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Welcome to the 19th SNI and SNI Digital Baghdad Neurosurgery Online Meeting, October 23, 2022. The introduction will be given by the meeting originator and coordinator, Salmer Haas, from the
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universities of Baghdad and Cincinnati
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The speaker will discuss a medical student being an active part of the neurosurgical team. The speaker is Fatima Odei Ahmed, medical student, University of Amistan, Surah College of Medicine,
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Baghdad, Iraq.
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Let's go to the next talk and
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thank you, Salmer again, and thank you, sir Who's ready now, Fatima Odei, Fatima, she's at.
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six-year medical student from, also from Baghdad, but from another college rather than Sama. She's from Amnesty Saria College of Medicine. And she's,
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she'll share with us her experience. And yeah, yeah, Fatma, the stage is yours.
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Hello, Professor. Hello, everyone. I am Fatma Adey I'm finally a medical student at Amnesty University College of Medicine. Actually, today I'm grateful for sharing a special part of my journey
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with the neurosurgery here in the SI meeting. So my title is Medical Student, Being an Active Part of a Neurosurgical Team. So, a neurosurgery is my field of interest since 2019 And actually,
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this is when I was a second year in Medcalfa. students, starting with the lectures of neuroanatomy and later when I meet Dr. Hose and enrolled in the mentorship. Actually, this is what the start
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of my journey. During my fifth year of medical school, I attend with the neurosurgical team, the brain catheterization from October
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2021 to March 2022. Actually, this is the special part that I'm going to tell you about today. Also, I have three published articles and also I get the chance to participate in one chapter of
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neurosurgical work.
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Actually, this is my second presentation here. My first presentation was in January early this year. It was
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presenting my project neuroplastic project with my colleague.
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Zahram Ajid and today I'm happily sharing you another one. So before I start, I need to owe everything I did in the last year and I will do in the future to the neo-Neurovascular team at
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Baghdad, the Neurovascular Center. I want to thank them all. Thank you so much, Dr. Summer, Dr. Heider, Dr. Alfa, Dr. Manudan, Dr. Anand, Dr. Ektham and
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all the nursing staff. Actually, I'm so grateful for your endless support and your anger to teach me a lot more. So I want to tell that I really feel privileged here of standing beside the few. So
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actually, the story basically starts during the beginning of my, the fear of medical school. I start to attend with the neurovascular team, continuously be the brain catheterization and the
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few months actually I spent with them was the capable of take my urinary neural surgery and your level.
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So let's make this a special part of my life Actually, it is the feeling I felt that time. I never felt I can become this a closer to the life of a neurosurgeon and explore all these aspects of a
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neurosurgeon. So actually the first time I attend a brain catheterization it is when I realized that I need to go for more and this is when I take the decision for all. all of this journey. So it
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was the fastest decision I've ever made, but I have no regrets. Actually, I didn't have any specific goal, but I was,
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and I'm still passionate about exploring more about neurosurgery.
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And actually, this was an amazing opportunity to support a new aspect I didn't know before. So I just see this opportunity.
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So what's a typical day in Baghdad, the neurovascular center look like? So after welcoming a medical student, our colleagues from Dr. Hose mentorship, we started viewing the cases of that day We
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used the VVCT and the MRI, Ben Mian at them. plane to them, the types of catheterization, diagnostic, therapeutic, and also the type of catheters we use. Also, we draw
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the related vascular anatomy since the orthon, the major arches in the simple way. Also, we do a simple simulation of transimolar approach. We have like this old and used equipment. We use them
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to order to like to explain the steps of catheterization in
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order. So when they attempt the catheterization and so they have a better imagination of the procedure.
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Then we do also tooling on the patient before the catheterization and after and also in the posturing, we actually instruct the patient about the catarization and remove their meaning sheet and
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dressing and etc. and actually also get chance to attend the neurosurgical link after finishing all the work.
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This is some of the images in the clinic. I believe a lot of them were late at night when we spent the whole day supporting neurosurgery and doing neurosurgical procedures.
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So the first few weeks, when I started, I was like an observer of the world and this First of all, I let myself be more familiarized with the words of victory. women and actually I understand the
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role of each one of the team and when I start to persistently showing up with them, actually Dr. Alpha and the correct them actually start to teach me about the imaging system and how to move the
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table and the c-arm and also let me practice it after the catheterization end
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and after several visits I got to a higher level, actually it is when I participated and do and
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in this case actually I practice all what I all what they teach me. This is the first case. I was in control of the imaging system and then this is a case when I first have my DSA run with the Dr.
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Hider's body and this is the first time I do microfuncture.
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So, then I get to a more higher level, actually, when I start this actively, this is a
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therapeutic case of a typical meningioma, in this case, I was the person in control of the imaging system. This was my place during all the procedure.
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Actually, this is what we did was
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embolization, a preoperative embolization of internal maxillary and superficial temporal artery, and this was the post-embolization results. Actually, it was one of the most interesting cases. I
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got the chance to attend with the team.
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Another case, I assisted actively in. Actually, it was a case of giant ophthalmics.
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and tourism for a slow diversion. In this case, I assisted in the initial steps of caturization, then I get back to my place near the
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control panel. Actually, it was also the most interesting and challenging case I ever attended.
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This is some of the intro operative shots. In the
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same day, when I assisted first, actively in caturization, also I get a chance to assist actively in often in brain surgery. It was the case of anterior tummy-cating archery aneurysm, and this is
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me opening the skin and this is me doing the drawing
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and cutting the bone using the be gave Leo so and here, uh, offening the Jura.
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So this is me do it, practicing a craniotomy 2019 and this is me doing a craniotomy in a real case two years later, actually I feel so grateful for how I get this far. And of course I'm grateful to
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all of the team who helped me to become this
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Actually, the fruits of a couple of
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months, actually I did 56 in the vascular procedure, sorry, I attend 56 in the vascular procedure and at least in nearly 20 of them and in this period also I attend six different surgeries by
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passing from my own way diseases and
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your is more clipping also.
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I get the chance to develop
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some sort of responsibility to work patient and actually, this is the Tram ulcerneurosurgeon patient relationship. I always like that aspect of the surgery, and it is one of the most causes that I
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want to do in your surgery in the future
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Also, I get the chance to meet a lot of medical students who are inspired to be neurosurgeon too. And I want to tell them I'm really proud to know them and I'm really proud to share my passion with
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them.
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So this is a picture of 1, 000 you heard. Actually, this is a slide from Dr. Samuel Tok and the pan are of a
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neurosurgeon.
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So, in this meeting, Dr. Ho's prepared a slide for each of us. It was actually more a surprise, and he proudly talked about our achievement of what we did, the operation we attend, and the
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articles we've published I just know a few here, sounds,
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or I want to
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see,
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and I want to tell that this wasn't just a surprise for me, and it was actually a surprise for my father, who was proudly listening to me. Thank you so much for letting me and my family live this
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amazing woman.
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So, at the last, I want to tell back even in developing countries like ours, we can do this level of neurosurgical training. And actually, I'm really proud to be part of this, because what
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happened is when I offered my time, my passion, my mentors actually double it and make sure that I'm doing in the best way possible. So when I first,
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I first attend with them, I didn't imagine myself more than observer, but they, in contrary to them, made me actually a real part of the team. So I'm really grateful for this. And I believe that
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what happened here could happen. happen in every part of the world. So limitation only live in our mind, but to use our imagination, everything become limited. At the end,
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I want to tell that I'm so proud to be part of this exceptional team. And I want to tell that I'm not the only one who did all the privilege There's lots of my colleagues who are doing lots of great
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work then.
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This is my story. Thank you so much.
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Wonderful. Wonderful. Wonderful. Thank you so much. Excellent. Yeah, I enjoyed that. And obviously you had a very good experience
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Yeah. And I think I like coming one day if possible.
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we can run at the series. And I'm not pushing for that in which medical students will write about what Fatima just called one of the scenes, at the case, I will not forget. And then also, what is
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interesting, we rarely hear this evolution, what I wanted to do, what I did, what I didn't do And this was the fantastic, enjoyable, because it's the actual person who is talking, right?
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You're not talking about one thing, but it's you who are talking. And which also gives praise
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to Samar's ability as a mentor, because we have two of his students and so far, Albert Mani and Fatima, And I pronounce it only the name of
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Hermione. And they do presenting different things. That would make a good coach, right? I mean, a good soccer coach. He gets a player from Benfica and a player from Ballucia Darmund, right?
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And doesn't try to make them play like in Manchester City. He say, no, you play as you play Benfica You play as you play in Ballucia. And let's see how we put this whole thing together and we get
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Manchester City beating everybody. So that is exactly what somebody is
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doing. So with the congratulations. So again, Samas and the Fatimas, different presentations, but all of them original and outstanding, you know?
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I'm so honored to hear that. Thank you, Fatima, it's amazing. Dr. Osman, do you have any comment? That is one line for Mustafa, no? No, I can't, yeah, it's Mustafa. Yeah, my name's
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Mustafa Osman. I'm a PhD graduate from Baghdad. I just want to say congratulations to Fatima for her outstanding presentation
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I worked with
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Fatima during when summer was in Baghdad. She was like really passionate and really
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a team-made student. She'll be a great resident, maybe a great neurosurgeon. So yeah, thank you and congratulations. Thank you, thank you so much Mustafa. I'm really happy to hear this from you
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And actually this period, I also learned a lot from you.
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Thank you so much, you're welcome. Thank you, Mr. President. So I want to make a point before going to the next and if you have any question also, you will listen. So the idea that you put
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Fatima that
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just to make it clear that even for the professors that turn now if we have a cavittor session like diagnostic calendar and geography few cases, so we invite student to come to join, to attend. And
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when they attend, we have either Fatima or sometimes XM, they
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are doing sub mentorship. Even now, even I'm out of Iraq. So that's the beauty, they are continuing the same job. So Fatima receive the student, teach them everything about what they will attend.
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And that's for us, it's a very new experience that we have not only the mentor teaching. We have the student, the oldest student interested in teaching. I think this is one very interesting point
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about Fatima. And the other one is her slide about the picture when she's practicing on the our like simple lab practicing on the sheep And on some day, which is a few years later, two years later,
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she's able to do the same on the patient. I think this is a very a huge message. I like that slide and I'm happy for you. And the last thing that I want to say that the most important thing I think
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is that your connection with the team, with the current team, Dr. Heider is leading the team. They are doing open-ended vascular surgery. and the student is doing
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an important part of the team still. So that was initially, that was my concern. If I will travel, everything will stop. And now you are showing us that everyone is doing well and this is very
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important for, for ERR, for medical student and ERR, for the patient also. So I'm really thank you for your effort and
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your colleague as well.
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If anyone have a comment, we will listen Um
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So, okay. Thank you, Fatima.
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I appreciate that presentation. Thank you. I will go. You enjoy these presentations.
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