Just a reminder that this video represents only my own opinion. I do not represent the University of Pennsylvania or any of the institutions at which I have trained (Yale/UPMC/Rutgers). Summary of video: A) I commend Dr. Goobie for his courage and indeed empathize with his sentiments regarding the complexity of Spine Surgery care, 1) Keep Moving, 2)Patients First, 3) Self-Care I recognize that many of my commenters feel that I am the literary "foil" for Dr. Goobie. However, please have an open mind as you listen to my message. Please also take the time to watch some of my other videos, especially "Profiles in Patient Courage". Their stories give me the resilience and fortitude to practice neurosurgery. th-cam.com/play/PLJ9Pl_fM2oYAot7NuoO-qVKHIExzwTqB3.html
We would LOVE to send you some of our better for you candy bars -- we love your story - its so much like the story of our founder - who also studied Neuroscience at Penn!! Please let us know :)
This is a sad attempt at what essentially amounts to damage control. Why do you feel the need to respond like this to another neurosurgeon who left the field unless you feel threatened or exposed? Goobie had the integrity , honesty and courage to speak out about the truth and problems of a very broken and dysfunctional medical and healthcare system. Our current medical and healthcare system is absolutely all about maximizing profits and there is little doubt about that. It has been distorted into a vast machine that simply views patients as products that generate more income and GDP. This does not mean that all doctors and healthcare professionals are evil or bad, there are many wonderful, knowledgeable and caring doctors out there but there are also many who have been deeply impacted by having to operate within such a broken system. Part of the problem is that the doctors themselves are financially benefitting from this capitalistic system, and many lack the moral courage to do the right thing. It is not easy by any stretch to walk away from a $600k + salary as a neurosurgeon, even when you may be aware of some of the uncomfortable truths about what is taking place.
I believe Goobie and Doobie is a courageous individual who has made an important stand by retiring from clinical neurosurgery. However, I also believe that there is still HOPE for young medical students and residents.
@@DrLeeBrainSurg I too agree that there is hope, but the real hope will not come from telling future residents or physicians in training to simply march along and do the same things that other doctors have been doing. That will only lead to more burnout and healthcare professionals leaving the field. The fundamental dilemma is one in which an individual doctor has to figure out how to navigate a very broken and dysfunctional healthcare system. The status quo is to just go along with the system and do what everyone else is doing. Im not sure that individuals acting alone can accomplish this because the system is much bigger than any one person. Why don’t more physicians advocate for changes in our healthcare system that truly benefit patients as well as the doctors in a manner that restores the dignity and sacred duty of doctors as healers? Physicians have an enormous amount of power given their social and economic status in society, why not use some of that to help advocate for real change?
Perhaps my comprehension of English is lacking, but Dr. Lee did support Dr. Goobie throughout the entire video. Dr. Goobie made it clear that he is not planning to remain unemployed indefinitely, and Dr. Lee provided a thoughtful and remarkable solution for those who may find themselves in a similar situation. Dr. Lee encouraged looking beyond spine surgery or medicine as a whole to find something that aligns with one's purpose or passion. It is puzzling why some individuals took offense to Dr. Lee mentioning the dog, it was cute , endearing and respectable. Dr. Goobie himself mentioned that he is living his life for himself and his dog. In my opinion, Dr. Lee went above and beyond in his explanations. I appreciate Dr. Lee for his insightful analogy and commend him for supporting a fellow doctor. As for the haters get a life! We All 😅got one
@Vjyn-y2d. You are exactly correct. What I believe is happening is that people read my title "Yale/UPMC/Penn neurosurgeon" and immediately assume that I am the literary foil. My character exists to stand in opposition to Dr Goobie, when in fact I did not attack him or his decision, but merely tried to provide steps to future trainees to avoid miscalculation. Those who attack me did not watch or listen to my video, but instead they immediately assumed I am the anti-Goobie! I appreciate your insight and defense!
Let me tell everyone something. This field isn’t going away. You need people like Dr Lee who will continue to push even through the hardship. And you need people like Goobie who take the path less traveled. Both are necessary & anyone trying to demonize or belittle either path is extremely out of touch.
Thank you for this balanced reply. I am only hoping that when I need physician help in a few years, there will be smart, dedicated people there to help me, such as my current medical students and residents. I appreciate your balanced perspective
@@DrLeeBrainSurg If the medical system works for both the patient and the physician then it will be there, for sure. If it just works for one and not the other, then it's up to the doctors and the patients to advocate for its replacement.
@@DrLeeBrainSurg Dr. Lee, I do agree we all hope that when we need physician's help they will be there for patients. Can you explain why a lot surgeries had been postponed in the period of Covid 19 pandemic? A lot of patients had been turned away and stay home at the time when they do need doctors. As I watching Dr. Goobie's Video, he is young and not the retired age yet. He made the decision which need the courage. To be honest if I were a patient, I would rater trust Dr. Goobie more than a busy surgeon.
Dr. Lee, I do agree we all hope that when we need physician's help they will be there for patients. Can you explain why a lot surgeries had been postponed in the period of Covid 19 pandemic? A lot of patients had been turned away and stay home at the time when they do need doctors. As I watching Dr. Goobie's Video, he is young and not the retired age yet. He made the decision which need the courage. To be honest if I were a patient, I would rater trust Dr. Goobie more than a busy surgeon.
This is my first time ever leaving a comment on TH-cam. I really thought it was unnecessary to keep saying, Dr. Goobie "and his dog Doobie." A sneaky way to undermine him.
@MrAnkurbarua Dr. Lee didn't really disagree. He acknowledged spine surgery has a high failure rate and many doctors are financially motivated to do them anyway. He seems to agree with Doobie 😅
@@imveryhungry112 Thank you for defending me. It is interesting to me that the individuals who are attacking me did not actually watch the video and recognize that I actually sympathize and empathize with Dr. Goobie. I guess it doesn't matter, since this is social media :)
@@DrLeeBrainSurg Doc the only reason people got a little offended is because you kept saying like dr goobie doobie etc. It sounded a little bit like you were being a little passive aggressive toward the other doctor. Thats it. If not for that noone would have said a word. Either way, its good your sharing your perspective patients need to hear all sides from many different doctors.
I think you missed the point about why Dr. Goobie left the practice. Cutting and removing or adding something to the patient, is like putting a bandage over a wound, it’s not helping to heal from inside out. It’s like painting the walls with a nice fresh beautiful color paint but the studs are rotted. You Doctors need to take another approach to heal people by reeducate them how to eat healthier ( no sugar,no carbs,no seeds oil and so on) to have a good at least 8 hours sleep, get to embrace the nature and her Creator. That will bring healing to your body and a sense of peace and balance. And that people will be in no need of surgery unless they feel off the hill and brake their legs or spine. Teach your patients to change their style of life before you cut on them. I appreciate what Dr. Goobi did. And probably he didn’t mention, out of politeness how crooked the medical system works. It’s all about money and keeping their jobs. The more sick people the better for the system. I applaud people who take the courage to stand against the corruption of this society.
I agree with your points. American health care system teaches us how to treat disease. We are not trained as rigorously in how to PREVENT disease. As an older doctor, I see many of the challenges of our health care system, even regarding my own health.
@@DrLeeBrainSurg It's incredible how "Doctors" miss the simple point. Let me make it more clear for you. Is giving children hormones and gender reassignment surgery "treatment" or money for the doctors and pharmaceuticals. How anyone can say they focus on patient outcomes is beyond ludicrous when the whole industry vilifies the doctors that do speak the truth. Was it really patient care first when they forced experimental vaccines onto people? A doctor posted they'd make 1.5 million dollars for vaccinating 6000 patients.
@@cebamy the medical-industrial complex is gigantic and difficult to fight alone. As a single individual working in a giant health care system, I encourage my trainees to consider focusing on brain surgery rather than spine surgery. There is much less financial conflict in the field of brain as compared to spine. Since the volume of procedures is much less in brain surgery than spine surgery, companies are much less interested in brain surgery. #brainsoverbone
I noticed lot of unpleasant comments. But Dr. Lee, I appreciate the thoughtful presentation in this video. It offers a clear overview of the topic and raises important points for consideration. Well done. Good wishes to you, Dr. Goobie & Doobie.
Thank you for this comment. I believe many of the negative comments were by individuals who did not finish the video and were turned off by my introduction where I try to empathize with Dr. Goobie. I am glad that you were able to finish the video and reaffirm my faith in the youtube audience :)
Thank you for your response, Dr. Lee. As a medical student, I have recently become interested in specialties that have a lifestyle component such as sports medicine, PM&R, and well...lifestyle/integrative medicine (although I have only seen a few fellowships with this pathway)! So, Dr. Goobie's story really resonated with me. While I definitely think there is a place for other medical specialties (especially surgery, if there is a tumor/mass it's obviously gotta go 😅), there seems to be a lack of emphasis of knowledge of basic sleep, diet, and exercise in medical training. I mean, with all the development of advanced diagnostics and robotic surgery, you'd think that physicians would be well-equipped to answer such questions...and we cannot deny that outside of some genetic and environmental factors out of our control, we ARE what we eat. Moreover, what right do we have as the overworked, burnt-out, sleep-deprived physician to tell our patients what is good for their health? Sure, some programs have started to implement systems for physician well-being, but it can still be a FAR cry from what other people would call a 'healthy' lifestyle. In the end, it is the corporate and administrative aspects of medicine that lead to more stories like Dr. Goobie, and sadly, more distrust of physicians by the general public.
I am glad that medical students like yourself watched this video, because your entire career is still ahead of you. There is still opportunity for change and improvement. Keep moving! I don't have a good answer for you, but I have faith in our next generation of doctors
Actually, I appreciate your considered support and response to Dr. Goobie’s choice. My wife just had knee replacement surgery. The hole in the roof (primary cause) was repaired but she still needed a new joint. Yes, the system sucks, but most of the surgeon’s do not. It’s a hard job. What if you all went Goobie? Of course I support him and his sincerity. I think he will heal a wounded soul and do great things again. And, if not, and is just happy. That’s just as great.
Thank you so much for your support. I am surprised by the amount of vitriol for my video response. I am very lucky, as I picked a side of neurosurgery that is very rewarding -- BRAIN surgery. I look forward to my clinic and to helping my patients and to them coming back to thank me for my work. It is extremely rewarding. I know that joint replacement surgery can provide great outcomes for patients and their surgeons.
@@DrLeeBrainSurg You’re very welcome and thank you for your incredible, hard won, expertise. I’m afraid it’s also a reflection of the times we live in. People take a lot less kindly to dissent than they used to. And you supported Goobie in his decision. You must be a great teacher as you presented so personably. Laugh it off is my medical advice. You know your worth and the value of your profession. And bravo for making a good living at it. You earned it.
@Dognacity there's a huge difference between getting a knee replacement and getting spine surgery. Knee replacement have a very high rate of success, spine surgeries don't. If goobie Was doing knee replacements which actually work I bet hede feel differently.
I believe in the field of orthopedics and spine surgery, best outcomes are with hip replacement, and then knee replacements and then spine surgery has the least favorable outcomes overall.
the thing is that Dr. Goobie is not saying that surgeries are never needed. There are definitely cases when it's essential. However, in many instances, overdiagnosis happens daily and many procedures/surgeries could be avoided. Everyone knows that Western medicine is focused on profits in the first place. It's not a secret.
I'm glad you brought it up because there is not any information anywhere regarding his real life and I know TH-camrs lie about there background and lives constantly. He is now talking about doing psychotics
Do you have any comment on Dr. Goobie's observations that good diet / exercise / sleep / social support often lead to good outcome without surgery for people suffering from spine issues?
Since I do not see spine patients in the office any more, and since I mostly treat brain tumors and cranial nerve disorders, I am hesitant to provide too much advice regarding spine care. However, his comments did "resonate" with my own experience
Like you somehow trying to give tips and convince him to go back to surgery, even though he clearly says he doesn’t enjoy it anymore. I believe it was people like you that repulsed him from the hospital.
@@Gencgello What I see is Dr. Lee merely empathizing with Dr. Goobie, not attempting to ‘change his mind’. It’s also evident to me Dr. Lee is encouraging future candidates pursuing medicine, to be open to exploring other fields within the umbrella of medicine; if one field isn’t a match it’s acceptable to explore another branch.❤️ (In case you might have missed how, unintentionally, there is a potential the og video could sway a suitable candidate away from pressing forward). 😊
Thank you so much for your video. Wonderful to know there are many good people who really really care for one another. Life is beautiful whether you are at low bottom or high at the top. We all are just traveling through, so let's keep moving forward.
I appreciate your video response to Goobie’s video. I would love to see additional videos where you candidly talk about: a) how you would fix our current healthcare system (top three or four actionable items with the greatest impact in your opinion); b) explain the current hospital based compensation model for neurosurgeons and how it may be at odds with treatment decisions; c) how the high financial and personal cost of obtaining an M.D. degree and other professional credentials may influence career choices; and d) what are some of the best things people can do to (or not do) to help stay out of a neurosurgeon’s office. Keep up the great work. Don’t let the negative comments on this video impact your TH-cam creative journey. (Was this video filmed in Pennsylvania Hospital?)
These are all great ideas for discussions. I appreciate your support as well, as the negative comments can be quite disheartening. And yes, this was filmed at my place of work :)
Its fantastic to see you have so many comments and followers, I've subscribed to the morning workout routine for the past 30 years, it's really helped me maintain a positive outlook on many aspects of my life and practice as I start each day invigorated and ready to tackle the days tasks ! Thank you Dr. Lee !
I think the issue is that spine surgery for pain has a high failure rate. Its not like other orthopedic surgeries which dont. So many people get spine surgery and are worse after the surgert even with an advanced surgeon. The spine is just a very sensitive part of the body that is near impossible to repair. Now if you have tumor in the spine or a fracture thats of course very different. But most of them are elective surgeries for pain, and the failure rate is just very high. Thats just a fact. I dont think goobie is a bad guy or gave up out of weakness. He just said it like it is.
This is actually very well written. The primary indication for spine surgery is the symptom of pain. Patients want to be relieved of pain; however, surgery cannot necessarily alleviate decades of degenerative spine disease.
@DrLeeBrainSurg thanks doc. FYI, 8 months ago my close friend had a brain aneurysm. A neurosurgeon just like you SAVED HIS LIFE. Now he has more years with his wife and she doesn't have to be alone.
Dr. Lee, I can tell that you are an ethical doctor and have concern for and are supportive of Dr. Goobie. However, I'd like to point out that it is the physician's duty to inform the patient as to the actual statistics regarding the success rate of a particular surgery. And if need be, even discourage the patient from going ahead with surgery when the outcome is unlikely to be successful. I feel it is unethical for a surgeon to operate on a patient when, he or she knows, that the outcome is likely to not be a good one.
@@andreavanda5402 I completely agree with you! Dr. Goobie chose to pursue spine surgery which is the most lucrative but also the most "challenging" subspecialty in neurosurgery with respect to outcomes. There are other subspecialties in neurosurgery that do not pay as well, but the patients can benefit from our expertise.
I'm 63 and winding down my career after 43 years working as a medic and Emergency Department RN. I definitely "kept moving" around emerg as the department constantly changed around me. Every situation was unique and complex in its own way. I do attribute my wellness today to personal self-care and to valuing the dignity and sacredness of all patients and their families. I recognized how my own mentors quietly incorporated these values while delivering care and new grads would be well advised to maintain their adaptability with adherence to these foundational concepts.
Cardiothoracic surgeon here. Sounds like a low life w2 lifer over here….hope you do something meaningful in your life. You got way too much time to whine.
You do NOT need to mske video criticizing Dr Goobie's choices. If you care about him talk to him in a personal private and respectful way NOT on Utube!
One point Dr. “Goobie” is not making very clear for the public, in reference to his own practice of spine surgery, is that spine surgery for “degenerative” disease is performed only after the failure of every other option. As part of the degenerative process - some of it is from repetitive weight-bearing, such as manual work, & some of it is from poor lifestyle choices, including smoking. In order to reach that point requiring surgery for their degenerative disease, they have often failed to take care of themselves over the years & usually no longer want to seek other options. That is the “mindset” going into surgery - which appears to be part of the conundrum that he is facing.
Well, you're free to look at it the way it suits you. I'm a senior rheumatologist and a physical therapist, I believe that deep in you, you know damn well, Dr. Goobie has said the truth, and you're trying to cover for your interest (your pocket). His consciousness is free, and he's a happy man. You're not happy that he did a video, well deal it dear colleague. The truth is out, period. He has my support in his chosen path. Thanks, but no thanks.
His comments deeply resonated with me. I have experienced similar things, especially with respect to non-cranial surgery. I am very happy that he shared his thoughts in his video, and I appreciate the time you took to respond to mine.
@@chrislastnam6822 Are you for real? Are you saying, there's no Physical Therapist who can become a Rheumatologist? If yes, any reason of why it's not possible? I don't live in America and I'm not an American. I studied to earn my titles. Looking forward to reading your answers 😊
@chrislastnam6822 You based your view on never heard? Are you kidding 😳? And you had the courage to disputing my profession. Let me tell you this, dear, Never heard doesn't mean it does happen. Look our of the box next time, please. Thanks for getting back to me anyway. Take care.
Dr. Lunsford and Dr. Kondziolka were part of the Gamma Knife team at UPitt that treated my AVM way back in 1994. I probably wouldn’t be alive today if it weren’t for that lifesaving procedure!
In the end, I believe Dr. Goobie did what we all want to do. Quit our jobs and retire, go camping, gardening, whatever floats your boat... Love Dr. Goobie.👏👏
I just wonder what your response would have been like if you had chosen a spot in nature, in a green field or near a brook. I suggest you try it and record your video for us to see and hear. Move away from the stately conservative boardroom in dark brown wood, with the perfect lighting. Try remaining calm and heart centered with mosquitoes flying around your face. And I also suggest that you sit on the grass, and take your scrubs and shoes off. Now tell us what you feel, Tell us about the hardships of your work, tell us about patients who don't get better, show us a more human and personal side. You see , that is what he is talking about. When you get to the point in your life that you can no longer be ego-driven everything changes. And I kindly do understand that this is only something that can be fully understood when one has such an awakening. Namaste.
Very interesting point. This library is a historical library in the first hospital in America. But maybe it does give off vibes of industrial power? Thank you for pointing this out to me
I too am a health professional, a physical therapist with a specialty in oncology, who has served in both hospitals and my private clinic for many years. The topic of not just burn-out but actual breakthrough is a real and important one. We are not on this planet to be machines or to be robotic, we are spiritual beings with a mandate to grow. Take the experience and messages of Dr goobie to heart, and come back to us again with more observations from your heart not just your head, about what it means to try to decrease suffering in patients in the American and Western health system. Dr goobie was not just speaking about the challenges of surgery, I promise you he is as well trained as you are. Just look at him, he is clearly a person of integrity. He spoke of how well intended medical professionals, human beings like you and i, have to function within such a system to be only marginally effective in reducing true suffering. Because you will learn if you haven't already, that true suffering can only be resolved through the spirit. Healing is a mind-body-spirit process. And I know that medical training stays away from this topic. I've had some similar experiences to what Dr goobie has had. And I am profoundly grateful for the person I have become and am still becoming. What does the word transformation mean to you? From a holistic perspective? Could you recognize it in your patients. And thank you for being so open to this exchange. I think you are quite remarkable. 🙏💐
@@joy2253 It is truly a breathtaking library, and one floor up is the original surgical amphitheater. I am truly honored to work in this hospital -- the nations' first Pennsylvania Hospital
@@joy2253 I appreciate your point about the journey. It is not just the "burnout" but what is learned from the burnout and then how you emerge and how you "break through". Obviously, I have also had periods of burn out and periods of frustration, but curiously, one of my greatest sources of joy has always been my patients. I see them before and after surgery, and they provide me with sustenance -- true joy, because I have relieved their suffering (trigeminal neuralgia for example), or blindness (meningioma/pit adenoma surgery), or vestibular dysfunction (acoustic neuroma surgery)!
We need a retreat back to simpler times -- a time where we are all part of a greater community and thus responsible for each other. I believe social media breaks down barriers and allow us to speak directly with each other. With that approach, perhaps extrinsic motivations can be made more clear.
@@DrLeeBrainSurg I appreciate your thoughtful approach and guidance like yours would actually have kept a really empathetic person working in medicine. The point related to ethics was great and you resolve aspects of a moral dilemma when you see a patient as a family member rather than an opportunity (be it $$ or chance to try a new technique). With family you might be more inclined to say NO, that's not what you need right now. I see a moral dilemma when "do no harm" is replaced by the notion of "relieve suffering" and then letting a patient drive a diagnosis. Surgery might help today but where are you going to be in the future. Hum, gender affirming care and ""top surgery" performed on minors comes to mind. I have seen enough doctors looking at people as $$ in those situations.
@@markrussell3428 Imagine a simpler world where we all see each other in church or grocery store or the hardware store or at the town carnival. Social media should allow this to happen IF you were NOT able to comment anonymously.
@@DrLeeBrainSurg Thanks for taking time to reply. I hear you, but to be honest, i get a little reviled related to ethics everytime i see "Dr Teetus Deletus" (Miami plastic surgeon Dr Sidhbh Gallagher) go online and brag about giving another teenage girl getting their gender affirming mastectomy before they can get drivers license.
although Im not in the medical field, I totally understand your point. in our professional careers we often think we want to do one thing and may find out after being in the field for some time, its not what you thought. It isn't as fulfilling as it once was. Some people can choose to quit the field all together and do something new Or maybe find something within the field to transition to. You clearly love your job and training future residents and dr. goobie did not after some time. And that is ok! I think both ways of looking at these career moments are important. Not everything is one sided. Sometimes surgery is needed and is life saving. Sometimes it is not and there are other options patients should explore. Thanks for you take. And I say this as someone who has chiari malformation type 1 and syringomyelia and had decompressive surgery. It was the only option for me.
I think different voices need a space to exist. There’s a saying “agree to disagree”. Balance is important! Everything has two sides, but it’s not whether I’m on the left and disagree with the right or vice versa. It’s about finding the balance, so we don’t have to fight but instead have peace within ❤
I am so happy to see this neurosurgeon who wants to help Dr. Goobie! He could also ask Dr. Hoeflinger from Ohio for advice. He is also a Neurosurgeon. He is the most wonderful person. He is right here on youtube.
Thank you. A message that just focuses on the reasons to quit medicine will leave our health care system empty in a few decades. There has to be a way to work within the system and to succeed
If you pursue something in life for someone else, say, your parents, it doesn't matter how worthwhile or important your role is, you're not being authentic and true to yourself & I think you're completely missing this.
@@DrLeeBrainSurg no! You've missed my point! I'm talking about people in general not being authentic if they are pursuing a career/goal for others. Do you have adhd btw? I'm only asking because I have and am always getting the 'wrong end of the stick!' I suppose not because you're a surgeon, although Einstein is believed to have had adhd - but his work didn't involve being responsible for another life unlike yours.
Do no harm is the ethical responsibility of every doctor. However, I feel that most doctors, practicing Western allopathic medicine, have forgotten that. I have seen so much bad medicine and doctors doing the opposite of healing and actually causing more harm and more pain to their patient. I have personally known several people who have had back surgery that, not only wasn't successful, but caused even more irreparable damage. The other day I met a woman who just had her fifth spinal surgery! Each time she was told that this surgery was going to fix it, but each time it got worse. The pain and torture she's been through for years now is heart wrenching. And the hundreds of thousands of dollars made on her suffering is unconscionable! Dr. Goobie deserves credit for leaving a job that his conscience just couldn't allow him to continue working in. How anybody can look themselves in the mirror in the morning, after so many heartbreaking surgical outcomes, is totally beyond my comprehension. He should've left sooner. The whole system needs a total overhaul.
actually do no harm and the hippocratic oath aren’t demanded from doctors in the modern medical field. so many operations and procedures don’t always have “good outcomes” and even ones with “good outcomes” can have very drastic side effects (think the tole chemotherapy has on the body). in this way, it’s hard for modern doctors to be shouldered with the responsibility of doing no harm when the many complicated procedures they perform can’t be guaranteed to “do no harm” even id their intentions are pure.
Goobie Was specifically referring to elective spine surgeries which are what make neurosurgeons richer than actors in Hollywood. The failure rate of those spine surgeries is very very high and often times cause the spine to degenerate even faster making the patient WORSE and requiring more spine surgeries which in turn cause the spine to degenerate even faster.
@@imveryhungry112 Elective spine surgeries are definitely as you describe them, no argument there, however I think the issue is that as the video went on, Goobies point ended up coming off more as "all neurosurgery is bad" instead of just Elective spine surgery. This caused a lot of his viewers and people who are already anti-medicine to be emboldened into the belief that neurosurgery is a scam and neurosurgeons are greedy, which is not the case. Of course there's some bad or greedy neurosurgeons out there, although most are in Goobies field, like murder Christopher Duntsch. Neurosurgeons like Dr. Lee don't deserve to be considered corrupt just because some of the people Goobie worked with were, but that won't stop the people who want to hate.
@dankaroos it's not just goobie there is an entire documented medical disease called failed back surgery syndrome which entirely revolves around FAILED BACK SURGERIES
Healing is the issue. But preventing debilitating heath at old age is even more important. As we get really old, 80+, our muscles become week, Neuropathy begins, Ear ballance mechanism fails and ballance and stability cause falls with resulting damage. This is a brain perception, feedback, and neuropsycological issue which is multifunctional. So I recommend someone like Dr. GOOBI form a Team of the best specialists to address Ballance and Stability for old people so that they don't fall! Probably a proposal to the National Institute on Aging. If I can help let me know. I once taught undergraduates at MIT.
I spend a lot of time with my elderly patients talking about balance. A simple exercise I ask them to do is to get on the floor and practice getting back up
The point is the body heals all over when there’s a injury it’s all responds so fixing the one issue isn’t accelerating the overall healing that’s the trith
Thanks for the thoughtful response. I don’t think many of these negative comments are fair. If the patient is truly put first as you teach, the monetary incentives and the other critical comments should not apply
Hey Doc any chance you could tell us, how long an average procedure for a microdisectomy is, whats the cost, and what the outcomes look like 1 month, 3 months and 1 year after surgery.
@@DrLeeBrainSurg so even though you have spent so many years around colleagues that do spine surgeries, you have no clue to as how much they cost ???? It's projected by some of the leading spine surgeons to reach up to 45-70 k per surgery. See this is the kind of stuff that Dr goobie was talking about. You have got be a lot more transparent. You guys give these vague bs answers and lead ptx into surgery knowingly or unknowingly. And by the way a microdisectomy is one of spine surgeons favourite surgerys. Non invasive, timely and costly.
To be honest, as a University faculty member, I am generally kept in the dark about much of the financial side of medicine. We are encouraged to publish, present at conferences and to care for patients without too much regard for the financial. This is both a blessing and a curse -- as you can imagine.
Fortunately, Neurosurgery does fix many other problems like benign brain tumors that cause mass effect and swelling. I focus on these meningiomas, acoustic neuromas, pituitary adenomas, where outcomes are great and patients do well. Thank you for commenting!
@@DrLeeBrainSurg You are a nicer man than me, I would have a less dignified response for such a stupid comment. Claiming that Neurosurgery doesn't fix or help the problem is incredibly ignorant, especially when it's being said to an accomplished neurosurgeon. Many peoples lives have been saved, extended, or improved because of neurosurgery, when holistic lifestyle changes would have changed nothing. The push for people to be anti-medicine because of manufactured mistrust in doctors is dangerous.
I apologize that the start of the video feels more about me than you would have liked. I was hoping to establish the similarities in career trajectory between the two of us. However, I do transition to my recommendations and advice to medical students and residents later in the video. I appreciate your critique of the video regardless.
Thank you for taking the time to listen objectively. My fellow neurosurgeons sitting at the bar stool are spine surgeons, and they were much more critical. Brain surgeons like myself recognize the challenges of outcomes in spine surgery.
It is Dr Doobys views about today neurosurgery industry. His conscience convinced him that he was doing not a honarary job but a money market in that field. You must not worry about his decisions. He didn't challenged any one.
@@DrLeeBrainSurg What are you on about. First of all, you need to learn how to spell. Second of all, Goobie is far more mature than you and now your trying to criticize his views by saying he doesn't seem to have a good conscience? The typical Korean person trying to act smart even though they really are just obnoxious people.
I have a dream of teaching people about holistic healing. I know it's not a lucrative career, but at least I'll have the knowledge of having happy, healthy clients.
I support your dream. My quote on my medical school yearbook was from a French surgeon, "I bandage the wound. , but God, he healeth them!" Even if you don't believe in God, we do our part, but the rest comes from within!
@DrLeeBrainSurg thanks Doctor. My name is Theophany and I absolutely believe in God. I'm working at a wellness center called Dream Youth Clinic hopefully it helps the people of Oakland California. It has some questionable practices but I'm apart of the gardening department. Happy days to you and yours!
It’s simple guys. This was an opportunity to get views because Dr. Goobies vid went viral. All of his other videos have less than 1000 views. Not against this strategy at all, but just know what this is.
Thank you Dr Lee. I understood the other Drs points. But the world still needs people ,when they have a serious head injury and need a subdural draining , or a brain tumour that needs resecting. Salads and good will wont help at that time.
I am doing finance job for more than 10 years now. I stuck ans don't know what to do with rest of my life. Either stop doing or do nursing as alternative.
I will add this, i have severe stenosis in my cervical spine. My neurosurgeon told me, "pt does not work for the neck". Said he needed to do an acdf on me. I didnt do it and based on other doctors advice instead joined a gym and now i work out every morning. My pain is still there but has decreased about 50 percent. I never got the surgery and if i had just listened to the surgeon, one of the top in the world, i would have a fused neck right now.
There is a paper published by a neurosurgeon, where he counted the number of patient who were recommended to have surgery by someone else. If he agreed, he counted it. If he disagreed, he counted it. He found a rate of 17% unnecessary surgery. Your case may have fallen in the 83%, though.
@DrLeeBrainSurg I consulted with many doctors. It felt like all the surgeons recommended surgery. But the non surgeons recommend against surgery. Have you noticed that in your hospital? I have significant degeneration across my entire sub axial spine, exact words from radiologist, caused from a military injury. If I have a child, ill beg them to go to med school instead of the military. If goobie feels disenfranchised, imagine being a military grunt having to work to hurt people you've never met in a foreign land just so corporations can get even richer.
You have to like your job to be happy, and a happy doctor makes a happy patient. Also we can’t enforce our principle on other people, and besides “ to each his own”. You have to love your job.
I agree with this idea. Being a physician is a "calling", a "vocation". Hence, if you realize you are not "called" to be a specific type of healer, you have to "keep moving" and transform into a different kind of healer!
Sorry, but he's right about the essence of what made it more difficult to continue-namely the "provatized" system of health care in which the incentives are to produce capital. That does not mean nothing good comes from the system we have. But the fact, and it is a fact, is that the US system if healthcare has poor outcomes. It's expensive. If the outcomes were good, all of what this video has to stay would be the exact right advice. But that's not the reality of US healthcare. We need a different system, one that is less focused on economic expansion, as if health care was a business like building and selling computers It's not. This is not pie-in-the-sky utopianism to recognize this. It is unfortunately objective truth in America today. We have a "health sickness system in which the rewards are for treating people after they are unhealthy. We don't have "healthcare," because the system is way way out of balance between keeping people healthy and treating them for what happens after they become unhealthy, preferably in our system, more dramatically unhealthy-like you're going to die of a heart attack at an age below the average mortality rate for someone like you but living in parts of Europe or Asia. Your residents need to figure out-al8ng with you-how to change the system, not simply adjust to it.
You bring up an excellent point. As I have aged, I now spend more time in clinic talking to my patient's about preventive care for falls. I encourage mobility exercises, physical therapy, and range of motion - - and this is for brain tumor patients. I do not see spine patients in the office any more.
I watched this and original video by Dr. Goobie. And certainly we need neurosurgeons that are healthy. I believe there is more than moral injury to Dr. Goodie, long hardship of elite school, competition to become neurosurgeon. He is very tired and depressed and disillusioned. Aren’t most of us? But after a break need to get up and keep going in a different path. No one can operate on traumatic suburbal hematoma or brain tumor. Other than neurosurgeon.
Thank you for taking the time to watch and comment. I am glad you came away with the right perspective. Dr Goobie needed to get away, but society still needs neurosurgeons. I remove brain tumors, evacuate subdural hematoma, and generally try to help patients with my skills. The rest of my videos focus on patients telling their victory stories. Giving up and going to the woods is great, but I am blessed to have been "called to serve!"
If you listen to my video (not just read the comments), you will come away with a different understanding than the one you seem to have gained by reading only the comments. Thank you for taking the time to comment regardless.
@@DrLeeBrainSurg I did actually watch most of it. (I skipped some portions where you rambled on.) Do you want me to walk through how any response to his lived experience is by its nature defensive and unnecessary to this situation? Frankly, the point to your video is literally at 5:30 where you (crazily) suggest that you have a duty to residents to not leave them with the idea they need to flee to the woods. You have a very low level of regard for your residents, I suppose. Your response to me mirrors your response to him, and is unimpressive.
What was eye-opening for me was Gooby/Dooby's frustration with the world we live in, the diet choices we have or dont have, the lack of incentives for living a simpler life with places to walk/excercise/de-stress. Dr Lee please could you address teis set of questions, maybe?
I also am in need of better food choices. Everyone who knows me knows my penchant for cookies and cakes. I kind of wish we could walk more and drive less also
If I am not mistake , brain cancer doesn’t discriminate people even with healthy lifestyles which really didn’t like goobie generalized statements @drleebrainsurg
Environmental factors are generally not a large part of what we believe causes brain tumors (glioblastoma, meningioma, acoustic neuroma). My career has focused on these tumors and cranial nerve disorders. I agree that healthy lifestyle alone will not cure brain cancer.
You have explained your profession very well. There are positives and negatives in all professions. It’s the limits you set for yourself that is paramount. There is good and bad in everything.
I would go with him into a vet neurosurgery busineess where each and every Doobie would be an international success story. I have got the brain and I have got the look with your hands we could make lots of happy money.
Dr Lee is trying to help Dr Goobie as an older doctor (in Korean we call it Sunbae or Senpai in Japanese). He is calling Dr Goobie back to a different type of, more ethical branch of patient care. 🧡
Thank you for providing this clarification. As a Korean-American older brother to Dr. Goobie, I wanted to provide some hope and direction. You are exactly right!
In short, a healthy and balanced approach is still yet paramount. The bright man Dr Goobie might want to happily combine what he can do well and what he feels healthy to do. In addition to his excellent start with his beautiful channel he might want to explore the neuroscience of taijiquan (taikyokuken) and bring it to the Bacon-Freudian world.
Interesting comment. I need to learn more about taijiquan. A quick google search shows that it could be something we incorporate into our daily lives! Thank you
Dr.Lee-cool video-I am retired school psychologist and helped 1000’s of kids with autism-language-social emotional-intellectual-motor deficts as most of us in special education have this gift of helping kids. Do you and your fellow students have this gift to help people. We have a good pension and everyday we learn about what life is really about! Maybe if Goobie would work with our special education students he would appreciate his life more!
I agree with all that has been said. We can only hope that the moral compass remains #1 in these highly trained doctors, since the “medical machine” can push altruistic doctors into the corner.
Number one criterion in my opinion for choosing neurosurgeon is a straight moral compass, followed by a very strong work ethic. By the way, I love your playlist of Cuban music. I was a big fan of Buena Vista Social Club years ago.
hi dr lee, amazing to see that you are actually making YT videos to reach out to people! I am a fan and md phd candidate from the Netherlands! we met at SPIE conference on fluorescence imaging in SFO begin this year. Hope you are doing well? Greeting from the Netherlands! PS. If you are ever in the NL or nearby please feel free to come by! I'd love to show you around or discuss what we are doing here sometime!
@@DrLeeBrainSurg Yes I think it this type of communication does really help decrease the gap between 'the almighty' specialists and any 'laypersons' interested in medicine (be it student or patient). Although you should take care of your (personal) boundaries too of course... Anyways, keep it up! (and we'd love to have you to show you and share some stuff if the opportunity ever presents!).
But in any medical specialty you have to ignore all the pictures and scans and pretend there are no illegal BCI. My dentist freaked out told me to never come back and that’s how I learned I had an implant in my head, I thought it was only in my eyes. Panoramic X-ray and then I went through 2 more dentist in two weeks to find one who would just pull a small toooth. There was NO MERCY!
Basically this surgeon just confirmed Goobie’s central point that self case through diet, exercises and lifestyle changes should be the primary goal, regardless of physical conditions you’re in. Also that significant amount of surgeries are indeed unnecessary or have bad outcomes, students and surgeons just need to diversify yourself to feel morally comfortable to go on… I think now someone should share their experiences from brain surgery or something… Haha
I wish doctors would step up and call out how toxic our culture is from the food, to the air, to even the normalization of something like driving vehicles which result in so many injuries. 99.9% of human existence wasn't like this, and while people might live longer on average (allegedly) the actual years of joy, peace, and fulfillment they live is much lower.
Mortality rates from driving were getting better and better (seat belts, crumple zones in cars, etc). However, texting and driving has resulted in a reversal of the trend.
You just canceled you messages by insisting in mentioning the poor dog Doobie 😅. You couldn't help it, right and this says a lot and its quite revealing.
I finally understood what you meant by this comment. @imveryhungry112 helped me to appreciate how I hurt my own message by mentioning his dog "Doobie". I honestly did not understand that this would be interpreted as deprecating. @nav_yt Thank you for taking the time to explain this to me. I did not want to undermine the original poster -- Dr. Goobie.
Its hard to find a solution to a problem. Not everyone has the drive for it. Takes a different kind of breed of a person. I have seen alot of doctors quit and hide under the same blanket of medicine is all about money. That may be the case but you can always be the person who chooses his own path. Dr Goobie could had said im gonna do things my way but instead he chose the easy path of wandering around in the woods.
We all have powerful means of rationalizing different responses to challenges, crises, threats. I am seeing lots of different perspectives in the comments to my video. I appreciate your perspective, because I cannot leave the field of medicine and surgery. There is far too much good to be done inside the medical system. Thank you for commenting
A career in neurosurgery is quite lucrative. Dr goobie just realised there is more to life than money and materialism, a lot of people could learn this
Somehow, I don't think that Dr. Lee really understands Dr. Goodies' disappointment of modern medicine. Dr. Goodies' point was the surgery does not help any patients that much, compared to healthy diet, high-quality sleep, moderate excise and good social network. The impact of those healthy food and lifestyle have completely ignored in modern medicine. Dr. Lee, would you please clarify those? Did you have patients who need surgery, but 1 month of healthy life, they don't need surgery. I would appreciate that.
@zhangjiaming I agree with Dr. Goobie on many of his points. However, when somebody comes in with a massive brain tumor, there is no amount of healthy diet that will help. These patients need skillfull surgeons. th-cam.com/video/-3X1lYqhfoo/w-d-xo.html
Good Tips if he decides later to pursue any medical career. I did watch his video and the system can be disappointing patients are just a number sometimes.
His criticisms resonate with many of us. I am also providing these tips to future students and residents. I believe he may have already chosen his path as he continues to keep moving!
Yes, he just needs to take a long break and come back stronger. Dont let yourself be burned out. Dr. Gooby studied too hard through his 20's and worked over 10 years after that. So he needs a long break, then come back stronger. Maybe work for himself later as a surgeon.
sir, I have a question. I saw Dr Goobie's video and I'm sure you have too. I love his message but how do viewers know that Dr. Goobie was an actual NEUROSURGEON ? Can you tell by how he speaks? We don't know his real name or if he actually studied at MIT. We don't know where he worked (hospital) as a neurosurgeon. My point is that there are a lot of fakes out there to gain views or subscribers. I even saw a TH-camr faking that he had a Tourette syndrome and got cought later. Just thought about verifying his credentials, that's all. Awesome video sir. 👍👍
Good point about verification, especially with the rise of Ai, how will we know what is real? However, I respect Dr Goobie's privacy, but I have verified his identity and training.
I didn't realize that this would be so offensive, and if I could go back and remove that part of the video, I would do so. Thank you for taking time to comment, as all of our time is valuable.
@9:00 Hungry surgeon? They don’t talk about care, options, life style modification, diet change…they schedule you for a surgery. No? Wait until when you are ready for it!
Great video and balanced counterpoints to Dr Goobies video. Just some feedback, the music is distracting and the sound effects are unnecessary and way too loud compared to the volume of the rest of the video.
Thank you for your comment. I am new to video editing. I should have toned it down a bit. I only started this channel a few months ago, and I am still doing all my own recording and editing
Thank you once again for your comment. Just curious. If you have single sided hearing, was the music and sound effects difficult to listen to on this video?
@@DrLeeBrainSurg Thank you for asking. Ah yes. SSD was an outcome that has taken quite a while to adjust and work with! I always say “it could be so much worse” 😊. It certainly takes an excessive amount of mental energy to listen in noisy situations, so I try to avoid it. To answer your question, when I first viewed your video I was focusing on your words. When I rewatched I did notice the music and transitions but they weren’t bothersome to me, personally. All videos somehow seem a bit ‘flat’ since I don’t have stereo ears (if that makes sense). It just feels like one of my speakers is disconnected. Hmmm I’ve never used that analogy, but it does describe it quite well! Fun fact: realized my Vitamix caused tinnitus so I simply wear ear protection! 😂 I hope this was helpful in some way. I’m happy to share my experiences if useful. 🙂
@CMKate33 Your experience is very important to me, as I treat many patients with acoustic neuroma, and single-sided deafness is a condition that requires attention. Also, if someone could find a cure for tinnitus, they would be very successful.
It takes a lot to know that you have knowned enough and even more to know that this is not what you want to be knowed for ...and even more.... To know what the person inside you really wants he figured that out which generally all people only find out in their 80's or their death bed
Not sure why there's so much vitriol directed at this MD in the comments. He takes no issue with any of the points that Dr. Goobie raised in his video. Don't throw the baby (neurosurgery) out with the bathwater (capitalism in healthcare). The lack of nuanced/critical thinking in YT viewers is alarming.
Thanks for pointing out this fact. I was not attacking Dr. Goobie, but because I responded to him, I was immediately taken as his literary foil. I was the Joker to Dr. Goobie Batman.
Thank you for your comments. When I was young, my work-life balance could be summed up as work=life which is thus balanced. However, as I have aged, I have come to appreciate the need for separation of work and life, and the importance of time off to rejuvenate.
What confuses me is what doctor out there in the US is telling people to eat bad, not sleep well and not exercise? These are known facts. I live in a country where the hospital is free and doctors not paid that much and there are still people coming with "preventable" issues since not many can afford that full balanced meal and that stress-free life... What about them? 😅
Have you been to america? Everyone here over 30 is like 150 lbs overweight. Seriously we are HUGE people. When I travel to Norway or Asia I am shocked at how thin everyone is even the older people. We have a messed up culture or something Noone knows but come here and just open your eyes something is wrong!!
@@imveryhungry112 I bet it’s the system + culture making fast food + sugar loaded stuff cheaper/the norm though 😩 I am from a Mediterranean country. We supposedly have the best diet. An average salary here will only get you carbs for a family of 3-4 though… I am a medical student and a lot of patients with diabetes are poor patients who can’t afford a healthy diet. Even with all the nutritionists they see, they still rely on medication mainly cause there’s no changing their diet… In fact, even I am overweight 😂 I needed two part-time jobs on top of my studies to finally afford a gym and healthy groceries 🫠
After watching doctor Goobie’s video, I found this video’s edition very annoying. The music choice was horrible and distracting… same thing about the words popping on the screen. That is what I liked about Doobie’s video: he was not trying to manipulate my feelings by editing the video with music/words. He didn’t need any extra shit because he was being 100% sincere.
Hey John! Great seeing you on youtube. I was going to make a response video to this as well but you did a great job so I'm gonna just point them to you.
Good Morning Dr. Lee Did anyone fact-checked the story, so far what l have read don't even have his real name: I Was An MIT Educated Neurosurgeon Now I'm Unemployed And Alone In The Mountains How Did I Get Here? Goobie and Doobie
Isn’t Dr Doobie’s story a metaphor for the greater issue that impacts all walks of life which is processes maintain themselves to keep dollars coming in even when not required. The moral compass is a challenge in the society we live in. Priorities across all businesses is reversed. Vee
Clearly, his story has resonated with 10 million people. Nevertheless, I believe we still have to stay in the system and work to change it. Thank you for taking the time to respond and to comment!
The condescending way you keep mentionin his dog Goobey gives me the feeling you want to ridicule or infantilize him somewhat.. You are saying he didn't keep moving as a surgeon? And he didn't take care of himself. That's why he had a burn out. You didn't say anything to his critique on the corrupt medical system. Probably because you know he's right.
I wanted to provide some advice to medical students and residents, because they may come away from Dr. Goobie completely disillusioned, and then we may have nobody left to actually care for patients in the future. Thank you for taking time to comment, as it takes effort to do so.
@@DrLeeBrainSurg OK, but why did you feel the need to always mention his dog? I watched his video and did not hear his dog talk once, lol. It's one thing to want to point out some mental health best practices but it's another thing trying to ridicule a colleague of yours in order to pull students onto your side. If you are worried that students will be disillusioned and there will be noone left to actually care for the patients: Maybe this will be a new generation of Doctors who will be disillusioned but they will not drop out but instead they will change the system from within. Step one: Realizing how corrupt this system is. If you are ignorant about all the problems how are you going to start fixing them? We need to normalize talking about these things. So people know they are not alone. So they can unite. Collaborate. And come up with a better model. A model that actually cares about people's health more than about making money.
I was planning to post this comment to goobies video but didn’t, for whatever reason. When I saw this video I took it as a sign to do so, but instead of at goobies, here. if goobie is meant to see it, and I hope he is, he will. one of my philosophies is: to leave the world in a better place than I found it. How do I do that? one way is to pick up litter. This might sound trite to some, and I applaud you if youre more ambitious. I realize that once Ive picked up the very first piece of litter I have accomplished my goal. See, that wasn’t hard, was it? While its true I come back each time with a full bag of litter, its important for me to realize that ive accomplished my goal after picking up just one piece. If youre still wondering what the point to this illustration is, let me explain. Life is perfect in its imperfection. We will never make it more perfect than it already is. Its an unrealistic, unachievable and unproductive idea. In other words, its a bit silly. It has a tenancy, to a degree, to make you feel like you’ve failed. People don’t seem to like feeling they’ve failed, not sure why. For me the only thing of value is that ive tried. Winning and losing are figments of my imagination, just like trying. But “trying” makes me feel good regardless of the outcome, unlike “losing”. If goobie, or you, or anyone else can, in their opinion, help anyone, to any degree, for any given amount of time, isn’t that “winning”, or better yet, trying? All this is temporary. We will pass, along with our ideas. All pain and suffering will pass. All “feeling better” will pass. Time and space will pass. Try not to set your expectations too high. We’re nothing more than a fleeting moment. Enjoy it.
Wow. Thank you for posting this. It is actually relevant as we are all passing through this world, and we need to leave the world a little better every day. My little thing is to pack my metal utensils, so I don't have to use the plastic ones in the cafeteria!
![[DRIP] ‘Love, Maybe’ PREVIEW](http://i.ytimg.com/vi/U7hwHp95m1k/mqdefault.jpg)
Just a reminder that this video represents only my own opinion. I do not represent the University of Pennsylvania or any of the institutions at which I have trained (Yale/UPMC/Rutgers).
Summary of video: A) I commend Dr. Goobie for his courage and indeed empathize with his sentiments regarding the complexity of Spine Surgery care, 1) Keep Moving, 2)Patients First, 3) Self-Care
I recognize that many of my commenters feel that I am the literary "foil" for Dr. Goobie. However, please have an open mind as you listen to my message. Please also take the time to watch some of my other videos, especially "Profiles in Patient Courage". Their stories give me the resilience and fortitude to practice neurosurgery.
th-cam.com/play/PLJ9Pl_fM2oYAot7NuoO-qVKHIExzwTqB3.html
We would LOVE to send you some of our better for you candy bars -- we love your story - its so much like the story of our founder - who also studied Neuroscience at Penn!! Please let us know :)
@@fitihabhow come? I am glad someone has spine to speak his the thoughts.
This is a sad attempt at what essentially amounts to damage control. Why do you feel the need to respond like this to another neurosurgeon who left the field unless you feel threatened or exposed? Goobie had the integrity , honesty and courage to speak out about the truth and problems of a very broken and dysfunctional medical and healthcare system. Our current medical and healthcare system is absolutely all about maximizing profits and there is little doubt about that. It has been distorted into a vast machine that simply views patients as products that generate more income and GDP. This does not mean that all doctors and healthcare professionals are evil or bad, there are many wonderful, knowledgeable and caring doctors out there but there are also many who have been deeply impacted by having to operate within such a broken system. Part of the problem is that the doctors themselves are financially benefitting from this capitalistic system, and many lack the moral courage to do the right thing. It is not easy by any stretch to walk away from a $600k + salary as a neurosurgeon, even when you may be aware of some of the uncomfortable truths about what is taking place.
I believe Goobie and Doobie is a courageous individual who has made an important stand by retiring from clinical neurosurgery. However, I also believe that there is still HOPE for young medical students and residents.
Agree
@@DrLeeBrainSurg I too agree that there is hope, but the real hope will not come from telling future residents or physicians in training to simply march along and do the same things that other doctors have been doing. That will only lead to more burnout and healthcare professionals leaving the field. The fundamental dilemma is one in which an individual doctor has to figure out how to navigate a very broken and dysfunctional healthcare system. The status quo is to just go along with the system and do what everyone else is doing. Im not sure that individuals acting alone can accomplish this because the system is much bigger than any one person. Why don’t more physicians advocate for changes in our healthcare system that truly benefit patients as well as the doctors in a manner that restores the dignity and sacred duty of doctors as healers? Physicians have an enormous amount of power given their social and economic status in society, why not use some of that to help advocate for real change?
Well the medical industry didn’t become over 4 times the defense budget because doctors told patients to eat better lol.
@@Rassman19yes!!!!
Perhaps my comprehension of English is lacking, but Dr. Lee did support Dr. Goobie throughout the entire video. Dr. Goobie made it clear that he is not planning to remain unemployed indefinitely, and Dr. Lee provided a thoughtful and remarkable solution for those who may find themselves in a similar situation. Dr. Lee encouraged looking beyond spine surgery or medicine as a whole to find something that aligns with one's purpose or passion. It is puzzling why some individuals took offense to Dr. Lee mentioning the dog, it was cute , endearing and respectable. Dr. Goobie himself mentioned that he is living his life for himself and his dog. In my opinion, Dr. Lee went above and beyond in his explanations. I appreciate Dr. Lee for his insightful analogy and commend him for supporting a fellow doctor.
As for the haters get a life! We All 😅got one
@Vjyn-y2d. You are exactly correct. What I believe is happening is that people read my title "Yale/UPMC/Penn neurosurgeon" and immediately assume that I am the literary foil. My character exists to stand in opposition to Dr Goobie, when in fact I did not attack him or his decision, but merely tried to provide steps to future trainees to avoid miscalculation. Those who attack me did not watch or listen to my video, but instead they immediately assumed I am the anti-Goobie! I appreciate your insight and defense!
Let me tell everyone something. This field isn’t going away. You need people like Dr Lee who will continue to push even through the hardship. And you need people like Goobie who take the path less traveled. Both are necessary & anyone trying to demonize or belittle either path is extremely out of touch.
Thank you for this balanced reply. I am only hoping that when I need physician help in a few years, there will be smart, dedicated people there to help me, such as my current medical students and residents. I appreciate your balanced perspective
@@DrLeeBrainSurg If the medical system works for both the patient and the physician then it will be there, for sure. If it just works for one and not the other, then it's up to the doctors and the patients to advocate for its replacement.
@@DrLeeBrainSurg Dr. Lee, I do agree we all hope that when we need physician's help they will be there for patients. Can you explain why a lot surgeries had been postponed in the period of Covid 19 pandemic? A lot of patients had been turned away and stay home at the time when they do need doctors. As I watching Dr. Goobie's Video, he is young and not the retired age yet. He made the decision which need the courage. To be honest if I were a patient, I would rater trust Dr. Goobie more than a busy surgeon.
Dr. Lee, I do agree we all hope that when we need physician's help they will be there for patients. Can you explain why a lot surgeries had been postponed in the period of Covid 19 pandemic? A lot of patients had been turned away and stay home at the time when they do need doctors. As I watching Dr. Goobie's Video, he is young and not the retired age yet. He made the decision which need the courage. To be honest if I were a patient, I would rater trust Dr. Goobie more than a busy surgeon.
This is my first time ever leaving a comment on TH-cam. I really thought it was unnecessary to keep saying, Dr. Goobie "and his dog Doobie." A sneaky way to undermine him.
미안합니다
I totally agree -- it is disrespectful in a sneaky way. it is unnecessary even if you disagree which Dr. Goobie.
@MrAnkurbarua Dr. Lee didn't really disagree. He acknowledged spine surgery has a high failure rate and many doctors are financially motivated to do them anyway. He seems to agree with Doobie 😅
@@imveryhungry112 Thank you for defending me. It is interesting to me that the individuals who are attacking me did not actually watch the video and recognize that I actually sympathize and empathize with Dr. Goobie. I guess it doesn't matter, since this is social media :)
@@DrLeeBrainSurg Doc the only reason people got a little offended is because you kept saying like dr goobie doobie etc. It sounded a little bit like you were being a little passive aggressive toward the other doctor. Thats it. If not for that noone would have said a word. Either way, its good your sharing your perspective patients need to hear all sides from many different doctors.
Dr. Goobie is clean and compassionate human .
I'm especially happy for how happy Goobie & Doobie are now! Together, in touch with nature & sharing their beautiful explorations with us
I also have watched some of his videos, and I agree with you. His explorations of our world is beautiful
You are envious of
Dr Goobie's new found joy & happiness
happiness.. please
don't post your garbage
diatrab, Thank you!
I think you missed the point about why Dr. Goobie left the practice. Cutting and removing or adding something to the patient, is like putting a bandage over a wound, it’s not helping to heal from inside out. It’s like painting the walls with a nice fresh beautiful color paint but the studs are rotted. You Doctors need to take another approach to heal people by reeducate them how to eat healthier ( no sugar,no carbs,no seeds oil and so on) to have a good at least 8 hours sleep, get to embrace the nature and her Creator. That will bring healing to your body and a sense of peace and balance. And that people will be in no need of surgery unless they feel off the hill and brake their legs or spine. Teach your patients to change their style of life before you cut on them. I appreciate what Dr. Goobi did. And probably he didn’t mention, out of politeness how crooked the medical system works. It’s all about money and keeping their jobs. The more sick people the better for the system.
I applaud people who take the courage to stand against the corruption of this society.
I agree with your points. American health care system teaches us how to treat disease. We are not trained as rigorously in how to PREVENT disease. As an older doctor, I see many of the challenges of our health care system, even regarding my own health.
@@DrLeeBrainSurg It's incredible how "Doctors" miss the simple point. Let me make it more clear for you. Is giving children hormones and gender reassignment surgery "treatment" or money for the doctors and pharmaceuticals. How anyone can say they focus on patient outcomes is beyond ludicrous when the whole industry vilifies the doctors that do speak the truth. Was it really patient care first when they forced experimental vaccines onto people? A doctor posted they'd make 1.5 million dollars for vaccinating 6000 patients.
@@DrLeeBrainSurg, what are you doing about it then?
@@cebamy the medical-industrial complex is gigantic and difficult to fight alone. As a single individual working in a giant health care system, I encourage my trainees to consider focusing on brain surgery rather than spine surgery. There is much less financial conflict in the field of brain as compared to spine. Since the volume of procedures is much less in brain surgery than spine surgery, companies are much less interested in brain surgery. #brainsoverbone
@@cebamy Shadow banning dissent like they all do.
I noticed lot of unpleasant comments. But Dr. Lee, I appreciate the thoughtful presentation in this video. It offers a clear overview of the topic and raises important points for consideration. Well done. Good wishes to you, Dr. Goobie & Doobie.
Thank you for this comment. I believe many of the negative comments were by individuals who did not finish the video and were turned off by my introduction where I try to empathize with Dr. Goobie. I am glad that you were able to finish the video and reaffirm my faith in the youtube audience :)
Thank you for your response, Dr. Lee. As a medical student, I have recently become interested in specialties that have a lifestyle component such as sports medicine, PM&R, and well...lifestyle/integrative medicine (although I have only seen a few fellowships with this pathway)! So, Dr. Goobie's story really resonated with me.
While I definitely think there is a place for other medical specialties (especially surgery, if there is a tumor/mass it's obviously gotta go 😅), there seems to be a lack of emphasis of knowledge of basic sleep, diet, and exercise in medical training. I mean, with all the development of advanced diagnostics and robotic surgery, you'd think that physicians would be well-equipped to answer such questions...and we cannot deny that outside of some genetic and environmental factors out of our control, we ARE what we eat.
Moreover, what right do we have as the overworked, burnt-out, sleep-deprived physician to tell our patients what is good for their health? Sure, some programs have started to implement systems for physician well-being, but it can still be a FAR cry from what other people would call a 'healthy' lifestyle. In the end, it is the corporate and administrative aspects of medicine that lead to more stories like Dr. Goobie, and sadly, more distrust of physicians by the general public.
I am glad that medical students like yourself watched this video, because your entire career is still ahead of you. There is still opportunity for change and improvement. Keep moving! I don't have a good answer for you, but I have faith in our next generation of doctors
@@DrLeeBrainSurg
Actually, I appreciate your considered support and response to Dr. Goobie’s choice. My wife just had knee replacement surgery. The hole in the roof (primary cause) was repaired but she still needed a new joint. Yes, the system sucks, but most of the surgeon’s do not. It’s a hard job. What if you all went Goobie?
Of course I support him and his sincerity. I think he will heal a wounded soul and do great things again. And, if not, and is just happy. That’s just as great.
Thank you so much for your support. I am surprised by the amount of vitriol for my video response. I am very lucky, as I picked a side of neurosurgery that is very rewarding -- BRAIN surgery. I look forward to my clinic and to helping my patients and to them coming back to thank me for my work. It is extremely rewarding. I know that joint replacement surgery can provide great outcomes for patients and their surgeons.
@@DrLeeBrainSurg You’re very welcome and thank you for your incredible, hard won, expertise. I’m afraid it’s also a reflection of the times we live in.
People take a lot less kindly to dissent than they used to. And you supported Goobie in his decision. You must be a great teacher as you presented so personably. Laugh it off is my medical advice. You know your worth and the value of your profession. And bravo for making a good living at it. You earned it.
@Dognacity there's a huge difference between getting a knee replacement and getting spine surgery. Knee replacement have a very high rate of success, spine surgeries don't. If goobie Was doing knee replacements which actually work I bet hede feel differently.
I believe in the field of orthopedics and spine surgery, best outcomes are with hip replacement, and then knee replacements and then spine surgery has the least favorable outcomes overall.
the thing is that Dr. Goobie is not saying that surgeries are never needed. There are definitely cases when it's essential. However, in many instances, overdiagnosis happens daily and many procedures/surgeries could be avoided. Everyone knows that Western medicine is focused on profits in the first place. It's not a secret.
I'm glad you brought it up because there is not any information anywhere regarding his real life and I know TH-camrs lie about there background and lives constantly. He is now talking about doing psychotics
Do you have any comment on Dr. Goobie's observations that good diet / exercise / sleep / social support often lead to good outcome without surgery for people suffering from spine issues?
Since I do not see spine patients in the office any more, and since I mostly treat brain tumors and cranial nerve disorders, I am hesitant to provide too much advice regarding spine care. However, his comments did "resonate" with my own experience
@@DrLeeBrainSurg Thank you very much for the feedback, Dr. Lee. It is much appreciated.
Like you somehow trying to give tips and convince him to go back to surgery, even though he clearly says he doesn’t enjoy it anymore. I believe it was people like you that repulsed him from the hospital.
yupp
@@Gencgello What I see is Dr. Lee merely empathizing with Dr. Goobie, not attempting to ‘change his mind’.
It’s also evident to me Dr. Lee is encouraging future candidates pursuing medicine, to be open to exploring other fields within the umbrella of medicine; if one field isn’t a match it’s acceptable to explore another branch.❤️ (In case you might have missed how, unintentionally, there is a potential the og video could sway a suitable candidate away from pressing forward).
😊
Thank you for this thoughtful response. This is exactly what I was trying to do! @cmkate33
Thank you so much for your video. Wonderful to know there are many good people who really really care for one another. Life is beautiful whether you are at low bottom or high at the top. We all are just traveling through, so let's keep moving forward.
I appreciate your response. We are traveling through and trying to make it better for us all.
Yes that's the greatest purpose.
I appreciate your video response to Goobie’s video. I would love to see additional videos where you candidly talk about:
a) how you would fix our current healthcare system (top three or four actionable items with the greatest impact in your opinion);
b) explain the current hospital based compensation model for neurosurgeons and how it may be at odds with treatment decisions;
c) how the high financial and personal cost of obtaining an M.D. degree and other professional credentials may influence career choices; and
d) what are some of the best things people can do to (or not do) to help stay out of a neurosurgeon’s office.
Keep up the great work. Don’t let the negative comments on this video impact your TH-cam creative journey.
(Was this video filmed in Pennsylvania Hospital?)
These are all great ideas for discussions. I appreciate your support as well, as the negative comments can be quite disheartening. And yes, this was filmed at my place of work :)
From my research Dr Doobie goobie spoke nothing but the truth.
Its fantastic to see you have so many comments and followers, I've subscribed to the morning workout routine for the past 30 years, it's really helped me maintain a positive outlook on many aspects of my life and practice as I start each day invigorated and ready to tackle the days tasks ! Thank you Dr. Lee !
@tjhaa75 Thank you for the vote of confidence.
I think the issue is that spine surgery for pain has a high failure rate. Its not like other orthopedic surgeries which dont. So many people get spine surgery and are worse after the surgert even with an advanced surgeon. The spine is just a very sensitive part of the body that is near impossible to repair. Now if you have tumor in the spine or a fracture thats of course very different. But most of them are elective surgeries for pain, and the failure rate is just very high. Thats just a fact. I dont think goobie is a bad guy or gave up out of weakness. He just said it like it is.
This is actually very well written. The primary indication for spine surgery is the symptom of pain. Patients want to be relieved of pain; however, surgery cannot necessarily alleviate decades of degenerative spine disease.
@DrLeeBrainSurg thanks doc. FYI, 8 months ago my close friend had a brain aneurysm. A neurosurgeon just like you SAVED HIS LIFE. Now he has more years with his wife and she doesn't have to be alone.
Dr. Lee, I can tell that you are an ethical doctor and have concern for and are supportive of Dr. Goobie. However, I'd like to point out that it is the physician's duty to inform the patient as to the actual statistics regarding the success rate of a particular surgery. And if need be, even discourage the patient from going ahead with surgery when the outcome is unlikely to be successful. I feel it is unethical for a surgeon to operate on a patient when, he or she knows, that the outcome is likely to not be a good one.
@@andreavanda5402 I completely agree with you! Dr. Goobie chose to pursue spine surgery which is the most lucrative but also the most "challenging" subspecialty in neurosurgery with respect to outcomes. There are other subspecialties in neurosurgery that do not pay as well, but the patients can benefit from our expertise.
I'm 63 and winding down my career after 43 years working as a medic and Emergency Department RN. I definitely "kept moving" around emerg as the department constantly changed around me. Every situation was unique and complex in its own way. I do attribute my wellness today to personal self-care and to valuing the dignity and sacredness of all patients and their families. I recognized how my own mentors quietly incorporated these values while delivering care and new grads would be well advised to maintain their adaptability with adherence to these foundational concepts.
Thank you for sharing your story. You definitely are doing things the "right" way.
Sorry, but I think you didn‘t get it.
Cardiothoracic surgeon here. Sounds like a low life w2 lifer over here….hope you do something meaningful in your life. You got way too much time to whine.
If we understand the video then doctors replying understand the video. All too well, if you get me.
You do NOT need to mske video criticizing
Dr Goobie's choices.
If you care about him talk to him in a personal private and respectful way NOT on Utube!
This guy likes to tells a lot about him and what he’s done I love it keep it up sir😊
Thanks for taking time to reply. I need to find time to keep making videos.
One point Dr. “Goobie” is not making very clear for the public, in reference to his own practice of spine surgery, is that spine surgery for “degenerative” disease is performed only after the failure of every other option. As part of the degenerative process - some of it is from repetitive weight-bearing, such as manual work, & some of it is from poor lifestyle choices, including smoking. In order to reach that point requiring surgery for their degenerative disease, they have often failed to take care of themselves over the years & usually no longer want to seek other options. That is the “mindset” going into surgery - which appears to be part of the conundrum that he is facing.
You are exactly right. And that is why outcomes can be distressing for both provider and patient
I wish more people in this comment section had even half of your common sense
Well, you're free to look at it the way it suits you. I'm a senior rheumatologist and a physical therapist, I believe that deep in you, you know damn well, Dr. Goobie has said the truth, and you're trying to cover for your interest (your pocket). His consciousness is free, and he's a happy man. You're not happy that he did a video, well deal it dear colleague. The truth is out, period. He has my support in his chosen path. Thanks, but no thanks.
His comments deeply resonated with me. I have experienced similar things, especially with respect to non-cranial surgery. I am very happy that he shared his thoughts in his video, and I appreciate the time you took to respond to mine.
No one is a rheumatologist and a physical therapist.
@@chrislastnam6822 Are you for real? Are you saying, there's no Physical Therapist who can become a Rheumatologist? If yes, any reason of why it's not possible? I don't live in America and I'm not an American. I studied to earn my titles. Looking forward to reading your answers 😊
@@MrSankara6 I never heard of anyone who can get into med school going to school to become a physical therapist first.
@chrislastnam6822 You based your view on never heard? Are you kidding 😳? And you had the courage to disputing my profession. Let me tell you this, dear, Never heard doesn't mean it does happen. Look our of the box next time, please. Thanks for getting back to me anyway. Take care.
Dr. Lunsford and Dr. Kondziolka were part of the Gamma Knife team at UPitt that treated my AVM way back in 1994. I probably wouldn’t be alive today if it weren’t for that lifesaving procedure!
Wow. That is an amazing followup. I have tons of respect for these two men. Thanks for sharing
In the end, I believe Dr. Goobie did what we all want to do. Quit our jobs and retire, go camping, gardening, whatever floats your boat...
Love Dr. Goobie.👏👏
Do it bro, who is stopping you ?
I just wonder what your response would have been like if you had chosen a spot in nature, in a green field or near a brook. I suggest you try it and record your video for us to see and hear. Move away from the stately conservative boardroom in dark brown wood, with the perfect lighting. Try remaining calm and heart centered with mosquitoes flying around your face. And I also suggest that you sit on the grass, and take your scrubs and shoes off. Now tell us what you feel, Tell us about the hardships of your work, tell us about patients who don't get better, show us a more human and personal side. You see , that is what he is talking about. When you get to the point in your life that you can no longer be ego-driven everything changes. And I kindly do understand that this is only something that can be fully understood when one has such an awakening. Namaste.
Very interesting point. This library is a historical library in the first hospital in America. But maybe it does give off vibes of industrial power? Thank you for pointing this out to me
I too am a health professional, a physical therapist with a specialty in oncology, who has served in both hospitals and my private clinic for many years. The topic of not just burn-out but actual breakthrough is a real and important one. We are not on this planet to be machines or to be robotic, we are spiritual beings with a mandate to grow. Take the experience and messages of Dr goobie to heart, and come back to us again with more observations from your heart not just your head, about what it means to try to decrease suffering in patients in the American and Western health system. Dr goobie was not just speaking about the challenges of surgery, I promise you he is as well trained as you are. Just look at him, he is clearly a person of integrity. He spoke of how well intended medical professionals, human beings like you and i, have to function within such a system to be only marginally effective in reducing true suffering. Because you will learn if you haven't already, that true suffering can only be resolved through the spirit. Healing is a mind-body-spirit process. And I know that medical training stays away from this topic. I've had some similar experiences to what Dr goobie has had. And I am profoundly grateful for the person I have become and am still becoming. What does the word transformation mean to you? From a holistic perspective? Could you recognize it in your patients.
And thank you for being so open to this exchange. I think you are quite remarkable. 🙏💐
And what a beautiful library that is. I really appreciate libraries!
@@joy2253 It is truly a breathtaking library, and one floor up is the original surgical amphitheater. I am truly honored to work in this hospital -- the nations' first Pennsylvania Hospital
@@joy2253 I appreciate your point about the journey. It is not just the "burnout" but what is learned from the burnout and then how you emerge and how you "break through". Obviously, I have also had periods of burn out and periods of frustration, but curiously, one of my greatest sources of joy has always been my patients. I see them before and after surgery, and they provide me with sustenance -- true joy, because I have relieved their suffering (trigeminal neuralgia for example), or blindness (meningioma/pit adenoma surgery), or vestibular dysfunction (acoustic neuroma surgery)!
How about pushing unnecessary surgery just to make money for the hospital? Can you elaborate on that point?
We need a retreat back to simpler times -- a time where we are all part of a greater community and thus responsible for each other. I believe social media breaks down barriers and allow us to speak directly with each other. With that approach, perhaps extrinsic motivations can be made more clear.
@@DrLeeBrainSurg I appreciate your thoughtful approach and guidance like yours would actually have kept a really empathetic person working in medicine.
The point related to ethics was great and you resolve aspects of a moral dilemma when you see a patient as a family member rather than an opportunity (be it $$ or chance to try a new technique). With family you might be more inclined to say NO, that's not what you need right now. I see a moral dilemma when "do no harm" is replaced by the notion of "relieve suffering" and then letting a patient drive a diagnosis. Surgery might help today but where are you going to be in the future.
Hum, gender affirming care and ""top surgery" performed on minors comes to mind. I have seen enough doctors looking at people as $$ in those situations.
@@markrussell3428 Imagine a simpler world where we all see each other in church or grocery store or the hardware store or at the town carnival. Social media should allow this to happen IF you were NOT able to comment anonymously.
@@DrLeeBrainSurg Thanks for taking time to reply. I hear you, but to be honest, i get a little reviled related to ethics everytime i see "Dr Teetus Deletus" (Miami plastic surgeon Dr Sidhbh Gallagher) go online and brag about giving another teenage girl getting their gender affirming mastectomy before they can get drivers license.
although Im not in the medical field, I totally understand your point. in our professional careers we often think we want to do one thing and may find out after being in the field for some time, its not what you thought. It isn't as fulfilling as it once was. Some people can choose to quit the field all together and do something new Or maybe find something within the field to transition to. You clearly love your job and training future residents and dr. goobie did not after some time. And that is ok! I think both ways of looking at these career moments are important. Not everything is one sided. Sometimes surgery is needed and is life saving. Sometimes it is not and there are other options patients should explore. Thanks for you take. And I say this as someone who has chiari malformation type 1 and syringomyelia and had decompressive surgery. It was the only option for me.
Thank you for this thoughtful response. This is exactly what I wanted to say. I believe that pivoting directions is important to finding success.
I think different voices need a space to exist. There’s a saying “agree to disagree”. Balance is important! Everything has two sides, but it’s not whether I’m on the left and disagree with the right or vice versa. It’s about finding the balance, so we don’t have to fight but instead have peace within ❤
I agree with this and with Goobie and Doobie!
I am so happy to see this neurosurgeon who wants to help Dr. Goobie! He could also ask Dr. Hoeflinger from Ohio for advice. He is also a Neurosurgeon. He is the most wonderful person. He is right here on youtube.
Thank you for pointing me in the direction of Dr Hoeflinger. I have watched his videos, and indeed his posts have inspired me!
It’s important to tell this message from your perspective.
I can appreciate both perspectives. I can totally see the importance of this video as well.
Thank you. A message that just focuses on the reasons to quit medicine will leave our health care system empty in a few decades. There has to be a way to work within the system and to succeed
If you pursue something in life for someone else, say, your parents, it doesn't matter how worthwhile or important your role is, you're not being authentic and true to yourself & I think you're completely missing this.
Thank you for taking the time to reply. I am new to TH-cam and will strive for a better and more authentic approach in my future videos
@@DrLeeBrainSurg no! You've missed my point! I'm talking about people in general not being authentic if they are pursuing a career/goal for others.
Do you have adhd btw? I'm only asking because I have and am always getting the 'wrong end of the stick!' I suppose not because you're a surgeon, although Einstein is believed to have had adhd - but his work didn't involve being responsible for another life unlike yours.
Self preservation over self respect.
Bless you, Doobie n Goobie
I like this phrase. Thank you for commenting.
DOC DOOBIE IS CONTENT! LET HIM BE!!! IT TOOK GUTS TO FOLLOW HIS TRUTH!!!💪😎👌
Very true. It took a lot of courage for him to post that video. I truly commend him for the courage. Thank you for taking the time to comment
Do no harm is the ethical responsibility of every doctor. However, I feel that most doctors, practicing Western allopathic medicine, have forgotten that. I have seen so much bad medicine and doctors doing the opposite of healing and actually causing more harm and more pain to their patient. I have personally known several people who have had back surgery that, not only wasn't successful, but caused even more irreparable damage. The other day I met a woman who just had her fifth spinal surgery! Each time she was told that this surgery was going to fix it, but each time it got worse. The pain and torture she's been through for years now is heart wrenching. And the hundreds of thousands of dollars made on her suffering is unconscionable! Dr. Goobie deserves credit for leaving a job that his conscience just couldn't allow him to continue working in. How anybody can look themselves in the mirror in the morning, after so many heartbreaking surgical outcomes, is totally beyond my comprehension. He should've left sooner. The whole system needs a total overhaul.
actually do no harm and the hippocratic oath aren’t demanded from doctors in the modern medical field. so many operations and procedures don’t always have “good outcomes” and even ones with “good outcomes” can have very drastic side effects (think the tole chemotherapy has on the body). in this way, it’s hard for modern doctors to be shouldered with the responsibility of doing no harm when the many complicated procedures they perform can’t be guaranteed to “do no harm” even id their intentions are pure.
Yes, we need neuro-surgeons. Some may have decided that they're not cut out for it, but the bottom line is, somebody's got to do it!
I agree 100%
Goobie Was specifically referring to elective spine surgeries which are what make neurosurgeons richer than actors in Hollywood. The failure rate of those spine surgeries is very very high and often times cause the spine to degenerate even faster making the patient WORSE and requiring more spine surgeries which in turn cause the spine to degenerate even faster.
@@imveryhungry112 Elective spine surgeries are definitely as you describe them, no argument there, however I think the issue is that as the video went on, Goobies point ended up coming off more as "all neurosurgery is bad" instead of just Elective spine surgery. This caused a lot of his viewers and people who are already anti-medicine to be emboldened into the belief that neurosurgery is a scam and neurosurgeons are greedy, which is not the case. Of course there's some bad or greedy neurosurgeons out there, although most are in Goobies field, like murder Christopher Duntsch. Neurosurgeons like Dr. Lee don't deserve to be considered corrupt just because some of the people Goobie worked with were, but that won't stop the people who want to hate.
@dankaroos no goobie Was very specific he was talking about spine surgeries in my opinion.
@dankaroos it's not just goobie there is an entire documented medical disease called failed back surgery syndrome which entirely revolves around FAILED BACK SURGERIES
Healing is the issue. But preventing debilitating heath at old age is even more important. As we get really old, 80+, our muscles become week, Neuropathy begins, Ear ballance mechanism fails and ballance and stability cause falls with resulting damage. This is a brain perception, feedback, and neuropsycological issue which is multifunctional.
So I recommend someone like Dr. GOOBI form a Team of the best specialists to address Ballance and Stability for old people so that they don't fall!
Probably a proposal to the National Institute on Aging.
If I can help let me know. I once taught undergraduates at MIT.
I spend a lot of time with my elderly patients talking about balance. A simple exercise I ask them to do is to get on the floor and practice getting back up
The point is the body heals all over when there’s a injury it’s all responds so fixing the one issue isn’t accelerating the overall healing that’s the trith
Ambrose Pare said, "I bandage the wound, and God he healeth them"
Thanks for the thoughtful response. I don’t think many of these negative comments are fair. If the patient is truly put first as you teach, the monetary incentives and the other critical comments should not apply
Exactly right. I think the negative comments are simply because I serve as a foil to Dr Goobie.
Dr. Lee, is there nothing at which you don't excel? Great video! Keep up the good work!
I am actually inspired by your channel. You are a great communicator!
Hey Doc any chance you could tell us, how long an average procedure for a microdisectomy is, whats the cost, and what the outcomes look like 1 month, 3 months and 1 year after surgery.
Unfortunately, I have not been doing much spine surgery for past decade as I have transitioned to brain surgery
@@DrLeeBrainSurg so even though you have spent so many years around colleagues that do spine surgeries, you have no clue to as how much they cost ????
It's projected by some of the leading spine surgeons to reach up to 45-70 k per surgery. See this is the kind of stuff that Dr goobie was talking about. You have got be a lot more transparent. You guys give these vague bs answers and lead ptx into surgery knowingly or unknowingly. And by the way a microdisectomy is one of spine surgeons favourite surgerys. Non invasive, timely and costly.
To be honest, as a University faculty member, I am generally kept in the dark about much of the financial side of medicine. We are encouraged to publish, present at conferences and to care for patients without too much regard for the financial. This is both a blessing and a curse -- as you can imagine.
@@DrLeeBrainSurgthe surgeon doesn't get a bonus for every spine surgery they do?
One of Dr. Goobie's many points is that neurosurgery does not fix the problem. He is more credible and I believe him.
Fortunately, Neurosurgery does fix many other problems like benign brain tumors that cause mass effect and swelling. I focus on these meningiomas, acoustic neuromas, pituitary adenomas, where outcomes are great and patients do well. Thank you for commenting!
@@DrLeeBrainSurg You are a nicer man than me, I would have a less dignified response for such a stupid comment. Claiming that Neurosurgery doesn't fix or help the problem is incredibly ignorant, especially when it's being said to an accomplished neurosurgeon. Many peoples lives have been saved, extended, or improved because of neurosurgery, when holistic lifestyle changes would have changed nothing. The push for people to be anti-medicine because of manufactured mistrust in doctors is dangerous.
This feels like more about you and your medicine than Goobie.
Definitely about him.
I apologize that the start of the video feels more about me than you would have liked. I was hoping to establish the similarities in career trajectory between the two of us. However, I do transition to my recommendations and advice to medical students and residents later in the video. I appreciate your critique of the video regardless.
Feels more like a distraction from the problem that Dr Goobie was highlighting.
A mature and valuable perspective! Thanks for sharing.
Thank you for taking the time to listen and to comment.
I like your response better than another video I watched. Two neurosurgeons in a bar making comments about Goobie.
Thank you for taking the time to listen objectively. My fellow neurosurgeons sitting at the bar stool are spine surgeons, and they were much more critical. Brain surgeons like myself recognize the challenges of outcomes in spine surgery.
I am loving these responses because it gives me hope
It is Dr Doobys views about today neurosurgery industry. His conscience convinced him that he was doing not a honarary job but a money market in that field. You must not worry about his decisions.
He didn't challenged any one.
Thank you for your comment. He does seem to have a good conscienvey
@@DrLeeBrainSurg What are you on about. First of all, you need to learn how to spell. Second of all, Goobie is far more mature than you and now your trying to criticize his views by saying he doesn't seem to have a good conscience? The typical Korean person trying to act smart even though they really are just obnoxious people.
I have a dream of teaching people about holistic healing. I know it's not a lucrative career, but at least I'll have the knowledge of having happy, healthy clients.
I support your dream. My quote on my medical school yearbook was from a French surgeon, "I bandage the wound.
, but God, he healeth them!"
Even if you don't believe in God, we do our part, but the rest comes from within!
@DrLeeBrainSurg thanks Doctor. My name is Theophany and I absolutely believe in God. I'm working at a wellness center called Dream Youth Clinic hopefully it helps the people of Oakland California. It has some questionable practices but I'm apart of the gardening department. Happy days to you and yours!
I'd like some validation regarding Dr. Goobie's credentials. I don't buy it. His explanation for why is left doesn't make sense.
Great video.
Good points. My credentials are all out there and easily checked. His credentials are not readily accessible. I appreciate your support!
It’s simple guys. This was an opportunity to get views because Dr. Goobies vid went viral. All of his other videos have less than 1000 views.
Not against this strategy at all, but just know what this is.
Thank you Dr Lee.
I understood the other Drs points.
But the world still needs people ,when they have a serious head injury and need a subdural draining , or a brain tumour that needs resecting.
Salads and good will wont help at that time.
You are exactly right and that is why I had to respond,
I am doing finance job for more than 10 years now. I stuck ans don't know what to do with rest of my life. Either stop doing or do nursing as alternative.
Keep moving! Don't give up
I will add this, i have severe stenosis in my cervical spine. My neurosurgeon told me, "pt does not work for the neck". Said he needed to do an acdf on me. I didnt do it and based on other doctors advice instead joined a gym and now i work out every morning. My pain is still there but has decreased about 50 percent. I never got the surgery and if i had just listened to the surgeon, one of the top in the world, i would have a fused neck right now.
There is a paper published by a neurosurgeon, where he counted the number of patient who were recommended to have surgery by someone else. If he agreed, he counted it. If he disagreed, he counted it. He found a rate of 17% unnecessary surgery. Your case may have fallen in the 83%, though.
@DrLeeBrainSurg I consulted with many doctors. It felt like all the surgeons recommended surgery. But the non surgeons recommend against surgery. Have you noticed that in your hospital? I have significant degeneration across my entire sub axial spine, exact words from radiologist, caused from a military injury. If I have a child, ill beg them to go to med school instead of the military. If goobie feels disenfranchised, imagine being a military grunt having to work to hurt people you've never met in a foreign land just so corporations can get even richer.
You have to like your job to be happy, and a happy doctor makes a happy patient. Also we can’t enforce our principle on other people, and besides “ to each his own”. You have to love your job.
I agree with this idea. Being a physician is a "calling", a "vocation". Hence, if you realize you are not "called" to be a specific type of healer, you have to "keep moving" and transform into a different kind of healer!
I guarantee you, that Goobie's video will be taught and played at every medical school in the USA.
Interesting point. We will see. Certainly, we have asked our trainees/residents to watch it as well.
Sorry, but he's right about the essence of what made it more difficult to continue-namely the "provatized" system of health care in which the incentives are to produce capital. That does not mean nothing good comes from the system we have. But the fact, and it is a fact, is that the US system if healthcare has poor outcomes. It's expensive. If the outcomes were good, all of what this video has to stay would be the exact right advice. But that's not the reality of US healthcare. We need a different system, one that is less focused on economic expansion, as if health care was a business like building and selling computers
It's not. This is not pie-in-the-sky utopianism to recognize this. It is unfortunately objective truth in America today. We have a "health sickness system in which the rewards are for treating people after they are unhealthy. We don't have "healthcare," because the system is way way out of balance between keeping people healthy and treating them for what happens after they become unhealthy, preferably in our system, more dramatically unhealthy-like you're going to die of a heart attack at an age below the average mortality rate for someone like you but living in parts of Europe or Asia. Your residents need to figure out-al8ng with you-how to change the system, not simply adjust to it.
You bring up an excellent point. As I have aged, I now spend more time in clinic talking to my patient's about preventive care for falls. I encourage mobility exercises, physical therapy, and range of motion - - and this is for brain tumor patients. I do not see spine patients in the office any more.
I watched this and original video by Dr. Goobie. And certainly we need neurosurgeons that are healthy. I believe there is more than moral injury to Dr. Goodie, long hardship of elite school, competition to become neurosurgeon. He is very tired and depressed and disillusioned. Aren’t most of us? But after a break need to get up and keep going in a different path. No one can operate on traumatic suburbal hematoma or brain tumor. Other than neurosurgeon.
Thank you for taking the time to watch and comment. I am glad you came away with the right perspective. Dr Goobie needed to get away, but society still needs neurosurgeons. I remove brain tumors, evacuate subdural hematoma, and generally try to help patients with my skills. The rest of my videos focus on patients telling their victory stories. Giving up and going to the woods is great, but I am blessed to have been "called to serve!"
@@DrLeeBrainSurg , personal thank you to you keeping the fort!
why on earth would you feel the need to respond to his personal experience and negative it?
If you listen to my video (not just read the comments), you will come away with a different understanding than the one you seem to have gained by reading only the comments. Thank you for taking the time to comment regardless.
@@DrLeeBrainSurg I did actually watch most of it. (I skipped some portions where you rambled on.) Do you want me to walk through how any response to his lived experience is by its nature defensive and unnecessary to this situation? Frankly, the point to your video is literally at 5:30 where you (crazily) suggest that you have a duty to residents to not leave them with the idea they need to flee to the woods. You have a very low level of regard for your residents, I suppose. Your response to me mirrors your response to him, and is unimpressive.
What was eye-opening for me was Gooby/Dooby's frustration with the world we live in, the diet choices we have or dont have, the lack of incentives for living a simpler life with places to walk/excercise/de-stress. Dr Lee please could you address teis set of questions, maybe?
I also am in need of better food choices. Everyone who knows me knows my penchant for cookies and cakes.
I kind of wish we could walk more and drive less also
If I am not mistake , brain cancer doesn’t discriminate people even with healthy lifestyles which really didn’t like goobie generalized statements @drleebrainsurg
Environmental factors are generally not a large part of what we believe causes brain tumors (glioblastoma, meningioma, acoustic neuroma). My career has focused on these tumors and cranial nerve disorders. I agree that healthy lifestyle alone will not cure brain cancer.
@@DrLeeBrainSurgThose pesky NF2 genes just sneak into the party🤣
You have explained your profession very well. There are positives and negatives in all professions. It’s the limits you set for yourself that is paramount. There is good and bad in everything.
Thank you for providing this balanced comment. I serve as the foil to Dr. Goobie. However, I appreciate what he did for his own well-being.
I would go with him into a vet neurosurgery busineess where each and every Doobie would be an international success story.
I have got the brain and I have got the look with your hands we could make lots of happy money.
@@angeloangelo6050 the pet shop boys would be proud!
I love that you reach out to him [goobie and doobie]❤
Dr Lee is trying to help Dr Goobie as an older doctor (in Korean we call it Sunbae or Senpai in Japanese). He is calling Dr Goobie back to a different type of, more ethical branch of patient care. 🧡
Thank you for providing this clarification. As a Korean-American older brother to Dr. Goobie, I wanted to provide some hope and direction. You are exactly right!
I hope dr goodie can see this and get it
In short, a healthy and balanced approach is still yet paramount. The bright man Dr Goobie might want to happily combine what he can do well and what he feels healthy to do. In addition to his excellent start with his beautiful channel he might want to explore the neuroscience of taijiquan (taikyokuken) and bring it to the Bacon-Freudian world.
Interesting comment. I need to learn more about taijiquan. A quick google search shows that it could be something we incorporate into our daily lives! Thank you
I had to study, 'Who moved my cheese'. In manufacturing, we had to take this class. 😂😂
Dr.Lee-cool video-I am retired school psychologist and helped 1000’s of kids with autism-language-social emotional-intellectual-motor deficts as most of us in special education have this gift of helping kids. Do you and your fellow students have this gift to help people. We have a good pension and everyday we learn about what life is really about! Maybe if Goobie would work with our special education students he would appreciate his life more!
Great to meet somebody in a field that is trying to help the needy. I am grateful for the work you have done in the past and even now.
I agree with all that has been said. We can only hope that the moral compass remains #1 in these highly trained doctors, since the “medical machine” can push altruistic doctors into the corner.
Number one criterion in my opinion for choosing neurosurgeon is a straight moral compass, followed by a very strong work ethic. By the way, I love your playlist of Cuban music. I was a big fan of Buena Vista Social Club years ago.
hi dr lee, amazing to see that you are actually making YT videos to reach out to people! I am a fan and md phd candidate from the Netherlands! we met at SPIE conference on fluorescence imaging in SFO begin this year. Hope you are doing well? Greeting from the Netherlands! PS. If you are ever in the NL or nearby please feel free to come by! I'd love to show you around or discuss what we are doing here sometime!
Wow. SPIE was a great conference early this year 2024. I would love to meet you in the Netherlands! YT has become a side hobby :)
@@DrLeeBrainSurg Yes I think it this type of communication does really help decrease the gap between 'the almighty' specialists and any 'laypersons' interested in medicine (be it student or patient). Although you should take care of your (personal) boundaries too of course... Anyways, keep it up! (and we'd love to have you to show you and share some stuff if the opportunity ever presents!).
But in any medical specialty you have to ignore all the pictures and scans and pretend there are no illegal BCI. My dentist freaked out told me to never come back and that’s how I learned I had an implant in my head, I thought it was only in my eyes. Panoramic X-ray and then I went through 2 more dentist in two weeks to find one who would just pull a small toooth. There was NO MERCY!
When you get older, time runs out and there are no more second chances.
I agree with this.
Basically this surgeon just confirmed Goobie’s central point that self case through diet, exercises and lifestyle changes should be the primary goal, regardless of physical conditions you’re in. Also that significant amount of surgeries are indeed unnecessary or have bad outcomes, students and surgeons just need to diversify yourself to feel morally comfortable to go on… I think now someone should share their experiences from brain surgery or something… Haha
Thank you for commenting. I appreciate this review, as I believe you did take the time to interpret my words carefully and considerately.
I wish doctors would step up and call out how toxic our culture is from the food, to the air, to even the normalization of something like driving vehicles which result in so many injuries. 99.9% of human existence wasn't like this, and while people might live longer on average (allegedly) the actual years of joy, peace, and fulfillment they live is much lower.
Mortality rates from driving were getting better and better (seat belts, crumple zones in cars, etc). However, texting and driving has resulted in a reversal of the trend.
You just canceled you messages by insisting in mentioning the poor dog Doobie 😅. You couldn't help it, right and this says a lot and its quite revealing.
I finally understood what you meant by this comment. @imveryhungry112 helped me to appreciate how I hurt my own message by mentioning his dog "Doobie". I honestly did not understand that this would be interpreted as deprecating. @nav_yt Thank you for taking the time to explain this to me. I did not want to undermine the original poster -- Dr. Goobie.
Its hard to find a solution to a problem. Not everyone has the drive for it. Takes a different kind of breed of a person. I have seen alot of doctors quit and hide under the same blanket of medicine is all about money. That may be the case but you can always be the person who chooses his own path. Dr Goobie could had said im gonna do things my way but instead he chose the easy path of wandering around in the woods.
We all have powerful means of rationalizing different responses to challenges, crises, threats. I am seeing lots of different perspectives in the comments to my video. I appreciate your perspective, because I cannot leave the field of medicine and surgery. There is far too much good to be done inside the medical system. Thank you for commenting
A career in neurosurgery is quite lucrative.
Dr goobie just realised there is more to life than money and materialism, a lot of people could learn this
Somehow, I don't think that Dr. Lee really understands Dr. Goodies' disappointment of modern medicine. Dr. Goodies' point was the surgery does not help any patients that much, compared to healthy diet, high-quality sleep, moderate excise and good social network. The impact of those healthy food and lifestyle have completely ignored in modern medicine.
Dr. Lee, would you please clarify those? Did you have patients who need surgery, but 1 month of healthy life, they don't need surgery. I would appreciate that.
@zhangjiaming I agree with Dr. Goobie on many of his points. However, when somebody comes in with a massive brain tumor, there is no amount of healthy diet that will help. These patients need skillfull surgeons. th-cam.com/video/-3X1lYqhfoo/w-d-xo.html
Hey John, when are you, me, and ZZ going to Park City again? Watch out for the mountain man!
@@jtam222 wow. Great to hear from you. I just asked Zz to send me your contact!
I can’t believe you came up in my feed. You’re trending! Video was great. Don’t listen to the haters
Good Tips if he decides later to pursue any medical career. I did watch his video and the system can be disappointing patients are just a number sometimes.
His criticisms resonate with many of us. I am also providing these tips to future students and residents. I believe he may have already chosen his path as he continues to keep moving!
Yes, he just needs to take a long break and come back stronger.
Dont let yourself be burned out.
Dr. Gooby studied too hard through his 20's and worked over 10 years after that. So he needs a long break, then come back stronger. Maybe work for himself later as a surgeon.
@@sylviaecklund8766 maybe true, but I don't get the sense he wants to come back
sir, I have a question. I saw Dr Goobie's video and I'm sure you have too. I love his message but how do viewers know that Dr. Goobie was an actual NEUROSURGEON ? Can you tell by how he speaks? We don't know his real name or if he actually studied at MIT. We don't know where he worked (hospital) as a neurosurgeon. My point is that there are a lot of fakes out there to gain views or subscribers. I even saw a TH-camr faking that he had a Tourette syndrome and got cought later. Just thought about verifying his credentials, that's all. Awesome video sir. 👍👍
Good point about verification, especially with the rise of Ai, how will we know what is real? However, I respect Dr Goobie's privacy, but I have verified his identity and training.
Why do you keep naming his dog? Was it necessary?
I didn't realize that this would be so offensive, and if I could go back and remove that part of the video, I would do so. Thank you for taking time to comment, as all of our time is valuable.
@@DrLeeBrainSurgIt’s very offensive. You actually missed the whole message of his video.
@9:00 Hungry surgeon? They don’t talk about care, options, life style modification, diet change…they schedule you for a surgery. No? Wait until when you are ready for it!
Thank You for this Doc. Keep going. 🤝❤️
Thank you for encouraging me! I appreciate it!
MIT does not offer a residency program in neurosurgery
Click-bait!
Great video and balanced counterpoints to Dr Goobies video. Just some feedback, the music is distracting and the sound effects are unnecessary and way too loud compared to the volume of the rest of the video.
Thank you for your comment. I am new to video editing. I should have toned it down a bit. I only started this channel a few months ago, and I am still doing all my own recording and editing
What a wonderful way to expand on Dr.Goobie’s heartfelt video. As someone who is now 5 years out from an acoustic neuroma operation (
Also, to clarify, I’m in 🇨🇦 and not a patient 🙂
Thank you once again for your comment. Just curious. If you have single sided hearing, was the music and sound effects difficult to listen to on this video?
@@DrLeeBrainSurg Thank you for asking. Ah yes. SSD was an outcome that has taken quite a while to adjust and work with! I always say “it could be so much worse” 😊. It certainly takes an excessive amount of mental energy to listen in noisy situations, so I try to avoid it.
To answer your question, when I first viewed your video I was focusing on your words. When I rewatched I did notice the music and transitions but they weren’t bothersome to me, personally.
All videos somehow seem a bit ‘flat’ since I don’t have stereo ears (if that makes sense). It just feels like one of my speakers is disconnected.
Hmmm I’ve never used that analogy, but it does describe it quite well!
Fun fact: realized my Vitamix caused tinnitus so I simply wear ear protection! 😂
I hope this was helpful in some way. I’m happy to share my experiences if useful. 🙂
@CMKate33 Your experience is very important to me, as I treat many patients with acoustic neuroma, and single-sided deafness is a condition that requires attention.
Also, if someone could find a cure for tinnitus, they would be very successful.
It takes a lot to know that you have knowned enough and even more to know that this is not what you want to be knowed for ...and even more.... To know what the person inside you really wants he figured that out which generally all people only find out in their 80's or their death bed
I agree with you completely. He became enlightened as to his own motivations and capabilities and desires in his 40s!
Not sure why there's so much vitriol directed at this MD in the comments. He takes no issue with any of the points that Dr. Goobie raised in his video. Don't throw the baby (neurosurgery) out with the bathwater (capitalism in healthcare). The lack of nuanced/critical thinking in YT viewers is alarming.
Thanks for pointing out this fact. I was not attacking Dr. Goobie, but because I responded to him, I was immediately taken as his literary foil. I was the Joker to Dr. Goobie Batman.
Thank you for your personal opinion, but still did not get the self healing and a peace of mind. Work life balance......
Thank you for your comments. When I was young, my work-life balance could be summed up as work=life which is thus balanced. However, as I have aged, I have come to appreciate the need for separation of work and life, and the importance of time off to rejuvenate.
What confuses me is what doctor out there in the US is telling people to eat bad, not sleep well and not exercise? These are known facts.
I live in a country where the hospital is free and doctors not paid that much and there are still people coming with "preventable" issues since not many can afford that full balanced meal and that stress-free life... What about them? 😅
Have you been to america? Everyone here over 30 is like 150 lbs overweight. Seriously we are HUGE people. When I travel to Norway or Asia I am shocked at how thin everyone is even the older people. We have a messed up culture or something Noone knows but come here and just open your eyes something is wrong!!
@@imveryhungry112 I bet it’s the system + culture making fast food + sugar loaded stuff cheaper/the norm though 😩
I am from a Mediterranean country. We supposedly have the best diet. An average salary here will only get you carbs for a family of 3-4 though… I am a medical student and a lot of patients with diabetes are poor patients who can’t afford a healthy diet. Even with all the nutritionists they see, they still rely on medication mainly cause there’s no changing their diet…
In fact, even I am overweight 😂 I needed two part-time jobs on top of my studies to finally afford a gym and healthy groceries 🫠
After watching doctor Goobie’s video, I found this video’s edition very annoying. The music choice was horrible and distracting… same thing about the words popping on the screen. That is what I liked about Doobie’s video: he was not trying to manipulate my feelings by editing the video with music/words. He didn’t need any extra shit because he was being 100% sincere.
Thank you for your valuable feedback. I am new to TH-cam and will incorporate your comments into my next video.
Hey John! Great seeing you on youtube. I was going to make a response video to this as well but you did a great job so I'm gonna just point them to you.
Didn't know you were on TH-cam. I just subscribed. Maybe we should do a video podcast together?
@@DrLeeBrainSurg yeah absolutely. Anytime!
Good Morning Dr. Lee Did anyone fact-checked the story, so far what l have read don't even have his real name:
I Was An MIT Educated Neurosurgeon Now I'm Unemployed And Alone In The Mountains How Did I Get Here?
Goobie and Doobie
Very good question. Many of us have been in contact with his colleagues, and he was a well-respected neurosurgeon in training.
Isn’t Dr Doobie’s story a metaphor for the greater issue that impacts all walks of life which is processes maintain themselves to keep dollars coming in even when not required.
The moral compass is a challenge in the society we live in. Priorities across all businesses is reversed.
Vee
Clearly, his story has resonated with 10 million people. Nevertheless, I believe we still have to stay in the system and work to change it. Thank you for taking the time to respond and to comment!
The condescending way you keep mentionin his dog Goobey gives me the feeling you want to ridicule or infantilize him somewhat..
You are saying he didn't keep moving as a surgeon? And he didn't take care of himself. That's why he had a burn out.
You didn't say anything to his critique on the corrupt medical system. Probably because you know he's right.
I wanted to provide some advice to medical students and residents, because they may come away from Dr. Goobie completely disillusioned, and then we may have nobody left to actually care for patients in the future. Thank you for taking time to comment, as it takes effort to do so.
Exactly!
@@DrLeeBrainSurg OK, but why did you feel the need to always mention his dog? I watched his video and did not hear his dog talk once, lol. It's one thing to want to point out some mental health best practices but it's another thing trying to ridicule a colleague of yours in order to pull students onto your side. If you are worried that students will be disillusioned and there will be noone left to actually care for the patients: Maybe this will be a new generation of Doctors who will be disillusioned but they will not drop out but instead they will change the system from within. Step one: Realizing how corrupt this system is. If you are ignorant about all the problems how are you going to start fixing them? We need to normalize talking about these things. So people know they are not alone. So they can unite. Collaborate. And come up with a better model. A model that actually cares about people's health more than about making money.
I was planning to post this comment to goobies video but didn’t, for whatever reason.
When I saw this video I took it as a sign to do so, but instead of at goobies, here.
if goobie is meant to see it, and I hope he is, he will.
one of my philosophies is:
to leave the world in a better place than I found it.
How do I do that?
one way is to pick up litter.
This might sound trite to some, and I applaud you if youre more ambitious.
I realize that once Ive picked up the very first piece of litter I have accomplished my goal.
See, that wasn’t hard, was it?
While its true I come back each time with a full bag of litter, its important for me to realize that ive accomplished my goal after picking up just one piece.
If youre still wondering what the point to this illustration is, let me explain.
Life is perfect in its imperfection.
We will never make it more perfect than it already is.
Its an unrealistic, unachievable and unproductive idea.
In other words, its a bit silly.
It has a tenancy, to a degree, to make you feel like you’ve failed.
People don’t seem to like feeling they’ve failed, not sure why.
For me the only thing of value is that ive tried.
Winning and losing are figments of my imagination, just like trying.
But “trying” makes me feel good regardless of the outcome, unlike “losing”.
If goobie, or you, or anyone else can, in their opinion, help anyone, to any degree, for any given amount of time, isn’t that “winning”, or better yet, trying?
All this is temporary.
We will pass, along with our ideas.
All pain and suffering will pass.
All “feeling better” will pass.
Time and space will pass.
Try not to set your expectations too high.
We’re nothing more than a fleeting moment.
Enjoy it.
Wow. Thank you for posting this. It is actually relevant as we are all passing through this world, and we need to leave the world a little better every day. My little thing is to pack my metal utensils, so I don't have to use the plastic ones in the cafeteria!