Prescribing knowledge | Erney Mattsson | TEDxTrondheim
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0:09 - 0:10Hi.
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0:11 - 0:13Have you noticed that knowledge
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0:13 - 0:15is almost forgotten.
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0:16 - 0:22Even if it has been the base for human
progress for many many generations. -
0:23 - 0:24Have we come to a stage
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0:25 - 0:30where hidden interests, feelings
should steer our choices? -
0:30 - 0:34Because knowledge is huge, it's complex,
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0:34 - 0:36we store it into computers,
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0:36 - 0:40and from there,
perhaps use it when needed. -
0:43 - 0:45Just go to your own working place:
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0:45 - 0:50how important is knowledge
in your decision making ? -
0:50 - 0:54And how much do other factors
influence what you do ? -
0:56 - 1:01For those of you that might have
forgotten the use of knowledge, -
1:01 - 1:04I would then like, as introduced,
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1:04 - 1:07to give you an illustrative
dancing lesson -
1:09 - 1:12to show you what it is all about.
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1:12 - 1:14So this is it, just follow now.
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1:15 - 1:18You use the existing
knowledge in your back, -
1:19 - 1:22and that will push you forward,
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1:23 - 1:28and then, almost immediately,
you challenge that existing knowledge -
1:28 - 1:31to go, perhaps, a little bit further,
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1:32 - 1:34in a slightly different direction,
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1:35 - 1:38and thereby, give progress a possibility.
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1:39 - 1:40That's it !
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1:40 - 1:41Did you get it ?
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1:42 - 1:43Good !
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1:44 - 1:49So, I now go back in this dance
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1:49 - 1:52to medecine, which is my field,
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1:52 - 1:56to show you how existing
knowledge is used today. -
1:58 - 2:04Aortic aneurysm is a widening
of the biggest vessel we have in our body. -
2:05 - 2:08It can be like a balloon,
here in the abdomen, -
2:08 - 2:12and it can suddenly just rapture.
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2:13 - 2:14And if so,
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2:15 - 2:17you can die.
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2:19 - 2:23But there is solid global knowledge saying
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2:23 - 2:30that this disease should be operated upon
at a diameter of 55 millimeters, -
2:31 - 2:38because then the risk with the disease is
higher then the risk with the operation. -
2:39 - 2:43If you operate upon it at a smaller size,
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2:43 - 2:46the risk with the operation is higher,
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2:46 - 2:47and then you shouldn't do it !
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2:47 - 2:48You got it ?
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2:50 - 2:53In a recent publication from Shanzer,
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2:53 - 2:57covering more than 10 000 patients
in the United States, -
2:57 - 3:0459% were operated upon
at a size lower than 55 millimeters. -
3:04 - 3:06And not only that.
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3:07 - 3:13Over 30% of the patients
had to face a technique -
3:13 - 3:17that was outside the instructions for use
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3:17 - 3:20for the device implanted.
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3:21 - 3:22Why ?
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3:23 - 3:25What is steering us ?
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3:27 - 3:28Another example:
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3:28 - 3:32Tonsillectomy - that is to remove
the tonsils from the throat. -
3:34 - 3:37It has a knowledge based indication,
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3:38 - 3:42but the variation in frequency
between our Nordic countries -
3:42 - 3:45is over 370%.
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3:46 - 3:49And that is even reflected here in Norway.
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3:49 - 3:51Just to the south of us,
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3:51 - 3:54we have a county called Møre og Romsdal -
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3:54 - 3:57there are certainly people
from there here - -
3:57 - 4:02and that's divided
into 26 minor municipalities. -
4:04 - 4:07And the variation is 480%!
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4:08 - 4:13That is to say, almost a five fold
difference in this operation. -
4:14 - 4:15Again: why?
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4:18 - 4:23And the thing is that we can
pick any type of disease -
4:23 - 4:26in any type of geography,
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4:26 - 4:30and you will see a similiar situation.
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4:30 - 4:32So in summery,
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4:32 - 4:35if we do not apply the existing knowledge,
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4:35 - 4:39some patients they will not get
the operation they need; -
4:40 - 4:46others, they will actually be
operated upon unnecessary, -
4:46 - 4:50and sometimes even with techniques
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4:50 - 4:53outside written and tested instructions.
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4:57 - 4:59Surprised, hey?
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5:00 - 5:01Now for the next little step -
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5:02 - 5:06that's the advanced one, the sidestep.
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5:06 - 5:08The challenging of the existing.
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5:09 - 5:11That is to say that ...
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5:12 - 5:13knowledge is alive!
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5:14 - 5:16It is continuously changing.
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5:16 - 5:19That is to say that me and you,
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5:19 - 5:24we are the only ones
that can change knowledge. -
5:24 - 5:27The computer here, thereby,
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5:27 - 5:32does not have the ability
to cover all aspects of knowledge. -
5:33 - 5:35It has to be with us,
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5:35 - 5:36used by us,
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5:36 - 5:37and challenged by us.
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5:40 - 5:43So, may I ask you a small question:
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5:43 - 5:48Are you welcome to challenge
the environment where you are, -
5:48 - 5:49where you work?
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5:51 - 5:54Are you allowed to ask the question "why?"
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5:56 - 5:58And if so, if you do that,
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6:00 - 6:04will you then be regarded
as a representative of progress -
6:04 - 6:06or a troublebmaker ?
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6:08 - 6:11My task here is not to challenge you;
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6:11 - 6:17it is from an academic standpoint
always better to challenge yourself. -
6:18 - 6:22So I would then like to challenge
the existing knowledge in medicine; -
6:22 - 6:27is that necessary as part of this dance?
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6:29 - 6:35In 1949, Antonio Moniz
got the Nobel Prize for an operation: -
6:36 - 6:37lobotomy.
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6:38 - 6:41And that is a nerve surgery
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6:41 - 6:45where you cut off the nerves
to the frontal lobe. -
6:46 - 6:50It was good against psychosis,
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6:51 - 6:55but it left behind
emotionally blunt people, -
6:55 - 6:57reduced intellectual capacity,
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6:58 - 7:00and mental invalids.
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7:02 - 7:03I want you to think:
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7:03 - 7:09Would it have been possible to save
some people from this operation -
7:09 - 7:15if we had been able to challenge
the existing knowledge? -
7:16 - 7:212 500 people were operated
here in Norway until 1957. -
7:23 - 7:27So would that have been
good for these individuals? -
7:27 - 7:28Then some of you would say -
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7:28 - 7:30there are a lot of young people here -
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7:30 - 7:34you would say, "Well,
that was 60 years ago. I don't care." -
7:35 - 7:39But, you know, if you look
at the causes of death, -
7:39 - 7:42what is on the 3rd place ?
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7:43 - 7:47After cardiovascular disease and cancer,
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7:49 - 7:51it is actually the use -
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7:51 - 7:55or I would say, rather -
the misuse of medicine. -
7:56 - 7:59So even today in my field,
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7:59 - 8:02and you could consider your fields,
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8:02 - 8:06it is necessary to challenge the existing.
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8:07 - 8:12And how can we create an atmosphere
where that is allowed? -
8:13 - 8:16We have to welcome diversity
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8:17 - 8:23because it's only in discussions
with people having different opinions -
8:23 - 8:28that knowledge can propel, get on further.
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8:30 - 8:33And these individuals
must have the ability -
8:33 - 8:37to make a difference
between subject and person. -
8:39 - 8:41So, I stand here,
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8:42 - 8:44I stand here for a call
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8:44 - 8:49for the ongoing
development of knowledge -
8:50 - 8:53to be applied in all fields of humanity.
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8:54 - 8:58I urge you to learn
these two steps of dancing; -
8:58 - 9:02I urge you to apply the question "why?"
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9:03 - 9:06And let the hidden interests,
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9:06 - 9:08the feelings
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9:08 - 9:12a little bit be reduced
in decision-making, -
9:12 - 9:15because if you follow my recipe,
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9:15 - 9:19you will bring mankind, societies,
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9:19 - 9:21fields like medicine
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9:22 - 9:26back to a prosperous
knowledge-based future. -
9:26 - 9:29Let's go for a "Why revolution."
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9:29 - 9:35(Applause)
- Title:
- Prescribing knowledge | Erney Mattsson | TEDxTrondheim
- Description:
-
Are you allowed to ask "why?" Through examples from the medical field, Dr. Erney Mattsson gives us an illustrative two-step dance lesson highlighting the importance of knowledge: How do we use existing knowledge today? And are we challenging this knowledge to ensure progress?
Surgeon, inventor, poet, tango dancer, teacher and lifelong learner, this man defies easy categorization. Meet Erney Mattsson. Erney is a Professor at the Norwegian University of Science and Technology (NTNU) and Consultant in Vascular Surgery at St.Olavs Hospital, Trondheim. He represents Norway in the European Society of Vascular Surgery and leads the national research initiatives from the Norwegian Society of Vascular Surgery. His personal research focuses on vascular wall biology, aortic aneurysms and a new training concept increasing the energy production from mitochondria in vascular patients.
This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at https://www.ted.com/tedx
- Video Language:
- English
- Team:
- closed TED
- Project:
- TEDxTalks
- Duration:
- 09:45
Peter van de Ven approved English subtitles for Prescribing knowledge | Erney Mattsson | TEDxTrondheim | ||
Peter van de Ven accepted English subtitles for Prescribing knowledge | Erney Mattsson | TEDxTrondheim | ||
Peter van de Ven edited English subtitles for Prescribing knowledge | Erney Mattsson | TEDxTrondheim | ||
Peter van de Ven edited English subtitles for Prescribing knowledge | Erney Mattsson | TEDxTrondheim | ||
assia elaouam edited English subtitles for Prescribing knowledge | Erney Mattsson | TEDxTrondheim | ||
assia elaouam edited English subtitles for Prescribing knowledge | Erney Mattsson | TEDxTrondheim | ||
assia elaouam edited English subtitles for Prescribing knowledge | Erney Mattsson | TEDxTrondheim | ||
assia elaouam edited English subtitles for Prescribing knowledge | Erney Mattsson | TEDxTrondheim |