Rishi Manchanda: What makes us get sick? Look upstream
Rishi Manchanda - Physician
Rishi Manchanda is an "upstreamist." A physician and public health innovator, he aims to reinvigorate primary care by teaching doctors to think about—and treat—the social and environmental conditions that often underly sickness. Full bio
live and work in conditions
approach to healthcare look like,
emergency room in Los Angeles.
here's some pain medication,
with healthcare professionals,
we tried a different approach.
to three of those things:
the privilege of caring for,
who have chronic allergies.
one's nose up and down,
Veronica some questions,
headaches and some sinus congestion,
related to where you live."
talk about your treatment.
medications for your symptoms,
a specialist, if that's okay."
the specialist I'm talking about
call a public interest lawyer,
had improved by 90 percent.
the emergency rooms of Los Angeles.
shattered by the cries of a child,
in need of rescue in the water.
I'm going to build a raft.
when you're in dire straits.
a very obvious question
about transportation and housing?
were to use science as our guide,
approach is absolutely necessary.
of death from heart disease."
space was a powerful influence.
at those molecular mechanisms,
our DNA is literally shaped,
should do something about it.
all sorts of people in healthcare,
for volume and not value.
live and where you work,
these are important issues.
of where they live and work,
then move on to that second step,
freeway with major air pollution
mobilize our resources to address,
that third part of the process,
actually have clinical problems
nearly enough of them out there.
in the healthcare system.
out there right now, by all accounts,
that we use for our success,
bouncing you back and forth
that we can all do to get there.
in our data about our patients' lives
next generation of upstreamists.
in the healthcare system
responsibility or phenomenon.
About the speaker:Rishi Manchanda - Physician
Rishi Manchanda is an "upstreamist." A physician and public health innovator, he aims to reinvigorate primary care by teaching doctors to think about—and treat—the social and environmental conditions that often underly sickness.
Why you should listen
For a decade, Rishi Manchanda has worked as a doctor in South Central Los Angeles, treating patients who live and work in harsh conditions. He has worked at the Venice Family Clinic, one of the largest free clinics in the United States. He was the first director of social medicine at the St. John’s Well Child and Family Center in Compton, where he and his team provided high quality primary care to low-income families in the area. Currently, he is the medical director of a veterans’ clinic within the Greater Los Angeles Healthcare System, which he refers to as an “intensive caring unit.” He tells the National Health Corps Services, “The moment when a patient switches from despair to hopefulness is the greatest part of my service.”
Manchanda is the author of the TED Book The Upstream Doctors, in which he looks at how health begins at home and in the workplace, with the social and environmental factors of our everyday lives. He shows how the future of our healthcare system depends on “upstreamists,” the doctors, nurses and other healthcare practitioners who look for the root cause of illness rather than just treating the symptoms.
Manchanda is the president and founder of Health Begins, a social network that teaches and empowers clinicians to improve health where it begins—in patients’ home and work environments. He also founded RxDemocracy, a nonpartisan coalition created to register voters in healthcare clinics. He serves on the board of the National Physicians Alliance, as well as on the board of Physicians for Social Responsibility in Los Angeles.
Rishi Manchanda | Speaker | TED.com