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Motivation to be different | Philip Croon | TEDxUniversiteitVanAmsterdam


it’s been so exciting already today I
think I was mostly touched by the story
Edward talked about someone who oak came
all the way from Syria as a refugee and
she was afraid to take the bike here in
M stand because it was too dangerous I
once met a patient who was also a
refugee from Syria and he was shot there
in the leg it took him one and a half
year to cross all the borders between
Syria and Holland and before he received
proper medical attention and we weren’t
sure if we could save his leg when I
asked him what what do you want what’s
the most important thing for you you can
do after you had your surgeon he said I
hope one day I will be able to ride a
bike and I think this illustrate
perfectly the rest of my story about how
patients can be can have the same
backgrounds but very different wishes
and needs what I will share with you
today is a very personal story when I
was in the first year of medicine my
stepmom was really sick she was in
unbearable chest pain she hardly aids
barely slept and she kept on working
full-time I remember that my dad had to
bring her to work because she couldn’t
carry her own bag anymore for two years
she visits a doctor after doctor and one
thought the pain was imaginary and gave
her a paracetamol another thought it was
the teacher syndrome and she was even
hospitalized in the clinic for
rheumatism for two weeks after these two
years she was finally referred to chest
physician and finally for the second
time x-rays were made and the diagnosis
came metastasized lung cancer had grown
through her backbone my stepmom tried
everything she even went to a famous
retired doctor that gave her nothing
with false hope and a 700 year old bill
no doctor could help her the only one
who gave her relief was an old hippie
with his cannabis oil it was the only
thing that helped after my first exams
my charming 42 year old stepmom
in this first year I was rebellious and
upset I thought me and my fellow
students were all sheep just following
class after class but we didn’t really
learn how to help patients
I thought all doctors were autistic and
not able to relate to patients even
though my notes were good I thought of
quitting a lot and even in spring the
months were dark and I just didn’t know
what to do but that summer at the end of
my first year I did an internship in the
internal medicine and oncology
department in Amsterdam Hospital in one
month 10 patients died and I remember
every single one of them there was an
old man who came into the emergency
department in very bad shape and it was
the first time that I’ve performed CPR
it was also the first time that someone
died literally under my hands and the
saddest thing about the story was that
you only want to call to inform about
his death what’s the Salvation Army
there was a lung cancer patient who one
they told me crying I haven’t seen my
daughter in 20 years and I would really
like to see her for the last time the
day before she died her daughter came
and she got what she wanted there was a
94 year old woman who I had a lot of
conversations with about life about
death about her future with God one day
she came to me and said I hope to see
you in heaven once this was the first
time I felt like I could really mean
something to patients and actually these
patients meant a lot to him to me this
feeling that I could be there for them
listening to them listening to her
stories was very important to me these
patients gave me my motivation back the
next year I applied for a job in the
head and neck oncology department of an
Amsterdam hospital my job mainly
consisted of being with the patient’s
before or after the visit from the
doctor I had to take care of their
medical records their history
after a while all the doctors would come
in surgeon surgeon training oncologist
radio therapist
intern the whole room was filled with
white coats and after ten minutes they
were all gone but me it was the first
time that I saw that doctors don’t know
what happens to patients after they
leave actually I was a patient myself
once I had an infection in my knee
nothing very bad but I had to go to the
emergency department and the infection
had to be drained I was laying there on
the bed and well a little clumsy doctor
about my age I think started cutting in
the wound I was laying there in a lot of
pain rubbing my face another doctor was
explaining to me how I should clean the
one wound and how I should bandage it
the only thing I remember is my mom
saying do you really think he gets
anything from what you’re saying
unfortunately she could tell me
afterwards so what I found out in this
time in my work in the oncology
department was at first the doctors
don’t know what happens to patients
after they leave I also saw that a lot
of the questions patient has are not
being answered for and these questions
are often not what doctors think these
questions are for example doctors think
people want to be cured they want to
have their pain relief and very often
they’re right but there are more
questions for example the 94 year old
woman she wanted to talk about god about
her past about her husband who had
already died and she hoped to see him
and me when she was with God again
hopefully not soon soon she said or the
lung cancer patient who wanted to see
her daughter for the last time she had
another wish she wanted to see her
little dog for the last time and of
course dogs are not allowed in the
hospital so I smuggled her dog in a big
plastic bag feeding it cookies and
hoping it wouldn’t bark and she saw her
dog for the last time this time I
the most precious moments I had with
these patients where the moments where I
just could be there for them just
listening to their stories just sitting
next to her bed like taking care of
their actual needs just like the hippie
with his cannabis oil did for my
stepmother as students and particularly
in medicine we should be with patients
and I mean this literally be with them
this is the only way we can see what
they need and learn what’s going on with
them and this is what my enterprise made
him at does we train students so they
can accompany patients to the doctor
this way they can help them by arranging
appointments explaining what the doctor
said but more valuable they can be there
for them relate to them and try to find
out what their actual need is and this
is not only very valuable to the patient
but it will give insights or thus to the
students that they will take with him
for the rest of its career I believe
this does not only account for doctors
for everyone it’s of high importance to
recognize this hippy inside of you with
this cannabis oil to see who you’re
working with with why you are doing some
something for someone if you can be
there for them more than just being the
professional according to standards and
I think this ability doesn’t come
automatically and it can’t be learned in
lectures you have to go out there and
experience try to find someone talk to
them about your needs this is the only
way I think you can learn this it seems
like unconventional measures but just
help someone once by holding their hand
or asking if you can do anything for
them so whether you are a professor a
lawyer a director or anyone else I hope
you can be the best professional you can
possibly be according to standards but
never forget to be the black sheep and
recognize inside of you the hippie with
this cannabis oil thank you very much you
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