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Prescribing Knowledge | Erney Mattsson | TEDxTrondheim


Translator: Meriem Guettatfi Checker: Riyad Almubarak

Welcome

Have you noticed that knowledge

Almost forgotten.

Even if it is the basis of human progress for generations.

Have we reached the stage

Where hidden interests and emotions control our decisions?

Because science is large and complex,

We record it in computers,

We may use it when we need it.

Just go to your place of work:

How important is knowledge in making decisions?

How much is the effect of other factors?

For some of you who have forgotten to use knowledge,

I will, as I have provided,

To give you a dance lesson illustrative

To show you what it is

Now follow

Use your existing knowledge

This will push you forward

And then immediately challenges that prior knowledge

To go forward

In a nearly different way,

And from it giving progress an opportunity

That’s it!

Did you understand?

good!

So now I go back to that dance

To medicine that is my domain

To show you how to use the knowledge already in existence today

The aortic bulge is the bulge of the largest blood vessel in our body

It may not be like a balloon here in the abdomen

It may suddenly rupture

If this happens

You may die

But there is a solid global knowledge that says

This disease should be performed on a diameter of 55 mm

Because the risk of disease is greater than the risk of the operation

If you perform it at a small size

The risk of operation is higher

And from it you should not do it!

You understand?

In a recent publication by Schnitzer

Covering more than 10,000 patients in the United States

The operation was set at a size smaller than 55 mm

And not only that

More than 30% of patients had to have a technical interview

Outside usage instructions

For implanted device

Why?

What leads us?

Another example:

Tonsectomy – a tonsillectomy.

It has knowledge-based,

But the difference in frequency between our northern countries

Is greater than 370%

This is evident here in Norway

Just from our south

We have a country called Møre og Romsdal

There are people out there out there

This is divided into 26 smaller municipalities

The difference is 480%

This is a fivefold difference.

Again: Why?

We can choose any other disease

Anywhere else

We will see the same situation

Briefly,

If we do not apply existing knowledge

Some patients will not undergo the process they need

Others will have an unnecessary operation

And sometimes using techniques

Outside instructions written and tested

Were you surprised?

Now to the next step

These advanced,

Challenge existing

That’s to say

That knowledge is alive

It is constantly changing

This is to say that it is you and me

We are the only ones capable of changing knowledge

The computer is here

It does not have the ability to cover all aspects of knowledge

Must be with us

Used by us

We challenge it

So, I ask you a simple question

Are you welcome to unite your environment,

And where you work

Are you allowed to ask why?

If you do that

Do you think you represent progress?

Or are you considered problematic?

My mission is not to challenge you

From an academic point of view, it is better to challenge yourself

So I would like to challenge the knowledge in medicine

Is this necessary as part of this dance?

In 1949 Antonio Monz won the Nobel Prize for Operation:

Surgery in the cerebral cortex

This is a nerve-related surgery

Where you cut nerves in the frontal lobe

They were good for mental disorder

But left people without emotions

And caused a decline in intellectual capacity

Leaving them mentally disabled

I want you to think

It was possible to save some people from this process

If we are able to challenge existing knowledge?

Operations were carried out on 2,500 people here in Norway until 1957

It was good for those individuals

So some of you will say

There are so many young people here

You say, “That was 60 years ago, I do not care”

But if you look at the causes of death

What is ranked third

After cardiovascular disease and cancer

It is a use

Or rather misuse of medicine

So even today in my area

You may consider your magazine

It is necessary to challenge existing knowledge.

And how we create an environment where this is allowed

We must welcome diversity

Because only in dialogues with people of different views

That knowledge can move forward

These individuals must have the ability

To make a difference between man and subject

So I stand here

I stand here to call

In order to advance continuous knowledge

To be applied in all areas of humanity

I urge you to learn these steps

I urge you to apply the question: Why?

Make hidden interests,

Feelings

Less in making decisions

Because you followed my description

You will come to humanity, to societies,

Areas such as medicine

To a prosperous and knowledge-based future

We aim to revolutionize “why”

(clap)

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