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Patient centered storytelling and the future of Healthcare | Chidindu Mmadu-Okoli | TEDxAbayi


[Music]
[Music] [Applause]
well he’s good to be here daddy are you
well he’s good to be here daddy are you here
here
here okay he’s know you’re here so I grew up
okay he’s know you’re here so I grew up
okay he’s know you’re here so I grew up in a family or in a home where
in a family or in a home where
in a family or in a home where storytelling was an outside Jeana roots
storytelling was an outside Jeana roots
storytelling was an outside Jeana roots in so if my parents wanted to teach us
in so if my parents wanted to teach us
in so if my parents wanted to teach us about the certain value we will gather
about the certain value we will gather
about the certain value we will gather after dinner and share stories and
after dinner and share stories and
after dinner and share stories and gradually we became part of our
gradually we became part of our
gradually we became part of our childhood upbringing because we would
childhood upbringing because we would
childhood upbringing because we would come with our own stories they will come
come with our own stories they will come
come with our own stories they will come with their own stories and we would
with their own stories and we would
with their own stories and we would learn who would ask questions and where
learn who would ask questions and where
learn who would ask questions and where me to participates in our own childhood
me to participates in our own childhood
me to participates in our own childhood upbringing now over the years as a
upbringing now over the years as a
upbringing now over the years as a medical laboratory scientists and so on
medical laboratory scientists and so on
medical laboratory scientists and so on who does storytelling I realized that
who does storytelling I realized that
who does storytelling I realized that patients too can be part of the
patients too can be part of the
patients too can be part of the healthcare process or essential parts of
healthcare process or essential parts of
healthcare process or essential parts of the healthcare process and that is where
the healthcare process and that is where
the healthcare process and that is where the concept of narrative medicine comes
the concept of narrative medicine comes
the concept of narrative medicine comes to play now for me in the practice of
to play now for me in the practice of
to play now for me in the practice of medical laboratory science I figured out
medical laboratory science I figured out
medical laboratory science I figured out that there are two exceptional
that there are two exceptional
that there are two exceptional experiences that have had especially for
experiences that have had especially for
experiences that have had especially for my internship peers that formed the
my internship peers that formed the
my internship peers that formed the reason for this switch today and one of
reason for this switch today and one of
reason for this switch today and one of them was where I had done internship in
them was where I had done internship in
them was where I had done internship in the niger navy references Petula goes
the niger navy references Petula goes
the niger navy references Petula goes they had this military style of health
they had this military style of health
they had this military style of health care system where the patient’s was
care system where the patient’s was
care system where the patient’s was actually a core part of the health care
actually a core part of the health care
actually a core part of the health care delivery process so every average twice
delivery process so every average twice
delivery process so every average twice every month we would have mortality and
every month we would have mortality and
every month we would have mortality and morbidity medicines where everyone
morbidity medicines where everyone
morbidity medicines where everyone except cleaners who come together to
except cleaners who come together to
except cleaners who come together to find out the cause of death of certain
find out the cause of death of certain
find out the cause of death of certain patients and to find areas where we
patients and to find areas where we
patients and to find areas where we could make improvements and then weekly
could make improvements and then weekly
could make improvements and then weekly in the laboratory we had Quality
in the laboratory we had Quality
in the laboratory we had Quality Assurance meetings where we had to
Assurance meetings where we had to
Assurance meetings where we had to access information from other patients
access information from other patients
access information from other patients who had visited the laboratory to know
who had visited the laboratory to know
who had visited the laboratory to know what was wrong and had and then to fix
what was wrong and had and then to fix
what was wrong and had and then to fix the laboratory to function as it should
the laboratory to function as it should
the laboratory to function as it should now one experience one of the experience
now one experience one of the experience
now one experience one of the experience of stood out was or one of the quality
of stood out was or one of the quality
of stood out was or one of the quality assurance meetings we had five patient
assurance meetings we had five patient
assurance meetings we had five patient satisfaction survey forms where patients
satisfaction survey forms where patients
satisfaction survey forms where patients had in detail told us that they were not
had in detail told us that they were not
had in detail told us that they were not such as
such as
such as fight with our services because the
fight with our services because the
fight with our services because the ventilation there was cause and solution
ventilation there was cause and solution
ventilation there was cause and solution in the reception area and then he was
in the reception area and then he was
in the reception area and then he was suggesting things that we could do to
suggesting things that we could do to
suggesting things that we could do to make the area easy to make awaits in
make the area easy to make awaits in
make the area easy to make awaits in time easy for patients who were who were
time easy for patients who were who were
time easy for patients who were who were coming in and by that from the mid scene
coming in and by that from the mid scene
coming in and by that from the mid scene and all the things that we had picked
and all the things that we had picked
and all the things that we had picked together were able to not just do
together were able to not just do
together were able to not just do corrective maintenance on all the air
corrective maintenance on all the air
corrective maintenance on all the air conditioners away at the reception area
conditioners away at the reception area
conditioners away at the reception area but also all the EC’s in the laboratory
but also all the EC’s in the laboratory
but also all the EC’s in the laboratory we set up in those Chaffins and then we
we set up in those Chaffins and then we
we set up in those Chaffins and then we put up a plasma TV full DSTV
put up a plasma TV full DSTV
put up a plasma TV full DSTV subscription packages that made within
subscription packages that made within
subscription packages that made within time easier for patients they I picked
time easier for patients they I picked
time easier for patients they I picked the first lesson that if patients are
the first lesson that if patients are
the first lesson that if patients are not involved in the healthcare delivery
not involved in the healthcare delivery
not involved in the healthcare delivery process if their stories are not
process if their stories are not
process if their stories are not involved there would not be any
involved there would not be any
involved there would not be any advancement of the healthcare system and
advancement of the healthcare system and
advancement of the healthcare system and the only way to get them involved is to
the only way to get them involved is to
the only way to get them involved is to count their stories their narratives as
count their stories their narratives as
count their stories their narratives as very important now the second thing that
very important now the second thing that
very important now the second thing that stood out for me was a particular doctor
stood out for me was a particular doctor
stood out for me was a particular doctor who had a large number of patients on
who had a large number of patients on
who had a large number of patients on his consults Indies and the reason is
his consults Indies and the reason is
his consults Indies and the reason is simple patients wanted to just see him
simple patients wanted to just see him
simple patients wanted to just see him because they found that there was a kind
because they found that there was a kind
because they found that there was a kind of way he used or he had his own kind of
of way he used or he had his own kind of
of way he used or he had his own kind of strategy to dealing with patients funny
strategy to dealing with patients funny
strategy to dealing with patients funny enough the same doctor is a writer but
enough the same doctor is a writer but
enough the same doctor is a writer but then the second lesson is that patients
then the second lesson is that patients
then the second lesson is that patients will always stick to a provider who
will always stick to a provider who
will always stick to a provider who speaks the language that they can
speaks the language that they can
speaks the language that they can understand
understand
understand so as the patient tells his or her story
so as the patient tells his or her story
so as the patient tells his or her story they feel they feel glued to the
they feel they feel glued to the
they feel they feel glued to the provider that understands and helps them
provider that understands and helps them
provider that understands and helps them to get to the points of solution by
to get to the points of solution by
to get to the points of solution by carefully listening to their stories now
carefully listening to their stories now
carefully listening to their stories now in the healthcare system we know that
in the healthcare system we know that
in the healthcare system we know that there are gaps and I know that one of
there are gaps and I know that one of
there are gaps and I know that one of the major gap is that the healthcare
the major gap is that the healthcare
the major gap is that the healthcare practitioners needs to actually pay
practitioners needs to actually pay
practitioners needs to actually pay attention so there are lots of things
attention so there are lots of things
attention so there are lots of things that are involved in in the healthcare
that are involved in in the healthcare
that are involved in in the healthcare delivery process but an attention is key
delivery process but an attention is key
delivery process but an attention is key in doing that because if you come to
in doing that because if you come to
in doing that because if you come to either the practitioner comes to the
either the practitioner comes to the
either the practitioner comes to the consulting room or the laboratory
consulting room or the laboratory
consulting room or the laboratory scientist comes to the laboratory with
scientist comes to the laboratory with
scientist comes to the laboratory with an assumption in mind the
an assumption in mind the
an assumption in mind the not going to bring the exact results
not going to bring the exact results
not going to bring the exact results that the patient wants in the delivery
that the patient wants in the delivery
that the patient wants in the delivery process so that means that inspiration
process so that means that inspiration
process so that means that inspiration from whatever the patient tells the
from whatever the patient tells the
from whatever the patient tells the practitioner irrespective of their own
practitioner irrespective of their own
practitioner irrespective of their own field of practices will help the
field of practices will help the
field of practices will help the healthcare provider make better
healthcare provider make better
healthcare provider make better decisions and will help the healthcare
decisions and will help the healthcare
decisions and will help the healthcare design to be better for the patient’s
design to be better for the patient’s
design to be better for the patient’s sick so now the patient’s the
sick so now the patient’s the
sick so now the patient’s the patient-centered narratives will affect
patient-centered narratives will affect
patient-centered narratives will affect a lot of things there are other things
a lot of things there are other things
a lot of things there are other things that are necessary to make the
that are necessary to make the
that are necessary to make the healthcare system work in Nigeria
healthcare system work in Nigeria
healthcare system work in Nigeria especially we know that yes competency
especially we know that yes competency
especially we know that yes competency of them of providers are important
of them of providers are important
of them of providers are important interprofessional collaboration
interprofessional collaboration
interprofessional collaboration especially in this clime where a lot of
especially in this clime where a lot of
especially in this clime where a lot of strike actions are going on we also know
strike actions are going on we also know
strike actions are going on we also know that digital advantage is key as well as
that digital advantage is key as well as
that digital advantage is key as well as the stakeholder commitment and
the stakeholder commitment and
the stakeholder commitment and stakeholders mean patients the people
stakeholders mean patients the people
stakeholders mean patients the people who visit the hospital the relatives of
who visit the hospital the relatives of
who visit the hospital the relatives of patients investors and the healthcare
patients investors and the healthcare
patients investors and the healthcare system as well as the government’s
system as well as the government’s
system as well as the government’s itself now what do we now see now it’s
itself now what do we now see now it’s
itself now what do we now see now it’s Eve medicine us because knowing that the
Eve medicine us because knowing that the
Eve medicine us because knowing that the patient stories are important and will
patient stories are important and will
patient stories are important and will help to affect every other aspects in
help to affect every other aspects in
help to affect every other aspects in this wheel that you have seen now we
this wheel that you have seen now we
this wheel that you have seen now we need to know really what narrative
need to know really what narrative
need to know really what narrative medicine is so narrative medicine is the
medicine is so narrative medicine is the
medicine is so narrative medicine is the coming together of arts humanities and
coming together of arts humanities and
coming together of arts humanities and social sciences with medicine to help an
social sciences with medicine to help an
social sciences with medicine to help an effective healthcare delivery process so
effective healthcare delivery process so
effective healthcare delivery process so the business and the practice of
the business and the practice of
the business and the practice of healthcare is has evolved or will evolve
healthcare is has evolved or will evolve
healthcare is has evolved or will evolve if the patient’s narrative if there is a
if the patient’s narrative if there is a
if the patient’s narrative if there is a sort of empathy if there’s some sort of
sort of empathy if there’s some sort of
sort of empathy if there’s some sort of human centered or human driven
human centered or human driven
human centered or human driven initiative in the healthcare delivery
initiative in the healthcare delivery
initiative in the healthcare delivery process now in narrative medicine we
process now in narrative medicine we
process now in narrative medicine we don’t just make as patients X part of
don’t just make as patients X part of
don’t just make as patients X part of their own narratives we also listen we
their own narratives we also listen we
their own narratives we also listen we also pay attention to whatever they are
also pay attention to whatever they are
also pay attention to whatever they are doing because we know that by doing that
doing because we know that by doing that
doing because we know that by doing that we are able to address whatever their
we are able to address whatever their
we are able to address whatever their ideas or their expectations or their
ideas or their expectations or their
ideas or their expectations or their concerns or their needs are a narrative
concerns or their needs are a narrative
concerns or their needs are a narrative medicine or patient sensory telling us
medicine or patient sensory telling us
medicine or patient sensory telling us the future of healthcare is going to
the future of healthcare is going to
the future of healthcare is going to solve a lot
solve a lot
solve a lot a lots of problems so by just listening
a lots of problems so by just listening
a lots of problems so by just listening to the patients by coming with your with
to the patients by coming with your with
to the patients by coming with your with an open mind to know that each patients
an open mind to know that each patients
an open mind to know that each patients is as unique as fingerprints there are
is as unique as fingerprints there are
is as unique as fingerprints there are lots of mistakes or a lot of issues that
lots of mistakes or a lot of issues that
lots of mistakes or a lot of issues that we are going to avoid and one of them is
we are going to avoid and one of them is
we are going to avoid and one of them is we are going to eliminate waste so you
we are going to eliminate waste so you
we are going to eliminate waste so you imagine where a patient’s is wrongly
imagine where a patient’s is wrongly
imagine where a patient’s is wrongly diagnosed and then has the wrong series
diagnosed and then has the wrong series
diagnosed and then has the wrong series of tests money is going money is wasting
of tests money is going money is wasting
of tests money is going money is wasting patience fish and it seems
patience fish and it seems
patience fish and it seems sometimes they are not even able to
sometimes they are not even able to
sometimes they are not even able to afford some of those health care health
afford some of those health care health
afford some of those health care health care requirements or essentials but then
care requirements or essentials but then
care requirements or essentials but then they just have to keep doing it because
they just have to keep doing it because
they just have to keep doing it because somewhere along the line there’s a
somewhere along the line there’s a
somewhere along the line there’s a mystique we’re going to avoid over
mystique we’re going to avoid over
mystique we’re going to avoid over treatments we are going to reduce errors
treatments we are going to reduce errors
treatments we are going to reduce errors we are going to reduce waste and you
we are going to reduce waste and you
we are going to reduce waste and you know these are like the core besides the
know these are like the core besides the
know these are like the core besides the other ones are also mentioned because by
other ones are also mentioned because by
other ones are also mentioned because by just listening to the patient’s the
just listening to the patient’s the
just listening to the patient’s the practitioner becomes better informed
practitioner becomes better informed
practitioner becomes better informed palms to not see stats or Assizes things
palms to not see stats or Assizes things
palms to not see stats or Assizes things that I have already read in textbooks
that I have already read in textbooks
that I have already read in textbooks and schools there are also other things
and schools there are also other things
and schools there are also other things that I do not know that makes each
that I do not know that makes each
that I do not know that makes each patient’s unique in in their own health
patient’s unique in in their own health
patient’s unique in in their own health care delivery in the your own healthcare
care delivery in the your own healthcare
care delivery in the your own healthcare journey now what is the role of the
journey now what is the role of the
journey now what is the role of the practitioner in doing this so we know
practitioner in doing this so we know
practitioner in doing this so we know that oh we are going to make patients
that oh we are going to make patients
that oh we are going to make patients now it seems important we want to hear
now it seems important we want to hear
now it seems important we want to hear their stories want to give them
their stories want to give them
their stories want to give them something that is essential for a
something that is essential for a
something that is essential for a formidable healthcare system everybody
formidable healthcare system everybody
formidable healthcare system everybody has a role to play you ask the patients
has a role to play you ask the patients
has a role to play you ask the patients you as a practitioner but then the role
you as a practitioner but then the role
you as a practitioner but then the role of the practitioner comes first the
of the practitioner comes first the
of the practitioner comes first the practitioner is supposed to see the
practitioner is supposed to see the
practitioner is supposed to see the patient as the hero of the healthcare
patient as the hero of the healthcare
patient as the hero of the healthcare story so in every story arc or story
story so in every story arc or story
story so in every story arc or story line we have someone who is a hero the
line we have someone who is a hero the
line we have someone who is a hero the main character of that story and the
main character of that story and the
main character of that story and the patient’s in the health care industry is
patient’s in the health care industry is
patient’s in the health care industry is the hero of the healthcare story so the
the hero of the healthcare story so the
the hero of the healthcare story so the practitioner or the physician whatever
practitioner or the physician whatever
practitioner or the physician whatever area of specialty that the healthcare
area of specialty that the healthcare
area of specialty that the healthcare practitioner belongs sees the patient’s
practitioner belongs sees the patient’s
practitioner belongs sees the patient’s as the hero after without the patient
as the hero after without the patient
as the hero after without the patient will not be any healthcare system will
will not be any healthcare system will
will not be any healthcare system will not be hospitals and all that and then
not be hospitals and all that and then
not be hospitals and all that and then the practitioner comes to the meeting
the practitioner comes to the meeting
the practitioner comes to the meeting with the patient with an open mind you
with the patient with an open mind you
with the patient with an open mind you don’t come with your previous analysis
don’t come with your previous analysis
don’t come with your previous analysis the facts that’s all we have read that
the facts that’s all we have read that
the facts that’s all we have read that my son this patient has this disease
my son this patient has this disease
my son this patient has this disease it’s his cancer he has this disease
it’s his cancer he has this disease
it’s his cancer he has this disease it’s his diarrhea have we
it’s his diarrhea have we
it’s his diarrhea have we it’s a site for malaria you come with an
it’s a site for malaria you come with an
it’s a site for malaria you come with an open mind you listen as a practitioner
open mind you listen as a practitioner
open mind you listen as a practitioner you listen are you empathize you listen
you listen are you empathize you listen
you listen are you empathize you listen to understand you pay attention you
to understand you pay attention you
to understand you pay attention you encourage the conversation and if you’re
encourage the conversation and if you’re
encourage the conversation and if you’re going to give pieces of advice you don’t
going to give pieces of advice you don’t
going to give pieces of advice you don’t just say oh yeah stop smoking you give
just say oh yeah stop smoking you give
just say oh yeah stop smoking you give reasons you don’t smoke because in the
reasons you don’t smoke because in the
reasons you don’t smoke because in the long run maybe it would affect your spam
long run maybe it would affect your spam
long run maybe it would affect your spam material I you know be able to have
material I you know be able to have
material I you know be able to have children in the future you know so you
children in the future you know so you
children in the future you know so you wrap each piece of advice with a
wrap each piece of advice with a
wrap each piece of advice with a narrative so make that patients know
narrative so make that patients know
narrative so make that patients know that as much as your story is important
that as much as your story is important
that as much as your story is important I’m joining a lesson and I’m trying to
I’m joining a lesson and I’m trying to
I’m joining a lesson and I’m trying to give you that lesson in history formats
give you that lesson in history formats
give you that lesson in history formats to make it memorable – not just inspire
to make it memorable – not just inspire
to make it memorable – not just inspire to make something last longer in the
to make something last longer in the
to make something last longer in the mind of that patient and who love others
mind of that patient and who love others
mind of that patient and who love others the practitioner also should be open to
the practitioner also should be open to
the practitioner also should be open to learning storytelling techniques as
learning storytelling techniques as
learning storytelling techniques as means of communicating with patients and
means of communicating with patients and
means of communicating with patients and with other professionals for the good of
with other professionals for the good of
with other professionals for the good of the patient and then what is the rule of
the patient and then what is the rule of
the patient and then what is the rule of the patient if you’re coming to the
the patient if you’re coming to the
the patient if you’re coming to the consulting room to see doctor or you’re
consulting room to see doctor or you’re
consulting room to see doctor or you’re going to the laboratory or you’re going
going to the laboratory or you’re going
going to the laboratory or you’re going to carry out a particular procedure you
to carry out a particular procedure you
to carry out a particular procedure you also are responsible so Bernard it is
also are responsible so Bernard it is
also are responsible so Bernard it is where we see the practitioners as the
where we see the practitioners as the
where we see the practitioners as the god of the practices I mean health care
god of the practices I mean health care
god of the practices I mean health care provider but I like to make sure that
provider but I like to make sure that
provider but I like to make sure that even the patients who come to me are
even the patients who come to me are
even the patients who come to me are aware so a certain extent the setting
aware so a certain extent the setting
aware so a certain extent the setting things are important and that is why we
things are important and that is why we
things are important and that is why we taught them nothing moves forward
taught them nothing moves forward
taught them nothing moves forward what is your rule ask the patients you
what is your rule ask the patients you
what is your rule ask the patients you come to the consulting room to talk with
come to the consulting room to talk with
come to the consulting room to talk with the doctor the first thing you should do
the doctor the first thing you should do
the doctor the first thing you should do is to also be open so you start with in
is to also be open so you start with in
is to also be open so you start with in high impact statements doc I’ve been
high impact statements doc I’ve been
high impact statements doc I’ve been having this stomach ache
having this stomach ache
having this stomach ache he’s been severe for three weeks it
he’s been severe for three weeks it
he’s been severe for three weeks it feels like as if there are pins pierce
feels like as if there are pins pierce
feels like as if there are pins pierce in my stomach so somehow the doctor has
in my stomach so somehow the doctor has
in my stomach so somehow the doctor has an idea of how severe or the severity of
an idea of how severe or the severity of
an idea of how severe or the severity of the pain that you’re feeling in your
the pain that you’re feeling in your
the pain that you’re feeling in your stomach is and the next thing is to give
stomach is and the next thing is to give
stomach is and the next thing is to give a backstory did you have any other
a backstory did you have any other
a backstory did you have any other sickness before that time what’s
sickness before that time what’s
sickness before that time what’s happened before the the stomach the
happened before the the stomach the
happened before the the stomach the severe stomach ache began and and had
severe stomach ache began and and had
severe stomach ache began and and had gotten to that extent of being severe
gotten to that extent of being severe
gotten to that extent of being severe then the next thing is to create a
then the next thing is to create a
then the next thing is to create a circumstance what was the first thing
circumstance what was the first thing
circumstance what was the first thing that’s happened before the stomachache
that’s happened before the stomachache
that’s happened before the stomachache so you’re telling a story is about
so you’re telling a story is about
so you’re telling a story is about storytelling and then the professional
storytelling and then the professional
storytelling and then the professional is listening and practically so
is listening and practically so
is listening and practically so understand patients to speak up and then
understand patients to speak up and then
understand patients to speak up and then to be part of the healthcare delivery
to be part of the healthcare delivery
to be part of the healthcare delivery process to come with an open mind so
process to come with an open mind so
process to come with an open mind so that’s by fostering healthy healthcare
that’s by fostering healthy healthcare
that’s by fostering healthy healthcare provider
provider
provider patient provider relationship we achieve
patient provider relationship we achieve
patient provider relationship we achieve a formidable health care system in
a formidable health care system in
a formidable health care system in Nigeria and in the world thank you very
Nigeria and in the world thank you very
Nigeria and in the world thank you very much for listening
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