0:28 Hello, good morning, good afternoon, and good evening, to distinguish chairs and speakers, as well as where audiences are back again with two great speakers for you. Today, The first speaker of today is no stranger to us. He is a very well known personality and our honored guests on the illicit, California, Professor James Jasmine. Your crossman is now going to set up notices in the Department of Neuroscience, University Of California At Los Angeles. He also holds the position of the clinical buffs cent necessity of the Loma Linda University Medical Center in Loma Linda California, He has. At many centers across the Usa, advising them on strategic planning for the future, the complex healthcare environments, not Osman is recognized as a leading authority in neuroscience development. He has lectured on and is respected for his futuristic using healthcare and neurosciences, along with his wife Carolyn. He has created and produced a television series for public broadcast stations and title the leading gen. What will you do with the rest of your life for the people from fifty years two hundred plus years of radio program, which was viewed by millions of people across? America, Dr. Osman was the creator and editor -chief -in of surgical neurology International neurosurgical journals, which began in the nineteen ninety four, under his leadership job done, Donald rose to become one of the top three journals in neurosurgery In twenty twenty two across Crossman, created and developed a new educational system Snl Digital, based on the discussion and interaction between audiences and the speaker, as an alternate to the word Torchwood Platform Zoom, Norcross Crosswind has published over three hundred articles and book job. And he has been uninvited etc at the national international conferences is nearly in nearly seventy countries. We are extremely honored to him today to the speaker with us, and will be imparting Lord of wisdom for the young neurosurgeons in this very interesting topic, titled the most important lesson I learned in medicine, The second speaker for two days over on a Tina fracking do from Japan, of the midst of the same person, lawsuits directed Nagoya University hospital in any, sold to the professor and chairman department of Neurosurgery Laguna. We graduate call up medical sciences, he had noticed, was the director of them, were Vincent Critical Care Center Nagoya University Hospital, as well, Boston, Ma, says an expert in the management of cerebral vascular diseases, and was later when endoscopic surgery, traumatic brain injury, and see us, the facilities, a member of the board and instructor in Japan, Neurosurgical society in Japanese society, on Saturday to face every stroke. We are extremely honored for having to their thoroughness, and he will be talking about dates, the Csf physiology, current options and future subjects. It for the face session of police were we not as an honored guest from Columbia Process teacher Barry La Casa, Barilla currently is a consultant neurosurgeon and spine says, in the hospital, Infantil Universitario de San Jose, He is also the head of neurosurgery department, or hospital clinic, Sandra Finn, and trust of Notice of the spine, says, did the Neurology Institute of Columbia, He has more than four hundred fifty publications and order presentations, Combine, he was the president of the Colombian Association of Neuroscience, the president of the. Adoration of Latin American neurosurgical societies, He was a member of the nominations and bylaws committees of the Dublin Furnace, and a delegate for twenty eight years to the execute. The committee is currently down to the president, and called it a bed of scientific programmer to oblivion, as welcomed as we're just going to be held in two zero two, two. He was the recipient of several awards during his was illustrious career, including the gold medal of the flank, and distinction of the Congress of Colombian Republic. We are extremely honored to have great to share this. Enough said James Smith's the second year for two days out on a guest from Saudi Arabia, Prosser, amateur, Mma, Rosler muddies the professor and head of department notices, did the King Faisal Health University hosp, until the moment Saudi Arabia is a vastly experienced neurosurgeon who has conducted more than six thousand surgeries. He has a special interest in Paediatric neurosurgery He has ordered the most famous book, and noticeably title had the fellas what we know, and what we still don't know. He serves on the editorial board of several international reported notices regenerate. Is the recipient of several awards and other honors from the Saudi Government for his outstanding contribution towards necessity? He was decorated several academic positions in various internationally known organization. During his long career, He got, He is currently the coach, Edwin or the Dub near fairness Ethics Committee were extremely grateful to him to everybody who chaired the session, approximately the mercy, on behalf of the education committee of Day and the President buses your cook. I do. I would like to welcome aboard the speakers, jazz, and the distinguish audiences to this online. At farmer facing this urbanist, not a newborn central militia is my cause for today, and with that introduction outline behind with this online by phone to the foster roster due to paranoia, or we like to sync all know you on all on the your community of these will now for immediate decent opportunity to play, said to replace her game asthma, and he's a great neurosurgeon. Certainly he has been a weak ass working for. At least forty years ago when I met the team at the University of Minnesota so high for me, it's a great honor to speak about Song wars From him. He is a real master of master. He never asserted. I why I wanted to tell you. Why is that is her? I said that to her, well, he beginning to work always with care we love. For save the life of the base. I can get testy five of these to it. Always. He's think I'm putting all his bags for whom provide better care to the people. Who was. They are not keen and requests to him for help. He started working in one difficult feel of never asserted at that. I bicycle, but vascular related with a stroke, and really, he's a pioneer, and he has the ability to see for forty years ago. Now that biases in how they can have that kind of fighting. That at that moment know people take it up that they would ology. And nobody judges always go to made rounds and looked that for patients, failing one bed and natty, happy only if aspirated and he started introduce the concept of revascularization of the rain, and he will be the fate, for. In that field, he I know she introduce the concept of the renewable. I how we can change that field

7:26 in and now we'll see this closure in his facial in all developing countries with the endovascular How he has the reason at that day, but anyway he put in all he effort, all he saw to push people to give his can to help others. You're no reason. It's always. I also, I can see here in Latin America. For many here. How how he held the. You're never surgeons, and boost, then doing Bruh, never asserted authority. He has been thousand of times over Latin America, and she has been men, men thought. Well, meaning they were assaulted of his country of in Latin America, and also or him, I know, even many caught a radius, lay Africa, nausea, and also doodle, even the United States, to Key Hill, We love, We care, we then did for improved his skull, Oh, is it? No loss in they were a thirty, and also I can say that the keys is spent almost ceased the year of his life for care of the basin and academic. Karen. Also, he has tried to push us to tell all the people and shared their knowledge. Forty broke a minute. Before Aids, I hear from him, we'd be leveling in this confidence here in this conference with is all there is. For that reason, all of us all people all never asserted who are attending to these important conference will be cents toward the organization for good as the opportunity to. Releasing him, I left for Hill and the charisma. Thank you, God bless you always Because you are doing the base of your soul of your nicer saw you have cleaned, Saw you are very honest and dedicated to never asserted a war. Why thank you for the gift, even today with thing that I love that. You always arguing to us, thank you so much and I can save four pins that you really are master of masters and doom. All young people must to see here lay by Radin to fellow in the future, Thank you and take your fear of or the very nice things you're said. I fired. I appreciate that very much well, I appreciate. First of all being invited to talk to you, Ah, that's an honor for me to do that. It's a pleasure for me to see

10:59 Tito and Ahmed and all the other people

11:05 who are here. I, I've had the pleasure and the the good fortune to go to your countries many times and learned a lot from you and we're going to talk about one of the most. Important lessons in medicine. I'm now eighty three years old, and one of the important lessons I learned

11:33 and we will talk about our Southern first question.

11:38 Harvey,

11:41 who arms

11:44 The universe was started some thirteen billion years ago.

11:51 Fourteen billion years ago, we have no idea how things began

11:58 in various religions around the world. Reinterpret them to various gods. Whatever you believe in is correct, because no one knows the answer.

12:09 I think often when I see smaller animals or insects, and I'd see what is the world that they live in. They don't understand my world. They don't understand your world. Would you have a work and they do the things that they have to do to live and to survive

12:28 and they don't know

12:32 and where are the same.

12:34 We don't know

12:37 what happened before thirteen billion years ago

12:43 and we're working, and maybe we we don't have the sense. We don't have the understanding of what's in the world.

12:52 We have a dog. The dog is barking half hour ago and I didn't see anything outside. The dog has a different sense than what we have and know somebody is there. What is that sense because we don't know we can only hear in a certain range of frequencies we can only see in a certain way.

13:17 We're lucky to be able to communicate,

13:20 but do we know? Beyond we don't know

13:25 the Earth was formed four and a half billion years ago from gases and dust,

13:32 and over time eventually humans appeared on the Earth

13:38 and you're going to have different beliefs as to how you think that happened. We have strong beliefs said it would through evolution. There are other people who believe all the things people can believe what they want to believe.

13:53 There is no right or wrong. We're trying to find out what the truth is that we have to respect everybody's opinion

14:02 and what they're thinking,

14:06 And so about five hundred thousand years ago Humans appeared in the Earth. They started out in Africa, and they spread to Europe. They spread to the Middle East.

14:18 Which ones Babylon in those times was where Dr. Ah. It's from it's from that region of the world, which is a wonderful place to be,

14:28 and they had to. They were initially

14:33 people who are hunters and gatherers that they didn't have to name. They didn't have anything that we have today, and eventually they gathered gathered around rivers, the Tigris, and Euphrates, or the Mediterranean,

14:48 and they've fallen groups of civilizations.

14:53 And so we've had civilizations. I visited the Asean and China, and I saw the Ad on earth, the civilization that was still ten thousand year ago, Amazing accomplishments. They had our wonderful architecture. They had tunnels to take water. They had many advances ten thousand years ago, and how many years before that thousands of years did it take to get to that point?

15:23 We started recording history some thirty five hundred years ago,

15:29 and so we're we're beginning to find out People started from Africa. They spread around the world. They spread to the Middle East. They went to Asia. At that time. The world was different. That would land was connected. They came to North and South America, and everyone they change their head genetic changes because of the environment and illness and disease.

15:53 We know that species compete with one another and their survival are the ones who can survive, and so the people who survive we have left and they're all different colors. All their friends, religions all different, Everything It doesn't matter,

16:11 and here we are now starting from ten to fifty thousand years ago, beginning to have civilizations we went through great period. And people don't know this or a great advances in China or five thousand years ago, incredible. She.

16:31 At that time, governments were basically a lot of monarchies, or they were ruled by rulers. Some were good, and some were not so good. Then we came to Greece, and to wrong, we came to

16:49 Europe, and we. We began to think about how we we handle life

16:56 and people began to develop reason.

17:00 It was not reason that just came from the church photo is beyond that,

17:06 and so now I'm sitting here today

17:10 in the United States, in California, and I'm talking to people all over the world

17:17 instantaneously electronically.

17:23 I couldn't do this

17:25 five thousand years ago ten thousand years ago thousand years ago. One hundred years ago, and maybe even ten years ago,

17:37 and then the whole history of the universe. This comes to

17:42 something, and we need to feel an itchy humility.

17:48 Our civilization today is a mere speck seconds in time of the whole universe.

17:55 We will live. We will die. Other civilizations will follow us.

18:00 How are we going to live together

18:05 then? So we're going to talk about what I've learned and living together. If you look at the population of our country now in the grey of this is a population by year,

18:17 If you look in the grey part of the graph here. Was your people over eighty? That's me

18:24 if you look at people in the blue. The young up to twenty

18:31 in all arrested them in the in the middle are the young people who are the young people. The people are going to be the the face of neurosurgery. It in the coming decades in the coming centuries,

18:46 so I am humble being asked to talk to you.

18:51 I mean nothing. I'm a spec.

18:55 If I tell you some things that are valued fine,

19:00 but this is the world you after living in this issue have to shaping the way you want. Make it a good world.

19:10 So we older people are passing. Do the responsibility for this world and its problems, and I'm going to talk to you about the good. I'm gonna talk to you about the bed finding to talk to you about the problems. Are we solve those problems Because these are issues that are fundamental.

19:33 I search of these are fundamental to living,

19:37 and if we don't understand that

19:40 we've all gables will live. Well.

19:44 It all a history of civilization, that's recorded thirty five hundred years.

19:51 We've spent thirty three hundred years fighting with wars, thirty three hundred and thirty five one hundred years at war.

20:27 When I went to these countries are our people would take me and show me the the great monuments for the great castles for the great Churches,

20:40 and I began to wonder how many lives were lost. How many people died, making those monuments to some other human being,

20:51 so I didn't want to see that any more

20:54 I wanted to talk. We wanted to talk to the people. So we talked to the people in the farms implored people everywhere we talked to people who are friends of you and me, and we would sit in the homes. Are we talk about important issues and our handling them.

21:13 I've had dinner with a rich. My bed. I've had meals with support

21:20 and this is what we've learned

21:23 from people all over the world.

21:27 Most people, if not all people love their family,

21:32 they want to have the freedom to raise their family and do from their family what they want,

21:39 and they want to have peace

21:42 everywhere in the world. Every country in the world. It was same. Those are the people who come into your office.

21:54 Trees, there are some leaders and this is throughout entire history in higher history that we know

22:01 some leaders want power. They want to control your life

22:08 they want. Which is they want you to do what they think you should do,

22:16 and that is evening happening today in countries around the world.

22:23 That's enough.

22:25 The people want, but I told you the patient wants when he comes to see you about, Take care of my family.

22:36 The other people who in power either mentally ill or or psychopathic. Many of them are they killed millions of people For what

22:49 what are you going to do about?

22:53 Well, the principle is that for patients should always come first

22:59 for patient comes to your office. He brings his family.

23:05 Either his child is sick, whereas wife is not not feeling well. Ours as mother and father are sick. But he comes to you because he respects you because you are a learned person. You know things that they don't know you've been to school. It's been educated

23:24 that he wants to come to you. It help

23:31 that when he shows up in the office.

23:34 His office and he looks at you.

23:39 He's putting the life of his family in your hands.

23:44 You have his life in your hands, giving you that.

23:51 What does he want. In return.

23:55 He wants you to know that he want you to do everything you possibly can do to help his son and his daughter, his wife. His mother, his father. He wants you to do that. That's the contract he makes with you.

24:14 Nobody ever has a contract areas in the hospital in the world without contracts exist in. It's the most important contract in medicine.

24:24 The hospital gives you a contract to sign, and things you have to sign.

24:30 It is nothing compared to this contract.

24:34 And when you agreed to take the patient, you have agreed to that contract that a bond between you and the patient. You will do everything you can to help that patient

24:47 that's been going on for all time, All humanity.

24:55 The patient want you to do that, no matter.

25:00 Government says no matter what your colleagues say, he wants you to do the best you can do for him. It's nothing wrong with that

25:10 and you've agreed to do that.

25:15 Does your hospital agree to that I'd been the hospitals all over the world? The United States. No,

25:25 they don't the government believe that you know that they don't.

25:35 Does your organization believe in that or the people in the organization more important? If she initial over the world, you see it locally in your hospitals.

25:49 What about personal issues? Some people won't want to go home all of a sudden.

25:55 Hospital all over the chart was written that he was allergic or narcotics,

26:02 so at six o'clock at night when they were changing shifts, a new doctor came in and gave my father's some electronics had a disaster.

26:12 Somebody didn't do their work. They didn't read the chart. It was right there.

26:19 Well, his family suffered and he died

26:24 Is that the right thing to do the patient comes before all of those things, no matter what anybody tells you.

26:36 If the contract is with the patient

26:41 and don't ever forget that

26:44 that's a contract. That's what they believe. That's what they want you to do. The next thing they want from you is the truth. Well that seems obvious. What is it? What is the troops.

27:00 They want you to do the best. If you haven't done the best they wanted. Know if you can do the case, They want you to tell them

27:10 how many people do that

27:13 or do the case, or they can make the money

27:17 Is that how you want to live?

27:20 Is that with the patient? Once you're the patient? Ultimately you will be the patient? Is that what you want

27:29 you have to be truthful with a patient. You have to be truthful with yourself. What is the truth

27:37 in the world we live in. Do we really know what the truth is.

27:42 If you pick up your newspaper, Are you going to find the truth, probably not?

27:49 We live in a world where we've just had the virus.

27:54 People had done work on the virus we know. In countries all over the world. There were scientific work that was done showing the drugs will be effective when we were told they weren't effective. That was not true.

28:08 How many died Isn't a result to that

28:15 there were people in hospitals in the United States and Europe. Russia.

28:24 We were told that. If they told the truth about what was going on during the virus. They would, they would be forced to leave.

28:32 You know that stroke

28:35 is that what people are coming to you for as a doctor,

28:39 so you don't have to tell the truth.

28:46 That's not who I wanted to take care of me.

28:50 I'm going to tell you some things that you don't hear much.

28:55 Welcome,

28:57 but all over the world, people are being accused of racism. Everybody and this and this conference call being accused of a racist, either because you're white or because you're this, or you're that

29:12 that you make decisions based on color or race or sexual preference, prevalence, or religion or country or politics.

29:23 We started the journal Surgical Neurology International ten years ago. I never knew who sent the article in. I didn't know what country they were from

29:34 all I did was to make a judgment based on the paper. Was it a good paper and not a good paper. It wasn't good, but it was a good idea. We wanted to help you make it a good idea, so everybody could read about it had nothing to do with what race or what you believe.

29:52 Everybody has different things they believe in nothing wrong with that. There's no right answer

29:59 When I'm operating on a patient. When you're operating on a patient. I dunno what color the patient is. I know what his religion is.

30:08 I don't care what your sexual preference.

30:11 My goal is to do the best I can for the patient

30:16 and I want everybody in the operating room to do that and everybody in the hospitals do that. I. None of these things mean anything to me. That's not important. The patient means everything.

30:30 What's happening around the world

30:34 I used to teach Of mentioned He was that'd be in Minneapolis.

30:38 Is it a man you've seen his picture all over the world?

30:43 What is the truth

30:47 and all the pictures on the screen come from countries all over the world, China, Asia, Japan, Middle East, South, America, North America.

30:59 What was the truth? I've seen the videos I looked into this.

31:06 This is a man who is a criminal.

31:10 He just trying to pass bad money at a store. He'd been a drug addict

31:17 when he was taken out of his car. He was complaining. I can't breathe. I can't breathe.

31:26 They wanted to put him in a police. I have resisted that he was resisting arrest when they got him on the ground and we saw a picture of. We spend dealing on his neck what you don't know. Is that was a common. Procedure, why don't you know it? Because the day the day after he died, they took it off the website. So you wouldn't know the truth.

31:51 That was their procedure.

31:55 They had an autopsy performed. Do you know what that show? What's the truth?

32:01 The autopsy showed he had a lethal or toxic level of fentanyl in his body.

32:09 Ten times the normal dose his lungs were consolidated.

32:14 The pathologist said he would have died from that alone,

32:19 but you didn't hear that because they didn't release that information till three months later. Why is that is that the truth is that what you're gonna do when you're a doctor talking to a patient. You're not going to tell them the truth.

32:37 Are the younger generation? You're going to inherit everything? What are you going to do about that?

32:44 You want people to tell the truth or not.

32:47 If you don't have the truth, you don't have a civilization. You have war,

32:54 and so he said he couldn't breathe,

32:57 and now we know why he couldn't breathe

33:00 was a crime committed while they went through to court.

33:06 Indeed, get a fair trial. I don't think so he was convicted before he even had a trial. Is that what you want is that how you would want to be treated in this world. I don't think so, But why do you accept it and then what's behind it you see on the sly D or something that says black lives matter, and everybody around the world rallied for blacklivesmatter. You're a doctor.

33:34 Black lives matter White lives matter Jewish lives matter Catholic lives matter Asian lives matter

33:45 all lives matter. They don't want you to say that all lives matter. That's what it is to be a doctor. It doesn't matter to you.

33:58 And if you support that were due? I catch

34:04 if you support the truth. Where is that going to get you closer decisions you'll have to make because there are forces in the world.

34:14 In July, the truth. That's why it's important. Does it matter?

34:21 Yes, It does matter

34:25 if find mind. If I'm on -call Do I have to tell the truth about what's happening to the patient and do a cover it up. What kind of decision when my mentor make If I gave them the wrong information. The wrong decision.

34:40 The consequences are immense when people don't. Think about

34:46 that's what it needs.

34:51 That's why over centuries

34:54 we have laws saying we must tell the truth.

35:01 What are you going to fight for. Are you in a fight for the truth?

35:06 Are you going to fight for what's right?

35:09 What we had to do that my whole life.

35:14 He want to think of bias. You know that I'm

35:20 Robot whole life. I've struggled against bias. I couldn't get into schools because he didn't want juice. I went into a residency where I was told at the end of the residency well. Was anti semitic? I'm sorry. I

35:35 couldn't get jobs

35:38 My ancestors have fought for two thousand years Because they were jewish.

35:46 What about that?

35:48 You'll all lives matter, or is it just black lips and one refined now antisemitism is rising across the world. Why is that

35:57 because people accept it because that's not to prove?

36:02 Is that what you wanna do or is that what you're part of? I'm not.

36:10 This is just a rest came from a Lutheran minister

36:15 in Germany? He was put in a concentration camp with six million other people, Mostly job's, that he said when the Nazis came for the Jews. I didn't speak up because I was.

36:29 Then they came for the people who wanted unions

36:33 cause I wanted in a union. I didn't speak up.

36:37 Then they came for the Catholics

36:40 while I was with a catholic. I was removed from the hottest, and finally they came for me, but there was no one left to speak.

36:50 That's what. The end result is

36:55 not standing up for the truth, standing up. If the patient

37:06 and just written a book with a college,

37:09 it's called the China virus. I've been to China many times that the first. Meeting in the world, and trying to international, meeting in our research,

37:20 we named diseases after all locations where.

37:26 That reports the book is what is the truth.

37:31 We don't know the truth. We're not being given the truth. The book goes through a chronology

37:41 of what happens day by day and you decide what you seek the truth. It We don't tell you. Can you get the buckets free if you go to surgical neurology at an that global one of the menu and go through? The menu you'll find ebooks.

37:58 You can read it. Everybody can read it

38:02 and make your own mind up. What is the truth.

38:10 So getting back to the patient. The patrons want you to treat them

38:17 like he's a member, or she's a member of your family, cause they are,

38:24 it's like they're your family member. What are you going to do? I was I.

38:32 Sixty, some odd years old, She was from Mexico.

38:37 I went to see her.

38:40 There were twenty people in the Roman. Was her family. Her husband had died. She was a matriarch. The mother of the family. This is important in all of Latin America.

38:53 I was suggest operating on her. I was operating on the other twenty or thirty people in the family. It changed my plans.

39:04 Because they were a member of my family and I didn't want to leave her with any problem because she had a whole family to take. Era.

39:17 And those things are important to know.

39:20 Some of you worry about success. What is success. I want to be successful.

39:27 We'll answer

39:31 when I was working there was a resident. I was working. He he would be moonlighting. Got meant he would be going and working.

39:40 In a private office I asked him. What is it? What what does it take to be successful?

39:48 And what he said, and what I've learned is all you have to do is say that you're in June. Care for the patient,

39:57 and if you told people and people know, and the word spreads by monitored at you.

40:26 That's your choice.

40:31 That's the list.

40:34 What's the final question.

40:37 There are religions all over the world. I talked about that early. I talked about how we are. We will what our origins are. We don't know science doesn't know we're not gonna find out in our lifetime.

40:53 There is a principle as when people gathered together and civilizations, and they maybe have certain person they elected as a leader.

41:04 They all had certain things to do, and there was one fundamental principle that says do unto others as you would do want done unto you. It is a simple fundamental principle in all of life, the people do that. No.

41:23 People do most of the people I see around the world the common person. Yes, they do.

41:31 That's what they want. That's what they want from you is a doctor. You unto others. It doesn't matter what religion you are. It's irrelevant. It doesn't matter if you think you're an atheist. That doesn't matter

41:46 if you don't believe in doing unto others what you would want done unto you. Can you have a civilization?

41:55 The answer is no.

41:58 There are fundamental things principles. Here.

42:03 Can you let the truth be corrupted know?

42:07 It's not what you would want done to you. Why are you doing it to somebody else?

42:19 When you're born, you don't know what's good and what's bad. You learn

42:26 and some people wind up in life being optimistic, looking for the positives and some people are critical looking for the negatives. It's that's bad. I don't have this equipment. I don't have this that I wanted for the patient, or you're not doing your job.

42:44 That's your choice to make.

42:47 You can either believe in good in people which I believe,

42:52 or you can believe that people aren't good.

42:57 The young people today have grown up because they've had. They've vent some harm done to them and they can't trust people and they have relationships they try to have with you with each other

43:13 and they're not. We're trying to find somebody They can trust somebody they can believe that I told you why they came. The truth isn't out there.

43:25 So it's your choice to make nobody does. For you. You want to believe that things are gonna get better and then you're going to work to make them better. Are you going to think that they're not very good and you wont work for anything

43:38 that's a choice. You make the choice. Nobody makes it for you, you do.

43:45 What do I? What? What do you have now?

43:50 When I started there were no computers. There were no cell phones.

43:56 I had to go to the library and look through the books and journals, and before my time, they didn't have that.

44:05 Now I can have a world of information. Unlike desktop incredible,

44:12 I can instantly communicate like we're doing now.

44:18 And I can have a real time discussion. We're going to have.

44:22 So why didn't have those that you would have those such an incredible gift? How are you going to use it?

44:31 So what did we do? We started a journal article Neurology International. It was epic journal That was free. We went all over the world. We found people couldn't afford to go to meetings like couldn't afford journals. They were charging too much money,

44:46 and so we made it free.

44:50 And you were articles from people all over the room. We publish articles from more countries than probably any other journal in our field, and probably any other journal and elsewhere,

45:01 because it didn't matter to us,

45:05 and you just go to S and I dont global, but that in your computer, and you're there and the website, that's the home page. The and you can have an encyclopedia. You can have a whole library of information about.

45:22 The videos and everything that you could have it's all free. What are four days, twenty four hours a day, seven days a week. All year long. That's what people want.

45:34 We started something you know,

45:37 so people want more than that they were going to be would sit down and talk to each other just like I did over the past sixty years when I went to all the countries we talked to people I learned tremendous amounts from from all of the.

45:52 I wife and I learned a tremendous amount

45:55 we learned about life.

45:59 Life's more than nurse.

46:03 We had a meeting album. Trudeau has almost six hundred people came. We had a meeting. There was discussion. We had fifty seven speakers from all around the world, discussing the very cases you to handle everyday. What do you do for trauma? What you do for him? Mcdonald? What do you do for a spine? From

46:23 what do you do for pediatric tumors? What do you do for the Easter,

46:27 and we heard that the experts even different. That's what we. Though

46:32 nobody's right, Nobody's wrong there.

46:35 We respect that, and we learn from them,

46:40 so what are you going to do with your life because I just told you were handing you their civilization? With all the good and bad. We're going to do with your life

46:51 while some people sit down. They said. Well, we're the smartest people in the world.

46:56 Via have an answer for that question From all the places I listed. There are smart people all over this world. They're not just in the United States. They're not just in Europe. There are very smart people. A very poor places, very very talented people

47:16 we need to hear from those people.

47:20 You don't need to go to the United States or Europe. You're sitting with very smart people

47:27 learn from them,

47:29 but I'm asked. Where's the best neurosurgery of the world,

47:33 and some people think it's all in the United States

47:37 or Europe. It isn't. It's all over the world.

47:43 One of the first operations for carotid endarterectomy was made in South America.

47:49 In everything to do with the United States or Europe,

47:54 Syria, taxes are developed in the In in Sweden,

48:00 in Russia, they developed catheterization and they could put in a aluminum and coils that we now treat aneurysm than Russia.

48:09 I hadn't worked very hard Dr. Segawa in the laboratory to do them.

48:14 He didn't have all the modern equipment, but he did it.

48:19 This happens all over the world, but some people

48:25 from the higher income countries want to make you think that. That's where the best done, and that's not true.

48:35 The best is what you make it.

48:38 You can be the best

48:41 you do the best you can with what you've got.

48:45 That's what you do in life, no matter where you are, even if you in a high income country, you have to do the best with what you have and if you don't make use of everything and you're a high income country, I don't have much respect for you

49:00 because I know people who don't have anywhere near what you have. What have done much more in their life

49:07 and I respect those people.

49:12 Don't I look around and I see the young people and I see they complain about they can't have this, or they can't do that.

49:20 Then for me, this is the greatest opportunity I've ever seen in my life to him.

49:26 If all the people of raunchy want to be mediocre wanna be average, and you want to be the best your work to be the best. They. It'll make you feel like you're just wonderful, and your you feel great. Then you're going to be happy person. We're going to make your wife happy and your family happy. Then All of the people who touch you happen

49:49 because you're going to take advantage of life's great opportunities that come every minute every hour of every day

49:58 have to be the best.

50:01 Well, you're not gonna get anywhere unless you have goals. If you don't know where you're going, you're not going to get there.

50:10 How do you reach your goals with simple?

50:13 Can you dream? Yes, you should dream. You should think of the things that you'd like to accomplish and. Accomplished hikers gear, so tell you do it. You learned from medicine. Are certain principles. Patient comes to you with a problem.

50:32 You take a history. You do a physical examination. We get the lab work. You talked to the patient. You get your data

50:41 and then you go home and now on the internet, you can do this twenty four hours a day seven days a week, the world library and you study and you read about what the patients. Problem was that you read of what other problems can be like that that your research. Some people say they don't like to do research sets. Which researches about.

51:02 That's what it needs to go to the lab is to learn,

51:06 but I'm thinking about.

51:10 Then you come up with a differential diagnosis. You test one out to test another one and you make a treatment. That's what medicine you do that every day you're going to do that every day of your life. With the rest of your life, you're going to use that formula

51:28 A of my life. It's no different

51:33 if you leave the operating, mostly people who go to the committee meetings and. They don't they don't even think anymore.

51:42 Principles are the same. They are faced with a challenge or a problem. You don't have to go out and get data just like we do from patients. You have to read and learn about it. You have to come up with some choices that you make a solution. This is a principle you will loose use through your whole life. You'll use it when your children talk to you about the problems they face in the future when you are in your business when you're working with your college, it's the same principle. It's a logical principle he was learning it every day. If you're doing it right

52:17 and some people will say. Oh. I can't do this or everybody I talked to Is The answer is no.

52:24 I know all the reasons why it can't be done now. Go find a way to do it. You want to be the best you can be. You can be like everybody else and say no,

52:35 you're going to find the answer. Create the answer worked for the.

52:42 Because in the end

52:45 you deserve what you get in life,

52:50 and if you want to be a person who is pessimistic, that's what you're going to get. If you want to be a person who doesn't look for the good in people vote for the bad. That's what you're going to be.

53:03 If you're not going to look and work for the patient and think about other things like money. That's what you're going to be.

53:12 Really,

53:15 if you're not going to be devoted to the truth and stand up for the truth, you're going to be a liar. Is that what you want? I don't think so,

53:28 And if you want to make an excuse said well, it's better in the United. Say I know people in the United States. And they aren't very happy Because they haven't done The thing is that you can do anywhere in the world to be the best they can be. Be happy to be.

53:44 That's our problem

53:47 in life. You. Everybody gets what they deserve,

53:53 So your future is up to you. Isn't up to me. I've had my chance. It's up to you.

54:01 What are you going to do with his gift

54:06 May be a little different you think about that night? The the habits of people write me about what they really would like, and what are their problems when they're young.

54:21 What are the solutions for that? The, what are the solutions today? We're trying to solve? Just to get you experience from people who know things, I'm not the only wilder person in neurosurgery. There are many of them. They have all very good ideas. Listen to them if you don't want to listen to history. You're doomed to fail because you'll make the same mistakes over and over again

54:48 by people or send us articles. You don't want to go back and look at the literature to be on year. They miss all the pertinent information all the important information.

54:59 They're not getting the truth you have to work for.

55:04 So how do we get people? Young people around the world? One mentors,

55:09 they want somebody that they can follow.

55:12 What's the solution for that? I'm gonna ask you? Remember the special period. I'm going to ask you. What's your solution for that?

55:22 So if you have anything you want to write me or talked to me about that's my email address. Write me a ride you back as soon as I can do that, It doesn't matter where you live in the world. They happy to help you. That's what I want you to do for everybody else. With your life,

55:42 I came into the world and what I wanted to do is to leave the world better off than I came in. I think I've done what I want.

55:51 I want you to do the same

55:54 so we can build a civilization. Build people do better

56:00 that what it's about,

56:02 so those are the thirteen most important lessons I learned

56:07 my name and my background is an important.

56:11 I don't want to thank you for listening,

56:15 and I wish you the best of luck.

56:18 Thank you

56:21 very much the devil. The media's thank you, Dr. Azman.

56:30 Because he. He your confidence,

56:36 You show your soul, the guy said. At the beginning and do

56:45 take us, how

56:49 is the right way for me to really honest

56:57 with their patients, and in with our says, this is the most important lessons though we have to lead. We ease into the water cell is in our work is in our freelance, That is in our principles, though we have conducted all our profession. If he, we have to take out all arrogance. All feelings can only think that we are decided to be near a medical doctor. What the hill to the patient to take care of the pain, and this is all because they live are in other hands, so we must to do it All these

57:58 advices. He we sing with one an assault and gin in a city like your show for assisted years, amazing.

58:12 I will be grow every morsel Satan. Thank you so much for the gift to us you, so you live for the nearest surgery, and also forty

58:27 shared today with all these experience with all outings, Thank you so much,

58:38 Thank your potato term with and take one. I went from Sicily snack before we move onto the second lecture, necessities, Good idea for giving me this great opportunity. Girls are also mandates was one of the best ever elected, I at least, and in my forty years as it noodles, I did, and it may said you do that one to the patience and the fish income comes, that visual be honest and cool to the bishop, and next minute told that all lives matter. What is what? What better word sentence and this? And that is the precise thing be got from you all lives matter, and one should always support group that fight for group. You told us about the golden rule do unto others as you know them until you absolutely correct than that, and lastly told that all the patients would be treated like a family member, and it is that the of somebody did they say? One can be the best with what one had we known that to be little entity, and you also told that answers can be found for all of lemons and future opportunities up to us. What a great both of us. Thank you very much.

1:00:00 Thank you.