I it's nice to see everybody here today
so
Mattson has been very conventional
recently and has always been very
mundane so that is why I'll be talking
about something which i think is very
close to my heart in terms of our
medical practice so my topic
conventional medicine in unconventional
hands a change in the perspectives of
the doctor to patient approach so what
is conventional practice have you ever
been to maybe a clinic and then you ever
noticed that
can you left the clinic yourself am I
feeling right my problems was not
settled I feel like no didn't do
anything for me
you were proper buddy only handle or
probably the doctor was not even
interested in you this is what I mean by
conventional practice another very
famous conventional practice is the
doctors reflex I love this because this
is what medical students will be doing
all the time
because we will be automated response to
treatment of treat symptoms we don't
look for ideologies anymore
if it is this is what doctors are doing
nowadays if this is what doctors are
doing nowadays we will notice that our
practice is totally conventional we need
to look further we need to be
unconventional
okay so we need to think a bit like a
professional
we cannot be conventional as in medicine
so we need to think outside of the box
while being in the box
so what is the box so the box is
basically myself I am the embodiment of
the box my clinic is part of the
embodiment of the box my job my
responsibilities my treatments this is
what it constitutes move as a doctor but
what is beyond my box so we spoke about
looking for ideologies all right as we
said here I do things wishes I free HIV
test events charity we bring value to
our patients and also solve problems
very importantly learn new skills also
so currently I'm learning Mandarin
although I'm Chinese
but anyway so why am I talking about the
box and outside of the box it is because
I find that if I would just stay in my
box in my comfort zone I'll get bored
with it and one things to be more
fulfilling more exciting and things that
makes life exciting is your
unconventional acces to solve problems
big bring value learn a new skill and
not become bored and loose passion and
you will end up if you are bored and you
lose passion you'll end up like a very
common conventional doctor so I always
love entrepreneurs because I find their
interference of always trying to solve
problems doctors we solve problems right
medical problems so how should a doctor
think and solve problems you should
start thinking like a problem solver so
for me I actually have appreciation as
you came to me on one day and usually
when it come to me is usually a problems
below my data belt okay hey something
very private okay so we did a few tests
it was positive for something and my
practice is I don't tell the patient to
come back after one week or after one
month I immediately will tell myself you
call them and I said to come or I will
call myself so this is another very
unconventional practice in my clinic
that's what I do so this is my
conversation with you so I say hey Jack
how are you doing and he's like oh I'm
still doing quite alright
not in my prime but quite all right are
my results out so I said yes but more
importantly what is the fit that you
mentioned just now not in your prime so
I want you to focus on this you have
words like quite alright
not in my prime and the famous but that
means you know that there are small
hints in the conversation with your
patients you know there's a problem and
when you come across a proper please
solve them don't just brush it off under
the couple all right so we continue our
conversation so I said I am feeling
rather uncomfortable but I'm okay do you
think he's okay when he says but no so I
give him a solution because now I know
what the problem is so I said are your
symptoms getting worse I can make it
better
can you come over for a consult or over
for treatment and my patient said I'm
busy until next month but I can try to
come with so many buds do you think you
overcome you would take him about a
month so yeah he's saying butts
everywhere so these are some more hints
that there is a problem so I will give
you a few options to the audience and I
want you to think about it in terms of
an unconventional way of coaching
medicine so option one do you insist on
him coming to the clinic option two do
you ask him to go to the
closest cleaning to seek for treatment
which is rather peculiar if you are
talking about something private I don't
think you want to go to anyone else so
what is the third option do you find
another alternative to get the
medications to him so if you are
thinking along the lines yeah this is of
him coming what's the problem I'm the
doctor patient needs to come and see me
anyway
so if you're thinking like that please
you are going to be very conventional if
you are thinking or the second option do
you ask him to go to it it causes clinic
to him us to seek treatment you are
actually almost there
you actually have me unconventional
because I find that what is so similar
about option 1 & 2 is this the patient
has to be proactive for himself so this
is what we call as conventional
treatment your conventional practice
people have to be brightly for you not
you for them and now we go to the third
option do you find another alternative
to get the medications to him this I
would say very unconventional so what I
did was I took the medication I packed
it at all my stuff please send it to his
house and he caught it in like the next
day because was also local ecology and
it's a very fast post and you love the
entire concept well inside I don't need
to come to you but you settle my
problems so this is being unconventional
and what is so different between the 1st
2nd option and the third option is
basically you as a person as a doctor
you are proactive for your patients I
find that if you have any medical
students here please be proactive don't
expect people to be proactive for you so
I did do you just know about the box
all right about finding fulfillment to
find excitement so in what I did
actually the patient as you caught me
back the next week oh jeez him so thank
you so much for you know treating me and
sending the medication you know was like
so embarrassing for me
to go to another clean and tell them
what I told you so that gives me that
sense of wow so satisfying sigh Wow so
fiddly today is my I see things outside
of the box solve problems okay dream
value this is very valuable for your
patience and experience for them and
this makes my life my job very
fulfilling for me so what are my
thoughts about that sin we need to start
thinking very unconventionally in our
approach and we need to always look for
signs or hints of problems to solve so
another one more way that however I
really approached medicine is in a very
unconventional method is I used this one
beautiful acronym Wow very easy to
remember just remember Wow my work is so
Wow alright so first thing the first W
is warming up second offer value the
third the wh-questions so what do I mean
by warming up so when we warm up to a
patient they tell you everything okay
and it helps your diagnosis and to find
out what is their problem so when we
talk about warming up is basically when
a patient comes to you you will be you
do not address why are they here we
start talking about things like a house
the better and how's the traffic jam
coming into my clinic well warm them up
to you you know this is like foreplay in
some ways all right
all right so warm up and you will come
off as a doctor who actually has your
patients interest at heart
so I owe my father is a very wise person
he's 83 by the way so he always used to
tell me this thing John if you are going
to become a doctor please win over your
patience first then only win over the
disease which I agree it makes perfect
sense now that I'm practicing medicine
not when I'm talking about private
matters with my patients they are not
going to tell me when was the last time
they had sex how they had sex until you
really know me so warm up show them that
you care so the next part is all full
value Oh find out value is very mmm
subjective from one person to another
the threat perception of value can be
for each person very different so some
people are saying oh my monetary value
is very good I what that's what I think
value is this monitor is money you don't
balance some people say no I find that
skydiving was a great experience it
gives me so much of value and I enjoyed
it but what do we have which is of the
utmost value it is something as
exhaustible you will never get it back
and that is what I call time
when you offer value to your patients
you will know your time that you put
aside for your patients you will never
get it back you can use time to get
money gain wealth you can even use time
for to gain experience go skydiving or
something but can you ever use time to
buy that time of course is your most
precious commodity and this is the thing
that your patients need from you which
is your time if you are able to use them
your time your value is exponential
third part wh-questions which is the
normal the whole while etcetera etcetera
okay so what is so important about the
wh-questions because it's very
challenging to ask questions so what do
we mean about is challenging or asking
questions because it is the matter to
phrase our questions and lead people to
the answer or the design answer or a
response so under the WH questions are
usually have another one more or acronym
it's a very beautiful acronym we shall
call it
Odin is a oh not with a W but at you and
an enemy all right so it's called open
and the unjust mental normalizing
question or statement if you are able to
totally master this art of all you are
owning the world you'll be successful
so what do I mean by the first Oh
open-ended questions we highlight the
problem then a question is directed to
the Associated problem so this is how I
usually talk my patients so I recently
had a patient IG came back from Jeju
Island was called in for 14 days and she
was like oh my god it was like the worst
experience but you know you do not want
to evoke any bad memories for her so how
do I still want to ask her how is she
doing
so this is how I faced it I put the
problem followed by the question
so the corona virus is very and rampant
all over the world my question
how old's your how has your audio bin
during your time in quarantine
you see you set the mood like I say you
need to fall play right you set the mood
and then you ask the question this
concept is very effective in any
circumstances in asking any indirect
questions you know and you lead people
to response because you put a problem
and it's natural for us to like respond
to a problem with this you are able to
make sure that your patients are
comfortable any sort of questions that
we have so let's do a simple exercise ok
so how would you ask your patients you
know what is the efficacy of viagra for
them will you go like how is your
erectile dysfunction while on viagra
if anyone and if anybody would you say
that to me I would therefore not ever
slap them alright
how would a proper sentence be remember
problem solution tell me about any new
sex partners you've had since your last
visit so nice
question.what has her XP what has your
experience been with the use of Viagra
see it's so nice to warm up
alright now this thing I think is quite
good to have so I'll do another one more
exercise now you have another patient
with fungal infection at the privates
how are you going to us so are you going
to say bluntly
so you're paisa each equal due to a
fungal infection between your legs right
how has it improved after treatment come
on I will probably get my heart my my
head cut off men all right so that is
one how you want to phrase a proper
sentence good ah problem before the
question so the weather has been very
hot these days know when it's hot you
get it gene do you know so you go for
the question we attack the question head
on do you get any itching at your ties
when your strategy of the treatment you
see that's a very sly question alright
so we come to the next part which we
talk about I'm judgmental I'm judgmental
means be inclusive in your conversation
or your questions without any biases so
I basically masked nature at City clinic
I see people from all walks of life I
see the streets against LGBT the
transsexuals yeah so sometimes we need
to know how to be unjust mental so I'm
giving I'm gonna give you a scenario and
I hope we have a good laugh about it so
I actually have this one Chinese lady
beautiful woman
the name was Chan why why okay but it's
not really that new actual real name
okay so when I open the doors up wash
she's so pretty so I naturally call her
miss turn why why why she's stood up
smile and came into my room and after we
did the W or W which is the Wow okay
which is the warming up you offer value
then you come to the wh-questions so I
came to the problem so I asked her so
that is your problem that you don't we
need to come and see me and this was
what she told me
I have passed losing out from my penis
what yeah well did you just say passing
out from the penis
I mean it's technically I shall I I ask
- because I I asked myself this question
in my heart of course I didn't say that
so I was like okay uh hold on a while
quickly on my computer site and I saw
this ton YY mail okay so really caught
me off guard anyway so I need to save
myself so I put on a very street
you know poker face and this was what I
said don't worry okay many people have
this problem how long have you had this
discharge
so it's an why why do you like me
addressing you as Miss Oh mister I was
another more familiar name see this
question is very unjust mental because I
allow her to choose what she wants
well so this is a good safe very good
safe right
save me a lot of embarrassment so this
is what I mean by something I'm
judgmental
all right a Christian there's a
judgmental now she actually Dickerman he
said she felt very awkward also because
this was one time they actually she got
a response it was like ah not not not
the normal ha and I already ya know she
did not have something like that so she
was she was like oh I'm okay with you
calling me miss but that was a great
state safe by the way so I was I what do
you mean by a great safe I said I
thought I wasn't thinking about the
problems are I never focus that what was
so good to save alright so she actually
said well it is a great safe because
many people do not know how to react
after they know that I'm a transgender
and you
just allow me to casually exert my
preference about how I would like to be
addressed so this is an judgmental so we
come to the next part
my last part normalizing conversation it
is actually an idea here's an idea -
generally affirm people or to tell the
person that he or she is not the odd one
out
not the weird one not a weirdo all right
so this is what we call as the hurting
mentality so the hurting mental hurting
mentality means monkey-see and monkey-do
alright so we see what people are doing
and we feel very comfortable because
everybody is doing so I should do the
same thing so how I make my patients
feel very normally is very cool by oh oh
don't worry
is because I will say this I always have
to tell my patients that there are other
people having the same problem okay
and other people also doing this thing
and this affirms them to feel very
secure because they know how other
people will react and how they will do
so how does this actually translate into
the herding mentality so and was
actually a social study so I'm just
gonna dis book I describe it as simple
as I can so there's the clinic but they
actually had an actor in the clinic
prior to any one so every time when the
bell was rung the actor will just like
span up let's sit down like ridiculous
or what because they are in darkness but
anyway there were new people who went
into the clinic and then the person
passed the Bell and the actors stood up
and the arable people were like I see
doing so here then they start asking why
are you doing this
and he's like oh you didn't know this
clinic AJ has a very nice rule when we
hear the bell we stand out it's a good
exercise every sir oh okay and everybody
started doing that at the end of that
social study most hundred percent of
them all stood up when the bell was rung
and they tried to get rid of the actor
and all the other people but this reflex
kept on happening even when director
left they pressed the bell everybody
stood up like idiots
interesting so this is what we call the
herding mentality we like to be
associated with people doing the same
thing as our fears
so the herding mentality you need to
understand something about the reading
mentality because it does not apply in
every situation because if you have no
facts you're the claims and whatever you
say is going to be two beers and not
everybody's that dumb all right so that
is why I'm gonna give you very classical
example before I finish off wishes huh
when we talk about hurts we are talking
about lack of sheep okay so this is my
patient
all right and that's moon not the sheep
okay so this is a very classical example
that my patients always tell me doctor I
don't want to take my medication my
friends and everyone sees that it's bad
for my kidney my liver see he's trying
to use the heavy mentality on me by
saying every body but that what is he no
facts it would seem to be as well I'm
not that dumb because I'm not the Sheep
all right so what I said I see in every
action there's a reaction so you love
eating right and the Sheep went like oh
yeah all right so I said it seems like
you have very high cholesterol and you
know overall weird you should stop
eating
same thing right so
the sheet said are you crazy I will die
was i well you said your medications is
bad for your liver and your kidney so no
eating is bad for you because your
cholesterol and you're overweight so you
should stop eating see I'm using that
the same analogy with the patient okay
so the person says you can't be serious
or say oh come on
well it is just I was using the same
analogy as you did however it does not
mean that add that it doesn't change the
fact that many people are also on the
same medication and some of them are on
lifetime of medication and they are not
necessarily spacing with liver and
kidney problems all you need to do is
monitor your liver and kidney function
while you are on those medications and
same goes to your food intake you need
to monitor your weight no cholesterol
and probably or sugar I know when to
take action so you see I was actually
using like you know the hurting effect
but with fats because many people are
also on the same medication and so we
are backing it up with facts so it's not
dubious even the sheep is not that dummy
- listen I will be smart enough to trust
me alright so if you are able to master
this art of the done W or W like Wow and
you can own you can even use this
concept to drink
and ego to think that it is a chicken
alright so as a recap very simple look
beyond the box and find fulfillment not
in stock powering didn't day in and day
out
be a problem-solver be proactive always
to your patients and not hope for other
people to be proactive to you and
remember your Wow your own because if
you are able to Wow and all master this
you will be able to own the world that
means only within you not attack me with
that thank you
[Applause]