Subspecialist surgeon here, completely agree with Dr. Jubbal. On one hand, Goobie's video in an inspiring story for a lot of docs. Many of us have experienced burnout and depression as a result of sinking our 20s and 30s into a career that, when we started, we thought would be a whole lot different. The call, the stress, the lowering reimbursement when adjusted for inflation are all real issues and many of us who have thought about leaving have lacked the courage to do so because of fear, embarrassment, or financial reasons. Seeing Goobie's video where he takes the leap in that regard is inspirational. However, his video does a huge disservice to medicine and surgeons in particular, by imply that we're somehow snake-oil salesmen getting paid to operate on people who don't need it. We can counsel patients "you're not a good candidate for surgery" or " you need to loose weight, control you BP, get medically optimized etc. prior to surgery, come back in 6 months and lets see". That's still a billable visit. Part of the job is figuring out who NOT to operate on, especially when you're out in the real world. But in the end, someone's cancer isn't going to go away when the cut out salt. Even if all of America had perfect lifestyle choices there would still be plenty of surgery for all the traumas, all the cancer, the congenital defects, all infections that need to be drained, the disease brought on by autoimmune conditions etc. Even in his own field of spine surgery, scoliosis, compression fractures, spinal tumors etc aren't fixed with diet and exercise. Painting such a simplistic picture is unhelpful and pits doctors vs patients when it should be doctors and patients against insurance companies.
I don't know that that is what he was aiming for but it could come across that way, regarding the snake oil salesmen aspect. The aspects about the hospitals running on money is completely true though. America runs on money, from the hospitals to the insurance companies to the drug companies. Many don't do these things out of kindness, even if there are some well intentioned people in this system.
@@mikew9802 I would like to also give my take. I'm not a surgeon or medical professional, but I understand the medical industry and the world we're in. I think he's more focused on his dissatisfaction with capitalism, and how insurance companies and hospitals, influenced by insurance companies, have monetized healthcare, which should be a public good. He mentioned that his goal of minimizing suffering often conflicts with the profit motive. He's expressing frustration with inefficient systems where capitalism and profit hinder the job of helping people. I agree he could be more nuanced, clearly articulating his dissatisfaction without leaving it open to misinterpretation. Most intelligent people understand he's criticizing the system, capitalism, and the profit motive, not doctors. I get why doctors may not like his open-ended criticisms, because it leaves too much space open for misinterpretation.
It does not do any disservice to medicine or surgeons. It is the doctors personal experience, bringing the issue of healthcare today in the spotlight. After twenty years in medicine I agree and understand completely
He literally addressed your grievances in the same exact video, you just didn't want to pick up on them because you wanted to make the point you have before you even watched the video..
His choice doesn't mean he can generalize and say or give ridiculous example like people won't need surgeries if they do this and that, he's not exempt from criticism just because he's talking against a system that is predatory but definitely helps billions, he's clearly putting a bad rep on actually good doctors and patients who cannot do all these things and might require procedures as a result of genetics, family history trauma and infection etc etc, his anecdotes aren't backed up and we don't know how his patients he didn't operate on are doing, when you make claims you provide evidence to support them, you csn bet some of those patients could have the pain again but didn't call as a result of embarrassment, death, distance and loss of follow up
@@exiledkenkaneki701 1) It’s a free country, people will (and can) use their right of say. 2) ? No one said he was “exempt”, he simply gave his opinion based of his 9+ years of experience as a full time Neurosurgeon. You’re not forced to agree with them, just lend an ear and listen. 3) ???? Bro did you even watch video? He mentioned that his colleagues were good individuals, he was never targeting fellow coworkers as he was very direct with his opposition on the current Medical system. 4) Correct, when you make claims, some level of verification is required (now you’re starting to make some sense). While Mr.Goobie made some respectable points, he failed to address the ACTUAL underlying situations that affect todays healthcare system (as you kind of stated). He was definitely oversimplifying the problem, which is why those who have some understanding can disagree with him on.
@@exiledkenkaneki701About 50-60% of spinal surgeries fail. You can get failed back pain syndrome in up to 40% of patients, one major risk factor is crappy lifestyle, or post-laminectomy pain syndrome in 20%, where smoking is a risk factor. Obesity is a major risk factor for herniated discs, compression fractures, spinal stenosis, degenerative disc disease, and a hyperinflammatory state which makes any of these worse and increases the incidence of any number of malignancies. There are surgeries that are called “bread and butter surgeries” which are common ones you do most of the time and fixing these issues are going to be the cases that you see most. If you also have diabetes or CVD, or smoke, your blood vessels are going to suck and you won’t heal very quickly as there isn’t enough blood getting to the healing area. I think that’s what he means. All of this is preventable. Malignant tumors of spinal cord origin are exceedingly rare but you might see a chordoma or very very rarely a glioblastoma(or the lower grade astrocytoma). There are more benign spinal cord tumors like meningitis as or neurofibromas (neurofibromatosis), ependymoma ,hemangioma, etc. Then you could have osteosarcoma or chondrosarcoma in the bone or metastasis. The benign ones you still want to resect because of cord compression. In these cases I doubt he’d say “no, just rub some broccoli on it.” But for the bread and butter ones…preventable.
Additionally, nobody is going to die from not getting a bread or butter surgery. They might die from a stroke or heart attack or complications post-surgery especially if they are obese, sedentary, have high blood pressure and cholesterol, diabetes, etc. I would like to add that usually having one surgery sets you up for having more surgeries in your future so they will be calling back. Spinal fusions, in particular. I have no idea when spine surgeons were called neurosurgeons? Ortho usually does these too, but they can’t do malignancies or more complicated things I suppose. My dad was a neurosurgeon and he operated on brains so it’s confusing to me.
For sure, and I think you're agreeing with Dr. Jubbal here too. He really approved of what Dr. Doobie did with his life and saw himself in him. However, because he's a neurosurgeon and presenting himself as such, people calling out statements like "I found that patients who did certain things would get better, and patients who wouldn't do those things would get worse," "They would heal so quickly before I could do anything on them," "All people need to do is meditate, hang out with their friends... then their back problems will get better" and elaborating on the data is a good thing, imo. He may have wanted to be earnest and uncomplicated when he put it like that, but he neglects the necessary and effective healthcare when he does it.
I think that Dr. Doobie is very earnest, and he really seems to care about making his patients feel better. However, I respectfully disagree about whether he should have said everything he said. For example: "All people need to do is meditate, hang out with their friends... then their back problems will get better" without saying that there are people who have received necessary care. That makes it seem definitive, but research on it was inconclusive. It's the wording: "I found that patients who did certain things would get better (on their own), and patients who wouldn't do those things would get worse." Would? My mother needed to have titanium put in her spine. She's fifty, is healthy, exercises, and eats so many vegetables. She tried many therapies and exercised for months. Medical intervention was necessary for her then, and now she's better than ever. Again, he's earnest, but there do seem to be problems with his choice of statements.
Hi I’m an undergrad student aspiring to be an ER doc as well God willing. I’d like to ask, do you work part-time or do u do 12hr/24hr shifts? And what type of hospital do you work in? Also what type of area(urban/rural/etc)? Thanks!
Yeah...that's what I see also. Why throw away all that valuable (and expensive) medical training and all that intelligence that could help people, if all he needed was switch to a medical career that gave better outcomes (so that he would feel better about what he did) or just reduce your hours at your job (I would think a neurosurgeon could call the shots on when he wanted to work)? I get it...the guy was burnt out and needed a rest...so he's taking a leave to enjoy nature and do what he wants when he wants. Good for him but he'll have to go back to work sometime...I would think that he could pick a less stressful/more good-outcome-based specialty, or just tell his employer he just wants to work part-time ($50,000+ a year is definitely do-able income if you live like everybody else...not lavishly). They have no kids, and only 1 dog (BTW, all he needs to do is get TWO dogs and they can entertain themselves or do Doggie Daycare)...those college loans can be paid minimally. I just think it's a shame that all that talent and expertise and intelligence is wasted. It's never always "all or nothing", after his hiatus, he could easily make changes in his type of job and/or work-life balance in the form of reducing his hours at work to be happy...just like you did with your hours.
It s amazing how many people miss dr goobie’s point. He talked about his experiences of how he felt trapped in the medical SYSTEM as a doctor. The system doesn’t serve for the benefit of people it serves the pharmaceutical industry
I think people are overgeneralizing from this video as a so-called confession against Western medicine when in fact the TH-camr here (and former neurosurgeon) is making a very precise narrow argument against the limited advancements of treatments available in neuroscience NOT all of medicine. To be sure, what doctors do when using antibiotics to CURE (not treat, but cure) illness is legit. Also, many operations are indeed successful in curing and saving patients: e.g. many heart procedures such as bypasses, valve repairs, etc. People continue to live due to kidney and liver transplants, which are an example of effective surgeries that provide people many years and even decades of continued life, not to mention pain relief. What the TH-camr here is lamenting is the limited successes in the field of neuroscience and neurosurgery, not all of medicine. And within neuroscience he was lamenting not being able to pursue a subsection of neurosurgery he was interested in: neurosurgery in the brain and spinal operations. If Dr. Goobie really loves medicine, after he recovers from his midlife crisis (as he called it himself in a joking way), he can always retrain in a field where operations DO MATTER, such as heart surgery, kidney surgery, liver surgery (i.e. thoracic medicine) where he would be able to save many lives and actually CURE people, not just TREAT symptoms, which lamentably is in fact what most doctors talk about, instead of curing. But let's not forget the actual limited message of this TH-cam video and make claims Dr. Goobie never made in this video.
Most people wouldn't understand how a hyperspecialized surgeon with salaries ranging from 500k to millions a year might quit.... but we, your fellow colleagues do undestand! Health first.
Kevin, at 21:18 I think you misunderstood what he said. When he said "hospitals need to grow economically, they need to make money", he was talking about the underlying capitalist system which is why hospitals "need to grow"
I agree, try and see the point he’s making - big picture. Obviously incorporating these lifestyle Interventions will not completely eliminate the need for spine surgery.
Goobie is absolutely right, and I don't agree with Kevin that it's an oversimplification. It's actually as true as a fact can be. If doctors specializing in treating a specific recommended that their patients take preventative measures that make their own training obsolete, their jobs would be diminished because their skills, talents, and training would not be as needed as before. If vets told dog owners, for example, not to feed their pets dry dog food and switch to human-grade food in order to reduce the likelihood that their pets develop a wide range of diseases, obviously, vets would see fewer patients. There's no oversimplification because the changes in behaviours recommended by the doctors do not financially benefit the doctors
24:28 His argument is not that everyone is gonna completely heal from better sleep, nutrition, and exercise. He's not saying that surgeries or other medical procedures are totally ineffective because obviously sometimes they are life-changing. Instead, he is criticizing the capitalist structure as a whole. In a capitalist society, every member of that society must prioritize one thing: money. Money is the arbitrary means with which we support ourselves and are able to eat, drink, and put a roof over our head. Even the most altruistic, caring person needs to make money to survive. Doctors are the same. Every medical institution has the primary goal of making money. As a result, Dr. Goobie simply felt that neurosurgery was no longer the most direct way for him to relieving suffering in others. This is not to say that doctors or hospitals are evil. This is simply the truth of a capitalist society: any institution must make money to survive. This is not necessarily a bad thing. Hospitals do amazing things every single day and the money that they raise allows them to research new technology that can save more lives. I'm sure many doctors thrive in a hospital environment. Just because making money is the primary goal doesn't mean you can't save lives along the way. Different people thrive in different environments this was simply not the kind of environment Dr. Goobie wanted to be apart of anymore.
yeah but the way he said it is framing it as though it's a medicine problem when its a healthcare system problem. literally driving the medical illiteracy problem we have in the world right now. i live in a capitalistic country (singapore) and yet public healthcare is the main means through which people here get healthcare, and only patients who have gone through conservative / lifestyle interventions and still fail to relieve their symptoms are then considered for surgery; else they can go to private hospitals that will happily list them for surgery
"All people need to do is meditate, hang out with their friends... then their back problems will get better." "If everybody did that and they got better, then no one would need spine surgery." "They would heal so quickly before I could do anything on them." "I found that patients who did certain things would get better, and patients who wouldn't do those things would get worse." I think Dr. Doobie is earnest, but I think it was good of Dr. Jubbal and other medical professionals to discuss how "will" and "would" affects those statements.
Dr. Jubbal has confliciting parts to him. On one hand, he's encouraged people to take care of their mental and emotional health, and has talked about the toxicities in the healthcare industry. But you can also see the alpha, competitive persona that you see a lot during medical school and it seems to still stick with him. Not just this video, but there were other times where someone expressed frustration or were open about their "weakness" and he writes it off as "that's just life." It's just moral posturing, contrasting off something "softer" or "weaker" to create the image of looking stronger. I really appreciate Dr. Goobie's perspective. He's taking burden of the "white knight ceiling" off the backs of doctors, you don't have to cosplay being "strong" for the sake of it. And being courageous to call a spade on the healthcare shit show that everyone can sense. I feel he's speaking out for the benefit of every team, for healthcare providers and for the public. The cons of a corrupt system and the moral conflicts it keeps producing outweighs the benefits of a professional field that doesn't even produce long term, quality of life dividends (to the professionals and the public).
agree with you and also if you come to think about it there's nothing alpha about following the herd and creating a whole persona around what people in your area think is the norm. if one thing the real alpha personality here is goobie, an authentic guy who does tf he wants and posts about it without a care
To clarify, I meant the guy who spent a bunch of time trying to sound authoritative, and he may be successful to the general public. However, to an MD neuroscientist who also left for the same reasons Goobie did, he sounds like a complete idiot. “I saw a child with a debilitating neurological condition in terrible pain and will probably die a horrible death, and you know, all I could think about was me and how it really ruined MY DAY. So I didn’t go into neurosurgery.” Wow. Sorry a dying kid ruined your day. I think putting fake boobs in insecure women and sucking fat out of people or butt implants or god know what into people who pay you tons of their own money to do this because they think something is so wrong with them that they would voluntarily undergo major surgery was the way to go. I get there is reconstructive surgery and repaired cleft palates that are necessary and helpful for people too. The doctor he name dropped, Ian Valerio, is actually in Massachusetts, not Ohio. He’s a veteran and started working with targeted muscle reinnervation to relieve pain due to the neuromas that were forming at nerve stumps in veteran amputees. The pain prohibited them from wearing their prosthetics. He wasn’t a pioneer nor did he invent it but is one of many good people did it and found that it worked. Other surgeons. then figured out if you take the nerve stump(s) during amputation and hook them into a muscle that no longer has function and sever the muscle’s original motor innervation, the nerve stump has something to do and reiterates the muscle that used to innervate something that was amputated. It then acts like an amplifier at the skin’s surface because it still thinks it’s making something move. You can leverage this by fitting a patient with an advanced pattern recognition myoelectric prosthesis. This is a special fake limb that can pick up the nerve signals coming through the. Skin and as you can do this with I think up to 6 nerves/muscles, you can have far better control over a prosthetic than you could before. I think it’s was only 2 nerves then. Now what this has to do with the rat experiments Dr, Goobie described? No clue whatsoever. I worked on mouse and rat brains and trigeminal ganglia in grad school after med school and as a neuroscientist I have no clue what point he is trying to make other than make himself sound important and trash talk Dr. Goobie. This guy has never been to grad school so he has no idea wtf he is talking about. I mean he couldn’t be a neurosurgeon bc the outcomes are poor. Yeah dude. They are. Most of the patients a neurologist or neurosurgeon sees have degenerative conditions that will only get worse until they die. It takes a tremendous amount of compassion and dedication to your patients knowing that your purpose is to do what you can to slow or mitigate symptoms for as long as you can, and if you’re good, you’re there to help the patient and family get through it. Explain what they want to know and answer questions. Refer to alternative therapies. Monitor closely . And be someone they can trust and be there to prepare them for the worst. Sounds like it takes a lot of intelligence, patience, and conviction. Commendable attributes if you ask me.
Dr Goobie, wasn't willing to sell his soul for prestige and money! I respect him for doing what most people would never do. He knew cutting up people wasn't right and wasn't helping anyone, except the medical system who is willing to destroy people instead of helping them. You did the right thing!!!! Bravo to you!
Yep. Truth. RN here who hung on to her service job until early retirement at 62 y.o. The fast faced very stressful environment plus, abusive marriage partner was literally killing me. I was in fight/flight mode all the time. I was dying. The first day I awoke from sleep and realized I didn’t have to continue doing what I had been doing was amazing. I was so happy, so relieved, I felt like my real self, again. I was happy…no…I was joyous, and have been ever since, ten years later. Plus, I was released from my horrible marriage. What years I have left I now live in peace and I thank Jesus every single day for answering my prayers.
I saw this video and was astonished. Neurosurgery is an especially difficult because of the poor outcomes of patients. But, I think the person makes a very interesting point on those who do recover best in his experience and observations. It reminded me a lot of the osteopathic medicine philosophy of holistic care.
Actually I heard from a neurosurgeon in Poland that "physiotherapists take our patients away from us" said with respect. Some of the patient might really avoid surgery thanks to physical therapy.
health is holistic though. the patient has to also hold up their end of the deal by not doing counter-productive behaviours that are detrimental to their health and undo all the surgeons' hard work. this means taking care of diet, exercise and lifestyle generally. the surgeon can only do so much. what's the point of only providing bandaid temporary solutions to symptoms instead of investigating and addressing the root cause of the problem? I think that was his point. the nature of healthcare in particularly the US but also other western countries appears to be about keeping people sick in order to profit off of them instead of wanting them to get better. same reason why our household appliances don't last as long as they used to - because manufacturers realise they're not getting as many repeat sales, so they use inferior materials.
Dr Goobie, from MIT, with a neurosurgeon's skill, Quit the hospital, seeking a new thrill. May the mountains, rivers and NATURE renew his zest, With energy and passion, find his best. Don't give up, the journey's just begun, Purpose and passion, for everyone. Do what he LOVEs what he is good at, what serves, And happiness will find him, in life’s many curves.
Without watching this video I'm just gonna comment.. Goobie hit the nail on the head. It may not be YOUR NAIL, but he's accurate in his observations and i support his decisions. No doctor had EVER CURED my parents, but eventually we learned to cure ourselves.
I don't like it that you interpret Dr Goobie's point as "black and white". I can hear the grey - he might be trying to describe in the most polite way that "middleground" was impossible to accomplish in the system. I don't think plastic surgeons meet this problem - forcing surgeries no matter what. I've been in the first raw of this battle against surgeons of many specialties. Up to the point when palliative patient got a surgery that we, anaesthesistes, told might kill him. He was ASA 5, in palliative care, permanently disoriented. I had nothing to say and he died on the operating table. No matter what we would tell the surgeons, they will always say it's "life saving" issue. Don't let me start on neurosurgeons. 😅 The "middle ground" and "grey" is somewhat unachievable, even if we chose little battles. With some surgeons, even stopping them from giving ketoprofenum in acute kidney disease is impossible. We had even a special online training for all the doctors in hospital, training on pain management - they scored it cheating and never learned anything. We might be missing some part of the story and dr Gooble will never let us know it. I wouldn't dare neither.
Agree with Maria. Kevin, about your “black and white” comment, I don’t think Dr. Goobie was claiming 100% efficacy of the lifestyle change. He was using a hypothetical situation to bring up an ethical problem. IF lifestyle changes caused degenerative spine surgeries (not talking about astrocytomas, AVMs, or traumas) to drop, that’s does effect hospital income. Also, later in the video, he said “what if I just cover the ER?” So he was still thinking about doing other types of neurosurgery covering just traumas. But it sounds like at that point he needed to just step away.
Dr Jubbal runs a medical school advising company and anyone that is going to criticize medical school, and the system he will have to retaliate so that he doesn’t lose clients who develop a distaste from med school and quit their dreams of becoming doctors. And that’s okay. But you’re right Dr Jubbal is being too judgmental towards Goobie’s message. His judgement towards him is black and white in nature instead. Goobie’s message is already touching the grey. No offense to Dr Jubbal he’s great. But he doesn’t have to be so judgmental to Goobie and his message
@@chengezhussaini1464 two different animals! And although I respect both people; Jubbals is the more realist here... quitting is never a solution; taking a break and/or switching point of view is usually considered more mature. It's not a certainty that Goobie quit for life.... maybe he'll regain a love for what he sacrificied his twenties for.... who knows? Also I can see how for someone to be fascinated by the brain and ending up fixing necks and backs as 90% of your practice might be burn-out inducing... I think he would have fared better becoming a psychiatrist rather than a neurosurgeon! All the best to Goobie!
@@MindShiftChronicle I agree. Dr. Jubbal even cheers him on and remembers his own exciting moments quitting plastic surgery; when he was discussing other surgery positions, he just seemed to be speculating. Other surgeons in Doobie's position may then decide to switch to the different subspecialty and regain their happiness, and I think that's a good thing.
@@chengezhussaini1464he’s just jealous of Dr. Goobie because Goobie became popular and has more followers (over 450k in 6 months whereas he has under 250k followers and been doing TH-cam for 7 years).
Omg that is ridiculous. There are so many people who need doctors and not enough of them. Do you think if you are cured and don’t come back again for years they think of you? The answer is no. Next man up. They move on to another patient. For crying out loud it takes 4 months to get seen. Does it seem like they are in need of patients?
Unfortunately, this comes from "ignorance is bliss". Doctors don't have any business with big pharma, just look at the current mess with diabetes and obesity. We've known for a long time that all it takes is eating less crap and doing exercise, in fact, I remember Obama's wife did some school program related with this (I am NOT from the US), but idk what happened to that afterwards. Anyway, why exercise, eat your veggies, and so on, if you can simply take a pill and move on? Remember when splenda and the like were the next best thing, only to be told some years later that it causes cancer and whatnot? The same is occuring nowadays with ozempic and diabetes/obesity. Doctors just want to take care of you, remember that in its origins, medicine was provided by... slaves and religious folks. Medicine has always been humble in origins, but since we live in a capitalistic society, all of these are nothing but the consecuences of trying to monetise something that shouldn't be run for profit. This is an article in spanish, (the Dr. who was interviewed is from Spain), but it summarises the current state of medicine: www.bbc.com/mundo/noticias-internacional-53944005
I’m on Dr agobies side- all the other doctors just care about saving face- their fraternities and maintaining the status quo. Dr Goobie is a real leader.
Dr.Kevin, you might be one of “them”, but Dr. Doobie is Dr. Doobie. That’s why his video has much more viewers. His video is not an entertaining video, if you disagree with his views, make your own, but don’t related to him. That’s why saw your videos but never interested in watching it.
Dr. Jubbal mostly agreed. He just pointed out how some of this statements like "All people need to do is meditate, hang out with their friends... then their back problems will get better" could unintentionally hurt patients who can't be saved by lifestyle changes alone. He provided more information about research and about other specialties Dr. Doobie could have gone into, but never says he ought to have stayed.
Hes explaining his perspective and why he quit, but youre taking his video sooooo literally, hence youre frustrated. He literally said “Im not saying that will happen”. He isnt trying to attack you personally, hes saying the system is broken, hes looking at bigger picture.
Nobody is taking it personally, he’s making blanket statements about surgeons and medicine. Obviously this is his perspective but it’s not right to state it in a way where it seems like medicine is only for profit. The majority of people practicing medicine (residents) are in huge debt and not making any money from you. This only fuels the uneducated people to distrust the modern medicine.
As a pre med I've seen enough online to know it's gonna be ridiculously difficult but I have no idea how I'll actually handle working 80 hours a week in residency. Hopefully I survive
@@mustang8206some advice for rotations as a resident - don't leave early unless dismissed during rotations you don't like. Yes it sucks to be there for long hours but that's the only way to simulate "the suck" before residency the most accurately
@@mustang8206 work is not the difficult part for me. Being in the military I went weeks without a break lol literally 24/7 with minimal sleep. Work easy, the studying and competition is a different story.
I think he was giving black and white examples just for the sake of explaining his points. Hospitals will never run out of patients. People will get sick regardless it’s life. I see repeat patients all the time they get healed and go back to their bad habits.
Hospitals are absolutely businesses in the USA. I'm unsure why some people think that's an "oversimplification." Even prisons are businesses in this country, and people are shocked, lol. More people could have been cured if medicine had focused more on preventative care and less on symptom management. Pharma has to make money; when I say that, I don't blame the doctors-I blame capitalistic greed. Also, if some of you still think the medical field isn't money-oriented, then ask yourself: why isn't every person entitled to medical insurance, like in Europe? People in the USA get loans to receive treatment for cancer. Imagine being hit with such a disease and needing to worry about a loan. Let that sink in.
This poor guy is right about relieving suffering. Medicine has somewhat devolved to prolonging/preserving life over quality of life. I have seen horrible things happen to people in the interest of prolonging/preserving life despite the horrible suffering because that's what somebody else (not the pt) wants.
kevin, i think its you who painting the black and white picture here. we must admit that the incentive for doctors and hospital are procedures and pills.
Calm down! He's saying for instance, what if. And even if you don't believe it and look at the medical profession through rose colored glasses, most people do not trust doctors. Myself included. We know that most doctors are in it for the paycheck and will drag out treatments as long as possible. More doctors need to have a better sense of right and wrong.
They don’t drag out treatments. Agree that they do it for the money but they don’t give a crap about you. It takes months because they don’t care and not because they are intentionally dragging it out.
This is such an important issue, it really is not black and white, thank you for sharing this and your point of view. But at the same time I feel like I am also on a search for purpose sometimes as an MD, you always want to do your best, but sometimes it is really hard managing work life balance, so I can see the other Dr's point of view.
Once upon a time hospitals were run by intelligent doctors that had worked their way through the system and understood why the hospital was there in the first place, i.e. to heal people. Today, hospitals are run by MBA's with no medical training to make money.
I’d like to see Dr Goobie live in real life for one year. Work at a McDonald’s, a factory, a construction site, or as a programmer. Let’s see which one he will stay with. Also, during this time he can’t spend any money he saved from being a doctor.
For those curious about neuroscience and spine surgery, as we age our discs gets dried up and eventually disappears and the bones of the spine starts to fuse on its own naturally
I used to work at this private practice owned by a businessman. One day, out of the blue, he told me that he he started it to gain income. That struck me like a lightning. I never accepted again to heal for wealth generation.
I think it is pretty messed up that a patient is supposed to "trust" a doctor who will suggest them to do things that they wouldn't do for themselves or their loved ones! So if I have faith in doctors because I trust they're "well educated" I get worse care... I don't think the public will buy it.
Im a doctor in Colombia and must say that Medicine doesn't rise to the occasion compared to smartphones technology. If you have a smartphone you really happy. And if you have a melanoma you can dying asking yourself, how melanoma is treated , even if you're a doctor. It feels like if for some things there is no solution. Preventive medicine is the most important thing in medicine now.
If the US Medical System was any good, there would a superior understanding of complex feedback systems such as ballance, stability, for old people, I suggest Dr. GOOBIE lead a team of specialists to address Neuropathy, Muscle loss, Ear, Eyesite, and BRAIN. This analysis, if done correctly will alive considerable suffering. By old I mean 80+. We fall. We break bones. We end up in wheel chairs. Have pitty.
I am a neuroscientist and MD...where do I sign up? I was interested in aging/longevity medicine until I listened to a podcast. People are more concerned with how they look and if they are fat or not. There were some good points, for example, studying the naked mole rat (it lives a ridiculously long time, 30 years, compared to a mouse or rat, 1-3 years) is giving us some insights ito the mechanisms of slowing or halting cellular senescence. I worked in regenerative medicine as a medical education director briefly and there was a focus on longevity there, as well...not getting wrinkles. I think there are more pressing things to address!
What the good doctor is saying is a generalization for those who have ears to hear that the better health you have the less you will need to see a doctor because doctors and others involved in medicine need to have sick people in order to make money.
I had seen this before and I get both sides. I think the issue is that he was explaining why he left. Unfortunately, it’s happening in so many areas. My endocrinologist charges less than my family care NP for a visit because I get charged twice. In my area, the hospital conglomerates bought up the family practices and put them in their mini-hospitals. If you take more than 15 min, it’s 2 charges. I have good insurance and a good job, but honestly, it’s criminal what insurance, big pharma, and the private equity involvement in medicine have done to health care. 😭 Anywho, I love the content from docs and former docs out here (and the lawyers, lol) ❤
As someone who made the transition from education to Healthcare, I know the system isn't perfect. I started as a nurse’s aide in ICU, now RRT and admitted to a PA program, I've seen a variety of in patient scenarios. If someone goes into medicine in their 20s with no medical background, I can see the frustration. Medicine isn't a magic cure. As an RT, I don't see myself as a life saver. I'm more of a life preserver. We can't save everyone. I had a physiology professor who was an old internist. She was a very strong advocate for food as medicine. Not quite like eastern medicine, but eating healthy is very important. Exercise is important. Sleep is important. After that, if there's still an issue, medicine is better able to help.
You sound so defensive YOU are the one being negative. Dr. Goobie spoke his truth. You have too far to go in your mental work before you can thoroughly understand his position. I am in my 8th decade of life. My children were delivered by the old time house call doctor. As a 'people' we are missing the standards of once 'caring' medicine. Monopolies exist and are sucking up every major need in our country, including medicine.
Lifestyle modifications are going to be less profitable as compared with procedures because the doctor is less involved in the treatment of the patient. This is why procedural specialties are paid more per unit time, and non procedural specialties that are nonetheless very specialised earn less.
WRONG ,YOU ARE ABOUT DR GOOBIE...LIVE YOUR LIFE MAN AND RESPECT HIS' ...I CAN TOTALLY RELATE TO DR DOOBIE,OKAY....HE DOESN'T CALL MEDICINE BS,HE TALKS ABOUT WHAT BRINGS HIM PEACE OF MIND... MAY BE ITS JUST THAT YOU HAVE NOT LISTENED TO HIS VIDEOS THE WAY I HAVE LISTENED TO....
Hey Kevin, I think you missed a key part of what he said at the very beginning. He mentioned that he wanted to be a neurosurgeon specializing in robotics. The only reason he pursued neurosurgery was to avoid wasting all those years of education and training. In reality, he never wanted to be a neurosurgeon performing general medical operations. So, the idea that he could have chosen a different medical field wouldn't have changed how he felt, because that was never his true passion. If you think about it, what Elon Musk is doing with Neuralink aligns more with what he probably wanted to do. He was genuinely interested in not only helping people but also in technology and cutting-edge advancements. The reality is that he didn't really want to be a typical surgeon, whether as a brain surgeon or any other type of physician. That's the crux of the issue. Best, [Your Name]
@@lu641110 No, you're misinterpreting my response. I'm not referring to the overall subject of his video. I'm addressing the core issue in Kevin's criticism of the initial MIT neurosurgeons video.
@@kevinjubbalmd No, you're misinterpreting my response. I'm not referring to the overall subject of his video. I'm addressing the core issue in Kevin's criticism of the initial MIT neurosurgeons video.
@@cheetahgoldenfire "grey area" just means the truth is in the details. Because when someone says "this situation is not black and white", what they're actually saying is "this situation is true in a specific context, and not true in another context". So the grey becomes black and white as you dig deeper.
Alas truth is subjective in most contexts i have experienced. It is in the eye of the beholder. Truth is Merley a point of view. Rarely we can use reductionistic thinking to simplify something so we can better understand it.
I went to grad school after med school and this was a few years after I'd left residency. I did not understand what was going on with the pre meds. I was never like...that. I refused to hire them for my team, but at the end got stuck with two. One of them lied on her personal statement about our nonexistent relationship and demanded a rec letter...none of them wanted to work...I'd had stellar students in the past, and this was part of the reason I mastered out after 4 years. Teaching them was also an exercise in not committing any crimes against inanimate objects in fits of rage. Entitlement was astounding, as was lack of knowledge or work ethic.
What he said it was more of hospital was money making machine. Instead of doing the correct surgery procedure to cure the disease they did a different operation.
Dr. Goobie is not trying to be black and white but to express his feelings on the current medical system! there are issues with money over outcomes in a lot of practices.
This is the issue of public health vs acute care health( a downstream which doesn't address the upstream and consumes most money in health care). Most acute care healthcare professionals have poor understanding of public health at population health.
I do think hospital systems are a major player in perpetuating these medical practices. Ortho spine is one of the highest-billed specialties and you are seeing major hosptial systems drastically expand their ambulatory surgery centers. Hosptital Admins know spine surgery and surgery center facility fees are the largest money generators in the hospital along with GI and Cards procedure. Many of these populations that receive these services are also commercially insured driving large margins for the hospital. Some hospitals are also sharing facility fees with surgeons creating another conflict of interest and forming some kind a symbiotic relationship wtih admin. Fee for service is the most problematic in these specialties and its profitability is why most of these services are still fee for service at most hospitals. VBC can really create a big impact to fix these specialties but there is a large amount of pushback from hospital systems for these to go VBC. In the south, there was a hospital that tried to make Ortho VBC, and most of the ortho docs threatened to leave so the hospital but them on a salary way higher than they were making on FFS to do fewer procedures in a VBC model. But I agree, this is a small minority of doctors and has the possibility of turning the public away from trusting docs.
Dr. Goobie hit the nail on the head-drugs, procedures, and doctors just put a band-aid on the symptoms. I still had to heal on my own with this chronic disease. I changed my diet and lifestyle, got off all meds, and stopped seeing specialists. Now, I want all my money back from the copays, doctor visits, surgeries, procedures, and meds. Healthcare feels like a complete scam unless it's for trauma or an acute issue!
That's literally the point. Most of your health is on YOU. But people expect wonders from doctors and that they will heal their 30-year old smoking habit. YOU show up to the ER or doctor's office. Most of the time because of your own doing. Glad you realized you have to start with yourself, but don't blame doctors and make yourself a victim, becuase a doctor didn't drag you into their office, your poor habits did.
@@svellah4388 Why is it that big food companies are allowed to advertise hyper-palatable, low-cost foods everywhere, packed with potentially harmful ingredients like food coloring and seed oils? How can such products, with questionable ingredients, continue to make it onto store shelves? Then you do to docs and they say its genetic...its all a scam that the goverment allows for the health care ponze scheme!!
All these jobs are about to be automated anyway..Also, I quit because I understood the system is rigged and it benefits only a tiny group, which I am not going to mention, but they exist and are here..I was a trained pediatrician and worked as one for sometime..It is a very evil system..
As an indian oncosurgeon , we have w hard time explain to patients about exercise and diet. We have dieticians but it cannot trump the traditional discussions on foods and stuff. Older women refuse to walk post or pre surgery wnd its frudtrating to try to make them ambulatr but I do love my subject and I dont think any amouhbtof burnout will want me to peave it permanently
Hey, Kevin, I hate to say this, but you're wrong. Most, i.e. the vast majority of spine surgeries don't end with a good result except initially in some cases. Why? The elephant in the room is scar tissue. Scar tissue can erase the initial benefit which spine surgery provides - not in SOME cases - but, in MOST cases. Spine surgery is a dismal specialty with a very, very low success rate by any measure. Simply, we need to find a way to deal with scar tissue, i.e., we need more and better science to develop methodologies which address this problem. For spine surgeons who don't care, it's a wonderful way to make a living. The doctor, hospital, and the medical devices companies win. But, the patient often loses iin either not getting the problem and pain fixed or with these getting worse. As a former pain physician, I saw all the failures in spine surgery in my area and the story is the same everywhere. So, this fellow is not talking through his *ss. He's actually right. Now, with you never having been a spine surgeon, I would say that you don't have first hand, day in and day out experience with this reality. Dr. "Doobie" is also on point about lifestyle changes. Most folks debunk this as perhaps voodoo medicine or as someone who is a little soft in the head. But, nothing could be further from the truth. For instance, many patients I saw in the pain clinic who have had spine surgery are heavy smokers or whose overall health is poor by choice: poor diet, lack of exercise, uncontrolled hypertension, poor sleep habits. These things wreak havoc not only on one's overall health, but also and especially on their spine health. I know that you won't consider what I'm saying as valid, but I have some first hand knowledge of what I'm talking about as it relates to patient outcomes with spine surgery.
in india hospitals are absolutely buisnesses. i TOTALLY AGREE with DR.GOOBIE because even for a minor fever doctors prescribe at least 4-5 medicines. this happened with me and my parents forced to take the meds but i somehow managed not to put those in my body and i was ok and well to go within 2 days. also i wanna make it clear i used to have bv for 1 year and no meds helped. doctors just keep you in the loop to pay them visits after visits every 2-3 months. another point is in india womens healthcare is shitty as hell. as dr. gobie said: PROFIT OVER PEOPLE is the issue. the medicines dont cure you. they make u worse in most of the cases. and most of the people are REALLY HAPPY TO RELY ON PILLS AND MEDICINES FOR TEMPORARY RELIEF RATHER THAN MAKING ANY LIFESTYLE CHANGES.
I agree and I do not think Dr. Dobbie is trying to be black and white, but pointed out the healthcare system is profit driven, like any industry, that $$ buying people's souls, and they really do not care about patient's long term outcome and wellbeing. E.g. I have seen this amazing miracle Chinese doctor who specializes in joint, muscular, ligament, tendon, or sciatic nerve issues. I avoided surgery for many conditions with her healing hands. She is a doctor who combines both Western and traditional Chinese medicine, using meridian therapy in a remarkable way. She has saved me many times! I see that American doctors often offer surgery as an option rather than last resort. She located in my home town Beijing, China, but I see here whenever I get a chance. Dr. Yan (Xihuan Yan) Beijing Yikangtang Traditional Chinese Medicine. She came to America for teaching a few times.
yes many countries health care is a disaster in my country our health system is in trouble under staffed and under paid our system is poaching hospital staff from other countries offering them more money and better conditions and its a competitive market cause the staff you hire can be poached again with a better offer they hop off one plane and take a flight to a better offer and as staff are over worked they have a short fuse too i was a patient and had noting but respect for the staff on all levels from the cleaners those that delivered the food to the nurses and surgeons etc yes its a tough industry and government need to support these samaritans on all levels
Suspected this kind of response from healthworkers after Dr Goobie's video, disparaging him to create their own content, and utterly missing the point of the story
I agree Dr. Goobie is oversimplifying, but I think that’s to target a wider range of audience without going into too much of the nuance. But what he is actually alluding to is this significant pressure on spine surgeons to pump out spinal fusions from their groups/hospitals. The indication for spine fusions and even the number of elevens of fusion is actually very controversial and if you ask 10 different spine surgeons how they would approach a particular case you usually get 11 different answers. That’s at least how I interpreted as a fellow neurosurgeon
I think one of the biggest problems with this video is that it basically went viral. I totally agree with the pinned comment and Dr Jubbal, but I would like to think that it was not Dr Goobie's intention to pit the average American vs their physicians.
@@chillie000 im in a unique position wherein i have severe arthritis and bone spurs throughout my ENTIRE cervical spine. So even if they fuse one or two levels the rest of them are still just as bad. I am screwed my future is screwed
@@chillie000 thank you so much. prayers work!!! thank you!! My neck is really bad i was injured during military service unfortunately. Its too bad for them to insert disks :(
@@imveryhungry112 Thankyou for your service…I’m so sorry the price you’ve paid…I will absolutely keep you in my prayers…could you give me your fist name (if you’re comfortable)?
This is what happens when a person has no philosophy or self-thinking but has been a book worm and later in life realizes something's wrong, and the worst part is, the realization is not that special and profound.
Exactly my thought. It amazes me to see these americans reaching absolute academic peak in one specific field while never having achieved basic critical thinking skills to look at the world in its entire complexity with the proper tools. What the hell.
I think you misunderstood his point brother…please delete this video as he said on his video like people like you will come for him … let his live peace bro ✌🏽
You did mention that Dr Goobie can do things differently... But is it feasible for a doctor to act autonomously and against the pressures of the system to not recommend surgery? I understand that it's possible but I'm not sure if you're giving enough credit to the difficulties he has explained. If we dont have enough doctors in his workplace or in the system acting as he does, I'm not sure if he can move the needle or even survive in such an environment which contrasts so much with one's belief system. He can probably survive but not thrive, and would be sacrificing his own wellbeing/mental health in the process?
26:18 says the guy with something degrading his health on his lap (whyfy RF-EMF) and his most probably cordless mics RF-EMF and the thing on his wrist RF-EMF
19:31 leave your body free from wireless devices including that thing on your wrist and study more about RF-EMFs from articles free from "conflict of interest"
Subspecialist surgeon here, completely agree with Dr. Jubbal. On one hand, Goobie's video in an inspiring story for a lot of docs. Many of us have experienced burnout and depression as a result of sinking our 20s and 30s into a career that, when we started, we thought would be a whole lot different. The call, the stress, the lowering reimbursement when adjusted for inflation are all real issues and many of us who have thought about leaving have lacked the courage to do so because of fear, embarrassment, or financial reasons. Seeing Goobie's video where he takes the leap in that regard is inspirational.
However, his video does a huge disservice to medicine and surgeons in particular, by imply that we're somehow snake-oil salesmen getting paid to operate on people who don't need it. We can counsel patients "you're not a good candidate for surgery" or " you need to loose weight, control you BP, get medically optimized etc. prior to surgery, come back in 6 months and lets see". That's still a billable visit. Part of the job is figuring out who NOT to operate on, especially when you're out in the real world. But in the end, someone's cancer isn't going to go away when the cut out salt. Even if all of America had perfect lifestyle choices there would still be plenty of surgery for all the traumas, all the cancer, the congenital defects, all infections that need to be drained, the disease brought on by autoimmune conditions etc. Even in his own field of spine surgery, scoliosis, compression fractures, spinal tumors etc aren't fixed with diet and exercise. Painting such a simplistic picture is unhelpful and pits doctors vs patients when it should be doctors and patients against insurance companies.
I don't know that that is what he was aiming for but it could come across that way, regarding the snake oil salesmen aspect. The aspects about the hospitals running on money is completely true though. America runs on money, from the hospitals to the insurance companies to the drug companies. Many don't do these things out of kindness, even if there are some well intentioned people in this system.
@@mikew9802 I would like to also give my take. I'm not a surgeon or medical professional, but I understand the medical industry and the world we're in. I think he's more focused on his dissatisfaction with capitalism, and how insurance companies and hospitals, influenced by insurance companies, have monetized healthcare, which should be a public good. He mentioned that his goal of minimizing suffering often conflicts with the profit motive. He's expressing frustration with inefficient systems where capitalism and profit hinder the job of helping people. I agree he could be more nuanced, clearly articulating his dissatisfaction without leaving it open to misinterpretation. Most intelligent people understand he's criticizing the system, capitalism, and the profit motive, not doctors. I get why doctors may not like his open-ended criticisms, because it leaves too much space open for misinterpretation.
It does not do any disservice to medicine or surgeons. It is the doctors personal experience, bringing the issue of healthcare today in the spotlight. After twenty years in medicine I agree and understand completely
@@Anthony-db7cs
He literally addressed your grievances in the same exact video, you just didn't want to pick up on them because you wanted to make the point you have before you even watched the video..
It's HIS life people. He's doing what HE wants to do with HIS life. All respect to him and his life choices.
His choice doesn't mean he can generalize and say or give ridiculous example like people won't need surgeries if they do this and that, he's not exempt from criticism just because he's talking against a system that is predatory but definitely helps billions, he's clearly putting a bad rep on actually good doctors and patients who cannot do all these things and might require procedures as a result of genetics, family history trauma and infection etc etc, his anecdotes aren't backed up and we don't know how his patients he didn't operate on are doing, when you make claims you provide evidence to support them, you csn bet some of those patients could have the pain again but didn't call as a result of embarrassment, death, distance and loss of follow up
@@exiledkenkaneki701
1) It’s a free country, people will (and can) use their right of say.
2) ? No one said he was “exempt”, he simply gave his opinion based of his 9+ years of experience as a full time Neurosurgeon. You’re not forced to agree with them, just lend an ear and listen.
3) ???? Bro did you even watch video? He mentioned that his colleagues were good individuals, he was never targeting fellow coworkers as he was very direct with his opposition on the current Medical system.
4) Correct, when you make claims, some level of verification is required (now you’re starting to make some sense).
While Mr.Goobie made some respectable points, he failed to address the ACTUAL underlying situations that affect todays healthcare system (as you kind of stated). He was definitely oversimplifying the problem, which is why those who have some understanding can disagree with him on.
@@exiledkenkaneki701About 50-60% of spinal surgeries fail. You can get failed back pain syndrome in up to 40% of patients, one major risk factor is crappy lifestyle, or post-laminectomy pain syndrome in 20%, where smoking is a risk factor. Obesity is a major risk factor for herniated discs, compression fractures, spinal stenosis, degenerative disc disease, and a hyperinflammatory state which makes any of these worse and increases the incidence of any number of malignancies. There are surgeries that are called “bread and butter surgeries” which are common ones you do most of the time and fixing these issues are going to be the cases that you see most. If you also have diabetes or CVD, or smoke, your blood vessels are going to suck and you won’t heal very quickly as there isn’t enough blood getting to the healing area. I think that’s what he means. All of this is preventable. Malignant tumors of spinal cord origin are exceedingly rare but you might see a chordoma or very very rarely a glioblastoma(or the lower grade astrocytoma). There are more benign spinal cord tumors like meningitis as or neurofibromas (neurofibromatosis), ependymoma ,hemangioma, etc. Then you could have osteosarcoma or chondrosarcoma in the bone or metastasis. The benign ones you still want to resect because of cord compression. In these cases I doubt he’d say “no, just rub some broccoli on it.” But for the bread and butter ones…preventable.
Additionally, nobody is going to die from not getting a bread or butter surgery. They might die from a stroke or heart attack or complications post-surgery especially if they are obese, sedentary, have high blood pressure and cholesterol, diabetes, etc. I would like to add that usually having one surgery sets you up for having more surgeries in your future so they will be calling back. Spinal fusions, in particular.
I have no idea when spine surgeons were called neurosurgeons? Ortho usually does these too, but they can’t do malignancies or more complicated things I suppose. My dad was a neurosurgeon and he operated on brains so it’s confusing to me.
For sure, and I think you're agreeing with Dr. Jubbal here too. He really approved of what Dr. Doobie did with his life and saw himself in him. However, because he's a neurosurgeon and presenting himself as such, people calling out statements like "I found that patients who did certain things would get better, and patients who wouldn't do those things would get worse," "They would heal so quickly before I could do anything on them," "All people need to do is meditate, hang out with their friends... then their back problems will get better" and elaborating on the data is a good thing, imo. He may have wanted to be earnest and uncomplicated when he put it like that, but he neglects the necessary and effective healthcare when he does it.
Dr.Doobie has integrity.
I don’t think he knows what that means (the narcissist saying words at the video).
I agree with you. The nuance is lost on those that oversimplify.
I think that Dr. Doobie is very earnest, and he really seems to care about making his patients feel better. However, I respectfully disagree about whether he should have said everything he said. For example: "All people need to do is meditate, hang out with their friends... then their back problems will get better" without saying that there are people who have received necessary care. That makes it seem definitive, but research on it was inconclusive. It's the wording: "I found that patients who did certain things would get better (on their own), and patients who wouldn't do those things would get worse." Would? My mother needed to have titanium put in her spine. She's fifty, is healthy, exercises, and eats so many vegetables. She tried many therapies and exercised for months. Medical intervention was necessary for her then, and now she's better than ever. Again, he's earnest, but there do seem to be problems with his choice of statements.
You mean Dr. Goobie
I'm an ER doctor and I did exactly what he did but now I work 4-6 days a month... today's health care is a disaster
Hi I’m an undergrad student aspiring to be an ER doc as well God willing. I’d like to ask, do you work part-time or do u do 12hr/24hr shifts? And what type of hospital do you work in? Also what type of area(urban/rural/etc)?
Thanks!
Yeah...that's what I see also. Why throw away all that valuable (and expensive) medical training and all that intelligence that could help people, if all he needed was switch to a medical career that gave better outcomes (so that he would feel better about what he did) or just reduce your hours at your job (I would think a neurosurgeon could call the shots on when he wanted to work)? I get it...the guy was burnt out and needed a rest...so he's taking a leave to enjoy nature and do what he wants when he wants. Good for him but he'll have to go back to work sometime...I would think that he could pick a less stressful/more good-outcome-based specialty, or just tell his employer he just wants to work part-time ($50,000+ a year is definitely do-able income if you live like everybody else...not lavishly). They have no kids, and only 1 dog (BTW, all he needs to do is get TWO dogs and they can entertain themselves or do Doggie Daycare)...those college loans can be paid minimally. I just think it's a shame that all that talent and expertise and intelligence is wasted. It's never always "all or nothing", after his hiatus, he could easily make changes in his type of job and/or work-life balance in the form of reducing his hours at work to be happy...just like you did with your hours.
@bettywith2girls because worthless celebrities, athletes, influencers make way more money than these essential professionals, without all the stress.
Good for you. You did the right thing for your well-being.
@@barbarah2773 ty! Hope you find your escape route as well!
I’m so glad to see everyone in the comments section backing up Dr Goobie and it’s so interesting seeing how many similar stories there are out there.
It s amazing how many people miss dr goobie’s point. He talked about his experiences of how he felt trapped in the medical SYSTEM as a doctor. The system doesn’t serve for the benefit of people it serves the pharmaceutical industry
That is what he exactly got wrong, that is the main point .
wow! crazy that it took him 20 years to figure that out when even your run of the mill premed knows that crap
I think people are overgeneralizing from this video as a so-called confession against Western medicine when in fact the TH-camr here (and former neurosurgeon) is making a very precise narrow argument against the limited advancements of treatments available in neuroscience NOT all of medicine. To be sure, what doctors do when using antibiotics to CURE (not treat, but cure) illness is legit. Also, many operations are indeed successful in curing and saving patients: e.g. many heart procedures such as bypasses, valve repairs, etc. People continue to live due to kidney and liver transplants, which are an example of effective surgeries that provide people many years and even decades of continued life, not to mention pain relief. What the TH-camr here is lamenting is the limited successes in the field of neuroscience and neurosurgery, not all of medicine. And within neuroscience he was lamenting not being able to pursue a subsection of neurosurgery he was interested in: neurosurgery in the brain and spinal operations. If Dr. Goobie really loves medicine, after he recovers from his midlife crisis (as he called it himself in a joking way), he can always retrain in a field where operations DO MATTER, such as heart surgery, kidney surgery, liver surgery (i.e. thoracic medicine) where he would be able to save many lives and actually CURE people, not just TREAT symptoms, which lamentably is in fact what most doctors talk about, instead of curing. But let's not forget the actual limited message of this TH-cam video and make claims Dr. Goobie never made in this video.
@@SunSunSunn
Yes and its not him but his programming
Exactly how I understand. Dr Jubal needs brain surgery
I can relate. I practiced Ortho Spine Surgery for 15 years and quit. Wasn't fun anymore, burned out. Much happier now.
Most people wouldn't understand how a hyperspecialized surgeon with salaries ranging from 500k to millions a year might quit.... but we, your fellow colleagues do undestand! Health first.
Kevin, at 21:18 I think you misunderstood what he said. When he said "hospitals need to grow economically, they need to make money", he was talking about the underlying capitalist system which is why hospitals "need to grow"
I agree, try and see the point he’s making - big picture. Obviously incorporating these lifestyle Interventions will not completely eliminate the need for spine surgery.
@@vinnnnnay3546 yeah i totally get that :)
Goobie is absolutely right, and I don't agree with Kevin that it's an oversimplification. It's actually as true as a fact can be. If doctors specializing in treating a specific recommended that their patients take preventative measures that make their own training obsolete, their jobs would be diminished because their skills, talents, and training would not be as needed as before. If vets told dog owners, for example, not to feed their pets dry dog food and switch to human-grade food in order to reduce the likelihood that their pets develop a wide range of diseases, obviously, vets would see fewer patients. There's no oversimplification because the changes in behaviours recommended by the doctors do not financially benefit the doctors
Creepy! Earn traffic is the true intention by attacking Goobie, shame!!!
@@editorjohn8803 so many documentary out there but people still blind
24:28
His argument is not that everyone is gonna completely heal from better sleep, nutrition, and exercise. He's not saying that surgeries or other medical procedures are totally ineffective because obviously sometimes they are life-changing. Instead, he is criticizing the capitalist structure as a whole. In a capitalist society, every member of that society must prioritize one thing: money. Money is the arbitrary means with which we support ourselves and are able to eat, drink, and put a roof over our head. Even the most altruistic, caring person needs to make money to survive. Doctors are the same. Every medical institution has the primary goal of making money. As a result, Dr. Goobie simply felt that neurosurgery was no longer the most direct way for him to relieving suffering in others.
This is not to say that doctors or hospitals are evil. This is simply the truth of a capitalist society: any institution must make money to survive. This is not necessarily a bad thing. Hospitals do amazing things every single day and the money that they raise allows them to research new technology that can save more lives. I'm sure many doctors thrive in a hospital environment. Just because making money is the primary goal doesn't mean you can't save lives along the way. Different people thrive in different environments this was simply not the kind of environment Dr. Goobie wanted to be apart of anymore.
yeah but the way he said it is framing it as though it's a medicine problem when its a healthcare system problem. literally driving the medical illiteracy problem we have in the world right now. i live in a capitalistic country (singapore) and yet public healthcare is the main means through which people here get healthcare, and only patients who have gone through conservative / lifestyle interventions and still fail to relieve their symptoms are then considered for surgery; else they can go to private hospitals that will happily list them for surgery
Great comment
Yah, we have seen what they did to make a living, during COVID PLANDEMIC.
"All people need to do is meditate, hang out with their friends... then their back problems will get better." "If everybody did that and they got better, then no one would need spine surgery." "They would heal so quickly before I could do anything on them." "I found that patients who did certain things would get better, and patients who wouldn't do those things would get worse." I think Dr. Doobie is earnest, but I think it was good of Dr. Jubbal and other medical professionals to discuss how "will" and "would" affects those statements.
Dr. Jubbal has confliciting parts to him. On one hand, he's encouraged people to take care of their mental and emotional health, and has talked about the toxicities in the healthcare industry. But you can also see the alpha, competitive persona that you see a lot during medical school and it seems to still stick with him. Not just this video, but there were other times where someone expressed frustration or were open about their "weakness" and he writes it off as "that's just life." It's just moral posturing, contrasting off something "softer" or "weaker" to create the image of looking stronger.
I really appreciate Dr. Goobie's perspective. He's taking burden of the "white knight ceiling" off the backs of doctors, you don't have to cosplay being "strong" for the sake of it. And being courageous to call a spade on the healthcare shit show that everyone can sense. I feel he's speaking out for the benefit of every team, for healthcare providers and for the public. The cons of a corrupt system and the moral conflicts it keeps producing outweighs the benefits of a professional field that doesn't even produce long term, quality of life dividends (to the professionals and the public).
agree
agree with you and also if you come to think about it there's nothing alpha about following the herd and creating a whole persona around what people in your area think is the norm. if one thing the real alpha personality here is goobie, an authentic guy who does tf he wants and posts about it without a care
He’s a douche
To clarify, I meant the guy who spent a bunch of time trying to sound authoritative, and he may be successful to the general public. However, to an MD neuroscientist who also left for the same reasons Goobie did, he sounds like a complete idiot. “I saw a child with a debilitating neurological condition in terrible pain and will probably die a horrible death, and you know, all I could think about was me and how it really ruined MY DAY. So I didn’t go into neurosurgery.”
Wow. Sorry a dying kid ruined your day. I think putting fake boobs in insecure women and sucking fat out of people or butt implants or god know what into people who pay you tons of their own money to do this because they think something is so wrong with them that they would voluntarily undergo major surgery was the way to go. I get there is reconstructive surgery and repaired cleft palates that are necessary and helpful for people too.
The doctor he name dropped, Ian Valerio, is actually in Massachusetts, not Ohio. He’s a veteran and started working with targeted muscle reinnervation to relieve pain due to the neuromas that were forming at nerve stumps in veteran amputees. The pain prohibited them from wearing their prosthetics. He wasn’t a pioneer nor did he invent it but is one of many good people did it and found that it worked. Other surgeons. then figured out if you take the nerve stump(s) during amputation and hook them into a muscle that no longer has function and sever the muscle’s original motor innervation, the nerve stump has something to do and reiterates the muscle that used to innervate something that was amputated. It then acts like an amplifier at the skin’s surface because it still thinks it’s making something move. You can leverage this by fitting a patient with an advanced pattern recognition myoelectric prosthesis. This is a special fake limb that can pick up the nerve signals coming through the. Skin and as you can do this with I think up to 6 nerves/muscles, you can have far better control over a prosthetic than you could before. I think it’s was only 2 nerves then. Now what this has to do with the rat experiments Dr, Goobie described? No clue whatsoever. I worked on mouse and rat brains and trigeminal ganglia in grad school after med school and as a neuroscientist I have no clue what point he is trying to make other than make himself sound important and trash talk Dr. Goobie. This guy has never been to grad school so he has no idea wtf he is talking about. I mean he couldn’t be a neurosurgeon bc the outcomes are poor. Yeah dude. They are. Most of the patients a neurologist or neurosurgeon sees have degenerative conditions that will only get worse until they die. It takes a tremendous amount of compassion and dedication to your patients knowing that your purpose is to do what you can to slow or mitigate symptoms for as long as you can, and if you’re good, you’re there to help the patient and family get through it. Explain what they want to know and answer questions. Refer to alternative therapies. Monitor closely . And be someone they can trust and be there to prepare them for the worst. Sounds like it takes a lot of intelligence, patience, and conviction. Commendable attributes if you ask me.
❤
this has got to be one of the most viral videos in the medical TH-cam space over the last decade
Fr
facts
Literally 😭
Goobie is a good guy he is right but he still has a lot to learn it’s worse than he thinks he is 😂
Best Ever..
Dr Goobie, wasn't willing to sell his soul for prestige and money! I respect him for doing what most people would never do. He knew cutting up people wasn't right and wasn't helping anyone, except the medical system who is willing to destroy people instead of helping them. You did the right thing!!!! Bravo to you!
Yep. Truth. RN here who hung on to her service job until early retirement at 62 y.o. The fast faced very stressful environment plus, abusive marriage partner was literally killing me. I was in fight/flight mode all the time. I was dying. The first day I awoke from sleep and realized I didn’t have to continue doing what I had been doing was amazing. I was so happy, so relieved, I felt like my real self, again. I was happy…no…I was joyous, and have been ever since, ten years later. Plus, I was released from my horrible marriage. What years I have left I now live in peace and I thank Jesus every single day for answering my prayers.
Good for you. Freedom and peace are priceless.
I saw this video and was astonished. Neurosurgery is an especially difficult because of the poor outcomes of patients. But, I think the person makes a very interesting point on those who do recover best in his experience and observations. It reminded me a lot of the osteopathic medicine philosophy of holistic care.
Actually I heard from a neurosurgeon in Poland that "physiotherapists take our patients away from us" said with respect. Some of the patient might really avoid surgery thanks to physical therapy.
health is holistic though. the patient has to also hold up their end of the deal by not doing counter-productive behaviours that are detrimental to their health and undo all the surgeons' hard work.
this means taking care of diet, exercise and lifestyle generally.
the surgeon can only do so much.
what's the point of only providing bandaid temporary solutions to symptoms instead of investigating and addressing the root cause of the problem? I think that was his point.
the nature of healthcare in particularly the US but also other western countries appears to be about keeping people sick in order to profit off of them instead of wanting them to get better.
same reason why our household appliances don't last as long as they used to - because manufacturers realise they're not getting as many repeat sales, so they use inferior materials.
Dr Goobie, from MIT, with a neurosurgeon's skill,
Quit the hospital, seeking a new thrill.
May the mountains, rivers and NATURE renew his zest,
With energy and passion, find his best.
Don't give up, the journey's just begun,
Purpose and passion, for everyone.
Do what he LOVEs what he is good at, what serves,
And happiness will find him, in life’s many curves.
Without watching this video I'm just gonna comment.. Goobie hit the nail on the head. It may not be YOUR NAIL, but he's accurate in his observations and i support his decisions. No doctor had EVER CURED my parents, but eventually we learned to cure ourselves.
Have you ever taken Tylenol or aspirin to relieve pain? If so, you have benefited from modern medicine. Stop promoting conspiratorial theories.
I don't like it that you interpret Dr Goobie's point as "black and white". I can hear the grey - he might be trying to describe in the most polite way that "middleground" was impossible to accomplish in the system. I don't think plastic surgeons meet this problem - forcing surgeries no matter what. I've been in the first raw of this battle against surgeons of many specialties. Up to the point when palliative patient got a surgery that we, anaesthesistes, told might kill him. He was ASA 5, in palliative care, permanently disoriented. I had nothing to say and he died on the operating table. No matter what we would tell the surgeons, they will always say it's "life saving" issue. Don't let me start on neurosurgeons. 😅
The "middle ground" and "grey" is somewhat unachievable, even if we chose little battles.
With some surgeons, even stopping them from giving ketoprofenum in acute kidney disease is impossible.
We had even a special online training for all the doctors in hospital, training on pain management - they scored it cheating and never learned anything.
We might be missing some part of the story and dr Gooble will never let us know it. I wouldn't dare neither.
Agree with Maria. Kevin, about your “black and white” comment, I don’t think Dr. Goobie was claiming 100% efficacy of the lifestyle change. He was using a hypothetical situation to bring up an ethical problem. IF lifestyle changes caused degenerative spine surgeries (not talking about astrocytomas, AVMs, or traumas) to drop, that’s does effect hospital income.
Also, later in the video, he said “what if I just cover the ER?” So he was still thinking about doing other types of neurosurgery covering just traumas. But it sounds like at that point he needed to just step away.
Dr Jubbal runs a medical school advising company and anyone that is going to criticize medical school, and the system he will have to retaliate so that he doesn’t lose clients who develop a distaste from med school and quit their dreams of becoming doctors. And that’s okay. But you’re right Dr Jubbal is being too judgmental towards Goobie’s message. His judgement towards him is black and white in nature instead. Goobie’s message is already touching the grey. No offense to Dr Jubbal he’s great. But he doesn’t have to be so judgmental to Goobie and his message
@@chengezhussaini1464 two different animals! And although I respect both people; Jubbals is the more realist here... quitting is never a solution; taking a break and/or switching point of view is usually considered more mature. It's not a certainty that Goobie quit for life.... maybe he'll regain a love for what he sacrificied his twenties for.... who knows? Also I can see how for someone to be fascinated by the brain and ending up fixing necks and backs as 90% of your practice might be burn-out inducing... I think he would have fared better becoming a psychiatrist rather than a neurosurgeon! All the best to Goobie!
@@MindShiftChronicle I agree. Dr. Jubbal even cheers him on and remembers his own exciting moments quitting plastic surgery; when he was discussing other surgery positions, he just seemed to be speculating. Other surgeons in Doobie's position may then decide to switch to the different subspecialty and regain their happiness, and I think that's a good thing.
@@chengezhussaini1464he’s just jealous of Dr. Goobie because Goobie became popular and has more followers (over 450k in 6 months whereas he has under 250k followers and been doing TH-cam for 7 years).
"A patient cured is a customer lost"
If I was a doctor, that’s a win/win for me
If everyone woke up tomorrow completely without any illness, do you think every doctor in the world would be rejoicing?
Omg that is ridiculous. There are so many people who need doctors and not enough of them. Do you think if you are cured and don’t come back again for years they think of you? The answer is no. Next man up. They move on to another patient. For crying out loud it takes 4 months to get seen. Does it seem like they are in need of patients?
Unfortunately, this comes from "ignorance is bliss". Doctors don't have any business with big pharma, just look at the current mess with diabetes and obesity. We've known for a long time that all it takes is eating less crap and doing exercise, in fact, I remember Obama's wife did some school program related with this (I am NOT from the US), but idk what happened to that afterwards.
Anyway, why exercise, eat your veggies, and so on, if you can simply take a pill and move on? Remember when splenda and the like were the next best thing, only to be told some years later that it causes cancer and whatnot? The same is occuring nowadays with ozempic and diabetes/obesity.
Doctors just want to take care of you, remember that in its origins, medicine was provided by... slaves and religious folks. Medicine has always been humble in origins, but since we live in a capitalistic society, all of these are nothing but the consecuences of trying to monetise something that shouldn't be run for profit.
This is an article in spanish, (the Dr. who was interviewed is from Spain), but it summarises the current state of medicine: www.bbc.com/mundo/noticias-internacional-53944005
This is how I know you’re a simpleton
I’m on Dr agobies side- all the other doctors just care about saving face- their fraternities and maintaining the status quo. Dr Goobie is a real leader.
Are you a doctor? I assume not.
@ why would I want to be after all of this?
Why so many people responding Dr Goobie’s video, he has the right to say what he feels. Come on guys, post your own stuff,live your own life.
You have the best responses here!
Kevin you talk but not listen to the doc who quit cause he talks about existential problems. He is the key answer to our modern bluff.
Dr.Kevin, you might be one of “them”, but Dr. Doobie is Dr. Doobie. That’s why his video has much more viewers. His video is not an entertaining video, if you disagree with his views, make your own, but don’t related to him. That’s why saw your videos but never interested in watching it.
Dr Kevin talks a lot of sense. Doctors aren’t your enemies
@@waynewayne8419 seems like you have no clue about the words. No one hates doctors in this case.
Dr Kevin needs to take a hike
Dr. Jubbal mostly agreed. He just pointed out how some of this statements like "All people need to do is meditate, hang out with their friends... then their back problems will get better" could unintentionally hurt patients who can't be saved by lifestyle changes alone. He provided more information about research and about other specialties Dr. Doobie could have gone into, but never says he ought to have stayed.
@@katelynholmes9504 Go support what you like. Not interested, thx.
I am a physical therapist. Dr Goobie is right.
Hes explaining his perspective and why he quit, but youre taking his video sooooo literally, hence youre frustrated. He literally said “Im not saying that will happen”. He isnt trying to attack you personally, hes saying the system is broken, hes looking at bigger picture.
Nobody is taking it personally, he’s making blanket statements about surgeons and medicine. Obviously this is his perspective but it’s not right to state it in a way where it seems like medicine is only for profit. The majority of people practicing medicine (residents) are in huge debt and not making any money from you. This only fuels the uneducated people to distrust the modern medicine.
the medical system is jacked up. good job doobie
In medicine you don’t know what you’re getting yourself into when you’re starting
As a pre med I've seen enough online to know it's gonna be ridiculously difficult but I have no idea how I'll actually handle working 80 hours a week in residency. Hopefully I survive
@@mustang8206some advice for rotations as a resident - don't leave early unless dismissed during rotations you don't like. Yes it sucks to be there for long hours but that's the only way to simulate "the suck" before residency the most accurately
@@mustang8206 work is not the difficult part for me. Being in the military I went weeks without a break lol literally 24/7 with minimal sleep. Work easy, the studying and competition is a different story.
Indeed like eveerything rlse actually
As a civil engineer myself , our goal is to” make a society better “
I’m
With Doobie and Goobie. ❤
Same💗
the biggest problem with the healthcare in the USA is insurance companies not wanting to pay for treatments
Not so in India. That's why medical tourism is booming over here.
I think he was giving black and white examples just for the sake of explaining his points. Hospitals will never run out of patients. People will get sick regardless it’s life. I see repeat patients all the time they get healed and go back to their bad habits.
which is pretty misleading if you ask me
@@NEPtune-fy1ug I didn't find it misleading because I knew what he meant and anyone with common sense should know that, too.
@@julienalexander6113 common sense isn't common
@@NEPtune-fy1ug nope, but people should be able to understand context.
Read the comments here or there, it's clearly not taken in the way you think it is. It's driving a larger wedge of medical illiteracy.
This video popped up in my recoomendations too but didn't watch right away. He has got valid points though. He is happy more than ever, good for him
Hospitals are absolutely businesses in the USA. I'm unsure why some people think that's an "oversimplification." Even prisons are businesses in this country, and people are shocked, lol. More people could have been cured if medicine had focused more on preventative care and less on symptom management. Pharma has to make money; when I say that, I don't blame the doctors-I blame capitalistic greed. Also, if some of you still think the medical field isn't money-oriented, then ask yourself: why isn't every person entitled to medical insurance, like in Europe? People in the USA get loans to receive treatment for cancer. Imagine being hit with such a disease and needing to worry about a loan. Let that sink in.
This poor guy is right about relieving suffering. Medicine has somewhat devolved to prolonging/preserving life over quality of life. I have seen horrible things happen to people in the interest of prolonging/preserving life despite the horrible suffering because that's what somebody else (not the pt) wants.
kevin, i think its you who painting the black and white picture here. we must admit that the incentive for doctors and hospital are procedures and pills.
I saw this man’s video, so compelling. Thank you, Kevin.
Calm down! He's saying for instance, what if. And even if you don't believe it and look at the medical profession through rose colored glasses, most people do not trust doctors. Myself included. We know that most doctors are in it for the paycheck and will drag out treatments as long as possible. More doctors need to have a better sense of right and wrong.
They don’t drag out treatments. Agree that they do it for the money but they don’t give a crap about you. It takes months because they don’t care and not because they are intentionally dragging it out.
The worst type of deaf is the one that doesn’t want to hear. Hope you get to fill your soul rather than the pocket brother, best wishes for you
Agreed with Dr Goobie and Doobie
Health care doesn’t care about patients
Better you call it "Health Scare System "😢
This is such an important issue, it really is not black and white, thank you for sharing this and your point of view. But at the same time I feel like I am also on a search for purpose sometimes as an MD, you always want to do your best, but sometimes it is really hard managing work life balance, so I can see the other Dr's point of view.
The point is… it’s his life. He is a unique being in this universe and made a decision to leave. I respect the guck out of it
Once upon a time hospitals were run by intelligent doctors that had worked their way through the system and understood why the hospital was there in the first place, i.e. to heal people. Today, hospitals are run by MBA's with no medical training to make money.
It's gotten worse...nurse utilization reviewers tell you how to treat patients
I’d like to see Dr Goobie live in real life for one year. Work at a McDonald’s, a factory, a construction site, or as a programmer. Let’s see which one he will stay with. Also, during this time he can’t spend any money he saved from being a doctor.
He is right in every word he said. Do not sugur coat it man
For those curious about neuroscience and spine surgery, as we age our discs gets dried up and eventually disappears and the bones of the spine starts to fuse on its own naturally
I used to work at this private practice owned by a businessman. One day, out of the blue, he told me that he he started it to gain income. That struck me like a lightning. I never accepted again to heal for wealth generation.
Dr. Jubbal made some really good points here ,instead of watching his original video this is so much better
I think it is pretty messed up that a patient is supposed to "trust" a doctor who will suggest them to do things that they wouldn't do for themselves or their loved ones!
So if I have faith in doctors because I trust they're "well educated" I get worse care... I don't think the public will buy it.
Im a doctor in Colombia and must say that Medicine doesn't rise to the occasion compared to smartphones technology. If you have a smartphone you really happy. And if you have a melanoma you can dying asking yourself, how melanoma is treated , even if you're a doctor. It feels like if for some things there is no solution. Preventive medicine is the most important thing in medicine now.
He is just following an inner calling. Brave Man
If the US Medical System was any good, there would a superior understanding of complex feedback systems such as ballance, stability, for old people, I suggest Dr. GOOBIE lead a team of specialists to address Neuropathy, Muscle loss, Ear, Eyesite, and BRAIN. This analysis, if done correctly will alive considerable suffering. By old I mean 80+. We fall. We break bones. We end up in wheel chairs. Have pitty.
I am a neuroscientist and MD...where do I sign up? I was interested in aging/longevity medicine until I listened to a podcast. People are more concerned with how they look and if they are fat or not. There were some good points, for example, studying the naked mole rat (it lives a ridiculously long time, 30 years, compared to a mouse or rat, 1-3 years) is giving us some insights ito the mechanisms of slowing or halting cellular senescence. I worked in regenerative medicine as a medical education director briefly and there was a focus on longevity there, as well...not getting wrinkles. I think there are more pressing things to address!
Crazy I just watched the original video and now I get to watch you react to it :D
What the good doctor is saying is a generalization for those who have ears to hear that the better health you have the less you will need to see a doctor because doctors and others involved in medicine need to have sick people in order to make money.
I'm a neuroscience major. Absolutely not going into medical though. Fuck that. Research for me.
I had seen this before and I get both sides. I think the issue is that he was explaining why he left. Unfortunately, it’s happening in so many areas. My endocrinologist charges less than my family care NP for a visit because I get charged twice. In my area, the hospital conglomerates bought up the family practices and put them in their mini-hospitals. If you take more than 15 min, it’s 2 charges. I have good insurance and a good job, but honestly, it’s criminal what insurance, big pharma, and the private equity involvement in medicine have done to health care. 😭 Anywho, I love the content from docs and former docs out here (and the lawyers, lol) ❤
As someone who made the transition from education to Healthcare, I know the system isn't perfect. I started as a nurse’s aide in ICU, now RRT and admitted to a PA program, I've seen a variety of in patient scenarios. If someone goes into medicine in their 20s with no medical background, I can see the frustration.
Medicine isn't a magic cure. As an RT, I don't see myself as a life saver. I'm more of a life preserver. We can't save everyone.
I had a physiology professor who was an old internist. She was a very strong advocate for food as medicine. Not quite like eastern medicine, but eating healthy is very important. Exercise is important. Sleep is important.
After that, if there's still an issue, medicine is better able to help.
You sound so defensive YOU are the one being negative. Dr. Goobie spoke his truth. You have too far to go in your mental work before you can thoroughly understand his position. I am in my 8th decade of life. My children were delivered by the old time house call doctor. As a 'people' we are missing the standards of once 'caring' medicine. Monopolies exist and are sucking up every major need in our country, including medicine.
Lifestyle modifications are going to be less profitable as compared with procedures because the doctor is less involved in the treatment of the patient. This is why procedural specialties are paid more per unit time, and non procedural specialties that are nonetheless very specialised earn less.
In an exclusively fee for service model, yes
WRONG ,YOU ARE ABOUT DR GOOBIE...LIVE YOUR LIFE MAN AND RESPECT HIS' ...I CAN TOTALLY RELATE TO DR DOOBIE,OKAY....HE DOESN'T CALL MEDICINE BS,HE TALKS ABOUT WHAT BRINGS HIM PEACE OF MIND...
MAY BE ITS JUST THAT YOU HAVE NOT LISTENED TO HIS VIDEOS THE WAY I HAVE LISTENED TO....
Hey Kevin,
I think you missed a key part of what he said at the very beginning. He mentioned that he wanted to be a neurosurgeon specializing in robotics. The only reason he pursued neurosurgery was to avoid wasting all those years of education and training. In reality, he never wanted to be a neurosurgeon performing general medical operations. So, the idea that he could have chosen a different medical field wouldn't have changed how he felt, because that was never his true passion.
If you think about it, what Elon Musk is doing with Neuralink aligns more with what he probably wanted to do. He was genuinely interested in not only helping people but also in technology and cutting-edge advancements. The reality is that he didn't really want to be a typical surgeon, whether as a brain surgeon or any other type of physician. That's the crux of the issue.
Best,
[Your Name]
That's what captured his initial interest, but it's not the crux of the issue as he explains it
The cruz is the health system and how it works
@@lu641110 No, you're misinterpreting my response. I'm not referring to the overall subject of his video. I'm addressing the core issue in Kevin's criticism of the initial MIT neurosurgeons video.
@@kevinjubbalmd No, you're misinterpreting my response. I'm not referring to the overall subject of his video. I'm addressing the core issue in Kevin's criticism of the initial MIT neurosurgeons video.
I see both views. Thanks for this video.
The grey areas are caused by the fact that most things in life are not fully understood.
That's one source. The other source is truth seeking as opposed to broad strokes of black or white
@@cheetahgoldenfire "grey area" just means the truth is in the details. Because when someone says "this situation is not black and white", what they're actually saying is "this situation is true in a specific context, and not true in another context". So the grey becomes black and white as you dig deeper.
Alas truth is subjective in most contexts i have experienced. It is in the eye of the beholder. Truth is Merley a point of view. Rarely we can use reductionistic thinking to simplify something so we can better understand it.
Are we going to ignore on how this guy was so nonchalant to the mosquitos swarming him
😂
Now most young people want to be a doctor not because they love to care patients, but for high paychecks.
I went to grad school after med school and this was a few years after I'd left residency. I did not understand what was going on with the pre meds. I was never like...that. I refused to hire them for my team, but at the end got stuck with two. One of them lied on her personal statement about our nonexistent relationship and demanded a rec letter...none of them wanted to work...I'd had stellar students in the past, and this was part of the reason I mastered out after 4 years. Teaching them was also an exercise in not committing any crimes against inanimate objects in fits of rage. Entitlement was astounding, as was lack of knowledge or work ethic.
"happy for him being happy" 🥰
The healthcare system today is not about health and no they don't care. Get the government out of our lives period.
What he said it was more of hospital was money making machine. Instead of doing the correct surgery procedure to cure the disease they did a different operation.
Dr. Goobie is not trying to be black and white but to express his feelings on the current medical system! there are issues with money over outcomes in a lot of practices.
This is the issue of public health vs acute care health( a downstream which doesn't address the upstream and consumes most money in health care). Most acute care healthcare professionals have poor understanding of public health at population health.
I do think hospital systems are a major player in perpetuating these medical practices. Ortho spine is one of the highest-billed specialties and you are seeing major hosptial systems drastically expand their ambulatory surgery centers. Hosptital Admins know spine surgery and surgery center facility fees are the largest money generators in the hospital along with GI and Cards procedure. Many of these populations that receive these services are also commercially insured driving large margins for the hospital. Some hospitals are also sharing facility fees with surgeons creating another conflict of interest and forming some kind a symbiotic relationship wtih admin. Fee for service is the most problematic in these specialties and its profitability is why most of these services are still fee for service at most hospitals. VBC can really create a big impact to fix these specialties but there is a large amount of pushback from hospital systems for these to go VBC. In the south, there was a hospital that tried to make Ortho VBC, and most of the ortho docs threatened to leave so the hospital but them on a salary way higher than they were making on FFS to do fewer procedures in a VBC model. But I agree, this is a small minority of doctors and has the possibility of turning the public away from trusting docs.
was waiting for your reaction on this !!!! Hope you're well dude 👍
Dr. Goobie hit the nail on the head-drugs, procedures, and doctors just put a band-aid on the symptoms. I still had to heal on my own with this chronic disease. I changed my diet and lifestyle, got off all meds, and stopped seeing specialists. Now, I want all my money back from the copays, doctor visits, surgeries, procedures, and meds. Healthcare feels like a complete scam unless it's for trauma or an acute issue!
That's literally the point. Most of your health is on YOU. But people expect wonders from doctors and that they will heal their 30-year old smoking habit. YOU show up to the ER or doctor's office. Most of the time because of your own doing. Glad you realized you have to start with yourself, but don't blame doctors and make yourself a victim, becuase a doctor didn't drag you into their office, your poor habits did.
@@svellah4388 Why is it that big food companies are allowed to advertise hyper-palatable, low-cost foods everywhere, packed with potentially harmful ingredients like food coloring and seed oils? How can such products, with questionable ingredients, continue to make it onto store shelves? Then you do to docs and they say its genetic...its all a scam that the goverment allows for the health care ponze scheme!!
All these jobs are about to be automated anyway..Also, I quit because I understood the system is rigged and it benefits only a tiny group, which I am not going to mention, but they exist and are here..I was a trained pediatrician and worked as one for sometime..It is a very evil system..
As an indian oncosurgeon
, we have w hard time explain to patients about exercise and diet. We have dieticians but it cannot trump the traditional discussions on foods and stuff. Older women refuse to walk post or pre surgery wnd its frudtrating to try to make them ambulatr but I do love my subject and I dont think any amouhbtof burnout will want me to peave it permanently
Hey, Kevin, I hate to say this, but you're wrong. Most, i.e. the vast majority of spine surgeries don't end with a good result except initially in some cases. Why? The elephant in the room is scar tissue. Scar tissue can erase the initial benefit which spine surgery provides - not in SOME cases - but, in MOST cases. Spine surgery is a dismal specialty with a very, very low success rate by any measure. Simply, we need to find a way to deal with scar tissue, i.e., we need more and better science to develop methodologies which address this problem. For spine surgeons who don't care, it's a wonderful way to make a living. The doctor, hospital, and the medical devices companies win. But, the patient often loses iin either not getting the problem and pain fixed or with these getting worse. As a former pain physician, I saw all the failures in spine surgery in my area and the story is the same everywhere. So, this fellow is not talking through his *ss. He's actually right. Now, with you never having been a spine surgeon, I would say that you don't have first hand, day in and day out experience with this reality. Dr. "Doobie" is also on point about lifestyle changes. Most folks debunk this as perhaps voodoo medicine or as someone who is a little soft in the head. But, nothing could be further from the truth. For instance, many patients I saw in the pain clinic who have had spine surgery are heavy smokers or whose overall health is poor by choice: poor diet, lack of exercise, uncontrolled hypertension, poor sleep habits. These things wreak havoc not only on one's overall health, but also and especially on their spine health. I know that you won't consider what I'm saying as valid, but I have some first hand knowledge of what I'm talking about as it relates to patient outcomes with spine surgery.
Dr.Jubbal is taking things too literally. I don't think he's claiming 100% efficacy or 100% removal. I think he's speaking generally.
in india hospitals are absolutely buisnesses. i TOTALLY AGREE with DR.GOOBIE because even for a minor fever doctors prescribe at least 4-5 medicines. this happened with me and my parents forced to take the meds but i somehow managed not to put those in my body and i was ok and well to go within 2 days. also i wanna make it clear i used to have bv for 1 year and no meds helped. doctors just keep you in the loop to pay them visits after visits every 2-3 months. another point is in india womens healthcare is shitty as hell. as dr. gobie said: PROFIT OVER PEOPLE is the issue. the medicines dont cure you. they make u worse in most of the cases. and most of the people are REALLY HAPPY TO RELY ON PILLS AND MEDICINES FOR TEMPORARY RELIEF RATHER THAN MAKING ANY LIFESTYLE CHANGES.
poor guy is being harassed by mosquitoes
We need to talk about the value the addition of pants could have in this discussion 😅
😂
I agree and I do not think Dr. Dobbie is trying to be black and white, but pointed out the healthcare system is profit driven, like any industry, that $$ buying people's souls, and they really do not care about patient's long term outcome and wellbeing. E.g. I have seen this amazing miracle Chinese doctor who specializes in joint, muscular, ligament, tendon, or sciatic nerve issues. I avoided surgery for many conditions with her healing hands. She is a doctor who combines both Western and traditional Chinese medicine, using meridian therapy in a remarkable way. She has saved me many times! I see that American doctors often offer surgery as an option rather than last resort. She located in my home town Beijing, China, but I see here whenever I get a chance. Dr. Yan (Xihuan Yan) Beijing Yikangtang Traditional Chinese Medicine. She came to America for teaching a few times.
Thank you for this video. Very informative.
The feet😂😂😂😭😭
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yes many countries health care is a disaster in my country our health system is in trouble under staffed and under paid our system is poaching hospital staff from other countries offering them more money and better conditions and its a competitive market cause the staff you hire can be poached again with a better offer they hop off one plane and take a flight to a better offer and as staff are over worked they have a short fuse too i was a patient and had noting but respect for the staff on all levels from the cleaners those that delivered the food to the nurses and surgeons etc yes its a tough industry and government need to support these samaritans on all levels
Medical care in the USA sucks.They only care about your money most times we see poorly trained physician assist.
Suspected this kind of response from healthworkers after Dr Goobie's video, disparaging him to create their own content, and utterly missing the point of the story
Preventive medicine before surgery 😊
I agree Dr. Goobie is oversimplifying, but I think that’s to target a wider range of audience without going into too much of the nuance. But what he is actually alluding to is this significant pressure on spine surgeons to pump out spinal fusions from their groups/hospitals. The indication for spine fusions and even the number of elevens of fusion is actually very controversial and if you ask 10 different spine surgeons how they would approach a particular case you usually get 11 different answers. That’s at least how I interpreted as a fellow neurosurgeon
I think one of the biggest problems with this video is that it basically went viral. I totally agree with the pinned comment and Dr Jubbal, but I would like to think that it was not Dr Goobie's intention to pit the average American vs their physicians.
I injured my cervical spine in the military and now at 42 the neurosurgeons want to operate on my neck i am literally screwed.
Why are you screwed?
@@chillie000 im in a unique position wherein i have severe arthritis and bone spurs throughout my ENTIRE cervical spine. So even if they fuse one or two levels the rest of them are still just as bad. I am screwed my future is screwed
@@imveryhungry112 I’m really sorry this is your situation….you can’t get discs inserted? I have just said a prayer for you 🌺
@@chillie000 thank you so much. prayers work!!! thank you!! My neck is really bad i was injured during military service unfortunately. Its too bad for them to insert disks :(
@@imveryhungry112 Thankyou for your service…I’m so sorry the price you’ve paid…I will absolutely keep you in my prayers…could you give me your fist name (if you’re comfortable)?
Life is up to you. If u ask 100 person, there will be 100 answers. What is serious to you is not serious to another person. Don't judge
This is what happens when a person has no philosophy or self-thinking but has been a book worm and later in life realizes something's wrong, and the worst part is, the realization is not that special and profound.
Exactly my thought. It amazes me to see these americans reaching absolute academic peak in one specific field while never having achieved basic critical thinking skills to look at the world in its entire complexity with the proper tools. What the hell.
What kind of realization is considered special and profound for you? 😂
It's the first that i TOTALLY agree withDr Jabaal
I think you misunderstood his point brother…please delete this video as he said on his video like people like you will come for him … let his live peace bro ✌🏽
Sounds like he realized the impact of SDOH
Dr. Goobie is amazing, if someone has to make a video to reconfigure what goobie says then they ain’t the truth
You did mention that Dr Goobie can do things differently... But is it feasible for a doctor to act autonomously and against the pressures of the system to not recommend surgery? I understand that it's possible but I'm not sure if you're giving enough credit to the difficulties he has explained. If we dont have enough doctors in his workplace or in the system acting as he does, I'm not sure if he can move the needle or even survive in such an environment which contrasts so much with one's belief system. He can probably survive but not thrive, and would be sacrificing his own wellbeing/mental health in the process?
26:18 says the guy with something degrading his health on his lap (whyfy RF-EMF) and his most probably cordless mics RF-EMF and the thing on his wrist RF-EMF
19:31 leave your body free from wireless devices including that thing on your wrist and study more about RF-EMFs from articles free from "conflict of interest"
Glad to see your response to this video.
Anyone appreciated Kevin blurring his foot? 😊