Prática de Shadowing: คุยอังกฤษกับหมอไทยที่ไปเป็นอาจารย์หมอสอนคนอเมริกัน @DrTany | คำนี้ดี Feat. EP.127 - Aprenda a falar inglês com vídeo

I don't have any goals in my life.

So if you ask me, what do you see yourself in the next five years?

I said, I don't know.

I live in a moment.

By the time I was in my 12th grade, I don't even understand how many tenses are there.

I don't know what's the meaning of adjective adverbs, but I scored pretty good on English without reading anything.

Because one thing I don't like about Thailand is that when you try to speak something in a very good accent.

People start mocking you.

I think it was about when I was in my 11th grade that I need to present something.

So I went up there and I present everything from my memory without using anything at all.

Then I discovered my talent.

Once you can teach, you look handsome.

I love that.

If you go for surgery without insurance in America, you won't survive the bankruptcy.

When I was in my high school, I like drawing.

I like engineering.

I like all the calculus, physics and stuff like that.

And I like medical stuff as well.

So, okay, let's just flip the coin.

If it's head, then I do engineering.

If it's tail, then I'm gonna become a medical doctor.

No way.

Yes, I flipped the coin.

No, you didn't do that.

Hi, Dr. Kani, welcome to The Standard.

Thank you very much for inviting me today.

Yeah, I'm very excited to have you over.

Oh, me too.

I've always wanted to interview a health personal.

And also, especially if you're from the States, right?

You work there.

You worked in Harvard.

Is that right?

I used to work in Harvard System for six years.

Wow.

Now, can you tell us a little bit of yourself, like, how did you end up in the States?

Are you currently there?

Well, basically, I was born in the US, but I came back to Thailand when I was about two years old and grew up here.

I have my medical degree from Chulangon University.

And then after that, I take the exam to go to the United States.

So I graduate internal medicine from Albert Einstein Medical Center in Philadelphia.

And then I did my fellowship, which is another specialist in lung and critical care from Emory University in Atlanta.

And then I thought it was not enough for me.

Since I was in the U .S.

It was not enough for you.

That wasn't enough.

I would just have to go for the highest education possible over there.

So I decided to do another extra year at Duke University doing a lung transplant only Wow

and yeah may I ask why lungs like like specially is

there something special like is there is it your interest

or well I basically start with internal medicine it's because

when I was a kid I thought there's only one kind

of doctor I don't know whether there's cardiologists lung specialists obstetricians

or other kind of doctor I thought okay you go to see doctors, he knows everything.

So we would like to be that kind of doctors, right?

And the thing that's closest to that is internal medicine.

So I did internal medicine because I like everything.

I don't wanna forget a thing, and I think the more I know, the better it is.

But after graduating internal medicine, I think maybe I have to do something a little bit more, and a little bit more comes the pulmonary and critical care.

That goes hand in hand.

So critical care is when you get very sick, you end up in the ICU, right?

And you're able to take care of sickest of the sick.

So my thought is, you know, once you're sick or you have somebody in your family that's sick, you want to be able to take care of them with confidence.

And in order to do that, you need to become a specialist in pulmonary and critical care.

And that's why lung and the ICU stuff.

So that was like your initial thought.

And then you just went ahead with it.

Yeah.

wow okay so you were born in the states

and you came back to thailand when you were two years old right

and how long were you there in in thailand in thailand

yeah 20 something years 20 something years yes how did you

how did you learn your english how's why is your english so so flow

i will have to say my english is i still have

some thai accent you know i still miss my grandma i I still have issues with my speaking.

But my thought when I was a kid was that, you know, I have a different way of learning.

Rather than go for correct tense, grammar, adjective, adverb, those kind of things, try to learn the structure of the sentence, I try to speak.

I try to read more.

And by doing

that, it kind of become more natural for you to understand what the sentence is supposed to look like, right?

For instance, how would you learn Thai when you were born?

Did your parents teach you, okay, there's subject, there's verb, there's stuff like that?

No, they don't, right?

They just talk to you.

And what you need to do is just listen to them.

So you keep listening to them, you keep talking back to them, maybe initially you're gibberish, you cannot talk fluently, those kind of things.

But over time, you get to understand.

You get more fluent, right?

You understand, you know more of vocabularies and stuff like that.

And eventually, you can speak Thai.

The same goes with English.

So actually, by the time I was in my 12th grade, I don't even understand how many tenses are there.

Oh, I don't know.

I don't know what's the meaning of adjective adverbs.

But I scored pretty good on English without reading anything.

Because I've been doing this all my life.

I keep talking to myself, reading things out loud, watching TVs, or listening to something in English and that helps me a lot.

I would say that if, let's say that today I'm in the States, it'll be rather easy for me to learn English because my environment is all in English.

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But in Thai, your environment is all in Thai.

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So a lot of people is gun shy about just in general speaking in a language that's not their native.

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So did you just like English in general or were you into some TV series or dramas?

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I was like, what made you get up in the morning and just be like reading English all day?

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And another thing is also, when you read, that actually doesn't translate to speak.

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But you're great at speaking.

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So how did you do that?

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Well, what I did was that I watched TVs, right?

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I don't really get addicted to any series or TV shows, but I just like listening to them and try to imitate the language language.

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So when you listen to something, you say something, like you're one of the guy on the TV show.

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So you keep doing that over and over again, and your accent becomes spot on.

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And then if you read more, you get more vocabularies, right?

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But instead of reading in your mind, you're reading aloud.

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You're reading it out.

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So this way, you understand like what it's supposed to feel like when you speak.

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And some point when you see, like, the foreigner from the American or somewhere else, you go talk to them.

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One thing I don't like about Thailand is that when you try to speak something in a very good accent, people start mocking you.

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Oh.

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Right?

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Yeah.

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Why do you sound like that?

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And they laugh.

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That's not supposed to be the way that you learn to speak English, right?

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Yeah, it's very discouraging.

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Yeah, if you're a kid and you speak something funny, your parents never laugh at you, right?

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They try to encourage you, they try to understand you.

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And even though, you know, sometimes you learn English and then you're not that good yet, if you speak to the foreigner, they will try to understand you.

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They're not gonna try to say, that's bad English, that's something that you shouldn't say, they will try to understand you.

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So I have the encouragement that, you know, if I speak to the foreigner, they understand me, right?

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Even though my English is not that good initially, they understand me.

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That's all I need.

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I can convey the message I like to them.

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That's all.

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Actually, if you were in the States for so long, maybe if you can tell us a little bit difference between like the U .S and Thai healthcare.

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Is there a difference?

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Is there a contrast?

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Well, there are a bunch of contrasts.

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So in the United States, if you have gone there before, you have to make an appointment to see doctors, right?

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You cannot just show up and then expect the doctor to see you.

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But if you have some emergency, you go to emergency department.

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If you have less emergent issue, but you need to be seen right away, you go to urgent care,

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which is a little bit more expensive than the regular doctors that you normally see.

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So, however, in Thailand, you can't just go see a doctor whenever you like.

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So that's one of the differences.

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The second thing is about the cost.

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I don't know if people are aware of this, because healthcare cost in America is super expensive and it's one of the most common reason why people go bankrupt.

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How expensive are we looking at?

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Like, can you give me an example?

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Sure.

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For instance, if you have the, if you need your appendix removed, right?

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Using regular technique.

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In Thailand, maybe 20 ,000 baht, or plus, minus, something like that.

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In America, probably like one million.

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One million?

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Yeah.

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That's 50x.

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Why is it so expensive?

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I think it's because people will start having things about lawsuit, so they need to have credential people.

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do every single step along the way.

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For instance, if you want to check the heart rhythm using the EKG machine, right?

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Here in Thailand, you can just have the nurse put an EKG lead and check, and that will be as simple as that.

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Or any doctors can do that.

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But in America, there's a specialized person who do just that.

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In Thailand, your nurse can do an IV, give you medications, calm you down, do whatever.

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However, in America, I've never seen my nurse doing a vein punctures.

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The nurse doesn't do IVs, although some nurse do, but most of them don't.

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So there are a lot of people who do just that.

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In Thailand, one person can do many things.

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In the United States, there's one person for each of the tasks.

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So you need to pay them.

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But that still doesn't justify 50x difference.

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Never mind, we'll talk about this very soon.

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I promise you I'm gonna come back to this, but this is very interesting.

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But before that, I wanna know a little bit more about you. Of course.

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So you were in the States for all these times.

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Yeah.

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And are you currently practicing?

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Currently I'm not practicing.

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So I just quit Harvard system about, in actually last August.

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Sorry, you just quit where?

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Harvard system.

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Just quit Harvard system, what did you do there?

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So I was appointed as a medical instructor at Harvard Medical School, and I also work as a lung transplant specialist at Brigham and Women's Hospital,

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so I do whole two position, and they go hand in hand, so meaning I have to teach medical students over there,

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and I have to train specialists like myself used to be in the past, for instance, I have to train the fellows, the residents, and those kind of people.

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Okay, it seems like you don't sleep.

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I do sleep.

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This seems like a lot of things to do.

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Well, if you manage things, I think you can do it.

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It's not that difficult, but you just need to know what you should do to make your work more efficient.

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If you work more efficiently, then things can go in a good way.

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You have more time.

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Why did you eventually decide to quit?

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They're merging the two hospitals.

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There used to be a Brigham and Women Hospital, and another one is Massachusetts General Hospital.

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We are actually rival, but we are under one umbrella.

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So eventually they merge.

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So once they merge, the system inside go haywire.

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And it's very difficult for me to work.

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And for that reason, I decided, well, it might not be the right time for me to be in this system any longer.

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I give all my knowledge and effort in trying to help these people doing lung transplantations.

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And now you're merging the two rival, right?

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MassGen and Brigham, we have separate lung transplant center, and we compete against each other all the time.

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We are not even close.

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It's like 20 minutes drive apart.

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So typically when you merge the two and you want to merge the programs, you would like to be in a close vicinity, right?

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So that one doctor can go take care of all the patients.

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For instance, if I stay longer, does that mean I have to go to another hospital to take shift?

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Or what about their patient?

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If their patient on the wait list for lung transplant got called in for lung transplantation, but the lung's available at my institution, should they come over here?

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Once they get surgery done over here, would they be followed over here, or they have to go back there, or have to go back and forth?

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It's kind of a very, very hard mess right now.

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So that's the reason why I decided to resign.

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Seems very troublesome.

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Yeah.

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Right.

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And so it's to my knowledge right now, you have a very successful YouTube channel.

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I hope.

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Right.

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So can you tell us a little bit more of that?

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Did you start at that after you quit or was it before?

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I started during COVID it, it's because I'm from like Chinese family and we have a lot of people in my family.

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So in order for me to give their a correct knowledge one by one, that's not possible, right?

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It's just too much.

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And I was one of the first people to join the squad doing just COVID care in the ICU.

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So when COVID hits America, so they said, okay, all hands on deck.

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So I was doing just lung transplant before, but now at that point, they said, you need to take care of all these people in the ICU.

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And typically in the ICU, there are only 12 patients for us to take care of, right?

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During COVID, it's 30.

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So one doctor, 30 patients.

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It's a lot.

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And they're all in critical conditions.

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So that's why I know almost everything about COVID at that time.

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And it's just not just that.

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So after I'm done with my shift, me, my fellow, and other doctors are tasked with reading all the research paper about COVID every single day.

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And once we finish the paper, we debate, we discuss, we come up with recommendation for the entire hospital.

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So we do this for the entire one or two months.

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We acquire enough knowledge.

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So then after that, COVID hits Thailand.

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Right.

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So guess what?

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I know everything about it at that point.

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So I can say, I know I have been through this before.

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That's why I decide I can give you a correct knowledge.

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And that correct knowledge come from your own family, from my family.

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so that's how i start my youtube channel wow that's such

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a beautiful way of like inspiring of starting a youtube channel

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because like you've experienced everything yourself

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and you just want to share the knowledge to people right you just want to give value oh that's

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so beautiful and then after

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that i decide okay covet is just it's not going to

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last forever there are a lot of things in hell

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that i would like my family to be aware of um there are a lot of um you know misinformation information,

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disinformation out there, and I want them to not go that route.

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So I want them to understand the real deal, what it means to understand the medical stuff.

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So I start going to different topics.

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And around the same time, there are a lot of people who ask me, why don't you come back to Thailand, give back to Thai people, you know, become a doctor in Thailand,

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become a doctor in Thai university.

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And at that point, I was thinking, you know what, I'm going to try to help Thai people as much as I can, but if I come back to Thailand,

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I can probably see 30 patients a day, 50 patients a day at most, and if I do YouTube, give enough correct information, well,

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how many people can listen to me?

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Yeah.

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A thousand, hundred thousand, or even more than that.

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And I specifically speak in Thai, so that Thai people can understand.

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I don't speak English on my channel.

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Very rarely did I ever speak English on my channel.

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It's just because if I speak English, my channel grow a lot faster for sure because other people from different countries can understand me, but not Thai people.

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So that's why I'm doing it in Thai.

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But at that time, you were working in the center, you were researching, you were publishing, and then you were also looking out for patients,

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and at the same time, you're doing YouTube channel?

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Yes.

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There's only 24 hours per day.

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How do you manage to balance this?

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Well, I would say it's quite an ordeal to do all of those stuff.

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I would say I have my own system to take care of patients.

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So when I'm on service, I usually go to the hospital super early in the morning.

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I'm actually maybe the first person who hits the hospital.

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So I arrive at the hospital at 5 a .m in the morning.

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I start researching and then looking up data overnight about my patients

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and then planning and start typing the note for each patients.

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And then around 7 o 'clock, my students will come and we'll go see patients together.

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Once I'm done, then I teach them a little bit.

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In the afternoon, I also do some procedure, do family meeting, and I tell all my fellow students, say, okay, 4 o 'clock, you need to leave the hospital.

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You need to go home and read about things and tomorrow come back and discuss with me.

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And this way we all both will have time.

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You can go take care of your families, take care of your kids, exercise.

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I'm not like an old school teacher where you need to stay here as long as I want you to stay, right?

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So with this, I can manage the time very well.

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I go back home at 4, I exercise, I think about my YouTube channel, then I record a clip or or something like that.

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Actually, I think recording a clip and making contents and editing also takes a lot of time.

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So to be able to do that on a daily basis, there has to be a very strict degree of work -life balance.

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Because what you just said is work -work balance.

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You did your full -time job and you come back and you make contents.

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And there also must have been days where you just can't do it.

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Like maybe you're all packed up that day, maybe there's some emergencies how do you then manage to consistently upload

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because I've seen your channel

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and you're right loading a lot it's very consistent every single day yes now how's that how's

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that possible can you maybe share share some secrets for me

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I want to I don't think it's secrets anyway I like it

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so I like making content I know I like teaching I know Well,

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like speaking, I know that my talent is to summarize every information I get from various sources

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and then summarize into one little clip.

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So I do that with my normal teaching at Harvard anyway.

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And I have a bunch of things in my brain at that point, I said, well, why don't I just take it out and share it to the public?

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So the first thing you need to be able to do

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do is to like what you do i like doing this thing it's not even my burden it's relaxing actually

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to think about okay what should i be doing today maybe i'll talk about this stuff and that stuff

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and then try to predict what people are going to respond to

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or trying to predict what their question may be and then put

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that answer to the question in the clip so that's fun for me And moreover, I also answer every single question posted on my channel, myself.

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Wow.

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Isn't it hard to summarize, let's say, complicated, complex medical terms into like a simple video that's catered to the mass?

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If you cannot do that, that means you don't really understand the topic.

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If you really understand the topic, it's not that difficult.

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For instance, I once had a student who is not even a medical student, just like probably high school, right?

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And she applied to chattel me at lung transplant service, on the lung transplant service.

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And first I thought, how in the world would a high school student be able to understand lung transplantation?

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It's very, very difficult, even for a lung specialist.

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A typical lung specialist doesn't want to touch transplant patients at all.

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They don't even want to, you know, have anything to do with them.

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We have a lot of immunology, which is difficult.

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And then I was thinking, hmm, maybe this is my challenge, let's try.

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So I end up bringing her in, and then I teach.

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And at the end of the day, she was able to understand everything I teach and is able to teach back to me.

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That's how I know she really understands.

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Wow.

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Can you keep trying it on me?

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Well, at some point, I...

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Yeah.

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Explain something simple.

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Explain something simple.

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Explain something simple in the simple terms.

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I want to know about diet.

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This is totally off topic, but I love it.

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Sure.

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I mean...

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Okay, so here's my question to you.

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Okay.

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Can I eat anything and still get thin?

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Can still get thin?

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Yeah.

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You can eat anything you want, but in moderation.

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You need to know your body type.

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If you're very, very overweight and you eat a lot, there's no way that you can lose weight.

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There's no way you can get thin.

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Maybe I can exercise a lot.

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It's very difficult.

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So if you ever exercise, right?

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For instance, if you go run on a treadmill for an hour, how many calories do you think you can burn?

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Maybe 500, 600?

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Yeah.

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Right?

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What about one hamburger?

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Ooh that's like almost 500 or even more than that yeah

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so you eat two hamburgers you need to run for two hours four hamburgers can you run for four

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or five hours never very unlikely unless you're a marathon runner so

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if you try to exercise to lose weight i don't think

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that's a wise options for you you probably have to do something to control your craving

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or eat something that's fulfilling to your stomach

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and this way you don't crave things you know

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so the technique is to try to stay away from things

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that make you crave especially sugar both the real sugar

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and the artificial sugar that symbolizes that some people just stop drinking sugary drink or cut off their

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dessert they start losing weight yeah i thought that's what you're supposed to do no you're supposed to do, but eventually if you say,

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okay, I'm gonna be keeping myself away from all this sweet stuff 100 % of the time,

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eventually you're gonna break down.

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You're gonna burn out.

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Once you burn out, what happens?

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You can eat more of them.

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And once you start eating more of them, you cannot stop.

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And you keep eating, eating, eating, and then the next you know okay you're fatter than ever before flashback i have flashback on

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that but you look like look like you're in very good shape right now

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so yeah whatever you did was uh correct yeah i've been

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doing on moderate diet program following following your advice following your advice

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so to go from english as a second language to all the way producing contents

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and speaking and communicating

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and actually teaching there must be a degree of love towards you like just basically educating in general

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or is this something

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that you were forced to do I must say this I I'm actually an introvert

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when I was a kid I was super introvert like I

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don't like being with my friends they go play something I sit by myself

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and read something or draw something but then I I think it was about

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when I was in my 11th grade that I need to present something.

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And the teacher was saying, you have only five minutes right now because we are about to finish the class.

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Will you be able to do that in five minutes?" And most people, when they go up to the classroom and start presenting something, they have the paper in their hand,

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they start reading off something that they put a note in and they present.

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So I said, okay, sure, why not?

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So I went up there and I present everything from my memory without using anything at all.

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I said, okay, this is...

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Then I discovered my talent.

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Like I can present things that I have just read the night before and everything kind of synthesize in my brain, and then I can say it out loud.

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And everything was very on point.

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Every important stuff was presented, and it was exactly five minutes.

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So since then, I discovered a new talent that I have.

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And actually, I used to teach a lot during my time

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because I know how to synthesize or or summarize the important concept of each of the subject.

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Once I'm able to do that, I find two things.

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One is that my grade is a lot higher, because I keep teaching, so I understand more.

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And second thing, people acknowledge you a lot more.

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So you don't have to be a star in sports or a celebrity, you don't need to look good, but once you can teach, you look handsome.

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I love that.

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I love that.

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Yeah, that's how I come about.

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Oh, it's a special characteristics to it.

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Yeah.

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Moving on to another thing that I really want to ask you.

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So as you know, right now we're in the Trump 2 .0 era.

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Gotcha.

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And you've been living in the States for a while now.

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I want to ask you a few questions.

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The first question I want to ask, and this is the part where I promised that we were going to come back to, is the U .S healthcare system.

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the part that you mentioned was

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so expensive can you share to us why it is

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so expensive regardless of the specialist and all

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that i don't think it justified 50x why does it take a million baht to remove appendix

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and what's your opinion to it there's no short answer

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because i think many things

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that the america have been doing kind of cause this eventually for instance

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if you are Or try to come up with medication or instrument, like medical instrument, if you try to develop that,

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it takes time and effort and money.

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And you have to patent it, right?

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And that lasts for 10 years only.

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So if you take six years in order to come up with something, research it,

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do a research on real people in order to come up with a big enough research

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so that the FDA will approve your device or medications,

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then you only have maybe four years left to gain benefit, right?

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Gain profits, so you need to sell them at a very high price.

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That alone costs a lot, and it's still a major debate among the Americans, like how to cut down the cost, those kind of things.

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And this is just one of them.

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The other thing, lawsuit.

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People love suing.

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The reason for suing is sometimes it can be very ridiculous.

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Like you fall in front of the hospital, you sue the hospital.

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How is that possible?

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You fall in front of some building, you sue the building.

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And it's a ridiculous amount that you will gain as well.

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It's just not like one million, it's like 100 million.

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How does that even make sense?

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And you see a lot of these things.

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Once you see a lot of these things, then you add up to the cost of the healthcare in every legal steps.

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So, for instance, I have to have my patient's note very, very detailed.

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Everything has to be in there.

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If I miss something and sometimes things go wrong and they come back and sue me, I don't have that detailed in my note.

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It's not a good thing.

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Have you ever been sued?

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No, not yet.

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Oh.

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I guess that's a good thing so I'm going to knock on it.

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This is real good.

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Yeah, I'm not going to knock on my head.

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It's not real good.

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What's your opinion about all this though?

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It's not good.

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It's unhealthy.

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I would put it that way.

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But it's the way it is.

456

And I think Trump has tried to reverse this, but it's not easy.

457

His way of doing things is very radical.

458

He tried to cut down all this spending because, Because, you know, you've probably heard about Obamacare.

459

It just seemed to, they tried to develop something like a 30 bar scheme in Thailand, universal coverage in Thailand, but they're not able to achieve that yet.

460

There are a lot of issues with people applying for this Obamacare already, and some of them are exploiting it.

461

And these people, they use up a lot of money.

462

Some people, they said, okay, I'm a disabled guy because so -and -so.

463

But in fact, they're not that disabled.

464

They can actually do some work.

465

But they said, okay, I'm disabled.

466

I'm not gonna work.

467

You need to pay me money.

468

So Trump's trying to say, hey, it's not correct.

469

We are not gonna allow you to exploit the system any longer.

470

So that's why he start cutting things.

471

But when you cut things, there are going to be people who suffer from it, who's actually a real disabled people.

472

Then they're going to suffer from this.

473

Those who does not have insurance, they have a hard time obtaining Obamacare or insurance.

474

They have a hard time to apply for Medicaid or other stuff.

475

But I think on the other hand, he might try to promote a private insurance

476

because you're You're creating a demand for insurance because if you go for surgery without insurance in America,

477

you won't survive the bankruptcy, right?

478

There's no way you're going to pay that much.

479

Even if you survive the surgery, you're not going to survive after.

480

Yeah, you're not going to survive the aftermath of financial crisis to your family.

481

You're dead, right?

482

So you need some insurance.

483

But now you cannot apply for something that looks like a universal coverage.

484

So you have to apply for something else like private insurance.

485

So now the private sector have to come up with the way that they will pick your insurance.

486

So now you create a market for the private insurance people.

487

I think that's what it is, but I might be wrong because I'm not expert in this kind of things.

488

Right.

489

As a doctor, if you see a patient coming in, and I see this on TV dramas a lot, right? they would like sneak in patients like this patient doesn't have insurance

490

but you really want to help and you just kind of sneak them in is

491

that only on tv series or does

492

that actually happen in real life that's actually happening in real life

493

so people who are maybe an illegal immigrant for instance they are afraid to come to the hospital

494

because they thought we were going to report them to the police

495

and they got deported right but actually we don't they come in we treat them as a human being.

496

So I used to...

497

So during my training as a resident in Philadelphia, the hospital actually have this kind of patients,

498

like an immigrant without insurance, they showed up from nowhere.

499

Or sometimes the police would just bring someone from the street

500

because it was too cold and that person looked like they're dead, they're not moving, but they're actually breathing a little bit

501

so just bring to the hospital

502

and these kind of people they don't have insurance they don't have anything at all we treat them still

503

and i think it is is inhumane if you're not going to do that

504

yeah

505

that that's what we want to hear every doctor say like

506

it's a universal treatment right wow let's shift the scenes a

507

little bit from the u .s to thailand okay to all the thai audiences out there

508

and also all the global audiences out there what is one unhealthy habit

509

or maybe what is one advice you would give to everyone

510

in general um unhealthy habit to me is you you mind

511

other people's business too much oh can you explain more for instance you watch tie social media.

512

You're going to see a lot of like, okay, the movie star had an affair.

513

This person go out with that person.

514

It's not even your business.

515

But for some reason, you feel like you're obligated to comment on that and comment something.

516

You would like to take side with this person and that person.

517

You feel like when you comment, you make a comment, and you feel like you're actually that person, you're actually in that relationship,

518

you're actually in that story.

519

But in fact, you're not, right?

520

So to me, minding other people's business, it's something that kind of wastes your time.

521

You go to the United States, it's very rare that you see these on social media.

522

They're very brief, they're not even, people are not even into it that much.

523

Although there might be some gossip about stars here and there, it's not as much as in Thailand.

524

So I think this is something unhealthy.

525

You should be mindful for yourself, take care of yourself, not take care of others if yourself is not ready.

526

If you're in a bad mood, how can you be happy and how can other people around you be happy?

527

It's not healthy.

528

Speaking of Thailand, though, do you ever think of like coming back?

529

Do you see any new opportunities if you do come back to Thailand?

530

For now, if I come back to Thailand,

531

I'm not going to be working as a doctor because the ultimate goal I like to do is a transplant pulmonologist, basically doing a lung transplant.

532

I like this job a lot.

533

And in Thailand, there's no opportunity for me to do just that.

534

Maybe there's one or two cases every couple of years.

535

So that's not enough.

536

For instance, like, when I was at Harvard, we do 60 case plus in one single year.

537

So that's like, in Thailand, you come back once every couple of years, and it's not doable.

538

And people will ask me, why don't you do something else?

539

I will say, well, that's not my passion.

540

So I like to do what I like to do.

541

If I come back to Thailand, I might do something else, for instance, I might become a health consultant for you.

542

I might provide like a second opinion for whatever you have, but I'm not going to become your main doctor.

543

That would be something I would do.

544

And another thing I think might be one of my career path is that I can be a health influencer, which I am doing something about it right now.

545

And I feel like I can make a difference.

546

So once you have information that is correct, you make your decision based on correct information, especially about health.

547

then i think that's good good for the public

548

and i can provide the support so i would like to be

549

that kind of a guy it's it's it's it's nice how you mentioned

550

that because my next question was going to be

551

if you were the time minister of thailand you do have the power to make a difference

552

what would you do i got the power yeah you got

553

the power all right i got the power what do you What do you want to do?

554

I will start with something related to me first.

555

I see a bunch of negative comments, and that's because of misunderstanding, disinformation and misinformation, a lot.

556

Initially, I thought, well, this is very unusual.

557

This is not a common thing when you see people who are against medication.

558

Well, they're probably someone who are like, you don't even want to, you don't know them anyway.

559

They're something that's not even related to you.

560

But when I started my social media, there's a lot of these people.

561

Like they don't believe in germs.

562

They don't believe in germs.

563

They don't think, for instance, influenza is caused by virus.

564

They think it's because you are weak.

565

Your immune system is weak.

566

It's not because the virus invaded you, it's because of something else.

567

They don't think measles is a thing.

568

They don't think, they thought all the medications that you take makes your body acidic.

569

And once your body becomes acidic, you get cancer.

570

You get osteoporosis, which is thinning up the bone.

571

You get kidney damage.

572

So these kind of things are like misinformation, so the first thing I would do if I have enough power is

573

that I would like to clear up all the mis

574

and disinformation and provide the correct information for all because this is the basis of everything.

575

Once you have correct knowledge, then everything else is good.

576

You can build up on that.

577

I love your answer.

578

I love the part where you say correct knowledge because I have here

579

a bunch of nice knowledge that's out there on social media and I would love to get your opinion on it. Of course.

580

I got a bunch here.

581

I'm gonna pick a few at random and you just have to go with the flow.

582

All right.

583

All right.

584

Bring it on.

585

Ready? Of course.

586

All right.

587

PM 2 .5.

588

What are your thoughts?

589

I will have to say I disagree with that.

590

I'll give you a very, very simple example.

591

If you go out on a day with a lot of PM 2 .5 out there, how do you feel?

592

Is your breathing so easy?

593

No, I feel bad.

594

You feel bad.

595

Well, with just that, you experience yourself that PM 2 .5 is not safe.

596

You breathe in, you might have stuffy nose, runny nose, sore throat, your breathing become labored.

597

Well, that's fact.

598

You can experience yourself.

599

Apart from that, there's research showing that mortality rate or death rate goes up with the pollutions.

600

Also, apart from that, the heart attack rate, stroke rate goes up with these PM2 .5.

601

It's fact.

602

It's proven.

603

We know about it already.

604

You cannot deny something that is proven already, right?

605

Some people say, you've been with PM 2 .5 for hundreds of years.

606

Uh, well, in the old days, they don't use pesticide.

607

They don't have a lot of chemical waste.

608

Now we do.

609

How about we start burning things down

610

and those things will come up as a fume become part of PM2 .5 and then you inhale it.

611

What would happen?

612

Not a good thing, right?

613

So PM2 .5, 100 years in the past and right now, it's not the same thing.

614

The compositions are totally different.

615

And I would have to say, mechanistically, PM 2 .5 goes into your nose or mouth, get to the deepest part of your lung,

616

and then enters your bloodstream.

617

It goes everywhere in your body.

618

Wherever it lands, it causes inflammation.

619

Inflammation will cause diseases.

620

Now we see stroke, we see heart attack.

621

What about other organs?

622

You might see cancer somewhere else, lung cancer, kidney cancer, and cancer somewhere else.

623

Let alone maybe something wrong with your brain like Alzheimer's and stuff like that.

624

So these are things that take time to develop.

625

And now you just pick up only two signals, actually three, death, stroke, heart attack.

626

What about the rest?

627

You might discover them in the future.

628

So I completely disagree with that.

629

And people will say, if you keep saying PM 2 .5 is bad, it's bad for your tourism.

630

Thailand is the land of tourism.

631

Think about this.

632

If you have PM 2 .5 and heavy PM 2 .5,

633

would you want to come to Thailand and be a human vacuum, inhale all the PM 2 .5, you would be happy?

634

No way.

635

You need to correct this problem.

636

Yeah.

637

Someone give me a mask right now, I'm feeling, is the air good here?

638

Those masks that they sell on the side of the street, you know, those like little thing you can press on, does those work?

639

It works to some degree.

640

Well, the best thing would be like N95, but who in the world would wear that, right?

641

It's too tight, it's too suffocating, so you basically want to wear a regular mask.

642

But the trick is this you need to make sure the mask molded to your face The seals needs to be tight.

643

If it's not tight you have leakage right here

644

When you inhale the dust will go in this hole into your nostril anyway Okay, so seal tight seal tight.

645

Yes, I'm gonna get myself an oxygen mask.

646

All right.

647

This is fun.

648

This is fun Let's do another one.

649

Let's do another one.

650

Sure.

651

Ah Ooh, I like this one here's by another life coach

652

well it's good

653

that you have a goal in your life like you want

654

to achieve something you set your mind to it to me you can you can do

655

that but to me for instance i don't have any goals in my life

656

so if you ask me what do you see yourself in the next five years ten years

657

or even more than that i said i don't know i live in a moment moment.

658

So I like being in the moment.

659

I try to make use of my moment as much as I can.

660

I try to be the happiest me now, not in the future.

661

I want to be as wealthy and prosperity as much as I can now.

662

So to me, if I make my moment or my now as best I could, then the future will be as good as I want.

663

That is beautiful.

664

That's my thought process.

665

That is beautiful.

666

Do you agree with short -term goals?

667

Yeah.

668

There's nothing wrong with setting goals.

669

So if you set big goals, for instance, you wanna walk to like Fuji Mountain in Japan, you start somewhere, right?

670

But along the way, you're gonna fail, you're gonna maybe trip over something, and then you're gonna hurt, you're gonna cry, you're gonna say, why is this so difficult for me to get there?

671

I'm gonna just quit.

672

But if you set a short -term goal, let's say, I'm going to walk to that tree right there.

673

It's not very far.

674

Even though you trip, well, the tree is right there.

675

I can reach it.

676

Once you reach the tree, you reach one milestone.

677

You see, you're a step closer to the mountain.

678

So setting small goals will do just that, will give you enough strength to move forward, will be a stepping stone for you to go higher.

679

So there's nothing wrong with setting short -term goals.

680

I think it's a good strategy for many people as well.

681

I think to an extent, this is kind of like your life as well.

682

Because you never grew up in Thailand knowing you're going to pursue the medical field as well.

683

You went along and then you set your short -term goals and then you became who you are today.

684

Somewhat like that.

685

Somewhat like that.

686

Yeah.

687

But the funny things that I...

688

I rarely talk about, actually, I talk about on my YouTube is that, you know how I become a doctor?

689

It's not because I like to become a doctor.

690

When I was in my high school, I like drawing.

691

I like engineering.

692

I like all the calculus, physics, and stuff like that.

693

And I like medical stuff as well.

694

So in the old days, when there's still entrance examination,

695

I do all the requirement for three different faculties.

696

architect, engineering, and medicine.

697

And I thought to myself, okay, I will look at my score.

698

Whatever is the highest, I'll go that route because that would be a combination of, I like it and I can do best at it.

699

And the things is that once I got the score back, it's equally high.

700

Oh, flip a coin.

701

Yes.

702

No way.

703

Yes, I flip a coin.

704

No, you didn't do that.

705

So the first thing I said, I'm not going to do is architect, because no matter how good you are, no matter how good your ideas or your drawing looks,

706

if your client doesn't like it, you need to do it again, right?

707

And I don't want to be that kind of person to please all the clients.

708

Well, I'll just keep that to my side as a hobby.

709

I'll kind of draw pictures, and that's fun, right?

710

But then engineering and becoming a doctor is both are very, very interesting.

711

so I couldn't decide and there's maybe five more people in front of me before I have to submit the form.

712

So, okay, let's just flip the coin.

713

If it's head, then I do engineering.

714

If it's tail, then I'm going to become a medical doctor.

715

And then just that, became a medical doctor.

716

I'm very glad that coin flip turned out to be a tail.

717

Otherwise, we wouldn't have all these contents today.

718

So I think it's the very good alignment of love for the profession I like,

719

especially science, the ability or I'm good at it, and the third thing is luck.

720

So all three align.

721

That's mean you're destined to become this.

722

That's where I am right now.

723

I'm loving these.

724

After all these years that you were in the States, you had all the experiences, you were teaching at various places and you practice for a long time.

725

Is there a lesson that you'd like to share with us, a lesson that you've learned?

726

Well, to me, people are people.

727

We need to understand them before we can make decision.

728

To me, listening skill is the most important thing.

729

You don't just sit, listen to try to answer answer the question or try to respond.

730

But you need to really listen, take in.

731

And that's a skill that most people lack.

732

So I've been practicing for a long time, even in Thailand before I went to the United States.

733

So I've been practicing in Thailand at that point maybe probably five years before I went to the United States, and I practice there 12 years now.

734

So it's a long time, I gather a lot of emotions,

735

problem issues from each patient and at the end of the day,

736

sometime you get angry because they don't listen to you.

737

Why?

738

Because they don't listen to you, they don't take their medication, they become sicker and they come to you and then you prescribe them something, they're never gonna take it.

739

the idea is why should they listen to you you don't listen to them why should they listen to you

740

so you need to try to listen to them this is

741

true with everything in your life you try to listen to

742

your partner your wife your kids some even your dog you try to understand their needs not just to response

743

but just to understand just to so

744

that you can be a better person the more you understand the better person you can become

745

and you will know there are a lot in the world that you don't understand at all it's beautiful yeah

746

okay so as you know this show is called Kamini

747

so we definitely want to do something with words

748

so let's warm you up a little bit with other stuff other types of words first

749

but first of all I would like to know what is

750

your all -time favorite medical term it would have to be homeostasis what

751

that is is balance so everything try to gain balance everything's those like there's yin

752

and yang right black

753

and white those kind of thing you need to be in the center where everything is everything's come together

754

so I like the word balance because everything in your life is about balance

755

if you lose balance something bad's going to happen.

756

If you're too extreme, something bad is going to happen.

757

Too good of a good thing, too much of a good thing is bad.

758

You drink too much water, you have water toxicity.

759

That's also true in medical world as well as in normal life.

760

So that's why I like the word homeostasis.

761

Same applies to diet that you mentioned too, right?

762

Yes, everything.

763

There you go, getting everything in the balance.

764

Yep.

765

What is the latest word that you've learned?

766

I would say this, I don't usually learn words,

767

but I find, I think there's a word that I like people to know about that word is ultracrepidarian.

768

Not a lot of people know about this word.

769

What is that?

770

But it's very relevant to my YouTube channel.

771

Ultracrepidarian means you're speaking outside of your expertise, which you see a lot of these things.

772

Some people who are not even doctors give medical advices. For instance, right?

773

If you are a neurologist and you don't know anything about immunology, immunology, you start giving advice on immunology.

774

That's ultra -crepidarian.

775

You basically try to make things up along the way, which may have been a wrong idea.

776

And eventually, once you start doing more and more of this thing, you get stuck to that idea.

777

You go down the rabbit hole, and then you can never come back.

778

So stay away from becoming an ultra -crepidarian.

779

We have a lot of those on social media lately.

780

Yes.

781

That's why I thought about this work.

782

Wow.

783

What if you could invent a new medical term?

784

What would it be?

785

Medical term, I would have to put my name in it.

786

What would it mean?

787

Well, otherwise, it has to be my name plus something.

788

And in fact, I would like to make people aware of one of the medical term instead of inventing one,

789

because it has my name in it.

790

And I don't think many medical professions know about this.

791

It's called, it's a cell in your chamber in your brain called tannysite.

792

Tannysite?

793

Yes.

794

Tannysite is like my name, site's cell.

795

So tannysite is one of the cells in a third ventricle.

796

Ventricle is a chamber inside your brain that harbors spinal fluid, cerebral spinal fluid, which is things that,

797

you know, nourish your brain and your spinal cord.

798

And it has a lot of specialized function, especially in communicating with the cells, those kind of things.

799

So I think, you know, this little well -known cell, tiny cell, very specialized, live in your head,

800

provide you a very important function that to me is very significant.

801

So you can be anyone in the world.

802

You don't need to be recognized, but you're part of the world.

803

Wow.

804

Wow.

805

Tannysite.

806

I'll forever remember that.

807

Nourishes your brain.

808

Just like your contents.

809

Yeah, somewhat like that.

810

Perfect word.

811

Now, leading on to the grand finale, what is your favorite English word?

812

English word?

813

I would say moment.

814

Moment?

815

Mm -hmm.

816

Because I live in a moment.

817

Everything is now.

818

I want everything now.

819

That does not mean instant gratitude like other people are thinking like, okay, maybe Maybe I have issue with attention deficit.

820

I need instant gratitude right now.

821

That's not the thing I meant.

822

So moments mean you try to make your moment right now the best you can ever make.

823

You put all your effort, your conscious into one single moment right now.

824

You don't think about anything outside this because it kind of distracts how you're going to behave, how you're going to progress in the future.

825

If you make your moment as good as it can be, that's kind of a guarantee that you will have good outcome most of the time.

826

That's why I like the word moment.

827

Very in line with homeostasis and all of the things that you talked about prior to this.

828

What about a Thai word?

829

Thai word, I would say, Khoam Suk.

830

Happiness is something I really like.

831

And it doesn't have to be a big happiness.

832

You don't need to achieve big things in your life, but to me, happiness lives in a moment.

833

You can find happiness anywhere, anytime, if you look hard enough for it.

834

Even though you have, for instance, you become bankrupt, sometimes you still have food that you can eat.

835

You should be thankful for it.

836

It's good that you have limbs, arms, legs, you can still see, you can still hear, you still have your knowledge, you have your brain.

837

That's a gift already that you should be happy for that.

838

So to me, any time you can find happiness from within, you don't have to find somewhere else.

839

It's within you, you just have to look hard enough.

840

I really love to talk to you for another hour or so, but unfortunately, our time is up.

841

But thank you so much for coming in here.

842

I've learned so much.

843

It has been so great.

844

My pleasure.

845

The audiences, please follow him at Dr. Tani at YouTube channel.

846

The link is in the description.

847

And thank you for having us.

848

Thank you very much for inviting me today.

849

Yes, it's been fun.

850

We'll be right back.

📺 Mesmo canal

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Vocabulário e dicas de fala para esta lição

Esta aula de conversação usa o vídeo “คุยอังกฤษกับหมอไทยที่ไปเป็นอาจารย์หมอสอนคนอเมริกัน @DrTany”. Este vídeo tem 850 frases e 9215 palavras para praticar shadowing. A fala dura 55:33. O falante fala em ritmo natural, cerca de 166 palavras por minuto, próximo de uma conversa do dia a dia. 87% das palavras estão entre as 3.000 mais comuns do inglês, por isso o vocabulário é fácil de acompanhar.

Vocabulário principal deste vídeo

15 palavras do vídeo que vale a pena aprender, com pronúncia e significado:

Palavra	Pronúncia	Significado
lung substantivo	/ˈlʌŋ/	pulmão
transplant verbo	/tɹænzˈplænt/	transplantar
specialist substantivo	/ˈspɛʃəlɪst/	especialista, expert
coin substantivo	/ˈkoɪ̯n/	moeda, prata
medication substantivo	/mɛdɪˈkeɪʃən/	medicamento, medicação
merge verbo	/mɝd͡ʒ/	unir, convergir
happiness substantivo	/ˈhæpinɪs/	felicidade, alegria
nurse substantivo	/nɝs/	enfermeira, enfermeiro
flip verbo	/flɪp/	virar
topic substantivo	/ˈtɑpɪk/	tópico, assunto
mask substantivo	/mæsk/	máscara
breathe verbo	/bɹiːð/	respirar
clip substantivo	/klɪp/	clipe, clips
accent substantivo	/ækˈsɛnt/	acento, tonicidade
unhealthy adjetivo	/ʌnˈhɛl.θi/	insalubre

Phrasal verbs que você vai ouvir

Palavra	Pronúncia	Significado
come back verbo		voltar
come up with verbo		pensar (em), alcançar
go back verbo		voltar
burn out verbo		apagar-se
go up verbo		subir
cut off verbo	/ˌkʌt ˈɔf/ [ˌkɐɾ ˈɔf]	recortar
end up verbo		terminar, acabar
go down verbo		descer

Frases que vale a pena repetir

Frases curtas e completas do vídeo que você pode usar na conversa do dia a dia:

Why do you sound like that?
How expensive are we looking at?
Sorry, you just quit where?
What's your opinion about all this though?
What is the latest word that you've learned?

Gramática neste vídeo

As estruturas que o falante mais usa, com as palavras exatas do vídeo:

Estrutura	No vídeo
Present perfect continuous have/has been + -ing — uma ação que começou antes e continua	I've been doing · you've been living · have been doing
“Used to” used to + verbo — um hábito ou estado do passado que não é mais verdade	used to work · used to be · used to teach
Present perfect have/has + particípio passado — uma ação passada que ainda importa agora	I've always wanted · have gone · I've never seen
Voz passiva be + particípio passado — o foco está no que acontece, não em quem faz	was born · were born · be seen

Pronúncia para ficar de olho

O falante usa 219 contrações e formas reduzidas, como don't, you're, I'm. Diga-as na forma curta, do jeito que você ouve.

Os sons de “th”: breathe /bɹiːð/, unhealthy /ʌnˈhɛl.θi/, thin /ˈθɪn/, throat /ˈθɹoʊt/, gather /ˈɡæðɚ/
Os sons de “sh” e “zh”: specialist /ˈspɛʃəlɪst/, medication /mɛdɪˈkeɪʃən/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, inflammation /ɪnfləˈmeɪ̯ʃən/, contrast /kənˈt(ʃ)ɹæst/
Palavras longas — acerte a sílaba tônica: medication /mɛdɪˈkeɪʃən/, universal /ˌjunəˈvɜɹs(ə)l/, ridiculous /ɹɪˈdɪk.jə.ləs/, examination /ɪɡˌzæm.ɪˈneɪ.ʃən/, communicate /kəˈmjuːnɪkeɪt/

Sons difíceis para falantes de português:

Consoante final — sem acrescentar um “i” depois: transplant /tɹænzˈplænt/, specialist /ˈspɛʃəlɪst/, flip /flɪp/, topic /ˈtɑpɪk/, mask /mæsk/
/l/ final — a língua toca o céu da boca, não vira “u”: disable /dɪsˈeɪbəl/, universal /ˌjunəˈvɜɹs(ə)l/, tail /ˈteɪ̯l/, spinal /spaɪ.nəl/, skill /skɪl/
/h/ — um sopro suave, diferente do “r”: happiness /ˈhæpinɪs/, unhealthy /ʌnˈhɛl.θi/, habit /ˈhæb.ɪt/, handsome /ˈhæn.səm/, nowhere /ˈnoʊ.(h)wɛɹ/

Como praticar com este vídeo

Ouça o vídeo inteiro uma vez sem falar e anote as palavras que você não conhece.
Comece na velocidade 0,75×, faça shadowing frase por frase e volte à velocidade normal quando ficar fácil.
Grave a sua voz e compare com o original, prestando atenção a palavras como lung, transplant, specialist.

O que é a Técnica de Shadowing?

Shadowing é uma técnica de aprendizado de idiomas com base científica, originalmente desenvolvida para o treinamento de intérpretes profissionais. O método é simples, mas poderoso: você ouve áudio em inglês nativo e repete imediatamente em voz alta — como uma sombra seguindo o falante com 1-2 segundos de atraso. Pesquisas mostram melhora significativa na precisão da pronúncia, entonação, ritmo, sons conectados, compreensão auditiva e fluência na fala.

Técnica de shadowing: leia o guia completo passo a passo →

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GEMINI คุยอังกฤษ 40 นาทีกับเจมีไนน์ นรวิชญ์ | คำนี้ดี Feat. EP.78

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Vocabulário e dicas de fala para esta lição

Vocabulário principal deste vídeo

Phrasal verbs que você vai ouvir

Frases que vale a pena repetir

Gramática neste vídeo

Pronúncia para ficar de olho

Como praticar com este vídeo

O que é a Técnica de Shadowing?