字幕表 動画を再生する 英語字幕をプリント Yes, it's nice to see everybody here today. So that's it has been very conventional recently and has always been very Monday. So that is why I will be talking about something which I think is very close to my heart in terms off medical practice. So my topic conventional medicine in unconventional hands, a change in the perspectives off the doctor to patient approach. So what is conventional practice? Have you ever been to maybe a clinic and then you ever noticed that left the clinic? You felt my feeling like my problems was not settled, if you like. No, I didn't do anything for me. You were probably only handle or probably the doctor was not even interested in you. This is what I mean by conventional practice. Not a very famous conventional practice is the doctor's reflects. I love this because this is what medical students will be doing all the time. Because we will be automated response to treatment off treat symptoms don't look for ideologies anymore. If this is, this is what doctors are doing nowadays. If this is what doctors are doing nowadays, we will notice that our practice is sort of leaves conventional way we need to look further. We need to be unconventional. Okay, so we need to think a bit like a professional. We cannot be conventional as in mezzo, so we need to think outside of the box while being in the box. So what is the box? So the box is basically myself. I m d and Body Man off the box. My clinic is part off the embodiment of the box. My job, my responsibilities, my treatments. These is what constitutes move as a doctor. But what is you on my box? So we spoke about looking for ideologies. Alright, let's be safe here. I do things vicious like free HIV test events, charity. We bring value to our patients and also solve problems. Very importantly, learn new skills also. So currently I'm living men Drink? No, I'm Chinese. But anyway so why am I talking about the box and outside of the box? It is because I find that if I would just to stay in my box in my comfort zone, I'll get bored. I'm one things to be more for feeling more exciting and things that makes life exciting. Is your unconventional practice to solve problems big. Bring value, learning your skill and not become board and boost passion. And you will end up if you are bought and you lose passion. You end up like a very common conventional doctor. So I always love on trip in years because I find that wonder opinions are always trying to solve problems. Doctors be self problems, right? Medical problems. So how should a doctor think and solved problems? You should start thinking like a problem solver. So for me, I actually have a location where you came to me one day and usually really come to me. It's usually a problems below my dad about. Okay, Something very private. Okay, so we did a few tests. It was positive for something on DDE. My practices I don't tell the patient to come back after would be off the one month. I immediately would tell myself you call them and I said to come or I will call myself. So this is another very unconventional practice in my clinic. That's what I do. So this is my conversation. So I said, Hey, Jack, how are you doing? And he's like, Oh, I'm still doing quite all right not in my prime, but quite all right. My results out. So I said yes. But more importantly, what is that hit that you mentioned? Just know no in your prime. So I want you to focus on this. You have works, like, quite all right. Not in my prime and a famous. But that means, you know, that there are small Hayden's in the conversation with your patients. You know, there's a problem, and then you come across a proper piece, solved them, just brush it off under the couple. All right, so we continue our conversation. So I said, I am feeling rather uncomfortable, but I'm okay. Do you think he's okay when he says but no. So I give him a solution. Because now I know what the problem is. So is it. Are your symptoms getting worse? I can make it better. Can you come over for a consult over for treatment? And my patients It I'm busy until next month, but I can try to come with so many. But do you think you'll ever come? You would take him about a month. So yeah, he's saying butts everywhere. So these are small hints that there is a problem. So I will give you a few options to the audience. And I want you to think about it in terms of for unconventional, be off approaching medicine. So option. What do you insist on him? Coming to the clinic off Shin to you. Ask him to go to the closest cleaning to seek for treatment Wishes. Rather peculiar. If you're talking about something private, I don't think you want to go to anyone else. So what is it? That option? Do you find another alternative to get the medications to him? So if you are thinking along the lines Yeah, this is off him. Coming. What's the problem on the doctor? Patient needs to come and see me anyway. So if you're thinking like that, please, you are going to be very conventional. If you're thinking off the second option, do you ask him to goto closest clinic to him to seek treatment? You are actually almost there. You have me unconventional because I find that what is so similar about option one and two is this The patient has to be proactive for himself. So this is what Because conventional treatment, your conventional practice people have to be directly for you, not you for them. And now we go to the third option. Do you find another alternative to get the medications to him? This I would say Very unconventional. So what I did waas medication impacted a doorman stuff. Please send it to his house and he got it in like the next day because was possible are legit. It's a very fast post on and who loved and buy a concept. I don't need to come to you, but you sat on my problems. So this is being unconventional. And what is so different between 1st 2nd option and 1/3 option is basically you as a person. As a doctor, you are pro active for your patients. I find that if you have any medical students here piece, be proactive, don't expect people to be proactive for you. So I did. Do you just know about the box? All right about finding for film and to find excitement. So in what I did actually patient and you call me back, the Knicks beat here. She said, Thank you so much for, you know, cheating me and sending the medication was like so embarrassing for me to go to another killing and tell them what I told you. So that gives me that Cecil So set this fire. It's like, Wow, so for feeling. So this is what is it? Things outside of the box solve problems. Okay, bring value. This is very valuable for your patience and experience for them. And this makes my life my job very fulfilling for me. So what are my thoughts about medicine? We need to start thinking very unconventionally in our approach. And we need to always four signs or hints off problems to solve. So another one more way that how I really approach medicine is in a very unconventional method is used. This one beautiful acronym. Wow. Very easy to remember. Just remember Wow, my work is so wow. All right, so first thing, the first w is warming up second offer value. The Fed, the w H. Questions. So what do I mean by warming up? So when we warm up to a patient, they tell you everything okay? And it helps your diagnosis And to find out what is the problem. So let me know about warming up. Is basically renovation comes to you, you will be. You do not address why I'll be here. We start talking about things like the house, the better. How was the traffic jam coming into the clinic? Warm them up to you. You know, this is like foreplay in some ways. All right, So warm up and you will come off as a doctor who actually has your patients interest at hot. So I my father is a very wise person. He's 83 by the week. So you always used to tell me this thing. John, if you want to become a doctor, please bean over your patients first, then or leaving over the disease. I wish. I agree. It makes perfect sense now that I'm practicing medicine. When I'm talking about private matters with my patients, they are not gonna tell me. When was the last time they had sex? Holiday had attacks. Until you really know me so warm up. Show them that you care. So the next part is awful value I will find the value is very subjective from 1% of another. The prep perception or value can be for each wasn't very different. So some people say Oh, my monetary value is very good. I think that's what I think. Value is monetary money, you know, Some people say no. I find that skydiving was a great experience. It gave me so much value, and I enjoyed it. But what do we have dishes off the most value? It is something that's exhaust a ble. You will never get it back, and that's what I call time. Then you offer valued your patients. You will know your time that you put a site for your patients. You would never get it back. You can use time to get money gain belt. You can even use time for to get experience, gold, skydiving or something. But can you ever used time to buy back time? Of course, he's your most precious commodity on this is the thing that your patients need from you is a short time if you are able to give them your time. Your value is exponential foot part ws questions, which is the normal who? What etcetera? OK, so what is so important about the W questions? Because it's very challenging to ask questions. So what we mean about it's challenging for asking questions because it is the method to phrase are Christians and need people to the answer or the desire, answer or response. So under the W questions are usually have Mother one more or acronym. It's a very beautiful acronym. You should call it. Is that all? Not be a w, but you and an end. All right, so it's called open and the unjust mental, normalizing question or statement. If you are able to totally master this art off, you were on the world, you'll be successful. So what do I mean by the 1st 0 open and the questions we highlight the problem, then the question is direct. That does receive the problem. So this is how I usually have my patients. So I recently had a patient. Oh Ji came back from Jeju Island, was quarantined for 14 days, and she was like, Oh, my God, it was like, the worst experience. But you you do not want to devote any bad memories for her. So how do I still want to ask her? How is she doing? So this is how I face it. I put the problem followed by the question. So the Corona virus is very and rampant all over the who? My question. How old are you? How has your ordeal being during your time in quarantine? You see, you set the mood. My wife you need to form, Please write. You set the mood and then ask the question. This concept is very effective in any circumstances in asking any indirect questions. And you lead people to response because you put a problem. And it's natural for us to like respond to a problem with this, you are able to make sure that your patients are comfortable with any sort of question stuff have. So let's do a simple exercise. Okay, So how will you answer patients? You know, what is the efficacy of Viagra for that? Well, you go like, how is your bowel dysfunction while on Viagra? If anyone and if anybody, Would you say that to me? Therefore that he had All right. How would a papa sentence be? Remember problem solution. Tell me about any new sex partners you've had since our last visit. So nice question. What has your experience? What has your experience been with youse off Viagra? He is so nice to warm up, right? No, this thing. I think it's good to have. So I'll do another one more exercise. Now you have another patient. Fungal infection and privates. How are you going to us? So are you going to say bluntly? So your price were each eagle due to a fungal infection between your legs, Right. How has it improved after treatment? A lawn. I will probably get my heart. My mind hit Cut off men. All right, so that is one how you want to phrase a proper sentence Put, uh, problem before the question. So the weather has been very hot, states you, but it's hard. You get 18 you know? So you go for the question. We attack the question head on. You get any teaching and your ties when you're 30 off the treatment. See, it's a very sly question. Right. So you come to the next part which we talked about, Um judgmental, um judgmental means be inclusive in your conversation or your questions without any bias nous. So I basically my nature CD cleaning. I see people from all walks oflife I see the streets, the gays LGBT transsexuals. So sometimes we need to know how to be unjust men.