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February 14, 2017


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Hi simon ,
Do you have a channel on youtube ?

01. to explain that improve health should be started that where it begin.

02. how do different people look at same problem

03. health care professionals who know that heath does begin


the speaker talks about the story of Veronica in order to explain the audience the example of a patient getting the different result after receiving the better health approach.
the upstreamist is needed to have a living and working approach to give better health service.

3) to address that proper identification of a problem can solve it
2)Different approach to solve a problem.It is always better to find the cause to provide an effective solution.
3) Upstreamist are those who connect people to the resources.

1. He wanted to express the importance of main causes of diseases by giving an example
2. It demonstrates a story about three friends in which the first one tries to solve the problem directly, the second one tries to solve the problem indirectly and the third one tries to prevent the problem before it occurs.
3. An upstreamist is the person who tries to find out the root causes of health issues

Root cause analysis
Go back and forth
Improve remarkably
Follow-up visit
Pay for volume not value
Wide-spread awareness
Trigger asthma

Hi Simon,
Im really confused about something, I hope you can explain it to me .
Would) this word I usually use it in my writing task 2 in all its types.. but recently I've realised that not all questions fit it with this tense WOULD to support my ideas or shall i use present?

Hi Simon,
In one of your old lessons (advice), I found that in order to get the score we want, we should be able to get 0.5 band more that what we want during our practice (because of the situation in the exam, we might get less that what we expect). For now, I get listening between 7.5 to 8.5 in my practice. However, most of the times I get 7.5. should I be confident to get 8 in the real exam or I should wait and practice more and more?

1. Because he want to illustrate that can improve health where it begins.
2. To save children
3. It means Health care professional.

1. Why does the speaker tell the story about Veronica?
- to told the audiences that finding the cause (living and working environments) of the disease is very important
2. What does the "parable of three friends" demonstrate?
- parable of three friends demonstrate that most of people try to cure the sickness rather than searching for the root cause.
3. In the field of health care, what is an "upstreamist"?
- upsteamist is a person who will looking for the root cause of the diseases by asking the working or living environments of the patient

The speaker narrated Veronica's story in order to point out the need to improve the health care system using a wholistic approach with better understanding of root cause of diseases i.e upstream factors.
To illustrate the important 3 structures that an ideal healthcare system should consist of: the rescuers/first responders e.g. emergency physicians, the raft builder e.g. family physicians & the upstreamists e.g reaserchers/scientists/public health workers.
Upstreamist is synonymous to ill-health root cause.

1. Why does the speaker tell the story about Veronica?
He introduced Veronica's case to prove how important to understand patients surroundings to solve their diseases.
2. What does the "parable of three friends" demonstrate?
It demonstrated that different roles for medical treatment.
3. In the field of health care, what is an "upstreamist"?
Upstreamist is focus on preventing sickness. In other word, upsteaminst represents the specialist who find out the root cause for disease and help his/her patients to improve their environment and health at the same time.

Hi Simon,
I have tried to write short essayes on the topic.
Why does the speaker tell the story about Veronica?
The story of Veronica tells us, how our living and working conditions have an effect on our health.She was the 70th patient of the doctor and she had visited more than 3 times before that visit.Her problem was chronic, always having a headache and runny nose.She visited a lot of doctors, done different types of tests, took many medications but her situation was dormant.
When the doctor entered the room he recognised her bridge nose and tried a different approach.He asked, where do you live, what are your housing conditions, do you have water leaks, cockroaches etc.She replied, yes. She was surprised by this separate approach of the doctor.He referred her some drugs and asked her, if she is ready then he can ask some specialists, not necessarily they are doctors they may be a social worker who will come to your house for a visit to check your living conditions.He might be a lawyer who will check, whether your landlord is providing sufficient amenities or not.After the checking and rectification in her living condition, her health improved 90% and also her son, who was suffering from asthma recovered enormously.
So this was an upstream approach which rather than giving you medicines concentrate more on, where you live, plays and sleep.
2. What does the "parable of three friends" demonstrate?
The story of three friends tells us three different types of approach that we can make in healthcare.
Once three friends were in a lake for swimming.They saw some kids were in the water, shouting for help. The first friend jumped immediately to water to save them from drowning. The second friend went to make a boat to rescue them and the third friend started swimming to the upstream.The other two asked him why are you going there he said, I am going to find out who is throwing the kids into the water. So in our healthcare system, the first friend is the surgeons, medicine specialists etc.The second one is our family doctor who does our regular checkups, controls our blood pressure, diabetes etc.Currently, our third friend is missing, who is a 'upstreamist', who will think about our living and working conditions rather than only providing us medications.He is the person, who is going to think beyond giving only medicines based on our symptoms and think about the deleterious effect of our environment where we live and work.
3. In the field of health care, what is an "upstreamist"?
An upstreamist is a person who tells us to check the impact of our living condition, our behaviour towards health rather than giving us medicine according to our symptoms.First, we need to identify the problem, then find out the root cause whether it is genetic or is there any other circumstances are there which is affecting our health.Thirdly the group of upstreamists, they can be social workers, lawyers, doctors, nurses anyone, who will work as a specialist to give a remedy. For an example, a company announced on the radio that their medicine will reduce 40% of chances regarding heart diseases. Everyone was anxious to get it because anything is of worth in front of your heart problem.The medicine was a park.Going for a jog or just roaming in a park or any green environment can reduce the risk of heart trouble.Opening yourself to green is the solution.'Zipcode is more important than genetic code', that means your surrounding has a huge effect on how your genes are made.So in our current scenario, we require more upstreamist in our Medicare system, probably 25000 by the year 2020 in the USA.

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