4 questions you should always ask your doctor | Christer Mjåset
HTML-код
- Опубликовано: 6 сен 2024
- Visit TED.com to get our entire library of TED Talks, subtitles, translations, personalized Talk recommendations and more.
"Doctor, is this really necessary?" Backed by startling statistics about overtreatment, neurosurgeon Christer Mjåset explains the power of this and other simple questions in the context of medical treatment and surgery -- and shares how patients can better work with doctors to get the care they need.
The TED Talks channel features 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 (or less). Look for talks on Technology, Entertainment and Design -- plus science, business, global issues, the arts and more. You're welcome to link to or embed these videos, forward them to others and share these ideas with people you know. For more information on using TED for commercial purposes (e.g. employee learning, in a film or online course), please submit a Media Request here: media-requests...
Follow TED on Twitter: / tedtalks
Like TED on Facebook: / ted
Subscribe to our channel: / ted
The questions:
Doctor, is this really necessary?
What are the risks?
Are there other options?
What happens if I don’t do anything?
10:42
Thanks!!!
You sir, are a national treasure! Thank you!
Thanks!!!
Thanks
It sounds so obvious once it has been said !
Doctor: Congratulation, your wife is pregnant.
Me: Doctor, is this really necessary?
are there other options xD
What happens if I don't do anything?
What are the risks?
😂
Great team work!
He thinks not only for the benefits of himself but for the humankind. Many thanks Doc.👍🏻👍🏻🙏🏻
And if you're in America, the 5th question is:
How much will this cost?
If you are in Canada you probably don't have a doctor you have to wait forever hope to get into a walk in clinic or have to wait in the emergency room.
My wife and I have had to turn down 24 hour observation with an EEG because last time we did it, it turned into 3 days and the cost was $6,000 AFTER insurance covered part of it and she's already considered disabled. That's America.
I had been saving to take a 1 time trip before we had kids. I had saved up for 5 years to fly to Paris with her for some anniversary. When we got that bill, that dream went away, it was 8 years ago. We've had other medical expenses, including her insurance not considering her drug necessary and had to fight it. Each time something stupid like that happens, we lose any savings we had that year.
We don't drink, smoke, we drive a 1996 car given to use in 2008, we don't go partying, only see 2 movies in theaters a year, no cable, cheapest internet, etc. We have to constantly live as if we're broke, because of that we have several thousand in savings. It's now looked at as our 'when insurance or medicare changes, this will be our medical bill'.
We last went on vacation 11 years ago.
Doctors here in the U.S have no idea about costs and if you have insurance, all they care about is that the procedure is covered and whether or not it needs pre-authorization and you pay your co-pay or deductible before the procedure. Any surprise charges from the hospital, anesthesiologist, drugs, etc, they don't care!
Bingo.
Bill for not doing anything will be more because unnecessary trauma to patient was avoided
My mother was diagnosed with cancer and given 2 months to live. We asked the doctor, how long will she live if she does chemo and he said "2 months" and if she doesn't ? "2 months." So there was no point in doing chemo, but chemo was all the doctor could offer. She did an alternative natural treatment w another doctor and lasted a total of 9 months. She went literally in one day and didn't have to suffer unnecessarily, yet she would've been miserable if she listened to her oncologist.
Aw... well at least she lasted longer than the doctor said and went quickly when she did
Same thing here. 🥀🐾
Probably doctor also thought of 9 months but to be on safe side he told 2 months but it is a great opportunity for patient to utilise 7 months to serve plants and animals
Has anyone asked their doctor who is his doctor when he gets sick?
hahaha that is so cute...
Shane Hummus - The Success GPS I actually did he said he goes to another in the same surgery doesn’t care who cos they can’t legally fix themselves
@@SnowyRains hahaha
A man is travelling through a small town with only two doctors. One doctors hair is unkempt while the other doctors hair is immaculate. Which doctor does he go to.
@@RedlegsBluelegs haha tell me
🦋so important to remember doctors only can treat what you tell them - you know your body the best so tell them everything
Yes but they have to believe what you tell them and especially with treating women they far too often say 'it's all psychological and here you are dear take these antidepressants'. That happened to me with very serious injuries including my brain, throat, eyes, neck... But because he believed the guilty hospital who had injured me he decided to not examine or write down what I & he said properly. He was happy to support his colleagues at the hospital in their cover-up.
1. Is this really necessary?
2. What are the risks?
3. Are there other options?
4. What happens if I do nothing?
Brave & honest confession of the doctor and great advice to the patients, Thanks!
This is one of the best talks I’ve heard on TED
One needs to invest 11 minutes of their time to get and understand the 4 questions :) Excellent presentation
I am surprised how this video doesn’t have millions of views , probably because of the title
This is an enlightening presentation! I wrote down the question for future use. In the U.S., we see a barrage of TV commercials promoting drugs for all sorts of ailments. The economic motivations may apply to prescribed drugs too.
bananashaveice FDA and big Pharma sleep together. do the math.
Perfect timing for the world.
In Nepal, My first question:
"Did you pass your Medical test, or you just bought the certificate?"
I hope you keep finding the ones that passed !
ask your doctor always “what was the worst mistake you ever made during this kind of operation?”
Death
@@nilen Oh, you know, I just died halfway through it.
The patient lost control of their ability to hold their poo back
I pretty much asked these very questions when I was 13 in 1980 and having some moderate back pain. It started after the regional wrestling tournament where I wrestled 3 times on Friday, and twice on Saturday. I went to a Chiro who took some xrays, and suggested I go to a back Specialist as there was nothing he could do. These Drs wanted to use a Brass Hammer and Brass chisel to pound off boney growths I have on my vertebrae (all of them, they are winglike boney protrusions on all of my vertebrae). They (was a team of two back specialists) told me this operation was pretty much never been done before, they couldn't guarantee any improvement and even said there was the chance they would have a problem and they could potentially sever my spinal cord if the chisel were to slip or they were to hit it a bit too hard. I really couldn't believe what they were saying they wanted to 'TRY OUT' on me.
I literally told them they can 'Practice' on someone else, but I wasn't really keen on their treatment plan.
They prescribed my 750 Percosets and away I went. I tossed the Percoset after 4 days due to the weird feelings and even more weird thoughts.
I went out and got a bag of Pot that weekend, and never went back to a "Medical Practitioner. walked out the door and never went to a Dr again, except when I was really ill one time, and it turned out I had pneumonia. Yes, I still have back pain, but I have not let it stop me in my life. I have worked as a Construction worker building million-dollar homes, roofing, drywalling. I worked in the Lumber Industry clearing electrical lines. I have worked as an HSD Technician climbing TV, Radio and Cell Towers. I was also an active working Musician who performed nearly every weekend for much of the 40 years I played music. I am now 53. I am pretty much as healthy as I was when I graduated HS, though I have smoked cigarettes for the better part of my life as well.
I am also still an Active Cannabis Smoker and am working on my 3rd time quitting Cigarettes.
I'll never stop using Cannabis as it is the only substance that has EVER offered me any relief from my life long back issue.
Another good question(s) to ask would be, "What will this do for me?"/"Will this make my life better?"
If possible, I would also advise getting a second opinion from other doctors, preferably if they are already familiar with or aware of your situation.
I have a long and complicated medical history and thus I've had many doctors over the years. Once, when going to see a doctor that was familiar with operating on me, I brought up an operation another doctor wanted to do on me. He proceeded to tell me it was a bad idea, why it was a bad idea, and gave me a long talk about asking questions like these. He also warned me that some doctors will operate simply to say that they did it, rather than for it being for the betterment of the patient.
I was fortunate enough to have a doctor that knew my situation and cared enough for my wellbeing to tell me I was making a mistake, and that opened my eyes. Not all doctors will go through the trouble to do that though, which is why it's important that patients remember they have a say in what happens to them and whether or not it's the best decision for them.
THANK YOU Dr Mjaset this really needed to be said. Not only unnecessary operations but too many unnecessary pills and medications. We are being drastically overprescribed. They are finally realising the damage that has been done by far to much antibiotics too.
1. Is this really necessarily?
2. What are the risks?
3. Are there other options ?
4. What happens if I don’t do anything ?
Wow. This is REALLY important information. I'd only wish I'd watched your video before I had so many surgeries. I believe that perhaps I wouldn't have even had the first one. Thanks for posting!!
Really enjoyed the talk, well done!! Many insightful points, so true about patient demands and requests for unnecessary tests and imaging especially in the NHS with the already scarce resources
Except lots like me wo are injured by medical errors: all tests are refused for us. I asked to have my throat examined after my bungled op which butchered the inside of it (and gave me brain damage & injured neck & more) but my GP refused and worse: he tried to make out it would be too terrifying for me, tried to say I don't really want it but I really did because my throat hurt SO bad for SO long and for several years clicked when I swallowed. So sometimes the NHS seriously abuses and neglects vulnerable injured patients.
4 QUESTIONS TO ASK YOUR DOCTOR
>Am I going to live
>why are you giving me drugs
>are you a real DOCTOR
>Who's Joe
Novabow John Mivule what’s a doctor
What a man...☺ Bravo for this talk....
This is the difference between surgeons and Medical therapists surgeons always tend to to think that operating is the best way whilst medical specialist who treat chronic conditions with medications tend to try that first. I refused surgery educated myself and went elsewhere for a less invasive treatment bu I am medical trained so i understood how to research other options
A Doctor should always use “the Grand Mother’s Test” when offering Surgery or another form of treatment to a Patient.. i.e would I offer this to my Grandma, my Son, or my Father, had they presented themselves like this patient....🤔🤔🤔
plastram old people are the biggest cash cow for them. they mean nothing as far as truth and doing the right thing
if you've never fired a doctor, you either have a really good one or you're not paying attention.
My GP misdiagnosed me, didn't examine me, didn't write down what I said, offered a 24-hour heart monitor but later refused, tried to say I needed antidepressants as treatment for my throat, neck & brain injury & altered sight (and so much more) because he believed the lies told by the doctors & hospital who injured me so seriously - but he was never investigated nor struck off & he should have been. I wonder how many more medical errors he has helped to cover up?
Oh and when you're a survivor of medical errors all docs are afraid to 'see' the injuries and refuse to question the hospital and their falsified records so on top of it all you're left without medical care. Not very compassionate, very cruel.
@@jennyhughes4474 , did you know that the medical industry refers to medical errors as "Medical Misadventure"? As if it was just a small mishap during a trip with no serious repercussions!
@@karimaogden3875 I had never heard this term used for clinical negligence, just found this online: 'What is a misadventure verdict? Death caused by a person accidentally while performing a legal act without negligence or intent to harm.' Can it also be used for injuries but no death - except 'death'/loss of who you were, The Old Me? Yes, they almost always try to make out there was no negligence, that it was just 'one of those things' that happen even when everything was done properly - or it was a 'system error' so no person is held responsible, forget the people who created those systems... So deceitful, so cruel and so wrong and no learning takes place to prevent same happening again & again. In the UK they use 'slips' & 'lapses' (which can of course kill) but if we have or make a slip or a lapse while driving and injure someone we are held accountable, different rules for doctors - and others employed by the state such as policemen - their lives are valued more highly & murders of them punished more harshly, why? Awful crazy world that doesn't protect those who need it most, so sad & terrible.
Excellent talk. Thank you.
This is such an important topic, both in countries with an extensive public healthcare system as well as ones with a privatized insurance-based systems. Reducing unnecessary procedures saves everyone's time and resources. Just have to be careful not to dismiss patients who do need the procedures. I've already seen cases where the doctors are quick to prescribe supplements and exercise for everything. The micro nutrient hysteria is getting ridiculous. Also, if you're a woman, they will usually start by making you take a pregnancy test, no matter what your symptoms are and whether you're sexually active or even heterosexual. What a waste!
Nice, this is interesting and useful. Thank you.
Come to India , doctor will hear the questions regularly
Very good. Thank you!
The part where he talked about taking away a spot from someone with cancer made me think of the movie Magnificent Obsession with Rock Hudson and Jane Wyman.
Great information
great talk, i'll be using that
What a great video. Thanks for the info
There's nothing wrong with asking to see for yourself. Take charge of your health, no one's going to do it for you
“Can I see your degree?!”
Dr Kelvin has no degrees.
Whats the confidence
Awesome speech!!!
That is the way I avoided an operation with a lot off risk.
Thank you Dr. Mjåset.
infinite solutions for undefined problem
THIS! You get it sir...
Brilliant!
In my opinion surgery should be a very last resort after all other treatments have failed and when the risks & benefits suggest that for this particular patient the risks may be worth taking.
The trouble though is that the real level of risks is not known because when something goes wrong it often isn't counted (hushed-up and denied often to protect doctors, as in my case) - and worse: records of outcomes from particular surgeons performing particular operations is not counted either so you may be operated on by a doctor who has bungled several operations but nobody, except his colleagues who normally keep quiet, know, therefore you cannot really make a choice or decision because consent is never based on real complete facts which actually makes every operation assault/battery = crimes.
It really shouldn't be up to (often ill/injured) patients to have to ask these questions, good doctors will offer ALL the info and themselves address every question he says here to ask. And often the referring doctor may not even know who would do the surgery so cannot advise.
I agree we should try to be active partners in our care (when doctors let us - there's way too much paternalism still) but some of us can't think or talk easily and forget even with a written list, I do: I've got a brain injury and it would be really helpful to have someone there to prompt me & take notes (i've tried this twice, 3rd one didn't even come in the room with me: just drove me there) but even that isn't great: they don't advocate for you nor question what the doc says - because they aren't medically trained (we need helpers who are?) and you lose your privacy. All very tricky!
Medicine us all about overtreatment and using treatment to cover a doc'S tuchas.
maybe we should change the sentence to be like this to make it sound more polite "is there any ways that more easy?"
i've been watching the onion talks and can help but laugh at how accurate they are.
Doesn't a doctor have to inform about the risks?
Definitely, it's part of "informed consent". Any modern doctor should supply you with information pertaining exactly the questions that are mentioned in this TED talk.
by the time I get to a doctor or hospital ...I WANT something done...I'm sick...
there those who run to a doctor when not necessary ... I'm not one of them...
the last time I was there...2 and a half months ICU...
I could have very easily not made it.
waited too long...and that cost me...I've not walked in 6 years now...
questioning your doctor...should be a no brainer...
did not have to ask those questions...
He told me what he did and why...when I woked up in ICU
thats the point, the guy telling u that probably u lost the ability to walk for unnecessary stuff, and u never know, cause u never asked
@@ghosttrader-x1n :) and sometimes there is no point in asking...
@@draco_bane u r right, sorry for the thing with ur legs
@@ghosttrader-x1n thank you...life happens...It is what it is...been hard but one goes with it or get stuck with it.
How often do doctors prescribe specific medications or treatments for financial benefits such as bonuses, contracts with the company, etc.?
The question is DO YOU WATCH TEDX ?😂😂
How can it be that WE as patients are now responsible for wrong decisions made by doctors who are also stuck in the corrupt health care system? In Germany there are more cesareans since the legal specifications have been changed: the hospitals now only get paid for "cases" and not for time spent on a patient - giving birth the natural way can last some time so it is cheaper to have a highly predictible cesarean operation.
Another example is back pain - you could either treat it with injections or with physiotherapy. But the doctor only has a certain contingent of prescriptions of physiotherapy (if the limit is exceeded, they have to explain it to the ensurance)
In both cases, the conservative therapy is (most of the time) better AND cheaper for the whole system, but hospitals are going bankrupt, so they push you to the operation.
How about Doctors simply go through these questions themselves when they give you a diagnosis :s... 2:00 doctors salivating at the chance to operate regardless of the best course of action is NOT a great reason to give bad advice to a patient when they already have the answers they need...infact this should be considered malpractice smh.
ken juan the honest man is a dying breed
Amazing hands.
So damn TRUE!
Cool Vibes...!!
This is an old video. Why is it being re-uploaded now?
A while ago, there was this ugly slogan at the local hospital, that could be translated to "head open, head rotten". So I would say what this video warns is true, especially for neurosurgery.
6 minute for 1 question.. big one
Doctor, is this really necessary?
But one litigant is enough for any doctor to loose everything and sit in jail
We cant dare ask 4 questions from The Doctor,surely not ours but he for himself,may be he asks in brief it for check up Fee and commission in X.Rays,.Tests and medicines fees !
One problem. My family and I have a history of being _undertreated_ .
These questions will only favor the doctor's pre-existing bias.
What do you mean by undertreated?
Someone watch this and tell me the 4 questions plz.
Is this procedure necessary?
4 words not questions.
10:39 still worth watching tho
10:36
@@n.randall6152 Did you watch the end? I mean, the crux of the talk was that, but that isn't all the questions. The questions were
Is this really necessary?
What are the risks?
Are there other options?
What happens if I don’t do anything?
Is this really necessary?
What are the risks?
Are there other options?
What happens if I don't do anything?
It's 2:20am here..I am feeling sleepy
so if I got it, 3 out of ten people wo ssked wheather the operation is necessary got the answer no?!!
Should I approach the doctor because I'm worried about doctors?
Ask your Dr about #Iatrogenesis.
10:35 are the 4 questions......BTW better question is to ask any doctor if they know a damn thing about nutrition. Do they have an opinion on what caused one to be there? aka the cause of their pain. If they cannot answer both of these questions they are car mechanics and hardly warrant the fees they charge.
You are correct...ive recently changed my opinion on drs...after having a stent for a 80% blockage 4 yrs ago and being put in prescriptiin drugs for the 1st time at 50 yrs old...and using his diet program and a $100000 medical bill and high priced prescriptions...no changes in my blood work numbers i had to pay for every 3 months. I brought it up to the dr and of course he told me the bloodtest were necessary to keep an eye on my liver because the meds could fry my liver...i thought WTF am i doing here. So i made an educated and well informed decision to cease all meds and researched food and the body after my gut health became toxic and causing me sooooo much discomfort. No particular diet per se just making good choices..but i was miserable and sick enough and started having severe pain in the liver or gallbladder area so bad that my uneducated self wouldve have hands down gone to the ER without a doubt i wouldve been put thru extensive testing but i continued feeding the gut what it needed and it completely fixed itself. No more pain no more gut issues..and i feel better than i have in 10 yrs. I know beyond a shadow of a doubt that my body healed itself after 2 weeks of feeding it what it needed. Which i have never done but day by day i could feel the healing. Its been 4 weeks and intend on goin for bloodwork in 2 months just to see for myself if it has changed. I promise u i would have at the bare minimum had my gallbladder taken had i followed the lead of a dr.
@@cynthiawhitney1318 had the same pattern as you basically. Changed by diet no further problems. Been 8 years now (I am 60) since they removed my gallbladder. I cleaned up my diet myself, no help from them. barely see them anymore but for an occasional physical etc.
Get off GMOs, pesticides, and most/if not all animal products, be the advice folks. the animal stuff for moral reasons as well as to avoid all the drugs they give animals. Be good to your second brain (gut) and you will just about never be sick again.
@@johndough23 i have so far except an occassional steak...but my system can just no longer breakdown and digest all the chemicals...and thats just about 5 to six small pieces.. I have extreme pain and discomfort if i eat beef. Chicken not so much and i am terrified to try pork. I get most of my knowledge from Dr.Berg here on YT. I am a true testiment that our bodies can heal itself no need for most meds an surgeries...i am now trying to get the family on board. Cold shoulders so far tho 🤷.
65th
5. Can I get ten thousand toward the consultation fee?
He’s Norwegian, i can tell.
Astri M jaaaa ja
Who dat?
What dat?
For real?
How much?
This guy sounds like Mentour Pilot
do we all watch the same videos
cool beans
Very amateur lighting, his eyes aren't visible. Great content though...
these questions are completely useless in canada. they will not give you surgery unless it's absolutely necessary. they already answered the questions themselves.
XempireX18 that's cause in Canada the cure all is beer... lots of beer 😂👍🏼
Ask. Sure. But I’ve seen MANY Drs over my 48 yrs. and of the Dr.s I’ve seen, I would say almost 100% either lie because they want your money, or they were not taught in school how to Really Care about people’s health.
Put arabic subtitles 💟💟 please 🙏🙏🙏🙏🙏
In the USA, 6 out of 10 are unnecessary , I know about California
Anyone still awake after that intro can tell me what were those 4 questions?
Mohammed Shafei forget everything you heard here
.
primera al fin quiero subtítulos en español :v
Who cars about Spanish language let alone your wants
Doctor who?
No
What a fragile conclusion based on data
his accent reminds me of 2012 pewdiepie
Racist
the accents of Norwegians and Swedes are very similar.
Or, you could just skip seeing the Dr in the first place. Our bodies want to be well. We are naturally going to experience deterioration as we age. No matter what, we all die. Probably about 75% of Dr visits are because we refuse to accept these three realities. The other 25% are people who can greatly benefit from modern medicine. Just my opinion.
5th would be: doctor can just do gymnastics like exercises, eat predominantly fruits and skip 98% of your corporate modern medicine...?
First comment beat that
Is this really necessary? What are the risks? Are there other options? What happens if I don’t do anything?
Thanks
Thank you.
Thanks!!! Too long and boring otherwise. Appreciated.
To those who commented on the doctor being boring, could it be that your brain capacity to learn might just be too small?? Word of Advice: Dont ever consider going back to school!!! =o
@@Rebecca-bh9eo It could be that our brain capacity is so high that we've got a hundred other things to get through today. Why waste time on bad presentation skills?