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How to save your life in a complex health care system | Claire Snyman | TEDxStanleyPark


[Applause]

our sickest patients are frequently

harmed inside our health care systems

medical era is the third leading cause

of death in Canada and in the u.s. and

South Africa where I’m from is just as

high complex cases like cancer heart

disease and diabetes have multiple

specialists multiple visits and multiple

opportunities for deadly mistakes I know

I nearly died from mistakes I’m here to

say you can catch preventable mistakes

you might save a life

yours or someone you love I didn’t know

this years ago I’m at home it’s 3 a.m.

and I wake up with an excruciating

headache

I have nausea and heaving over the

toilet I’m not pregnant or hungover my

husband Marchand drives me to the

emergency room have you visited the ER

hours of waiting rewarded with a

fashionable backless blue gown and too

sick to care I get needle into my veins

and into my back the spinal fluid I feel

like a human pincushion brain scan yep

my brains still there I just want to go

home to my four-year-old son Aiden the

ER doctor arrives someone who’s used to

giving bad news all day with little

empathy I call him dr. blunt he says

Claire

you have a small brain tumor but it’s

not causing your headaches what what did

you say you have a brain tumor

I recommend yoli MRIs or brain scans but

it’s not causing your headaches what I

have a brain tumor it’s not causing my

headaches yeah

meningitis is causing your headaches

with medication it’ll resolve you can go

home he walks out what I have a brain

tumor I have a ticking time bomb inside

my head and no one knows when it’s gonna

go off what it’s dark when we get home I

peek in on Aiden asleep his little chest

moving up and down more than anything I

want to watch Aiden grow up next morning

3:00 a.m. I wake up this time I’m scared

I tiptoed to my computer I need to

educate myself in ask questions but

let’s be honest I don’t know where to

start I don’t know what to do

fortunately dr. Google is on call I find

the Facebook brain tumor support group

and on it people are saying get copies

of your medical records and be a tracker

track everything your doctor says

because mistakes can happen from simple

oversight to something more serious and

mistakes can add up Aiden Boxton

sleepy-eyed

it’s 5:00 a.m. mommy

what you doing how do you tell your

child you have a serious illness

I love mommy is mommy sick so my friends

are saying I should be a tracker so I’m

educating myself I’m being an Oscar

mommy

I thought you a manager oh yes love I’m

still a manager okay I go play his back

to his animals my son in mind of me I’m

a manager at work so how can I think

like a manager about my health

I know I need to track my medical

records educate myself and ask questions

and manage all my appointments and

medications spells interesting ok track

educate ask manage my support group my

family and my doctors also on my team

this is like a team approach to manage

my health little did I know this

approach would save my life

because I would catch mistakes that

could happen to anyone

let me show you a mistake one doctor

blunt said brain scans every year but in

his report he wrote one brain scan next

year with no reference to every earth I

flagged this a small mistake or simple

oversight mistake to your later brain

scan time

dr. brain my neurologist says to me

Claire your mi is stable no further MRIs

are needed this feels good I’d go home

and tell my Facebook brain tumor support

group the good news until they remind me

the medical standard of care which is a

thing that most doctors do is brain

scans every year I asked for a second

opinion who confirms us I caught a

mistake without harm medical opinions

can differ but when it doesn’t feel

right keep asking mistake three a year

later I wake up at home to a spinning

room and my eyes can’t look up my family

doctor sends me to the neurologist

on-call doctor at 24/7 he’s dismissive

and very overworked doctor I am dizzy

and my eyes can’t look up is this a

symptom that my brain tumors growing

Claire

probably an ear infection he says to me

and he sends me home with no medication

no follow-up appointment and no brain

scan now this was a mistake according to

a subsequent medical board review I’m an

optimist

no one was trying to harm me humans make

mistakes mistakes now adding up a week

later and I’m still dizzy and I

developed an intense headache so my

family doctor sends me to the ER and I

make dr. busy and I know what I need to

ask where’s my husband and my support

group have given me advice mistake for

doctor I have a brain tumor I am dizzy

with an intense headache I think I need

a brain

Claire I’ve spoken to your neurologist

we’re increasing in medications no brain

scan you’re good to go home

it’s common for doctors to trust the

specialists is this a mistake

well next day I’m confusing my words and

my legs are weak my husband drives me to

our family doctor he’s demanding a brain

scan so my family doctor refers me or

private pay MRI my brain tumor had

thank goodness for my team approach

track educate ask manage for my support

groups my family doctor my husband

demanding a brain scan and for the

medical team that finally saved my life

without them all I wouldn’t be here

today

a collection of mistakes would have died

health care systems are complex and

overburdened for both patients and

doctors mistakes can happen we’re only

because this is life you need a team

approach learn to track educate ask and

manage gather your support groups

your life is too important to take

lightly

be proactive take responsibility and put

your health in your own hands you might save a life yours or somebody you love

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