Dave deBronkart: Meet e-Patient Dave

譯者: Vicky Chen 審譯者: Chien-Ping 洪健彬 Hung

太神奇了，我們能在這裡談談

It's an amazing thing

that we're here to talk about the year of patients rising.

病人崛起年。

稍早你們已經聽過

You heard stories earlier today

有些病人現在能掌控住自己的病情

about patients who are taking control of their cases,

有些病人說：你知道嗎，我知道我有多小的機會，

patients who are saying,

"You know what, I know what the odds are,

但我要去找尋更多資訊

but I'm going to look for more information.

我將要闡述

I'm going to define what the terms of my success are."

我自己的成功

我即將和你們分享

I'm going to be sharing with you how, four years ago, I almost died --

我如何在四年前幾乎要死掉時

發現我其實

found out I was, in fact, already almost dead --

已經幾乎死了

and what I then found out

在那時我也發現所謂的e-病人運動--

about what's called the e-Patient movement.

我等會解釋我所謂的成功是什麼

I'll explain what that term means.

我一直以病人戴維的稱號寫部落格

I had been blogging under the name "Patient Dave,"

and when I discovered this,

當我發現這樣的事情之後 (e-病人)

I just renamed myself e-Patient Dave.

我就改名為e-病人戴維

Regarding the word "patient":

關於「病人」這個字，

When I first started a few years ago getting involved in health care

當我幾年前一開始

參與健康關懷

and attending meetings as just a casual observer,

以一個非正式的觀察者參加會議時

我注意到人們談論到病人的感覺

I noticed that people would talk about patients

好像這個人不在現場似的

as if it was somebody who's not in the room here --

somebody out there.

是某個事不關己的人

Some of our talks today, we still act like that.

今天某些演講還是用這種態度

But I'm here to tell you:

但我要告訴你們

"patient" is not a third-person word.

病人並不是一個第三者

All right?

你自己

You yourself will find yourself in a hospital bed --

有天也會躺在醫院裡

or your mother, your child --

或者你的母親和小孩

there are heads nodding, people who say,

有些人在點頭說「沒錯，我感同身受。」

"Yes, I know exactly what you mean."

So when you hear what I'm going to talk about here today,

所以當你聽到我今天要談論的

首先，我想要說

first of all, I want to say that I am here

我僅代表

on behalf of all the patients that I have ever met,

所有我遇過的

all the ones I haven't met.

以及我未曾遇過的病人

This is about letting patients play a more active role

為了讓病人們扮演一個更積極的角色

在幫助及修復健康關懷方面

in helping health care, in fixing health care.

在我醫院裡的一個前輩醫生

One of the senior doctors at my hospital,

Charlie Safran以及他的同事Warner Slack

Charlie Safran, and his colleague, Warner Slack,

have been saying for decades

數十年來一直宣導的

that the most underutilized resource in all of health care

在所有健康關懷的資源裡最沒有被充分利用的

就是病人

is the patient.

They have been saying that since the 1970s.

他們從1970年代就一直再宣導這個

Now, I'm going to step back in history.

現在我要重回歷史

This is from July, 1969.

在1969年的7月

I was a freshman in college,

我那時是大學新鮮人

and this was when we first landed on the Moon.

那時也是人類第一次登陸地球

那是第一次

And it was the first time

we had ever seen from another surface --

我們得以從另一個地表看地球

就是你和我現在的所在

that's the place where you and I are right now,

我們住的地方

where we live.

The world was changing.

當時那個世界正在改變

It was about to change in ways that nobody could foresee.

它即將以無人能預知的方式改變

A few weeks later, Woodstock happened.

幾個星期後

伍德斯托克音樂節發生了

Three days of fun and music.

整整三天的音樂和樂趣

Here, just for historical authenticity,

為了考據這歷史的真實性

is a picture of me in that year.

這有一張我當年的照片

(Laughter)

(笑聲)

Yeah, the wavy hair, the blue eyes --

對，波浪捲和藍眼睛

it was really something.

蠻酷的

That fall of 1969,

1969年的秋天

the Whole Earth Catalog came out.

美國次文化期刊發行了

It was a hippie journal of self-sufficiency.

它是一本自給自足的嬉皮雜誌

我們以為嬉皮只是享樂主義者

We think of hippies of being just hedonists,

但其中有一個很重要的元素，我自己參與過那一場運動

but there's a very strong component -- I was in that movement --

一個很重要的元素

a very strong component of being responsible for yourself.

就是對自己負責

This book's title's subtitle is "Access to Tools."

這本書標題中的副標題

是接近工具

It talked about how to build your own house,

它談論到如何建造自己的房子

how to grow your own food, all kinds of things.

如何栽種自己的食物和所有其他東西

在1980年代

In the 1980s,

this young doctor, Tom Ferguson,

醫生Tom Ferguson

was the medical editor of the Whole Earth Catalog.

是美國次文化期刊的醫療編輯

He saw that the great majority of what we do in medicine and health care

他發現大部分

我們在醫藥和健康醫護上

主要是照顧我們自己

is taking care of ourselves.

事實上，他說是有百分之七十至八十

In fact, he said it was 70 to 80 percent

of how we actually take care of our bodies.

我們真正照顧自己的身體

Well, he also saw that when health care turns to medical care

而且他也看到

當健康關懷轉到醫療關懷時

because of a more serious disease,

因為一個更嚴重的疾病

the key thing that holds us back is access to information.

主要阻止我們的是資料的取得性

And when the Web came along, that changed everything,

當網路時代來臨時，一切都改變了

因為不只我們能找到資訊

because not only could we find information,

we could find other people like ourselves

我們也能找到有相同狀況的病人

who could gather, who could bring us information.

可以聚在一起，互相提供資訊

他可以加入e-病人的行列

And he coined this term "e-Patients" --

equipped, engaged, empowered, enabled.

有裝備，能專心一致，賦予力量，有能力了

Obviously, at this stage of life

明顯地，在此人生階段

he was in a somewhat more dignified form than he was back then.

他比之前更有尊嚴

Now, I was an engaged patient long before I ever heard of the term.

我是一個專心從事此工作的病人

而且早在我聽過這個專有名詞之前

In 2006, I went to my doctor for a regular physical,

2006年時，我為了一個例行檢查去看醫生

and I had said, "I have a sore shoulder."

我說我肩膀痠痛

然後就照了X光

Well, I got an X-ray,

and the next morning --

隔天早上

you may have noticed, those of you who have been through a medical crisis

你可能已經發現，尤其是你們之中曾經經歷醫療危機的人

就能體會

will understand this.

這個早晨，有些講者

This morning, some of the speakers named the date when they found out

把發現病情狀況的日期時間表明出來

about their condition.

For me, it was 9am

我的是早上9點

on January 3, 2007.

2007年，1月3日

我在辦公室裡，桌上很乾淨

I was at the office; my desk was clean.

牆上有藍色的隔間毯

I had the blue partition carpet on the walls.

電話響了，是我的醫生打的

The phone rang and it was my doctor.

他說，戴維，我把X光片拉開

He said, "Dave, I pulled up the X-ray image

放在家裡的電腦螢幕上

on the screen on the computer at home."

他說，你的肩膀沒事

He said, "Your shoulder is going to be fine,

但是戴維你的肺裡有東西

but Dave, there's something in your lung."

如果你看一下那個紅色橢圓物

And if you look in that red oval,

那邊不應該有那種陰影物

that shadow was not supposed to be there.

長話短說

To make a long story short,

所以我得回去醫院嗎?

I said, "So you need me to get back in there?"

他說，是，我們需要幫你的胸部做個電腦斷層掃描

He said, "Yeah, we're going to need to do a CT scan of your chest."

而且告別前我說"我應該做什麼嗎?"

In parting, I said, "Is there anything I should do?"

他說，考慮一下這個

He said -- think about this one,

這是你的醫生的良心建議

this is the advice your doctor gives you:

回家和你老婆喝杯酒吧

"Just go home and have a glass of wine with your wife."

我進去做電腦斷層掃描

I went in for the CAT scan.

It turns out there were five of these things in both my lungs.

結果我兩邊的肺部總共有五個這些東西

So at that point we knew that it was cancer.

所以那時我們就知道那是癌症

We knew it wasn't lung cancer.

我們知道那不是肺癌

That meant it was metastasized from somewhere.

它是從別處轉移過來的

問題是從哪裡來?

The question was, where from?

So I went in for an ultrasound.

所以我去照了超音波

我必須做很多女人做的一樣

I got to do what many women have --

the jelly on the belly and the, "Bzzzz!"

在腹部上塗上膠凍然後滋滋...

我老婆和我一起去的

My wife came with me.

他是一個獸醫

She's a veterinarian,

so she's seen lots of ultrasounds.

所以她看了很多超音波

I mean, she knows I'm not a dog.

我的意思是他知道我不是隻狗

(Laughter)

This is an MRI image.

但是我們看到的，這是個核磁共振攝影

This is much sharper than an ultrasound would be.

這筆超音波清楚多了

我們在腎臟裡看到的

What we saw in that kidney

是那邊的球狀物

was that big blob there.

而且實際上還有兩個

There were actually two of these: one was growing out the front

一個長在前面，而且已經爆發

and had already erupted and latched onto the bowel.

深藏在腸子裡

一個長在背面，黏在比目魚肌上

One was growing out the back and it attached to the psoas muscle,

這是一個我未曾聽聞的背部大肌肉

which is a big muscle in the back that I'd never heard of,

但是突然間我在意起它來

but all of a sudden I cared about it.

(Laughter)

我回家

I went home.

Now, I've been Googling --

我一直在網路上搜詢資料，自從1989年起我就透過Compuserve上網

I've been online since 1989, on CompuServe.

我回家去，我知道不能在這裡讀到詳細資訊

I went home, and I know you can't read the details here;

那不重要

that's not important.

My point is, I went to a respected medical website, WebMD,

我的重點是我去了一間很受尊重的醫學網站

WebMD

因為我知道如何過濾垃圾訊息

because I know how to filter out junk.

I also found my wife online.

我也在網路上找到老婆

Before I met her,

遇到她之前

I went through some suboptimal search results.

我瀏覽了一些未達理想的搜尋結果

(笑聲)

(Laughter)

So I looked for quality information.

所以我尋找有品質的資訊

There's so much about trust --

這跟信任有很大的關係

what sources of information can we trust?

我們能信任什麼樣的來源的資訊呢

我的身體極限在哪裡

Where does my body end and an invader start?

侵略者從何開始

A cancer, a tumor, is something you grow out of your own tissue.

癌症和腫瘤是從你自己的組織長出來的

那是如何發生的?

How does that happen?

Where does medical ability end and start?

醫療的能耐從哪裡

結束和開始?

Well, so what I read on WebMD:

所以我從WebMD讀到

病情結果預測不好

"The prognosis is poor for progressing renal cell cancer.

對進行中的腎組織癌症來說

幾乎大部分的病人都是無法治癒的

Almost all patients are incurable."

我的網路經驗多到知道

I've been online long enough to know if I don't like the first results I get,

如果我不喜歡第一個搜尋結果

我就繼續找更多

I go look for more.

And what I found on other websites was,

而我找到的是在另一個網站

even by the third page of Google results:

還是在Google搜尋的第三頁裡

"Outlook is bleak."

前景堪慮

"Prognosis is grim."

病情預測嚴酷

但我卻在想著，搞什麼鬼

And I'm thinking, "What the heck?"

我一點也不覺得病了

I didn't feel sick at all.

我意思是說，我晚上會感到累

I mean, I'd been getting tired in the evening,

但我已經五十歲了啊

but I was 56 years old, you know?

我的體重慢慢下降

I was slowly losing weight,

但是對我來說，是醫生叫我這樣做的

but for me, that was what the doctor told me to do.

這真是很酷

It was really something.

And this is the diagram of stage 4 kidney cancer

這是腎臟癌第四期的圖表

最終我終於從我吃的藥得到

from the drug I eventually got.

Totally by coincidence, there's that thing in my lung.

完全是巧合，在我肺裡有那東西

在左邊的股骨，左邊的大腿骨，有另一個

In the left femur, the left thigh bone, there's another one.

我曾經有過一個，我的腿最後斷裂了

I had one. My leg eventually snapped.

我昏倒然後倒在腳上，然後就斷了

I fainted and landed on it, and it broke.

頭骨裡也有一個

There's one in the skull,

and then for good measure, I had these other tumors,

然後為了好的測量，我還有其他腫瘤

包括在內，就在我的治療開始時

including, by the time my treatment started,

我的舌頭長出了一個

one was growing out of my tongue.

I had kidney cancer growing out of my tongue.

我的舌頭長出了腎臟瘤

And what I read

我讀到的剩下的日子

was that my median survival was 24 weeks.

是24周

這真糟

This was bad.

I was facing the grave.

我快死了

I thought, "What's my mother's face going to look like

我想，我媽到時候看起來會如何

on the day of my funeral?"

在我的喪禮那天

I had to sit down with my daughter and say, "Here's the situation."

我必須和我女兒坐下來

說「情況是這樣」

她男友和她一起

Her boyfriend was with her.

I said, "I don't want you guys to get married prematurely,

我說我不希望你們太早結婚

just so you can do it while Dad's still alive."

只是希望你們能在爸爸還在時結婚

這真的很嚴肅

It's really serious.

If you wonder why patients are motivated and want to help,

因為如果你覺得奇怪為什麼病人會主動幫忙

這樣想吧

think about this.

Well, my doctor prescribed a patient community, ACOR.org,

我的醫生開給我的處方是一個病人社群

Acor組織網站

a network of cancer patients, of all amazing things.

一個有著各種好東西的癌症病人網站

他們很快地告訴我

Very quickly they told me,

腎臟癌是一個罕見的疾病

"Kidney cancer is an uncommon disease.

趕快去找一個專家中心

Get yourself to a specialist center.

雖然沒有治癒方法，但是有時候還是有些有用的東西--

There is no cure, but there's something that sometimes works --

通常是沒用的--

it usually doesn't --

called high-dosage interleukin.

叫做高劑量白細胞介素

Most hospitals don't offer it,

大部分醫院沒有提供

so they won't even tell you it exists.

所以他們甚至不會告訴你有這種東西

Don't let them give you anything else first.

而且不要讓他們先給你任何其他東西

And by the way, here are four doctors in your part of the United States

順道一提，有四個醫生

在你住的美國區域裡，他們提供這種藥還有他們的電話

who offer it, and their phone numbers."

是不是很棒?

How amazing is that?

(鼓掌)

(Applause)

問題是

Here's the thing:

Here we are, four years later --

四年後的現在

you can't find a website that gives patients that information.

你找不到提供病人這個訊息的網站

Government-approved, American Cancer Society,

政府核准的，美國癌症社群

but patients know what patients want to know.

但是病人知道病人想知道的

這是病人網絡的力量

It's the power of patient networks.

This amazing substance -- again, I mentioned:

這個驚人實體

再提到我之前說過的，我的身體的極限在哪裡?

Where does my body end?

My oncologist and I talk a lot these days

這些日子以來，我的腫瘤學家和我談了很多。

because I try to keep my talks technically accurate.

因為我試著讓我的演講技術上是正確的

他說，你知道吧，免疫系統

And he said, "You know, the immune system is good at detecting invaders,

很擅長偵測入侵者

細菌是從外面來的

bacteria coming from outside,

but when it's your own tissue that you've grown,

但如果長得是自己的身體組織

那就完全是另一回事了

it's a whole different thing."

And I went through a mental exercise, actually,

實際上我經歷了一場心理運動

because I started a patient support community of my own on a website,

因為我自己開了一個病人支持社群

在一個網站上

and one of my friends -- one of my relatives, actually -- said,

然後我一個朋友，事實上是我一個親戚

說，戴維，是誰長了這些東西?

"Look, Dave, who grew this thing?

你要設陷阱給自己嗎?

Are you going to set yourself up as mentally attacking yourself?"

用心理戰打自己

所以我們開始討論它

So we went into it.

The story of how all that happened is in the book.

這些如何發生的故事都在這本書裡

Anyway, this is the way the numbers unfolded.

總之，這些數字呈現出來的就是這樣

為了做自己，我把我的醫院網站上的數字

Me being me, I put the numbers from my hospital's website,

我的腫瘤大小數字做成一個電子表格

for my tumor sizes,

into a spreadsheet.

別管那些數字

Don't worry about the numbers.

你看，那是免疫系統

You see, that's the immune system.

Amazing thing, those two yellow lines

驚人的是，那兩條黃色線

are where I got the two doses of interleukin two months apart.

是我注射了兩劑量的白細胞介素

兩個月後

你看腫瘤的大小在期間急速縮小了

And look at how the tumor sizes plummeted in between.

真是令人難以置信

Just incredible.

Who knows what we'll be able to do when we learn to make more use of it?

誰知道如果我們學會多利用它會讓我們能夠做到什麼

關鍵句就是一年半後

The punch line is that a year and a half later,

I was there when this magnificent young woman, my daughter,

我當時在場，當我的女兒，這個年輕優秀的女人

結婚時

got married.

And when she came down those steps,

當她走下那些台階時

and it was just her and me for that moment,

當時只有她和我

I was so glad that she didn't have to say to her mother,

我好欣慰她不必和她母親說

"I wish Dad could have been here."

我好希望父親能在這裡

And this is what we're doing when we make health care better.

這就是我們在做的

當我們使健康關懷更好時

Now, I want to talk briefly about a couple of other patients

現在我要簡單談一下幾個其他病人

who are doing everything in their power to improve health care.

他們盡所能再改進健康關懷

This is Regina Holliday,

這位是Regina Holliday

a painter in Washington DC, whose husband died of kidney cancer

住在華盛頓的病人

在我疾病發生後一年死於腎臟癌

a year after my disease.

她在這裡畫了一個壁畫

She's painting, here, a mural

有關她先生在醫院的最後幾個禮拜

of his horrible final weeks in the hospital.

她發現其中一件事

One of the things that she discovered

就是她的先生的醫療紀錄

was that her husband's medical record in this paper folder

在這個文件資料夾裡

雜亂無章

was just disorganized.

然後她這樣想，如果我有一個營養標籤

And she thought, "You know, if I have a nutrition facts label

在麥片盒側邊

on the side of a cereal box,

那為什麼不能有某個簡單的東西

why can't there be something that simple

可以告訴每個值勤的新護士

telling every new nurse who comes on duty,

每個新醫生

every new doctor,

有關我先生狀況的基本資料呢?

the basics about my husband's condition?"

所以她畫了這個醫學事實壁畫

So she painted this medical facts mural with a nutrition label,

用一個營養標籤

某個像這樣的東西

something like that,

圖解她先生的狀況

in a diagram of him.

去年，她畫了這個圖表

She then, last year, painted this diagram.

她也和我一樣研究健康關懷

She studied health care like me.

She came to realize there were a lot of people

她慢慢知道有很多人

在寫擁護病人的書

who'd written patient-advocate books

在醫學會議裡是不會聽到的

that you just don't hear about at medical conferences.

病人是多麼不被充分利用的資源啊

Patients are such an underutilized resource.

Well, as it said in my introduction,

就像我在介紹裡說的

I've gotten somewhat known for saying

我有資格說病人們應該有拿到他們資料的管道

that patients should have access to their data.

實際上，幾年前我已經在一個會議裡說過了

I actually said at one conference a couple of years ago,

把我的資料數據給我

"Give me my damn data,

because you people can't be trusted to keep it clean."

因為你們沒辦法被信任能夠保持它的完整性

And here, she has our "damned" data --

聽到她有我們該死的資料數據

這是雙關語

it's a pun --

which is starting to break out, starting to break through --

開始'要崩潰，衝破

水象徵我們的數據資料

the water symbolizes our data.

And in fact,

事實上，我想為你們做一些即興的事

I want to do a little something improvisational for you.

我認識一個在推特上的男孩

There's a guy on Twitter that I know, a health IT guy outside Boston,

一個住在波士頓外的健康工程師

他寫了一個e-病人饒舌歌

and he wrote the e-Patient rap.

And it goes like this.

是這樣唱的

(Laughter)

(Beatboxing)

(Rapping) Gimme my damn data

給我我該死的資料

I wanna be an e-Patient just like Dave

我想和戴福一樣做一個網路病人

Gimme my damn data, 'cause it's my life to save

給我該死的資料，因為要救就是我的生命

(Normal voice) Now, I'm not going to go any further --

好了，我不唱下去了

(Applause) (Cheering)

(鼓掌)

謝謝，時間剛剛好

Well, thank you. That shot the timing.

(Laughter)

(掌聲)

Think about the possibility.

想想這個可能性

Why is it that iPhones and iPads advance far faster

為什麼蘋果手機和電子書

先進的快多了

than the health tools that are available to you

比起那些可以讓你使用的健康工具

to help take care of your family?

來幫助關懷家人

Here's a website, VisibleBody.com, that I stumbled across.

這裡有個網站，可透視身體網站

我不小心看到

And I thought, "You know, I wonder what my psoas muscle is?"

我想，你知道嗎?我在想我的比目魚肌長怎樣?

So you can click on things and remove it.

所以你可以點點看那個東西也可以移動它

And I saw, "Aha! That's the kidney and the psoas muscle."

然後我看到了，喔!那就是腎臟和比目魚肌。

I was rotating it in 3D and saying, "I understand now."

然後我把它用3D旋轉

然後說，我了解了。

And then I realized it reminded me of Google Earth,

然後我領悟到它讓我想到Google地球

where you can fly to any address.

你可以像飛的一樣到任何地址

And I thought, "Why not take this and connect it to my digital scan data

然後我想，為什麼不利用這個

然後連結到我的數位掃描資料

and have Google Earth for my body?"

然後創造出我身體的Google地球?

What did Google come out with this year?

今年Google發佈了什麼?

現在有Google身體瀏覽器

Now there's Google Body browser.

But you see, it's still generic.

不過他還是通用性的

It's not my data.

不是我的數據資料

But if we can get that data out from behind the dam

但是如果我們可以從水壩後得到數據

so software innovators can pounce on it

所以軟體研發者可以抓住這個機會

the way software innovators like to do,

就像它們喜歡做的事一樣

who knows what we'll be able to come up with.

誰知道我們能做出什麼來

最後一個故事，這位是Kelly Young

One final story.

This is Kelly Young, a rheumatoid arthritis patient from Florida.

一個類風濕關節炎的病人

來自佛羅里達

這是一個真實故事

This is a live story, unfolding just in the last few weeks.

在前幾個禮拜前才被發現

RA patients, as they call themselves -- her blog is "RA Warrior" --

RA病人，他們這樣稱呼自己--

她的部落格是RA戰士--

有一個大麻煩

have a big problem,

because 40 percent of them have no visible symptoms.

因為他門之中有百分之40沒有明顯症狀

這讓人們很難能去判斷這個疾病的狀況

And that makes it really hard to tell how the disease is going,

有些醫生認為，嗯，對!你真的很痛苦

and some doctors think, "Yeah right, you're really in pain."

從她的網路上搜尋中，她發現

Well, she found, through her online research,

一個核子骨頭掃描

a nuclear bone scan that's usually used for cancer,

通常是用於癌症

but it can also reveal inflammation.

但也用來發現炎症

然後她了解

And she saw that if there is no inflammation,

如果沒有發炎

那掃描結果會是整個灰色

then the scan is a uniform gray.

So she took it.

所以她做了掃描

And the radiologist's report said, "No cancer found."

放射科醫生報告說，沒有發現癌症

但那不是他應該做的

Well, that's not what he was supposed to do with it.

所以她又再次讓掃描結果被解讀一次，她想這麼做。

So she wanted to have it read again,

於是她的醫生開除了她

and her doctor fired her.

她把光碟拉出來

She pulled up the CD.

He said, "If you don't want to follow my instructions, go away."

他說，如果你不遵照我的指示

就走開

所以她拉出掃描'影像的CD

So she pulled up the CD of the scan images,

看著那些熱點

and look at all those hot spots.

現在她很積極地在寫部落格

And she's now actively engaged on her blog

想尋找更好的護理協助

in looking for assistance in getting better care.

看吧，那是一個有力量的病人，沒有受過醫學訓練

See, that is an empowered patient -- no medical training.

我們，你們都是

We are, you are,

在健康護理裡最不被充分利用的資源

the most underused resource in health care.

What she was able to do

她之所以能做到這樣

was because she had access to the raw data.

是因為她能取得原始數據資料

這是多麼大的一件事啊?

How big a deal was this?

Well at TED2009,

在TED2009年

Tim Berners-Lee himself, inventor of the Web,

網路發明人Tim Berners-Lee他自己演講到

gave a talk where he said the next big thing

下一個大事件

is not to have your browser find other people's articles about the data,

不是去瀏覽網站

去發現他人有關數據資料的文章

而是有關原始資料

but the raw data.

And he got them chanting by the end of the talk,

然後他讓大家在演講後一起口誦

現在就要原始資料

"Raw data now! Raw data now!"

現在就要原始資料

我需要你這麼做

And I ask you,

three words, please, to improve health care:

請說三個字來改進健康醫護

Let patients help!

讓病人幫助病人

Let patients help!

讓病人幫助病人

Let patients help!

讓病人幫助病人

Let patients help!

讓病人幫助病人

Thank you.

謝謝

(Applause)

(鼓掌)

For all the patients around the world watching this on the Webcast,

給所有全世界的病人

在網路上看著轉播的你們

God bless you, everyone. Let patients help.

願上帝保佑你，每一個人，讓病人幫助病人。

主持人: 願上帝也保佑你。非常謝謝你們。

Host: And bless yourself. Thank you very much.