ฝึกพูดภาษาอังกฤษด้วยเทคนิค Shadowing จากวิดีโอ: Leaders of Neurosurgery: Jacques Morcos, MD, FAANS, FACS interviewed by Gregory Zipfel, MD, FAANS

กำลังสร้างบทเรียน...
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Welcome to this very special event designed and sponsored by the AANS.
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These events are designed to be a 30 -minute interview with some of the most important neurosurgical luminaries in our field.
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Today's guest is Jacques -Jean Morkos.
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Today is April 24th, 2023.
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I'm Greg Zipfel.
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I'm the professor and chair of neurosurgery at Washington University in St. Louis.
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Today is a very special day for me to have this interview with Jacques, who I've known for well over a decade.
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I first met Jacques when he was an outgoing fellow at the University of Florida with Dr. Art Day,
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and I was an incoming intern at the University of Florida as a neurosurgical resident.
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Later, I worked directly for Dr. Morcos
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and Dr. Haros at the University of Miami
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when I proudly served as their cerebrovascular and skull base fellow from 2003 to 2004.
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I went there to polish my complex surgical skills, but I left there with so much more.
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I was provided amazing mentorship, learning much more than surgical anatomy and technique,
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and made lifelong friends with Dr. Haros and Dr. Morkos.
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Jacques has also played an outsized role in my career in organized neurosurgery.
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He really was the first to open doors for me in the joint cerebrovascular section, which was my first entree into organized neurosurgery.
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So Jacques has had an incredible impact on my career, all stemming from my one year as his fellow in 2003 and 2004.
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So thank you, Jacques, for being here with us.
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And it's an honor to speak with you today.
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Thank you, Greg.
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And I'm delighted to be sitting here with you and to carry on your story.
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You've made me so proud, not that I'm the reason behind your success, but it was very clear from your days as our fellow
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that you will be the superstar that you are today leading this spectacular department at WashU.
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Thank you, Jacques.
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That means a lot to me.
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So to continue the introduction, Jacques Morkos is the professor and co -chair at the University of Miami in the Department of Neurosurgery.
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He's the director of skull base, endoscopic, and cereavascular surgery there.
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He's also the division chief of the Cranial Service.
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He's the past chair or president of numerous organized neurosurgical organizations, including the CV section, the North American Skull Base Society,
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the Society of University Neurosurgeons, the World Association of Lebanese Neurosurgeons, and most recently served as vice president for the AANS.
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Outside of those titles and roles that Jacques has played, to me, he's the following.
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He's an exacting anatomist.
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He is an otherworldly technical neurosurgeon tackling some of the most difficult cranial surgical diseases that we face.
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He's an absolute dedicated educator and mentor.
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He's a national and international leader in neurosurgery.
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He's a humanist in the field of neurosurgery with an uncommon eloquence and ethics.
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And I really think he's become really our global ambassador of neurosurgery
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and a role that I know he embraces and something
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that we very much need from him as we are working to connect the entire world of neurosurgery.
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And he's a very big and important player in that field.
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So with that, you're not from the United States.
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You had kind of a circuitous journey to where you stand today.
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I thought we'd start with you explaining your journey to the United States and your journey to American neurosurgery Absolutely
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I was born in Latakia Syria, but my parents moved when I was four years old to Beirut Lebanon My mom is Lebanese.
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My father was Syrian and I grew up essentially in the middle of the Lebanese war
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That was from 1975 to 1990 My early influences regarding neurosurgery is Fouad Sami Haddad,
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who is one of the first neurosurgeons in the Middle East and who was larger than life figure, certainly in Lebanon,
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and was an enormous influence on me as I went through my medical school at the American University of Beirut.
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But clearly from those days, America, as we called it, the United States,
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was a dream for all of us young people who wanted to escape the tragedies of the war
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and carry on our education elsewhere.
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And that's what I tried to do as far back as 1984, when I went through what was then probably,
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I think, the second year of the MATCH program in neurosurgery.
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I think it started in 1983.
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I did not make it in 1984 when I tried to go through the match.
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Appropriately, I certainly did not compare at all with the quality of the wonderful US graduates.
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And then I decided to go to England, which is where I spent four years, from 86 to 1990.
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I tried again in 1989, the match program, and that year I was offered three positions outside the match,
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including Roberto Heros, who was then the chair at the University of Minnesota, and I jumped on it.
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So can you tell me, you mentioned a couple of people who really mentored you and influenced you earlier in your career.
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Can you tell me a little bit more about each of those and others that may have influenced your career early on?
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Yeah.
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So Fuad Haddad was the first one.
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An exacting polymath, I mean, just created the field of neurosurgery in Lebanon.
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We would rotate he'll be he'll come to round very early
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like 5 a .m on the dot just such such a
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revered figure that's what he was the first the second one
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I must thank for again as all of us go through we have people opening doors for us
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which is why mentorship is so important in my life on the receiving end and on the giving end as well.
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Alain Crocard in the UK, again spectacularly elegant surgeon,
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he took me as what they call over there his registrar for 10 months
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and just from
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that 10 -month experience he then opened the doors for me to the United States by writing to people
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when I applied for a second time
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and of course the biggest influence in my life in neurosurgery
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is unquestionably Roberto Heros who I've known now since 1989 who
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I've had the pleasure of interviewing I was in your seat
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interviewing him not too long ago as a here as a
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giant of neurosurgery really has become my my big brother having been my mentor, my teacher.
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Then the fellowships, you mentioned I had art day, art certainly, I'd only spent six months with art in Gainesville.
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I've learned many things from art.
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He's a superb educator, but he certainly taught me how to think, for example, of aneurysms in 3D,
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how you clip them and made me think properly about surgical technique, particularly for aneurysms.
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And then I spent my year with Robert Spetzler
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and Robert is of course spectacular technician and judgment and
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so I mean I can go on big
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but those are the formative mentors that I've had
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and again very important to mention that and
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if there are young people watching this mentorship does not stop
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with your fellowship I mean I've I've learned enormous amount from people well into my faculty years,
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Juha Hernes -Nami, Evandro Di Oliveira, Fred Gentile, and others.
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You keep picking things, not only technical things, but just the different ways of approaching our complex field.
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Maybe continuing on the discussion of mentorship, You know, I've always viewed you as a mentor, obviously, and a mentor to many,
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but really a dedicated educator,
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someone who spends a lot of time in your local roles running the skull base and through vascular program,
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running the cranial service, running the cadaver lab,
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and running your fellowship, but also nationally organizing and serving courses and the like.
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Tell me a little bit about what drives that passion for education and teaching the next generation.
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Yeah, it is one of the main sources of pleasure that I derive is to contribute to somebody's education.
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When I think back where that comes from, it's certain nobody's born with that desire to do it.
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I think those role models that I've mentioned, but particularly Roberto Heros, I mean,
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his style of teaching, and I think I'm emulating part of what he does, his dedication.
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I remember those 7 a .m rounds, almost a Socratic method of teaching, the way he coached, he coaches in surgery,
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very patient man, he would sit next to you and he'll watch you on the microscope and say, you know, I wouldn't do that, let me show you, then he'll show you,
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then he'll give you the seat back that's very uncommon perhaps I'm not as patient as he is
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but I certainly picked up I think that love of imparting whatever I think I have to to the other generation
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and to have you know whatever emails or letters or people coming to you in the conference say
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dr morcos oh you know this thing and thank you for i learned how this and this from that from you
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gives you pleasure sure sure uh if you look back uh you know on your career uh thus far uh
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maybe name a couple of things and that you really are proud of
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or things that you've contributed uh are there things
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that come to mind in
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that area yeah i mean on different levels probably in organized
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neurosurgery you mentioned the various roles I loved I mean thank
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you for using the word I think user was ambassador yeah
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I do think of myself an ambassador not for the title
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but for my ability to create bridges in this flat world of ours
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and I think this is the role
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that I cherish the most is learning from other parts of
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the world we cannot be we cannot be very US centric we should be open for two -way communication
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and collaboration and that's what I will certainly continue to do I'm very proud
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that yesterday I was elected present -elect of this spectacular organization
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and that probably will be the theme of my messaging in the year that I'm there is the importance of being global.
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Mentioning organized neurosurgery and congratulations on president -elect of the AANS
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and in all your past roles really has been inspirational for many of us who are in that space.
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What drove you to participate in organized neurosurgery?
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What's the impact of you and others being involved in organized neurosurgery
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and do you have suggestions or advice for young folks who might be interested in following
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that path yeah I don't know that everybody needs to do it
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but it's certainly been an immense pleasure personally in my life
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to see other people rise to emulate them we need to better our specialty
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and that is the way to do it it's not simply technical things
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or basic or clinical science research things by organized neurosurgery you discover things
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that you didn't know existed you discover the way to promote
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people who will benefit the field it's this is not politics
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it should not be should not be confused with trying to
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be a politician simply to add another title to your CV it's it's an opportunity to have an impact
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and I certainly the doors were open to me again by my mentors
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but primarily Roberto Harris
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so as a youngster who didn't deserve to be on any of those committees he would plug me
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and say you know this guy is great you need to start
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so I started my life in cerebrovascular like you did in joint section
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and you know and that's what I tried to do for people
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that I think have potential in impacting our field and as you well know from your own extensive
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experience organizing the surgery it just it enriches us personally
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and enriches the field
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if we put the right people in the right positions yeah I find it we all want to have impact
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and that impact can be different for different people with different skill sets
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and different kind of aspirations And some of that can be local
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and very individual to patients and families and things of that nature.
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And some of it can be broader impact.
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And it seems like organized neurosurgery for you is one of those areas looking for broader impact.
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Yes.
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Yes, indeed.
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I agree.
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Yeah.
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So we'll shift gears a bit.
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You're relatively new but very active on Twitter.
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I think we all enjoy the Morcos challenges and other kind of thought -provoking things that you put on social media.
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Why did you enter this space?
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And do you have any advice for those neurosurgeons
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that may be considering and may be a bit intimidated to enter that space?
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Oh, wow.
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No, I certainly don't consider myself as an expert.
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But the reason I entered the space is you have to thank the wretched pandemic of COVID
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that forced us to become virtual, as you know.
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It paralyzed travel and education.
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And so it was a very good way to reach people.
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I certainly had no intention to get into social media, but then COVID really.
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And then I saw what other people were doing and I said, wow, we can actually have an impact.
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We can teach, we can.
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And that's why I got into it.
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You know, it certainly was no attempt to advertise anything.
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And what I, as you just mentioned it, I think last July.
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I started when I've had kind of a reasonable amount of followers.
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I said, well, let's let's make it keep it interesting.
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So I started this work of challenge where, you know, I we put in a clinical case every day and get input again,
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not certainly not to show off anything.
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And actually we've we've shown several complications, but it's educate.
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It's just reaching out for everybody.
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So, Jacques, I've had the pleasure of getting to know you really well over a long period of time
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and your wonderful wife, Fiona.
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I know you have three kids, Isabella, John, and Christina, and you're very proud and close to them.
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You're also a very high volume surgeon in a complex field with a lot of other local and national and international responsibilities.
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So maybe you could talk a little bit about how you make all that work
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and any advice for younger folks as it relates to work -life harmony yeah there certainly is no single formula that works
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and i think each one of us should figure out what
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works for them in their specific circumstances um one thing
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that again i'm i'm certain and
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if fiona was here probably he certainly would say he's not perfect
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and i i clearly i'm not
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but what one thing i do is i don't bring work
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home what do I mean it doesn't mean I don't do neurosurgical work at home
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but when I come home I don't usually talk about the day
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because that precious time that I have with
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that with my family in the evening certainly
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when they were young now they're all out of the home
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but it's Fiona and I only
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but even from you know the earlier years there's no neurosurgery
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talk Fiona is a nurse I could have easily discussed with
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her my day that's the last thing on my mind to do
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when I got home and certainly not with the kids and
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so and and you know weekends as well of course
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when the kids were growing up trying to be involved in all their activities
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but I did travel as I continue to travel quite a bit
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but that's kind of unavoidable if you are in organized neurosurgery you are in global education.
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We will be out of the house for quite a while, and I don't know how to change that in retrospect.
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Tell us about your hobbies.
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You have a lot of things that you like to do.
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I know about skiing and cycling, math and traveling.
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Maybe expound on that a little bit, and are there any particular synergies or any kind of things
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that you see connect with your professional neurosurgical life well you've mentioned the things
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that probably I barely have time to do outside my my
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professional life yeah I love my peloton at home I cycle more on my peloton than I cycle outside
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but that's maybe I should change that
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but I love the skiing yeah I do read I love to read you know various things
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but I'm still probably a partial geek inside I've always loved math
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and physics and probably
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if I hadn't gone into medicine neurosurgery I just love the purity of of those disciplines not
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that I can keep up with what's going on
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but just seeing the beauty of those things I like to read about them
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and still to this day
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when it relaxes me I have no idea why I'm certainly
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not a professional in those fields it just it gives me perhaps this
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window into a certain beauty of of nature and of the human mind
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and the human creativity it's a nice change from neurosurgery
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but you did talk about synergy people might think well nothing
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do with each other also no no this exactness the way
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math makes you think about a problem it applies very much
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to what we do I probably drive my residents crazy talking about geometry and how it applies to surgery you know
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simple things like the keyhole concept and the angle and the cone
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and why do you open the Dura in a certain way you know lots of math in there not advanced math, but lots of good math.
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Yeah, I'm glad you brought that up.
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If you didn't, I was going to.
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That was the synergy that I identified was your love of math
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and exacting science and the way you approach anatomy where it's precise.
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And I think that really impacts your teaching, the outcomes that you have.
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But I saw that synergy a little bit, so I'm glad you brought that up.
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You're an avid reader.
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You mentioned that.
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Anything You recently read that it has impacted you that you might want to share?
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I read it a while back, but it impacted me quite a bit, the book Flow, F -L -O -W,
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written by Mihaly with an unpronounceable last name.
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He's a Hungarian psychologist, one of those names with full of consonants.
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I'm sure somebody will need to teach me how to pronounce it, but I call him Mihaly.
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I actually give
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that book to many of our my interested residents very briefly
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he talked about he's actually did survey among happy professionals
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and figured out what makes what creates happiness in the life of professionals
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and I'm not gonna go through the whole thing
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but there are nine factors and as I read this thing
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and I said gee I understand why I'm a happy guy
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because I am I'm a happy guy
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and he got it beautifully I mean he figured it out
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so I that's a book that stands out
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if you've heard some of my talks I often put in
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that book in some aspect of the talk if it's relevant yeah All right.
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Well, thanks for sharing that.
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Just a couple more questions here as we close.
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You've kind of, I think, begun to enter a more senior stage of your career.
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And one of you have thoughts about that stage that you're in and what the future may hold.
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And then in particular, do you have thoughts for younger neurosurgeons, you know, about, you know, thinking intentionally about this is the early stage of my career
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and now I'm an established and what are the opportunities and priorities at that stage?
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And now I'm entering a senior, you know, and beyond a stage and maybe tailoring your professional and maybe personal activities related to that.
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Have you thought about stages of career, where you are now and things of
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that nature? yeah actually i have not you would think
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that somebody like me who's very deliberate and precise
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and is mathematically minded would have charted early on how i'm gonna do things
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and i so i'm probably useless at teaching people that
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because i didn't do it myself i i went with the flow in
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that sense i did i certainly never planned well i'm gonna enter this section and from this section Maybe I'll be this.
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It may look like my life has been premeditated, professionally I mean, but it actually hasn't at all.
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Again, I've had the good fortune of having good mentors.
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So I, no, I don't, I don't, I don't have a specific plan.
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I certainly, yes, I am senior, happy to be senior, but still with deep passion for what I do and health permitting,
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I certainly plan to practice beyond 10 years from today.
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And we'll see if that will be possible.
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But you did bring up a very important point, is at some point in all of our lives as educators
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and neurosurgeons you will get the feeling well it's not about me anymore it's about
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raising other people the younger faculty and i've certainly arrived at
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that stage a while back now
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so that's what i intend to do during my remaining years besides the remaining very active surgically
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and on the international scene is help elevate other people.
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That's great.
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Maybe we can go back to the flow just for a little bit.
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And this may or may not be related, but I think it might.
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One thing I was struck by,
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and I speak highly of you in terms of a surgical quality outside of technical prowess and deep understanding of anatomy,
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me, but it's this equanimitas that you have throughout the day,
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especially in the evenings for longer complicated cases and when complications occur and things of that nature.
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I just was always struck by how you were able to keep calm
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and kind of continue to go about your business in an unhurried and respectful and effective way.
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Any thoughts about where that comes from or is that just natural or did you learn that from someone? Where did
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that come from there is not most of what we become
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is is not nothing we're born with I don't think I mean you know beyond the obvious genetic things
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that are the traits
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that you're recognizing people it it probably goes back to the
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war in Lebanon to be honest I lived in it 11 years it lasted 15 I lived 11 then went to England.
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And we lived every day as if we were going to die today.
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A bullet might hit you, a bomb might fall in.
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and you develop a thick skin if you're still alive you develop a thick skin
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and then you develop this sense that well if that i mean
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if i survive today well everything else will be
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so much less threatening
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so this is probably what makes me sail through i mean i make it sound very simple it's not
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but sail through what we consider our daunting tasks in neurosurgery
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I very often in my mind I'm in the middle of something
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and I think of the really terrible days of the Lebanese war
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and I say well this is nothing compared to what I lived through or lived through before
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it probably comes from there you reminded me of something too
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what I think about I used to think about is for example
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when my kids were young i would be in a tough
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part of a case i i might think of lebanum i
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might think well whatever's gonna happen at the end of today i'm gonna go home
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and christina or isabella or john
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but usually it's christina is the youngest she's gonna run to me
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and she's gonna say hey so those things that keep you going you know yeah that makes sense that's Great.
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Let me come back to Global Ambassador of Neurosurgery, which I really like that title, whether you accept it or not, but I like it, and I think it embodies who you are, especially at this stage.
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You mentioned it a little bit earlier, but maybe you could expound upon it a bit more.
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Why is that important?
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I know the WNS is leaning on you and others, but you especially, to make this push towards connectedness across the world.
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Why is that important?
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Do you think that's particularly important this in this era
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that we're living through right now in history and
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so forth unquestionably i just finished i'm finishing this week my one -year assignment by ann stroink
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of being the director of global strategy
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and i had a very nice committee of eight people to work with
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and we drafted it was approved by the wans board in
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november we drafted our suggested vision for what the AANS should do globally.
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It was, we never had, the AANS never really had an articulated vision.
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We certainly had lots of international initiatives.
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But this document we put together, I think, embodies what the AANS is all about.
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And, of course, you mentioned why do that.
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Again, the world is flat and we cannot live into our silo, even though our silo is pretty huge,
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AANS, North American Neurosurgery, the silo should not exist and there should be no borders to education,
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to mentorship and so many other things and by reaching out and learning and teaching,
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it's not just a one -way teaching of the rest of the world, we just enrich, going back to a theme we talked about earlier.
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It enriches us personally as neurosurgeons and human beings and it benefits the world.
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I mean, just think of what our less fortunate colleagues,
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neurosurgeons in some very underserved areas in Africa,
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I mean, what they would get from an open -door policy to what we in the AANS have to offer.
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Just one of many examples.
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Or the time is coming to a close
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and we've covered a lot of topics and and
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and heard a lot of your background and insights and how you contributed to to the field.
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Anything we haven't covered that you'd like to mention or just encouraging people who love neurosurgery,
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who know what they can bring to the field to get involved in organized neurosurgery are many ways to do it,
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committees, task forces.
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We all have individual gifts, talents, expertise, and please join.
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Don't live in your own silo.
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You will be surprised what you can bring as a gift of your own self to the rest of the field.
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But it does require
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that you have passion in your heart to be able to
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do it effectively don't do it just to do it do it if it gives you pleasure
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otherwise you will not be happy well jock thank you
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so much for spending the time with us today thank you for the impact
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that you've had on my career uh the impact you've had on through vascular
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and skull base surgery i think you're really a beacon for
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all of us to look up to thank you for your leadership within organized neurosurgery a platform
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that i think you've used to better the field and better the care of our patients.
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And thank you for your role as the global ambassador to neurosurgery.
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I can't think of anybody else who does it better.
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So it's been a pleasure speaking with you today and really hope
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that we have more opportunities to share and converse in the years to come.
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So thank you.
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Thank you so much, Greg, for doing this.
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Thank you.

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คำที่ควรเรียนรู้ 15 คำจากวิดีโอ พร้อมคำอ่านและความหมาย:

คำศัพท์คำอ่านความหมาย
mathematics คำนาม/mæθ(.ə)ˈmæt.ɪks/คณิตศาสตร์
ambassador คำนาม/æmˈbæs.ə.dɚ/เอกอัครราชทูต
anatomy คำนาม/əˈnætəmi/กายวิภาคศาสตร์
technique คำนาม/tɛkˈniːk/เทคนิค, กลเม็ด
thick คำคุณศัพท์/θɪk/หนา
discover คำกริยา/dɪˈskʌvə/ค้นพบ
connect คำกริยา/kəˈnɛkt/เชื่อม, ต่อ
faculty คำนาม/ˈfæk.əl.ti/คณะ
enormous คำคุณศัพท์/ɪˈnɔː.məs/มหึมา
precise คำคุณศัพท์/pɹɪˈsaɪs/แม่นยำ
ski คำนาม/skiː/สกี
surgeon คำนาม/ˈsɝd͡ʒən/ศัลยแพทย์
elect คำกริยา/ɪˈlɛkt/เลือกตั้ง
sail คำนาม/seɪl/ใบเรือ, ใบ
topic คำนาม/ˈtɑpɪk/หัวข้อ, กระทู้

กริยาวลีที่คุณจะได้ยิน

คำศัพท์ความหมาย
bring up คำกริยาเลี้ยงดู, ฟูมฟัก
pick up คำกริยายก, หยิบ

ไวยากรณ์ในวิดีโอนี้

โครงสร้างที่ผู้พูดใช้บ่อยที่สุด พร้อมคำพูดจริงจากวิดีโอ:

โครงสร้างในวิดีโอ
“used to” used to + กริยา — นิสัยหรือสภาพในอดีตที่ตอนนี้ไม่เป็นแล้วused to think · used to better
Present perfect have/has + กริยาช่อง 3 — เหตุการณ์ในอดีตที่ยังเกี่ยวข้องกับปัจจุบันI've known · has also played · You've made
Passive voice be + กริยาช่อง 3 — เน้นสิ่งที่เกิดขึ้น ไม่ใช่ผู้กระทำare designed · was provided · was born
Relative clauses who / which + อนุประโยค — ข้อมูลเพิ่มเติมเกี่ยวกับคนหรือสิ่งของsection, which was · people who wanted · England, which is

การออกเสียงที่ควรระวัง

ผู้พูดใช้รูปย่อและรูปลดเสียง 104 ครั้ง เช่น I'm, I've, don't ให้พูดแบบสั้นตามที่ได้ยิน

  • เสียง “th”: mathematics /mæθ(.ə)ˈmæt.ɪks/, thick /θɪk/, ethics /ˈɛθ.ɪks/, threaten /ˈθɹɛt.n̩/
  • เสียง “sh” และ “zh”: passion /ˈpæʃən/, fellowship /ˈfɛl.ə.ʃɪp/, essentially /ɪˈsɛnʃəli/, congratulations /kənˌɡɹæt͡ʃəˈleɪʃ(ə)nz/, initiative /ɪˈnɪʃ.ə.tɪv/
  • คำยาว — ลงเสียงหนักให้ถูกพยางค์: mathematics /mæθ(.ə)ˈmæt.ɪks/, ambassador /æmˈbæs.ə.dɚ/, educator /ˈɛd͡ʒəkeɪtɚ/, spectacular /spɛkˈtæk.jə.lɚ/, anatomy /əˈnætəmi/

วิธีฝึกกับวิดีโอนี้

  1. ฟังวิดีโอให้จบหนึ่งรอบโดยยังไม่ต้องพูด แล้วจดคำที่ยังไม่รู้จัก
  2. เริ่มที่ความเร็ว 0.75× พูดตามทีละประโยค แล้วกลับไปใช้ความเร็วปกติเมื่อเริ่มคล่อง
  3. อัดเสียงตัวเองแล้วเทียบกับต้นฉบับ โดยสังเกตคำอย่าง mathematics, ambassador, anatomy เป็นพิเศษ

เทคนิค Shadowing คืออะไร?

Shadowing เป็นเทคนิคการเรียนรู้ภาษาที่ได้รับการรับรองทางวิทยาศาสตร์ พัฒนาขึ้นสำหรับการฝึกนักแปลมืออาชีพ วิธีการนี้เรียบง่ายแต่ทรงพลัง: คุณฟังเสียงภาษาอังกฤษจากเจ้าของภาษาและพูดตามทันที — เหมือนเงาที่ตามผู้พูดด้วยช่วงเวลาห่าง 1-2 วินาที การวิจัยแสดงว่าเทคนิคนี้ปรับปรุงความแม่นยำในการออกเสียง ทำนองเสียง จังหวะ การเชื่อมเสียง การฟังเข้าใจ และความคล่องแคล่วในการพูดได้อย่างมีนัยสำคัญ

เทคนิค shadowing: อ่านคู่มือฉบับเต็มทีละขั้นตอน →