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The biography show where famous guests pick someone from history they admire or they love. Our only rule is they must be dead. Today neurosurgeon Dr Henry Marsh chooses “the saviour of mothers” Dr Ignaz Semmelweis The Hungarian doctor discovered the link between childbirth and puerperal fever in 19th century Vienna but he was ridiculed, ignored and demoted as his discovery challenged the medical orthodoxy. Post-mortems at the time were carried out by doctors before they practised on wards, with no hygiene step between the two. Semmelweis recommended handwashing for doctors, and gathered statistics to prove his theory.Despite the evidence, the medical establishment was resistant to change and Semmelweis became increasingly traumatised, frustrated and angry. In his final months, he seems to have also developed an organic brain disorder which led to his friends and wife having him restrained and sectioned in a mental asylum where he subsequently died from injuries. Nominator Dr Henry Marsh is the author of Do No Harm: Stories of Life, Death and Brain Surgery. With the playwright Stephen Brown who cowrote Dr Semmelweis with Sir Mark Rylance. Presented by Matthew Parris and produced for BBC Studios Audio by Ellie Richold
When famed British neurosurgeon Henry Marsh was diagnosed with advanced prostate cancer, he was forced to confront aging and his own mortality. Marsh reflects on both in his book, And, finally: Matters of Life and Death.
Renowned neurosurgeon Dr. Henry Marsh joins us to discuss the profound journey of reflection triggered by his own battle with cancer and how his understanding of the institution he worked within shaped his experience as a patient.How does the knowledge of our mortality influence the way we lead, the choices we make, and the legacy we leave behind? Death is often treated as a taboo subject, but should we instead feel empowered by having discussions about it for the good of ourselves, patients and society as a whole? Join us as Matthew and Henry navigate this essential conversation, uncovering the transformative power of facing mortality head-on, and how acknowledging the inevitability of death can shape our priorities, ambitions, and the impact we have on the world.Dr. Henry Marsh's book 'And Finally... A Neurosurgeon's Reflections on Life' is available on Vintage Books: https://www.penguin.co.uk/books/438603/and-finally-by-marsh-henry/9781784709365For updates from Matthew, visit: https://twitter.com/ConfedMatthewFor more information on The Forward Institute, visit: https://www.forward.institute/podcasthttps://www.linkedin.com/company/forward-institutehttps://twitter.com/ForwardInstA Tempo & Talker Productionhttps://www.tempotalker.com/ Hosted on Acast. See acast.com/privacy for more information.
Andrew Copson explores the life and work of eminent neurosurgeon and writer Henry Marsh who reflects on living with advanced prostate cancer and the motivations behind his world-renowned career. From his unconventional route into medicine, to his experiences as both doctor and patient, it's a thought-provoking discussion about the complexities of healthcare and the role of assisted dying in modern society. Henry Marsh addressing parliament on assisted dying in 2022: https://humanists.uk/2022/05/25/dr-henry-marsh-addresses-parliamentary-humanists-on-assisted-dying/ Henry Marsh calling for an assisted dying parliamentary inquiry in 2021: https://www.youtube.com/watch?v=9arXH8D1tbo What I Believe was the title of two separate essays by the philosopher Bertrand Russell and the philosopher EM Forster in the early 20th century. These two humanists set out their approach to life, their fundamental worldview, in a way that was accessible to all. In this podcast, Chief Executive of Humanists UK, Andrew Copson, speaks to humanists today to understand more about what they believe, to understand more about the values, convictions, and opinions they live by. Humanists UK is the national charity working on behalf of non religious people to advance free thinking and promote a tolerant society. If you'd like to support the podcast or find out more about the humanist approach to life or the work that we do, please visit humanists.uk. If you like what you see, please consider joining as a member: https://humanists.uk/ You can follow Humanists UK on Twitter (X), Facebook, Instagram, and TikTok – and please remember to leave a 5 star review! What I Believe is produced by Sophie Castle.
With football kickoff one week from Saturday, Dave and Blaine visit via Zoom with guest Dennis Pitta. Dennis is a Super Bowl Champion and member of the BYU Athletic Hall of Fame. He set the standard at tight end for a program that has had a number of outstanding tight ends. It is our pleasure to welcome the former walk-on and eventual consensus All-American, Dennis Pitta back to the show.In addition, this week we have the pleasure of having the remarkable Henry Marsh in studio. Henry is one of the most decorated athletes in the history of BYU. Although BYU's Kenneth Rooks is the reigning U.S. national champion in the steeplechase, Henry is a 9-time U.S. national champion, 5-time BYU all-American and was ranked the No. 1 steeplechase runner in the world in 1981, 1982 and 1985. It is our pleasure to welcome Henry Marsh in studio. Hosted on Acast. See acast.com/privacy for more information.
Famed British neurosurgeon and author Dr. Henry Marsh thought he was well-versed in human illness. That is until he was diagnosed with advanced prostate cancer and was forced to see things from the patient's point of view.
In this episode neurosurgeon and best-selling author Henry Marsh takes a critical look back on his life. While as a surgeon, he mainly remembers the failures that fill up his very own graveyard, Henry always strived to learn from his mistakes. Now, being diagnosed with prostate cancer, Henry himself may only have a limited time to live. He came to accept his fate, stopped being driven by ambition and has learned to live in the present. Join Carl on this truly extraordinary conversation, that will take you from the operating table to the war in Ukraine and into the mind of a doctor, who had all the reasons to become cynical, but instead cultivated a humorous and deeply human outlook on life.
In this episode neurosurgeon and best-selling author Henry Marsh takes a critical look back on his life. While as a surgeon, he mainly remembers the failures that fill up his very own graveyard, Henry always strived to learn from his mistakes. Now, being diagnosed with prostate cancer, Henry himself may only have a limited time to live. He came to accept his fate, stopped being driven by ambition and has learned to live in the present. Join Carl on this truly extraordinary conversation, that will take you from the operating table to the war in Ukraine and into the mind of a doctor, who had all the reasons to become cynical, but instead cultivated a humorous and deeply human outlook on life.
In this episode neurosurgeon and best-selling author Henry Marsh takes a critical look back on his life. While as a surgeon, he mainly remembers the failures that fill up his very own graveyard, Henry always strived to learn from his mistakes. Now, being diagnosed with prostate cancer, Henry himself may only have a limited time to live. He came to accept his fate, stopped being driven by ambition and has learned to live in the present. Join Carl on this truly extraordinary conversation, that will take you from the operating table to the war in Ukraine and into the mind of a doctor, who had all the reasons to become cynical, but instead cultivated a humorous and deeply human outlook on life.
Henry Marsh - English neurosurgeon, and pioneer of neurosurgical advances, has a strong professional connection to Ukraine, and visited the country after the war began. Russian propaganda would have us believe that the war in Ukraine is just an extended civil war, driven by a popular insurgency. But this seems far from the truth – a gross distortion of reality. Ukraine is fighting for its very existence, against an enemy that repeatedly claims it is not a real country, but a tool of Western foreign policy wielded by countries that are inherently Russo-phobic. But is the reality much simpler? Could this in fact be the least morally unambiguous war since WWII – a clear-cut case of autocracy versus democracy? Marsh is an English neurosurgeon, and a pioneer of neurosurgical advances, and has a strong professional connection to Ukraine. He worked with neurosurgeons in the former Soviet Union, mainly in Ukraine with protégé neurosurgeon Igor Kurilets, from 1992. His work there was the subject of the BBC Storyville film The English Surgeon from 2007. His widely acclaimed memoir Do No Harm: Stories of Life, Death and Brain Surgery was published in 2014. According to The Economist, this memoir is "so elegantly written it is little wonder some say that in Mr Marsh neurosurgery has found its Boswell." His second memoir Admissions: A life in brain surgery was published in 2017. His most recent book was published in 2022 to critical acclaim and explores his bewildering transition from doctor to patient.
Early on in today's episode, NPR's Scott Simon asks Dr. Henry Marsh a question – how could a medical professional miss the signs that they themselves are ill? Marsh, the neurosurgeon behind the new book, And Finally, answers quite simply. He tells Simon that it's common for doctors to feel consciously detached from what it's like to be on the other side of the examination table and, on a more subconscious level, to be in denial about their own ailments. That's what happened to him with his advanced prostate cancer diagnosis – and he explains it's not easy to go from surgeon to patient.
'Anoxia' es la nueva novela de Miguel Ángel Hernández, la neurocirugía de Henry Marsh y terminamos conociendo el rodaje de un gran documental de Pablo Picasso. Siguenos en Twitter (@ElOjoCriticoRNE) e Instagram (@ojocritico_rne) Escuchar audio
Nos ha insistido Miguel Ángel Delgado en que debemos leer a Henry Marsh, uno de los científicos cercanos a Dios por operar con nuestra consciencia: el cerebro. Escuchar audio
After working as a neurosurgeon for over 40 years, Dr. Henry Marsh was diagnosed with advanced prostate cancer. The cancer led him to reflect on doctor/patient relationships, his own mortality, and why he'd consider the possibility of hastening the end through medically-assisted death. His new book is And Finally.Also, we'll hear from actor Lizzy Caplan. In the series Fleishman Is in Trouble, she plays a character who's having questions about her marriage, motherhood, and what happened to her youth and potential. And David Bianculli will review the new series Shrinking, starring Harrison Ford and Jason Segel.
After working as a neurosurgeon for over 40 years, Dr. Henry Marsh was diagnosed with advanced prostate cancer. The cancer led him to reflect on doctor/patient relationships, his own mortality, and why he'd consider the possibility of hastening the end through medically-assisted death. His new book is And Finally.Also, we'll hear from actor Lizzy Caplan. In the series Fleishman Is in Trouble, she plays a character who's having questions about her marriage, motherhood, and what happened to her youth and potential. And David Bianculli will review the new series Shrinking, starring Harrison Ford and Jason Segel.
Neurosurgeon Dr. Henry Marsh describes how his own cancer diagnoses led him to reflect on the doctor-patient relationship, his own mortality and medically-assisted death. He'll talk about his memoir, And Finally, and about his trips to Ukraine performing surgery and working to improve the country's medical system.
Neurosurgeon Dr. Henry Marsh describes how his own cancer diagnoses led him to reflect on the doctor-patient relationship, his own mortality and medically-assisted death. He'll talk about his memoir, And Finally, and about his trips to Ukraine performing surgery and working to improve the country's medical system.
The US has spent billions and billions so far in Ukraine, but future government spending is all up in the air right now – not just over Ukraine, but also at home, as America has now reached its debt limit and risks a potentially catastrophic default. Social security payments, veteran's pensions, and more are all at risk. Treasury Secretary Janet Yellen says “extraordinary measures” are now in use to delay default, and she's calling on lawmakers to “act promptly” to protect the full faith and credit of the United States. Yellen met this week with China's vice premier in Zurich, before traveling to Africa, where she is hoping to expand US trade there. Christiane speaks with Yellen about all of this in an exclusive interview. Also on today's show: Dr. Henry Marsh, Author, And Finally; Karen Bass, Los Angeles Mayor; Jacinda Ardern, New Zealand Prime Minister (archived interview). To learn more about how CNN protects listener privacy, visit cnn.com/privacy
As Britain's NHS turns 75, author Henry Marsh, who worked as a surgeon and is now a cancer patient of the National Health Service, discusses his book "And Finally" which looks back at changes in the NHS over 40 years and the role reversal of being a patient in the service. Marsh was one of Britain's foremost neurosurgeons and his conversation roams from operating room tales to philosophy to the very different experience of being on the other side of the consultant's desk. Give us 39:50 to tell you all about the difference between being an NHS surgeon and an NHS patient.
On today's show Ray is joined by renowned neurosurgeon, Prof Henry Marsh about the trilogy of his books called "And Finally” and Ray chats to Caitlin Roche about her new found Fomula One family and how she ended up in CNBC documentary The Shift!
Today's episode is all about what happens when things go wrong in the salivary glands, and what to do about it! As Dr. Ben Hechler explains, there are two categories of salivary gland disease (infectious and tumor masses), and retrograde tracking of bacteria is overwhelmingly the most common cause. You will hear about the different factors that lead to the retrograde tracking of bacteria, other factors that result in salivary gland disease, the typical symptoms that a patient with a salivary gland infection will present with, and the ways to diagnose and treat that infection. Ben also talks about the types of tumors that are most often found in the salivary glands, why it is easier to diagnose a tumor in the minor salivary glands (of which there are hundreds) than in the major carotid and submandibular glands, and how to deal with trauma to the salivary glands.Key Points From This Episode:Our three major salivary glands.The two broad categories of salivary gland disease.Symptoms that a patient with salivary gland disease will typically present with. The first steps that you should take if you suspect a patient may have salivary gland disease.Types of imaging that Ben suggests using to assess the situation.Different causes of salivary infections in the submandibular gland and the carotid gland. How to treat salivary gland infections.Some of the systemic diseases that affect the salivary glands. An explanation of what psilosis is (and what causes it).The most common types of tumors found in the salivary glands.The challenge of diagnosing tumors in the major salivary glands. Why Ben always advocates for complete transparency with patients. Ben's approach when biopsy and MRI results don't match up. The indications for considering neck dissections for salivary gland tumors.Advice for dealing with trauma to the salivary glands. How to diagnose and treat a ranula. Problems that can occur in the accessory parotid gland.Links Mentioned in Today's Episode:Dr. Ben Hechler on LinkedIn — https://www.linkedin.com/in/ben-hechler/ Understanding Consciousness by Max Velmans — https://www.amazon.com/Understanding-Consciousness-Max-Velmans/Do No Harm by Henry Marsh — https://bookshop.org/p/books/do-no-harm-stories-of-life-death-and-brain-surgery-henry-marsThe Watcher — https://www.imdb.com/title/tt14852808/ Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.linkedin.com/in/david-hirsch-126210bb/Everyday Oral Surgery on LinkedIn — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059
Sofia Chelyak joins us to preview this weekend's Lviv International Book Forum, in which guests including Margaret Atwood and Henry Marsh will join Ukrainian writers and thinkers in an online extravaganza; plus highlights of our live podcast on narrative arcs in fiction, history and politics and how to support a literary fundraiser for those affected by floods in Pakistan.Lviv International BookForum, 7-9 October 2022https://airauctioneer.com/books-for-pakistanProduced by Charlotte Pardy Hosted on Acast. See acast.com/privacy for more information.
Today on Everyday Oral Surgery we welcome Dr. Eric Holmgren, an oral and maxillofacial surgeon with a rich background in both academia and private practice. Tune in today to hear the story of how his diverse career trajectory has taken shape and how his experience in different environments has strengthened what he brings to the table. Learn how Dr. Holmgren has chosen to challenge himself and what he experienced as a sideline doctor, doing mission work, and as a parent. Find out how Dr. Holmgren's commitment to growth has informed his career path, why he recommends that others do the same, and how his life philosophy centered on helping others has informed his work as an oral and maxillofacial surgeon in private and academic practice. Thanks for tuning in!Key Points From This Episode:Meet today's guest, Dr. Eric Holmgren, an oral and maxillofacial surgeon based in New England.A brief history of Dr. Holmgren's diverse background leading up to his role at Dartmouth.The perceived income disparity between private practice and academics.What it was like to transition between private practice and academia.How the UCSF Fresno program helped the process of transitioning to more complex work.Why Dr. Holmgren introduced high volume exodontia. Bringing a private practice perspective to work in the academic field.What Dr. Holmgren gained by forcibly putting himself into challenging situations.His involvement in sports medicine and acting as a sideline doctor.Why you shouldn't let not having a medical degree stop you from becoming a sideline doctor.The mission work he has done to bolster his growth, taking his cues from Dr. Henry Marsh.Why Dr. Holmgren believes that everyone should completely change what they are doing from time to time.How exercising and training have enhanced his skills as a surgeon.What he has learned from parenting: more is caught than taught.Why he recommends Bill Bryson so highly as an author.Books by Dr. Henry Marsh that Dr. Holmgren highly recommends.Which forceps he prefers to use.Another quote by Henry Marsh: “What are we if we can't help people?”Links Mentioned in Today's Episode:Dr. Eric Holmgren on Email — Dr. Eric Holmgren on LinkedIn — https://www.linkedin.com/in/eric-holmgren-501b18187/UCSF Fresno — https://www.fresno.ucsf.edu/In a Sunburned Country — https://www.amazon.com/Sunburned-Country-Bill-Bryson/dp/0767903862Do No Harm — https://www.amazon.com/Do-No-Harm-Stories-Surgery/dp/125009013XAdmissions — https://www.amazon.com/Admissions-Life-as-Brain-Surgeon/dp/1250127262Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.linkedin.com/in/david-hirsch-126210bb/Everyday Oral Surgery on LinkedIn — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059
Autumn is the time for literary festivals, including the mighty 10-day Cheltenham Literature Festival, London's South Bank, the small but beautifully formed Cliveden and many more including Bridport, Petworth, Stratford, Henley, Harrogate, North Cornwall, Braemar and more. But this week we're going to war-torn Ukraine to feature the Lviv Book Forum, in collaboration with Hay Festival, which runs in a bomb shelter between 6th and 9th October. We talk to the courageous and undaunted Programme Director, Sofiya Chelyak, and to the human rights KC, Philippe Sands, celebrated author of East West Street, The Ratline and a new book The Last Colony. Philippe will be attending the extraordinary festival alongside Henry Marsh, Misha Glenny, Margaret Atwood, Yuval Noah Harari, Elif Shafak and Margaret MacMillan. It's actually the 29th edition of the Lviv Book Forum, Ukraine's biggest literary festival, but given the war it's had to be shrunk and with Hay's support, it's defiantly going ahead with just 40 writers. As its digital partner for the first time, Hay will broadcast the conversations free in English, Ukrainian, and Spanish. Sofiya describes the festival as running ‘in defiance of the evil that seeks to squash their freedom,' and so we applaud and admire its efforts to keep these vital conversations alive and deepen our understanding of this little-known, vast and complex country.
Neurosurgeon and author, Mr Henry Marsh, pioneer of the awake craniotomy, a brain surgery performed while the patient is still awake, discusses the ethical dilemmas and realities of the surgeon's role. And he explains why he thinks doctors need a certain level of self-deception and exaggerated self-belief. But after decades of treating patients, frequently for dangerous and life-threatening conditions, it was a huge shock as Henry describes in his latest book, And Finally, when he found himself diagnosed with prostate cancer, which was treatable but not curable. So just how does a doctor cope when he becomes the patient? You can sign up to the podcast mailing list and be first to know when a new episode is published at whatyourgpdoesnttellyou.com and also find out more about the pod there. The host of the podcast, Liz Tucker is an award winning medical journalist and former BBC producer and director. You can follow Liz on Twitter at @lizctucker and read her Substack newsletter about the podcast at liztucker.substack.com If you would like to support this podcast you can do so at patreon.com/whatyourgpdoesnttellyou or via PayPal at whatyourgpdoesnttellyou.com
Henry Marsh is a Scottish poet who divides his time writing about the natural world and Scotland's troubled history. In the past, he's written about Mary Queen of Scots, John Knox and the Covenanters. In his latest collection, Under Winter Skies (Birlinn), Marsh focuses on James Graham, the first Marquess of Montrose, a brilliant soldier and poet who changed sides during the War of the Three Kingdoms. Marsh explains why he wanted to write an entire collection about this tragic figure in the SPL's latest podcast.
Henry Marsh is the world's best-known neurosurgeon who has spent the last forty years doing some of the most technical and delicate operations in the world on the brain. Rachel and Alice sit down with Henry to discuss his story of saving lives under intense pressure from Nepal to Ukraine as well as in the UK. And how he is now navigating his own journey of living with cancer after witnessing a vast amount of dying and death, grief and bereavement in his career.MUCH LOVED: www.muchloved.comThe National Brain Appeal: www.nationalbrainappeal.orgDEC: www.dec.org.uk This podcast has been produced in association with Speakers for Schools: www.speakersforschools.org Producers: Anya Pearce and Lucy Dichmont Series producer: Ben Mitchell Hosted on Acast. See acast.com/privacy for more information.
This week Vicky goes solo and runs her mouth off about how traditional publishers need to BLOODY DO BETTER. She got a message after the last episode, and that message inspired this little rant about a bunch of problems that traditional publishing needs to fix. Tune in and find out why independent publishing is so crucial for writers and readers, and what needs to change in the industry. Key Takeaways: [0:55] Joe is gone off to Germany and Vicky is fighting with sheep. [2:45] Vicky is back with a follow-up episode to her last week's podcast episode. Vanity publishing! [3:30] How diverse are these big publishers' editors? [4:40] Including a ‘token' character in your book because you think it ought to be there, is a problem. [6:00] How do you write an authentic character? [7:55] Most people want to read books from other diverse people, not just from rich white people! [9:25] Don't wait to be given permission. [10:50] Want to know what a book coach does? That's Vicky's next episode! Mentioned in This Episode: Website Creative Book Coaching Join Vicky's Power Hour April Content Calendar Subscribe on iTunes, Stitcher, and Overcast Email Vicky about 1:1 coaching at: vicky@moxiebooks.co.uk Murder on the Orient Express by Agatha Christie Do No Harm Book by Henry Marsh
Doctors in Montreal are making training videos for physicians in Ukraine, to guide them through specialized procedures as the war pushes their health-care system into crisis. We talk to Dr. Natalie Roberts, an emergency doctor with Médecins Sans Frontières; Dr. Tarek Razek, co-director of the Centre for Global Surgery at McGill University in Montreal; and Dr. Henry Marsh, a neurosurgeon in London who has worked with and trained doctors in Ukraine.
Autonomy, dignity and compassion. We wish to experience these things in our lives, so why shouldn't we experience them in our deaths? That's the argument made by those who support a change in the law to legalise assisted dying in the UK. People who are suffering intractably, they claim, but who are too ill to self-administer life-ending medication should have the right to be helped to end their lives. This would give choice and control to people with a terminal illness, marking a change from the current situation in which they must either take their own lives while they still have the capacity to do so, or continue to live in the knowledge that they are likely to become trapped in a state of intolerable suffering, which they cannot be helped out of. Of course we need to be aware of the so-called ‘slippery slope' argument, which holds that a change in the law would lead to a situation where it becomes acceptable to kill people who do not wish to die. But with proper safeguards in place, claim its supporters, legalised assisted dying would be the hallmark of a civilised society. Quite the reverse, argue those who would keep the law unchanged. Assisted suicide is not the private act of an individual, they say, but one that involves relatives, friends, healthcare staff and society at large. The ‘right to die', they insist, imposes a ‘duty to kill' on someone else, most likely a doctor, imposing restrictions on that person's autonomy. And then there is the risk of coercion by family members who stand to gain by a relative's death. All too easily, the ‘right to die' can become the ‘duty to die', as people who are sick or disabled feel they should stop being a financial or emotional burden on those around them. Assisted dying would make death not something that we must simply accept when the time comes but a decision that each individual is responsible for – a move that would be deeply damaging to our society. Should assisted dying be viewed as a human right or as a danger to the most vulnerable people in our society? Arguing in favour of the motion were A. C. Grayling, Founder and Principal of New College of the Humanities at Northeastern University, and Professor of Philosophy; and Henry Marsh, a neurosurgeon and bestselling author, who was diagnosed with advanced prostate cancer in 2021. Arguing against the motion were Anne Atkins, novelist and broadcaster; and Katherine Sleeman, Laing Galazka Chair in Palliative Care at King's College London and an honorary consultant in Palliative Medicine at King's College Hospital NHS Trust. The debate was chaired by paediatric doctor and TV presenter Guddi Singh. Learn more about your ad choices. Visit megaphone.fm/adchoices
Escucha este audiolibro completo, aquí: https://bit.ly/3BCMdpTNarrado por: Eugenio BaronaEl resultado es este volumen que poco tiempo después de su publicación se encaramó a las listas de más vendidos del Sunday Times y el New York Times. Escogido «Mejor Libro del Año» por el Financial Times y The Economist, obtuvo los premios PEN Ackerley y South Bank Sky Arts y fue finalista del Costa Book Award, el Guardian First Book Award y el Samuel Johnson de no ficción. A los mandos de un microscopio ultrapotente y un catéter de alta precisión, el doctor Marsh se abre camino por los intersticios del cerebro. Con frecuencia, de su pericia y de su pulso dependen que un paciente recupere la visión o acabe en una silla de ruedas. Hay días en los que salva vidas, pero también hay jornadas nefastas en las que un pequeño error o una cadena de infortunios lo hacen sentirse el ser más desdichado sobre la faz de la Tierra. Mucho más cercano a una confesión personal que a una autobiografía complaciente con el autor, este libro -cuyo título se inspira en el juramento hipocrático- supone un auténtico alarde de valentía y de honestidad intelectual, un relato vibrante y luminoso que logra remover nuestros sentimientos más profundos y ensanchar nuestro umbral de sabiduría y compasión.#penguinaudio #audiolibro #audiolibros #Henry #Marsh #HenryMarsh See acast.com/privacy for privacy and opt-out information.
Stephen Sackur speaks to brain surgeon Henry Marsh whose book “Do No Harm” became a bestseller. Now he is confronting his own advanced cancer and lobbying for the legislation of assisted dying for the terminally ill. Should death ever be the desired outcome for a doctor?
In these difficult times, no one's had a harder time than our medical professionals. They see death every day, and they fight it. What is it like to be a doctor in India? Lancelot Pinto joins Amit Varma in episode 229 of The Seen and the Unseen to talk about the practice of medicine in general, and the battle against Covid-19 in particular. Also discussed: the incentives of doctors, the importance of sleep, how to quit smoking, and the Epidemic of Sighing. Also check out: 1. Past episodes of The Seen and the Unseen on Covid-19, featuring (in reverse chronological order) Ashwin Mahesh, Gautam Menon, Ajay Shah, Anirban Mahapatra, Ruben Mascarenhas, Chinmay Tumbe, Rukmini S, Vaidehi Tandel, Vivek Kaul, Anup Malani and Shruti Rajagopalan. 2. Robin Cook on Amazon. 3. The Case Against Sugar — Gary Taubes. 4. The Big Fat Surprise: why butter, meat, and cheese belong in a healthy diet — Nina Teicholz. 5. UpToDate. 6. Understanding Indian Healthcare -- Episode 225 of The Seen and the Unseen (w Karthik Muralidharan). 7. Money for nothing: The dire straits of medical practice in Delhi, India (2007) — Jishnu Das and Jeffrey Hammer. 8. Dunning-Kruger Effect (Wikipedia). 9. Poker at Lake Wobegon -- Amit Varma. 10. Bad Science -- Ben Goldacre. 11. Homeopathic Faith (2010) -- Amit Varma. 12. Beware of Quacks. Alternative Medicine is Injurious to Health -- Amit Varma. 13. Is it risky to push alternative medicine in Covid pandemic? -- Lancelot Pinto. 14. The Kavita Krishnan Files -- Episode 228 of The Seen and the Unseen. 15. Amit Varma's episode of The Book Club on Mary Wollstonecraft. 16. Being Mortal -- Atul Gawande. 17. How Doctors Die -- Ken Murray. 18. Do not go gentle into that good night -- Dylan Thomas. 19. 24 & Ready to Die -- Economist documentary on euthanasia. 20. Complications -- Atul Gawande. 21. My Own Country -- Abraham Verghese. 22. Deep Medicine -- Eric Topol. 23. Other books by Gawande and Verghese. 24. The Looming Tower -- Lawrence Wright. 25. Do No Harm -- Henry Marsh. 26. The Rules of Contagion -- Adam Kucharski. 27. What Cricket Can Learn From Poker -- Amit Varma's essay on probabilistic thinking. 28. The Cochrane Collaboration. Links on Sleep 29. Lancelot Pinto's talk on sleep. 30. Lancelot Pinto on Sleep Apnea 31. What's keeping you up at night? -- Lancelot Pinto. 32. Are you terrified of falling asleep? -- Lancelot Pinto. 33. Why We Sleep: The New Science of Sleep and Dreams -- Matthew Walker. 34. Tetris Dreams. Links on Tobacco Cessation 35. Lancelot Pinto's Twitter thread on stopping smoking. 36. Global Adult Tobacco Survey. 37. The Odds of Ceasing to Smoke Tobacco -- A visual aid Links on Tuberculosis 38. Tuberculosis Management by Private Practitioners in Mumbai, India: Has Anything Changed in Two Decades? -- Zarir Udwadia, Lancelot Pinto & Mukund Uplekar. 39. Private patient perceptions about a public programme -- Lancelot Pinto & Zareer Udwadia. 40. Mismanagement of tuberculosis in India: Causes, consequences, and the way forward -- Anurag Bhargava, Lancelot Pinto & Madhukar Pai. 41. A study on telemedicine during Covid-19 co-written by Lancelot Pinto. Links on Covid-19 42. An interview of Lancelot Pinto & Rajani Bhat by Govindraj Ethiraj. 43. India Covid SOS 44. Lancelot Pinto and others interviewed by Barkha Dutt on changed Covid protocols.. 45. Lancelot Pinto and others interviewed by Barkha Dutt on the use of steroids for Covid treatment. 46. Lancelot Pinto & Sumit Ray interviewed by Govindraj Ethirah on the need to update guidelines. 47. A CT scan for COVID merits a word of caution -- Lancelot Pinto. 48. Lancelot Pinto interviewed by Smitha Nair. 49. Comprehensive Guidelines for Management of COVID-19 patients. This episode is sponsored by CTQ Compounds. Check out The Daily Reader, FutureStack and The Social Capital Compound. Use the code UNSEEN for Rs 2500 off. Please subscribe to The India Uncut Newsletter. It's free! And check out Amit's online course, The Art of Clear Writing.
The menopause might seem like a strange topic for a show about work, performance and learning - but half of the world's population will experience the menopause, and it does not take place around working hours. So, this week, Ross G is joined by Emerald Work's Katie Danes and Jamie Thomas, as well as Emerald Publishing's Erika Valenti, to share their experiences. We discuss: what the menopause is the impact on the workplace what organisations can do to support women. Show notes Katie wrote about her experiences at: mindtools.com/blog/working-through-menopause/ In 'What I Learned This Week', Ross recommended the podcast 13 Minutes to the Moon, available at: bbc.co.uk/programmes/w13xttx2 Katie recommended Kaye Adam's the book STILL HOT!: 42 Brilliantly Honest Menopause Stories. Erika recommended the book H is for Hawk, by Helen Macdonald. And Jamie recommended Do No Harm: Stories of Life, Death and Brain Surgery, by Henry Marsh. For more from us, including access to our back catalogue of podcasts, visit emeraldworks.com. There, you'll also find details of our award winning performance support toolkit, our off-the-shelf e-learning, and our custom work. Connect with our speakers If you'd like to share your thoughts on this episode, connect with our speakers on Twitter: Ross Garner - @RossGarnerEW Katie Danes - @DanesKatie Erika Valenti - @Valenti5_Erika Jamie Thomas - Find him on LinkedIn!
In the 1890s, Waldemar Haffkine worked valiantly to develop vaccines against both cholera and bubonic plague. Then an unjust accusation derailed his career. In this week's episode of the Futility Closet podcast we'll describe Haffkine's momentous work in India, which has been largely overlooked by history. We'll also consider some museum cats and puzzle over an endlessly energetic vehicle. Intro: The Galveston hurricane of 1915 carried 21,000-pound buoy 10 miles. Lillian Russell designed a portable dresser for touring actresses. Sources for our feature on Waldemar Haffkine: Selman A. Waksman, The Brilliant and Tragic Life of W.M.W. Haffkine, Bacteriologist, 1964. Waldemar Mordecai Wolffe Haffkine, Anti-Cholera Inoculation, 1895. Tilli Tansey, "Rats and Racism: A Tale of US Plague," Nature 568:7753 (April 25, 2019), 454-455. Yusra Husain, "Lucknow: Bubonic Plague Vaccine and a 123-Year-Old Family Tale," Times of India, July 29, 2020. Stanley B. Barns, "Waldemar Haffkine and the 1911 Chinese Pneumonic Plague Epidemic," Pulmonary Reviews 13:3 (March 2008), 9. Jake Scobey-Thal, "The Plague," Foreign Policy 210 (January/February 2015), 24-25. Marina Sorokina, "Between Faith and Reason: Waldemar Haffkine (1860-1930) in India," in Kenneth X. Robbins and Marvin Tokayer, eds., Western Jews in India: From the Fifteenth Century to the Present, 2013, 161-178. Pratik Chakrabarti, "'Living versus Dead': The Pasteurian Paradigm and Imperial Vaccine Research," Bulletin of the History of Medicine 84:3 (Fall 2010), 387-423. Barbara J. Hawgood, "Waldemar Mordecai Haffkine, CIE (1860–1930): Prophylactic Vaccination Against Cholera and Bubonic Plague in British India," Journal of Medical Biography 15:1 (2007), 9-19. Myron Echenberg, "Pestis Redux: The Initial Years of the Third Bubonic Plague Pandemic, 1894-1901," Journal of World History 13:2 (Fall 2002), 429-449. Natasha Sarkar, "Plague in Bombay: Response of Britain's Indian Subjects to Colonial Intervention," Proceedings of the Indian History Congress 62 (2001), 442-449. Ilana Löwy, "From Guinea Pigs to Man: The Development of Haffkine's Anticholera Vaccine," Journal of the History of Medicine and Allied Sciences 47:3 (July 1992), 270-309. Eli Chernin, "Ross Defends Haffkine: The Aftermath of the Vaccine-Associated Mulkowal Disaster of 1902," Journal of the History of Medicine and Allied Sciences 46:2 (April 1991), 201-218. Edythe Lutzker and Carol Jochnowitz, "The Curious History of Waldemar Haffkine," Commentary 69:006 (June 1980), 61. W.J. Simpson, "Waldemar Haffkine, CIE," British Medical Journal 2:3644 (1930), 801. Waldemar Mordecai Haffkine, "A Lecture on Vaccination Against Cholera: Delivered in the Examination Hall of the Conjoint Board of the Royal Colleges of Physicians of London and Surgeons of England, December 18th, 1895," British Medical Journal 2:1825 (1895), 1541. Waldemar Mordecai Haffkine, "On Preventive Inoculation," Proceedings of the Royal Society of London 65:413-422 (1900), 252-271. Waldemar Mordecai Haffkine and W.J. Simpson, "A Contribution to the Etiology of Cholera," Indian Medical Gazette 30:3 (1895), 89. Waldemar Mordecai Haffkine, E.H. Hankin, and Ch. H. Owen, "Technique of Haffkine's Anti-Choleraic Inoculations," Indian Medical Gazette 29:6 (1894), 201. Andrew Scottie, "The Vaccine Passport Debate Isn't New: It Started in 1897 During a Plague Pandemic," CNN Wire Service, April 14, 2021. "How the World's Race for Vaccination Was Won," [Surry Hills, N.S.W.] Daily Telegraph, Feb. 23, 2021. Joel Gunter and Vikas Pandey, "Waldemar Haffkine: The Vaccine Pioneer the World Forgot," BBC News, Dec. 11, 2020. Vikram Doctor, "The Risks and Rewards of Human Trials," [New Delhi] Economic Times, May 9, 2020. Donald G. McNeil, Jr., "Can the Government Require Vaccinations? Yes," New York Times, April 11, 2019. Henry Marsh, "The Sniping Scientists Whose Work Saved Millions of Lives," New York Times, Sept. 3, 2018. William F. Bynum, "Review --- Books: Anxieties Immune to Reason," Wall Street Journal, Aug. 18, 2018. Faye Flam, "Please Don't Try This Biohacking at Home," Chicago Tribune, June 8, 2018. Ashlin Mathew, "Falling Into the Rattrap," [Noida] Mail Today, April 5, 2015. Nicholas Bakalar, "Milestones in Combating Cholera," New York Times, Oct. 1, 2012. "Death of Dr. Haffkine," [Perth] Westralian Judean, Feb. 1, 1931. "Neglect of Genius," [Brisbane] Telegraph, May 12, 1923. "A Scientist From India," [Victoria] Jewish Herald, Nov. 5, 1915. "Dinner to Dr. Haffkine," Hebrew Standard of Australasia, July 28, 1899. Ernest Hart, "Fighting Cholera on the Ganges," Salt Lake Herald, Nov. 2, 1896. Listener mail: Quite Interesting, "Last week, the Union of Museum Cats was established ...," Twitter, March 3, 2021. Lana Svetlova, "The First Trade Union of Museum Cats in Russia Was Decided to Be Created in St. Petersburg," MKRU St. Petersburg, April 26, 2021. "Hermitage Cats," Wikipedia (accessed April 21, 2021). "Frenchman Leaves Inheritance to St. Petersburg's Hermitage Cats," Moscow Times, Dec. 3, 2020. Alexander Marquardt, "St. Petersburg's Hermitage Museum Home to Masters ... and Cats," ABC News, July 21, 2010. Teresa Levonian Cole, "St Petersburg: The Cats of the Hermitage," Telegraph, May 23, 2013. Mary Ilyushina and Amy Woodyatt, "A French Man Has Left Money to 50 Cats Who Live in Russia's Hermitage Museum," CNN, Dec. 7, 2020. "Hermitage Museum," Wikipedia (accessed April 24, 2021). Mikey Smith, "No10 Staff Told to Cut Down on Treats for Larry the Cat as He Piles on Lockdown Pounds," Mirror, March 9, 2021. Justin Ng, "Just seen @Number10cat see off a fox ...," Twitter, April 20, 2021. Sam Baker, "The Fur Flies at Number Ten: Larry the Downing Street Cat Sees Off Rival FOX in Scrap Behind Prime Minister's Home," Daily Mail, April 20, 2021. This week's lateral thinking puzzle was contributed by listener Sam Tilley, who sent this corroborating link (warning -- this spoils the puzzle). You can listen using the player above, download this episode directly, or subscribe on Google Podcasts, on Apple Podcasts, or via the RSS feed at https://futilitycloset.libsyn.com/rss. Please consider becoming a patron of Futility Closet -- you can choose the amount you want to pledge, and we've set up some rewards to help thank you for your support. You can also make a one-time donation on the Support Us page of the Futility Closet website. Many thanks to Doug Ross for the music in this episode. If you have any questions or comments you can reach us at podcast@futilitycloset.com. Thanks for listening!
UK Neurosurgeon, Henry Marsh, talks to Paul Barclay about the wonder and mystery of the human brain - and how, as brain surgeon, you are one tiny mistake away from complete catastrophe.
UK Neurosurgeon, Henry Marsh, talks to Paul Barclay about the wonder and mystery of the human brain - and how, as brain surgeon, you are one tiny mistake away from complete catastrophe.
UK Neurosurgeon, Henry Marsh, talks to Paul Barclay about the wonder and mystery of the human brain - and how, as brain surgeon, you are one tiny mistake away from complete catastrophe.
Today I am sitting down with Claire Jordan, the owner of Kala House of Colour! Kala is one of the cutest, most unique retail shops in Downtown Bracebridge - offering shoppers a collection of colourful, handmade and environmentally-friendly home goods, clothing & gifts. Just picture a super “instagrammable” boutique shop & 10x it. That’s Kala! Claire Jordan, the founder and creative mind behind the shop, has curated the most incredible space, filled with ethically sourced products & unique finds from other small businesses and entrepreneurs. She keeps this in mind as she hand selects items, so that she can support the dreams of fellow makers and entrepreneurs, as well as her own. I could listen to Claire speak all day long. You’ll quickly notice how incredible gorgeous her voice is to listen to, and how eloquently she speaks. WE’RE GOING BACK IN TIME TO LEARN ABOUT… What Claire was up to before launching Kala House of Colour How this Ireland native ended up in the small time of Bracebridge How she gained proof of concept that this type of shop was something that people wanted What it’s like living in the apartment directly above her shop Lessons learned from owning a brick & mortar in a Seasonal Town Shifting from filling the shop with products she loved, to products that her community loved THINGS MENTIONED IN THE EPISODE… Muskoka Natural Foods (http://www.muskokanaturalfoods.com/) Sully’s Muskoka (http://sullysmuskoka.com/) Jibe Jewellery (https://www.jibejewellery.com/) The Annex (https://artannex.ca/) Katalyst Brewery (https://katalystbrewing.com/) The Griffin Gastropub (listen to our episode with the owners!) Wilson Falls https://www.discovermuskoka.ca/things-to-do/hiking-trails/wilsons-falls/ Henry Marsh https://www.tripadvisor.ca/Attraction_Review-g181759-d9457117-Reviews-Henry_Marsh-Bracebridge_Muskoka_District_Ontario.html Great Canadian Trail (https://www.ontariotrails.on.ca/index.php?url=trails/view/bracebridge---trans-canada-trail) CONNECT WITH CLAIRE... www.kalahouseofcolour.com www.instagram.com/kalahouseofcolour CONNECT WITH KELSEY… Are you a small business looking to double your clients, revenue, and reach in the coming 3 months? I’ve got something special for you. On Sept 14th, our brand new Marketing Intensive begins, and you have just 7 more days to take advantage of Early Bird Pricing. Not familiar with what I’m talking about? Here’s the deal..… I'll be your coach while we work through The Marketing Mastery Intensive™ together. This is a signature program from The Visionary Method for small business owners who are making at least 50k in revenue each year. I created this framework because these marketing principles are timeless, wealth-producing and little known - often ignored by modern marketing gurus. Contrary to popular belief, you don’t need fancy Facebook Ads or Click Funnels to run a wildly successful business. But you DO need to know these 7 principles. For 3 months we’ll work together and I will drip you mind-blowing content & applicable homework challenges, alongside the time-honoured processes that you can incorporate into your business strategy immediately. LEARN MORE Hey Visionary, How would you like to win a getaway to the incredible town of Bracebridge so that you can eat, play & explore? To enter, simply... 1.Follow @visitthebridge & @kelseyreidl 2. DM Kelsey & tell her your favourite part of this weeks Visionary Life podcast episode. **Winner will be chosen 09/10/2020. No purchase necessary. https://instagram.com/kelseyreidl - Thanks to edX for supporting this week's episode of Visionary Life. edX offers top quality university education at your fingertips. Supporting learners at every stage, whether you’re just entering the job market, changing career paths, or seeking a promotion - edX delivers online courses for visionaries like you on topics that you’ll love, like marketing, entrepreneurship and food & nutrition (among many others!) Visit edx.org/visionary for an exclusive discount & to start learning, today. Thank you to Healthy Planet Online Health Food Store for supporting today’s show. Your 1 stop shop for all of your natural health & supplement needs, and it ships right to your doorstep! You can shop by department, dietary need or even just check the sale rack. It’s such an efficient way to ensure you’re stocked up on all of your favourite health goods, all of the time. https://www.healthyplanetcanada.com/ Use code visionary10 at checkout to save 10% off any online order that’s minimum $49.00
It came as a surprise when Russia’s government resigned just hours after Putin’s announced his plans for a possible referendum of constitutional changes. Host Mark Leonard is joined by Kadri Liik and Gustav Gressel to elaborate on the recent political changes that have happened in the world’ largest country over the course of just the past weeks. What role will Putin play in the future in Russia and on the global stage? Is there a change to recent the relationship between the EU and Moscow? And was does this all mean to Belarus, Ukraine and the NordStream 2 project? Further read: - "Will he stay or will he go? Putin’s role will change" by Kadri Liik - " The last of the offended: Russia’s first post-Putin diplomats" by Kadri Liik Bookshelf: - "Brennender Enzian: Die Operationsplanung der NATO für Österreich und Norditalien 1951 bis 1960" by Dieter Krüger - "Admissions" by Henry Marsh "When Breath Becomes Air" by Paul Kalanithi - "Traditions and Trends in Global Environmental Politics International Relations and the Earth" ed. by Olaf Corry & Hayley Stevenson This podcast was recorded on 27 January 2020.
Q-90.1's Jonathan Dent reports on a bridge beautification project aimed at making a piece of Saginaw infrastructure into a community destination.
Stern Chats : Amazing Stories of the NYU Stern MBA Community
This episode we welcome our new hosts Alexander Ulyett, Andrea Sease, Henry Marsh, Mahaesh Jayaraman, Mahssa Mostajabi and Nica Langinger. Tune in, because you may even learn a fun fact about them!
“Henry Marsh is in the business of admitting his mistakes. It’s right there in the title of his second memoir — ‘Admissions: Life as a Brain Surgeon’ — and it was the central theme of his first, ‘Do No Harm,’ published in his native England to wide acclaim, in 2014, and then here a year later. One of the reasons patients find condescension from doctors especially loathsome is that it diminishes them — if you’re gravely ill, the last thing you need is further diminishment. But the desires of patients, Marsh notes, are often paradoxical. They also pine for supreme confidence in their physicians, surgeons especially, because they’ve left their futures — the very possibility of one at all, in some cases — in their doctors’ custody. ‘So we quickly learn to deceive,’ Marsh writes, ‘to pretend to a greater level of competence and knowledge than we know to be the case, and try to shield our patients a little from the frightening reality they often face.’” – Jennifer Senior, the New York Times. Join Leonard for a rare glimpse of the personal experience of a brain surgeon.
Henry Marsh is a neurosurgeon, who pioneered a technique of operating on the brain while the patient is under local anaesthetic. The procedure is now standard practice. He is also an acclaimed writer. He was born in 1950 in Oxford, where his father was an academic. His mother came to England as a political refugee from Nazi Germany in the late 1930s. Henry did not initially pursue a career in medicine: after dropping out of university, he found work as a hospital porter, and only then decided to train as a doctor. He was appointed a consultant at St George's Hospital, London, in 1987. He has spent his career in the NHS, and has also frequently worked abroad, in Ukraine, Nepal, Albania and elsewhere. He retired in 2015, but continues to teach one day a week and to work overseas to help less experienced surgeons. In 2014, he published a memoir, Do No Harm, which was widely praised for its honesty about mistakes in the operating theatre. Presenter: Kirsty Young Producer: Sarah Taylor
Henry Marsh is a neurosurgeon, who pioneered a technique of operating on the brain while the patient is under local anaesthetic. The procedure is now standard practice. He is also an acclaimed writer. He was born in 1950 in Oxford, where his father was an academic. His mother came to England as a political refugee from Nazi Germany in the late 1930s. Henry did not initially pursue a career in medicine: after dropping out of university, he found work as a hospital porter, and only then decided to train as a doctor. He was appointed a consultant at St George’s Hospital, London, in 1987. He has spent his career in the NHS, and has also frequently worked abroad, in Ukraine, Nepal, Albania and elsewhere. He retired in 2015, but continues to teach one day a week and to work overseas to help less experienced surgeons. In 2014, he published a memoir, Do No Harm, which was widely praised for its honesty about mistakes in the operating theatre. Presenter: Kirsty Young Producer: Sarah Taylor
”Jeg er ofte nødt til at skære ind i hjernen, og jeg hader at gøre det” Efter et langt liv med hjernekirurgi i centrum, reflekterer den internationalt anerkendte neurokirurg Henry Marsh nu over livets skrøbelighed, lægeetik og sundhedsvæsnet. Sammen med danske Lone Frank diskuterer han i denne podcast menneskehjernens mysterier og sine erfaringer med patienter – på kanten af liv og død. Skal patienten overleve for enhver pris? Hvad er et værdigt liv? Og hvad stiller en læge op i et sundhedsvæsen, der er på randen af et sammenbrud? Disse svære spørgsmål og mange flere bliver vendt i dette afsnit af LIVE fra Det Kgl. Bibliotek. (Citatet er fra Henry Marsh’s bog Gør ikke skade) Følg Den Sorte Diamant på facebook
Prof. Linda Gask shares her experience of walking the tightrope between both sides of the therapeutic process; as a practising psychiatrist helping clients through their darkest days whilst simultaneously engaged in a lifelong battle with her own recurrent bouts severe of depression. *** PATREON *** http://patreon.com/myownworstenemy *** BOOKS MENTIONED *** "The Other Side of Silence" by Linda Gask https://amzn.to/2PlTulW "A Short Introduction to Psychiatry" by Linda Gask https://amzn.to/2OPUMF4 "Admissions - Life as a Brain Surgeon" by Henry Marsh https://amzn.to/2Mr58OU "Middlemarch" by George Eliot https://amzn.to/2BtNOUj "The Compossionate Mind" by Paul Gilbert https://amzn.to/2N572ko *** SOCIAL MEDIA *** Facebook: http://facebook.com/myownworstenemyorg Twitter: http://twitter.com/dannydwhittaker *** CREDITS *** Theme Music: Falling Down by Ryan Little http://youtube.com/user/TheR4C2010 Podcast Image: Peter Burka https://flic.kr/p/x2Ek1D DISCLAIMER: My Own Worst Enemy is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.co.uk and affiliated sites.
Selle nädala raamat on Henry Marshi „Ära tee kahju” kirjastuselt Varrak. Tuntud neurokirurg Henry Marsh jutustab oma raamatus jahmatava otsekohesusega selle töö rõõmudest ja võitudest, aga ka ebaõnnestumisega kaasnevast piinast ja kahetsusest, mida kõik kirurgid vaikselt kogu elu endas kannavad. Tutvustab Küllo Arjakas.
The neurosurgeon joins us to answer the question.
Neurosurgeon and writer Henry Marsh on how "War and Peace" by Leo Tolstoy began a teenage love affair with all things Russian. "I burned the plastic coating off my NHS spectacle frames to reveal the revolutionary intellectual steel inside. And bought a young Communist League badge which I could wear on my black polo neck pullover." Marsh later drove across Europe to begin the first of many stints as a volunteer surgeon in Ukraine. "My life might easily have careered off in an entirely different direction if it had not been for Tolstoy," he says. Producer Smita Patel Editor Hugh Levinson.
Henry Marsh is a Scottish poet who divides his time writing about the natural world and Scotland's troubled history. In the past, he's written about Mary Queen of Scots, John Knox and the Covenanters. In his latest collection, Under Winter Skies (Birlinn), Marsh focuses on James Graham, the first Marquess of Montrose, a brilliant soldier and poet who changed sides during the War of the Three Kingdoms. Marsh explains why he wanted to write an entire collection about this tragic figure in the SPL's latest podcast.
Are you receiving elderly intubated patients where someone else says they want “everything” done? Are the doctors who refer patients to intensive care finding out what their patients really want towards the end of life? Does this frustrate you on a daily basis? This is a huge topic in intensive care. Finding out the wishes of our patients before they end up on a ventilator with no one to speak for them is vital if we wish to deliver optimal healthcare. Yet so often we intensivists are left to deal with this situation. And whilst in most cases we do this very well, many of us like Dr Alex Psirides, a UK, New Zealand and Australian-trained intensivist, feel the despair as we hold another lengthy meeting with a patient’s family. In this episode I spoke with Alex about this topic, which he had just delivered a brilliant TED-like talk on at the DasSMACC international conference in June. Alex has a great perspective to share as two of his specific clinical interests are managing dying patients and rapid response systems for deteriorating patients. This is the fourth in a series of DasSMACC special episodes, where I interviewed speakers from the recent DasSMACC conference held in Berlin. Alex is an Intensive Care specialist at Wellington Regional Hospital in Wellington, New Zealand. His work and research in the area of rapid response systems has led to an appointment as the clinical lead for the New Zealand Health Quality & Safety Commission’s 5-year national ‘Deteriorating Patient’ programme. He is also the clinical lead for Wellington’s aeromedical retrieval service, which covers the lower North and upper South Islands of New Zealand. In his spare time, when not walking his dog or children, he builds websites & designs logos for Wellington ICU’s prodigious research department, as well as sending a few tweets via Twitter handle @psirides. Given Alex has been an ICU consultant for less time than most of my other guests, I had to talk him into doing an interview, but I’m really glad he agreed. There is so much to like about this conversation. Alex is honest and humble enough to say he’s not so sure he’s that good at predicting patient outcomes, at least in neurosurgical patients, which is the precise reason he has something to teach us on the podcast. We also cover topics including: Why Alex loves intensive care (with a great answer) How his consultant team work so cohesively The need to respect co-worker’s opinions and to avoid tribalism How a team of intensivists meeting with a team of neurosurgeons away from the patients can make practice more consistent and evidence-based How his team uses simulation to reduce rudeness and lack of respect How efficiently his hospital ran when there was a 3 day doctors strike A good ward round requires asking for and addressing the nurse’s concerns but also finishes with a clear plan to move the patient forwards Bringing his best self to work requires feeling loved at home and having a great team to work with Some of the non-textbook medical books Alex has been enjoying reading Hobbies allow him to escape from work and to use his creativity How far away he feels right now from burnout What he can get better at over the next 5 years How palliative care physicians can be helpful in teaching us and our trainees about end of life discussions This podcast is my quest to improve patient care, in ICUs all round the world, by inspiring all of us to bring our best selves to work to more masterfully interact with our patients, their families, ourselves and our fellow healthcare professionals so that we can achieve the most satisfactory outcomes for all. Please help me to spread the word by simply emailing your colleagues or posting on social media. Feel free to leave a comment or a question. I hope we can build community through Mastering Intensive Care so colleagues can share their thoughts and tell us how they are mastering their own skills. Leave a comment on the LITFL episode page, on twitter using #masteringintensivecare, on the Facebook “mastering intensive care” page or by sending me an email at andrew@masteringintensivecare.com. Thanks for listening. Please do the very best you can for your patients. Andrew Davies Show notes (people, organisations, resources or links mentioned in the episode): Wellington Intensive Care medical team: http://www.wellingtonicu.com/AboutUs/Staff/SMO/ DasSMACC: www.smacc.net.au Alex Psirides talk on “Doing everything at end of life”: http://wellingtonicu.com/Data/Doing%20Everything%20DasSMACC.pdf Book “Being Mortal” by Atul Gawande: http://atulgawande.com/book/being-mortal/ Book “Do No Harm” by Henry Marsh: https://henrymarshdonoharm.wordpress.com/reviews/ Alex Psirides on Twitter: @psirides
Brain surgery is bloody, messy, and dangerous. Britain's foremost neurosurgeon Henry Marsh likens it to a blood sport—but his love for the practice of neurosurgery has never wavered and he shares with us his victories, mistakes, and musings on consciousness and death.
Session 44 Dr. Michael Egnor is an academic Pediatric Neurosurgeon based in NY. We discuss his long career in the field and his thoughts about what you should know. Michael has been out of fellowship training now for 26 years and is currently a faculty member at Stony Brook University. Also, check out MedEd Media Network for a selection of podcasts to help you on this journey to becoming a physician. [01:25] His Interest in Medicine When Michael was very young, his mother had a brain aneurysm that ruptured. She survived but she had some neurological sequelae. So even when he was young, he was already involved with neurosurgeons. He thought that to be a neurosurgeon was the pinnacle of what one could accomplish in terms of profession. Moreover, he found medicine fascinating. He recalls that he read a book Not as a Stranger back in high school. It was a novel about a doctor but the title just fascinated him. The title actually came from a passage in the Chapter 19 of Job in the Bible. Job was asked how he deals with all of the horror he experienced and all the terrible things he has seen. He knows what he's going through ultimately will allow him to see life and actually to see God, not as a stranger. That is if you would come to know him and what it means to be him in an intimate way. "To be a physician, you get to see in an intimate way what life is all about and understand what it means to be a human being." He was also inspired by Dr. Christiaan Barnard who was the first surgeon to perform a heat transplant. He recalls seeing the news about it as a kid and got fascinated by it. He is specifically fascinated by congenital heart defects. As well, the brain fascinated him. That said, he knew he wanted to be a doctor and a surgeon, just not sure as to what kind. Then he went to the army in high school because he needed money to go to college. He served as a medic in the army for three years. And getting accepted to college, it gave him a deferred admission so he started college when he was 20. Right after college, he went to medical school. Being older going to college, he considers himself being more focused than some of his classmates. He knew what he wanted to do so he worked really hard to get into medical school. Out of medical school, still undecided between neurosurgery and cardiac surgery, he started general surgery internship in Mt. Sinai in New York. And halfway through his internship, he realized he wanted to do neurosurgery. He knew that 20-30 years down the road, he would still be fascinated by the brain and not as much by the heart. So he applied outside of the match. He called neurosurgery programs.They needed a resident at the University of Miami so he went there with his newly married wife. He spent six years in Miami, training in neurosurgery and came back to Long Island where his wife's family is from. Then he got a job at Stony Brook as one of the faculty. [05:50] Brain versus Heart Not that the heart isn't a wonderful topic of research, it struck him as a fascinating machine. But with the brain, he thinks you can take the knowledge much further. The other thing that enthralled him was neuroanatomy and how the brain was structured. To him, it was like almost as I if he was learning a secret to what life was all about and it was in the structure of the brain. So he felt the brain would keep him interested indefinitely. While the heart for him was to mechanical for him. "Almost as I if I was learning a secret to what life was all about and it was in the structure of the brain." [07:17] His Path to Pediatric Neurosurgery He didn't get out of training as a pediatric neurosurgery, He did general neurosurgery but he has always liked pediatrics. He likes the patients and has a fair amount of empathy for parents. He also has a personality for it. And in some ways, he thinks neurosurgeons and pediatricians are thought a being at the opposite ends of the spectrum of medical personalities. Pediatricians tend to be warm, nice people who are nice to the family and patients. Neurosurgeons are thought of to be egostistical and dysfunctional people who just operate like crazy. But these stereotypes are not entirely true. Pediatricians respond well to neurosurgeons and vice versa. What happened at Stony Book was for a couple of years, they didn't have a pediatric neurosurgeon. Since pediatricians like him, they sent him a lot of patients. So the chairman of pediatrics ultimately asked if he was willing to just become a designated pediatric neurosurgeon. And so he agreed. So there's a way to get boarded in pediatric neurosurgery outside of the fellowship track.It was a matter of submitting case logs for several years and taking a written exam. [09:30] Traits to Lead to Becoming a Good Pediatric Neurosurgeon Michael explains it's a blend of two very different species. Pediatricians tend to be people who are warm, nice people. They love kids and want to take care of them. Neurosurgeons are egotistical people and surgically oriented. This path is great if you find you love the surgery and are fascinated by the brain. You like some of the technical challenges of neurosurgery and on the other hand you want to take care of kids. For example, you find conditions like hydrocephalus to be very challenging and fascinating from a scientific standpoint. "It's a hybrid of two different ways of practicing medicine." Neurosurgery is an interesting specialty. As much as he has met the nicest people who are neurosurgeons, there are those who are crazy too. Michael says, neurosurgeons have to have some degree of almost irrational confidence in their abilities. It's something normal human beings don't want to do. You're taking tumor out of someone's brain where you stand a reasonable chance of killing them if you make a mistake. It's not something even people who are inclined to surgery have a particular comfort of doing it. So you have to be fairly egotistical to do this for a living. And how does one pull that off in the real world? Neurosurgeons have different ways of doing it. Some neurosurgeons just concentrate on being technically as good as they possibly can. Others are psychopaths in a non-criminal way. What Michael means is some of them don't take into account the humanity on the other end of the operating table. they just do the job as well as they can and then if it works out, great. If not, they'd call out the next patient. Some neurosurgeons limit their practice so that they only do things they feel comfortable doing. While others don't put it together well at all and don't do such a good job. [12:25] Types of Cases and Patients As a pediatric neurosurgeon, a large fraction of his practice is children with hydrocephalus. And he follows them into adulthood so he also has a fair amount of adult patients. Michael mentions the issue in pediatric neurosurgery that pediatric neurosurgeons who work in adult hospitals question as to where they will follow their pediatric patients when they grow up and become adults? Some pediatric neurosurgeons who work in children's hospitals can't do that. This is because patients can't be cared for at the hospital they work at. In Michael's practice, he deals a lot with hydrocephalus in both children and adults. He also deals with hydrocephalus in older people. He sees elderly people who have normal pressure hydrocephalus. Other cases he deals with are brain tumors, Chiari malformations in both children and adults, as well as syringomyelia in their spinal cortices. He also sees patients with craniosynostosis, infants with deformed skulls, and of course, trauma both adult and pediatric. As to what percentage of patients coming to him that already have a known issue, Micheal says it's a very common scenario to see a child with brain tumor. And the pediatrician feels a lot of guilt about it because almost a child who has brain tumor has several months of symptoms. And pediatricians work up a child with some vomiting and headache. And after 1-2 months of evaluation, they get scanned and the tumor is found. And so he tells them that in some sense, the neurosurgeon has the easiest job because virtually, patients come to him already with scans showing what's wrong with them. The primary care people, the pediatricians, or the internists for adults have a tougher job because they see a large volume of patients. Only a small fraction of them have serious problems. Then they have to find the ones who have the serious problems. The major issues he faces are: is the patient's diagnosis responsible for the patient's symptoms? This can be tricky. People can have headaches from the chiari malformation and don't need surgery. Michael finds it a challenge to sort out whether the symptoms of the patients are really caused by the disease identified on the scan. You have to be sure since the remedy you're offering is surgery. You want to make sure you're operating for good reasons. "That's one issue I face quite a bit is making sure the diagnosis is the cause of the symptoms." [16:25] Typical Week of a Pediatric Neurosurgeon. Taking Calls, and Percentage of Patients Ending Up in the O.R. Michael describes his week since it basically depends on whether the hospital has a lot of trauma or not. But his typical week would be that he'd be on call once or twice during that week at night. He takes a general surgery call. During the day, he has two operative days a week. On average, he takes 2-5 cases a week. He has 2-3 half-day clinics a week where he sees 15-20 patients per clinic. He has some academic time, usually one and a half days a week where he writes papers. They don't have residency in neurosurgery so he's a residency director for a program without a residency. This said, he's in the process of applying for residency. He teaches medical students as they rotate through the service he teaches and in the ethics class. Of the patients he sees in clinics, only a relatively small percentage, about 10%-20%, go to the operating room. Many of the patients he sees are follow-ups after the surgery. Many of them are children with shunts he sees annually. They don't need surgery but he sees them manually. It's very important that if you have a shunt for hydrocephalus, you have a neurosurgeon that knows you. And that you know them and that they neurosurgeon is always available to you. He finds that annual visits keep everything fresh so they know each other. Common cases would be a kid who bumps his head on the baseball field, has a mild headache and gets a scan. And something would be seen on the scan that has pathological significance but the primary care doctor sends the child to him. Most of the calls he takes would be coming to the hospital for surgery. They don't have residents so any surgery is done by the attending. They have physician extenders but he still has to come in and do the surgery. Nowadays, generally, residents don't operate alone so even if they had residents, he would have to come in. About a third of his calls, he would have nights coming in. [19:45] The Path to Pediatric Neurosurgery, Competitiveness, and Research Basically, neurosurgery residencies have been for five or six years including the internship year. That's followed by a year or two of fellowship, if you want to do it. This past two years, the ACGME and the residency review committee (RRC) for neurosurgery have standardized neurosurgical training. Now, it's a seven-year program including a year of fundamental clinical skills, which used to be the internship. And then six years of explicit neurosurgical training. Now they try to fold in the fellowship experience into the seven-year residency. So you don't have to do fellowship after you do it during the residency. There is research involved in neurosurgery. In fact, programs are required to have a research curriculum, whether it's training or research methods. Residents are expected to be academically active, to publish during their residency. And programs are reviewed by the RRC based in part on the research output of their faculty and residents. "It's a major emphasis in the residency review committee in neurosurgery to foster research in neurosurgery." Although he doesn't have the numbers, Michael thinks that half of the applicants get into programs. He would rate it as moderately competitive. It's a small specialty with about a hundred programs in the country. There are a whole lot of people interested in going into it but his sense is about 50% of applicants get in. As to the reason for it competitiveness, it appeals to a fair number of people, particularly people who are highly motivated. You have to really want to practice medicine at a fairly intense level to want to get into neurosurgery. Moreover, people may be attracted by the status or the financial aspects. Most neurosurgeons do fairly well financially. And there aren't enough people repelled by the volume or nature of the work. "It's fairy popular given what a small specialty it is." According to my data, there are are only 218 physicians. Michael agrees this is just about right. Pediatric neurosurgery is one of the less popular neurosurgical specialties. Within the neurosurgical profession, popular subspecialties include spinal neurosurgery, general neurosurgery, vascular. The reason for this is people don't like dealing with shunts. Many neurosurgeons, too, don't like dealing with kids or with families. Another reason is pediatric neurosurgery doesn't pay as well as other neurosurgical specialties. It seems to be a general rule across all pediatric subspecialties is that the pay isn't as good as it is for adults. But Michael points out you don't go into it for the money. [24:00] How to Be Competitive for a Residency Spot Besides being a good student and being a human being which always help you, Michael cites two things students should focus on. First is research. Have some publications appealing to a neurosurgical residency program. The second is to have some hands-on experience particularly with the programs you're applying to. When he was a resident in Miami, they took two residents a year. There was an unwritten rule that one resident was taken based on the CV and the other based on personal experience. When somebody would rotate through their service, you get to know them personally. It turned out that the people who did the best in the residency were almost the people who had rotated to the service and who they knew personally. You're going to work with the resident for seven years in fairly intimate ways in the middle of the night, saving lives, and doing all these stressful things. You really want to be somebody who you know you can work with, somebody you can trust and stand with for seven years. "The residency in neurosurgery is so long and it's such a stressful process. It's almost like a short marriage." Michael suggests that for people interested in neurosurgery, try to arrange external rotations at the programs you're most interested in applying to. This way, when your application comes across their desk, they would know who they're dealing with. Nevertheless, the research is a big deal. But the programs have a lot of stress on them from the ACGME and from the RRC to have residents that do research. It's one of the criteria by which re-certification of the program is determined. Plus, if you already have an established researcher in your program, it's more likely for them to make their program look good. That said, having a research background is very appealing to programs. In the long run, having research background makes you a better resident and a better neurosurgeon. [26:45] Biases Against DOs and Subspecialty Opportunities Michael's personal experience with osteopaths has been uniformly positive. Some of the best doctors he knows are osteopaths and his personal doctor is an osteopath. He thinks osteopaths are great doctors generally. He also knows that osteopathic programs have been brought into the ACGME. There are osteopaths at neurosurgery programs that do well. Although now, he's not sure how it's working into allopathic training. But osteopathic students are in an excellent profession and they can be very good doctors and very good neurosurgeon. In terms of other subspecialty opportunities, there is a boarding process for pediatric neurosurgeons. Although they're not ACGME-certified. So there are boards but they are not same status as the neurosurgery boards or the internal medicine boards. Beyond that, he's not aware of any certification process. But there are pediatric neurosurgeons who have particular interest in areas like hydrocephalus, epilepsy surgery, vascular, tumor. So you can develop a niche within the pediatric neurosurgery world. [28:50] Message to Pediatricians, Working with Other Specialties, and Turf Wars Michael says it's nice for neurosurgeons and pediatricians to become friends in terms of personal relationships. The pediatrician knows you personally. He gets a lot of calls from pediatricians just asking common sense questions. He finds that in the relationship between pediatricians and neurosurgeons, it's nice to form long-term friendships. In return, there are also situations where he calls the pediatricians. He will have a patient who has a neurosurgical issue but also has some pediatric issues. Then he'll speak with pediatrician about helping them out with that. Michael works a lot with other specialists like intensivist both adult and pediatric, orthopedists, otolaryngologists, and neurologists. For somebody who wants to go into neurosurgery because they're interested in doing spine surgery, Michael explains that in general surgery, most of the operative stuff is spinal. General neurosurgeons deal with spine in generally 80% of their cases. And most of the spine they do overlaps with orthopedics. Most general surgery particularly in private practice deal with spine. And there are movements right now in general surgery to relinquish cranial privileges if you're a private practice neurosurgeon. Many of them find that the cranial surgery, because it only forms only a small fraction of the cases they do, it does form a very large fraction of the difficult situations they encounter. So it's not just worth it. Also, it makes the call much worse. If you're doing cranial neurosurgery, you're called in at night for that subdural in the ER. But if your practice is restricted to spinal neurosurgery, you don't have to be called in for the cranial problem. So many of pediatric neurosurgeons restrict the practice of the spine. He actually has a friend in Florida who has been doing this for fifteen years. It makes for a very nice practice. In terms of overlap with orthopedics, Michael sees a lot of them. He never thought of it as something very competitive although his spine colleagues might feel differently about that. But they have a good relationship with their orthopedic colleagues at Stony Brook. The difference in the work they do is that neurosurgeons don't tend to do congenital deformities with scoliosis. On the other hand, Orthopedists don't do intradural surgery. "Kids with scoliosis still tend to be treated only by orthopedists and not by neurosurgeons." [35:10] What He Wished He Knew Now Michael doesn't think he would have done anything differently. He thought a lot about it. He likes pediatric neurosurgery. He is very interested in hydrocephalus from a research standpoint. Most of his research is in hydrocephalus dynamics and the cranium related to it. That said, there are tons of specialties within neurosurgeries that are great including spinal neurosurgery, tumor neurosurgery. But each of them has their drawbacks. For spinal neurosurgery, you have to want to deal with spine patients who can be very difficult to deal with. They're in chronic pain. So it should be something you like doing. Michael finds it's not for him. Tumor work is fascinating but many of your adult patients are dying. And to go into clinic everyday and see patient after patient with terminal illness is a hard thing to do. Cerebrovascular neurosurgery is very powerful specialty now with a lot of good work but they deal with some very difficult clinical situations. And the call can be brutal because you're taking call for strokes. Functional neurosurgery is great work for people who are fascinated by the intellectual aspects of epilepsy and movement disorders. But you have to have a certain personality to do that. Functional cases are very detailed, high tech cases that you have to like doing. [37:15] What He Likes the Most and Least about Pediatric Neurosurgery Michael likes fixing shunts. Even some pediatric neurosurgeons don't like that too much. But he finds hydrocephalus a fascinating condition. He's very interested in the dynamics of it and thinks there's much we don't understand about it. Hydrocephalus is the one neurosurgical condition where you can come into the hospital near death and walk out of the hospital a day or two later just fine. You can come blowing a pupil and go home in two days if they fix your shunt in time and the pupil comes down. In hydrocephalus, you can get incredibly dramatic results. I find managing shunts to be frankly challenging. "Doctors who deal with critically ill patients the most are neurosurgeons as much as any." What he likes the least about his specialty is seeing patients not doing well. This something all doctors need to deal with to some extent. Even if an objective observer wouldn't think of the outcome as a mistake, you still hold it in your heart and hod it in your head. That if you could have done something differently, could this patient have done better. Michael adds that one of the most important things about being a neurosurgeon is that you have to deal with the outcome. A neurosurgeon who has a major complication of 1%, you're a good neurosurgeon. A good complication rate for major cases. But if you're doing 200 cases, it means that two patients a year are going to have major complications. And if you're doing it for 30 years, there are 60 people out there who had major complications that's your responsibility and you live with those faces in your head. So he tells students going into neurosurgery is you have to be able to deal with that. That can be hard. In fact, some neurosurgeons quit. And some do dysfunctional things. They drink. They take drugs. They become egotistical creeps. They have different ways of dealing with that. Some become religious. Some limit their practice to things they can do safely. But you deal with stressful cases and bad outcome and dealing with litigation which is every neurosurgeon's pain. It's hard and it's a major part of the stress neurosurgeons go through. "Over the years, you get faces of people in your head who didn't survive or who were hurt for whom you feel some responsibility." There's a neurosurgeon named Henry Marsh who wrote a book called Do No Harm. He is a very prominent British neurosurgeon and did doctors tend not to. He wrote a book about all his bad outcomes. So the book wasn't about how gifted he was and all the great successes he had. Although he was a great neurosurgeon, the book was about his catastrophes. It's a very honest book. Michael recommends this book to people thinking about going into neurosurgery. [41:50] Future Changes in Neurosurgery The most dramatic change that's occurred in neurosurgery during his career has been cerebrovascular surgery with endovascular techniques. The ability to treat aneurysms with endovascular methods to treat AVMs and strokes. None of that was possible when he was training so this has been a real revolution. It primarily affects endovascular neurosurgeons but it's still a big change. In terms of pediatric neurosurgery, he's not seeing much changes except that they're seeing a lot less spina bifida than they used to. Due to folate supplementation in bread and milk and other foods, it's reducing the incidence of this condition. And also, prenatal diagnosis. Many of these babies are being aborted prenatally. There's a lot of research in tumors but the basic management of tumors has not changed all that radically. In spine, there was a study done back looking at which neurosurgical operations are under performed and which are over performed. They felt that functional neurosurgery was under performed. While the spinal surgery was over performed. So the reality is there are more people having spinal surgery than really need spinal surgery. Many people could recover from their spinal problems with good physical therapy and non surgical management. What's he's concerned about over the years is that insurance and the government will decide to reimburse spine in a much lower level and be much more stringent in the reimbursement which would affect neurosurgery in a very profound way. Because most of their income stream comes from the spinal surgery. [44:10] Michael's Final Words of Wisdom Consider this path if it's going to something that's going to be in your heart, it's your passion and not something you do for money. You also have to take into account the emotional stress that comes with dealing with people's lives on an intense personal level. He didn't actually feel this stress until he became an attending. You're going to have patients who don't do well so you have to have the psychological and spiritual resources to deal with that. "You have to take into account the emotional stress of dealing with people's lives on such an intense personal level." Links: If you have suggestions on people we should have on this podcast, shoot me an email at ryan@medicalschoolhq.net. We're looking for great guests! MedEd Media Network Not as a Stranger by Morton Thompson Do No Harm by Henry Marsh
Henry Marsh, author of the bestseller Do No Harm, and Jim Olson, paediatric oncologist from Seattle Children’s Hospital, share their experiences in medicine. Is it possible to light up a cancer cell in the brain? Could scorpion venom be the answer? Dr Jim Olson, Paediatric Haematology Oncology Specialist at Seattle Children's Hospital and a member of the Clinical Research Division at the Fred Hutchinson Cancer Research Center, is developing a radical new technique in the field of fluorescent image-guided surgery, Tumor Paint, that has the potential to transform the way tumors are removed from the brain - by using a special paint the make the cancerous areas glow. Dr Henry Marsh is a leading British neurosurgeon whose pioneering work in brain tumour surgery has been the subject of major award-winning BBC documentaries. His extraordinary memoir, Do No Harm: Stories of Life, Death and Brain Surgery, is an international best-seller, nominated for eight major UK literary prizes and the Sky Arts South Bank Show 2015 Award recipient for Literature and PEN Ackerley Prize. He was made a CBE in 2010.
Stephen Sackur talks to one of Britain's leading brain surgeons, Henry Marsh. Imagine you are a patient, about to undergo brain surgery. If it goes well it will save your life; if it goes wrong you could end up paralysed or dead. Of course you want to believe your surgeon is infallible, a superhero - but he is not; he is all too human just like you. That simple truth emerges from the extraordinarily honest writing of Dr Henry Marsh. He has given us rare insight into the mind of the doctor - is it reassuring or troubling?(Photo: Dr Henry Marsh in the Hardtalk studio)
Would you be brave enough to cut into someone’s head and work on their brain? Henry Marsh is a courageous doctor and skillful surgeon who has saved thousands of lives by doing this very difficult work. For years, he has taken out people’s brain tumors and fixed life-threatening problems. He was one of the first surgeons to operate while the patient was awake and able to answer questions. That helps the doctor to do his or her best during the operation. The American public television network made The English Surgeon, a documentary about Mr. Marsh and his work. Last year, he wrote a best-selling book, Do No Harm, about his life’s work as a brain surgeon.
Gregorio León entrevistó a Juan Milá, editor de Salamanca, una de las editoriales con mayor prestigio mundial. Nos recomendó a Henry Marsh, a Irène Némirovsky y a Jonas Jonasson, entre otros. Y además, al último ganador del Premio Café Gijón de Novela, Miguel Ángel González.
Imagine you are a patient, about to undergo brain surgery. If it goes well it will save your life; if it goes wrong you could end up paralysed or dead. Of course you want to believe your surgeon is infallible, a superhero - but he is not; he is all too human just like you. That simple truth emerges from the extraordinarily honest writing of one of Britain's leading brain surgeons, Henry Marsh. He gives rare insight into the mind of the doctor - is it reassuring or troubling?
Henry Marsh is am English neurosurgeon, and a pioneer of neurosurgical advances in Ukraine. His widely acclaimed memoir Do No Harm: Stories of Life, Death and Brain Surgery was published in 2014.
Henry Marsh tells stories of life, death and brain surgery from his best selling book 'Do No Harm', shortlisted for the Wellcome Book Prize 2014. 5x15 brings together five outstanding individuals to tell of their lives, passions and inspirations. There are only two rules - no scripts and only 15 minutes each. Learn more about 5x15 events: 5x15stories.com Twitter: www.twitter.com/5x15stories Facebook: www.facebook.com/5x15stories Instagram: www.instagram.com/5x15stories
Weekly JourneywithJesus.net postings, read by Dan Clendenin. Essay by Dan Clendenin: *Like Little Children* for Sunday, 20 September 2015; book review by Dan Clendenin: *Do No Harm; Stories of Life, Death, and Brain Surgery* by Henry Marsh (2014); film review by Dan Clendenin: *The Stanford Prison Experiment* (2015); poem selected by Dan Clendenin: *Politics* by William Butler Yeats.
Henry Marsh is one of the country's leading neurosurgeons: as a senior consultant at St George's University Hospital in South London, he has pioneered brain surgery for more than 30 years. These are delicate, microscopic operations to deal with tumours and aneurisms where the least slip can be catastrophic: comparable, he says, to bomb disposal work. Henry Marsh's account of his career, 'Do No Harm: Stories of Life, Death and Brain Surgery', has become a best-seller. In Private Passions, he talks about how his work has given him a heightened awareness of the unpredictability of life, and about the role of music in dealing with stress. He discusses the use of music during operations themselves; he used to listen to music, but after one operation went badly wrong, now feels it is inappropriate. And he gives a neuroscientist's perspective on falling in love. Music choices include Bach's St Matthew Passion, Mozart's Magic Flute, Scarlatti, Bartok, Prokofiev, Beethoven, and African music which reminds him of time spent teaching in Ghana. Produced by Elizabeth Burke. A Loftus Production for BBC Radio 3.
Neurosurgeon Henry Marsh talks to Jim Al-Khalili about slicing through thoughts, hopes and memories. Brain surgery, he says, is straightforward. It's deciding whether or not to operate that's hard. The stakes are high and it's never clear cut. He often dreads having to talk to patients and their families. Damage to healthy brain cells can result in a dramatic change to someone's quality of life; but if a bit of a tumour remains, it's likely to grow back. "How do you tell someone that the best option may be to go away and die?" Once, against his professional judgment, Henry went ahead with surgery because the patient wanted him to operate. The patient died and he blames himself for not being stronger. He talks openly about the cemetery that all doctors inevitably carry with them; and why he would rather be seen as a fallible human being, than either a superhero or villain. Perhaps it's inevitable that doctors are put on a pedestal but it can be unhelpful. Despite a chronic lack of science at school and university, Henry decided to become a neurosurgeon, having found general surgery rather disgusting. Soon after, his three month old son had surgery for a brain tumour: an experience which, he says, helped him to appreciate the fog of anxiety and concern that descends on the people he treats. Getting the balance right between compassion and detachment is a constant challenge. And Henry admits, he pioneered brain surgery under local anaesthetic, in part as a way of confronting head on the almost 'Jekyll and Hyde like split' between being a surgeon in the operating theatre and a friendly consultant who talks to and cares for his patients. Producer: Anna Buckley.
With James Naughtie. Doctors work under the oath 'do no harm', but the neurosurgeon Henry Marsh says the decision whether to operate on a brain is rarely that simple. His account of his working life Do No Harm has caught the attention of readers all round the country since its publication a year ago and has this week Do No Harm won the South Bank Award for Literature, as well being shortlisted for the Samuel Johnson, Costa, and Wellcome book prizes this year. Henry discusses his memoir Do No Harm which is startling in its candour. He gives an extraordinary insight into his own thought processes as well as into the world of neurosurgical briefing meetings and hospital policies. Each chapter's starting point is a real-life case study and the book conveys his fascination with the human brain as well as the compassion required of a brain surgeon. Henry is honest about how a doctor must strive for balance between personal involvement with the patient and objectivity about their case. He talks about his failures, and the exhilaration of success. As always on Bookclub a group of readers, this month including members of the medical profession, join in the discussion. July's Bookcub choice : If Nobody Speaks of Remarkable Things by Jon McGregor. Presenter : James Naughtie Interviewed guest : Henry Marsh Producer : Dymphna Flynn.
James Naughtie and readers talk to Hisham Matar about his gripping debut novel In The Country Of Men. This international bestseller is set in Colonel Gaddafi's Libya of 1979, as the narrator Suleiman looks back on his childhood summer and tries to makes sense of the bewildering world around him. His best friend's father disappears and is next seen on state television at a public execution, a mysterious man sits outside the house all day, gives him sweets and asks for the names of his father's friends; and it seems his father has finally disappeared for good. Hisham Matar explains now the novel is not autobiographical but that he remembers that time well, how life in Libya 'went indoors' with cinemas closed and access to bookshops restricted. He remembers how fears, secrets and betrayal threatened individuals and families. He also talks about how his own father disappeared in the 1980s. In The Country Of Men was shortlisted for the 2006 Man Booker Prize. Presenter : James Naughtie Interviewed guest : Hisham Matar Producer : Dymphna Flynn June's Bookclub choice is Do No Harm by Henry Marsh.
Neil Denny talks to two more shortlisted writers, Henry Marsh and Marion Coutts. See acast.com/privacy for privacy and opt-out information.
Neurosurgeon Henry Marsh on risks, ethics, and the Ukraine. Dr Henry Marsh offers an insight into the highs and lows of a life dedicated to operating on the human brain. With candour and compassion, Henry Marsh reveals the exhilarating drama of surgery, the chaos and confusion of a busy modern hospital, and above all the need for hope when faced with life's most agonising decisions. 5x15 brings together five outstanding individuals to tell of their lives, passions and inspirations. There are only two rules - no scripts and only 15 minutes each. Learn more about 5x15 events: 5x15stories.com Twitter: www.twitter.com/5x15stories Facebook: www.facebook.com/5x15stories Instagram: www.instagram.com/5x15stories
Tom Sutcliffe discusses how we make decisions with the Nobel prize-winning psychologist Daniel Kahneman. Moral choices in politics can be a complicated business, according to the academic and former politician Michael Ignatieff, who explores whether the age of international intervention is over. Doctors work under the oath 'do no harm', but the neurosurgeon Henry Marsh says the decision whether to operate on a brain is rarely that simple. High emotion can cloud your judgement and the writer Lisa Appignanesi looks back at sensational crimes of passion to ask how far the perpetrators were responsible for their actions. Producer: Katy Hickman.
On this week's podcast: Helen Lewis, Rafael Behr and George Eaton discuss Labour, the EU and the George Osborne's upcoming Budget, Erica Wagner talks to Tom Gatti about neurosurgeon Henry Marsh, and Ian Steadman, Caroline Crampton and Sophie McBain ask how a plane can just disappear in mid air? See acast.com/privacy for privacy and opt-out information.
On April 14, 2012, Dr. Lauranett delivered a lecture entitled "To Bind Up the Nation's Wounds: An Overview of the Thirteenth Amendment." This talk highlighting the historical significance of the document. Other speakers during the lecture included Edward Ayers and Senator Henry Marsh. (Introduction by Edward Ayers and Senator Henry Marsh) The content and opinions expressed in these presentations are solely those of the speaker and not necessarily of the Virginia Museum of History & Culture.
A quick fact check followed by an introduction to ALEC, the association of lawmakers and corporations working together to write bills. Fact Checking CD011 Conversation Kim DotCom's Story Al Qaeda has been reported to be operating in the following countries Afghanistan Iraq Pakistan Sudan Bosnia Syria Somalia Egypt Saudi Arabia Yemen Algeria Mali Mauritania Morocco Niger Tunisia Turkey Kenya Tanzania United States What happened in Virginia: Last week, a bill was rammed through the Virginia State Senate that redraws the maps for their State Senate races in a way that gives more votes to Republicans. Henry Marsh is a civil rights lawyer and Democratic VA Senator who went to Washington D.C. for the inauguration. The VA State Senate is a 20-20 split, so while he was gone, the GOP surprised the DEM's by bringing the bill up for a vote knowing they would be able to pass it with a DEM Senator missing. The House and Governor of Virginia are Republicans. The bill's chances look good. There is SEPARATE bill that addresses the Electoral College that was just born in Subcommittee. The electoral college bill's path to law looked good but the bill was defeated in committee Tuesday on an 11-4 vote after the Governor came out against the bill. ALEC The American Legislative Exchange Council Click on the above link to go to their website. They only barely hide the fact they the provide a way for corporations to write laws. "Works to advance the fundamental principles of free-market enterprise, limited government, and federalism at the state level" "Legislators welcome their private sector counterparts to the table as equals, working in unison to solve the challenges facing the nation." "ALEC provides the private sector with an unparalleled opportunity to have their voices heard and their perspectives appreciated." ALEC's Legislative Agenda for 2013 For More Information...
With Mark Lawson. Daniel Radcliffe and John Hamm star in A Young Doctor's Notebook, a new four-part TV comedy drama based on a collection of short stories by the celebrated Russian writer Mikhail Bulgakov. Including graphic scenes, the series is partly based on the author's experiences as a young country doctor working at the dawn of the Russian Revolution in 1917. Leading neurosurgeon Henry Marsh reviews. Oliver Sacks' seminal 1985 book The Man Who Mistook His Wife for a Hat described some of the most intriguing case histories he encountered through his work in neurology. Sacks discusses his latest book Hallucinations, a collection of mind-altering episodes experienced by his patients and himself. The Danish director of Festen, Thomas Vinterberg, has returned to the controversial subject of child abuse for his latest film. The Hunt is the story of a primary school teacher who is accused of exposing himself to one of his pupils and is subsequently ostracized by his friends and community, even though there is no real proof of a crime. Briony Hanson delivers her verdict. And as Antony Gormley fills the entire space at the White Cube gallery in south London with his vast new sculpture Model, created from 100 tons of weathering sheet steel, Mark and art critic Rachel Campbell Johnston explore the large-scale artwork. Producer Jerome Weatherald.
With Mark Lawson Billie Piper stars in The Effect, a new play by Lucy Prebble about drugs trials and mental health. It's Prebble's first major new work since her success with ENRON, her play about the American financial scandal. Senior consultant neurosurgeon Henry Marsh reviews. The Heresy of Dr Dee is the latest in a series of novels about the Tudor astrologer and magician Dr John Dee by writer Phil Rickman. The novel explores the mysterious death of Amy Dudley, wife of Elizabeth I's favourite Lord Robert Dudley. Phil Rickman explains his fascination with Dee and why self-publishing is a temptation he's keen to resist. Robert Pattinson and Kristen Stewart star in Twilight: Breaking Dawn - Part 2, the final instalment in the globally successful vampire film franchise. Larushka Ivan-Zadeh gives her verdict. Death: A Self Portrait is a new exhibition with more than 300 works - from images by Rembrandt and Goya to a chandelier made from 3000 plaster-cast bones - which confront our mortality. Dr Sarah Jarvis considers how attitudes have changed over the centuries. And we mark 90 years of BBC radio by remembering the moment when playwright Joe Orton was discovered by a young drama producer. Producer Penny Murphy.
On April 14, 2012, Dr. Lauranett Lee delivered a lecture entitled "To Bind Up the Nation’s Wounds: An Overview of the Thirteenth Amendment". This talk highlighting the historical significance of the document. Other speakers during the lecture included Edward Ayers and Senator Henry Marsh. (Introduction by Edward Ayers and Senator Henry Marsh)
The moving and crafty documentary, The English Surgeon, deals with the life and works of Dr. Henry Marsh. Its director, Geoffrey Smith (The Children of Helen House, Your Life in Their Hands), talks about his unique approach and his subject.