He discusses that anticancer agents and radiation produce more cell damage and only increase inflammation. He suggests other agents to stop the metallic changes from free radical formation coming from the increased chemical reactions, and to modify the metabolic changes in the cell produced by the virus RNA and DNA. Viruses are found in 100% of Glioblastomas and in many other cells in the body producing other tumors. The viruses attack the stem cells and can covert their metabolism to the cancer cell metabolism, The stem cells then make more tumor cells, so infection of all cells is not necessary. This is a new concept to the general public and to many doctors, but is written about defensively in the literature which he quotes. Excellent series on Cancer is a Metabolic disease. 60 minutes. Good for Video and Podcast (JIA)

Dr. Russell Blaylock describes the agents causing cancer. Agents include toxic metals as Aluminum, Flouride, Mercury, Pesticides, Microwave Radiation, anti-cancer agents, Radiation in all forms, traumatic injury to name a few. Each of these agents causes cellular damage to the CNS or body organs, and initiates an inflammatory reaction. The first stage is a cellular inflammatory response followed by an excito-toxic phrase as anti-inflammatory cascade occurs with the release of signaling proteins, glutamate, agents to produce cell death or to change its metabolism. This process is called immuno-excito toxicity, a term named by Dr. Blaylock years ago. This inflammatory process in most cases leads to an activation of latent viruses found in stem cells all over the body, which then use the RNA/DNA viral program to take over control of the cell which Dr. Blaylock describes in Part 3 in this series.

These are controversial ideas that are not commonly known but are fully reported in the literature, some of which Dr. Blaylock has attached to the program. There is abundant evidence to support this hypothesis from experiments in the literature. General information suggests that Cancer forms from nuclear DNA mutations. This concept has been dismissed by the work of Dr. Seyfried, described in this problem in which he takes a nucleus from a cancer cell and implants it in a nor cell cytoplasm without the formation of a cancer. Additionally, he takes a nucleus from a normal cell and implants it in a cancer cell cytoplasm with its normal nucleus removed and finds the cells to grow as a cancer. Thus the key to cancer development is in the cytoplasm and was found to be located in the mitochondria. A whole cancer process ten develops with a programmed set of reactions likely from the RNA/DNA of the latent virus. Excellent information; New concepts; 70 minutes of Discussion. Good for Video and Podcast.

The first lecture discussion was given by Dr. Kléber Eduardo González Echiverria of Ecuador. Dr Gonzales-Echiverria discussed the anatomy of the Middle Cerebral vessels and his use of a Pterional or a Supra-orbital approaches related to cerebral swelling.He mentioned he uses intra-operative neuronal monitoring-evoked potentials, to help him determine the length of temporary clipping. There was a wide discussion of the use of brain protection measures for temporary clipping from none, to intermittent clip release, to chemical cardiac arrest, which Professor Hernesniemi used frequently with success. Joham describe this technique in detail and Ramisis Ghaly, a boarded neurosurgeon, anesthesiologist and Critical care and Pain specialist, commented on the use of Cardiac Arrest during aneurysm surgery. Also discussed was how to treat SAH with an aneurym and AVM.

The second lecture was given by Dr. Giancarlo Saal Zapata MD, of Lima, Peru who has a very large experience with interventional neurosurgery techniques. He presented a series of cases of MCA aneurysms and reviewed his experience with coiling , etc, which was very good. There is some selection in his series because of referrals. Yet his experience is very good. There was a wide discussion with the international audience on how each approached Middle Cerebral Aneurysm Management. Each neurosurgeon has to do what his/her environment and resources will allow, anywhere. Given the best surgeon and interventional doctor's approaches, coiling appears to be the first choice, but many factors have to be considered in each case separately. There is no consensus because there are too many variables to consider. Like for basilar tip aneurysms, intervention is the preferred choice and each aneurysm location may have a preferred choice; See SNI Digital discussion among neurosurgeons on this subject:

Excellent Discussion of a controversial topic everywhere. Best for Video; Images needed for podcast but Discussion is valuable. In two parts 60 minutes each for 120 minutes total. Need to be seen together to benefit from the Discussion. (JIA)

He then discusses how he removes AVMs in sensitive locations using intra-operative stimulation to locate the white matter tracts.

He discusses his views on the future of neurosurgery groups as interdisciplinary and multi-specialty including basic to clinical scientists and how these teams will help recovery of neurological function. A very stimulating and interesting discussion among the three neurosurgeons. Good for Video but the images should be seen if Podcast are chosen. 57 minutes. (JIA)

Over time it was discovered that many different agents caused cancers. What was common to all of these agents was an immunologic- inflammatory-excitatory cascade in the cell cytoplasm to toxic agents which initiated these cancer changes by causing disruptions in the metabolism of the cell and mitochondrial energy sources. Actually as Dr. Otto Warburg found in 1931, cancer cells find alternate ways of growing by taking over the cell metabolism from the usual cytoplasmic glycolytic and mitochondrial tri-carboxylic acid cycles and using alternate routes of metabolism forming pyruvate to lactic acid. Along the way the new tumor cell metabolism blocks all the normal cell protective systems that keep it a normal cell and allow the tumor cell to grow into a large tumor. Some of the agents initiating these toxic inflammatory changes in the cell are smoking, some vaccinations, all kinds of toxins, alcohol consumption, toxic metals, microwave radiation from cell phones, anticancer drugs, radiation, and Covid 19 vaccine.

Cancer cells thrive on glutamine which is common in our high sugar diets. Glutamine is converted to glutamate in the body which stimulates the growth and invasion of the cancers. The cells effected are the small population of Stem Cells, or multi potential basic cells, which are everywhere in the body that grow into these cancer cells and produce more cancer cells. Dr. Blaylock explains in more detail in this and a second video what happens to convert a normal cell to a cancer cell and how to prevent that change with naturally occurring agents. Chemotherapeutic agents and Radiation treatments used to prevent cancer can accelerate it as they initiate cell damage and then the immuno-excito-toxic pathway leading to disrupted cell metabolism and initiating cancer growth. Excellent presentation for Video and Podcast (47 minutes) This will change your perspective on cancer. (JIA)

Dr. RIch Byrne discusses the challenges faced by those in medical school, residency, and postgraduate training and in practice. In Medical school the application process for residency consumes hours and days of time applying to a large number of programs, travel expenses, interviewing either in person or by Zoom, or in some selection mode, and the match. What are the flaws in this process and how can it be improved? How do we select the best people for Neurosurgery? Is it scores, recommendations, externships? How can programs pre-screen applicants? Even then, 1 in 5 residents do not complete the training which becomes a loss for all involved. How is that fixed?

How are the residents evaluated in their training? How do you measure character, soul, and personality in the computer age? You cannot. Are letters of recommendation reliable? Is the personal visit valuable? How can that time be used to determine more about the applicants? What about mentorship in training? Is there enough and is it quality? How do you solve that concern?

What about their performance after residency in practice? How is that evaluated. What place does the American Board of Neurosurgery have? It does not look like they know except for the data submitted and the interview process. Too late! Are we lowering the bar to accept people into neurosurgery at Board examination time? Some say yes! What is done about the neurosurgeon who is not well trained? Why does this happen? Are the choices for practice uniformed? Are the residents under stresses? Is there mentorship in the practice? Does huge debt force residents to make surgical choices for money? Is it a bad job choice? We will have a deficit of 10,000 physicians a year in the USA? How is that problem solved? Lots of questions that are discussed and answered. What are yours?

55 minutes of Discussion. Good for Video and Podcast. (JIA)

AI will have a significant impact but in a longer time frame that we think. AI is math which deals with data and numbers. LLM (Large Language Models) are language based deals with words. AI is excellent in dealing with data. “Large Language Model (LLM) is an advanced AI trained on massive amounts of text data to understand, generate, and process human language, acting like a super-powered autocomplete that predicts the next most likely word or sequence of words in response to a prompt, enabling tasks like answering questions, summarizing, translating, and writing…” (Google search) Clinic notes can now be summarized at high level. Scribe jobs lost to AI. AI will replace jobs; Recently 11% of jobs now in the USA can be done by AI.

Parts of AI are over hyped. Medicine deals with massive data sets: EEG, EKG which need detailed analysis. The use of AI can predict how a protein will fold and what will be its active sites and then used to design drugs to fit that configuration. “MatterGen successfully generates stable, novel materials with desired chemistry, symmetry, as well as mechanical, electronic and magnetic properties…We believe that the quality of generated materials and the breadth of MatterGen's capabilities represent a major advancement towards creating a universal generative model for materials design.” (Zeni et al Material Science;

https://doi.org/10.48550/arXiv.2312.03687)) ; (https://arxiv.org/abs/2312.03687

Mattergen will allow the creation of drugs and agents to make better products to solve different diseases, We are moving toward a molecular future in Medicine. Trauma, stroke, spinal cord injury, GBM, regenerative medicine; AI will be one of the solutions.Team medicine is the future involving multiple disciplines from basic research to clinical specialization

A major concern for the future is the amount of time spent residency and student debt. 40% of students before medical school and residency are taking “Gap Years” off to pay debts making training longer. Some graduate with $500,000 debt, then, get jobs that take a long time to pay debts. All of this results in a financial incentive to make medicine pay and do more procedures than needed. Need to make residency shorter rather than longer.

Good for Video and Podcast, (27 minutes discussion).

Tumors of these cells are called PitNET (Pituitary NeuroEndocrineTumors). All these target cells in the pituitary can form tumors, but the most common tumor site is from the prolactin producing cells. Prolactin producing cells make up 30% of pituitary tumors. Another 30% are clinically non-functional (CNF) tumors, all of which represent 20% of all the brain tumors. His talk and the discussion center on the prolactin producing cells which relate to lactation in the female and have limited clinical expression in the male, and how to distinguish them from CNF tumors.

There are many causes of hyperprolactinemia making the symptoms non-specific. In the male hyper-function of prolactin from tumors can present with erectile dysfunction or gynecomastia or from mass effect on the other hormone producing cells in the pituitary. Males usually are asymptomatic but can present late with symptoms. Females present with disturbed or absent menstruation, low libido, and/or abnormal lactation. Physicians have measured prolactin blood levels which in males can reach a high of 60 ng/ml, while in females it can be variable but is abnormal over 400 ng/ml. High levels of Prolactin are usually diagnostic of prolactinoma. The diagnostic difficulty comes with lower levels of prolactin. Dr. Bergsneider discusses the prolactin levels and sex differences in detail.

Cabergoline, a dopamine like agonist, is given to suppress the prolactin production in the pituitary cells and can shrink the tumor in 75% of patients. One third are cured with this biochemical treatment after a year. Persistence of hyper-prolactin levels occurs in the rest of the cases. Those who cannot tolerate the drug, should have surgery. In cases where the female wants pregnancy, Cabergoline must be stopped. Other reasons for surgery are mass effect and disruption of other pituitary function cells.

The explanation for the elevated prolactin levels in the past was attributed to the “Stalk Effect” or compression of the pituitary stalk. This compression prevented the hypothalamus produced Prolactin inhibiting factor (PIF) from traveling down the stalk to inhibit prolactin production at the cellular level. As a result, the uninhibited cells produce more Prolactin, leading to elevated Prolactin levels. This idea has now been replaced by the research that finds rising intra-sellar pressure from unrestricted tumor growth eventually causes other pituitary cells to dysfunction and failing pituitary hormonal production later in 85% of cases as the tumor enlarges. This is called the “Triphasic effect “ from Dr. Bergsneider’s research.

The tumor is grossly removed, endoscopically, with a high percentage of cure. Remnants can regrow; so complete removal is necessary. He shows an intra-operative video of his procedure and discusses the details of his surgery. Most places in the world can measure prolactin levels, but if that is not possible, treatment then relates to mass effect. Radiation can be used for resistant tumors. So, prolactin becomes a key to measuring the function of a large percentage of pituitary tumors. Tumors of the other pituitary gland cells can be tested for specific physiologic functions with their own specific treatments. After 100 years of work on pituitary tumors, little is still known about the origin of tumors in this small special area of the body with such a concentration of active cells at the base of the skull. How can we strop the growth of tumors in one cell line without effecting the others? Getting the specific tumor growth to stabilize metabolically or to regress by molecular treatment seems to be the most likely avenue of research to cure this disease without surgery. Does surgery make sense in the long term? From the SubSaharan African Grand Rounds. Excellent Talk; Common Problem; Video Excellent; Podcast Good but imaging helps. (Lecture 35 min Discussion 15 min). (JIA)

The first lecture discussion was given by Dr. Kléber Eduardo González Echiverria of Ecuador. Dr Gonzales-Echiverria discussed the anatomy of the Middle Cerebral vessels and his use of a Pterional or a Supra-orbital approaches related to cerebral swelling.He mentioned he uses intra-operative neuronal monitoring-evoked potentials, to help him determine the length of temporary clipping. There was a wide discussion of the use of brain protection measures for temporary clipping from none, to intermittent clip release, to chemical cardiac arrest, which Professor Hernesniemi used frequently with success. Joham describe this technique in detail and Ramisis Ghaly, a boarded neurosurgeon, anesthesiologist and Critical care and Pain specialist, commented on the use of Cardiac Arrest during aneurysm surgery. Also discussed was how to treat SAH with an aneurym and AVM.

The second lecture was given by Dr. Giancarlo Saal Zapata MD, of Lima, Peru who has a very large experience with interventional neurosurgery techniques. He presented a series of cases of MCA aneurysms and reviewed his experience with coiling , etc, which was very good. There is some selection in his series because of referrals. Yet his experience is very good. There was a wide discussion with the international audience on how each approached Middle Cerebral Aneurysm Management. Each neurosurgeon has to do what his/her environment and resources will allow, anywhere. Given the best surgeon and interventional doctor's approaches, coiling appears to be the first choice, but many factors have to be considered in each case separately. There is no consensus because there are too many variables to consider. Like for basilar tip aneurysms, intervention is the preferred choice and each aneurysm location may have a preferred choice; See SNI Digital discussion among neurosurgeons on this subject: https://snidigital.org/video/243/Clipping-vs-Endovascular-Treatment-of-Intracranial-Aneurysms-Retreatment-failures-20-in-endovascular

Excellent Discussion of a controversial topic everywhere. Best for Video; Images needed for podcast but Discussion is valuable. In two parts 60 minutes each for 120 minutes total. Need to be seen together to benefit from the Discussion. (JIA)

Who is your competition? How do you balance family life and medical obligations? Should you have children before you compete your residency? Should the state pay for childcare for your children? Should you FAKE IT TILL YOU MAKE IT? What comes first ? your job, your spouse, your children, your pet, studying, the patient? How do you balance all of these obligations. Can you be the best neurosurgeon? What does it take? Are you happy? Is money your goal? John F. Kennedy (President of USA in the 1960s) said  “Ask not what your country can do for you, what can you do for your country?” Do you believe this? What if you do not? What if everyone does not? Does Socialistic thinking affect your career, choices, motivation, commitment?

Should you get training outside your country? What does the patient want from you as a doctor? Is the patient important as a person or just a number? What is your unwritten contract with the patient? What would you expect from the doctor if you were the patient? Would you expect the best doctor? One who tells you the Truth and is Competent? In today’s society? 

Comments from the audience: “Amazing discussion, diverse panel, open, candid, honestly refreshing, have we been deceived by socialism? enlightening, breadth I don’t really get in other webinars, rare to hear neurosurgeons speak so openly about culture, bias, and things that do not get acknowledged in training, inspiring, liked roundtable discussion, greatly overdue, not afraid to agree or disagree with each other, fantastic……Very popular. And much more for 90 minutes. Part 1 is 48 minutes and Part 2 is 60 minutes. Excellent for Podcast and Video on snidigital.org (JIA) 

GIANT ANTERIOR AND MIDDLE FOSSA MENINGIOMA: Subtile clinical presentation; imaging and interpretation, preoperative planning, angiography, embolization options, surgical strategy attacking blood supply, dissection and removal of tumor; closure, post operative management. What neural deficits did the patient actually have in retrospect. How do we measure impaired cerebral function? Our limited ability, as neurosurgeons, to understand neurological impairments. Imaging does not describe function; why the classic neurological examination can reveal what we miss as surgeons. Are these subtile deficits crucial to the patient? What would you be like if you had subtile neurological deficits? Could you function as a neurosurgeon? Could AI help in providing that information? Does fiber tract imaging tell us the answer? No. Is detailed neuropsychological testing important? What we do not know and what can we do better? Is Excellence your goal? (20 minutes with discussion). (JIA)

With about 17,000 new primary brain tumors a year of which ~25% are acoustic and pituitary lesions, and 110 academic programs in the USA with skull base programs, are there enough cases to train competent skull base surgeons for the future? How is over-treatment controlled? Are Multi-Disciplinary teams of specialists the future of Skull base surgery? What are the limits of surgery? Is Proton Beam therapy with focused radiation only on the lesion, the future? What about the biology of the neoplasm? Will molecular treatments limit the use of surgery? NF2 acoustics have a genetic abnormality as do chordomas. Will DNA, RNA, or protein manipulation be the future? Should this interdisciplinary approach to managing complex medical problems be suited for academia rather than competing with the practicing physicians over routine cases? Should geneticists be part of a multidisciplinary team to mange these lesions? Will expansion into orbital lesions add a new dimension to the field? Is total removal the goal or quality of life and limited morbidity? When does a surgeon stop and why? In acoustic neuromas, is subtotal removal followed by radiation, sparing a 7th nerve deficit, lead to better outcomes? How aggressive should we be with benign disease? 

Do multidisciplinary teams have better outcomes? How are diverse people in these teams to be compensated? Are Skull Base fellowships filled, and what is the future for the young surgeon? How will advancing technology with 3D imaging, MR 7-Tesla angiography and detailed imaging change skull base surgery? Is the future more sub-specialization where we know more and more about less and less be satisfying? Will surgery be eliminated as a treatment by 2100? 85% of diseases in the world occur in 85% of the population that lives in developing countries. How can these advances be brought to billions of people who have no access to them? Is the high cost of treating these lesions justified? Because skull based lesions are fixed, image guided surgery can avoid brain shift and allow better imaging at surgery. Does technology make a better surgeon or is good surgical judgment an essential component of success? How do you teach Judgment? What is the importance of the anatomy laboratory in refining the surgeons knowledge to utilize all modalities at his/her disposal? Can AI solve all these questions? Is an excellent patient outcome the goal over surgical or other treatments? 

What are your answers to these questions which are fundamental to all of Medicine? Who is thinking about all of these factors and planning for the future? An outstanding discussion with many pearls of wisdom. See the upcoming video on the UCI team’s approach to chordomas and large meningiomas. How are all the above considerations used in the treatment of the patient? (60 minutes) Excellent for Video and Podcast. (JIA) 

AN INTERVIEW WITH DR. DAVID HUGHES ON WW III, OR OMNIWAR, -

A FIGHT OF CENTRAL CONTROL VS INDIVIDUAL LIBERTY.  WHAT IT MEANS TO YOU. PART 1 

SUMMARY Part 1: At the time of the 1930s there was the Great Economic Depression and the rise of Naziism in Germany and Communism in the Soviet Union. In the 1930s, the “elitest” segment of the population, decided to create a “perfect society” to avoid what they considered the social and economic problems of that time. Concurrently, the wealthy “elite” controlled giant businesses and subsequently had developed significant influence over US government and the world governments, as well. They not only wanted to grow and preserve their own wealth and influence into the future, but they also desired to create a “New World Order”. In fact, this “New World Order” was introduced over 100 years earlier and carefully described in philosophical/political writings at that time. They had no faith that the people, in any way, were smart enough or technologically savvy enough to meet the coming challenges these elite envisioned globally. The elitists believed that the timing was conducive to launch the New World Order.”

In 1930’s technology began to emerge which would provide a means to influence the future. Over the succeeding decades, technological developments allowed everyone and everything to be interconnected, digitized, and controlled ‘from the molecular level of the cell to the stratosphere’. Research advances in technology allowed unprecedented control of the brain, an ability to produce vision in the blind, movement in paralyzed people, and eventually mind control. Technology became a tool to achieve a utopian society and was pursued largely outside of government by Non-Government Organizations (NGOs). Military technological research was conducted under the guise of ‘protecting the Nation’. It appears that this research and these organizations were supported by funds (the missing $21 trillion dollars) taken from the US Government resources (from taxpayer monies) and by money from the rich “elite” behind this utopian idea. 

These para-governmental organizations and influential people outside of government needed to destroy the existing governing systems to establish their totalitarian, technocratic system that would eventually control everything and erase personal privacy by extensive surveillance of the population. In a World Economic Forum chart, control of everything is listed except the local governments and religion. A Transnational Deep State using a Global Digital Network would be in total control of people and their privacy. Technical advances would be used to gather private personal information so that individual’s data including, medical, personal and economic, would be exposed and as a result, individual privacy would be lost. 

Dr. David Hughes, an expert in psychological warfare and technocracy, describes this as World War III, or an Omniwar for power and money, fought at multiple levels in society.  In the 1970s supported by David Rockefeller of the Rockefeller Foundation, who advocated a one world government, Communist China has become an example of a total Technocratic State, with subjugation of its population. The Ukraine-Russia war provided an opportunity to digitize all the state records of everything, as a first step in the West, leading to actual digitized states and a world of central government control. The democratic governments of the USA and Israel were opposed by the Transnational Deep State as Free Democracies in opposition its New World Order concept. The unprovoked October 7 attack on Isreal by Hamas and the neighboring Arab countries elicited a devastating counterattack by Isreal using advanced technology to defend itself against extermination by its enemies. This was a message of resistance to the New World Order in the use of technology for defense. 

In 2020 the Covid-19 false pandemic, first simulated in a computer trial in 2019, under the guidance of Bill Gates as a plan to thwart predicted future pandemics. The benign Covid Virus was unleashed on the public in China. However, the inadequately tested Covid Vaccine which followed, resulted in 20 million deaths in a world of 8 billion people, with many additional injured for life. This series of events demonstrated that the people would willingly surrender their freedoms in the face of a carefully crafted, programmed fear. The Covid-19 false pandemic was the largest major psychological operation against people in history and was initiated by coordinated international government activity and compliance. This series of events was unlikely to have been accidental. Who was behind this deeply organized transnational effort has never been revealed for obvious reasons of gross treason and murder.  

Presently, with the growing threat of AI, there is a concern that decisions could be made by machines, and not people, eliminating laws and regulations based on Constitutional mandates. This would be the end of politics as we know it.  In this Technocracy, people are irrelevant and dispensable. Dr. Hughes provides many examples to support this scenario, many of which are taking place in China today. These concerns were raised in this discussion between David Hughes and Dr. Blaylock as moderator, with Dr. Ausman, and Dr. Kaplan. Hughes’ book, “Covid-19”, Psychological Operations, and the War for Technocracy, Vol I, discusses the present “Omniwar” and is filled with excellent information. He also has three videos discussing this Omniwar with other experts in the field. (80 minutes of Discussion in each) (80 MINUTES -DISCUSSION) 

James I. Ausman and Russell L. Blaylock 

Dr. Jorge Lazareff in this challenging, thought provoking, analysis of reviews how the treatments for Chiari 1 developed over time based on clinical observations mostly centered in increased CSF pressure. Yet in his insightful analysis, not all of the symptoms and signs found with Chiari 1 disorders can be explained by increased intracranial pressure. Surgery is an answer in many cases but is seriously a deficient analysis of the cause of this disease. The disease has a much wider spectrum of presentations now most likely related to a genetic disorder (s) of the CNS, still not well recognized. Dr Milorhat was likely correct in his detailed studies. Dr. Lazareff describes how 'we come to believe what we believe is true' by being rewarded with some surgical successes for a disease that is not totally surgical, but has another cause. His analysis is humbling and shows how, in treating patients, we are trying to do the best we can without a full understanding of the disease and can make some serious mistakes. Like the. treatment of Epilepsy in the past for a disease which was not understood and believed related to Gods and Demons, feared and treated with isolation of the patients. How can one recognize these mistakes? See what you decide after seeing this outstanding challenging debate on the fundamentals of Medicine. What do we really know about the diseases we treat and how we are treating them? What about the treatment of back pain? One of the best "Lecture-Discussions" on SNI Digital®. Essential viewing for all physicians and students at all levels. 60 minutes (JIA) From the Subsaharan African Grand Rounds meeting sponsored by SNI Digital and the Subsaharan Neurosurgeons. 

 This is a case of a Failed Diagnosis and MIS Surgery by her second physician- failed physician syndrome, not a failed back syndrome as is commonly diagnosed. She also had a fracture of vertebral body by cage insertion, extensive fusion that was unnecessary more failed physician training, and a failed closed health system preventing her from seeing the physician she wanted, failed Insurance, and failed reimbursement of a physician in a health system that does not recognize competence and time do diagnose and properly treat patients.

All of these disincentives are caused by the business takeover of Medicine placing profit before competence. Also there is obvious inadequate educational training of the physicians who cared for her and likely poor standards for certification. Is this incompetence, or DEI, political correctness, or the failure to attract and educate competent people as physicians? The patient comes last while profit dominates for the providers and insurers. Will AI solve such problems? Will more technology be the answer? Robot physicians? How are these deficiencies corrected? Are the professional societies responsible? Who pays the patient for these inadequacies leading to her and her family's destroyed lives? Why didn't the patient file a malpractice complaint? No lawyer to testify in her defense, as physicians' associations prevent that from happening? She was not told the truth by some physicians who were covering their errors and told nothing could be done. How is that behavior fixed? Where did the physician learn that? Is the government responsible? How does the physician today avoid all these errors in this business-dominated monetary- incentivized, government-regulated system that places money before the concern for the patient? Should you do anything to correct this system? Only concerned about your problems? Beyond your pay grade? What does the patient expect of their physician? This is the world we live in. What is the Truth? Should we accept it from doctors? Is that why the respect for physicians has fallen 20% in the last Gallup poll? What would you have done in this case? Why did you go into Medicine? 60 minutes. (JIA)

Dr. Ausman gives an 12 minute introduction to the new upgrade for SNI Digital. How can you get the most out of this Video Journal. 11/17/24 

Podcast 

There was extensive cover-up of the facts at many levels. Why? Mistakes are and will be made at surgery. What is the Truth? Are the Healthcare system incentives built to hide these errors? Is the education system adequate? How can these situations be avoided or improved? Other basic principles involved in malpractice cases are discussed. Not fixing the system is unacceptable. What should be done that places the 'patient first' to fix the Medical Malpractice problems? How can we make these situations better? Solutions are offered. 75 min; (JIA) 

This is a story of the desire of a segment of the population for Money and Power to establish Central Control over Individual Liberty, fought between different classes of the population. It is a story which has occurred repeatedly in past centuries in multiple civilizations throughout the history of mankind. (read: "The Lessons of History" -Chapter 10 Government and History. Will and Ariel Durant; Simon and Schuster; available at amazon.com or other booksellers). 

We hope you enjoy this report. SNI Digital investigates the facts; you decide.

This is a story of the desire of a segment of the population for Money and Power to establish Central Control over Individual Liberty, fought between different classes of the population. It is a story which has occurred repeatedly in past centuries in multiple civilizations throughout the history of mankind. (read: "The Lessons of History" -Chapter 10 Government and History. Will and Ariel Durant; Simon and Schuster; available at amazon.com or other booksellers). 

We hope you enjoy this report. SNI Digital investigates the facts; you decide.

SNI Digital® stands for the truth in medicine. "Our patients come first".Learn what you need to know about this subject for yourselves, your family, and your patients and be informed. (Discussion 40 minutes) (JIA)

 Part 1 of this 2 part series reviews the essential nutrients to help off-set these major challenges to the body. Part 2 discusses the metabolic challenges during surgery and after surgery which need to be understood to improve outcomes of surgical patients. (Part 1, 37 minutes with discussion) 

Dr. Epstein follows with a review of the disc lesions in the lumbar spine and their clinical presentations; and the prevention and management of CSF leaks. 100 minutes all with Discussion. (JIA)