these topics as well as science, business, development and the arts. Closed captions and translated subtitles in a variety of languages are now available on TED.com, at http://www.ted.com/translate
If you have questions or comments about this or other TED videos, please go to http://support.ted.com
Commento
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There is not doubt about it that the prices of healthcare is out of control. It is completely ridiculous that doctors, and patients are subject to this. In addition to this, Gawande makes a great point that in medicine, doctors cannot do it all. There are far to many aspects of the human body for one doctor to know everything. I was very surprised that the number of doctors to patients has increased so greatly in the past few decades. Going from 2 doctors per patient to 15. That just seems like an excessive amount, but it makes sense. As for checklists, I really do think that is a good idea. It makes sure things aren't missed, It can be so easy to miss something small, with that checklist you have an accountability factor. I like how he focuses on the important of team work. With so many doctors being specialized, the need for them to work together for one patient is essential. As for having pit-crew's for patient, I think that is a brilliant idea. What kind of patient doesn't want a team behind them assisting in all ways possible. Pit crew's don't even have to just nurses and one doctor. All doctors need to be on each other's pit crew so the can assist when needed. I think if doctors were willing to implement this pit crew idea health care would be forever changed in a positive light.
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simple, just git gud.
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I already see the future if I ever land a job managing a healthcare office or dept. This speech had me thinking about all kind idea's to implement if when and that happens. I learned a lot from this video.
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so how do we differentiate between what's needed and what is necessary when it comes to expenses? because what i hear today is that some of the best treatments are some of the most expensive. is there a trade off that happens? like getting adequate care for something fast and easy? Or slow and more expensive for better care? is there a way for doctors to actually treat people while giving extraordinary care? or is that just the cards we are dealt?
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This was a very awesome speech! I have also read Atul Gawande's book "Complications." I completely agree with it. We are too focused on doing too much, to where we make things way worse of a simple situation and stop listening to patients. So focused on this "cookbook method" where doctors are doing tests after test. Way too many cat-scans done, for issues it isn't even necessary for and just making it more expensive and more stressful for the patient. By this the patient-doctor relationship is damaged..not taking time to actually listen to the patients and listening to their symptoms inside of assuming and doing unnecessary procedures. This is a great study! To step a few steps back and focus on the basics and avoiding mistakes and even saving lives. To just go through a mental checklist and making sure everything is set. Also he is absolutely right, everything doesn't have to be this giant, grand thing, or drug. It is time again to just focus on the basics. I am surprised on how many lives this simple study has saved around the world and the crazy, ridiculous amount of cat-scans and probably MRI's have one done in one year.
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https://community.sumofus.org/petitions/make-dr-s-in-canada-responsible-for-medical-errors?source=facebook-share-button&time=1439422862 Please read and sign, then share, who helps the PATIENTS after the mistake, no help to the FAMILIES??
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Awesome speech! Very interesting and he speaks so enjoyable. I love it! :)
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Really, with MY medical insurance a Cat scan is $400 without $ 1,200 !!! Blood work $700 + plus without med. insurance about $80 with !! Cost of insurance $200 a week or $800 a month!!! for me !!!!!! Please feel free to check your medical bills and post because only by exposing this graft can you end it!!!!
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Excelente TED MED 2012, por Atul Gawande, propulsor del Surgical Check-list. video is motivating and show importance of checklists
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Algorithms and checklists are his approach to making less errors and systematizing medicine so that it is applicable for the masses as a whole. I think it just means more guidelines, and homogenizing medicine to point where it is cookie cutter.
Ex. diabetic patient
not all of them need blood checks every 3 months in the clinic; some do... because of the severity of their disease
I would not recommend all patients get HbA1c every 3 months, just because some check list tells me so.
Medicine should be catered to the patient, each and every individual person; not one alogrithm
One Algorithm to treat them all, One Algorithm to diagnosis them.
One List to check them all and in wellness shall we find them.
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This bozo has said nothing that anyone with common sense an d a rudimentary knowledge of the medical industry ALREADY didn't know - he just relays a feel-good message with a folksy, warm manner which resonates well with stupid people with high living standards (you know, white Americans) - just basically blah, blah and more blah to sell his books WITHOUT any real, practical application of any solid solution whatsoever. I also find it funny that an Indian-origin person is lecturing others on how to be more ethical and less corrupt; as anyone who has spent time in India will know that Indians (and Indian doctors) are some of the most greedy, corrupt and least ethical people on earth!
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This guy is taking out my thyroid in a couple months. This video and his Wikipedia page have only served to assure me that he is not just some doctor, he is THE doctor, which will hopefully make it a far less terrifying experience.
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If anyone would be so kind: What made his speech worth watching? What made him a good speaker. I would like to hear theories
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live southafrica vs Pakistan match
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Hospitals I have worked in in Canada have used checklists in some areas, like the OR and OBS case room for many years. Perhaps the first task of each and every area of a hospital, clinic, doctor's office etc. should be development of a checklist with the specific needs of that service.
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God. I have just become hugely envious of my nephew. He has been unattached permanently. Having said that he managed to get a swimwear model to inform him she is head over heels in love with him in less than a month. Just how can that be thinkable? He explained to me he tried the Cupid Love System (Google it!) I wish someone stunning told me that... I've never witnessed him so fulfilled. Kinda makes me feel bad.
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I'm currently reading Complications: a surgeons notes on an imperfect science and its really good :-)
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Im happy to say...the focus in family medicine in Canada in on the patient, the patients fears, expectations, goals, function of living and preferences. How many doctors continue this I dont know, but it is in the curriculum.
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Veganism can be for any number of reasons -- animal rights, health, environmentalist, efficiency, reduction of antibiotic resistance, or just plain preference -- and they are all valid. I have been vegan since 2003 and vegetarian since 2000 for all these reasons, and you are not "more" vegan than I am. Comments like yours probably prevent more people from becoming vegan than they encourage. YOU make vegans look bad.
http://www.ted.com Our medical systems are broken. Doctors are capable of extraordinary (and expensive) treatments, but they are losing their core focus: actually treating people. Doctor and writer Atul Gawande suggests we take a step back and look at new ways to do medicine -- with fewer cowboys and more pit crews. TEDTalks is a daily video podcast of the best talks and performances from the TED Conference, where the world's leading thinkers and doers give the talk of their lives in 18 minutes. Featured speakers have included Al Gore on climate change, Philippe Starck on design, Jill Bolte Taylor on observing her own stroke, Nicholas Negroponte on One Laptop per Child, Jane Goodall on chimpanzees, Bill Gates on malaria and mosquitoes, Pattie Maes on the "Sixth Sense" wearable tech, and "Lost" producer JJ Abrams on the allure of mystery. TED stands for Technology, Entertainment, Design, and TEDTalks cover these topics as well as science, business, development and the arts. Closed captions and translated subtitles in a variety of languages are now available on TED.com, at http://www.ted.com/translate If you have questions or comments about this or other TED videos, please go to http://support.ted.com
Commento
Ex. diabetic patient
not all of them need blood checks every 3 months in the clinic; some do... because of the severity of their disease
I would not recommend all patients get HbA1c every 3 months, just because some check list tells me so.
Medicine should be catered to the patient, each and every individual person; not one alogrithm
One Algorithm to treat them all, One Algorithm to diagnosis them.
One List to check them all and in wellness shall we find them.