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Why The Drugs You Take Don’t Work & What We're Doing About It | Dr. Jeffrey Balser | TEDxNashville
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- Опубліковано 12 сер 2024
- Modern drug therapy has transformed life on the planet and saved countless lives since the advent of antibiotics in the early 20th Century. Yet today, a huge amount of waste in healthcare has to do with drug therapy that is at best useless - and all too often, harmful. Dr. Jeff Balser challenges us to imagine a not-so-distant future in which the human genome and big data converge to transform healthcare, allowing us to do the right thing - and only the right thing - for the right person, at the right time and in the right location.
Dr. Jeffrey R. Balser, a '84 engineering graduate of Tulane University and a '90 graduate of the Vanderbilt MD/PhD program in pharmacology, undertook residency training in anesthesiology and fellowship training in critical care medicine at Johns Hopkins, and joined the faculty at Johns Hopkins in '95. Dr. Balser returned to Vanderbilt in ‘98, serving as Associate Dean for Physician Scientists. From 2001-2004, he served as the Gwathmey Professor and Chair of the Department of Anesthesiology. Later, he served as the medical center’s chief research officer. He is a member of the National Academy of Medicine, American Society of Clinical Investigation, and the Association of American Physicians. Since 2009, he has been dean of the Vanderbilt School of Medicine and Vice Chancellor for Health Affairs. Dr. Balser oversees one of the nation’s fully integrated academic health centers (AHCs), including nearly $4 billion in annual revenue, and 20,000 employees.
This talk was given at a TEDx event using the TED conference format but independently organized by a local community. Learn more at ted.com/tedx
I think the reliance on pharmacology therapy in the United States healthcare system is one of the biggest things new physicians are going to need to overcome. I used to think we relied on pills because people were lazy and wanted a quick fix. I could have the stereotypical picture in my head of an elderly person telling her doctor he just can’t control his blood sugar with his diet, so he needs a pill that will do it for him. I used to think we prescribed medications to appease laziness or apathy. I no longer believe that is the principal reason. I think we prescribe medications to readily, because that is what physicians are taught to do from the moment they enter medical school.
In medical school, every systems course you go through included a pharmacology section. Every single one. There is no part of the body that when discussed does not have pharmacology associated with it. It is ingrained as a treatment plan from the very beginning of the education process, and it continues from there. So, when a physician gets out into the real world, one of the aspects of treatment they have had the most exposure to is medications. So, when they get that patient with high blood pressure, one of their first thoughts is going to be a blood pressure medication. It isn’t just the patients asking for these drugs, the physicians readily use them because they are comfortable with them and have been learning about them since day one.
When medical students are going through each body system, so little time is spent discussing the benefits of exercise, nutrition, positive relationships, or other methods of healing. I think this is partly because of research bias, there is simply more research that is out there on pharmacology and its effects. This is largely because research require funding, and big pharma can fund research to show how helpful their drugs are. These other methods of healing are critical to long term positive outcomes, yet we don’t give them enough attention, and we don’t establish just how important they are with patients who are struggling with disease.
Wow, now that was impressive
Wow! personalized medicine should really be the next big thing in the clinical world,and bioinformatics will go a really long way in this process
Why not change the goal and focus on health, not preventative health medicine, but actual health: exercise, healthy nutrition and lifestyle management. That would make even more sense.
Norma Mimosa then the pharmaceutical companies will go out of business.
@@diamondunicorn2421 I'm going to be a nurse when I get older, do you think the whole healthcare system would go out of business?
Wish he was my doctor
This is very interesting. We have a high number of patients with lower leg ischemia, over 10 years, stenting and ballooning and bypass and clopidogrel drug, we end up amputating.
More please 😁
I am amazed that most doctors and their patients seem disinterested in side effects, contraindications, signs of problems, etc. and also unaware of genetic and other vulnerabilities, causations and safer strategies for healing.
It’s amazing how people can get defensive about videos like this. I posted a video on a small WhatsApp group, one person objected and get me ejected from the group. I texted them, they threatened police contact if further contact to them was made by me. I didn’t because I didn’t want the hassle, but a few days later I got a call from the police. Unbelievable! What have we come to? When trying to help people you are seen as a criminal.
When there is a controversy in life, there is a better way to get to the truth than simply getting information on both sides. Think logically about what is going on. Private companies seeks profits above all. They exploit all areas where information can be lost due to ignorance and assumptions. The patient-doctor relationship is a great area for this kind of exploitation. Bottom line, humans and artificial systems are systemically flawed. Naive people assume they aren’t. We have to make many assumptions in life, but some are not worth making (when risk is high and getting informed yourself is not difficult). Healthcare is just such an area.
The folks in ERs do a bang-up job of saving lives. The folks walking into a public health clinics for help receive horrible care. The whole drug paradigm is bogus, as our 50th position in health outcomes indicates. Wake up, steeple!
What implications does this have for vaccinating?
It should have enormous implications but they have been ignored by the pharmaceutical industry along with a lot of research that they ignore.
Pfizer & Moderna admit the Covid vaccine should not be given to those with sensitivity to Polyethelene Glycol [PEG]as they can have severe reaction. Estimated at least 7% of population is high risk and there is a blood test but no one is doing it before taking vaccines.
as pharmacist perhaps stem cell would be a good personalized medicine in the future.
Heck, even my thoughts have side effects, at least they're free... well, not always, like last week, there was this gorgeous dress, and now I'm broke!
A commercial
I agree with the thesis and it makes a great deal of sense, just not crazy about ones entire DNA structure available globally as there could be a very dark side to this technology. Also as him getting into my head about every aspect of my life, that also goes into the electric records. I am not so much for that, but that is me.
1st comment
How the hell do you have so many subscribers and so little views??? I would never trust you if you pay for subscribers,smh
No one wants to watch a 20 min video
This is how world work. They don't want people to know the truth.