(Laughter) What I am is a doctor of internal medicine who became passionately interested in this topic about 10 years ago when a patient asked me a question.
For instance, if you happen to be a 35-year-old banker taking home 100 times more than a brain surgeon, then you need a narrative, you need a story that makes that disparity okay.
A common thinking error of radiologists, for example -- when they look at CT scans -- is that they're overly influenced by whatever it is that the referring physician has said that he suspects the patient's problem to be.
And in my mind, I realized as a surgical pioneer that the purpose of my position of influence was surely to speak up for those who have no influence.
小児精神科医の フレドリック・ワーサム博士です 1954年『Seduction of the Innocent (無実の誘惑)』を執筆し 漫画が少年非行を誘発すると 訴えたのです
This is child psychologist Dr. Fredric Wertham, and in 1954, he wrote a book called "Seduction of the Innocent, " where he argues that comic books cause juvenile delinquency.
But sometime ago, through the help of an ophthalmologist colleague of mine, Carmen Puliafito, who developed a laser scanner of the retina, I found out the the following.
Now suppose you live in a certain part of a certain remote place and you have a loved one who has blockages in two coronary arteries and your family doctor refers that loved one to a cardiologist who's batting 200 on angioplasties.
And the table form is important, and since it's touch-interactive, just like the way they do dissections in the lab, or furthermore just the way a surgeon operates on a patient you can literally interact with your table.
And in fact, many surgeons in the UK are still waiting for one of our patients to have some sort of an episode, so that they could say, "Told you that was no good."
(Laughter) (Robot arm buzzing) (Laughter) (Applause) So my toothbrush helmet is recommended by zero out of 10 dentists, and it definitely did not revolutionize the world of dentistry, but it did completely change my life.
In Zimbabwe, for example, there were just about a dozen psychiatrists, most of whom lived and worked in Harare city, leaving only a couple to address the mental health care needs of nine million people living in the countryside.
I had just completed my undergraduate, and I was working as a research assistant at the lab of Dennis Selkoe, studying Parkinson's disease at Harvard, and I had fallen in love with neuroscience. I wanted to become a surgeon.
You could be the President of the United States, or the inventor of the next Internet, or a ninja cardiothoracic surgeon poet, which would be awesome, because you'd be the first one."
It starts with a framework system where when the surgeon delivers the lecture using a framework of captioning technology, we then add another technology to do video conferencing.
It involves the work of engineers, of imaging scientists, of basic scientists, of neurologists, psychiatrists, neurosurgeons, and certainly at the interface of these multiple disciplines that there's the excitement.
でも 僕の外科医の あふれる自信に どこか ビックリするくらい 安心したんです
But I found surprising moments of comfort in the confidence that my surgeon embodied.
I was referred to a psychiatrist, who likewise took a grim view of the voice's presence, subsequently interpreting everything I said through a lens of latent insanity.
My mental health status had been a catalyst for discrimination, verbal abuse, and physical and sexual assault, and I'd been told by my psychiatrist, "Eleanor, you'd be better off with cancer, because cancer is easier to cure than schizophrenia."
For the last two and a half years, I'm one of the few, if not the only, child psychiatrist operating in refugee camps, shorelines and rescue boats in Greece and the Mediterranean Sea.
So the patient had an actual arm, which is painful, in a sling for a few months or a year, and then, in a misguided attempt to get rid of the pain in the arm, the surgeon amputates the arm, and then you get a phantom arm with the same pains, right?
They are the result of a young team of very talented people: physical therapists, neurobiologists, neurosurgeons, engineers of all kinds, who have achieved together what would have been impossible by single individuals.
In the late '70s, there were a group of Swedish orthopedic surgeons who met at their annual meeting, and they were discussing the different procedures they used to operate hip surgery.
Imagine a patient who has suffered a severe trauma, and needs the attention of several specialists: a neurologist, a cardiologist, an orthopedic surgeon.
To move forward, we may have to find our way back to that pediatrician who would knock on my family's door on the South Side of Chicago when I was a kid, who made house calls, who was a public servant.
We used all sorts of other cutting-edge tools, such as this sonde, or what I like to call the sponge proctologist, whereby the sonde itself tests for metabolism rates in what in this particular case is a barrel sponge, or the redwoods of the [ocean].
From a psychiatrist in New York City: "Pretty soon we will have to disclose whether we prefer cats to dogs, what model of car we drive, and what toilet paper we use."
Catadores are assisted by well-being professionals and healthcare, like physicians, dentists, podiatrists, hair stylists, massage therapists and much more.
Now, prior to that point, there had been only one pediatrician in all of Bayview to serve more than 10, 000 children, so we hung a shingle, and we were able to provide top-quality care regardless of ability to pay.
Just imagine for a moment what this could mean for storytellers, for painters, for brain surgeons, for interior decorators and maybe for all of us here today.
When my neurologist gave me that diagnosis in 2012, he was echoing Freud's words verbatim, and even today, women are 2 to 10 times more likely to receive that diagnosis.
Many experiments show, and psychiatrists and neurologists know very well, that these different ways in which we experience being a self can all come apart.
In a medical journal in 2005, Dr. Helen O'Connell, a urologist, warned her colleagues that this structure was still nowhere to be found in basic medical journals -- textbooks like "Gray's Anatomy."
I learned how common it was for women to exhaust their finances appealing to dozens of ob-gyns over many years, only to be turned down so many times, often with such blatant disrespect that they just gave up.
Surgeons are the tailors, the plumbers, the carpenters -- some would say the butchers -- of the medical world: cutting, reshaping, reforming, bypassing, fixing.
(Laughter) (Applause) It's clear that it's not easy to know which ballast to drop and which altitude to take. Sometime we need friends, family members or a psychiatrist.
And I think that my mathematics, surprisingly enough, has been of great help to the surgeons studying lung illnesses and also kidney illnesses, all these branching systems, for which there was no geometry.
So this motivated me to become an orthopedic surgeon and to see if I couldn't focus on solutions for those problems that would keep me playing sports and not limit me.
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