In a recent episode of Tucker Carlson’s show, Dr. Richard Bosshardt stirred controversy with claims that the push for Diversity, Equity, and Inclusion (DEI) within the medical field is compromising the standards of surgical training and practice. Dr. Bosshardt suggested that the medical community is increasingly prioritizing diversity over competence, insinuating that this trend disproportionately affects the quality of care provided by surgeons. This assertion raises important questions about the relationship between diversity initiatives and the qualifications of medical professionals. In this blog post, we will critically analyze the claims made by Dr. Bosshardt, examining the implications of DEI policies in medicine, and fact-checking the various statements and assumptions made during the discussion.

Transcript:

[00:00:00,000]: So let me ask you you 2022 became famous for a day or two because you got into it with the American College of Surgeons

[00:00:10,600]: I’m still into it with them yes

[00:00:13,579]: It’s approaching its third year

[00:00:15,539]: It’s third year

[00:00:17,200]: Can you just give us a quick reminder of what that contretemps was about what happened

[00:00:22,120]: Sure

[00:00:23,639]: I am a surgeon

[00:00:26,420]: I’m a plastic surgeon but I was a general surgeon for a while

[00:00:30,200]: One of the things that I did after I became a surgeon was to apply for fellowship in the American College of Surgeons which is an honorary sort of a thing to have you know attached to yourself

[00:00:43,259]: If you become a fellow you’re allowed to put the letters FACS after your name

[00:00:48,279]: And something I sought to do

[00:00:50,139]: So I became a fellow on the ACS the American College of Surgeons and went along for 30 plus years as a practicing surgeon doing my thing

[00:01:00,880]: And then what happened was in and around 2018 2019 you could say I woke up

[00:01:08,620]: I realized that there was something going on in my area of surgery

[00:01:32,819]: And it began with a transcript of a lecture by an invited lecturer to the American College of Surgeons Clinical Congress that they have every year

[00:01:44,559]: The lecture was titled A Pathway to Diversity Inclusion and Excellence

[00:01:50,680]: That was the title of the lecture

[00:01:52,900]: And for reasons that I can’t explain I read it

[00:01:55,940]: I wouldn’t normally have done that but I read the entire transcript

[00:01:58,379]: I read twice and not once with excellence mentioned in there

[00:02:02,819]: And so I wrote a commentary that was actually published in the bulletin of the ACS where I expressed some concerns about taking down excellence as the primary directive for surgery for surgeons and replacing it with diversity inclusion

[00:02:21,160]: At that time the equity they didn’t throw that in there

[00:02:24,940]: And that commentary didn’t really do much

[00:02:27,960]: So fast forward a couple of years and you have COVID which you know its own thing

[00:02:33,860]: And then you have the George Floyd killing

[00:02:37,660]: And I think you could realistically say that the country went crazy after George Floyd

[00:02:42,360]: I mean everything from riots and whatnot to this mass movement to adopt the idea that the country was systemically racist and every institution every organization was racist and we had to radically transform the country

[00:02:59,380]: And the American College of Surgeons was no different

[00:03:01,399]: They jumped right on that bandwagon

[00:03:03,660]: And within weeks after the George Floyd killing I mean literally weeks they had assembled a task force on racism

[00:03:11,259]: And they published this in the bulletin which is their quarterly newsletter

[00:03:15,880]: And the bulletin basically said that they were doing this to deal with racism in the ACS

[00:03:23,580]: It wasn’t like is there racism in the ACS

[00:03:26,100]: It was there is racism and we need to ferret it out

[00:03:29,800]: Like refusing to operate on black people

[00:03:33,600]: Not that would be pretty extreme

[00:03:36,559]: No I’m joking

[00:03:37,839]: I mean like where was the racism in surgery

[00:03:40,639]: It’s almost as bad Tucker

[00:03:42,619]: It’s the idea is that well let me take that step

[00:03:47,720]: They claim that surgeons were racist that the ACS itself was racist and that the practice of surgery was racist OK

[00:03:55,339]: And the reason why they made that last claim was because there are known disparities

[00:04:00,520]: We know that the outcomes for surgery are not as good statistically for we’ll just call it black and white because it just makes it easier to deal with that that it’s not as good for blacks as it is for whites

[00:04:12,399]: And so the idea is that there’s some element of racism or discrimination that impacts the outcome of surgery

[00:04:18,920]: And of course if you take that to the next step it means that you know blacks are not getting as good care their surgery’s not being as done as well and whatever

[00:04:28,920]: There’s a whole lot of reasons why you can have disparate outcomes but this was the one reason that they latched onto and they have never let go

[00:04:36,720]: And then have you heard of the term racial concordance

[00:04:40,339]: No

[00:04:41,260]: OK that’s a really important concept

[00:04:43,700]: And this is something that’s being promoted by the ACS

[00:04:47,500]: The ACS has explicitly stated that blacks would do better if their surgeon is black

[00:04:55,799]: It’s as simple as that

[00:04:57,200]: It’s a racial concordance that you are going to receive better care by a doctor surgeon or other doctor if they are of your same race ethnicity gender that you might get better care pardon me better care if you’re a woman by a female surgeon for example

[00:05:14,440]: And they’ve hung on to that as well

[00:05:16,399]: So that was the idea behind segregation in the South of course

[00:05:20,239]: Well that’s the whole thing

[00:05:21,179]: They’re trying to redo that

[00:05:22,619]: People should stick with their own

[00:05:22,920]: Yeah

[00:05:23,320]: They’re trying to reinstall segregation into surgery which when you think about it is a pretty despicable thing to do

[00:05:29,100]: So I get a white male surgeon is what you’re saying

[00:05:31,040]: Exactly

[00:05:31,640]: OK

[00:05:32,000]: Well you might need to get a white male surgeon of whatever your ethnic heritage is

[00:05:35,179]: OK

[00:05:35,480]: You know you might do better with

[00:05:36,359]: Kind of happy with a Swedish surgeon

[00:05:38,220]: Sorry

[00:05:38,619]: Sorry

[00:05:39,100]: I feel like I’m going to win in this yeah

[00:05:40,720]: I need a Brazilian one because my mother is Brazilian

[00:05:44,600]: Meaning German by the way

[00:05:46,140]: Well I’m half German half Brazilian

[00:05:47,619]: There you go

[00:05:48,600]: Yeah

[00:05:49,000]: So what happened was this

[00:05:51,220]: The task force came out with the recommendations at the end of 2020

[00:05:57,899]: And the recommendations were oh my gosh I mean it’s just a litany

[00:06:01,279]: It was basically a playbook for how to instill DEI

[00:06:05,820]: They still weren’t really calling it DEI that often

[00:06:08,380]: They were calling it anti racism still

[00:06:10,700]: And that term kind of fell out of favor

[00:06:12,760]: And then DEI became the nice the more acceptable term for adopting critical theory critical race theory into surgery

[00:06:20,839]: So the recommendations were to add anti racism Abram Kendi’s anti racism into the ACS as the value of the ACS

[00:06:29,079]: They opened up a branded department of diversity which had not existed before

[00:06:33,480]: And this is what they call a regental department meaning that the head of that department the clinical director was now one of the members of the board of regents had its own clinical director its own executive director

[00:06:45,679]: They installed all these initiatives

[00:06:48,399]: They started training their staff and even the leadership on things like microaggressions implicit bias ally and active bystander white privilege

[00:07:01,779]: And when I saw this this is one that I guess it really hit me

[00:07:07,980]: I never thought I would be doing this at this point in my career

[00:07:12,019]: I’m retired

[00:07:12,880]: I’m three months retired from 38 years as a surgeon

[00:07:16,899]: And to be an activist was never on my radar

[00:07:19,940]: But I couldn’t let this stand

[00:07:21,339]: It just really bothered me

[00:07:22,660]: And may I ask you to just go back to the core assumptions that drive this

[00:07:27,519]: Are they rooted in science

[00:07:29,339]: Is there Absolutely not

[00:07:30,540]: Okay

[00:07:30,899]: So is there any research at all that shows that the outcomes in surgery are better when the surgeon is matched racially with the patient

[00:07:44,380]: Absolutely

[00:07:45,820]: Do No Harm the organization that I joined as a result of this whole issue has actually published

[00:07:52,739]: You can go online and you can read it

[00:07:55,100]: They’ve done a systematic study

[00:07:58,260]: Well actually they’ve looked at five systematic studies of this issue

[00:08:02,660]: Does racial concordance does concordance of ethnicity and race and so forth correlate to better outcomes in surgery

[00:08:12,720]: Short answer is no

[00:08:14,540]: There’s no scientific evidence that having a surgeon of your own race will provide better outcomes

[00:08:20,779]: Has there ever been evidence

[00:08:22,179]: No

[00:08:23,200]: So I mean just to ask a dumb question Well let me qualify that

[00:08:27,059]: There was a study put out that’s been repeatedly referred to

[00:08:31,359]: I mean even today it’s been completely discredited

[00:08:34,559]: But a study showed that the survival rates for black babies is better if they have a black doctor whether obstetrician or whatever than if it’s not

[00:08:47,419]: And so they keep repeatedly referring to the study

[00:08:50,960]: But if you look at the study the study design is terribly flawed

[00:08:54,580]: The reviewer if you’re familiar with Vinay Prasad who is a data geek and very good at parsing clinical studies and so forth came out and said this study is catastrophically flawed

[00:09:08,400]: And even though this study does not by any stretch show that this is the case it’s still referred to as the primary evidence for this idea that racial concordance is a real thing

[00:09:20,859]: And it’s still in the ACS

[00:09:24,299]: Were there any was there any push to make certain that white patients got white doctors

[00:09:33,179]: When you say a push but push by whom

[00:09:35,239]: I’m just being perverse

[00:09:37,679]: Did they really believe it when they said this

[00:09:40,780]: They didn’t really believe it

[00:09:41,880]: This is just a way to lower the standards to change the racial composition of surgeons right

[00:09:46,520]: I think the only thing that’s pushing this is ideology

[00:09:49,630]: I think if you’re really science based if you follow the science as the saying goes if you look at that you can’t possibly believe that

[00:09:58,419]: So either you have an ideology that supersedes factual science or you’re clueless and you’re following whoever it is that’s taking the lead on this

[00:10:10,840]: And who was taking the lead in the American College of Surgeons

[00:10:13,919]: Who was pushing this

[00:10:14,659]: I can’t give you names

[00:10:16,799]: I could probably name a few people that I know that were instrumental in pushing against me pushing back

[00:10:22,679]: But I think it’s a very small vocal group of very very committed anti racist or DEI zealots

[00:10:34,679]: And I think the others have gone long

[00:10:37,080]: I think some members of the ACS have really not researched this to the extent they understand it and they kind of go along because it sounds you know DEI diversity equity inclusions it sounds wonderful

[00:10:49,479]: Who would not be for those things

[00:10:50,880]: Are those the rules in surgery

[00:10:52,099]: Like if the other kids are for it you just do it

[00:10:55,539]: You’d think not

[00:10:56,820]: You would think not yes

[00:10:59,539]: That’s the thing that was so disconcerting to me

[00:11:03,739]: Let me carry the story just a step further down the road

[00:11:07,659]: I wrote to the president of the ACS and I expressed my concerns

[00:11:11,840]: And I’m a writer

[00:11:12,940]: This is what I don’t talking is not my thing

[00:11:15,940]: But I love to write

[00:11:17,039]: And I wrote a three page single space letter in which I outlined my concerns

[00:11:21,419]: Never got a response from that

[00:11:23,440]: And so the next thing I did was I actually posted the ACS has a website of course and they have a thing called the Communities which is a forum for surgeons to communicate with one another

[00:11:33,239]: If you have a question you can pose it and surgeons will weigh in and provide advice or answers

[00:11:38,539]: If you have something on a topic you want to discuss do the same thing

[00:11:41,739]: So the largest forum is the General Surgery Forum

[00:11:45,299]: And so I posted on that forum basically that I was concerned about this rush to embrace anti racism DEI in the ACS

[00:11:52,260]: And if this continued I didn’t see how I could maintain my fellowship

[00:11:55,760]: I would drop my membership in the ACS which is something I never imagined I would do because I’ve been a proud member of the ACS for over 30 years

[00:12:02,419]: And I’m not here to bash the ACS

[00:12:04,039]: I want to be very clear about that

[00:12:06,780]: I’m still FACS

[00:12:08,140]: I’m still a fellow

[00:12:08,780]: They consider me a fellow even though I’m permanently banned which is kind of an interesting situation to be in

[00:12:15,479]: And so I posted this thing saying that I would leave the ACS if this continued

[00:12:19,960]: And that generated a comment thread

[00:12:21,840]: And if you’re familiar with comment threads if you look at the engagement in the comment thread usually it’s only about 1 to 10 of people that are reading the comment thread that actually engage because that’s just the nature of things

[00:12:35,559]: That comment thread ran for four months

[00:12:38,359]: And 75 individual surgeons and over 1 000 comments

[00:12:43,619]: It broke the system basically

[00:12:45,760]: I mean they had to open up a second comment thread because they’d never had this much engagement on anything

[00:12:50,780]: And two thirds of the surgeons that engaged weighed in in favor of my position as opposed to the ACS

[00:12:58,219]: And I kept saying why are we doing this

[00:13:00,359]: Tell me where the racism is

[00:13:01,599]: Let’s deal with the racism but don’t just call us racists and go with that

[00:13:06,979]: And they repeatedly refused to do that

[00:13:09,559]: So Who is they

[00:13:10,679]: This is the leadership of the ACS

[00:13:13,219]: This is my beef is not with the ACS with my fellow surgeons my beef is with the leadership of the ACS

[00:13:18,760]: It might be interesting just to hear if you can recall some of the names of the leadership who did that just for the record

[00:13:23,359]: I don’t have any problem because it’s public record

[00:13:25,719]: The general secretary was a fellow named Tyler Hughes just retired

[00:13:29,599]: Tyler Hughes

[00:13:29,880]: Yeah general surgeon

[00:13:31,080]: And he was the editor in chief of the communities

[00:13:33,799]: So he was kind of moderating

[00:13:35,679]: And he would weigh in sometimes if it seemed like you know surgeons were getting a little bit too heated and so forth

[00:13:41,179]: And my position was you know we’re professionals we’re you know surgeons are opinionated

[00:13:47,200]: We’re not shrinking violets

[00:13:48,820]: We state our case

[00:13:50,479]: We’re certainly qualified to have conversations without a chaperone

[00:13:53,599]: And I didn’t really like the whole chaperoning thing that was going on

[00:13:57,599]: And so this went forward and as common threads do it kind of ran its life expectancy really beyond what you’d think four months

[00:14:06,919]: At which point I was thinking okay so I did that

[00:14:09,400]: What do I do now

[00:14:10,219]: And I was waiting to see what my next step would be when the ACS leadership the board of regents reached out to me Tyler Hughes reached out to me and said we’d like to have you on a Zoom call

[00:14:22,580]: This was going to happen in 2022

[00:14:25,919]: They wanted to wait a little bit

[00:14:28,400]: It wasn’t until March because they were bringing on board their new director of diversity a doctor named Bonnie Mason who was their clinical director of diversity

[00:14:36,940]: And so the Zoom call consisted of myself and Tyler Hughes and Bonnie Mason and a regent of the ACS a member of the board of regents named Tim Meberlein who is a very well known prominent surgeon in a big institution

[00:14:51,640]: And I had joined a group called FAIR F A I R the Foundation Against Intolerance and Racism

[00:14:58,419]: And I helped found FAIR in medicine which has been working kind of like doing no harm in the area of DEI medicine

[00:15:05,260]: And so I went to some of my colleagues in FAIR and said hey listen I’m invited to the Zoom call

[00:15:10,080]: How do you think I should prepare for this

[00:15:12,719]: And the first thing they said is don’t go by yourself because you’re going to get jumped on

[00:15:17,739]: I said okay that sounds like a reasonable piece of advice

[00:15:21,099]: So I invited a colleague of mine who’s a surgeon I worked with for 30 years

[00:15:24,900]: Her name is Celia Nelson

[00:15:25,979]: Celia is a Jamaican born black female general surgeon which is unusual

[00:15:31,799]: She’s definitely in the minority in the ACS

[00:15:34,679]: And she came on the call

[00:15:35,960]: So it was five of us on the call

[00:15:38,440]: Very very civil conversation

[00:15:40,099]: Well over an hour

[00:15:41,000]: We each stated our positions

[00:15:42,239]: I stated my concerns

[00:15:43,599]: She expressed the same concerns that I did from her standpoint as a woman a black woman surgeon

[00:15:49,460]: And I left so encouraged from that

[00:15:51,520]: I said wow this is great

[00:15:52,500]: We’ve got a dialogue

[00:15:53,239]: And this is what I wanted a dialogue

[00:15:55,320]: And I sent an email to everyone that was on the Zoom call and said thank you so much

[00:15:59,799]: I hope this will be the start of a conversation where we can discuss these things

[00:16:04,219]: And a few weeks later I couldn’t get on the communities anymore

[00:16:07,179]: I tried to get on the website and get on the communities and I couldn’t get on

[00:16:10,440]: And I thought okay there’s some glitch here

[00:16:12,500]: I think maybe it was the site had a problem

[00:16:14,960]: I waited and I waited pretty close a couple of weeks before I finally said I contacted Tyler Hughes and said Tyler what’s going on

[00:16:22,599]: I can’t get on the communities

[00:16:24,659]: And this is when I was told oh by the way you are permanently banned from access to the communities

[00:16:32,159]: And in addition you’re banned from access to the members directory of the ACS and you’re banned from your own private voicemail box

[00:16:40,140]: So it was a total total isolation

[00:16:43,440]: And I said why why am I being banned

[00:16:47,140]: And the answer was because if you’re continuous and I’m basically quoting your continuous use of disrespectful language and persistent posting of nonclinical material on clinical forums

[00:16:59,159]: So the thing was I was being disrespectful which I have disputed

[00:17:03,219]: And I can prove I wasn’t

[00:17:05,359]: And my nonclinical material was posting this issue of DEI on the clinical forums that they brought up in the first place that they well

[00:17:13,959]: And what’s interesting is this

[00:17:14,979]: They’re the ones saying that clinical outcomes in surgery are being impacted you know adversely for minority

[00:17:20,079]: But I mean you were a I mean you spent over 30 years just being a surgeon cutting and healing people

[00:17:26,660]: Right

[00:17:26,819]: You’re not the one who brought this topic into the ACS in the first place

[00:17:30,880]: They did

[00:17:31,439]: Yeah

[00:17:32,420]: Yeah

[00:17:32,839]: But because you discussed a topic that they introduced they said you weren’t a serious doctor and needed to be banned

[00:17:40,500]: I was disruptive and I was being disrespectful

[00:17:42,339]: And so I did ask I said can you please show me a single example of anything that I have said at any time that justifies this ban

[00:17:51,540]: And they have never done that

[00:17:52,920]: They’ve said several times they’ve refused every single time

[00:17:56,140]: So I appealed

[00:17:57,420]: I went to the Board of Regents and appealed and I said you know you know this is wrong

[00:18:02,160]: And they came back and said that we review this and we uphold the ban

[00:18:06,439]: And this is this is interesting they said

[00:18:08,920]: And we feel that you have received due process

[00:18:11,657]: Well due process means that they’re saying it went through the proper channels in the ACS

[00:18:17,157]: Well the channels are there’s a fixed process for disciplining a surgeon

[00:18:22,777]: You have to be informed that you’re being investigated for some issue

[00:18:27,847]: That has to go to their central judiciary committee which is empowered to investigate their members

[00:18:35,097]: They decide if there’s merit to this you know allegation and if there is they send it back to the board of regents who then has to you know does the punishment whatever that may be

[00:18:46,657]: Could be expelled could be whatever

[00:18:49,797]: They never did that

[00:18:51,277]: It never went to the judiciary committee

[00:18:53,777]: They never informed me that I was being investigated for a possible lifetime ban

[00:18:58,617]: As a member of the ACS I am entitled my privileges include the right to having a hearing

[00:19:04,517]: If I’m looking at being disciplined by my organization I have a right to have a hearing to defend myself

[00:19:10,257]: And they denied me that hearing

[00:19:12,017]: And the reason that it’s like a catch 22 it didn’t go through the central judiciary committee

[00:19:17,737]: Therefore I don’t deserve a hearing

[00:19:22,017]: The gaslighting is unbelievable Tucker just unbelievable

[00:19:25,257]: So I exhausted every avenue I had to address this with the ACS internally and that’s when I went public

[00:19:31,817]: And that’s when I wrote my article to the Wall Street Journal and that’s when you invited me onto your show very kindly

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[00:20:42,897]: I wanted to hear more about it not simply because you’re the victim of grotesque injustice and authoritarianism but because the consequences of this kind of thinking are so dangerous to the public health that I think people need to know

[00:20:59,777]: Because everything you’re saying suggests that they’re going to radically lower the standard for surgeons

[00:21:04,957]: Not that they are they have they have

[00:21:09,817]: So how is that not a felony

[00:21:12,277]: How can you do that

[00:21:13,337]: How can you lower the standard for surgeons or air traffic controllers or anyone who’s got a job with the public health in his hands you know a critical job the critical jobs in our society and you lower the standards for that

[00:21:26,157]: That’s not a crime

[00:21:27,917]: I think the way you do it is you do it really slowly over a long period of time

[00:21:32,197]: And no one really notices until it gets to that

[00:21:34,717]: Until people die

[00:21:35,557]: Well until yeah that’s an interesting thing you say that

[00:21:38,257]: You work with a knife in your hand

[00:21:39,837]: I mean this is like the highest level of trust

[00:21:42,457]: You’re saying to somebody I’m going to let you cut me open

[00:21:45,417]: Who would you say that to

[00:21:46,697]: Only a surgeon

[00:21:47,797]: And so the consequences are just beyond

[00:21:50,417]: If there was ever a field you know people talk about airline pilots sure

[00:21:55,497]: If there was ever a field where excellence is a sine qua non of the field it has to be medicine

[00:22:00,897]: And even beyond that it has to be surgery

[00:22:03,177]: Exactly

[00:22:03,697]: Because you know when you’re the guy with a knife in your hand first off you know if you’re a decent human being you want to feel like you are competent and doing the best you can for your patient

[00:22:14,337]: But and I apologize by the way for putting you on the spot when we spoke

[00:22:18,757]: Because I think I may have I remember I asked you a question I said what’s the most important thing you look for in a surgeon

[00:22:23,817]: And you said excellence

[00:22:24,997]: Yes

[00:22:25,397]: Which was exactly right

[00:22:26,297]: But I wasn’t looking for excellence

[00:22:27,557]: I was looking for trust

[00:22:29,697]: You have to trust

[00:22:30,577]: Well one flows from the other

[00:22:31,917]: You have to trust your surgeon

[00:22:33,137]: And if you are wondering if you’re going to get the best care because your surgeon looks different than you do right off the bat you’re starting handicapped

[00:22:40,037]: I mean you’re you’re really you know hurting yourself and the patient if you can’t can’t get that trust pretty quickly

[00:22:46,897]: Because when you walk into the ER you don’t have a lot of time to connect

[00:22:50,557]: You can’t go be doing those nice social things

[00:22:55,137]: So my ban remained in place

[00:22:56,997]: I’m still banned

[00:22:58,077]: The ACS will not engage with me

[00:22:59,977]: They have not engaged with you in three years

[00:23:01,957]: Oh no not at all

[00:23:03,217]: Not at all

[00:23:03,677]: They will refuse

[00:23:05,777]: I’ve I’ve written multiple letters

[00:23:08,017]: I wrote letters to the last two presidents

[00:23:11,317]: I never get an answer back

[00:23:14,237]: I wrote letters

[00:23:15,837]: Well I would just encourage anyone watching to to let’s Google these people and do not accept medical care from them

[00:23:22,417]: You don’t I don’t want to be cut by an unreasonable ideologue

[00:23:28,077]: Problem is you don’t know who those ideologues are unless you start naming names

[00:23:32,037]: It would be nice to have their names

[00:23:33,997]: So you said not only do they plan to lower standards but they already have

[00:23:39,177]: Can you tell us what you mean

[00:23:41,557]: In fact I’m delighted you said that because I I don’t want this to be about me

[00:23:46,617]: Yeah I’m the one sitting in front of the microphone

[00:23:48,977]: I’m the one that that was banned

[00:23:51,537]: But the issue is so far beyond me

[00:23:56,117]: In my 38 years of surgery I have gradually watched the quality of training and young surgeons deteriorate you know noticeably in my own little you know backyard watching young surgeons come out that have no business operating by themselves

[00:24:14,937]: And you’ve seen that

[00:24:16,477]: I’ve seen that

[00:24:16,857]: Oh yeah absolutely

[00:24:18,297]: Um I can I can give you some examples uh doing I did a I had a young this is actually a few years back

[00:24:25,737]: I had a new surgeon in town at hospital that I worked at and I do breast reconstruction

[00:24:30,697]: So I worked a lot with the surgeons uh together we’ll you know they’ll remove the cancerous breast

[00:24:36,097]: Sometimes a lot of times they’ll remove the other breasts simultaneously and then I will come in and do the reconstruction

[00:24:41,317]: And I was doing a lot of these cases where you take the abdominal tissue and you create one or two breaths with the abdominal tissue which is a great procedure but very significant time consuming and whatnot

[00:24:53,397]: Um and there’s a lot of things that have to be done

[00:24:56,157]: And this surgeon offered to help me close the abdominal part of the operation or to do it for me so that I could concentrate on the breast

[00:25:04,337]: I said great this probably cut an hour and a half or two hours out of my operating time

[00:25:09,297]: And um so I glanced down to see what he was doing and he’s he’s taking these massive bites of tissue

[00:25:16,937]: And every time he ties a stitch down I mean the the abdominal wall was being distorted

[00:25:23,397]: I’m looking at him thinking wow

[00:25:25,437]: And I I was able to I couldn’t watch more than two or three stitches put in

[00:25:30,317]: And I said ah you know Joe listen you got things to do you know go ahead

[00:25:35,797]: I’ll I’m fine

[00:25:36,657]: I don’t I don’t need the help

[00:25:38,037]: And he left

[00:25:39,697]: Um and um

[00:25:40,817]: Was this in a someone who’s out of medical school

[00:25:43,277]: This is a fully trained surgeon just newly just you know open to practice in my community

[00:25:48,077]: And he didn’t last very long

[00:25:49,497]: It became very obvious soon because in small hospitals you can’t hide um that he was not very competent and he eventually moved on

[00:25:57,037]: I don’t know where he went or what he did

[00:25:58,957]: But it was obvious to you just from looking down this guy was not qualified

[00:26:02,997]: This guy had no clue how to close an abdomen

[00:26:05,037]: I mean it was really bizarre

[00:26:07,697]: And that’s kind of an extreme example

[00:26:09,237]: How did he become a surgeon

[00:26:11,617]: That’s the thing

[00:26:12,637]: Um lowered standards basically

[00:26:15,577]: Was this person from a protected racial group or

[00:26:17,897]: No no he was not

[00:26:19,177]: He was your your heteronormative white male like me basically

[00:26:23,357]: Um

[00:26:23,677]: But he was incompetent

[00:26:24,797]: Oh yeah

[00:26:25,597]: Yeah

[00:26:26,077]: Well I only saw this one example but you know the thing speaks for itself

[00:26:29,597]: If a person is doing this in such a simple situation such as closing an abdominal wall then you’ve got to wonder what he’s like

[00:26:37,537]: And I’ve worked with other surgeons that were you know I there’s a couple that I refuse to work with that were so bad um that you know you you often have to ask yourself is this something that I report

[00:26:50,097]: I don’t report

[00:26:51,357]: Um I’ve spoken to you know colleagues and so forth and uh I’ve only actually reported one or two doctors in my career because the circumstances are so egregious and these didn’t happen to be surgeons by the way

[00:27:03,557]: Um but kind of getting off track a little bit I I work with a young surgeon arguably a good surgeon

[00:27:10,697]: Um and I was doing again a breast reconstruction and he made a comment to me that I I found astounding

[00:27:16,477]: Um one of the common uh accompanying things you do in breast cancer treatment is a lot of times you go after lymph nodes in the armpit

[00:27:25,017]: Yes

[00:27:25,057]: Because you want to see if there’s cancer there or if there’s cancer there you’ll want to remove the cancer

[00:27:29,457]: And that’s called an axillary node dissection

[00:27:32,037]: Yes

[00:27:32,297]: Basic operation

[00:27:33,377]: Even I know about it

[00:27:34,417]: Every general surgeon learns that

[00:27:36,057]: Yes

[00:27:36,677]: And we were doing a um a case and he was doing a biopsy in the armpit removing a single lymph node

[00:27:43,257]: And he commented he says you know I’m really glad I don’t have to do an axillary node dissection because I’ve never done one before

[00:27:49,217]: This is a fully trained board certified general surgeon had never done an axillary node dissection in the course of his five years of general surgery training

[00:28:00,337]: Let me stick back a second to to when you ask about quality and how it’s gone down

[00:28:05,217]: Uh I don’t it’s not a conscious thing

[00:28:07,377]: It’s not been deliberate

[00:28:08,257]: I don’t think that we have gone out deliberately to create a decline in the quality of surgery

[00:28:14,057]: I think a lot of circumstances have come to together to do that

[00:28:17,837]: Um one was in 2003 the American graduate medical education

[00:28:22,857]: They came out and they took a law that was basically confined to New York from 1964 and made it nationwide

[00:28:30,257]: And that law was a reduction of residency hours

[00:28:33,177]: In other words you can’t take a trainee in any medical specialty and make them work more than 80 hours a week or more than 24 hours at a stretch

[00:28:43,257]: And so that reduced residency hours dramatically because when I trained uh it was not uncommon to work in 90 to 110 hour week

[00:28:50,317]: That was pretty typical

[00:28:51,397]: And be on call you know 36 hours straight

[00:28:54,837]: I once worked 48 hours straight

[00:28:57,357]: Not that that’s a great thing but you know you do what you have to do and you learn you learn to operate under circumstances when you’re tired and things like that

[00:29:05,537]: Um and the idea was to reduce medical errors and things like that which has been disproven that studies have shown that that reduction in hours had nothing did nothing to improve a medical errors

[00:29:16,337]: But that was one thing that that cut back the hours for training and surgery

[00:29:19,917]: Um you know you have a very limited motive there

[00:29:24,817]: The the idea behind it the reason that it occurred was because of a death

[00:29:29,937]: A young woman died in New York uh because of a a a medical a drug error a very rare drug reaction

[00:29:39,537]: Uh and her father happened to be a very prominent attorney

[00:29:42,917]: And um he decided that the reason was that these residents were working too hard

[00:29:47,517]: They were too tired and we needed to change that

[00:29:49,357]: And there was this spate of New York Times stories about this

[00:29:52,617]: I remember this

[00:29:53,997]: And um that was only confined to New York until 2003 then it become a nationwide thing

[00:30:00,257]: General surgery is a five year residency program

[00:30:03,377]: Okay

[00:30:03,857]: In the first two years you’ll learn patient care

[00:30:06,437]: You learn how to take care of patients before and after you assist in operations

[00:30:11,197]: Uh you do diagnostic uh differential diagnosis and you learn how to work up a a problem

[00:30:17,417]: And if you’re good if you’re a good intern if you’re a good first year second year resident you know they throw your bone on again

[00:30:24,197]: They’ll let you do a hernia and they’ll let you do an appendectomy and they hold your hand while you do it

[00:30:29,117]: Um and then in the third and fourth years you start to operate more but you’re always operating under the direct supervision of a um uh senior resident or an attending attending a fully trained surgeon

[00:30:42,757]: And again you’re having your hands held

[00:30:44,657]: I mean they have to let you work

[00:30:46,017]: They got to put the knife in your hand but they have to be good enough to do that and keep you out of trouble

[00:30:51,737]: And if you get in trouble to get you out of trouble

[00:30:54,217]: And so you spend those three to four years kind of honing your skills

[00:30:57,557]: And then in the fifth year when you are what we call a chief resident you’re basically regarded as being a surgeon and you you get your you do your cases you assist the younger surgeons and their cases

[00:31:10,157]: And the only time you call an attending surgeon in is if you’re doing something very major very complex and and or if you haven’t done this before

[00:31:17,877]: And so at the end of that fifth year you should be able to walk out of the hospital and go anywhere and operate as a general surgeon and function fully independently

[00:31:29,437]: A study done in 2014 in the annals of surgery reported that 80 of the graduating general surgeons were not going into practice

[00:31:43,077]: They were going on to do a fellowship

[00:31:46,877]: Fellowship is additional

[00:31:48,477]: 80

[00:31:48,477]: Fellowships in whatever thoracic surgery vascular surgery colorectal you name it

[00:31:56,897]: And that was in 2014

[00:32:01,437]: They surveyed program directors

[00:32:03,737]: These are the chiefs the heads of surgical programs to find out what these residents that were they were getting what these surgeons that they were getting in fellowships were like

[00:32:13,297]: They found that that 66 of them could not be relied upon to operate independently for more than about 30 minutes

[00:32:23,577]: That’s something like 30 or so could not handle tissues in a manner that was appropriate atraumatically if you will

[00:32:33,517]: 20 30 couldn’t sew properly

[00:32:38,317]: Close to the same number couldn’t identify the early signs of a complication

[00:32:43,357]: Some could not identify an anatomical tissue plane

[00:32:47,017]: These are people that are graduates of general surgery residencies coming out of these programs and going to fellowships

[00:32:52,757]: The saddest thing is that when they surveyed the surgeon the young surgeons themselves and say well why are you going into this fellowship instead of going out and practicing

[00:33:02,857]: More than half say it’s because they did not feel comfortable operating independently after five years of training

[00:33:09,797]: So there’s something very wrong with the training they’re getting

[00:33:12,457]: They’re not getting enough cases to do

[00:33:15,897]: They’re not being allowed to operate

[00:33:18,157]: You know in some places the attending surgeons are very hesitant to hand over a case to a younger surgeon because number one they’re responsible for that case

[00:33:29,137]: Number two you’re never going to be as efficient or fast as a young surgeon as you will later on when you’ve had more experience

[00:33:36,197]: So it takes longer and it impacts your day your schedule

[00:33:43,277]: It’s sad because they recognize this

[00:33:45,797]: I mean these young surgeons recognize this

[00:33:46,457]: So the question is I mean it sounds like a total failure to train the next generation of surgeons

[00:33:52,797]: It’s a system failure

[00:33:54,457]: And the ACS recognizes this

[00:33:56,477]: And you know how I know that

[00:33:57,997]: It’s because since 2014 they’ve initiated what they call a mentorship program

[00:34:03,417]: And what they do is they try to find experienced surgeons that will mentor these young surgeons to help them come up to speed

[00:34:11,697]: Okay so a young surgeon out of training that should be able to work on their own and finds that they’re struggling or not really able to do that they would have an experienced surgeon to I don’t want to say hold their hand but to oversee them supervise them

[00:34:27,177]: Scrub with them

[00:34:28,537]: They can’t find enough surgeons to do that for one thing

[00:34:31,537]: Here’s where the DEI really comes in too is they have this idea of racial concordance that what they need to do is find if it’s a black surgeon they got to find a black mentor for him

[00:34:41,457]: And if it’s a Hispanic surgeon they got to find a Hispanic mentor

[00:34:44,257]: And there’s not enough of those to go around

[00:34:46,257]: It’s the time of year we focus on the people who matter most in our lives

[00:34:49,037]: And if there’s one way to show your family the people you love that you love them it’s by protecting their health and their safety

[00:34:55,537]: And a really obvious way to do that is by preparing for unpredicted moments

[00:35:00,697]: And there are a lot of those breakdown of supply chains overwhelmed hospitals natural disasters wars whatever happens next you can’t see it coming but you can be prepared for most of it

[00:35:10,817]: And that’s why a JACE case works

[00:35:13,417]: A JACE case is a personal supply of prescribed emergency medications

[00:35:17,777]: So if things fall apart you’re okay

[00:35:20,477]: There’s an unexpected global disruption

[00:35:22,637]: You can protect yourself and your loved ones

[00:35:25,317]: So this February show them you care get the JACE case today

[00:35:29,117]: You’ll have the right meds on hand when you need them

[00:35:32,357]: You only need them once

[00:35:33,777]: You ought to have them

[00:35:34,897]: So in addition to what are demonstrable provable failures of medical schools to train the next generation of surgeons and can I just say parenthetically I feel like if they’re not training surgeons adequately you know surgeons are a small percentage of all physicians probably the most important but they’re probably not and probably the smartest and most driven then they’re probably failing

[00:35:56,917]: I’ll agree with you on that

[00:35:57,897]: Yeah yeah

[00:35:58,617]: They’re surgeons

[00:35:59,537]: I’m right

[00:36:00,037]: It’s the most straightforward kind of medicine

[00:36:02,277]: So but in addition to that they overlay these racial mandates

[00:36:11,617]: They decide that racism is the real problem not incompetence

[00:36:14,697]: And then they put these mandates in where like you have to somehow have doctors of all these different backgrounds which you don’t have

[00:36:24,097]: So what happens when

[00:36:27,101]: everything starts to go downhill you know really quickly

[00:36:30,841]: I have I get people contact me just because of my my profile has been elevated by being out there a little bit

[00:36:38,381]: I got a call from a young plastic surgery resident that had been fully trained in general surgery and went on to begin her plastic surgery training and she was concerned because she wanted to get the most out of her training

[00:36:54,041]: And so she reached out to me to find out what things she could do

[00:36:57,461]: She told me things that are unbelievable

[00:36:59,281]: I mean I I I’d never imagined these and this has been confirmed not it wasn’t just my conversation with her

[00:37:04,501]: I’ve confirmed it from other sources as well

[00:37:07,121]: A couple of things

[00:37:08,561]: One is she talked about the the difficulty getting enough cases under your belt

[00:37:12,641]: That is you know not getting given cases to do not having operations that you can actually perform not having the attendings turn things over to you

[00:37:24,021]: This I could not believe

[00:37:26,421]: One of the the requisites to become board certified at least in surgery is you have to turn over to the board of examiners for the American Board of Surgery the American Board of Plastic Surgery a log of the cases you have done in the course of your residency program

[00:37:43,461]: So they list you know every case you’ve done as a surgeon as an assistant and whatnot

[00:37:49,741]: Well they’re now permitted to list operations in there as part of the surgical experience that they’ve only watched

[00:37:57,421]: So if they sit behind the anesthesia screen or look over the shoulder of the surgeon and watch an operation they can list that in the logbook as part of their surgical experience

[00:38:09,601]: And I can tell you personally that you don’t learn surgery that way

[00:38:12,681]: You learn it by getting your hands in there

[00:38:14,141]: I’ve watched a lot of medical shows

[00:38:16,001]: I’m not a doctor as a result

[00:38:18,061]: And that’s what’s scary

[00:38:19,941]: And that allows them to qualify for taking their boards

[00:38:24,141]: The other thing they do which is really

[00:38:25,681]: What would be again the motive there

[00:38:27,241]: Why would you allow that

[00:38:29,801]: Well the ACS has already anticipated there’s going to be a shortage of 19 000 surgeons by 2030

[00:38:37,021]: Five years from now we’re going to be shying nearly 20 000 surgeons in this country

[00:38:40,821]: Right now the USA is short 1 200 trauma surgeons

[00:38:45,621]: There are places that need a trauma surgeon that can’t get one because they’re just not around

[00:38:49,641]: So one idea as bad as it may be is to put out anybody and everybody and you don’t want to drop anybody just so you can get the numbers up there

[00:39:02,901]: Gosh there’s so much to this Tucker that goes into this

[00:39:07,641]: Well back to the

[00:39:09,681]: I mean all of this begins at the front end of the pipeline which is medical school

[00:39:16,201]: Yes

[00:39:16,201]: So the standards for admission to medical school have been dropped dramatically for race reasons

[00:39:22,741]: Mm hmm

[00:39:23,261]: Yeah

[00:39:23,521]: Yeah they’ve taken the medical licensee examination the three part medical licensee examination taken it from a graded exam to a pass fail

[00:39:32,701]: And to pass it you only have to be above the bottom 5 in grade

[00:39:38,961]: If you are above the bottom 5 you are going to pass the medical licensure examinations

[00:39:44,641]: And in spite of that which is an abysmal standard when you think about it in spite of that something like 10 or more students at UCLA 10 or more students flunk one or more of the exams and a number of them flunked these exams two and three times and yet they’re still being put through medical school

[00:40:04,181]: They don’t want to drop you

[00:40:05,521]: I know what I wanted to say

[00:40:08,061]: Again back to the DEI for a second

[00:40:10,981]: If you’re an attending in a surgical training program and you have a surgeon that is inadequate he’s just not cutting it

[00:40:20,521]: And I saw this

[00:40:22,401]: I had and while I was in training there were surgeons or people that came into the program that were dropped after year two

[00:40:28,161]: It was clear that they weren’t going to be able to do it

[00:40:30,521]: They just didn’t have the dexterity

[00:40:32,961]: They didn’t have the whatever

[00:40:35,381]: Today if you do that and it’s a minority or underrepresented in medicine you know minority surgeon as attending if you hold them back or if you drop them what’s going to happen is you’re going to get reported

[00:40:50,061]: You’ll get reported to the DEI establishment in that program and invariably they’re going to side with the resident and not with the attending

[00:40:59,381]: Why do they have the moral high ground if they’re putting people’s lives at risk which they are

[00:41:04,161]: I mean I think that’s a crime but how did they get to attack you for upholding objective standards of surgery

[00:41:10,921]: I just don’t get the like are there no sane people left in American medicine

[00:41:15,721]: Well the thing is this

[00:41:16,441]: How do you recognize the quality going down

[00:41:19,481]: How do you recognize bad surgery

[00:41:21,141]: And one way that you recognize that is by complications

[00:41:25,781]: So the question would be are people dying

[00:41:28,861]: Are complications going up okay in surgery

[00:41:32,921]: Right now you can’t answer that question and one big reason why you can’t answer the question is that at least and I’ll just say this is my opinion

[00:41:42,081]: I can’t keep quoting this but I know this is how surgery has evolved

[00:41:46,101]: The vast majority of surgery done today is done as an outpatient

[00:41:49,681]: So you know the people that are in the hospital and have an operation are not the majority

[00:41:55,701]: They’re the minority

[00:41:57,281]: So if you do outpatient surgery you do the operation you know the patient goes home that day or after an overnight stay

[00:42:05,121]: Most complications don’t arise immediately you know

[00:42:08,861]: Bleeding occurs in the first day or two after

[00:42:10,901]: Infections three four days okay

[00:42:13,421]: Pulmonary problems

[00:42:14,341]: In my particular profession if I do a flap reconstruction I may not know if that flap is going to live or die for five six seven days or more

[00:42:22,661]: So when you do have complications they occur after the patient’s out of the system so to speak out of the hospital system

[00:42:28,961]: So there’s no required reporting

[00:42:32,441]: It’s all self reporting

[00:42:34,041]: You know you get a letter you know periodically from the hospital saying hey can you please tell us how all of your patients did

[00:42:39,481]: Do you have any of the complications

[00:42:41,841]: They did great

[00:42:42,861]: And it’s human nature

[00:42:44,581]: If a patient gets an infection you treat them with antibiotics you know do you report that as a complication

[00:42:49,821]: And the patient ultimately did okay

[00:42:52,181]: You could argue no you would probably you might not report that and you could rationalize that it’s okay

[00:42:58,581]: So that’s one of the issues

[00:43:00,241]: The other issue and I got this directly from one of the examiners and I know someone who has been examining surgeons for 15 years for their boards

[00:43:09,721]: So when you go to take your board examinations so he’s one of the people that sits in the room and asks you questions and whatnot

[00:43:16,621]: And what he’s noticed is that a lot of these residents are coming in and he’s looking at their cases and he’s thinking oh my gosh they’re taking way too long to do these operations

[00:43:27,981]: Now one thing that’s interesting is when you go for your boards the cases that they look at are not cases you did in training

[00:43:35,641]: These are cases you’ve done since you’ve been out

[00:43:38,501]: You know when you finish your residency you’re allowed to go out and practice

[00:43:41,781]: I could practice

[00:43:42,581]: I practiced for two years before I became board certified because it took two years to get my board certification

[00:43:47,681]: So of course I have to be able to practice

[00:43:49,581]: And I’m regarded at that point as a board eligible surgeon and I am entitled to full privileges and all those things

[00:43:56,681]: So when I go to take my board examination I present them you know in my case I present them with a log of everything I had done for the past year

[00:44:05,261]: And they select cases to examine you on and so forth

[00:44:09,141]: It’s an interesting experience to do that

[00:44:11,741]: So these are the cases that these examiners are looking at

[00:44:14,221]: And he’s saying they’re taking way too long

[00:44:16,861]: You know here’s an operation that should normally take three to four hours

[00:44:19,301]: It’s taking seven to eight hours for this person to complete this operation

[00:44:22,061]: And I’ve seen this locally

[00:44:23,001]: I’ve seen this in my own community where you know nurses who know the good surgeons from the bad surgeons say Dr so and so he’s so slow

[00:44:31,181]: He just takes forever to do you know this operation

[00:44:35,021]: And complications are directly tied to length of surgery

[00:44:38,941]: I mean absolutely positively correlated

[00:44:42,341]: The longer the surgery the more potential complications

[00:44:44,321]: Exactly

[00:44:44,941]: And this is recognized and it’s recognized in a very interesting way

[00:44:48,461]: The CMS the Centers for Medicine Medicare and Medicaid

[00:44:55,341]: Right exactly

[00:44:56,681]: They’ve come out and they said we are not going to pay for anesthesia beyond a certain time

[00:45:02,981]: So if we have for breast reduction which for me is about a three and a half to four hour operation you know we’ll pay for four hours of anesthesia for breast reduction

[00:45:13,061]: If it goes beyond that we’re not paying for that additional time

[00:45:17,581]: And the idea is they recognize that you know people are taking too long to do these things

[00:45:24,381]: Point is anesthesia has nothing to do with the length of surgery

[00:45:27,501]: They’re just there to keep the patient asleep and stable and alive for you while you’re doing an operation

[00:45:31,841]: But that’s the only way they can think to penalize the surgeon because the surgical time does not come into play unless you look at hospital charges or anesthesia charges

[00:45:42,301]: And so they recognize this

[00:45:43,741]: And this goes back to what I said

[00:45:45,621]: You know a lot of surgeons are not getting enough surgical experience to be able to operate one independently

[00:45:50,901]: And two I would say you know efficiently competently you know to do

[00:45:56,001]: I’m not a speedster but I can certainly hold my own with my peers in terms of how long it takes me to finish an operation and do a good job on it

[00:46:04,681]: I’ve never tried to be the fastest guy on the block

[00:46:07,881]: So all those things go to the fact that you’re not going to really recognize this decline because it’s so subtle in so many respects

[00:46:16,781]: And patients don’t know that

[00:46:18,361]: And that’s the other reason why I’m here Tucker

[00:46:21,341]: I want this to be a wake up call to my fellow surgeons

[00:46:24,881]: This is what can happen to you if you speak up and you try to promote excellence in surgery and you try to object or push back against a liberal ideology politics ideology call it what you will in surgery

[00:46:40,381]: And I would love for there to be a groundswell of surgeons come in and say hey wait a minute what’s going on in my profession

[00:46:46,861]: Well the fact that there isn’t really bothers me because it’s more than physical logical physician or else you could die

[00:47:02,441]: And so anyone who accepts clearly illogical unreasonable suppositions and doesn’t push back against them is basically involved in witchcraft right

[00:47:15,681]: So if I could say to you something that is provably untrue and just on its face stupid which is you know a black female patient needs a black female doctor

[00:47:25,841]: It’s like what are you even saying

[00:47:27,581]: Show me the evidence

[00:47:28,721]: There is no evidence

[00:47:29,721]: It’s crazy on its face

[00:47:30,621]: It’s Nazi stuff

[00:47:32,241]: If you go along with that then you’ve disqualified yourself because you’re not a rational person

[00:47:38,421]: You’re a witchcraft practitioner

[00:47:40,701]: So that just freak it freaks me out

[00:47:43,141]: So you could say well good people are going along with this

[00:47:45,581]: Well no they’re disqualified by the fact they are going along with it

[00:47:49,101]: That’s my as a patient someone who’s undergone two surgeries that’s I mean is that a fair view do you think

[00:47:55,381]: Absolutely

[00:47:56,421]: I mean think about this

[00:47:57,821]: You’re an intelligent person

[00:47:59,341]: You have probably a wealth of experience because of what you do

[00:48:03,901]: You weren’t aware of racial concordance

[00:48:06,801]: And I mean you ask any guy in the street about that they’re going to just look at you like you know you have two heads

[00:48:11,701]: What the heck is that

[00:48:12,641]: Well is it true

[00:48:13,921]: And if it’s true how is that true

[00:48:16,221]: Again the rest of us trust science not because we trust the people who carried out but because the idea itself is inherently reasonable

[00:48:25,741]: Prove it or I don’t believe it

[00:48:28,141]: The burden of proof is on the practitioner the scientist the physician the surgeon

[00:48:33,421]: And the whole system is based on that

[00:48:35,281]: If you can’t prove it then you can’t know it

[00:48:36,761]: I thought that that’s science right

[00:48:38,241]: Well that’s what they call evidence based medicine which is

[00:48:40,841]: Well right

[00:48:41,981]: But that’s all medicine should be evidence based medicine

[00:48:44,741]: And if it’s not evidence based medicine it’s not really medicine it’s witchcraft

[00:48:47,721]: So it freaks me out that the average doctor average surgeon would for a second go along with this

[00:48:56,521]: Well think about it from this standpoint too

[00:48:58,541]: Think about the for example Celia Nelson the female Jamaican black surgeon that was on the Zoom call with me

[00:49:05,821]: She’s worked as hard as anybody to get to where she is

[00:49:10,921]: She’s an excellent surgeon

[00:49:12,561]: I mean she’s experienced racism

[00:49:15,821]: And she’ll tell you flat out yeah when she first arrived there people wouldn’t mistake her for you know ask her to get a cup of coffee in the surgeon’s lab you know those sorts of things

[00:49:24,721]: And she also noticed that sometimes when she’d walk into a exam room in the emergency room that you know the look she would get was you know who is this

[00:49:35,381]: Is this someone good

[00:49:36,821]: And she’s worked through all that

[00:49:38,461]: Okay she’s worked through that

[00:49:40,161]: She’s just put her head down she worked hard

[00:49:42,961]: And now she says what happens is when she goes into the ER that patient has already heard from multiple staff what a wonderful surgeon they’re getting

[00:49:51,841]: She’s going to be in there to see them

[00:49:53,681]: So I mean she’s earned her place okay

[00:49:56,981]: But think how unfair it is for the people coming up now the minority if you will surgeons that have to face this idea when they go into a room that person I mean look at them and say gee is this a DEI hire

[00:50:10,701]: Or is this a person that really

[00:50:12,201]: I think everyone thinks that

[00:50:13,201]: that went through that got here because of their excellence because of their excellent academic performance in college and medical school because their excellent performance in their residency because they met all the standards the standards that everyone should have to meet

[00:50:29,461]: Or am I getting someone who’s a little bit less because of this

[00:50:34,681]: And that’s part of the unfairness of it

[00:50:35,161]: Well of course you’re getting someone less

[00:50:36,201]: You’re getting someone less overwhelmingly

[00:50:38,781]: And that’s obvious

[00:50:40,601]: And it has nothing to do with race by the way

[00:50:42,581]: It’s that preferences are always destructive of excellence

[00:50:46,981]: So if you tell me that you’re the CEO of a company that your family owns and you got the job because you’re the first son my first assumption is they lowered standards to make you CEO

[00:51:00,601]: I mean right

[00:51:02,301]: It’s obvious

[00:51:03,741]: And so if I have a Black female surgeon my first assumption will be this person had to meet lower standards because the school or the certifying board was so anxious to say we have a Black female surgeon

[00:51:15,721]: And of course it’s unfair to the individual but then the whole system is unfair

[00:51:19,081]: So should you be shocked that it produces unfair results

[00:51:21,981]: No

[00:51:22,641]: I mean it’s unfair

[00:51:23,841]: It is unfair on the face of it and in practice and every other possible way

[00:51:28,361]: Yes

[00:51:28,601]: You know the thing about anti racism that was so I think despicable was it said that you know you cannot be against racism

[00:51:38,241]: You have to be for this whole anti racism shtick

[00:51:41,921]: So attacking whites

[00:51:43,821]: Yeah

[00:51:44,161]: So you know if you claim to be not a racist that’s a racist statement

[00:51:50,181]: I mean talk about the

[00:51:52,861]: But why would anyone go

[00:51:54,341]: Of course I mean it’s a Chinese finger trap

[00:51:56,741]: Yeah

[00:51:57,061]: You know the harder you pull to get out the more stuck you are

[00:51:59,481]: But why would anybody

[00:52:01,681]: You’re a surgeon like you’re at the very pinnacle of our system like the science based reason based civilization that we’ve built which we consider superior to like you know to the witchcraft based societies of the rest of the world

[00:52:17,901]: How in the world could you sit and let this happen

[00:52:21,321]: Anybody any surgeon

[00:52:23,721]: Well I’ll tell you why I did it

[00:52:26,341]: I was too busy

[00:52:27,461]: I was just I had my head in the sand

[00:52:29,141]: Well you’re the anomaly

[00:52:30,321]: You actually stood up and got banned for standing up

[00:52:32,001]: I’m just saying what about all your colleagues

[00:52:33,721]: You know I’m fortunate in the sense that I was able to get through a career

[00:52:38,501]: And I’m at the twilight of my career no actually the end of my career

[00:52:41,821]: I have nothing to lose Tucker

[00:52:43,441]: I mean they can’t hurt me

[00:52:45,001]: So I got many messages private messages which I can’t access any longer from surgeons including minority surgeons that said you know we agree with you but we can’t speak up because we’re going to get pushed back

[00:52:58,461]: You know we’re going to be called you know Uncle Toms or racist or whatever if we agree with the premise that you’re putting out there

[00:53:06,561]: I don’t have much to lose

[00:53:08,701]: Lent is here the period before Easter the 40 days and it’s a unique chance to get closer to God

[00:53:14,181]: That’s the point of it

[00:53:15,761]: HALO the world’s number one prayer app can help you do that

[00:53:18,841]: Joining their prayer 40 challenge

[00:53:21,201]: It’s a great way to connect with Christians all over the world and unite in preparation for Easter which is the payoff of this season

[00:53:27,441]: It’s called The Way

[00:53:28,181]: It helps participants focus on how Jesus is the way to heaven

[00:53:32,321]: If you join the challenge you’ll embark on a spiritual journey with some of America’s most convicted Jesus followers

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[00:54:17,961]: No I mean of course I know that you’re describing the real answer that is the answer

[00:54:22,261]: But it’s just hard to let people like that off the hook

[00:54:25,121]: If you work in some normal company it’s one thing but if you’re a surgeon you understand that lowering standards results in the deaths of people

[00:54:34,501]: The stakes are just the highest in any part of our society you have the highest stakes

[00:54:40,221]: So sure it could hurt your career

[00:54:42,601]: Sure it could make you unpopular

[00:54:43,961]: Sure they might call you names Uncle Tom or whatever

[00:54:46,261]: But you balance that against the deaths of innocents

[00:54:48,941]: And you think I have to say something don’t you

[00:54:51,861]: And if you don’t that’s where I found myself

[00:54:53,301]: And you’re I can tell

[00:54:55,061]: And bless you

[00:54:56,341]: But if you if you decide you know people will die but my career is more important or not being called names is more important than It’s kind of a monster aren’t you

[00:55:05,795]: I don’t want to say that

[00:55:06,775]: Well I do

[00:55:07,375]: Just because ugh

[00:55:07,995]: I do

[00:55:08,495]: I think that if you give the power that surgeons have the power to cut people open unsupervised and someone dies and you’re the surgeon you’re like God in the operating room

[00:55:18,975]: You have that power

[00:55:20,095]: In exchange for that power you have to hold yourself to the highest moral standards

[00:55:24,855]: Don’t you

[00:55:25,295]: I agree with that

[00:55:27,275]: You’ll get no argument from me on that

[00:55:28,735]: Who has more power than a surgeon

[00:55:30,415]: Nobody

[00:55:30,855]: In that immediate moment nobody does

[00:55:33,655]: That’s what I’m saying

[00:55:34,135]: I mean actual power not theoretical power

[00:55:36,395]: No

[00:55:36,935]: A surgeon has more power than the president

[00:55:38,255]: He can cut open a person the person’s unconscious

[00:55:41,075]: He has total control over his operating room

[00:55:43,155]: Correct me if I’m wrong in any of this

[00:55:45,355]: Head captain of the ship basically

[00:55:47,475]: Unquestioned

[00:55:48,175]: Right

[00:55:49,775]: And he has a life in his hands

[00:55:51,655]: Like actual not theoretical actual beating heart person

[00:55:54,815]: And so that person has to be of just the highest moral caliber or else innocents die

[00:56:01,995]: I mean that’s my view

[00:56:03,675]: Anything which works against that you have to fight

[00:56:06,675]: I think you have to work against that

[00:56:10,095]: It’s disconcerting to me I have to say maybe I could use stronger terms but I get a lot of private affirmation from colleagues from surgeons

[00:56:20,575]: I don’t get a lot of public affirmation for that very reason because some of them are older and don’t want to deal with the blowback the repercussions and the recrimination that can occur

[00:56:32,175]: Some of them a few agree with the whole situation crazy as it may be

[00:56:36,955]: All the DEI and so forth

[00:56:38,535]: And most of them were kind of like me

[00:56:40,515]: They were just going along and too busy taking care of their patients to the best of their ability

[00:56:44,355]: I understand that

[00:56:47,155]: I’ve been doing this for 38 years and it’s really not until about three or four years ago that I popped my head above the water so to speak and looked around and said my gosh the landscape out there has really changed

[00:56:57,055]: This is not the field of medicine that I went into

[00:57:03,175]: And you’d like to think when you’ve devoted your life to a career a profession that you’re going to leave it a little better than you got it

[00:57:13,595]: I’m building my I’ve built my practice on the shoulders of the people that went before and I have a very strong sense of responsibility that I have to honor the traditions and the efforts on my behalf to get me to where I was

[00:57:28,875]: And you want to think that you’ve done somewhat the same

[00:57:31,215]: Now I’m not I wasn’t a professor I wasn’t a researcher but in taking care of patients I’ve always tried to honor the efforts of the people that trained me and feel like I could go off

[00:57:44,035]: Well I’ve got a generation behind me now

[00:57:45,975]: I’ve got a daughter who’s a physician I’ve got a son in law her husband who’s a physician and I feel a very strong sense of obligation to someday when I can’t do this anymore to say okay I did the best I could to leave medicine in their hands better than I got it

[00:58:02,975]: And I can’t say that

[00:58:04,455]: And that’s tragic when you think about it to think that you’re leaving a profession that you love and have committed your life to and it’s in much worse shape than when it was put into your hands

[00:58:16,355]: So I take Yeah this is not progress

[00:58:18,175]: I take responsibility for that

[00:58:19,575]: I take my own but at the same time I think it’s what happened to me

[00:58:24,135]: If they can if the AECS can ban me with the impunity that they have done without accountability without even following their own bylaws for God’s sakes and they have no reason to engage with me they can do this to anybody

[00:58:42,775]: I mean there’s nobody out there who’s safe and that’s a pretty frightening proposition

[00:58:47,555]: And for those of us watching who aren’t doctors it eliminates all trust

[00:58:54,995]: Don’t trust doctors

[00:58:55,695]: I don’t want to go to the doctor

[00:58:56,655]: I don’t like doctors

[00:58:57,475]: I loathe them

[00:58:58,235]: I don’t trust a lot of doctors

[00:58:59,715]: You don’t

[00:59:00,295]: I don’t

[00:59:00,835]: Why

[00:59:01,755]: My trust COVID

[00:59:03,755]: Yeah

[00:59:05,015]: Me too

[00:59:05,675]: I haven’t been a doctor since COVID and What happened in COVID was so egregiously wrong that I just couldn’t I mean I don’t look at the CDC at the NIH FDA in the same way any longer public health officials

[00:59:19,575]: And the other issue and I don’t want to open a can of worms here but the gender affirming care

[00:59:23,875]: I mean how in God’s name did we get to a point where you have my profession as far as surgery’s concerned is probably the one most closely involved in the whole process of gender affirming care because of the work we do

[00:59:39,835]: And to have this concept that there’s no such thing as male and female that you can take a biological male and convert them to a woman and they’re really a woman I mean that is when you talk about witchcraft and voodoo that is witchcraft and voodoo

[00:59:52,775]: And all the scientific evidence is against it

[00:59:55,855]: Do you know anyone who participates in it

[00:59:58,435]: Oh yeah yeah yeah

[00:59:59,895]: You know people personally

[01:00:00,815]: No I don’t know people that are doing the gender affirming care in minors

[01:00:05,775]: And I want to be very clear you know if an adult thinks if an adult male man thinks he’s a woman and God bless them I feel sorry for them

[01:00:14,015]: Me too

[01:00:14,235]: You really have to

[01:00:15,955]: But they’re you know they’re an adult with agency to make decisions for themselves

[01:00:20,315]: That’s one thing

[01:00:21,475]: Minors is a whole different thing

[01:00:23,455]: Have you met any plastic surgeons who’ve done surgeries on minors

[01:00:27,775]: Not that I know of personally no

[01:00:30,155]: I know some that are doing some of this what they call euphemistically top surgery where they take off a breast

[01:00:36,195]: But they’re doing this in women that are adults

[01:00:39,215]: They’re taking off their breasts to turn them into you know make them look more male like

[01:00:43,595]: I don’t know anyone personally who’s done this on children so far

[01:00:46,515]: So you saw this with abortion

[01:00:47,695]: Even when I was a child there were doctors who said you know I just don’t believe in it

[01:00:51,855]: I think it’s immoral

[01:00:52,655]: I’m not participating in it

[01:00:54,235]: Now it’s my impression that it’s pretty hard to be a doctor unless you commit abortion like you kind of have to

[01:00:59,415]: As part of your training if you’re OBGYN I don’t know that you can get through medical school without participating in an abortion an elective abortion

[01:01:06,915]: I can’t speak to that because I think that there I mean I know from personally that that wasn’t the case

[01:01:11,775]: I’m aware

[01:01:12,455]: It was not the case

[01:01:13,255]: No I know that

[01:01:14,115]: Yeah

[01:01:14,435]: But my sense is now in practice if not officially that is the case

[01:01:20,555]: And it’s extremely hard to be an OBGYN resident and not participate in that

[01:01:28,015]: And I wonder if we’re moving toward that scenario with transgender surgery where maybe you don’t get certified as a plastic surgeon unless you participate in you know mutilating minors in the service of ideology

[01:01:43,775]: Like could you see that happening

[01:01:46,755]: Oh I could definitely see it happening

[01:01:48,195]: It is happening

[01:01:49,135]: It is being done

[01:01:50,735]: Now are people being forced to do it

[01:01:52,535]: I don’t think that’s necessarily the case

[01:01:53,855]: I think people that are doing it are bought into the whole thing and they’re doing that because they’re bought into it

[01:02:00,355]: But that just seems to act against evidence you know scientific evidence as a scientist physicians or scientists

[01:02:09,375]: It doesn’t I just I’m saying the same thing 10 times in a row but it just seems like disqual like you shouldn’t be allowed to conduct science if you’ve shown that you don’t believe in it

[01:02:20,455]: As a resident in surgery you don’t have a lot of power in the sense of being able to say I won’t do this or I will do that

[01:02:30,855]: You can’t pick and choose what you’re going to do

[01:02:34,835]: When I was in training we had an experimental clinical study going on to do bariatric weight reduction surgery

[01:02:45,715]: We’re approaching these bypasses through the chest and not the abdomen

[01:02:51,375]: And the attendings in our program came to us the residents said listen we understand this is an experimental program

[01:03:01,075]: We’re not going to make you do this

[01:03:02,515]: We’ll let you decide for yourselves if you want to do these cases

[01:03:06,315]: There were three of us at my level and two of us said no

[01:03:11,055]: I was one of those and the third one said sure he’d do it

[01:03:14,055]: That you did not want to participate

[01:03:15,775]: Did not want to do that

[01:03:16,455]: I didn’t think it was a good operation a good idea

[01:03:19,775]: Long and short of that the study showed that yeah she could lose weight by doing this but the weight came back

[01:03:28,175]: These patients gained weight again

[01:03:30,335]: And so it was pretty much abandoned

[01:03:31,855]: We’re talking you know back in 1984 thereabouts

[01:03:37,875]: And of course I remember one young woman who died directly as a result of the operation which was it wasn’t that big a group of patients and they had one death in that group

[01:03:48,135]: So you know you’re not always allowed to make the decision about what you can do

[01:03:51,335]: Now if you’re in a residency program and you’ve got surgeons that are doing you know I can’t speak to this

[01:04:03,155]: I can’t say that the resident has the ability to say no I’m not going to do that or I won’t do that

[01:04:08,515]: I do know that you know are you familiar with the case of Eitan Haim

[01:04:13,455]: I’ve interviewed him

[01:04:14,355]: Ah okay

[01:04:15,175]: What a man he is

[01:04:16,835]: One of my heroes

[01:04:17,915]: He is

[01:04:18,815]: Now there’s someone who has true courage

[01:04:20,195]: I mean my courage is the courage of someone that doesn’t have too much to lose

[01:04:23,155]: His is the courage of someone who has everything to lose

[01:04:24,815]: That guy I don’t know if he’s I didn’t ask him I don’t know if he’s a religious man but I could feel a moral power on that guy

[01:04:32,735]: He is

[01:04:33,095]: He is religious

[01:04:33,335]: Okay

[01:04:34,235]: I’ve spoken I’ve become friends with him and I’ve actually had call these you know divine moments if you will but I’ve made a couple of just felt compelled to call him a couple of times

[01:04:48,755]: And it just happened to be when he was in a really difficult down period and just needed someone to affirm what he was doing and to encourage him and so forth

[01:04:59,515]: And so you know I just happened to be the person that made that phone call

[01:05:05,215]: And so we become friends

[01:05:07,295]: Good for you

[01:05:07,855]: And he is definitely a religious person in the sense that I could feel that on him

[01:05:13,055]: And more than that he’s a moral person and he has a strong sense of One follows the other

[01:05:17,235]: No you’re absolutely right

[01:05:18,515]: And of all the people I’ve interviewed boy it’s funny you mentioned him

[01:05:20,955]: I’ve thought about him many times since that interview

[01:05:23,015]: No he’s still in the thick of it and he’s still under indictment and he’s still facing trial and He’s going to win

[01:05:28,515]: Oh he’ll win

[01:05:29,495]: And I He’s going to win

[01:05:30,455]: Well my suspicion is he’s all going to be dropped because the reasons that have been brought to him the accusations are so out there that they just can’t stand him

[01:05:41,555]: E T A N

[01:05:44,315]: E I T H A N H A I M

[01:05:46,635]: Eitanheim

[01:05:47,235]: Eitanheim

[01:05:47,895]: Eitanheim

[01:05:48,595]: Eitanheim

[01:05:49,055]: Eitanheim

[01:05:49,415]: For those following who want to Google him

[01:05:50,895]: Yeah

[01:05:52,835]: So do you think that this can be fixed

[01:05:57,835]: It can be fixed yes

[01:06:00,775]: But you’re talking about a long you know the pipeline for surgery is five plus years

[01:06:06,275]: So you know and then you’ve got the four years before the medical school

[01:06:09,135]: So if you’re going to fix the problem you’ve got to go back to the medical schools

[01:06:13,295]: Honestly you may have to go back to universities where people are being indoctrinated in all this social justice stuff where they feel that that’s more important than what they’re doing

[01:06:22,295]: You know the young doctors think that righting historic wrongs is more important than taking care of the patient in front of them

[01:06:28,935]: And you can’t practice medicine that way

[01:06:30,775]: That’s just not that’s not medicine

[01:06:33,975]: So it can be fixed

[01:06:35,575]: It’s going to be a generational problem

[01:06:37,915]: It’s going to take a long time

[01:06:38,995]: We’re going to be seeing the effects of this and paying the price for these policies and these ideologies for probably my lifetime I suspect

[01:06:48,275]: Which brings up the issue you know I’m a healthy guy but every one of us is going to be someday needing a doctor

[01:06:55,315]: And I don’t know who I’m going to go to

[01:06:57,915]: I somewhat semi seriously told friends and family I said don’t go to a surgeon or a doctor under 40 because they’ve been indoctrinated

[01:07:08,355]: Some of these guys are still wearing masks for Pete’s sakes

[01:07:11,435]: Masks

[01:07:11,475]: Oh yeah there’s some physicians that still mask you know patients and things like that

[01:07:15,195]: It’s just crazy

[01:07:16,035]: There’s crazy stuff out there Tucker

[01:07:17,695]: So if you’re a doctor I mean and you’re openly mentally ill like that why doesn’t anybody no I don’t mean that as an attack

[01:07:25,575]: I’m saying that with sympathy

[01:07:26,955]: But if you have It’s a great question

[01:07:28,735]: Why doesn’t anyone in the physician’s group or the hospital say something

[01:07:33,735]: Well first off there’s too few doctors

[01:07:35,995]: I mean there’s so few that you know a lot of these guys guys you know men women whatever a lot of doctors are there because there’s just not enough doctors

[01:07:46,075]: I mean try to if you try to get a doctor recently and make an appointment just a routine appointment you’re talking months down the road

[01:07:53,075]: You need something more urgently good luck with that

[01:07:55,895]: You know you’ll probably end up going to an urgent care center where you’ll see a nurse practitioner or PA or someone that’s got a fraction of the education experience of a physician

[01:08:06,695]: So it’s not a real there’s not a simple cure for all of this

[01:08:14,355]: One thing I wanted to try to do with this conversation is not just simply bad mouth you know my organization the ACS or bad mouth medicine or surgery because I’m devastated by what’s happened

[01:08:29,775]: I really want surgery to be elevated to where it should be which is a very highly regarded profession that is dedicated itself to taking care of all comers regardless

[01:08:43,315]: Okay we don’t you know we don’t judge on who or what you are when you’re in front of us and you’ve got a problem that we’re trained to fix

[01:08:50,355]: So my solutions you know my first solution obviously is get DEI out of medicine

[01:08:56,355]: Politics and etiology do not belong in medicine

[01:08:58,835]: I mean The Soviets proved that

[01:09:02,915]: I mean the idea that you can take care of a patient if your first you know priority is to judge them based on their color or ethnicity is counter to everything that Hippocratic medicine is all about

[01:09:16,495]: The other is to reinstall standards of excellence

[01:09:19,055]: We have to quit lowering the bar

[01:09:21,335]: We’ve got to start elevating the bar again and requiring that you know doctors and prospective doctors meet you know minimum standards

[01:09:31,055]: You know there have to be some minimum but they have to be higher than the lower 5 for Pete’s sakes

[01:09:35,575]: They can’t be that

[01:09:36,795]: We have to free you know the doctors in training to do what they have to do

[01:09:42,195]: You can’t have restricted hours when you’ve got such limited time anyway

[01:09:48,595]: In the overall you know course of a person’s lifetime you know three four five years in surgery is a drop in the bucket

[01:09:57,215]: I mean to ask a surgeon to devote themselves to learning the craft and what they call the art and the science of surgery you know not only do you need the time you need the person to apply themselves

[01:10:11,415]: One thing I heard which again is kind of disturbing is that a lot of young surgeons are more concerned about comfort you know work life balance as it’s often called

[01:10:23,435]: As opposed to learning to be the best doctor they can be

[01:10:27,155]: They want to know how much time off they have

[01:10:29,395]: They’re very jealous of their time off

[01:10:31,675]: You know five o clock rolls around they’re done

[01:10:33,515]: They check out and they move out

[01:10:35,855]: One thing that they found in asking all the program directors about the surgeons coming into their fellowships was that a large proportion did not have ownership of their patients

[01:10:47,855]: And ownership means that you know you take that patient as your patient

[01:10:51,295]: That’s not just someone that you take care of for a 12 hour shift and then you turn them over to the next person and then you know you may not ever see that patient again or not until you know two or three shifts later

[01:11:02,155]: You know so a lot of young doctors don’t have ownership for their patients

[01:11:05,495]: I’m hearing that from colleagues

[01:11:07,495]: So how do you treat a rental car

[01:11:08,635]: Do you ever change the wheel in it

[01:11:11,415]: No I don’t rotate the tire

[01:11:13,255]: I don’t tune it up

[01:11:14,055]: That’s exactly right

[01:11:16,455]: Well you’ve certainly wrecked my day doctor but I appreciate your doing this taking all the time to explain this

[01:11:21,715]: We still have a good medical system

[01:11:23,775]: It’s probably still in many respects the best in the world

[01:11:26,595]: I have to believe that

[01:11:28,595]: But it’s in disarray and it’s definitely I believe in decline

[01:11:34,335]: And I believe that it’s going to take some effort some will from people that are willing to make those difficult changes

[01:11:43,835]: Well thank you for your bravery

[01:11:46,075]: I don’t consider myself brave but I appreciate the thought

[01:11:50,115]: Thank you

[01:11:50,515]: Well nobody else is

[01:11:51,715]: And I can’t thank you enough for giving me a pedestal in which to speak

[01:11:56,775]: Yeah I had an emergency appendectomy once by Dr Leon Pachter

[01:12:01,295]: He was an amazing surgeon

[01:12:03,115]: And it you know it saved me

[01:12:05,115]: And I think most people have had an experience like that

[01:12:07,915]: And you know it’s important that your surgeon be qualified

[01:12:10,275]: I’ll leave you with an interesting little factoid

[01:12:11,995]: Ibram Kendi the author of Antiracism

[01:12:14,615]: Not a surgeon

[01:12:15,635]: Not a surgeon

[01:12:16,195]: He’s an author of Antiracism

[01:12:18,335]: He had colon cancer

[01:12:20,615]: And he reported that he went to he interviewed several surgeons black surgeons chose a white surgeon for his surgery

[01:12:28,015]: Because he was the most competent

[01:12:29,355]: Shouldn’t be allowed

[01:12:31,795]: Nope

[01:12:32,315]: You get the surgeon from Burkina Faso Ibram Kendi

[01:12:36,095]: That’s my opinion

[01:12:37,675]: Thank you doctor

[01:12:38,635]: But I’m obviously a vindictive bad person

[01:12:40,875]: So anyway thanks

[01:12:41,935]: I appreciate appreciate the time

[01:12:47,935]: So it turns out that YouTube is suppressing this show

[01:12:51,615]: On one level that’s not surprising

[01:12:53,255]: That’s what they do

[01:12:53,935]: But on another level it’s shocking

[01:12:55,635]: With everything that’s going on in the world right now all the change taking place in our economy in our politics with the wars we’re on the cusp of fighting right now

[01:13:04,155]: Google has decided you should have less information rather than more

[01:13:08,215]: And that is totally wrong

[01:13:10,355]: It’s immoral

[01:13:11,955]: What can you do about it

[01:13:13,495]: Well we could whine about it

[01:13:14,915]: That’s a waste of time

[01:13:16,095]: We’re not in charge of Google

[01:13:17,075]: Or we could find a way around it

[01:13:18,395]: A way that you could actually get information that is true not intentionally deceptive

[01:13:23,215]: The way to do that on YouTube we think is to subscribe to our channel

[01:13:27,075]: Subscribe

[01:13:27,615]: Hit the little bell icon to be notified when we upload and share this video

[01:13:32,075]: That way you’ll have a much higher chance of hearing actual news and information

[01:13:37,195]: So we hope that you’ll do that

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