Through the Magnifying Glass of Sherlock Holmes | Jeremy McKay, MD | TEDxYouth@ClintonSquare

I want to first start by telling you a

I want to first start by telling you a little bit about my childhood he told

little bit about my childhood he told

little bit about my childhood he told you I’m a military brat moved around

you I’m a military brat moved around

you I’m a military brat moved around quite a bit when I was a kid my parents

quite a bit when I was a kid my parents

quite a bit when I was a kid my parents formed a strong foundation but honestly

formed a strong foundation but honestly

formed a strong foundation but honestly my parents are extremely cheap all right

my parents are extremely cheap all right

my parents are extremely cheap all right hi mom hi dad

hi mom hi dad

hi mom hi dad I think the best thing to say is they’re

I think the best thing to say is they’re

I think the best thing to say is they’re frugal okay both of them grew up

frugal okay both of them grew up

frugal okay both of them grew up extremely poor

extremely poor

extremely poor they knew the worth of the dollar so

they knew the worth of the dollar so

they knew the worth of the dollar so they weren’t going to really spend it on

they weren’t going to really spend it on

they weren’t going to really spend it on something that they thought was

something that they thought was

something that they thought was frivolous I I don’t want you to think

frivolous I I don’t want you to think

frivolous I I don’t want you to think that you know I we were struggling no we

that you know I we were struggling no we

that you know I we were struggling no we had a roof over our heads I food on the

had a roof over our heads I food on the

had a roof over our heads I food on the table I had clothes on my back but those

table I had clothes on my back but those

table I had clothes on my back but those clothes weren’t name brand clothes all

clothes weren’t name brand clothes all

clothes weren’t name brand clothes all right no cable TV definitely no J’s no

right no cable TV definitely no J’s no

right no cable TV definitely no J’s no video game systems but there was one

video game systems but there was one

video game systems but there was one thing that they would spend their life

thing that they would spend their life

thing that they would spend their life last dime on and that was books if it

last dime on and that was books if it

last dime on and that was books if it had to do with anything with education

had to do with anything with education

had to do with anything with education they would get that for us now you

they would get that for us now you

they would get that for us now you should know I’m a physician and I love

should know I’m a physician and I love

should know I’m a physician and I love what I do but I actually wasn’t that

what I do but I actually wasn’t that

what I do but I actually wasn’t that good at school I I just didn’t really

good at school I I just didn’t really

good at school I I just didn’t really fit in I was actually a pretty bad

fit in I was actually a pretty bad

fit in I was actually a pretty bad student so bad that my parents would

student so bad that my parents would

student so bad that my parents would give my teachers their phone number at

give my teachers their phone number at

give my teachers their phone number at the at the beginning of school year I

the at the beginning of school year I

the at the beginning of school year I would get home and my parents would know

would get home and my parents would know

would get home and my parents would know the stupid stuff I had already done in

the stupid stuff I had already done in

the stupid stuff I had already done in class right that that’s how bad I was

class right that that’s how bad I was

class right that that’s how bad I was I’ve been suspended I’ve been kicked out

I’ve been suspended I’ve been kicked out

I’ve been suspended I’ve been kicked out of school before right so for some of

of school before right so for some of

of school before right so for some of you who are going through that you still

you who are going through that you still

you who are going through that you still got time you still got time but I also

got time you still got time but I also

got time you still got time but I also still loved read books and one of my

still loved read books and one of my

still loved read books and one of my favorite books to read was anything

favorite books to read was anything

favorite books to read was anything dealing with Sherlock Holmes which it’s

dealing with Sherlock Holmes which it’s

dealing with Sherlock Holmes which it’s it’s interesting because why would a

it’s interesting because why would a

it’s interesting because why would a black kid from the south

black kid from the south

black kid from the south latch on to this 18 19th century white

latch on to this 18 19th century white

latch on to this 18 19th century white detective from Britain but he was a lot

detective from Britain but he was a lot

detective from Britain but he was a lot of things that I wanted to be he was

of things that I wanted to be he was

of things that I wanted to be he was intelligent he was smart he was brash he

intelligent he was smart he was brash he

intelligent he was smart he was brash he was eccentric those kind of things that

was eccentric those kind of things that

was eccentric those kind of things that I really latched on to as a kid there

I really latched on to as a kid there

I really latched on to as a kid there was two things that I wanted to do when

was two things that I wanted to do when

was two things that I wanted to do when I was a five-year-old I wanted to be a

I was a five-year-old I wanted to be a

I was a five-year-old I wanted to be a Navy fighter pilot

Navy fighter pilot

Navy fighter pilot and I wanted to be a doctor I’ve worn

and I wanted to be a doctor I’ve worn

and I wanted to be a doctor I’ve worn glasses since I was four so Navy fighter

glasses since I was four so Navy fighter

glasses since I was four so Navy fighter pilot was not going to happen right and

pilot was not going to happen right and

pilot was not going to happen right and when I found out I was devastated so I

when I found out I was devastated so I

when I found out I was devastated so I picked myself up and say okay let me

picked myself up and say okay let me

picked myself up and say okay let me just be a doctor then I can do this

just be a doctor then I can do this

just be a doctor then I can do this now Sherlock Holmes is actually modeled

now Sherlock Holmes is actually modeled

now Sherlock Holmes is actually modeled after a doctor and I didn’t realize this

after a doctor and I didn’t realize this

after a doctor and I didn’t realize this when I started reading him but as I got

when I started reading him but as I got

when I started reading him but as I got a little older I started reading about

a little older I started reading about

a little older I started reading about the history of Sherlock Holmes the

the history of Sherlock Holmes the

the history of Sherlock Holmes the author of Charlotte Holmes is Arthur

author of Charlotte Holmes is Arthur

author of Charlotte Holmes is Arthur Conan Doyle he actually was a physician

Conan Doyle he actually was a physician

Conan Doyle he actually was a physician – he was a doctor he went to medical

– he was a doctor he went to medical

– he was a doctor he went to medical school and one of his professors who had

school and one of his professors who had

school and one of his professors who had this brilliant keen observational skill

this brilliant keen observational skill

this brilliant keen observational skill set is who he modeled Sherlock Holmes

set is who he modeled Sherlock Holmes

set is who he modeled Sherlock Holmes after his professor could just look at a

after his professor could just look at a

after his professor could just look at a patient walk into the room and he could

patient walk into the room and he could

patient walk into the room and he could tell you just by looking at him smiling

tell you just by looking at him smiling

tell you just by looking at him smiling using all this since senses he could

using all this since senses he could

using all this since senses he could tell you what was ailing the patient

tell you what was ailing the patient

tell you what was ailing the patient where that patient was from and all

where that patient was from and all

where that patient was from and all kinds of just interesting facts that he

kinds of just interesting facts that he

kinds of just interesting facts that he could just tell by just by looking at

could just tell by just by looking at

could just tell by just by looking at him and that was amazing to me and I

him and that was amazing to me and I

him and that was amazing to me and I actually used a lot of things that I

actually used a lot of things that I

actually used a lot of things that I learned from Sherlock Holmes to teach my

learned from Sherlock Holmes to teach my

learned from Sherlock Holmes to teach my med students and my residents residents

med students and my residents residents

med students and my residents residents are students who graduated from med

are students who graduated from med

are students who graduated from med school they’re doctors but they still

school they’re doctors but they still

school they’re doctors but they still have to take a couple years to get and

have to take a couple years to get and

have to take a couple years to get and are like an apprenticeship to train to

are like an apprenticeship to train to

are like an apprenticeship to train to get to full fledged doctors even though

get to full fledged doctors even though

get to full fledged doctors even though most people still think you’re a doctor

most people still think you’re a doctor

most people still think you’re a doctor so you can still pick up girls but

so you can still pick up girls but

so you can still pick up girls but anyway so what do I teach them I teach

anyway so what do I teach them I teach

anyway so what do I teach them I teach them that the exam starts as soon as you

them that the exam starts as soon as you

them that the exam starts as soon as you walk into the room it doesn’t just start

walk into the room it doesn’t just start

walk into the room it doesn’t just start when you’re interviewing the patient no

when you’re interviewing the patient no

when you’re interviewing the patient no it starts when you walk into the room

it starts when you walk into the room

it starts when you walk into the room what does the room feel like that’s

what does the room feel like that’s

what does the room feel like that’s called transference what does the

called transference what does the

called transference what does the patient look like patient hunched over

patient look like patient hunched over

patient look like patient hunched over looking like they’re an acute pain who’s

looking like they’re an acute pain who’s

looking like they’re an acute pain who’s with the patient what does the patient

with the patient what does the patient

with the patient what does the patient wearing what does it room smell like all

wearing what does it room smell like all

wearing what does it room smell like all these things are very important right

these things are very important right

these things are very important right because being a physician is a lot like

because being a physician is a lot like

because being a physician is a lot like being a detective you’re looking for

being a detective you’re looking for

being a detective you’re looking for clues you look you’re using lab work

clues you look you’re using lab work

clues you look you’re using lab work that you’ve got from the lab you’re

that you’ve got from the lab you’re

that you’ve got from the lab you’re you’re interviewing the patient you’re

you’re interviewing the patient you’re

you’re interviewing the patient you’re trying to ask certain questions to get

trying to ask certain questions to get

trying to ask certain questions to get the information that you need to

the information that you need to

the information that you need to formulate your differential diagnosis

formulate your differential diagnosis

formulate your differential diagnosis differential diagnosis is a list of

differential diagnosis is a list of

differential diagnosis is a list of things that you might be causing the

things that you might be causing the

things that you might be causing the patient’s element because you need to

patient’s element because you need to

patient’s element because you need to have a correct differential diagnosis

have a correct differential diagnosis

have a correct differential diagnosis before you can prescribe the correct

before you can prescribe the correct

before you can prescribe the correct treatment right so one quote that you

treatment right so one quote that you

treatment right so one quote that you see a couple times throughout these

see a couple times throughout these

see a couple times throughout these Sherlock

Sherlock

Sherlock Holmes mysteries is it is a capital

Holmes mysteries is it is a capital

Holmes mysteries is it is a capital mistake to theorize before having any

mistake to theorize before having any

mistake to theorize before having any evidence it biases the judgment so what

evidence it biases the judgment so what

evidence it biases the judgment so what does that mean for me in medicine case

does that mean for me in medicine case

does that mean for me in medicine case in point I was a medical student in

in point I was a medical student in

in point I was a medical student in Boston a couple years ago I was in the

Boston a couple years ago I was in the

Boston a couple years ago I was in the emergency room a young male came in

emergency room a young male came in

emergency room a young male came in complaining of excruciating back pain I

complaining of excruciating back pain I

complaining of excruciating back pain I went in as the med student to do a full

went in as the med student to do a full

went in as the med student to do a full history and physical swim about 20-25

history and physical swim about 20-25

history and physical swim about 20-25 minutes and I came out to present to my

minutes and I came out to present to my

minutes and I came out to present to my chief resident I started as follows

chief resident I started as follows

chief resident I started as follows patients a 28 year old black male

patients a 28 year old black male

patients a 28 year old black male presenting with excruciating back pain

presenting with excruciating back pain

presenting with excruciating back pain he cut me off

he cut me off

he cut me off my chief resident said stop he’s just

my chief resident said stop he’s just

my chief resident said stop he’s just here looking for drugs get him out of my

here looking for drugs get him out of my

here looking for drugs get him out of my er and I said well oh you haven’t even

er and I said well oh you haven’t even

er and I said well oh you haven’t even let me given you give you the facts he

let me given you give you the facts he

let me given you give you the facts he said I don’t care about the facts get

said I don’t care about the facts get

said I don’t care about the facts get him out of my er he’s a drug seeker it

him out of my er he’s a drug seeker it

him out of my er he’s a drug seeker it started getting heated the patient had

started getting heated the patient had

started getting heated the patient had heard overheard this conversation too

heard overheard this conversation too

heard overheard this conversation too luckily at that time another resident

luckily at that time another resident

luckily at that time another resident who had sent this patient and to get

who had sent this patient and to get

who had sent this patient and to get pain medicine came in and we were able

pain medicine came in and we were able

pain medicine came in and we were able to it he was able to talk to my chief

to it he was able to talk to my chief

to it he was able to talk to my chief resident and we appropriately treated

resident and we appropriately treated

resident and we appropriately treated this patient now some of you have

this patient now some of you have

this patient now some of you have probably seen this in medicine and to

probably seen this in medicine and to

probably seen this in medicine and to write was family members or even

write was family members or even

write was family members or even yourself

yourself

yourself people getting stereotyped people not

people getting stereotyped people not

people getting stereotyped people not getting the treatment that they deserve

getting the treatment that they deserve

getting the treatment that they deserve the right treatment people look at them

the right treatment people look at them

the right treatment people look at them maybe that they’re a hypochondriac or

maybe that they’re a hypochondriac or

maybe that they’re a hypochondriac or because of their their race or their

because of their their race or their

because of their their race or their social status or they aren’t treated

social status or they aren’t treated

social status or they aren’t treated correctly but this happens in real life

correctly but this happens in real life

correctly but this happens in real life too right we all like to put people into

too right we all like to put people into

too right we all like to put people into boxes without knowing the facts of who

boxes without knowing the facts of who

boxes without knowing the facts of who they are or what they are their stories

they are or what they are their stories

they are or what they are their stories their struggle and unfortunately it’s

their struggle and unfortunately it’s

their struggle and unfortunately it’s going to happen to you if it hasn’t

going to happen to you if it hasn’t

going to happen to you if it hasn’t already I know what’s happened to me I

already I know what’s happened to me I

already I know what’s happened to me I know I was told by some teachers that I

know I was told by some teachers that I

know I was told by some teachers that I couldn’t be a doctor so what are you

couldn’t be a doctor so what are you

couldn’t be a doctor so what are you gonna do about it cuz it’s gonna happen

gonna do about it cuz it’s gonna happen

gonna do about it cuz it’s gonna happen right this is gonna happen unfortunately

right this is gonna happen unfortunately

right this is gonna happen unfortunately well but what are you gonna do about it

well but what are you gonna do about it

well but what are you gonna do about it I’m gonna leave you with two things

I’m gonna leave you with two things

I’m gonna leave you with two things number one I want you to internalize

number one I want you to internalize

number one I want you to internalize what that feels like when someone

what that feels like when someone

what that feels like when someone stereotypes you when someone judges you

stereotypes you when someone judges you

stereotypes you when someone judges you without having the fat

without having the fat

without having the fat because the faculty matter is we’ve done

because the faculty matter is we’ve done

because the faculty matter is we’ve done it to other people too I know I have so

it to other people too I know I have so

it to other people too I know I have so you need to remember what that feels

you need to remember what that feels

you need to remember what that feels like so you don’t do it to others but

like so you don’t do it to others but

like so you don’t do it to others but number two I’m going to need you to

number two I’m going to need you to

number two I’m going to need you to fight against those people who try to

fight against those people who try to

fight against those people who try to create your story who try to put you

create your story who try to put you

create your story who try to put you into a box without knowing your facts

into a box without knowing your facts

into a box without knowing your facts your truth because each and every one of

your truth because each and every one of

your truth because each and every one of you is a unique individual and I know

you is a unique individual and I know

you is a unique individual and I know that sounds sappy we always talk a

that sounds sappy we always talk a

that sounds sappy we always talk a little your little snowflakes no no no

little your little snowflakes no no no

little your little snowflakes no no no you really are you know why I know this

you really are you know why I know this

you really are you know why I know this because I’m an anesthesiologist right my

because I’m an anesthesiologist right my

because I’m an anesthesiologist right my job is to put you into a medical coma so

job is to put you into a medical coma so

job is to put you into a medical coma so someone can do surgery on you I don’t I

someone can do surgery on you I don’t I

someone can do surgery on you I don’t I just don’t put your information and

just don’t put your information and

just don’t put your information and press a button and everybody gets the

press a button and everybody gets the

press a button and everybody gets the same thing what I give you is going to

same thing what I give you is going to

same thing what I give you is going to be different when I from what I give you

be different when I from what I give you

be different when I from what I give you even though you might be the same height

even though you might be the same height

even though you might be the same height same age same weight no allergies listed

same age same weight no allergies listed

same age same weight no allergies listed you know why because each and every one

you know why because each and every one

you know why because each and every one of you is physiologically different I

of you is physiologically different I

of you is physiologically different I give you medicines and it might take you

give you medicines and it might take you

give you medicines and it might take you 12 hours to wake up that’s called it’s

12 hours to wake up that’s called it’s

12 hours to wake up that’s called it’s delayed emergence your mom’s gonna be

delayed emergence your mom’s gonna be

delayed emergence your mom’s gonna be like my baby why is it that wake up like

like my baby why is it that wake up like

like my baby why is it that wake up like she’s fine it’s not alright you might be

she’s fine it’s not alright you might be

she’s fine it’s not alright you might be like what you gave me something so each

like what you gave me something so each

like what you gave me something so each and every one of you is totally unique

and every one of you is totally unique

and every one of you is totally unique each and every one of you has dreams in

each and every one of you has dreams in

each and every one of you has dreams in your heart that you know are real some

your heart that you know are real some

your heart that you know are real some dreams you might not even have told

dreams you might not even have told

dreams you might not even have told other people but people are going to

other people but people are going to

other people but people are going to challenge you people are gonna try to

challenge you people are gonna try to

challenge you people are gonna try to put you in a box people are going to try

put you in a box people are going to try

put you in a box people are going to try to bend their facts to make judgments

to bend their facts to make judgments

to bend their facts to make judgments about you so remember what Sherlock

about you so remember what Sherlock

about you so remember what Sherlock Holmes said it’s a capital mistake to

Holmes said it’s a capital mistake to

Holmes said it’s a capital mistake to theorize without having any evidence so

theorize without having any evidence so

theorize without having any evidence so what are you gonna do number one before

what are you gonna do number one before

what are you gonna do number one before you make decisions you’re gonna get the

you make decisions you’re gonna get the

you make decisions you’re gonna get the facts right that person might be a jerk

facts right that person might be a jerk

facts right that person might be a jerk let them be a jerk well it build those

let them be a jerk well it build those

let them be a jerk well it build those facts up and then you can get away from

facts up and then you can get away from

facts up and then you can get away from them but don’t don’t stereotype do you

them but don’t don’t stereotype do you

them but don’t don’t stereotype do you know how many how many relationships

know how many how many relationships

know how many how many relationships have we already lost out on because we

have we already lost out on because we

have we already lost out on because we put them into a box we judge them with

put them into a box we judge them with

put them into a box we judge them with for finding our facts but remember

for finding our facts but remember

for finding our facts but remember number two never be afraid of fighting

number two never be afraid of fighting

number two never be afraid of fighting against people who are trying to try to

against people who are trying to try to

against people who are trying to try to tell your story who are ignoring your

tell your story who are ignoring your

tell your story who are ignoring your story even always fight never be afraid

story even always fight never be afraid

story even always fight never be afraid to show them your strength your

to show them your strength your

to show them your strength your knowledge your courage your dreams what

knowledge your courage your dreams what

knowledge your courage your dreams what is in your heart because someone in this

is in your heart because someone in this

is in your heart because someone in this room might be the doctor that takes care

room might be the doctor that takes care

room might be the doctor that takes care of me

of me

of me someday in my family and that makes my

someday in my family and that makes my

someday in my family and that makes my heart glad because you fought against

heart glad because you fought against

heart glad because you fought against this society trying to tell your story

this society trying to tell your story

this society trying to tell your story and judge you without knowing the facts

and judge you without knowing the facts

and judge you without knowing the facts that lie within your heart thank you

that lie within your heart thank you

that lie within your heart thank you very much

very much

very much [Applause]