Why your doctor needs your help to battle over-treatment | Christer Mjåset | TEDxOslo

His talk addresses one of the biggest problems in Western medicine: over-treatment. Although doctors rely on standards and recommendations in medicine on all levels, variation in the use of diagnostic tools and treatment is a widespread phenomenon. What can you do as a patient to battle over-treatment and how can you benefit from taking it seriously? Christer Mjåset is a neurosurgeon and the Vice President of the Norwegian Medical Association. He is also a published author of five books and an experienced lecturer on different medical topics. This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at www.ted.com/tedx

[@bbrosser694]

Your talk made me realize the importance of communicating and participating in my medical care. Thank You!

[@eliseplease6304]

I broke my humerus and just a few days beforehand watched a documentary on the opioid epidemic. My doctor asked me after my break if I wanted painkillers. I asked if they were opioids, and he said yes. I declined them. My pain wasn't even that bad- I didn't need any over-the-counter pills and I don't even have a good pain tolerance. I got frustrated that yet another doctor was unnecessarily trying to give opioids to another patient. This guy isn't afraid to pull out the disheartening stats and I admire him for that. However, most doctors aren't like this, so it is important for the patient to be educated. Great talk.

[@ansh51]

I once asked my doctor in worry, "Is the operation really necessary for my mom? Are they other options?" He replied in agitation, "We are trying to help you, it is your call whether you need it or not" and then he walked out. Having faced such countless confrontations with different doctors I have developed a negative connotation against them. It always seems that they want to treat patients mechanically and expect that we follow their prescriptions without asking questions. I hope they realize that educating their patients can do more good than just pills and surgeries.

[@imaloserdude7227]

Four useful questions. I like it. I wonder if I could apply these four questions to other areas of life, like when someone tells me that I should buy something that they sell. Hmmm. Is this necessary? Nope, cuz I have what I need. What are the risks of buying it? Waving bye-bye to my money, and filling up another spot on my shelves with stuff I don't use anymore. Are their other options? Yes, like making do with what I got, for free. And what happens if I don't buy it? Nothing, the same as before. Excellent! These four questions work in other areas of life too. Thanks.

[@screamxforxlife]

can you PLEASE upload the redefine what matters videos? my dad was in it (javier miranda) & i wasn’t able to attend so i would like to watch them. please.

[@kkym15]

Clearly the people who are undertreated need far more attention than the over treatment. this is a reason to let more people slip through the careless cracks. Madness. But Yes, Less drugs and more "care".

[@pollyrg97]

I'll help you when you help me. As it stand I've been sent home with appendicitis (could have died, required emergency surgery), campylobacta (subsequently 12 hours on a drip in A&E and an emergency doctor who couldn't believe I hadn't been prescribed antibiotics when I presented to my GP), and uterine fibroids (no diagnosis until over a year later, at which point I needed a hysterectomy and had spent a year feeling the freaky lumps getting larger and larger and wondering if I was dying, or going mad). So yeah, I'll help you when you help me. As it stands I'm fighting for my life every time I walk in to your exam room. I'm not helping you with anything.

[@horacortiz9259]

Excellent exposition!!, My congratulations to this doctor!! He is what the humanity needs Now!! . 😀😀👍👌

[@SpaceTiger589]

The article "Prevent unnecessary medical care by asking your doctor these 4 questions first" presents a simple but effective strategy to minimize unnecessary medical care. The four questions recommended by the authors can help patients make informed decisions and avoid unnecessary interventions that may have a negative impact on their health outcomes. The ethical principle underlying this approach is respect for patient autonomy. By empowering patients to ask these questions, they are given the ability to participate in their own care and make informed decisions based on their individual preferences and values. This principle is essential to the practice of medicine, as it recognizes the inherent dignity and worth of each patient and promotes their self-determination. Furthermore, this strategy also aligns with the ethical principle of non-maleficence, as it seeks to avoid unnecessary harm that may result from inappropriate or unnecessary medical interventions. In a healthcare system where overdiagnosis and overtreatment are increasingly common, this approach can help ensure that patients receive care that is both effective and appropriate for their individual needs.

[@saschathinius7082]

finaly a doc who states the truth!

[@jonathanhansen4077]

Yes, over-treatment is a real issue in healthcare today, however, I disagree with the point that Dr. Mjåset is trying to make. I do not believe that the burden of asking if the treatment is necessary should fall on the patient. This information should be conveyed to the patient by the doctor through informed consent. For those who don’t know, informed consent is permission granted by a patient after being given knowledge of the possible consequences. In his book, "Resolving Ethical Dilemmas: A Guide for Clinicians," Bernard Lo states, “Ethically and legally, informed consent requires discussions of pertinent information, obtaining the patient's agreement to the plan of care, and freedom from coercion.” He goes on to say, “Patients also need to understand the alternatives to the proposed test or treatment and their risks, benefits, and consequences. In particular, alternatives that are recommended in the medical literature and by evidence-based consensus guidelines need to be offered, even if the physician personally disagrees. The alternative of no intervention needs to be discussed. If a patient declines the recommended intervention, the physician needs to explain the adverse consequences of the refusal.” The doctor must receive informed consent because of the guiding bioethical principles of healthcare: Beneficence, Autonomy, Justice, and Non-maleficence. A healthcare provider must seek to provide the best care and do good by the patient even if that means no treatment. A doctor must empower their patient by giving them all the information that the patient needs to make an informed decision. A provider must obtain informed consent from each of their patients. And lastly, a doctor should be looking to do no harm to a patient. And for many, over treatment is a form of doing harm.

[@islamicsong676]

Gorgeous lecture.

[@mohamedeslamhassan566]

Confident, understood with smoothy way, and elegant Great Doc 😎

[@Coconut-219]

I'm thinking about health trends in the US in the past decade, around that time there was alot of public education long the lines of having a 'more active role' in your healthcare in order to have the most opportunities for treatment. Possibly this is partially the result of that trend now so many years later?

[@ThanosKakarountas_public]

Coconut219 BjNTaVEPF

[@tarassu]

In 2000 doctor wanted to remove my tonsils. Said they are infected and will get easily infected during my lifetime. I declined. Got healthy 2 weeks later. Now, 20 years later: My tonsils get infected once a year or less.

[@darcysgurl]

You are amazing

[@prithvimandal250]

so strong speech .

[@honeyhoney-by5hr]

It is all over the world

[@ramonmartinez89]

that is why i choose Older Doctors than young ones

[@snowboomer5004]

Why is the room so empty? This is super imteresting

[@AirElegant]

You are brilliant

[@MarcAntoine01]

Nice audio

[@crisgon9552]

I don't think doctors should prescribe as much opioids as they do. But telling someone who is in extreme pain "you don't need this" is very difficult. Patients make things difficult. I am not saying doctors are all correct either.

[@loriholman6125]

Guat 20 Your not a Doctor or someone who has been in pain,and hope you never are....If so good luck with that.

[@noahatwoodvlogs1983]

Lori Holman did you not read the entire comment? High on your percs? Lol jk

[@loriholman6125]

They went to school for this for many years and know the GOVERNMENT IS TELLING THEM WHAT TO DO??? ALSO THE PHARMACIST, They go to school for along time not to inforce the law but to inform the people...They have enough to worry about in stead of getting locked up...And these Parents needs to put their Medicine on them or in a locked safe...Oh a grounded safe...not one you can walk off with...

[@Tushinho]

Where is he accent from?

[@n.m.dimmick194]

Considering the talk is in Oslo and his name rings very Norwegian, I'm fairly certain it's a Norwegian accent, though I couldn't tell you what specific region it's from.

[@christermjaset3632]

It's Norwegian :-)

[@terencegurung7979]

Wow 👌

[@honeyhoney-by5hr]

One of the example is some of the people who is suffering from empty nose syndrome

[@viclo0]

Why am I subscribed to this? I do not know this channel, it's as if someone had subscribed to me without my permission

[@hissendaud653]

COOL

[@QuantumOfSolace1]

My Doctor can’t treat a cold!

[@MichaelJayValueInvesting]

This is a problem in America. Go to the doctor and mention you have back pain, here's some opioids. School is boring, no it is just your brain, take some ADHD pills. Of course I am exaggerating somewhat, but this needs to stop.

[@RepentfollowJesus]

Michael Jay - Value Investing I don't know what country you are in but in the USA it is extremely difficult to get opioid pain meds even with proven chronic pain.

[@loriholman6125]

Michael Jay - Value Investing Then stop...Michael

[@loriholman6125]

Mary Wylde Let's hope he's never in pain...

[@honeyhoney-by5hr]

It is the problem patient are facing all over the world

[@airpakistan]

Hey

[@robinschneider5458]

Go Michael Jackson