Subspecialist surgeon here, completely agree with Dr. Jubbal. On one hand, Goobie's video in an inspiring story for a lot of docs. Many of us have experienced burnout and depression as a result of sinking our 20s and 30s into a career that, when we started, we thought would be a whole lot different. The call, the stress, the lowering reimbursement when adjusted for inflation are all real issues and many of us who have thought about leaving have lacked the courage to do so because of fear, embarrassment, or financial reasons. Seeing Goobie's video where he takes the leap in that regard is inspirational. However, his video does a huge disservice to medicine and surgeons in particular, by imply that we're somehow snake-oil salesmen getting paid to operate on people who don't need it. We can counsel patients "you're not a good candidate for surgery" or " you need to loose weight, control you BP, get medically optimized etc. prior to surgery, come back in 6 months and lets see". That's still a billable visit. Part of the job is figuring out who NOT to operate on, especially when you're out in the real world. But in the end, someone's cancer isn't going to go away when the cut out salt. Even if all of America had perfect lifestyle choices there would still be plenty of surgery for all the traumas, all the cancer, the congenital defects, all infections that need to be drained, the disease brought on by autoimmune conditions etc. Even in his own field of spine surgery, scoliosis, compression fractures, spinal tumors etc aren't fixed with diet and exercise. Painting such a simplistic picture is unhelpful and pits doctors vs patients when it should be doctors and patients against insurance companies.
I don't know that that is what he was aiming for but it could come across that way, regarding the snake oil salesmen aspect. The aspects about the hospitals running on money is completely true though. America runs on money, from the hospitals to the insurance companies to the drug companies. Many don't do these things out of kindness, even if there are some well intentioned people in this system.
@@mikew9802 I would like to also give my take. I'm not a surgeon or medical professional, but I understand the medical industry and the world we're in. I think he's more focused on his dissatisfaction with capitalism, and how insurance companies and hospitals, influenced by insurance companies, have monetized healthcare, which should be a public good. He mentioned that his goal of minimizing suffering often conflicts with the profit motive. He's expressing frustration with inefficient systems where capitalism and profit hinder the job of helping people. I agree he could be more nuanced, clearly articulating his dissatisfaction without leaving it open to misinterpretation. Most intelligent people understand he's criticizing the system, capitalism, and the profit motive, not doctors. I get why doctors may not like his open-ended criticisms, because it leaves too much space open for misinterpretation.
It does not do any disservice to medicine or surgeons. It is the doctors personal experience, bringing the issue of healthcare today in the spotlight. After twenty years in medicine I agree and understand completely
He literally addressed your grievances in the same exact video, you just didn't want to pick up on them because you wanted to make the point you have before you even watched the video..
His choice doesn't mean he can generalize and say or give ridiculous example like people won't need surgeries if they do this and that, he's not exempt from criticism just because he's talking against a system that is predatory but definitely helps billions, he's clearly putting a bad rep on actually good doctors and patients who cannot do all these things and might require procedures as a result of genetics, family history trauma and infection etc etc, his anecdotes aren't backed up and we don't know how his patients he didn't operate on are doing, when you make claims you provide evidence to support them, you csn bet some of those patients could have the pain again but didn't call as a result of embarrassment, death, distance and loss of follow up
@@exiledkenkaneki701 1) It’s a free country, people will (and can) use their right of say. 2) ? No one said he was “exempt”, he simply gave his opinion based of his 9+ years of experience as a full time Neurosurgeon. You’re not forced to agree with them, just lend an ear and listen. 3) ???? Bro did you even watch video? He mentioned that his colleagues were good individuals, he was never targeting fellow coworkers as he was very direct with his opposition on the current Medical system. 4) Correct, when you make claims, some level of verification is required (now you’re starting to make some sense). While Mr.Goobie made some respectable points, he failed to address the ACTUAL underlying situations that affect todays healthcare system (as you kind of stated). He was definitely oversimplifying the problem, which is why those who have some understanding can disagree with him on.
@@exiledkenkaneki701About 50-60% of spinal surgeries fail. You can get failed back pain syndrome in up to 40% of patients, one major risk factor is crappy lifestyle, or post-laminectomy pain syndrome in 20%, where smoking is a risk factor. Obesity is a major risk factor for herniated discs, compression fractures, spinal stenosis, degenerative disc disease, and a hyperinflammatory state which makes any of these worse and increases the incidence of any number of malignancies. There are surgeries that are called “bread and butter surgeries” which are common ones you do most of the time and fixing these issues are going to be the cases that you see most. If you also have diabetes or CVD, or smoke, your blood vessels are going to suck and you won’t heal very quickly as there isn’t enough blood getting to the healing area. I think that’s what he means. All of this is preventable. Malignant tumors of spinal cord origin are exceedingly rare but you might see a chordoma or very very rarely a glioblastoma(or the lower grade astrocytoma). There are more benign spinal cord tumors like meningitis as or neurofibromas (neurofibromatosis), ependymoma ,hemangioma, etc. Then you could have osteosarcoma or chondrosarcoma in the bone or metastasis. The benign ones you still want to resect because of cord compression. In these cases I doubt he’d say “no, just rub some broccoli on it.” But for the bread and butter ones…preventable.
Additionally, nobody is going to die from not getting a bread or butter surgery. They might die from a stroke or heart attack or complications post-surgery especially if they are obese, sedentary, have high blood pressure and cholesterol, diabetes, etc. I would like to add that usually having one surgery sets you up for having more surgeries in your future so they will be calling back. Spinal fusions, in particular. I have no idea when spine surgeons were called neurosurgeons? Ortho usually does these too, but they can’t do malignancies or more complicated things I suppose. My dad was a neurosurgeon and he operated on brains so it’s confusing to me.
For sure, and I think you're agreeing with Dr. Jubbal here too. He really approved of what Dr. Doobie did with his life and saw himself in him. However, because he's a neurosurgeon and presenting himself as such, people calling out statements like "I found that patients who did certain things would get better, and patients who wouldn't do those things would get worse," "They would heal so quickly before I could do anything on them," "All people need to do is meditate, hang out with their friends... then their back problems will get better" and elaborating on the data is a good thing, imo. He may have wanted to be earnest and uncomplicated when he put it like that, but he neglects the necessary and effective healthcare when he does it.
I think that Dr. Doobie is very earnest, and he really seems to care about making his patients feel better. However, I respectfully disagree about whether he should have said everything he said. For example: "All people need to do is meditate, hang out with their friends... then their back problems will get better" without saying that there are people who have received necessary care. That makes it seem definitive, but research on it was inconclusive. It's the wording: "I found that patients who did certain things would get better (on their own), and patients who wouldn't do those things would get worse." Would? My mother needed to have titanium put in her spine. She's fifty, is healthy, exercises, and eats so many vegetables. She tried many therapies and exercised for months. Medical intervention was necessary for her then, and now she's better than ever. Again, he's earnest, but there do seem to be problems with his choice of statements.
It s amazing how many people miss dr goobie’s point. He talked about his experiences of how he felt trapped in the medical SYSTEM as a doctor. The system doesn’t serve for the benefit of people it serves the pharmaceutical industry
I think people are overgeneralizing from this video as a so-called confession against Western medicine when in fact the RUclipsr here (and former neurosurgeon) is making a very precise narrow argument against the limited advancements of treatments available in neuroscience NOT all of medicine. To be sure, what doctors do when using antibiotics to CURE (not treat, but cure) illness is legit. Also, many operations are indeed successful in curing and saving patients: e.g. many heart procedures such as bypasses, valve repairs, etc. People continue to live due to kidney and liver transplants, which are an example of effective surgeries that provide people many years and even decades of continued life, not to mention pain relief. What the RUclipsr here is lamenting is the limited successes in the field of neuroscience and neurosurgery, not all of medicine. And within neuroscience he was lamenting not being able to pursue a subsection of neurosurgery he was interested in: neurosurgery in the brain and spinal operations. If Dr. Goobie really loves medicine, after he recovers from his midlife crisis (as he called it himself in a joking way), he can always retrain in a field where operations DO MATTER, such as heart surgery, kidney surgery, liver surgery (i.e. thoracic medicine) where he would be able to save many lives and actually CURE people, not just TREAT symptoms, which lamentably is in fact what most doctors talk about, instead of curing. But let's not forget the actual limited message of this RUclips video and make claims Dr. Goobie never made in this video.
Kevin, at 21:18 I think you misunderstood what he said. When he said "hospitals need to grow economically, they need to make money", he was talking about the underlying capitalist system which is why hospitals "need to grow"
I agree, try and see the point he’s making - big picture. Obviously incorporating these lifestyle Interventions will not completely eliminate the need for spine surgery.
Goobie is absolutely right, and I don't agree with Kevin that it's an oversimplification. It's actually as true as a fact can be. If doctors specializing in treating a specific recommended that their patients take preventative measures that make their own training obsolete, their jobs would be diminished because their skills, talents, and training would not be as needed as before. If vets told dog owners, for example, not to feed their pets dry dog food and switch to human-grade food in order to reduce the likelihood that their pets develop a wide range of diseases, obviously, vets would see fewer patients. There's no oversimplification because the changes in behaviours recommended by the doctors do not financially benefit the doctors
Most people wouldn't understand how a hyperspecialized surgeon with salaries ranging from 500k to millions a year might quit.... but we, your fellow colleagues do undestand! Health first.
24:28 His argument is not that everyone is gonna completely heal from better sleep, nutrition, and exercise. He's not saying that surgeries or other medical procedures are totally ineffective because obviously sometimes they are life-changing. Instead, he is criticizing the capitalist structure as a whole. In a capitalist society, every member of that society must prioritize one thing: money. Money is the arbitrary means with which we support ourselves and are able to eat, drink, and put a roof over our head. Even the most altruistic, caring person needs to make money to survive. Doctors are the same. Every medical institution has the primary goal of making money. As a result, Dr. Goobie simply felt that neurosurgery was no longer the most direct way for him to relieving suffering in others. This is not to say that doctors or hospitals are evil. This is simply the truth of a capitalist society: any institution must make money to survive. This is not necessarily a bad thing. Hospitals do amazing things every single day and the money that they raise allows them to research new technology that can save more lives. I'm sure many doctors thrive in a hospital environment. Just because making money is the primary goal doesn't mean you can't save lives along the way. Different people thrive in different environments this was simply not the kind of environment Dr. Goobie wanted to be apart of anymore.
yeah but the way he said it is framing it as though it's a medicine problem when its a healthcare system problem. literally driving the medical illiteracy problem we have in the world right now. i live in a capitalistic country (singapore) and yet public healthcare is the main means through which people here get healthcare, and only patients who have gone through conservative / lifestyle interventions and still fail to relieve their symptoms are then considered for surgery; else they can go to private hospitals that will happily list them for surgery
"All people need to do is meditate, hang out with their friends... then their back problems will get better." "If everybody did that and they got better, then no one would need spine surgery." "They would heal so quickly before I could do anything on them." "I found that patients who did certain things would get better, and patients who wouldn't do those things would get worse." I think Dr. Doobie is earnest, but I think it was good of Dr. Jubbal and other medical professionals to discuss how "will" and "would" affects those statements.
Dr. Jubbal has confliciting parts to him. On one hand, he's encouraged people to take care of their mental and emotional health, and has talked about the toxicities in the healthcare industry. But you can also see the alpha, competitive persona that you see a lot during medical school and it seems to still stick with him. Not just this video, but there were other times where someone expressed frustration or were open about their "weakness" and he writes it off as "that's just life." It's just moral posturing, contrasting off something "softer" or "weaker" to create the image of looking stronger. I really appreciate Dr. Goobie's perspective. He's taking burden of the "white knight ceiling" off the backs of doctors, you don't have to cosplay being "strong" for the sake of it. And being courageous to call a spade on the healthcare shit show that everyone can sense. I feel he's speaking out for the benefit of every team, for healthcare providers and for the public. The cons of a corrupt system and the moral conflicts it keeps producing outweighs the benefits of a professional field that doesn't even produce long term, quality of life dividends (to the professionals and the public).
agree with you and also if you come to think about it there's nothing alpha about following the herd and creating a whole persona around what people in your area think is the norm. if one thing the real alpha personality here is goobie, an authentic guy who does tf he wants and posts about it without a care
To clarify, I meant the guy who spent a bunch of time trying to sound authoritative, and he may be successful to the general public. However, to an MD neuroscientist who also left for the same reasons Goobie did, he sounds like a complete idiot. “I saw a child with a debilitating neurological condition in terrible pain and will probably die a horrible death, and you know, all I could think about was me and how it really ruined MY DAY. So I didn’t go into neurosurgery.” Wow. Sorry a dying kid ruined your day. I think putting fake boobs in insecure women and sucking fat out of people or butt implants or god know what into people who pay you tons of their own money to do this because they think something is so wrong with them that they would voluntarily undergo major surgery was the way to go. I get there is reconstructive surgery and repaired cleft palates that are necessary and helpful for people too. The doctor he name dropped, Ian Valerio, is actually in Massachusetts, not Ohio. He’s a veteran and started working with targeted muscle reinnervation to relieve pain due to the neuromas that were forming at nerve stumps in veteran amputees. The pain prohibited them from wearing their prosthetics. He wasn’t a pioneer nor did he invent it but is one of many good people did it and found that it worked. Other surgeons. then figured out if you take the nerve stump(s) during amputation and hook them into a muscle that no longer has function and sever the muscle’s original motor innervation, the nerve stump has something to do and reiterates the muscle that used to innervate something that was amputated. It then acts like an amplifier at the skin’s surface because it still thinks it’s making something move. You can leverage this by fitting a patient with an advanced pattern recognition myoelectric prosthesis. This is a special fake limb that can pick up the nerve signals coming through the. Skin and as you can do this with I think up to 6 nerves/muscles, you can have far better control over a prosthetic than you could before. I think it’s was only 2 nerves then. Now what this has to do with the rat experiments Dr, Goobie described? No clue whatsoever. I worked on mouse and rat brains and trigeminal ganglia in grad school after med school and as a neuroscientist I have no clue what point he is trying to make other than make himself sound important and trash talk Dr. Goobie. This guy has never been to grad school so he has no idea wtf he is talking about. I mean he couldn’t be a neurosurgeon bc the outcomes are poor. Yeah dude. They are. Most of the patients a neurologist or neurosurgeon sees have degenerative conditions that will only get worse until they die. It takes a tremendous amount of compassion and dedication to your patients knowing that your purpose is to do what you can to slow or mitigate symptoms for as long as you can, and if you’re good, you’re there to help the patient and family get through it. Explain what they want to know and answer questions. Refer to alternative therapies. Monitor closely . And be someone they can trust and be there to prepare them for the worst. Sounds like it takes a lot of intelligence, patience, and conviction. Commendable attributes if you ask me.
Hi I’m an undergrad student aspiring to be an ER doc as well God willing. I’d like to ask, do you work part-time or do u do 12hr/24hr shifts? And what type of hospital do you work in? Also what type of area(urban/rural/etc)? Thanks!
Yeah...that's what I see also. Why throw away all that valuable (and expensive) medical training and all that intelligence that could help people, if all he needed was switch to a medical career that gave better outcomes (so that he would feel better about what he did) or just reduce your hours at your job (I would think a neurosurgeon could call the shots on when he wanted to work)? I get it...the guy was burnt out and needed a rest...so he's taking a leave to enjoy nature and do what he wants when he wants. Good for him but he'll have to go back to work sometime...I would think that he could pick a less stressful/more good-outcome-based specialty, or just tell his employer he just wants to work part-time ($50,000+ a year is definitely do-able income if you live like everybody else...not lavishly). They have no kids, and only 1 dog (BTW, all he needs to do is get TWO dogs and they can entertain themselves or do Doggie Daycare)...those college loans can be paid minimally. I just think it's a shame that all that talent and expertise and intelligence is wasted. It's never always "all or nothing", after his hiatus, he could easily make changes in his type of job and/or work-life balance in the form of reducing his hours at work to be happy...just like you did with your hours.
Without watching this video I'm just gonna comment.. Goobie hit the nail on the head. It may not be YOUR NAIL, but he's accurate in his observations and i support his decisions. No doctor had EVER CURED my parents, but eventually we learned to cure ourselves.
Yep. Truth. RN here who hung on to her service job until early retirement at 62 y.o. The fast faced very stressful environment plus, abusive marriage partner was literally killing me. I was in fight/flight mode all the time. I was dying. The first day I awoke from sleep and realized I didn’t have to continue doing what I had been doing was amazing. I was so happy, so relieved, I felt like my real self, again. I was happy…no…I was joyous, and have been ever since, ten years later. Plus, I was released from my horrible marriage. What years I have left I now live in peace and I thank Jesus every single day for answering my prayers.
Dr Goobie, from MIT, with a neurosurgeon's skill, Quit the hospital, seeking a new thrill. May the mountains, rivers and NATURE renew his zest, With energy and passion, find his best. Don't give up, the journey's just begun, Purpose and passion, for everyone. Do what he LOVEs what he is good at, what serves, And happiness will find him, in life’s many curves.
I saw this video and was astonished. Neurosurgery is an especially difficult because of the poor outcomes of patients. But, I think the person makes a very interesting point on those who do recover best in his experience and observations. It reminded me a lot of the osteopathic medicine philosophy of holistic care.
Actually I heard from a neurosurgeon in Poland that "physiotherapists take our patients away from us" said with respect. Some of the patient might really avoid surgery thanks to physical therapy.
health is holistic though. the patient has to also hold up their end of the deal by not doing counter-productive behaviours that are detrimental to their health and undo all the surgeons' hard work. this means taking care of diet, exercise and lifestyle generally. the surgeon can only do so much. what's the point of only providing bandaid temporary solutions to symptoms instead of investigating and addressing the root cause of the problem? I think that was his point. the nature of healthcare in particularly the US but also other western countries appears to be about keeping people sick in order to profit off of them instead of wanting them to get better. same reason why our household appliances don't last as long as they used to - because manufacturers realise they're not getting as many repeat sales, so they use inferior materials.
I’m on Dr agobies side- all the other doctors just care about saving face- their fraternities and maintaining the status quo. Dr Goobie is a real leader.
The neurosurgeon is a decent human being. He's fed up with a corporate medicine so am I. I've been an emergency medicine doc since 1990. Boarded in surgical pathology and internal medicine . Over 80,000 hours of emergency medicine to the practiced ihave come to realize that the medical world puts out a facade of care but it's all about money. Most shifts start 7:00 a.m. or 8:00 a.m. it doesn't take by 9 or 10:00 a.m. we're meetings for money starts some of them are obvious some of them are cloaked under some other disguise. It is all about money and now it's so bad that if they need five staff they keep three and they push the other two or they just cannibalize the needed stafffrom the med surge floor in a pinch if they need it. Patient and healthcare worker constantly get squeezed for profits. All neurosurgeon was saying he was in charge but he was not in control and that was not the position that he was comfortable with. Only money junkies survive in such environment for a while not for long. Best regards to that lovely neurosurgeon I wish long ago I had the balls that you had grown. Corporate medicine is shit
I saw ERPs on zoom meetings discussing business/admin while dictating in the ER and seeing patients. Talk about being distracted. Corporate medicine is trash.
@@user-jq4im6rw5p It is all corporate medicine. Yesterday an angry patient went to his my chart thing and discovered something regarding about her urine culture. She was driving the hospital telephone operator regarding that problem crazy. Finally game to the ER later on for a separate issue of ankle sprain . She finally got into a fight with me then the hospital wanted me to apologize. I don't care if anybody believes the door not but that was the case. I said I would not apologize. Customer is right kind of thing. The North American patient is turning into generally a mother fucker himself
I don't like it that you interpret Dr Goobie's point as "black and white". I can hear the grey - he might be trying to describe in the most polite way that "middleground" was impossible to accomplish in the system. I don't think plastic surgeons meet this problem - forcing surgeries no matter what. I've been in the first raw of this battle against surgeons of many specialties. Up to the point when palliative patient got a surgery that we, anaesthesistes, told might kill him. He was ASA 5, in palliative care, permanently disoriented. I had nothing to say and he died on the operating table. No matter what we would tell the surgeons, they will always say it's "life saving" issue. Don't let me start on neurosurgeons. 😅 The "middle ground" and "grey" is somewhat unachievable, even if we chose little battles. With some surgeons, even stopping them from giving ketoprofenum in acute kidney disease is impossible. We had even a special online training for all the doctors in hospital, training on pain management - they scored it cheating and never learned anything. We might be missing some part of the story and dr Gooble will never let us know it. I wouldn't dare neither.
Agree with Maria. Kevin, about your “black and white” comment, I don’t think Dr. Goobie was claiming 100% efficacy of the lifestyle change. He was using a hypothetical situation to bring up an ethical problem. IF lifestyle changes caused degenerative spine surgeries (not talking about astrocytomas, AVMs, or traumas) to drop, that’s does effect hospital income. Also, later in the video, he said “what if I just cover the ER?” So he was still thinking about doing other types of neurosurgery covering just traumas. But it sounds like at that point he needed to just step away.
Dr Jubbal runs a medical school advising company and anyone that is going to criticize medical school, and the system he will have to retaliate so that he doesn’t lose clients who develop a distaste from med school and quit their dreams of becoming doctors. And that’s okay. But you’re right Dr Jubbal is being too judgmental towards Goobie’s message. His judgement towards him is black and white in nature instead. Goobie’s message is already touching the grey. No offense to Dr Jubbal he’s great. But he doesn’t have to be so judgmental to Goobie and his message
@@chengezhussaini1464 two different animals! And although I respect both people; Jubbals is the more realist here... quitting is never a solution; taking a break and/or switching point of view is usually considered more mature. It's not a certainty that Goobie quit for life.... maybe he'll regain a love for what he sacrificied his twenties for.... who knows? Also I can see how for someone to be fascinated by the brain and ending up fixing necks and backs as 90% of your practice might be burn-out inducing... I think he would have fared better becoming a psychiatrist rather than a neurosurgeon! All the best to Goobie!
@@MindShiftChronicle I agree. Dr. Jubbal even cheers him on and remembers his own exciting moments quitting plastic surgery; when he was discussing other surgery positions, he just seemed to be speculating. Other surgeons in Doobie's position may then decide to switch to the different subspecialty and regain their happiness, and I think that's a good thing.
Omg that is ridiculous. There are so many people who need doctors and not enough of them. Do you think if you are cured and don’t come back again for years they think of you? The answer is no. Next man up. They move on to another patient. For crying out loud it takes 4 months to get seen. Does it seem like they are in need of patients?
Unfortunately, this comes from "ignorance is bliss". Doctors don't have any business with big pharma, just look at the current mess with diabetes and obesity. We've known for a long time that all it takes is eating less crap and doing exercise, in fact, I remember Obama's wife did some school program related with this (I am NOT from the US), but idk what happened to that afterwards. Anyway, why exercise, eat your veggies, and so on, if you can simply take a pill and move on? Remember when splenda and the like were the next best thing, only to be told some years later that it causes cancer and whatnot? The same is occuring nowadays with ozempic and diabetes/obesity. Doctors just want to take care of you, remember that in its origins, medicine was provided by... slaves and religious folks. Medicine has always been humble in origins, but since we live in a capitalistic society, all of these are nothing but the consecuences of trying to monetise something that shouldn't be run for profit. This is an article in spanish, (the Dr. who was interviewed is from Spain), but it summarises the current state of medicine: www.bbc.com/mundo/noticias-internacional-53944005
Dr Goobie, wasn't willing to sell his soul for prestige and money! I respect him for doing what most people would never do. He knew cutting up people wasn't right and wasn't helping anyone, except the medical system who is willing to destroy people instead of helping them. You did the right thing!!!! Bravo to you!
As a pre med I've seen enough online to know it's gonna be ridiculously difficult but I have no idea how I'll actually handle working 80 hours a week in residency. Hopefully I survive
@@mustang8206some advice for rotations as a resident - don't leave early unless dismissed during rotations you don't like. Yes it sucks to be there for long hours but that's the only way to simulate "the suck" before residency the most accurately
@@mustang8206 work is not the difficult part for me. Being in the military I went weeks without a break lol literally 24/7 with minimal sleep. Work easy, the studying and competition is a different story.
Hes explaining his perspective and why he quit, but youre taking his video sooooo literally, hence youre frustrated. He literally said “Im not saying that will happen”. He isnt trying to attack you personally, hes saying the system is broken, hes looking at bigger picture.
Nobody is taking it personally, he’s making blanket statements about surgeons and medicine. Obviously this is his perspective but it’s not right to state it in a way where it seems like medicine is only for profit. The majority of people practicing medicine (residents) are in huge debt and not making any money from you. This only fuels the uneducated people to distrust the modern medicine.
Dr. Goobie hit the nail on the head-drugs, procedures, and doctors just put a band-aid on the symptoms. I still had to heal on my own with this chronic disease. I changed my diet and lifestyle, got off all meds, and stopped seeing specialists. Now, I want all my money back from the copays, doctor visits, surgeries, procedures, and meds. Healthcare feels like a complete scam unless it's for trauma or an acute issue!
This poor guy is right about relieving suffering. Medicine has somewhat devolved to prolonging/preserving life over quality of life. I have seen horrible things happen to people in the interest of prolonging/preserving life despite the horrible suffering because that's what somebody else (not the pt) wants.
Calm down! He's saying for instance, what if. And even if you don't believe it and look at the medical profession through rose colored glasses, most people do not trust doctors. Myself included. We know that most doctors are in it for the paycheck and will drag out treatments as long as possible. More doctors need to have a better sense of right and wrong.
They don’t drag out treatments. Agree that they do it for the money but they don’t give a crap about you. It takes months because they don’t care and not because they are intentionally dragging it out.
I think he was giving black and white examples just for the sake of explaining his points. Hospitals will never run out of patients. People will get sick regardless it’s life. I see repeat patients all the time they get healed and go back to their bad habits.
Dr.Kevin, you might be one of “them”, but Dr. Doobie is Dr. Doobie. That’s why his video has much more viewers. His video is not an entertaining video, if you disagree with his views, make your own, but don’t related to him. That’s why saw your videos but never interested in watching it.
Dr. Jubbal mostly agreed. He just pointed out how some of this statements like "All people need to do is meditate, hang out with their friends... then their back problems will get better" could unintentionally hurt patients who can't be saved by lifestyle changes alone. He provided more information about research and about other specialties Dr. Doobie could have gone into, but never says he ought to have stayed.
kevin, i think its you who painting the black and white picture here. we must admit that the incentive for doctors and hospital are procedures and pills.
This is such an important issue, it really is not black and white, thank you for sharing this and your point of view. But at the same time I feel like I am also on a search for purpose sometimes as an MD, you always want to do your best, but sometimes it is really hard managing work life balance, so I can see the other Dr's point of view.
Lifestyle modifications are going to be less profitable as compared with procedures because the doctor is less involved in the treatment of the patient. This is why procedural specialties are paid more per unit time, and non procedural specialties that are nonetheless very specialised earn less.
I had seen this before and I get both sides. I think the issue is that he was explaining why he left. Unfortunately, it’s happening in so many areas. My endocrinologist charges less than my family care NP for a visit because I get charged twice. In my area, the hospital conglomerates bought up the family practices and put them in their mini-hospitals. If you take more than 15 min, it’s 2 charges. I have good insurance and a good job, but honestly, it’s criminal what insurance, big pharma, and the private equity involvement in medicine have done to health care. 😭 Anywho, I love the content from docs and former docs out here (and the lawyers, lol) ❤
Im a doctor in Colombia and must say that Medicine doesn't rise to the occasion compared to smartphones technology. If you have a smartphone you really happy. And if you have a melanoma you can dying asking yourself, how melanoma is treated , even if you're a doctor. It feels like if for some things there is no solution. Preventive medicine is the most important thing in medicine now.
For those curious about neuroscience and spine surgery, as we age our discs gets dried up and eventually disappears and the bones of the spine starts to fuse on its own naturally
I’d like to see Dr Goobie live in real life for one year. Work at a McDonald’s, a factory, a construction site, or as a programmer. Let’s see which one he will stay with. Also, during this time he can’t spend any money he saved from being a doctor.
I think it is pretty messed up that a patient is supposed to "trust" a doctor who will suggest them to do things that they wouldn't do for themselves or their loved ones! So if I have faith in doctors because I trust they're "well educated" I get worse care... I don't think the public will buy it.
Once upon a time hospitals were run by intelligent doctors that had worked their way through the system and understood why the hospital was there in the first place, i.e. to heal people. Today, hospitals are run by MBA's with no medical training to make money.
If the US Medical System was any good, there would a superior understanding of complex feedback systems such as ballance, stability, for old people, I suggest Dr. GOOBIE lead a team of specialists to address Neuropathy, Muscle loss, Ear, Eyesite, and BRAIN. This analysis, if done correctly will alive considerable suffering. By old I mean 80+. We fall. We break bones. We end up in wheel chairs. Have pitty.
I am a neuroscientist and MD...where do I sign up? I was interested in aging/longevity medicine until I listened to a podcast. People are more concerned with how they look and if they are fat or not. There were some good points, for example, studying the naked mole rat (it lives a ridiculously long time, 30 years, compared to a mouse or rat, 1-3 years) is giving us some insights ito the mechanisms of slowing or halting cellular senescence. I worked in regenerative medicine as a medical education director briefly and there was a focus on longevity there, as well...not getting wrinkles. I think there are more pressing things to address!
What the good doctor is saying is a generalization for those who have ears to hear that the better health you have the less you will need to see a doctor because doctors and others involved in medicine need to have sick people in order to make money.
As someone who made the transition from education to Healthcare, I know the system isn't perfect. I started as a nurse’s aide in ICU, now RRT and admitted to a PA program, I've seen a variety of in patient scenarios. If someone goes into medicine in their 20s with no medical background, I can see the frustration. Medicine isn't a magic cure. As an RT, I don't see myself as a life saver. I'm more of a life preserver. We can't save everyone. I had a physiology professor who was an old internist. She was a very strong advocate for food as medicine. Not quite like eastern medicine, but eating healthy is very important. Exercise is important. Sleep is important. After that, if there's still an issue, medicine is better able to help.
I went to grad school after med school and this was a few years after I'd left residency. I did not understand what was going on with the pre meds. I was never like...that. I refused to hire them for my team, but at the end got stuck with two. One of them lied on her personal statement about our nonexistent relationship and demanded a rec letter...none of them wanted to work...I'd had stellar students in the past, and this was part of the reason I mastered out after 4 years. Teaching them was also an exercise in not committing any crimes against inanimate objects in fits of rage. Entitlement was astounding, as was lack of knowledge or work ethic.
You sound so defensive YOU are the one being negative. Dr. Goobie spoke his truth. You have too far to go in your mental work before you can thoroughly understand his position. I am in my 8th decade of life. My children were delivered by the old time house call doctor. As a 'people' we are missing the standards of once 'caring' medicine. Monopolies exist and are sucking up every major need in our country, including medicine.
I do think hospital systems are a major player in perpetuating these medical practices. Ortho spine is one of the highest-billed specialties and you are seeing major hosptial systems drastically expand their ambulatory surgery centers. Hosptital Admins know spine surgery and surgery center facility fees are the largest money generators in the hospital along with GI and Cards procedure. Many of these populations that receive these services are also commercially insured driving large margins for the hospital. Some hospitals are also sharing facility fees with surgeons creating another conflict of interest and forming some kind a symbiotic relationship wtih admin. Fee for service is the most problematic in these specialties and its profitability is why most of these services are still fee for service at most hospitals. VBC can really create a big impact to fix these specialties but there is a large amount of pushback from hospital systems for these to go VBC. In the south, there was a hospital that tried to make Ortho VBC, and most of the ortho docs threatened to leave so the hospital but them on a salary way higher than they were making on FFS to do fewer procedures in a VBC model. But I agree, this is a small minority of doctors and has the possibility of turning the public away from trusting docs.
Hospitals are absolutely businesses in the USA. I'm unsure why some people think that's an "oversimplification." Even prisons are businesses in this country, and people are shocked, lol. More people could have been cured if medicine had focused more on preventative care and less on symptom management. Pharma has to make money; when I say that, I don't blame the doctors-I blame capitalistic greed. Also, if some of you still think the medical field isn't money-oriented, then ask yourself: why isn't every person entitled to medical insurance, like in Europe? People in the USA get loans to receive treatment for cancer. Imagine being hit with such a disease and needing to worry about a loan. Let that sink in.
I think you misunderstood his point brother…please delete this video as he said on his video like people like you will come for him … let his live peace bro ✌🏽
As an indian oncosurgeon , we have w hard time explain to patients about exercise and diet. We have dieticians but it cannot trump the traditional discussions on foods and stuff. Older women refuse to walk post or pre surgery wnd its frudtrating to try to make them ambulatr but I do love my subject and I dont think any amouhbtof burnout will want me to peave it permanently
WRONG ,YOU ARE ABOUT DR GOOBIE...LIVE YOUR LIFE MAN AND RESPECT HIS' ...I CAN TOTALLY RELATE TO DR DOOBIE,OKAY....HE DOESN'T CALL MEDICINE BS,HE TALKS ABOUT WHAT BRINGS HIM PEACE OF MIND... MAY BE ITS JUST THAT YOU HAVE NOT LISTENED TO HIS VIDEOS THE WAY I HAVE LISTENED TO....
@@cheetahgoldenfire "grey area" just means the truth is in the details. Because when someone says "this situation is not black and white", what they're actually saying is "this situation is true in a specific context, and not true in another context". So the grey becomes black and white as you dig deeper.
Alas truth is subjective in most contexts i have experienced. It is in the eye of the beholder. Truth is Merley a point of view. Rarely we can use reductionistic thinking to simplify something so we can better understand it.
Dr. Goobie is not trying to be black and white but to express his feelings on the current medical system! there are issues with money over outcomes in a lot of practices.
This is the issue of public health vs acute care health( a downstream which doesn't address the upstream and consumes most money in health care). Most acute care healthcare professionals have poor understanding of public health at population health.
All these jobs are about to be automated anyway..Also, I quit because I understood the system is rigged and it benefits only a tiny group, which I am not going to mention, but they exist and are here..I was a trained pediatrician and worked as one for sometime..It is a very evil system..
What he said it was more of hospital was money making machine. Instead of doing the correct surgery procedure to cure the disease they did a different operation.
I am not sure what MIT has to do with his story. He went to college at MIT which speaks very well for him - but MIT doesn't have a medical school or a hospital. Where he did his residency would say a lot more about his neurosurgical training. Neurosurgical training programs are very demanding and require dedication to complete. So wherever he trained I accept his skill and integrity. I also understand that seeing people with back pain day in and day out isn't fine - especially when you find you aren't really helping a lot.
I agree and I do not think Dr. Dobbie is trying to be black and white, but pointed out the healthcare system is profit driven, like any industry, that $$ buying people's souls, and they really do not care about patient's long term outcome and wellbeing. E.g. I have seen this amazing miracle Chinese doctor who specializes in joint, muscular, ligament, tendon, or sciatic nerve issues. I avoided surgery for many conditions with her healing hands. She is a doctor who combines both Western and traditional Chinese medicine, using meridian therapy in a remarkable way. She has saved me many times! I see that American doctors often offer surgery as an option rather than last resort. She located in my home town Beijing, China, but I see here whenever I get a chance. Dr. Yan (Xihuan Yan) Beijing Yikangtang Traditional Chinese Medicine. She came to America for teaching a few times.
Hey Kevin, I think you missed a key part of what he said at the very beginning. He mentioned that he wanted to be a neurosurgeon specializing in robotics. The only reason he pursued neurosurgery was to avoid wasting all those years of education and training. In reality, he never wanted to be a neurosurgeon performing general medical operations. So, the idea that he could have chosen a different medical field wouldn't have changed how he felt, because that was never his true passion. If you think about it, what Elon Musk is doing with Neuralink aligns more with what he probably wanted to do. He was genuinely interested in not only helping people but also in technology and cutting-edge advancements. The reality is that he didn't really want to be a typical surgeon, whether as a brain surgeon or any other type of physician. That's the crux of the issue. Best, [Your Name]
@@lu641110 No, you're misinterpreting my response. I'm not referring to the overall subject of his video. I'm addressing the core issue in Kevin's criticism of the initial MIT neurosurgeons video.
@@kevinjubbalmd No, you're misinterpreting my response. I'm not referring to the overall subject of his video. I'm addressing the core issue in Kevin's criticism of the initial MIT neurosurgeons video.
yes many countries health care is a disaster in my country our health system is in trouble under staffed and under paid our system is poaching hospital staff from other countries offering them more money and better conditions and its a competitive market cause the staff you hire can be poached again with a better offer they hop off one plane and take a flight to a better offer and as staff are over worked they have a short fuse too i was a patient and had noting but respect for the staff on all levels from the cleaners those that delivered the food to the nurses and surgeons etc yes its a tough industry and government need to support these samaritans on all levels
I had a primary care doctor essentially abandon me. One day I signed onto my patient portal and the doctor was different. He couldn't handle that I wasn't getting better. No matter how many times I told him that I knew he couldn't cure me and I wasn't looking for a cure and just appreciated having a doctor that I could trust and that would listen he just broke down. I guess he didn't listen to me because it really did help me having him as my doctor. When he abandoned me it really hurt and felt like no one wanted to help me. I ended up with a terrible primary care doctor who never seemed able to handle anything more than strep throat and was horrible at coordinating care. I just got sicker and essentially wasn't getting any help. The new pcp really wouldn't do anything. After a year I gave up on pcps entirely. I haven't had a pcp in 8 months. Some of my chronic issues have been managed by ER doctors and they have been truly amazing and kind, other things I just suffer with.
I am so sorry to hear about your experience. It wasn't fair to you, and though it was good that the doctor was honest with you, he could have handled it with more empathy and professionalism. I think both of these attributes are barely hanging on in this profession, and it breaks my heart. I grew up believing in this field and never thought for a second it would betray me or the patients we swore to serve. My father showed and practiced something that nobody else can experience as a patient, I thought it would live on with me, but the system chewed me up and dumped me for doing the right thing. I have never abandoned a patient nor would I think about it because I know how that feels. If there wasn't anything I could do, I'd refer out, but the person would be welcome to come back to touch base. I know that PCPs have tanked, I don't have one. I am my PCP, if something goes wrong I figure it out and order meds off Good RX. I have been thinking about renewing my license to do DPC primary care, but I need to do a year of volunteer patient care because it has been so long, and it's been hard to find a place that fits my schedule. Have you heard of DPC, direct primary care?
I think one of the biggest problems with this video is that it basically went viral. I totally agree with the pinned comment and Dr Jubbal, but I would like to think that it was not Dr Goobie's intention to pit the average American vs their physicians.
We need to reimburse or compensate doctors for success in having solved the root cause of the problem, whatever that may be. Yes, incentive structure needs to be changed in order to avoid a non-sustainable system that would bankrupt the American economy. Although statin drugs have cardiovascular benefits, but some studies indicate increased risk for Parkinson's.
Hey Kevin, currently 8 minutes in but with long talking/reacting type videos, I'd suggest to keep the background music: 1) as low as possible, 2) only include it in short periods and not the entire length of the video (I'm assuming it covers the entire length of this video since I've only watched 8 minutes so far), or 3) not include it all. It just takes away from the valuable insight you give us and I'd like to listen to what you have to say without being distracted. Hope that helps :)) EDIT: watched the entire video, and as I got into the video more, I couldn't hear the background music as much. I noticed that you still had it in so maybe it was toned down or maybe I just wasn't paying enough attention at the beginning (who knows?). Regardless, great video and hoping to see similar longer format videos in the future :))
Western medicine is still learning and evolving so allow them to learn. Western medicine is more procedural, methodical and profit motivated. Western medicine usually does not allow God, prayer and the body to heal and repair itself. Western medicine is evolving to be more complementary to be in balance and harmony with the body, vital organs and systems. Western medicine is evolving and learning so be optimistic. We are number 35 in international scholastic competition.
Hey, Kevin, I hate to say this, but you're wrong. Most, i.e. the vast majority of spine surgeries don't end with a good result except initially in some cases. Why? The elephant in the room is scar tissue. Scar tissue can erase the initial benefit which spine surgery provides - not in SOME cases - but, in MOST cases. Spine surgery is a dismal specialty with a very, very low success rate by any measure. Simply, we need to find a way to deal with scar tissue, i.e., we need more and better science to develop methodologies which address this problem. For spine surgeons who don't care, it's a wonderful way to make a living. The doctor, hospital, and the medical devices companies win. But, the patient often loses iin either not getting the problem and pain fixed or with these getting worse. As a former pain physician, I saw all the failures in spine surgery in my area and the story is the same everywhere. So, this fellow is not talking through his *ss. He's actually right. Now, with you never having been a spine surgeon, I would say that you don't have first hand, day in and day out experience with this reality. Dr. "Doobie" is also on point about lifestyle changes. Most folks debunk this as perhaps voodoo medicine or as someone who is a little soft in the head. But, nothing could be further from the truth. For instance, many patients I saw in the pain clinic who have had spine surgery are heavy smokers or whose overall health is poor by choice: poor diet, lack of exercise, uncontrolled hypertension, poor sleep habits. These things wreak havoc not only on one's overall health, but also and especially on their spine health. I know that you won't consider what I'm saying as valid, but I have some first hand knowledge of what I'm talking about as it relates to patient outcomes with spine surgery.
I think Dr. Goobie's didn't use the correct words. We all know healthy habits help you with several things, but we also know that even if we lived in a perfect society, you never have 0% odds. That's your argument Dr. Jubbal and I agree, but I also know that surgeries aren't a "get out of jail" card, there are risks and specially in anything regarding neurosurgery, the outcome can be either better or worse, than what your patient currently is. Henry Marsh already explores this topic in "Do no harm", regardless of the technique, personnel, and so on, there isn't a 100% guarantee of success. If your patient improves after your surgery, that's amazing! But what if he's unable to walk afterwards? Or if the pain's worse than before? Heck, you even start talking about how therapy drastically improved your life at @30:02 however, you forget we're all different. Not everyone is willing to put in the effort, let alone the time into exercising, eating better and whatnot. This is the main issue Dr. Goobie was trying to address, why exercise and stop eating crap, when you can just take a pill once a day? This isn't the first nor the last time this has happened, USA's opioids epidemic isn't new, just look at housewives from the 80s and "mommy's little helper", heck, even people are taking drugs for expected human responses (if you can't afford food, and live on the streets, ofc you're going to be depressed and so on). I could go on, but I'll just leave this Dr. from Spain who describes the situation, and so far, I haven't met the first healthcare worker who disagrees, it simply summarises our current situation: www.bbc.com/mundo/noticias-internacional-53944005 leaving you the interview in case you wanna check it out.
I liked this video. It shows both sides. I understand why you were getting upset. Dr.Dobbie did what he felt was best for him. I like your motivation. 😊😊❤ ❤
Yo Dr. Kevin. I"m seeing a very sad neurosurgeon who got disappointed in practice and he is expressing his frustration. Taking care of neuro patients can be depressing because they are usually younger people who often die quickly/die too young. Also, why ddon't you see what Dr. Blum and Dr. Nagy, two Las Vegas neurosurgeons I've worked with in the ICU/ER have to say. Can neurosurgeons bill for health and wellness non-surgical interventions? I bet you they CAN"T so in neurosurgery there really might not be the grey area like in other areas of medicine. Besides, who is going to go through 7 years of neurosurgery residency to be health and wellness teachers? Is the insurance company going to pay the neurosurgeon the thousands of dollars they were going to get for surgery to not do surgery and focus on health and wellness? I know you don't like the black and white but the way some things exist right now are black and white. Maybe neuroscience needs separate health and wellness healthcare professionals, but to expect neurosurgeons to do it is well...it probably won't work. Besides, when I worked a neuro ICU shift I wanted to take care of a crashing head bleed, not teach health and wellness.
Suspected this kind of response from healthworkers after Dr Goobie's video, disparaging him to create their own content, and utterly missing the point of the story
19:31 leave your body free from wireless devices including that thing on your wrist and study more about RF-EMFs from articles free from "conflict of interest"
@@chillie000 im in a unique position wherein i have severe arthritis and bone spurs throughout my ENTIRE cervical spine. So even if they fuse one or two levels the rest of them are still just as bad. I am screwed my future is screwed
@@chillie000 thank you so much. prayers work!!! thank you!! My neck is really bad i was injured during military service unfortunately. Its too bad for them to insert disks :(
@@imveryhungry112 Thankyou for your service…I’m so sorry the price you’ve paid…I will absolutely keep you in my prayers…could you give me your fist name (if you’re comfortable)?
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Subspecialist surgeon here, completely agree with Dr. Jubbal. On one hand, Goobie's video in an inspiring story for a lot of docs. Many of us have experienced burnout and depression as a result of sinking our 20s and 30s into a career that, when we started, we thought would be a whole lot different. The call, the stress, the lowering reimbursement when adjusted for inflation are all real issues and many of us who have thought about leaving have lacked the courage to do so because of fear, embarrassment, or financial reasons. Seeing Goobie's video where he takes the leap in that regard is inspirational.
However, his video does a huge disservice to medicine and surgeons in particular, by imply that we're somehow snake-oil salesmen getting paid to operate on people who don't need it. We can counsel patients "you're not a good candidate for surgery" or " you need to loose weight, control you BP, get medically optimized etc. prior to surgery, come back in 6 months and lets see". That's still a billable visit. Part of the job is figuring out who NOT to operate on, especially when you're out in the real world. But in the end, someone's cancer isn't going to go away when the cut out salt. Even if all of America had perfect lifestyle choices there would still be plenty of surgery for all the traumas, all the cancer, the congenital defects, all infections that need to be drained, the disease brought on by autoimmune conditions etc. Even in his own field of spine surgery, scoliosis, compression fractures, spinal tumors etc aren't fixed with diet and exercise. Painting such a simplistic picture is unhelpful and pits doctors vs patients when it should be doctors and patients against insurance companies.
I don't know that that is what he was aiming for but it could come across that way, regarding the snake oil salesmen aspect. The aspects about the hospitals running on money is completely true though. America runs on money, from the hospitals to the insurance companies to the drug companies. Many don't do these things out of kindness, even if there are some well intentioned people in this system.
@@mikew9802 I would like to also give my take. I'm not a surgeon or medical professional, but I understand the medical industry and the world we're in. I think he's more focused on his dissatisfaction with capitalism, and how insurance companies and hospitals, influenced by insurance companies, have monetized healthcare, which should be a public good. He mentioned that his goal of minimizing suffering often conflicts with the profit motive. He's expressing frustration with inefficient systems where capitalism and profit hinder the job of helping people. I agree he could be more nuanced, clearly articulating his dissatisfaction without leaving it open to misinterpretation. Most intelligent people understand he's criticizing the system, capitalism, and the profit motive, not doctors. I get why doctors may not like his open-ended criticisms, because it leaves too much space open for misinterpretation.
It does not do any disservice to medicine or surgeons. It is the doctors personal experience, bringing the issue of healthcare today in the spotlight. After twenty years in medicine I agree and understand completely
@@Anthony-db7cs
He literally addressed your grievances in the same exact video, you just didn't want to pick up on them because you wanted to make the point you have before you even watched the video..
It's HIS life people. He's doing what HE wants to do with HIS life. All respect to him and his life choices.
His choice doesn't mean he can generalize and say or give ridiculous example like people won't need surgeries if they do this and that, he's not exempt from criticism just because he's talking against a system that is predatory but definitely helps billions, he's clearly putting a bad rep on actually good doctors and patients who cannot do all these things and might require procedures as a result of genetics, family history trauma and infection etc etc, his anecdotes aren't backed up and we don't know how his patients he didn't operate on are doing, when you make claims you provide evidence to support them, you csn bet some of those patients could have the pain again but didn't call as a result of embarrassment, death, distance and loss of follow up
@@exiledkenkaneki701
1) It’s a free country, people will (and can) use their right of say.
2) ? No one said he was “exempt”, he simply gave his opinion based of his 9+ years of experience as a full time Neurosurgeon. You’re not forced to agree with them, just lend an ear and listen.
3) ???? Bro did you even watch video? He mentioned that his colleagues were good individuals, he was never targeting fellow coworkers as he was very direct with his opposition on the current Medical system.
4) Correct, when you make claims, some level of verification is required (now you’re starting to make some sense).
While Mr.Goobie made some respectable points, he failed to address the ACTUAL underlying situations that affect todays healthcare system (as you kind of stated). He was definitely oversimplifying the problem, which is why those who have some understanding can disagree with him on.
@@exiledkenkaneki701About 50-60% of spinal surgeries fail. You can get failed back pain syndrome in up to 40% of patients, one major risk factor is crappy lifestyle, or post-laminectomy pain syndrome in 20%, where smoking is a risk factor. Obesity is a major risk factor for herniated discs, compression fractures, spinal stenosis, degenerative disc disease, and a hyperinflammatory state which makes any of these worse and increases the incidence of any number of malignancies. There are surgeries that are called “bread and butter surgeries” which are common ones you do most of the time and fixing these issues are going to be the cases that you see most. If you also have diabetes or CVD, or smoke, your blood vessels are going to suck and you won’t heal very quickly as there isn’t enough blood getting to the healing area. I think that’s what he means. All of this is preventable. Malignant tumors of spinal cord origin are exceedingly rare but you might see a chordoma or very very rarely a glioblastoma(or the lower grade astrocytoma). There are more benign spinal cord tumors like meningitis as or neurofibromas (neurofibromatosis), ependymoma ,hemangioma, etc. Then you could have osteosarcoma or chondrosarcoma in the bone or metastasis. The benign ones you still want to resect because of cord compression. In these cases I doubt he’d say “no, just rub some broccoli on it.” But for the bread and butter ones…preventable.
Additionally, nobody is going to die from not getting a bread or butter surgery. They might die from a stroke or heart attack or complications post-surgery especially if they are obese, sedentary, have high blood pressure and cholesterol, diabetes, etc. I would like to add that usually having one surgery sets you up for having more surgeries in your future so they will be calling back. Spinal fusions, in particular.
I have no idea when spine surgeons were called neurosurgeons? Ortho usually does these too, but they can’t do malignancies or more complicated things I suppose. My dad was a neurosurgeon and he operated on brains so it’s confusing to me.
For sure, and I think you're agreeing with Dr. Jubbal here too. He really approved of what Dr. Doobie did with his life and saw himself in him. However, because he's a neurosurgeon and presenting himself as such, people calling out statements like "I found that patients who did certain things would get better, and patients who wouldn't do those things would get worse," "They would heal so quickly before I could do anything on them," "All people need to do is meditate, hang out with their friends... then their back problems will get better" and elaborating on the data is a good thing, imo. He may have wanted to be earnest and uncomplicated when he put it like that, but he neglects the necessary and effective healthcare when he does it.
Dr.Doobie has integrity.
I don’t think he knows what that means (the narcissist saying words at the video).
I agree with you. The nuance is lost on those that oversimplify.
I think that Dr. Doobie is very earnest, and he really seems to care about making his patients feel better. However, I respectfully disagree about whether he should have said everything he said. For example: "All people need to do is meditate, hang out with their friends... then their back problems will get better" without saying that there are people who have received necessary care. That makes it seem definitive, but research on it was inconclusive. It's the wording: "I found that patients who did certain things would get better (on their own), and patients who wouldn't do those things would get worse." Would? My mother needed to have titanium put in her spine. She's fifty, is healthy, exercises, and eats so many vegetables. She tried many therapies and exercised for months. Medical intervention was necessary for her then, and now she's better than ever. Again, he's earnest, but there do seem to be problems with his choice of statements.
You mean Dr. Goobie
I’m so glad to see everyone in the comments section backing up Dr Goobie and it’s so interesting seeing how many similar stories there are out there.
It s amazing how many people miss dr goobie’s point. He talked about his experiences of how he felt trapped in the medical SYSTEM as a doctor. The system doesn’t serve for the benefit of people it serves the pharmaceutical industry
That is what he exactly got wrong, that is the main point .
wow! crazy that it took him 20 years to figure that out when even your run of the mill premed knows that crap
I think people are overgeneralizing from this video as a so-called confession against Western medicine when in fact the RUclipsr here (and former neurosurgeon) is making a very precise narrow argument against the limited advancements of treatments available in neuroscience NOT all of medicine. To be sure, what doctors do when using antibiotics to CURE (not treat, but cure) illness is legit. Also, many operations are indeed successful in curing and saving patients: e.g. many heart procedures such as bypasses, valve repairs, etc. People continue to live due to kidney and liver transplants, which are an example of effective surgeries that provide people many years and even decades of continued life, not to mention pain relief. What the RUclipsr here is lamenting is the limited successes in the field of neuroscience and neurosurgery, not all of medicine. And within neuroscience he was lamenting not being able to pursue a subsection of neurosurgery he was interested in: neurosurgery in the brain and spinal operations. If Dr. Goobie really loves medicine, after he recovers from his midlife crisis (as he called it himself in a joking way), he can always retrain in a field where operations DO MATTER, such as heart surgery, kidney surgery, liver surgery (i.e. thoracic medicine) where he would be able to save many lives and actually CURE people, not just TREAT symptoms, which lamentably is in fact what most doctors talk about, instead of curing. But let's not forget the actual limited message of this RUclips video and make claims Dr. Goobie never made in this video.
@@SunSunSunn
Yes and its not him but his programming
Kevin, at 21:18 I think you misunderstood what he said. When he said "hospitals need to grow economically, they need to make money", he was talking about the underlying capitalist system which is why hospitals "need to grow"
I agree, try and see the point he’s making - big picture. Obviously incorporating these lifestyle Interventions will not completely eliminate the need for spine surgery.
@@vinnnnnay3546 yeah i totally get that :)
Goobie is absolutely right, and I don't agree with Kevin that it's an oversimplification. It's actually as true as a fact can be. If doctors specializing in treating a specific recommended that their patients take preventative measures that make their own training obsolete, their jobs would be diminished because their skills, talents, and training would not be as needed as before. If vets told dog owners, for example, not to feed their pets dry dog food and switch to human-grade food in order to reduce the likelihood that their pets develop a wide range of diseases, obviously, vets would see fewer patients. There's no oversimplification because the changes in behaviours recommended by the doctors do not financially benefit the doctors
Creepy! Earn traffic is the true intention by attacking Goobie, shame!!!
@@editorjohn8803 so many documentary out there but people still blind
I can relate. I practiced Ortho Spine Surgery for 15 years and quit. Wasn't fun anymore, burned out. Much happier now.
Most people wouldn't understand how a hyperspecialized surgeon with salaries ranging from 500k to millions a year might quit.... but we, your fellow colleagues do undestand! Health first.
24:28
His argument is not that everyone is gonna completely heal from better sleep, nutrition, and exercise. He's not saying that surgeries or other medical procedures are totally ineffective because obviously sometimes they are life-changing. Instead, he is criticizing the capitalist structure as a whole. In a capitalist society, every member of that society must prioritize one thing: money. Money is the arbitrary means with which we support ourselves and are able to eat, drink, and put a roof over our head. Even the most altruistic, caring person needs to make money to survive. Doctors are the same. Every medical institution has the primary goal of making money. As a result, Dr. Goobie simply felt that neurosurgery was no longer the most direct way for him to relieving suffering in others.
This is not to say that doctors or hospitals are evil. This is simply the truth of a capitalist society: any institution must make money to survive. This is not necessarily a bad thing. Hospitals do amazing things every single day and the money that they raise allows them to research new technology that can save more lives. I'm sure many doctors thrive in a hospital environment. Just because making money is the primary goal doesn't mean you can't save lives along the way. Different people thrive in different environments this was simply not the kind of environment Dr. Goobie wanted to be apart of anymore.
yeah but the way he said it is framing it as though it's a medicine problem when its a healthcare system problem. literally driving the medical illiteracy problem we have in the world right now. i live in a capitalistic country (singapore) and yet public healthcare is the main means through which people here get healthcare, and only patients who have gone through conservative / lifestyle interventions and still fail to relieve their symptoms are then considered for surgery; else they can go to private hospitals that will happily list them for surgery
Great comment
Yah, we have seen what they did to make a living, during COVID PLANDEMIC.
"All people need to do is meditate, hang out with their friends... then their back problems will get better." "If everybody did that and they got better, then no one would need spine surgery." "They would heal so quickly before I could do anything on them." "I found that patients who did certain things would get better, and patients who wouldn't do those things would get worse." I think Dr. Doobie is earnest, but I think it was good of Dr. Jubbal and other medical professionals to discuss how "will" and "would" affects those statements.
Dr. Jubbal has confliciting parts to him. On one hand, he's encouraged people to take care of their mental and emotional health, and has talked about the toxicities in the healthcare industry. But you can also see the alpha, competitive persona that you see a lot during medical school and it seems to still stick with him. Not just this video, but there were other times where someone expressed frustration or were open about their "weakness" and he writes it off as "that's just life." It's just moral posturing, contrasting off something "softer" or "weaker" to create the image of looking stronger.
I really appreciate Dr. Goobie's perspective. He's taking burden of the "white knight ceiling" off the backs of doctors, you don't have to cosplay being "strong" for the sake of it. And being courageous to call a spade on the healthcare shit show that everyone can sense. I feel he's speaking out for the benefit of every team, for healthcare providers and for the public. The cons of a corrupt system and the moral conflicts it keeps producing outweighs the benefits of a professional field that doesn't even produce long term, quality of life dividends (to the professionals and the public).
agree
agree with you and also if you come to think about it there's nothing alpha about following the herd and creating a whole persona around what people in your area think is the norm. if one thing the real alpha personality here is goobie, an authentic guy who does tf he wants and posts about it without a care
He’s a douche
To clarify, I meant the guy who spent a bunch of time trying to sound authoritative, and he may be successful to the general public. However, to an MD neuroscientist who also left for the same reasons Goobie did, he sounds like a complete idiot. “I saw a child with a debilitating neurological condition in terrible pain and will probably die a horrible death, and you know, all I could think about was me and how it really ruined MY DAY. So I didn’t go into neurosurgery.”
Wow. Sorry a dying kid ruined your day. I think putting fake boobs in insecure women and sucking fat out of people or butt implants or god know what into people who pay you tons of their own money to do this because they think something is so wrong with them that they would voluntarily undergo major surgery was the way to go. I get there is reconstructive surgery and repaired cleft palates that are necessary and helpful for people too.
The doctor he name dropped, Ian Valerio, is actually in Massachusetts, not Ohio. He’s a veteran and started working with targeted muscle reinnervation to relieve pain due to the neuromas that were forming at nerve stumps in veteran amputees. The pain prohibited them from wearing their prosthetics. He wasn’t a pioneer nor did he invent it but is one of many good people did it and found that it worked. Other surgeons. then figured out if you take the nerve stump(s) during amputation and hook them into a muscle that no longer has function and sever the muscle’s original motor innervation, the nerve stump has something to do and reiterates the muscle that used to innervate something that was amputated. It then acts like an amplifier at the skin’s surface because it still thinks it’s making something move. You can leverage this by fitting a patient with an advanced pattern recognition myoelectric prosthesis. This is a special fake limb that can pick up the nerve signals coming through the. Skin and as you can do this with I think up to 6 nerves/muscles, you can have far better control over a prosthetic than you could before. I think it’s was only 2 nerves then. Now what this has to do with the rat experiments Dr, Goobie described? No clue whatsoever. I worked on mouse and rat brains and trigeminal ganglia in grad school after med school and as a neuroscientist I have no clue what point he is trying to make other than make himself sound important and trash talk Dr. Goobie. This guy has never been to grad school so he has no idea wtf he is talking about. I mean he couldn’t be a neurosurgeon bc the outcomes are poor. Yeah dude. They are. Most of the patients a neurologist or neurosurgeon sees have degenerative conditions that will only get worse until they die. It takes a tremendous amount of compassion and dedication to your patients knowing that your purpose is to do what you can to slow or mitigate symptoms for as long as you can, and if you’re good, you’re there to help the patient and family get through it. Explain what they want to know and answer questions. Refer to alternative therapies. Monitor closely . And be someone they can trust and be there to prepare them for the worst. Sounds like it takes a lot of intelligence, patience, and conviction. Commendable attributes if you ask me.
❤
I'm an ER doctor and I did exactly what he did but now I work 4-6 days a month... today's health care is a disaster
Hi I’m an undergrad student aspiring to be an ER doc as well God willing. I’d like to ask, do you work part-time or do u do 12hr/24hr shifts? And what type of hospital do you work in? Also what type of area(urban/rural/etc)?
Thanks!
Yeah...that's what I see also. Why throw away all that valuable (and expensive) medical training and all that intelligence that could help people, if all he needed was switch to a medical career that gave better outcomes (so that he would feel better about what he did) or just reduce your hours at your job (I would think a neurosurgeon could call the shots on when he wanted to work)? I get it...the guy was burnt out and needed a rest...so he's taking a leave to enjoy nature and do what he wants when he wants. Good for him but he'll have to go back to work sometime...I would think that he could pick a less stressful/more good-outcome-based specialty, or just tell his employer he just wants to work part-time ($50,000+ a year is definitely do-able income if you live like everybody else...not lavishly). They have no kids, and only 1 dog (BTW, all he needs to do is get TWO dogs and they can entertain themselves or do Doggie Daycare)...those college loans can be paid minimally. I just think it's a shame that all that talent and expertise and intelligence is wasted. It's never always "all or nothing", after his hiatus, he could easily make changes in his type of job and/or work-life balance in the form of reducing his hours at work to be happy...just like you did with your hours.
@bettywith2girls because worthless celebrities, athletes, influencers make way more money than these essential professionals, without all the stress.
Good for you. You did the right thing for your well-being.
@@barbarah2773 ty! Hope you find your escape route as well!
Without watching this video I'm just gonna comment.. Goobie hit the nail on the head. It may not be YOUR NAIL, but he's accurate in his observations and i support his decisions. No doctor had EVER CURED my parents, but eventually we learned to cure ourselves.
Have you ever taken Tylenol or aspirin to relieve pain? If so, you have benefited from modern medicine. Stop promoting conspiratorial theories.
Yep. Truth. RN here who hung on to her service job until early retirement at 62 y.o. The fast faced very stressful environment plus, abusive marriage partner was literally killing me. I was in fight/flight mode all the time. I was dying. The first day I awoke from sleep and realized I didn’t have to continue doing what I had been doing was amazing. I was so happy, so relieved, I felt like my real self, again. I was happy…no…I was joyous, and have been ever since, ten years later. Plus, I was released from my horrible marriage. What years I have left I now live in peace and I thank Jesus every single day for answering my prayers.
Good for you. Freedom and peace are priceless.
Dr Goobie, from MIT, with a neurosurgeon's skill,
Quit the hospital, seeking a new thrill.
May the mountains, rivers and NATURE renew his zest,
With energy and passion, find his best.
Don't give up, the journey's just begun,
Purpose and passion, for everyone.
Do what he LOVEs what he is good at, what serves,
And happiness will find him, in life’s many curves.
I am a physical therapist. Dr Goobie is right.
I saw this video and was astonished. Neurosurgery is an especially difficult because of the poor outcomes of patients. But, I think the person makes a very interesting point on those who do recover best in his experience and observations. It reminded me a lot of the osteopathic medicine philosophy of holistic care.
Actually I heard from a neurosurgeon in Poland that "physiotherapists take our patients away from us" said with respect. Some of the patient might really avoid surgery thanks to physical therapy.
health is holistic though. the patient has to also hold up their end of the deal by not doing counter-productive behaviours that are detrimental to their health and undo all the surgeons' hard work.
this means taking care of diet, exercise and lifestyle generally.
the surgeon can only do so much.
what's the point of only providing bandaid temporary solutions to symptoms instead of investigating and addressing the root cause of the problem? I think that was his point.
the nature of healthcare in particularly the US but also other western countries appears to be about keeping people sick in order to profit off of them instead of wanting them to get better.
same reason why our household appliances don't last as long as they used to - because manufacturers realise they're not getting as many repeat sales, so they use inferior materials.
I’m on Dr agobies side- all the other doctors just care about saving face- their fraternities and maintaining the status quo. Dr Goobie is a real leader.
this has got to be one of the most viral videos in the medical RUclips space over the last decade
Fr
facts
Literally 😭
Goobie is a good guy he is right but he still has a lot to learn it’s worse than he thinks he is 😂
Best Ever..
I’m
With Doobie and Goobie. ❤
Same💗
The neurosurgeon is a decent human being.
He's fed up with a corporate medicine so am I.
I've been an emergency medicine doc since 1990.
Boarded in surgical pathology and internal medicine .
Over 80,000 hours of emergency medicine to the practiced ihave come to realize that the medical world puts out a facade of care but it's all about money.
Most shifts start 7:00 a.m. or 8:00 a.m. it doesn't take by 9 or 10:00 a.m. we're meetings for money starts some of them are obvious some of them are cloaked under some other disguise.
It is all about money and now it's so bad that if they need five staff they keep three and they push the other two or they just cannibalize the needed stafffrom the med surge floor in a pinch if they need it.
Patient and healthcare worker constantly get squeezed for profits.
All neurosurgeon was saying he was in charge but he was not in control and that was not the position that he was comfortable with.
Only money junkies survive in such environment for a while not for long.
Best regards to that lovely neurosurgeon I wish long ago I had the balls that you had grown.
Corporate medicine is shit
Sure, its all about money, but it goes both ways, that’s why all the competitive specialties are the ones with the cheddar
I saw ERPs on zoom meetings discussing business/admin while dictating in the ER and seeing patients. Talk about being distracted. Corporate medicine is trash.
@@user-jq4im6rw5p
It is all corporate medicine.
Yesterday an angry patient went to his my chart thing and discovered something regarding about her urine culture.
She was driving the hospital telephone operator regarding that problem crazy.
Finally game to the ER later on for a separate issue of ankle sprain .
She finally got into a fight with me then the hospital wanted me to apologize.
I don't care if anybody believes the door not but that was the case.
I said I would not apologize.
Customer is right kind of thing.
The North American patient is turning into generally a mother fucker himself
@@user-jq4im6rw5p
A doctor in a pocket of corporate medicine
Is the lowest form of life
the medical system is jacked up. good job doobie
I don't like it that you interpret Dr Goobie's point as "black and white". I can hear the grey - he might be trying to describe in the most polite way that "middleground" was impossible to accomplish in the system. I don't think plastic surgeons meet this problem - forcing surgeries no matter what. I've been in the first raw of this battle against surgeons of many specialties. Up to the point when palliative patient got a surgery that we, anaesthesistes, told might kill him. He was ASA 5, in palliative care, permanently disoriented. I had nothing to say and he died on the operating table. No matter what we would tell the surgeons, they will always say it's "life saving" issue. Don't let me start on neurosurgeons. 😅
The "middle ground" and "grey" is somewhat unachievable, even if we chose little battles.
With some surgeons, even stopping them from giving ketoprofenum in acute kidney disease is impossible.
We had even a special online training for all the doctors in hospital, training on pain management - they scored it cheating and never learned anything.
We might be missing some part of the story and dr Gooble will never let us know it. I wouldn't dare neither.
Agree with Maria. Kevin, about your “black and white” comment, I don’t think Dr. Goobie was claiming 100% efficacy of the lifestyle change. He was using a hypothetical situation to bring up an ethical problem. IF lifestyle changes caused degenerative spine surgeries (not talking about astrocytomas, AVMs, or traumas) to drop, that’s does effect hospital income.
Also, later in the video, he said “what if I just cover the ER?” So he was still thinking about doing other types of neurosurgery covering just traumas. But it sounds like at that point he needed to just step away.
Dr Jubbal runs a medical school advising company and anyone that is going to criticize medical school, and the system he will have to retaliate so that he doesn’t lose clients who develop a distaste from med school and quit their dreams of becoming doctors. And that’s okay. But you’re right Dr Jubbal is being too judgmental towards Goobie’s message. His judgement towards him is black and white in nature instead. Goobie’s message is already touching the grey. No offense to Dr Jubbal he’s great. But he doesn’t have to be so judgmental to Goobie and his message
@@chengezhussaini1464 two different animals! And although I respect both people; Jubbals is the more realist here... quitting is never a solution; taking a break and/or switching point of view is usually considered more mature. It's not a certainty that Goobie quit for life.... maybe he'll regain a love for what he sacrificied his twenties for.... who knows? Also I can see how for someone to be fascinated by the brain and ending up fixing necks and backs as 90% of your practice might be burn-out inducing... I think he would have fared better becoming a psychiatrist rather than a neurosurgeon! All the best to Goobie!
@@MindShiftChronicle I agree. Dr. Jubbal even cheers him on and remembers his own exciting moments quitting plastic surgery; when he was discussing other surgery positions, he just seemed to be speculating. Other surgeons in Doobie's position may then decide to switch to the different subspecialty and regain their happiness, and I think that's a good thing.
"A patient cured is a customer lost"
If I was a doctor, that’s a win/win for me
If everyone woke up tomorrow completely without any illness, do you think every doctor in the world would be rejoicing?
Omg that is ridiculous. There are so many people who need doctors and not enough of them. Do you think if you are cured and don’t come back again for years they think of you? The answer is no. Next man up. They move on to another patient. For crying out loud it takes 4 months to get seen. Does it seem like they are in need of patients?
Unfortunately, this comes from "ignorance is bliss". Doctors don't have any business with big pharma, just look at the current mess with diabetes and obesity. We've known for a long time that all it takes is eating less crap and doing exercise, in fact, I remember Obama's wife did some school program related with this (I am NOT from the US), but idk what happened to that afterwards.
Anyway, why exercise, eat your veggies, and so on, if you can simply take a pill and move on? Remember when splenda and the like were the next best thing, only to be told some years later that it causes cancer and whatnot? The same is occuring nowadays with ozempic and diabetes/obesity.
Doctors just want to take care of you, remember that in its origins, medicine was provided by... slaves and religious folks. Medicine has always been humble in origins, but since we live in a capitalistic society, all of these are nothing but the consecuences of trying to monetise something that shouldn't be run for profit.
This is an article in spanish, (the Dr. who was interviewed is from Spain), but it summarises the current state of medicine: www.bbc.com/mundo/noticias-internacional-53944005
This is how I know you’re a simpleton
He is right in every word he said. Do not sugur coat it man
Why so many people responding Dr Goobie’s video, he has the right to say what he feels. Come on guys, post your own stuff,live your own life.
You have the best responses here!
Health care doesn’t care about patients
Better you call it "Health Scare System "😢
Kevin you talk but not listen to the doc who quit cause he talks about existential problems. He is the key answer to our modern bluff.
Dr Goobie, wasn't willing to sell his soul for prestige and money! I respect him for doing what most people would never do. He knew cutting up people wasn't right and wasn't helping anyone, except the medical system who is willing to destroy people instead of helping them. You did the right thing!!!! Bravo to you!
Agreed with Dr Goobie and Doobie
In medicine you don’t know what you’re getting yourself into when you’re starting
As a pre med I've seen enough online to know it's gonna be ridiculously difficult but I have no idea how I'll actually handle working 80 hours a week in residency. Hopefully I survive
@@mustang8206some advice for rotations as a resident - don't leave early unless dismissed during rotations you don't like. Yes it sucks to be there for long hours but that's the only way to simulate "the suck" before residency the most accurately
@@mustang8206 work is not the difficult part for me. Being in the military I went weeks without a break lol literally 24/7 with minimal sleep. Work easy, the studying and competition is a different story.
Indeed like eveerything rlse actually
Hes explaining his perspective and why he quit, but youre taking his video sooooo literally, hence youre frustrated. He literally said “Im not saying that will happen”. He isnt trying to attack you personally, hes saying the system is broken, hes looking at bigger picture.
Nobody is taking it personally, he’s making blanket statements about surgeons and medicine. Obviously this is his perspective but it’s not right to state it in a way where it seems like medicine is only for profit. The majority of people practicing medicine (residents) are in huge debt and not making any money from you. This only fuels the uneducated people to distrust the modern medicine.
Dr. Goobie hit the nail on the head-drugs, procedures, and doctors just put a band-aid on the symptoms. I still had to heal on my own with this chronic disease. I changed my diet and lifestyle, got off all meds, and stopped seeing specialists. Now, I want all my money back from the copays, doctor visits, surgeries, procedures, and meds. Healthcare feels like a complete scam unless it's for trauma or an acute issue!
This video popped up in my recoomendations too but didn't watch right away. He has got valid points though. He is happy more than ever, good for him
the biggest problem with the healthcare in the USA is insurance companies not wanting to pay for treatments
Not so in India. That's why medical tourism is booming over here.
This poor guy is right about relieving suffering. Medicine has somewhat devolved to prolonging/preserving life over quality of life. I have seen horrible things happen to people in the interest of prolonging/preserving life despite the horrible suffering because that's what somebody else (not the pt) wants.
Calm down! He's saying for instance, what if. And even if you don't believe it and look at the medical profession through rose colored glasses, most people do not trust doctors. Myself included. We know that most doctors are in it for the paycheck and will drag out treatments as long as possible. More doctors need to have a better sense of right and wrong.
They don’t drag out treatments. Agree that they do it for the money but they don’t give a crap about you. It takes months because they don’t care and not because they are intentionally dragging it out.
I think he was giving black and white examples just for the sake of explaining his points. Hospitals will never run out of patients. People will get sick regardless it’s life. I see repeat patients all the time they get healed and go back to their bad habits.
which is pretty misleading if you ask me
@@NEPtune-fy1ug I didn't find it misleading because I knew what he meant and anyone with common sense should know that, too.
@@julienalexander6113 common sense isn't common
@@NEPtune-fy1ug nope, but people should be able to understand context.
Read the comments here or there, it's clearly not taken in the way you think it is. It's driving a larger wedge of medical illiteracy.
Dr.Kevin, you might be one of “them”, but Dr. Doobie is Dr. Doobie. That’s why his video has much more viewers. His video is not an entertaining video, if you disagree with his views, make your own, but don’t related to him. That’s why saw your videos but never interested in watching it.
Dr Kevin talks a lot of sense. Doctors aren’t your enemies
@@waynewayne8419 seems like you have no clue about the words. No one hates doctors in this case.
Dr Kevin needs to take a hike
Dr. Jubbal mostly agreed. He just pointed out how some of this statements like "All people need to do is meditate, hang out with their friends... then their back problems will get better" could unintentionally hurt patients who can't be saved by lifestyle changes alone. He provided more information about research and about other specialties Dr. Doobie could have gone into, but never says he ought to have stayed.
@@katelynholmes9504 Go support what you like. Not interested, thx.
kevin, i think its you who painting the black and white picture here. we must admit that the incentive for doctors and hospital are procedures and pills.
This is such an important issue, it really is not black and white, thank you for sharing this and your point of view. But at the same time I feel like I am also on a search for purpose sometimes as an MD, you always want to do your best, but sometimes it is really hard managing work life balance, so I can see the other Dr's point of view.
As a civil engineer myself , our goal is to” make a society better “
Medical care in the USA sucks.They only care about your money most times we see poorly trained physician assist.
Lifestyle modifications are going to be less profitable as compared with procedures because the doctor is less involved in the treatment of the patient. This is why procedural specialties are paid more per unit time, and non procedural specialties that are nonetheless very specialised earn less.
In an exclusively fee for service model, yes
I agree with Gobbie 100%!!
I had seen this before and I get both sides. I think the issue is that he was explaining why he left. Unfortunately, it’s happening in so many areas. My endocrinologist charges less than my family care NP for a visit because I get charged twice. In my area, the hospital conglomerates bought up the family practices and put them in their mini-hospitals. If you take more than 15 min, it’s 2 charges. I have good insurance and a good job, but honestly, it’s criminal what insurance, big pharma, and the private equity involvement in medicine have done to health care. 😭 Anywho, I love the content from docs and former docs out here (and the lawyers, lol) ❤
Im a doctor in Colombia and must say that Medicine doesn't rise to the occasion compared to smartphones technology. If you have a smartphone you really happy. And if you have a melanoma you can dying asking yourself, how melanoma is treated , even if you're a doctor. It feels like if for some things there is no solution. Preventive medicine is the most important thing in medicine now.
I saw this man’s video, so compelling. Thank you, Kevin.
For those curious about neuroscience and spine surgery, as we age our discs gets dried up and eventually disappears and the bones of the spine starts to fuse on its own naturally
I’d like to see Dr Goobie live in real life for one year. Work at a McDonald’s, a factory, a construction site, or as a programmer. Let’s see which one he will stay with. Also, during this time he can’t spend any money he saved from being a doctor.
I think it is pretty messed up that a patient is supposed to "trust" a doctor who will suggest them to do things that they wouldn't do for themselves or their loved ones!
So if I have faith in doctors because I trust they're "well educated" I get worse care... I don't think the public will buy it.
Once upon a time hospitals were run by intelligent doctors that had worked their way through the system and understood why the hospital was there in the first place, i.e. to heal people. Today, hospitals are run by MBA's with no medical training to make money.
It's gotten worse...nurse utilization reviewers tell you how to treat patients
If the US Medical System was any good, there would a superior understanding of complex feedback systems such as ballance, stability, for old people, I suggest Dr. GOOBIE lead a team of specialists to address Neuropathy, Muscle loss, Ear, Eyesite, and BRAIN. This analysis, if done correctly will alive considerable suffering. By old I mean 80+. We fall. We break bones. We end up in wheel chairs. Have pitty.
I am a neuroscientist and MD...where do I sign up? I was interested in aging/longevity medicine until I listened to a podcast. People are more concerned with how they look and if they are fat or not. There were some good points, for example, studying the naked mole rat (it lives a ridiculously long time, 30 years, compared to a mouse or rat, 1-3 years) is giving us some insights ito the mechanisms of slowing or halting cellular senescence. I worked in regenerative medicine as a medical education director briefly and there was a focus on longevity there, as well...not getting wrinkles. I think there are more pressing things to address!
What the good doctor is saying is a generalization for those who have ears to hear that the better health you have the less you will need to see a doctor because doctors and others involved in medicine need to have sick people in order to make money.
As someone who made the transition from education to Healthcare, I know the system isn't perfect. I started as a nurse’s aide in ICU, now RRT and admitted to a PA program, I've seen a variety of in patient scenarios. If someone goes into medicine in their 20s with no medical background, I can see the frustration.
Medicine isn't a magic cure. As an RT, I don't see myself as a life saver. I'm more of a life preserver. We can't save everyone.
I had a physiology professor who was an old internist. She was a very strong advocate for food as medicine. Not quite like eastern medicine, but eating healthy is very important. Exercise is important. Sleep is important.
After that, if there's still an issue, medicine is better able to help.
Now most young people want to be a doctor not because they love to care patients, but for high paychecks.
I went to grad school after med school and this was a few years after I'd left residency. I did not understand what was going on with the pre meds. I was never like...that. I refused to hire them for my team, but at the end got stuck with two. One of them lied on her personal statement about our nonexistent relationship and demanded a rec letter...none of them wanted to work...I'd had stellar students in the past, and this was part of the reason I mastered out after 4 years. Teaching them was also an exercise in not committing any crimes against inanimate objects in fits of rage. Entitlement was astounding, as was lack of knowledge or work ethic.
I'm a neuroscience major. Absolutely not going into medical though. Fuck that. Research for me.
You sound so defensive YOU are the one being negative. Dr. Goobie spoke his truth. You have too far to go in your mental work before you can thoroughly understand his position. I am in my 8th decade of life. My children were delivered by the old time house call doctor. As a 'people' we are missing the standards of once 'caring' medicine. Monopolies exist and are sucking up every major need in our country, including medicine.
He is just following an inner calling. Brave Man
I do think hospital systems are a major player in perpetuating these medical practices. Ortho spine is one of the highest-billed specialties and you are seeing major hosptial systems drastically expand their ambulatory surgery centers. Hosptital Admins know spine surgery and surgery center facility fees are the largest money generators in the hospital along with GI and Cards procedure. Many of these populations that receive these services are also commercially insured driving large margins for the hospital. Some hospitals are also sharing facility fees with surgeons creating another conflict of interest and forming some kind a symbiotic relationship wtih admin. Fee for service is the most problematic in these specialties and its profitability is why most of these services are still fee for service at most hospitals. VBC can really create a big impact to fix these specialties but there is a large amount of pushback from hospital systems for these to go VBC. In the south, there was a hospital that tried to make Ortho VBC, and most of the ortho docs threatened to leave so the hospital but them on a salary way higher than they were making on FFS to do fewer procedures in a VBC model. But I agree, this is a small minority of doctors and has the possibility of turning the public away from trusting docs.
Crazy I just watched the original video and now I get to watch you react to it :D
Hospitals are absolutely businesses in the USA. I'm unsure why some people think that's an "oversimplification." Even prisons are businesses in this country, and people are shocked, lol. More people could have been cured if medicine had focused more on preventative care and less on symptom management. Pharma has to make money; when I say that, I don't blame the doctors-I blame capitalistic greed. Also, if some of you still think the medical field isn't money-oriented, then ask yourself: why isn't every person entitled to medical insurance, like in Europe? People in the USA get loans to receive treatment for cancer. Imagine being hit with such a disease and needing to worry about a loan. Let that sink in.
I think you misunderstood his point brother…please delete this video as he said on his video like people like you will come for him … let his live peace bro ✌🏽
As an indian oncosurgeon
, we have w hard time explain to patients about exercise and diet. We have dieticians but it cannot trump the traditional discussions on foods and stuff. Older women refuse to walk post or pre surgery wnd its frudtrating to try to make them ambulatr but I do love my subject and I dont think any amouhbtof burnout will want me to peave it permanently
was waiting for your reaction on this !!!! Hope you're well dude 👍
WRONG ,YOU ARE ABOUT DR GOOBIE...LIVE YOUR LIFE MAN AND RESPECT HIS' ...I CAN TOTALLY RELATE TO DR DOOBIE,OKAY....HE DOESN'T CALL MEDICINE BS,HE TALKS ABOUT WHAT BRINGS HIM PEACE OF MIND...
MAY BE ITS JUST THAT YOU HAVE NOT LISTENED TO HIS VIDEOS THE WAY I HAVE LISTENED TO....
The grey areas are caused by the fact that most things in life are not fully understood.
That's one source. The other source is truth seeking as opposed to broad strokes of black or white
@@cheetahgoldenfire "grey area" just means the truth is in the details. Because when someone says "this situation is not black and white", what they're actually saying is "this situation is true in a specific context, and not true in another context". So the grey becomes black and white as you dig deeper.
Alas truth is subjective in most contexts i have experienced. It is in the eye of the beholder. Truth is Merley a point of view. Rarely we can use reductionistic thinking to simplify something so we can better understand it.
Dr. Goobie is not trying to be black and white but to express his feelings on the current medical system! there are issues with money over outcomes in a lot of practices.
This is the issue of public health vs acute care health( a downstream which doesn't address the upstream and consumes most money in health care). Most acute care healthcare professionals have poor understanding of public health at population health.
All these jobs are about to be automated anyway..Also, I quit because I understood the system is rigged and it benefits only a tiny group, which I am not going to mention, but they exist and are here..I was a trained pediatrician and worked as one for sometime..It is a very evil system..
"happy for him being happy" 🥰
I see both views. Thanks for this video.
What he said it was more of hospital was money making machine. Instead of doing the correct surgery procedure to cure the disease they did a different operation.
I am not sure what MIT has to do with his story. He went to college at MIT which speaks very well for him - but MIT doesn't have a medical school or a hospital. Where he did his residency would say a lot more about his neurosurgical training. Neurosurgical training programs are very demanding and require dedication to complete. So wherever he trained I accept his skill and integrity. I also understand that seeing people with back pain day in and day out isn't fine - especially when you find you aren't really helping a lot.
The healthcare system today is not about health and no they don't care. Get the government out of our lives period.
We need to talk about the value the addition of pants could have in this discussion 😅
😂
I agree and I do not think Dr. Dobbie is trying to be black and white, but pointed out the healthcare system is profit driven, like any industry, that $$ buying people's souls, and they really do not care about patient's long term outcome and wellbeing. E.g. I have seen this amazing miracle Chinese doctor who specializes in joint, muscular, ligament, tendon, or sciatic nerve issues. I avoided surgery for many conditions with her healing hands. She is a doctor who combines both Western and traditional Chinese medicine, using meridian therapy in a remarkable way. She has saved me many times! I see that American doctors often offer surgery as an option rather than last resort. She located in my home town Beijing, China, but I see here whenever I get a chance. Dr. Yan (Xihuan Yan) Beijing Yikangtang Traditional Chinese Medicine. She came to America for teaching a few times.
Hey Kevin,
I think you missed a key part of what he said at the very beginning. He mentioned that he wanted to be a neurosurgeon specializing in robotics. The only reason he pursued neurosurgery was to avoid wasting all those years of education and training. In reality, he never wanted to be a neurosurgeon performing general medical operations. So, the idea that he could have chosen a different medical field wouldn't have changed how he felt, because that was never his true passion.
If you think about it, what Elon Musk is doing with Neuralink aligns more with what he probably wanted to do. He was genuinely interested in not only helping people but also in technology and cutting-edge advancements. The reality is that he didn't really want to be a typical surgeon, whether as a brain surgeon or any other type of physician. That's the crux of the issue.
Best,
[Your Name]
That's what captured his initial interest, but it's not the crux of the issue as he explains it
The cruz is the health system and how it works
@@lu641110 No, you're misinterpreting my response. I'm not referring to the overall subject of his video. I'm addressing the core issue in Kevin's criticism of the initial MIT neurosurgeons video.
@@kevinjubbalmd No, you're misinterpreting my response. I'm not referring to the overall subject of his video. I'm addressing the core issue in Kevin's criticism of the initial MIT neurosurgeons video.
Dr.Jubbal is taking things too literally. I don't think he's claiming 100% efficacy or 100% removal. I think he's speaking generally.
yes many countries health care is a disaster in my country our health system is in trouble under staffed and under paid our system is poaching hospital staff from other countries offering them more money and better conditions and its a competitive market cause the staff you hire can be poached again with a better offer they hop off one plane and take a flight to a better offer and as staff are over worked they have a short fuse too i was a patient and had noting but respect for the staff on all levels from the cleaners those that delivered the food to the nurses and surgeons etc yes its a tough industry and government need to support these samaritans on all levels
I had a primary care doctor essentially abandon me. One day I signed onto my patient portal and the doctor was different. He couldn't handle that I wasn't getting better. No matter how many times I told him that I knew he couldn't cure me and I wasn't looking for a cure and just appreciated having a doctor that I could trust and that would listen he just broke down. I guess he didn't listen to me because it really did help me having him as my doctor. When he abandoned me it really hurt and felt like no one wanted to help me. I ended up with a terrible primary care doctor who never seemed able to handle anything more than strep throat and was horrible at coordinating care. I just got sicker and essentially wasn't getting any help. The new pcp really wouldn't do anything. After a year I gave up on pcps entirely. I haven't had a pcp in 8 months. Some of my chronic issues have been managed by ER doctors and they have been truly amazing and kind, other things I just suffer with.
I am so sorry to hear about your experience. It wasn't fair to you, and though it was good that the doctor was honest with you, he could have handled it with more empathy and professionalism. I think both of these attributes are barely hanging on in this profession, and it breaks my heart. I grew up believing in this field and never thought for a second it would betray me or the patients we swore to serve. My father showed and practiced something that nobody else can experience as a patient, I thought it would live on with me, but the system chewed me up and dumped me for doing the right thing. I have never abandoned a patient nor would I think about it because I know how that feels. If there wasn't anything I could do, I'd refer out, but the person would be welcome to come back to touch base. I know that PCPs have tanked, I don't have one. I am my PCP, if something goes wrong I figure it out and order meds off Good RX. I have been thinking about renewing my license to do DPC primary care, but I need to do a year of volunteer patient care because it has been so long, and it's been hard to find a place that fits my schedule. Have you heard of DPC, direct primary care?
Preventive medicine before surgery 😊
Anyone appreciated Kevin blurring his foot? 😊
I think one of the biggest problems with this video is that it basically went viral. I totally agree with the pinned comment and Dr Jubbal, but I would like to think that it was not Dr Goobie's intention to pit the average American vs their physicians.
The feet😂😂😂😭😭
🦶🏼
We need to reimburse or compensate doctors for success in having solved the root cause of the problem, whatever that may be. Yes, incentive structure needs to be changed in order to avoid a non-sustainable system that would bankrupt the American economy. Although statin drugs have cardiovascular benefits, but some studies indicate increased risk for Parkinson's.
Are you stupid?
Hey Kevin, currently 8 minutes in but with long talking/reacting type videos, I'd suggest to keep the background music: 1) as low as possible, 2) only include it in short periods and not the entire length of the video (I'm assuming it covers the entire length of this video since I've only watched 8 minutes so far), or 3) not include it all. It just takes away from the valuable insight you give us and I'd like to listen to what you have to say without being distracted.
Hope that helps :))
EDIT: watched the entire video, and as I got into the video more, I couldn't hear the background music as much. I noticed that you still had it in so maybe it was toned down or maybe I just wasn't paying enough attention at the beginning (who knows?). Regardless, great video and hoping to see similar longer format videos in the future :))
ty for the feedback! working with team to find better balance moving forward
Western medicine is still learning and evolving so allow them to learn.
Western medicine is more procedural, methodical and profit motivated.
Western medicine usually does not allow God, prayer and the body to heal and repair itself.
Western medicine is evolving to be more complementary to be in balance and harmony with the body, vital organs and systems.
Western medicine is evolving and learning so be optimistic.
We are number 35 in international scholastic competition.
There is no medical school at MIT, can someone help me understand how he studied there?
Undergrad at MIT. No idea where he did medical school or residency
Probably at UCSF they have a very good Neurosurgery Residency program there.
Hey, Kevin, I hate to say this, but you're wrong. Most, i.e. the vast majority of spine surgeries don't end with a good result except initially in some cases. Why? The elephant in the room is scar tissue. Scar tissue can erase the initial benefit which spine surgery provides - not in SOME cases - but, in MOST cases. Spine surgery is a dismal specialty with a very, very low success rate by any measure. Simply, we need to find a way to deal with scar tissue, i.e., we need more and better science to develop methodologies which address this problem. For spine surgeons who don't care, it's a wonderful way to make a living. The doctor, hospital, and the medical devices companies win. But, the patient often loses iin either not getting the problem and pain fixed or with these getting worse. As a former pain physician, I saw all the failures in spine surgery in my area and the story is the same everywhere. So, this fellow is not talking through his *ss. He's actually right. Now, with you never having been a spine surgeon, I would say that you don't have first hand, day in and day out experience with this reality. Dr. "Doobie" is also on point about lifestyle changes. Most folks debunk this as perhaps voodoo medicine or as someone who is a little soft in the head. But, nothing could be further from the truth. For instance, many patients I saw in the pain clinic who have had spine surgery are heavy smokers or whose overall health is poor by choice: poor diet, lack of exercise, uncontrolled hypertension, poor sleep habits. These things wreak havoc not only on one's overall health, but also and especially on their spine health. I know that you won't consider what I'm saying as valid, but I have some first hand knowledge of what I'm talking about as it relates to patient outcomes with spine surgery.
Sounds like he realized the impact of SDOH
wat do you b4 sleep, do you take any supplements?
Glad to see your response to this video.
Thank you for this video. Very informative.
Life is up to you. If u ask 100 person, there will be 100 answers. What is serious to you is not serious to another person. Don't judge
I think Dr. Goobie's didn't use the correct words. We all know healthy habits help you with several things, but we also know that even if we lived in a perfect society, you never have 0% odds. That's your argument Dr. Jubbal and I agree, but I also know that surgeries aren't a "get out of jail" card, there are risks and specially in anything regarding neurosurgery, the outcome can be either better or worse, than what your patient currently is.
Henry Marsh already explores this topic in "Do no harm", regardless of the technique, personnel, and so on, there isn't a 100% guarantee of success. If your patient improves after your surgery, that's amazing! But what if he's unable to walk afterwards? Or if the pain's worse than before?
Heck, you even start talking about how therapy drastically improved your life at @30:02 however, you forget we're all different. Not everyone is willing to put in the effort, let alone the time into exercising, eating better and whatnot. This is the main issue Dr. Goobie was trying to address, why exercise and stop eating crap, when you can just take a pill once a day?
This isn't the first nor the last time this has happened, USA's opioids epidemic isn't new, just look at housewives from the 80s and "mommy's little helper", heck, even people are taking drugs for expected human responses (if you can't afford food, and live on the streets, ofc you're going to be depressed and so on). I could go on, but I'll just leave this Dr. from Spain who describes the situation, and so far, I haven't met the first healthcare worker who disagrees, it simply summarises our current situation: www.bbc.com/mundo/noticias-internacional-53944005 leaving you the interview in case you wanna check it out.
lol no free 🦶 @ 34:48 😂
Would have broken my edging streak if he didn’t blur fr
I died when I saw (or didn’t see) that
🤣😭✌🏾 y'all foolish 💀
I liked this video. It shows both sides. I understand why you were getting upset. Dr.Dobbie did what he felt was best for him. I like your motivation. 😊😊❤ ❤
Yo Dr. Kevin. I"m seeing a very sad neurosurgeon who got disappointed in practice and he is expressing his frustration. Taking care of neuro patients can be depressing because they are usually younger people who often die quickly/die too young. Also, why ddon't you see what Dr. Blum and Dr. Nagy, two Las Vegas neurosurgeons I've worked with in the ICU/ER have to say. Can neurosurgeons bill for health and wellness non-surgical interventions? I bet you they CAN"T so in neurosurgery there really might not be the grey area like in other areas of medicine. Besides, who is going to go through 7 years of neurosurgery residency to be health and wellness teachers? Is the insurance company going to pay the neurosurgeon the thousands of dollars they were going to get for surgery to not do surgery and focus on health and wellness? I know you don't like the black and white but the way some things exist right now are black and white. Maybe neuroscience needs separate health and wellness healthcare professionals, but to expect neurosurgeons to do it is well...it probably won't work. Besides, when I worked a neuro ICU shift I wanted to take care of a crashing head bleed, not teach health and wellness.
Suspected this kind of response from healthworkers after Dr Goobie's video, disparaging him to create their own content, and utterly missing the point of the story
19:31 leave your body free from wireless devices including that thing on your wrist and study more about RF-EMFs from articles free from "conflict of interest"
I injured my cervical spine in the military and now at 42 the neurosurgeons want to operate on my neck i am literally screwed.
Why are you screwed?
@@chillie000 im in a unique position wherein i have severe arthritis and bone spurs throughout my ENTIRE cervical spine. So even if they fuse one or two levels the rest of them are still just as bad. I am screwed my future is screwed
@@imveryhungry112 I’m really sorry this is your situation….you can’t get discs inserted? I have just said a prayer for you 🌺
@@chillie000 thank you so much. prayers work!!! thank you!! My neck is really bad i was injured during military service unfortunately. Its too bad for them to insert disks :(
@@imveryhungry112 Thankyou for your service…I’m so sorry the price you’ve paid…I will absolutely keep you in my prayers…could you give me your fist name (if you’re comfortable)?