How can be a doctor pls.. This is a holy destination of course it can be depending on the kind of intention and personality of different ppl and their motivation which motivates them to become a dr.. I wanna be more helpful abd I've been tryinh my best for 18 moths. Plz dear Drs and every body who can help leave your comments and guidance so that i can take them to become a doctor in soon future God willing. I surrely achive my dream and Goal . Tnx a million
This talk is so inspiring. What a gratifying feeling it is when one receives such strong admiration from patients, as seen in this case. This inspires me even more to dream big and know that even though I am struggling with my grades in school nothing will hinder me from accomplishing what God has planned for me to do
I truly appreciated how Dr. Woods exited her patient at the conclusion. Not always should the patient express gratitude to the doctor. I appreciate how grateful Dr. Woods was to her patient-not for getting sick, but for coming to her and allowing her to teach her while she tried to understand what had happened. It's amazing that the patient survived, was present when Dr. Woods spoke, and was able to thank her and share her experience. It's also excellent that they can use ultrasounds. Dr. Woods couldn't have just shown us how healthy the man was and how healthy his heart is without that ultrasound. It takes more than just possessing the requisite technical and medical knowledge to be a good doctor. It also entails having moral character, showing understanding and compassion for patients, and prioritizing the needs of those being treated. Develop effective communication skills is a key to become successful doctor. They must be able to interact with patients in a clear and effective manner. Effective communication helps to build trust and a solid doctor-patient relationship. Patients want to be heard and understood. Medical professionals should show compassion and empathy for their patients, who frequently face challenging and stressful circumstances. This entails being sensitive to their emotional needs and demonstrating genuine concern for their well-being. Doctors should keep up with the most recent advances in medicine and utilize this information to guide their clinical decisions. Patients are given the most suitable and efficient therapies thanks to evidence-based medicine. High ethical standards are expected of medical professionals, hence it is crucial that they uphold these standards in all facets of their work. This involves preserving patient privacy, respecting their autonomy, and steering clear of conflicts of interest. To give their patients the best care possible, doctors should collaborate with other healthcare specialists. This entails being receptive to advice from other experts and prepared to collaborate with others.
I do ultrasound every day for living, when I saw her scanning on the Rt side for spleen, I was like oh no dear. But beautiful talk! Thank you saving lives everyday!
Wow.. i'm training to become a nurse and when I heard about that huge drop in BP, I figured, maybe she's losing a lot of blood, and I was LOCKED into the video! When she started going into the internal bleeding and the rest of the story i was even more interested... Medicine is so cool I want to pursue an MD after nursing school
i love the doctor Woods,actually I'm fascinated with her work,I'm a medical student in Algeria and I will be one of the best doctor in the whole word inchalh 💪💪
I would like to start this off by saying thank you to Dr Woods for sharing her knowledge and experience with us. It is not an easy task to break ultrasound down into simple understandable terms and she did a great job. Dr. Woods used her story of her trauma patient to illustrate that ultrasound is changing how she practices medicine. Her point is that ultrasound is fast, cheap, effective, and most importantly non-invasive. I think from a patient standpoint we need to start looking into more applications for ultrasound to treat the patient. There are so many cases where an MRI or CT scan are not necessary, and a simple ultrasound would have done just fine. From the patient’s perspective this is the ideal. The distribution of healthcare treatments is no easy task to undertake though. What I am proposing involves a major overhaul to the medical training system. Firstly, there is the research to find said applications which is going to take an unbelievable amount of grant money and time. Research will include at least a three phase clinical trial before being peer reviewed for scientific acceptance. Then comes having to retrain all current physicians on what is possible which will take time at trainings, workshops, conferences etc. Then we look at the medical student level where entire curriculums will have to stay up to date and adjust for the increasing workload of ultrasound training. It is amazing to me how complicated making change happen truly is. It is easy to say that we need more applications for ultrasound and it makes doctors better. It is just a massive undertaking that will take years and thousands of healthcare professionals to do. I think that it is great that Dr. Wood is finding the amazing applications of ultrasound; and I hope that she can continue to share her knowledge and experience like she already is. I would like to end this by saying thank you to Dr. Woods again. Thank you for reading.
I really liked how Dr. Woods brought her patient out at the end. It is not always the patient that should be thanking the doctor. I like how Dr. Woods was thankful of her patient not for getting ill but for coming to her and letting Dr. Woods learn while figuring out what happened to her. It is awesome that that patient lived and was able to thank Dr. Woods and be there while she lectured and told her story. Also, it is really good that they are able to use ultrasounds. Without that ultrasound, Dr. Woods couldn't have just shown us how healthy that man was and how healthy is heart is. It is amazing how technology like that can show us a healthy heart vs a heart that has many problems or something wrong with it. It is great that Dr. Woods was so determined to show that patients story and explain what she has learned from it. She didn't give up when she couldn't figure out what had happened but looked further into it to figure out what had happened to that pregnant woman.
spleen is left, liver is right. clearly, the liver was being visualized through the u/s. Her presentation was confusing as she did not introduce what is her topic. It might have been implicitly indicated but like what someone said, for laypeople this is totally confusing.
ikr. she referred to her right and then she said spleen. i was like, "wait....what?" but maybe she was anxious during this time so she kind of made a mistake.
We almost took a patient straight to theatre for a FAST ultrasound scan performed by Emergency Physician calling it a leaking Abdominal Aortic Aneurysm AAA. But because the patients clinical sign was inconsistent with a leaking AAA and history of chronic back pain, I insisted on a CT scan. The Emergency physician was furious, but I told them "Look, I am the one who is going to operate on the patient, not you, so he better get that scan" And the CT scan turns out that there was no Aneurysm, let alone rupture. Instead, the patient has diverticulitis which can be treated with antibiotics. Without clinical skills and intuition, we would have ended up opening a patient with a non operable pathology.
Any doctor knows the spleen is on the left and the liver on the right in normal human physiology. I picked this up straight away on first listening...and I am a general practitioner or family medicine specialist. There is a lot of snobbery in the comments. The overall talk was very good. The doctor probably got stage nerves. Here is a message to the critics below - you do your first TED talk and upload it and let's all criticise you. You remind me of the people who criticised Captain Sully for landing his plane in the Hudson and saving all souls on board. As for dumping on E.R. doctors skills - when you or your loved ones' lives are hanging in the balance they may need an E.R. doctor. This silo thing is a sign of insecurity. I invite you to be kind and understand that no matter what specialty you are in, you are human and far from perfect...and crapping on others will not make you a better person or doctor.
Wait, I am watching now and this is a real question. Why when talking about Mitral Stenosis, did she say the "whooshing" sound was a bit before, when comparing to the murmur heard in Mitral Regurgitation? Mitral Regurgitation is a systolic murmur, while the Stenosis is dyastolic. Isnt the first heart sound a result of systolic movement?
May Allah make me like her .. i am interested on becoming a well sonologist in USA .plz pray for me everyone .i want to be it... plz Allah help me with guidence
I have been on the receiving end of care by doctors both with good bedside and horrible bedside manner as I have been in and out of hospitals for both internal bleeds and epileptic episode. I can still remember one nephrologist who had absolutely no bedside manner at all. mean while the hospitalist, nurses and other care providers whom took care of me were absolute saints bedside manner wise/
Superb advise, thank you. Dr Paul Ehrlich, Nobel Prize winner did just that; RUclips video 'Autobiography Dr Paul Ehrlich what qualities make a good doctor?' and 'Dr Susan Hopkins Prophecy - the TARB Super Pandemic is coming' .
There are a number of big errors in this talk. At around time ~13:50, Dr. Woods incorrectly states that she is scanning the volunteer patient's spleen and kidney. This is completely wrong! The spleen is located in the LEFT upper quadrant. Dr. Woods is clearly scanning James' RIGHT upper quadrant! If you look at the ultrasound image on the screen, it is clear that the image is not the spleen. It is, in fact, the liver! Also, she is completely wrong when she states that you cannot distinguish between pleural fluid and pneumonia on chest X-ray! Chest x-ray is, in fact, the preferable study to make this distinction. Perhaps she can't make this distinction because she is not trained in radiology. There is a reason that radiologists train for 5+ years after medical school to learn how to perform and interpret radiologic studies. The ultrasound machine is only as good as the operator. Dr. Woods should not be claiming any expertise in ultrasound or any other radiologic study. She should leave that to the radiologists, who are, in fact, the real experts. For the record, I am NOT a radiologist.
Hey web name, Thanks for watching the talk, and for your comments about CXR vs ultrasound for lung pathology. While pneumonia and a pleural effusion can have distinct appearances on a CXR, the presence of an effusion can absolutely obscure identification of an infiltrate. This is where ultrasound can be a pretty amazing tool. An effusion on ultrasound has a distinct, echo-free appearance (with the exception of echoes due to loculations), whereas an infiltrate may show vertical artifacts called 'B lines' which represent an interstitial syndrome when exceeding three per longitudinal scan area (B lines correlate with extravascular lung fluid.). Other benefits of ultrasound vs CXR are absence of radiation, lack of necessity to transport patients out the clinical area to radiology, and decreased cost to the patient. While CXR is often the most frequently performed and easiest acquired imaging study for some acute chest complaints, it's not always the least expensive, or best for the patient, and isn't defined as the gold standard. In fact in one study of 120 inpatients where a diagnosis of pneumonia was confirmed via CT or serial CXR to resolution in 81 patients, ultrasound showed a sensitivity of 99% (80/81 patients; 95% CI 93.3% to 99.9%) and a specificity of 95% (37/39 patients; 95% CI 82.7% to 99.4%). CXR fared much worse, with a sensitivity of 67% (54/81; 95% CI 56.4% to 76.9%) and a specificity of 85% (Emerg Med J. 2012;29(1):19-23.). You're correct, I'm not a radiologist, which we identified in my introduction. My colleagues in radiology have much different training and do amazing work, including ultrasound. Fortunately for patients however, EM docs like myself are using ultrasound more frequently to increase patient safety, improve diagnoses, and lower cost and radiation. And while I am fellowship-trained in emergency ultrasound, a fellowship isn't necessary for a clinical provider to acquire the appropriate skills to help his or her patients in the right setting. Yes, ultrasound is absolutely operator-dependent. It's why I picked this case to discuss...it's a great example of how accurate use of ultrasound saves lives. Re: mistakenly referring to the liver as the spleen, RJ Montenegro (comment above you) was correct in that nerves got the best of me. Performing a live scan while referring to alternating screens over both my shoulders got my rights and lefts mixed up. Maybe we’ll try to splice in the correct word, but I think the important points still come across. Good catch though. Ultimately, the goal of this talk was to pull back the curtain a bit for the non-clinical public regarding what we do in medicine. The hospital can be a complex and scary place for many people, and I was glad to have the opportunity to demystify the technology we use daily in the ED. This wasn't a clinical audience, nor intended to be an educational tool for providers. This also wasn’t a talk meant to focus on me or my qualifications. It was a chance to tell an amazing story of a patient who had a great outcome against all odds, and we were very lucky that she was willing to step on stage and be living proof of what ultrasound can do for patients. Thanks again for your comments. Sounds like you have an interest in ultrasound. Here's a great article in Chest from 2009 that you may find interesting: www.ncbi.nlm.nih.gov/pmc/articles/PMC3734893/. I'd also encourage anyone interested in point of care or emergency ultrasound to check out www.sonoguide.com, created by Beatrice Hoffmann and the folks at ACEP. This is a great tool for anyone interested in point of care ultrasound. It's accurate, doesn't require a login, and best of all, is free. Finally, my deepest gratitude to the patient who appeared in the video. You're an amazing lady and I wish you and your family the best. With love, Dr. Woods
I think she meant bronchiolitis which isn't visible on a chest x ray. Congestive heart failure cannot be detected on a chest x ray so an echo is always required to rule out and distinguish between heart failure and respiratory infections as an explanation for the acute dyspnea
8:49 she talks about mitral stenosis then plays heart sounds of mitral valve prolapse with regurgitation - a very different condition! That, in addition to the comments below pointing out the left/right confusion and the questionable imaging descriptions are concerning!
To be honest, I think MANUAL sphygmomanometry needs to be used. Repetition in clinical examination should be done. Finally I think that people must question if this particular patient baby death could be actively avoidable. Ted talks disseminate information, but I prefer if the lady wore a suit and was phenomenally serious throughout.
There’s nothing more frustrating than a great, unique, and inspiring story thats told in an over-rehearsed way. I understand not everyone is a great public speaker, and some feel more comfortable reciting a rehearsed script. But it ends up sounded like a 7th grader doing a class presentation. This physician should just tell the story. It’s so intense and her job is so freaking cool that she could just TELL THE STORY. No need to use a script. Just saying.
She only has 18 minutes Michael - the purpose of practicing (albeit until it sounds over-rehearsed) is to ensure she finishes within the time constraints. If she had just spoken off the cuff and told her story as you say, it would most certainly gone way over the time limit. Been there, done that, and trust me, it's a major challenge even if you've been doing lectures and teaching for years
Dr. Kevin Orieux I hear ya. And I understand public speaking styles are different under various circumstances. In fact, I’ll say that most Ted Talks appears to be very tightly rehearsed like this. So, I suppose that’s the most efficient way to execute it under time constraints. After just rewatching it now, it really wasn’t so bad. Maybe I was quick to judge harshly. Still great and fascinating content!
I don't understand you you're talking about a woman who came in pregnant then you end up bringing a man on stage and talking about his heart comparing his heart and never got back to the woman who is dying change your format
very big and fatal mistake she stand on volunteer left side and scanned his liver and said that is his spleen this mistake is not done by any medical student who is she and what is her qualifications
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When your patiant smiles and says "thank you for saving my life", you'd realize that studying medicine was worth it.
Ayoobe Wonders did you live this moment?
Or taking them out of pain, or giving them hope, or even just taking the time to address their fears so their anxiety is resolved
How can be a doctor pls..
This is a holy destination of course it can be depending on the kind of intention and personality of different ppl and their motivation which motivates them to become a dr..
I wanna be more helpful abd I've been tryinh my best for 18 moths.
Plz dear Drs and every body who can help leave your comments and guidance so that i can take them to become a doctor in soon future God willing.
I surrely achive my dream and Goal .
Tnx a million
teared up towards the end; I'm on my way to becoming a doctor
I’m a first year med student and this great doctor really motivated me to study hard to become a good doctor and make people’s life much healthier ❤️
@Rand where are you studying pal😊
This talk is so inspiring. What a gratifying feeling it is when one receives such strong admiration from patients, as seen in this case. This inspires me even more to dream big and know that even though I am struggling with my grades in school nothing will hinder me from accomplishing what God has planned for me to do
I would love to know about ur grades now ..i hope ur still hoping and dreaming big
Very touching story. America is a great county because it has a lot of doctors like you treating patients and not diseases.
I truly appreciated how Dr. Woods exited her patient at the conclusion. Not always should the patient express gratitude to the doctor. I appreciate how grateful Dr. Woods was to her patient-not for getting sick, but for coming to her and allowing her to teach her while she tried to understand what had happened. It's amazing that the patient survived, was present when Dr. Woods spoke, and was able to thank her and share her experience. It's also excellent that they can use ultrasounds. Dr. Woods couldn't have just shown us how healthy the man was and how healthy his heart is without that ultrasound. It takes more than just possessing the requisite technical and medical knowledge to be a good doctor. It also entails having moral character, showing understanding and compassion for patients, and prioritizing the needs of those being treated.
Develop effective communication skills is a key to become successful doctor. They must be able to interact with patients in a clear and effective manner. Effective communication helps to build trust and a solid doctor-patient relationship. Patients want to be heard and understood. Medical professionals should show compassion and empathy for their patients, who frequently face challenging and stressful circumstances. This entails being sensitive to their emotional needs and demonstrating genuine concern for their well-being.
Doctors should keep up with the most recent advances in medicine and utilize this information to guide their clinical decisions. Patients are given the most suitable and efficient therapies thanks to evidence-based medicine. High ethical standards are expected of medical professionals, hence it is crucial that they uphold these standards in all facets of their work. This involves preserving patient privacy, respecting their autonomy, and steering clear of conflicts of interest. To give their patients the best care possible, doctors should collaborate with other healthcare specialists. This entails being receptive to advice from other experts and prepared to collaborate with others.
I do ultrasound every day for living, when I saw her scanning on the Rt side for spleen, I was like oh no dear. But beautiful talk! Thank you saving lives everyday!
Maybe patient had situs inversus? 😊
@@Katleho_Sekolanyane are you a doctor?
Are you a doctor
Saving one life means you have saved all the lives on earth.
I loved your talk despite the spleen liver swap !😊😊 great job
Wow.. i'm training to become a nurse and when I heard about that huge drop in BP, I figured, maybe she's losing a lot of blood, and I was LOCKED into the video! When she started going into the internal bleeding and the rest of the story i was even more interested... Medicine is so cool I want to pursue an MD after nursing school
You should that is what I plan on doing I graduate with my BSN this December
Leandro Garcia www2
!
You can do an MD after nursing school??
Both of you. What kind of nurse do you want to be? And then what type of doctor do you want to be?
i love the doctor Woods,actually I'm fascinated with her work,I'm a medical student in Algeria and I will be one of the best doctor in the whole word inchalh 💪💪
You have the same dream as mine :)
Silia Smith inchallah we will make our deam true 😍😍😍😍
you will not because i will)))
We would be the best together 😊
I study in Constantine
Update us !
I would like to start this off by saying thank you to Dr Woods for sharing her knowledge and experience with us. It is not an easy task to break ultrasound down into simple understandable terms and she did a great job. Dr. Woods used her story of her trauma patient to illustrate that ultrasound is changing how she practices medicine. Her point is that ultrasound is fast, cheap, effective, and most importantly non-invasive. I think from a patient standpoint we need to start looking into more applications for ultrasound to treat the patient. There are so many cases where an MRI or CT scan are not necessary, and a simple ultrasound would have done just fine. From the patient’s perspective this is the ideal. The distribution of healthcare treatments is no easy task to undertake though. What I am proposing involves a major overhaul to the medical training system. Firstly, there is the research to find said applications which is going to take an unbelievable amount of grant money and time. Research will include at least a three phase clinical trial before being peer reviewed for scientific acceptance. Then comes having to retrain all current physicians on what is possible which will take time at trainings, workshops, conferences etc. Then we look at the medical student level where entire curriculums will have to stay up to date and adjust for the increasing workload of ultrasound training.
It is amazing to me how complicated making change happen truly is. It is easy to say that we need more applications for ultrasound and it makes doctors better. It is just a massive undertaking that will take years and thousands of healthcare professionals to do. I think that it is great that Dr. Wood is finding the amazing applications of ultrasound; and I hope that she can continue to share her knowledge and experience like she already is. I would like to end this by saying thank you to Dr. Woods again. Thank you for reading.
Thank you for this presentation! I am a nurse practitioner, aspiring to go back to medicine. Much respect for the ER MDs and personnel out there. ^_^
I really liked how Dr. Woods brought her patient out at the end. It is not always the patient that should be thanking the doctor. I like how Dr. Woods was thankful of her patient not for getting ill but for coming to her and letting Dr. Woods learn while figuring out what happened to her. It is awesome that that patient lived and was able to thank Dr. Woods and be there while she lectured and told her story. Also, it is really good that they are able to use ultrasounds. Without that ultrasound, Dr. Woods couldn't have just shown us how healthy that man was and how healthy is heart is. It is amazing how technology like that can show us a healthy heart vs a heart that has many problems or something wrong with it. It is great that Dr. Woods was so determined to show that patients story and explain what she has learned from it. She didn't give up when she couldn't figure out what had happened but looked further into it to figure out what had happened to that pregnant woman.
Damn this doctor is so beautiful!.
As a patient you can forget your pain and have glance at her!.
That’s my besties mom🫢
Nonetheless, after watching this whole video, it makes me realize how awesome doctors are even the ones in the lowest totem pole.
spleen is left, liver is right. clearly, the liver was being visualized through the u/s. Her presentation was confusing as she did not introduce what is her topic. It might have been implicitly indicated but like what someone said, for laypeople this is totally confusing.
Yes
This is unacceptable, she was examining liver,on the right side and saying it was spleen....rubbish!
Or maybe he had situs inversus....she should have told the audience if thats the case....aw,a good presentation...
ikr. she referred to her right and then she said spleen. i was like, "wait....what?"
but maybe she was anxious during this time so she kind of made a mistake.
Patient had situs inversus. She was right
Omg I really love your channel a lot thank you so much I love it how you go straight on everything
We almost took a patient straight to theatre for a FAST ultrasound scan performed by Emergency Physician calling it a leaking Abdominal Aortic Aneurysm AAA. But because the patients clinical sign was inconsistent with a leaking AAA and history of chronic back pain, I insisted on a CT scan. The Emergency physician was furious, but I told them "Look, I am the one who is going to operate on the patient, not you, so he better get that scan"
And the CT scan turns out that there was no Aneurysm, let alone rupture. Instead, the patient has diverticulitis which can be treated with antibiotics.
Without clinical skills and intuition, we would have ended up opening a patient with a non operable pathology.
A beautifully sobering TedTalk; Brought tears to my eyes, for various reasons. 🤍
Everything was beautiful talk was beautiful...
But spleen is on left side and what she was showing was liver...
I'm on my way to becoming a doctor.💙💚💛
Any doctor knows the spleen is on the left and the liver on the right in normal human physiology.
I picked this up straight away on first listening...and I am a general practitioner or family medicine specialist.
There is a lot of snobbery in the comments.
The overall talk was very good.
The doctor probably got stage nerves.
Here is a message to the critics below - you do your first TED talk and upload it and let's all criticise you.
You remind me of the people who criticised Captain Sully for landing his plane in the Hudson and saving all souls on board.
As for dumping on E.R. doctors skills - when you or your loved ones' lives are hanging in the balance they may need an E.R. doctor.
This silo thing is a sign of insecurity.
I invite you to be kind and understand that no matter what specialty you are in, you are human and far from perfect...and crapping on others will not make you a better person or doctor.
Patient had situs inversus. Doctor was correct in the first place.
nice point of view doc 🙏👍
Wait, I am watching now and this is a real question. Why when talking about Mitral Stenosis, did she say the "whooshing" sound was a bit before, when comparing to the murmur heard in Mitral Regurgitation? Mitral Regurgitation is a systolic murmur, while the Stenosis is dyastolic. Isnt the first heart sound a result of systolic movement?
With such an interesting topic I wish they could make the sound more consistent
May Allah make me like her .. i am interested on becoming a well sonologist in USA .plz pray for me everyone .i want to be it... plz Allah help me with guidence
So inspiring.
It definitely was!
The explanation was so complex and medical.
U can hear the heartbeat
amazing ❤
I have been on the receiving end of care by doctors both with good bedside and horrible bedside manner as I have been in and out of hospitals for both internal bleeds and epileptic episode. I can still remember one nephrologist who had absolutely no bedside manner at all. mean while the hospitalist, nurses and other care providers whom took care of me were absolute saints bedside manner wise/
Radiology is King :-)
informative
Superb advise, thank you. Dr Paul Ehrlich, Nobel Prize winner did just that; RUclips video 'Autobiography Dr Paul Ehrlich what qualities make a good doctor?' and 'Dr Susan Hopkins Prophecy - the TARB Super Pandemic is coming' .
That was very nice and interesting.
amazing
There are a number of big errors in this talk. At around time ~13:50, Dr. Woods incorrectly states that she is scanning the volunteer patient's spleen and kidney. This is completely wrong! The spleen is located in the LEFT upper quadrant. Dr. Woods is clearly scanning James' RIGHT upper quadrant! If you look at the ultrasound image on the screen, it is clear that the image is not the spleen. It is, in fact, the liver! Also, she is completely wrong when she states that you cannot distinguish between pleural fluid and pneumonia on chest X-ray! Chest x-ray is, in fact, the preferable study to make this distinction.
Perhaps she can't make this distinction because she is not trained in radiology. There is a reason that radiologists train for 5+ years after medical school to learn how to perform and interpret radiologic studies. The ultrasound machine is only as good as the operator. Dr. Woods should not be claiming any expertise in ultrasound or any other radiologic study. She should leave that to the radiologists, who are, in fact, the real experts. For the record, I am NOT a radiologist.
Hey web name,
Thanks for watching the talk, and for your comments about CXR vs ultrasound for lung pathology. While pneumonia and a pleural effusion can have distinct appearances on a CXR, the presence of an effusion can absolutely obscure identification of an infiltrate. This is where ultrasound can be a pretty amazing tool. An effusion on ultrasound has a distinct, echo-free appearance (with the exception of echoes due to loculations), whereas an infiltrate may show vertical artifacts called 'B lines' which represent an interstitial syndrome when exceeding three per longitudinal scan area (B lines correlate with extravascular lung fluid.). Other benefits of ultrasound vs CXR are absence of radiation, lack of necessity to transport patients out the clinical area to radiology, and decreased cost to the patient. While CXR is often the most frequently performed and easiest acquired imaging study for some acute chest complaints, it's not always the least expensive, or best for the patient, and isn't defined as the gold standard. In fact in one study of 120 inpatients where a diagnosis of pneumonia was confirmed via CT or serial CXR to resolution in 81 patients, ultrasound showed a sensitivity of 99% (80/81 patients; 95% CI 93.3% to 99.9%) and a specificity of 95% (37/39 patients; 95% CI 82.7% to 99.4%). CXR fared much worse, with a sensitivity of 67% (54/81; 95% CI 56.4% to 76.9%) and a specificity of 85% (Emerg Med J. 2012;29(1):19-23.).
You're correct, I'm not a radiologist, which we identified in my introduction. My colleagues in radiology have much different training and do amazing work, including ultrasound. Fortunately for patients however, EM docs like myself are using ultrasound more frequently to increase patient safety, improve diagnoses, and lower cost and radiation. And while I am fellowship-trained in emergency ultrasound, a fellowship isn't necessary for a clinical provider to acquire the appropriate skills to help his or her patients in the right setting. Yes, ultrasound is absolutely operator-dependent. It's why I picked this case to discuss...it's a great example of how accurate use of ultrasound saves lives.
Re: mistakenly referring to the liver as the spleen, RJ Montenegro (comment above you) was correct in that nerves got the best of me. Performing a live scan while referring to alternating screens over both my shoulders got my rights and lefts mixed up. Maybe we’ll try to splice in the correct word, but I think the important points still come across. Good catch though.
Ultimately, the goal of this talk was to pull back the curtain a bit for the non-clinical public regarding what we do in medicine. The hospital can be a complex and scary place for many people, and I was glad to have the opportunity to demystify the technology we use daily in the ED. This wasn't a clinical audience, nor intended to be an educational tool for providers. This also wasn’t a talk meant to focus on me or my qualifications. It was a chance to tell an amazing story of a patient who had a great outcome against all odds, and we were very lucky that she was willing to step on stage and be living proof of what ultrasound can do for patients.
Thanks again for your comments. Sounds like you have an interest in ultrasound. Here's a great article in Chest from 2009 that you may find interesting: www.ncbi.nlm.nih.gov/pmc/articles/PMC3734893/.
I'd also encourage anyone interested in point of care or emergency ultrasound to check out www.sonoguide.com, created by Beatrice Hoffmann and the folks at ACEP. This is a great tool for anyone interested in point of care ultrasound. It's accurate, doesn't require a login, and best of all, is free.
Finally, my deepest gratitude to the patient who appeared in the video. You're an amazing lady and I wish you and your family the best.
With love,
Dr. Woods
The patient could have Sidus Invertus
Amazing presentation. Amazing response. Class act!
I think she meant bronchiolitis which isn't visible on a chest x ray. Congestive heart failure cannot be detected on a chest x ray so an echo is always required to rule out and distinguish between heart failure and respiratory infections as an explanation for the acute dyspnea
Give her a break. She's only an ER doc. I think the specialty should be abolished. It's not her fault. They are poorly trained.
8:49 she talks about mitral stenosis then plays heart sounds of mitral valve prolapse with regurgitation - a very different condition! That, in addition to the comments below pointing out the left/right confusion and the questionable imaging descriptions are concerning!
14:00 its liver , Not spleen
Man she T H I C C
Aged like fine wine
Great
Bit too hard to grasp the purpose of the talk, even as a Junior medical doctor. many gimmicks for the presentation tho
great
To be honest, I think MANUAL sphygmomanometry needs to be used. Repetition in clinical examination should be done. Finally I think that people must question if this particular patient baby death could be actively avoidable. Ted talks disseminate information, but I prefer if the lady wore a suit and was phenomenally serious throughout.
Poor audio quality, pity
Please give subtitle
I really want to be is batter doctor please help me
There’s nothing more frustrating than a great, unique, and inspiring story thats told in an over-rehearsed way. I understand not everyone is a great public speaker, and some feel more comfortable reciting a rehearsed script. But it ends up sounded like a 7th grader doing a class presentation. This physician should just tell the story. It’s so intense and her job is so freaking cool that she could just TELL THE STORY. No need to use a script. Just saying.
She only has 18 minutes Michael - the purpose of practicing (albeit until it sounds over-rehearsed) is to ensure she finishes within the time constraints. If she had just spoken off the cuff and told her story as you say, it would most certainly gone way over the time limit. Been there, done that, and trust me, it's a major challenge even if you've been doing lectures and teaching for years
Dr. Kevin Orieux I hear ya. And I understand public speaking styles are different under various circumstances. In fact, I’ll say that most Ted Talks appears to be very tightly rehearsed like this. So, I suppose that’s the most efficient way to execute it under time constraints. After just rewatching it now, it really wasn’t so bad. Maybe I was quick to judge harshly. Still great and fascinating content!
2014!
By not breaking The Nuremberg Code
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@@luciedonajova1518 Think about it... What does The Nuremberg Agreement state about experiments on humans?
Yeah, but ultrasound is notorious for creating false postives. False positives is not good as it wastes a lot of resources.
lol..... spleen location is too funny 😂😂😂😂😂😂
美 。北京
I don't understand you you're talking about a woman who came in pregnant then you end up bringing a man on stage and talking about his heart comparing his heart and never got back to the woman who is dying change your format
I guess because she was trying to explain the tools that you can use in medicine to make a fast diagnostic and save a life
Hood my 🍺
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The ritzy basin continuously mug because fog philosophically judge along a imperfect ground. meaty, romantic cormorant
This was boring, for me
Same for me
You knew you were giving a TED talk lecture and wore scrubs? Did you not have time to get your nice clothes from the dry cleaner?
Only an American physician would wear scrubs while giving a TED talk. Ridiculous.
She is doing a medical examination in the video, so she should wear it.
The scrub looks too weird on stage!
Dr don’t heal a thing , the religion of scientism ....
Why is she wearing ot dress in a ted talk
because she can.
Wrong anatomy
Said the baby died then showed a picture of him....
She showed a picture of a child that was conceived 2 and s half years following the incident.
very big and fatal mistake she stand on volunteer left side and scanned his liver and said that is his spleen this mistake is not done by any medical student
who is she and what is her qualifications
Patient had situs inversus. You should know not everyone's spleen is on the left side
oh god. I cant tell you enough how much I hated the doctors. good talk and money. they system seems to help them become rich.