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TED Talks Daily

4 questions you should always ask your doctor | Christer Mjåset

TED Talks Daily

TED

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4.111.9K Ratings

🗓️ 19 September 2019

⏱️ 11 minutes

🧾️ Download transcript

Summary

“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.

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Transcript

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0:00.0

This TED Talk features writer and neurosurgeon Krister Miyazet, recorded live at TEDx Oslo, 2018.

0:09.6

I'm a neurosurgeon, and I'm here to tell you today that people like me need your help.

0:16.8

And in a few moments, I will tell you how.

0:19.2

But first, let me start off by telling you about the patient of mine.

0:23.4

This was a woman in her 50s.

0:26.0

She was in generally good shape, but she had been in and out of hospital a few times

0:30.5

due to curative breast cancer treatment.

0:34.4

Now she had gotten a prolapse from a cervical disc,

0:37.4

giving her radiating pain of a tense kind out into the right arm.

0:43.7

Looking at her MRI before the consultation and decided to suggest an operation.

0:49.1

Now, neck operations like these are standardized and they're quick, but they carry a certain risk.

0:55.6

You make an incision and you dissect carefully past the trachea, the oesophagus,

1:00.4

and you try not to cut into the internal carotid artery.

1:04.8

Then you bring in the microscope and you carefully remove the disc and the prolapse in the nerve

1:10.1

root canal without damaging the cord

1:12.0

and the nerve root lying only millimeters underneath.

1:15.9

A worst case scenario is the damage to the cord, which can result in paralysis from the neckdown.

1:23.3

Explaining this to the patient, she felt silent, and after a few moments, she uttered a few very decisive words for me and for her.

1:31.3

Doctor, is this really necessary?

1:36.5

And you know what I realized right there and then?

1:40.2

It was not.

1:42.0

In fact, when I get patients like this woman, I tend to advise not to operate.

...

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