Jerome Groopman

  • Aired:  10/03/11
  •  | Views: 12,138

Dr. Jerome Groopman helps patients understand the risks and benefits of possible treatments so they can make informed health decisions. (5:15)

>> Stephen: WELCOME BACK,

EVERYBODY.

MY GUEST TONIGHT HAS WRITTEN

A NEW BOOK, YOUR MEDICAL

MIND, HOW TO DECIDE WHAT IS

RIGHT FOR YOU.

STEP ONE, DON'T GET SICK.

PLEASE WELCOME DR. JEROME

GROOPMAN.

(CHEERS AND APPLAUSE)

GOOD TO SEE YOU AGAIN,

JERRY.

ALL RIGHT, LET'S GET YOUR

BON A FEDDEST OUT HERE

BECAUSE THEY'RE NOT

UNIMPRESSIVE, FIRST OF ALL

YOU'RE A PROFESSOR AT

HARVARD MEDICAL SCHOOL AND

CHIEF OF EXPERIMENTAL

MEDICINE AT BETH ISRAEL

DEACONESS MEDICAL CENTRE.

YOU ARE A NEW YORK STAFF

WRITER AND YOU HAVE A NEW

BOOK CALLED "YOUR MEDICAL

MIND: HOW TO DECIDE WHAT IS

RIGHT FOR YOU"

SO ARE YOU SAYING THAT I GET

TO DECIDE ON MY TREATMENT?

>> I-- WHY DID YOU GO TO

MEDICAL SCHOOL.

>> I WENT TO MEDICAL SCHOOL

TO HELP YOU UNDERSTAND THE

RISKS AND BENEFITS AS AN

INDIVIDUAL ARE.

SO YOU CAN PUT YOUR VALUES

INTO THE DECISION.

>> Stephen: BUT I COME TO

YOU.

I'M SICK.

AND BY THE WAY DID YOU BRING

YOUR PRESCRIPTION PAD

TONIGHT.

DID YOU BRING ANYTHING LIKE

THAT.

BECAUSE I HEAR THERE IS A

COUGH SYRUP WITH VICODIN

THAT WHATEVER YOU NEED FOR

THAT, I'VE GOT THAT.

>> JEFF TOOBIN WILL

REPRESENT ME.

>> Stephen: FANTASTIC.

BUT IF I'M A DEATHLY SICK

PERSON, DO I WANT TO YOU

TAKE OVER TO TELL ME WHAT'S

BEST FOR ME?

BECAUSE I'M DEALING WITH THE

STRESS OF BEING A

TERRIBLEABLY SICK PERSON.

>> I CAN HELP CERTAINLY

GUIDE YOU AND EXPLAIN TO YOU

WHAT THE RISKS AND BENEFITS

ARE.

BUT I NEED TO KNOW FROM YOU

WHAT YOUR PERSONAL APPROACH

IS.

WHAT YOUR PHILOSOPHY, HOW

MUCH RISK DO YOU WANT TO

TAKE.

HOW DO YOU PERCEIVE THE

BENEFIT.

>> Stephen: THAT'S NOT WHAT

HOUSE DOES.

(LAUGHTER)

THAT IS EVEN WHAT MARCUS

WELBY DID.

TV DOCTORS DON'T DO THAT.

>> RIGHT, AND THOSE ARE THE

BEST DOCTORS.

(LAUGHTER)

>> THE MARCUS WELBY ERA IS

OVER.

BECAUSE MEDICINE IS NOT

BLACK AND WHITE.

THERE'S A LARGE GRAY ZONE.

FOR EXAMPLE, LOOK AT

MAMMOGRAMS.

>> Stephen: I-- I--

(LAUGHTER)

I-- I WAS GOING TO SAY-- I

GOT CAUGHT ONCE AND I DON'T

ANY MORE.

BUT GO AHEAD.

>> THE MAMMOGRAM WHAT AGE

SHOULD THEY BEGIN.

HOW OFTEN SHOULD THEY BE

PERFORMED ON A WOMAN.

FOUR DIFFERENT EXPERT GROUPS

COME UP WITH FOUR DIFFERENT

RECOMMENDATIONS.

HIGH CHOLESTEROL, SHOULD YOU

TAKE A STATIN PILL OR NOT.

WHAT IS YOUR RISK OF A HEART

ATTACK.

DO YOU WANT TO TAKE THE RISK

OF THE SIDE EFFECTS, MUSCLE

PAIN, INDIGESTION, LIVER

PROBLEMS, SO IT'S VERY

INDIVIDUAL.

>> Stephen: SO IF I'M A

PATIENT WHAT SHOULD I DO

BEFORE I TALK TO A DOCTOR.

I MEAN OBVIOUSLY I'M

CHECKING WEB MD AND HI WILL

WANT TO GET A SECOND OPINION

FROM EITHER WICK

PEDESTRIANIA OR TWITTER

TWITTER-- WIKIPEDIA OR

TWITTER AND THEN ORDER SOME

CHEAP CANADIAN VIAGRA

THROUGH E-MAIL.

WHAT ELSE CAN I DO.

>> SO FIRST IS WHAT IS YOUR

PERSONAL APPROACH, ARE

YOU-- DO YOU WANT TO DO

EVERYTHING AND MORE.

>> YES.

>> OR ARE YOU A MINIMALIST.

DO YOU WANT TO DO JUST THE

MINIMUM NECESSARY.

OTHER PEOPLE LOOK TO

TECHNOLOGY, THE LATEST,

GREATEST, NEWEST DRUG OR

PROCEDURE.

AND MOST IMPORTANTLY,

PERHAPS, ARE YOU A BELIEVER.

DO YOU REALLY THINK THERE IS

A SOLUTION SOMEWHERE FOR

YOUR MEDICAL PROBLEM.

>> Stephen: I DO.

BECAUSE IF THERE ISN'T, THEN

I WILL EVENTUALLY DIE.

(LAUGHTER)

>> Stephen: AND THAT IS NOT

ACCEPTABLE, DOCTOR.

CHECK YOUR OATH.

>> RIGHT.

>> Stephen: FIRST, NO ONE

DIES.

SECOND, DO NO HARM.

>> RIGHT.

THAT'S AN IMPOSSIBILITY BUT

THERE ARE PEOPLE WHO ARE

DOUBTERS.

PEOPLE WHO THINK IS THE

TREATMENT WORSE THAN THE

DISEASE.

SO THE FIRST QUESTION YOU

SHOULD ASK YOURSELF BEFORE

YOU SEE THE DOCTOR, AND THEN

TO ASK THE DOCTOR IS IF I DO

NOTHING, WHAT IS MY RISK FOR

A HEART ATTACK IF I HAVE A

HIGH COLEST RAL OR WHAT MY

RISK OF DYING IF I HAVE

PROSTATE KANNER OR WHATEVER.

THAT IS THE STARTING POINT.

THAT IS THE KEY QUESTION.

AND THEN YOUR INDIVIDUAL

VALUES, YOUR MIND-SET IS

MOLDED TO THAT INFORMATION.

>> Stephen: YOU'RE A DOCTOR.

>> YES.

>> Stephen: IS WHAT YOU DO

INTERSTATE COMMERCE.

>> WELL, WE CERTAINLY USE

DRUGS AND HAVE PROCEDURES

AND INSTRUMENTS THAT CROSS

STATELINES.

>> Stephen: SO.

>> SO IT IS.

>> Stephen: IT IS.

ARE YOU GOING TO TESTIFY

BEFORE THE SUPREME COURT.

>> NO.

NO, I'M NOT.

BUT I DO BELIEVE THAT THERE

SHOULD BE UNIVERSAL COVERAGE

IN THIS COUNTRY.

(CHEERS AND APPLAUSE)

>> Stephen: YOU SEE, DOCTOR,

THIS IS WHY IT'S ANSWERS

LIKE THAT IS WHY WE ALWAYS

HAVE TO HAVE SECRETARY

OPINIONS.

(LAUGHTER)

DR. GROOPMAN, THANK YOU SO

MUCH FOR JOINING ME, JEROME

GROOMMAN, THE BOOK IS YOUR

MEDICAL MIND.

WE'LL BE RIGHT BACK.

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