I literally have the most wonderful job in the world I work with the most
in the world I work with the most
in the world I work with the most fantastic people on the planet there are
fantastic people on the planet there are
fantastic people on the planet there are our wives our sisters they’re our
our wives our sisters they’re our
our wives our sisters they’re our daughters and they’re our mothers each
daughters and they’re our mothers each
daughters and they’re our mothers each day they invite me to join with them
day they invite me to join with them
day they invite me to join with them some of the most intimate and special
some of the most intimate and special
some of the most intimate and special moments of their lives they allow me to
moments of their lives they allow me to
moments of their lives they allow me to bring new life into the world
bring new life into the world
bring new life into the world but here’s the con most of them manage
but here’s the con most of them manage
but here’s the con most of them manage to get pregnant all by themselves they
to get pregnant all by themselves they
to get pregnant all by themselves they have hidden nurture a fetus inside of
have hidden nurture a fetus inside of
have hidden nurture a fetus inside of them for the best part of a year they
them for the best part of a year they
them for the best part of a year they didn’t go through labor and we don’t
didn’t go through labor and we don’t
didn’t go through labor and we don’t call it that because it’s so terribly
call it that because it’s so terribly
call it that because it’s so terribly easy and then they look at me and say oh
easy and then they look at me and say oh
easy and then they look at me and say oh thank you like I’ve done something so
thank you like I’ve done something so
thank you like I’ve done something so wonderful I should be thanking them and
wonderful I should be thanking them and
wonderful I should be thanking them and moreover I’m more than happy to take the
moreover I’m more than happy to take the
moreover I’m more than happy to take the undeserved accredit when we look at the
undeserved accredit when we look at the
undeserved accredit when we look at the science behind conception it’s really a
science behind conception it’s really a
science behind conception it’s really a miracle at any of us here you see women
miracle at any of us here you see women
miracle at any of us here you see women are born with one to two million eggs by
are born with one to two million eggs by
are born with one to two million eggs by the time they get to puberty there’s
the time they get to puberty there’s
the time they get to puberty there’s only a couple of hundred thousand left
only a couple of hundred thousand left
only a couple of hundred thousand left during the entire course of their life
during the entire course of their life
during the entire course of their life they’ll release between three and four
they’ll release between three and four
they’ll release between three and four hundred so the quality of these eggs is
hundred so the quality of these eggs is
hundred so the quality of these eggs is really really important and the quality
really really important and the quality
really really important and the quality control therefore I guess forms the
control therefore I guess forms the
control therefore I guess forms the backbone of a hallmark female
backbone of a hallmark female
backbone of a hallmark female reproductive biology
reproductive biology
reproductive biology let us contrast that with the male whose
let us contrast that with the male whose
let us contrast that with the male whose approach to reproductive biology his
approach to reproductive biology his
approach to reproductive biology his best described as shock and awe
instead of two or three hundred sperm
instead of two or three hundred sperm cells over the course of a lifetime
cells over the course of a lifetime
cells over the course of a lifetime the man will release 200 to 300 million
the man will release 200 to 300 million
the man will release 200 to 300 million with each episode and I guess that’s why
with each episode and I guess that’s why
with each episode and I guess that’s why we consider it a pass on a semen
we consider it a pass on a semen
we consider it a pass on a semen analysis if 94% of them look completely
analysis if 94% of them look completely
analysis if 94% of them look completely abnormal that’s like scoring six out of
abnormal that’s like scoring six out of
abnormal that’s like scoring six out of 100 and if 50% can’t even swim in the
100 and if 50% can’t even swim in the
100 and if 50% can’t even swim in the right direction
right direction
right direction but the differences don’t end there you
but the differences don’t end there you
but the differences don’t end there you see if I have pelvic pain it’s only
see if I have pelvic pain it’s only
see if I have pelvic pain it’s only going to be one of two things either my
going to be one of two things either my
going to be one of two things either my appendix has exploded and I finally paid
appendix has exploded and I finally paid
appendix has exploded and I finally paid attention to it or I’ve eaten far too
attention to it or I’ve eaten far too
attention to it or I’ve eaten far too much cheese and I’m constipated women
much cheese and I’m constipated women
much cheese and I’m constipated women have everything I have in my pelvis
have everything I have in my pelvis
have everything I have in my pelvis aside from perhaps the cheese but they
aside from perhaps the cheese but they
aside from perhaps the cheese but they also have two ovaries two tubes a cervix
also have two ovaries two tubes a cervix
also have two ovaries two tubes a cervix a vagina and perhaps the most incredible
a vagina and perhaps the most incredible
a vagina and perhaps the most incredible organ in the body of the uterus
organ in the body of the uterus
organ in the body of the uterus during the course of pregnancy the
during the course of pregnancy the
during the course of pregnancy the uterus will expand to several hundred
uterus will expand to several hundred
uterus will expand to several hundred times its normal volume it then
times its normal volume it then
times its normal volume it then contracts and delivers a healthy baby
contracts and delivers a healthy baby
contracts and delivers a healthy baby and the placenta possibly the greatest
and the placenta possibly the greatest
and the placenta possibly the greatest thing ever made by mankind and it really
thing ever made by mankind and it really
thing ever made by mankind and it really wasn’t made by mankind so much as before
wasn’t made by mankind so much as before
wasn’t made by mankind so much as before in the gun the placenta acts as liver
in the gun the placenta acts as liver
in the gun the placenta acts as liver the lungs the spleen the kidneys and
the lungs the spleen the kidneys and
the lungs the spleen the kidneys and plays an integral role in the developing
plays an integral role in the developing
plays an integral role in the developing immune system of the baby and it does
immune system of the baby and it does
immune system of the baby and it does all of this without a single nerve cell
all of this without a single nerve cell
all of this without a single nerve cell that is it’s not under the control of
that is it’s not under the control of
that is it’s not under the control of the brain so to recap I work with the
the brain so to recap I work with the
the brain so to recap I work with the most wonderful half of the globe’s
most wonderful half of the globe’s
most wonderful half of the globe’s population and my specialty seeks to
population and my specialty seeks to
population and my specialty seeks to study the two most amazing organs in the
study the two most amazing organs in the
study the two most amazing organs in the body but this is not why my job is just
body but this is not why my job is just
body but this is not why my job is just so wonderful do you see so much of
so wonderful do you see so much of
so wonderful do you see so much of Medicine is devoted to prolonging life
Medicine is devoted to prolonging life
Medicine is devoted to prolonging life in fact the most likely time that any of
in fact the most likely time that any of
in fact the most likely time that any of us are to spend in a hospital or
us are to spend in a hospital or
us are to spend in a hospital or undergoing a surgical procedure is in
undergoing a surgical procedure is in
undergoing a surgical procedure is in the last moments of our life now let’s
the last moments of our life now let’s
the last moments of our life now let’s forget for a second as to whether or not
forget for a second as to whether or not
forget for a second as to whether or not this isn’t appropriate for sensible way
this isn’t appropriate for sensible way
this isn’t appropriate for sensible way for us as a community we’re using our
for us as a community we’re using our
for us as a community we’re using our resources but instead let’s ask
resources but instead let’s ask
resources but instead let’s ask ourselves
ourselves
ourselves is this really the way I want to be
is this really the way I want to be
is this really the way I want to be spending my last moments either hanging
spending my last moments either hanging
spending my last moments either hanging out with the people that care about me
out with the people that care about me
out with the people that care about me and I care about or undergoing in our
and I care about or undergoing in our
and I care about or undergoing in our surgical operation did that end the
surgical operation did that end the
surgical operation did that end the discipline of medicine that I’m involved
discipline of medicine that I’m involved
discipline of medicine that I’m involved with is largely about quality of life
with is largely about quality of life
with is largely about quality of life most of my patients women in the prime
most of my patients women in the prime
most of my patients women in the prime of their life 20s 30s 40s 50s 60s who
of their life 20s 30s 40s 50s 60s who
of their life 20s 30s 40s 50s 60s who have truly debilitating medical
have truly debilitating medical
have truly debilitating medical conditions they either have abnormal
conditions they either have abnormal
conditions they either have abnormal bleeding which means that they feel
bleeding which means that they feel
bleeding which means that they feel tired all the time and no longer wear
tired all the time and no longer wear
tired all the time and no longer wear white pants or they have incontinence
white pants or they have incontinence
white pants or they have incontinence which means they can’t watch funny
which means they can’t watch funny
which means they can’t watch funny movies don’t go out and interestingly
movies don’t go out and interestingly
movies don’t go out and interestingly enough increase their risk of requiring
enough increase their risk of requiring
enough increase their risk of requiring nursing home care more than anything
nursing home care more than anything
nursing home care more than anything else you can do in life or they have
else you can do in life or they have
else you can do in life or they have severe instability and pelvic pain that
severe instability and pelvic pain that
severe instability and pelvic pain that stops them from doing the things that
stops them from doing the things that
stops them from doing the things that they enjoy the interesting thing is all
they enjoy the interesting thing is all
they enjoy the interesting thing is all of these things are fixable and readily
of these things are fixable and readily
of these things are fixable and readily so I saw a woman a couple of weeks ago
so I saw a woman a couple of weeks ago
so I saw a woman a couple of weeks ago who at the age of 28 developed
who at the age of 28 developed
who at the age of 28 developed incontinence after having a baby
incontinence after having a baby
incontinence after having a baby and that team was able to perform a
and that team was able to perform a
and that team was able to perform a pretty routine 30-minute procedure on
pretty routine 30-minute procedure on
pretty routine 30-minute procedure on her and I went to see her the next
her and I went to see her the next
her and I went to see her the next morning in the hospital said she could
morning in the hospital said she could
morning in the hospital said she could go home and she was sobbing I’m really
go home and she was sobbing I’m really
go home and she was sobbing I’m really sorry we caused you some pain she said
sorry we caused you some pain she said
sorry we caused you some pain she said no not only pain but I’ve been coughing
no not only pain but I’ve been coughing
no not only pain but I’ve been coughing terrific it’s not my fault that’s all
terrific it’s not my fault that’s all
terrific it’s not my fault that’s all you’re needless well see sometimes what
you’re needless well see sometimes what
you’re needless well see sometimes what they do is they put a tube down your
they do is they put a tube down your
they do is they put a tube down your throat while you’re asleep she’s no no
throat while you’re asleep she’s no no
throat while you’re asleep she’s no no no it’s not that it’s it’s the first
no it’s not that it’s it’s the first
no it’s not that it’s it’s the first time I’ve been able to carve in six
time I’ve been able to carve in six
time I’ve been able to carve in six years without losing bladder control
years without losing bladder control
years without losing bladder control I thought I’d tell you this story for
I thought I’d tell you this story for
I thought I’d tell you this story for two reasons the highlight two points the
two reasons the highlight two points the
two reasons the highlight two points the first is to just showcase just how human
first is to just showcase just how human
first is to just showcase just how human that which we do in health care is and
that which we do in health care is and
that which we do in health care is and it’s precisely this human characteristic
it’s precisely this human characteristic
it’s precisely this human characteristic that protects us somewhat in healthcare
that protects us somewhat in healthcare
that protects us somewhat in healthcare and as caregivers from being automated
and as caregivers from being automated
and as caregivers from being automated machines I don’t think we’ll ever be
machines I don’t think we’ll ever be
machines I don’t think we’ll ever be completely able to do what it is that we
completely able to do what it is that we
completely able to do what it is that we do and the second point is this is to
do and the second point is this is to
do and the second point is this is to just show how early we are we know a lot
just show how early we are we know a lot
just show how early we are we know a lot but there’s so much more we need to know
but there’s so much more we need to know
but there’s so much more we need to know I think the natural evolution of medical
I think the natural evolution of medical
I think the natural evolution of medical therapies is this when we don’t know a
therapies is this when we don’t know a
therapies is this when we don’t know a whole lot about something
whole lot about something
whole lot about something our approach is surgical I don’t know
our approach is surgical I don’t know
our approach is surgical I don’t know what that lump is but I don’t like I’m
what that lump is but I don’t like I’m
what that lump is but I don’t like I’m going to cut it up and throw it away as
going to cut it up and throw it away as
going to cut it up and throw it away as our understanding increases we developed
our understanding increases we developed
our understanding increases we developed pharmaceuticals we say well I was time
pharmaceuticals we say well I was time
pharmaceuticals we say well I was time to understand the disease process we can
to understand the disease process we can
to understand the disease process we can keep it at bay barring this we don’t
keep it at bay barring this we don’t
keep it at bay barring this we don’t need to cut you and then I think as we
need to cut you and then I think as we
need to cut you and then I think as we progress
gene therapy is on the horizon so to
gene therapy is on the horizon so to that end my point is that I am
that end my point is that I am
that end my point is that I am incredibly excited about the state of
incredibly excited about the state of
incredibly excited about the state of health care globally and I can’t wait to
health care globally and I can’t wait to
health care globally and I can’t wait to see what we do next
see what we do next
see what we do next thank you
thank you
thank you [Applause]
”
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