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Cirurgia endoscópica de ouvido: do acaso à realidade! | João Flávio Nogueira | TEDxFortaleza


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to vote did not cry but I’m a doctor neither
how to say but worse your doctor
Otorhinolaryngologist is a difficult name
but otolaryngologists are doctors
who are well frequented are all
you have probably been through
an otorhinolaryngologist
But to talk about this story today, a
history of light a history of medicine
You have to talk about me, do not you?
so this is me in 1979
I am more or less old super 8 is with
My father in the room playing music then
inspiration for the river for the hearing
It came from that time and people like
doctor we have a responsibility
too big because what we do
with the patient and especially us who
we are surgeons
What do we do to make the patient
with the patient’s consent
and this is a crime anywhere in the world.
world we are going to get a knife going
cut to catch a drill will drill
will take something ANCAR suturing imagine if
did not have the consent of the
patient but we are here today
people had to have all the teachings
the great teachers of the great
masters of the past but medicine is a
basically a story of light and a
story is basically of use of
instruments
see this picture this picture of a
painter who calls luffield from 1822 a year
the independence of Brazil that sees in a
doctor the name of the board called a doctor
the doctor has a child that
doctor knows that the father of the
child is near the window and the mother
child is inconsolable
but even knowing that the child is going to
die the doctor tries to find in the light
in your thinking some form of
able to minimize this suffering of the
Ninja family minimize suffering
of this mother, but of course the
instruments so the stethoscope was a
of the first instruments to be
used so that we could
listen to the beating of our heart
listen to the breathing of our lungs and
try to make a diagnosis that was previously
very complicated very difficult to do
but medicine is basically history
light and has a very beautiful phrase that
It touched me a lot when I met the
vienna city in Austria that says so
has a museum called the den2 copia said
that there is no difficult surgery what
has little light and little exposure then
if you can put light on and put
and get people you will get
do any kind of procedure
any kind of surgery and the history of
our specialty of
otorhinolaryngology basically
of putting light into cavities in the
mouth and nose in our ears is both
that the symbol of the otorrino
long time was not an otoscope was not
a stethoscope was not a microscope
but it was thus a front focus and see
Formerly this is surgery done
had no gloves had no bacteria in it.
time the staff did not believe in
local anesthesia with cocaine and then
the procedure was done
ambulatory without general anesthesia without
a lot of security
it is a procedure that was very fast
if not surgery that calls the septum
part of your septum deviation
other the big bandstand then these
surgeries were done in a good way.
primitive and very interesting but
history of light is also a story
the history of the first
university of the world than what is a
history of bologna in italy is the
story is basically from the light to put
light and have the instruments and
university of bologna because it has
the tomb of great masters of medicine
as teacher antonio mario while saving the
teacher hope and this is your moment of
teacher val knows the teacher valsalva
interesting that he was one of the
first ear surgeons we see that
There are four angels in this tomb one of the
angels and had a knife held a
knife and was holding an ear then
he was one of the first surgeons to
heard and because of this he
developing treaties
develop books that are used
to date and surgical techniques that are
used until now with a technique of 1
but saving money then the surgery
heard what we do when the person
have those chronic otitis or when
There’s a good guy who calls thomas a vest.
the difficult name is developed is
leaking is overcoming the person going
losing hearing and surgery and other
tower that we do today the mastectomy
basically done with this microscope
Here is the teacher, the kick went to the person.
a German that standard used the
surgery technique
adamastor says and here you see it was done
formerly with scope with hammer it
the patient awake you imagine how
it was the procedure
I would take a hammer to look like a
Carpenter right to open the bone but
todd to train that he could do
all those types of procedures only
that medicine has evolved technology
evolved and today we have instruments
a surgical microscope has drills
trios that we call this microscope
is well used and the classic technique
traditional technique now none of this
surgery would have evolved
if we did not have the
anesthetic techniques and this is the
of the first survey that was done in 16
October 1846 there in Boston in
massachusetts and what if this place still
Is there twitter in the world you can?
visit and here’s one right frame
do you see that in that picture there was a
doctor doing anesthesia does not want a
dentist in fact all the dead
had a surgeon and had this
what is my father
he is not so old like that, but he
was there in 1846 right
The personal question is cool do you have your
Anaesthetist father, my wife too.
anesthetist knows how to do anesthesia
My idea is cool, but once in a while.
they give pitacos know when this
business gives pitaco on the net in surgery is
This father and wife can not
do not even shut the hell up
It’s complicated, but it was there too.
my wife is not an anesthetist and so
personal question is cool you to do
anesthesia with his wife and such gum
excellent is a great start maybe
the best in the interview that
Ceará state is bad also has its
problem even with the problem that it
talk a lot of women, huh?
So I went to her and she talks a lot about surgery.
You have to concentrate from time to time.
when to do some procedures
and the person may be disturbing right?
Can you shut up, it was not a mistake.
deadly bug spent a week on the couch
Sunday because of that I put there
a hidden camera a camera
hidden in the surgical center that is
filming she understood to prove that she
He talked a lot and showed a video him
When I showed it to take two weeks in the
couch
It’s so complicated, I’m showing.
now for a thousand people have made the sofa
I already left my love, I’m going to sleep on the couch.
I love you, I’m sure I’ll pass.
six months not only now but well
I was shaking thaísa anesthetist people tava
doing the surgery in the public hospital and
public hospitals here in Brazil
Unfortunately they are not so well.
and a microscope equipped agent and
ancient nest a well old hymn tag
that had a light that from time to time
when that luiz burned
only we knew when the light and the
burn people knew how to change light
I would switch off the surgery and switch
back to doing surgery tava not there
I doing the urgent type surgery no
may close a tympanic perforation to the
Microscope light good and talking
burning microscopy now what
do
we have a saying do not want pt
Flag Inappropriate Content
so I said natasha was a nurse
it brings to light reserve at its rate of
we forgot to buy did not have
coffee as you failed to dial
surgeries had no light at the end
surgery does anything there the conduit
the citizen was pretty big I know
I tried to put that frontal focus on that
luiz tries to see could not see
anything
there the anesthetist in this wife there
said why do not you put an endoscope
endoscope people use nose surgery
enable 4
my first answer is that it is not
Have you ever tried what?
It has not been done for those who are connected.
I got the windows natasha brings 12
tournament cups only put windows cop
when I saw that whole anatomy picture
It is much better to have more under the microscope and
I managed to finish the surgery much more
fast and this is much more effective than
if you had surgery with a
microscope
so when the surgery is over already
With a stomachache, I ‘m going home imagining.
I was living in São Paulo and I know that
I went from santo to amaro until more or less
avenida paulista on friday at
afternoon
imagine the four hours thinking
will be that I am the only one of the
eight that placed endoscope heard then
was on the internet at the doctors’ doctor
when I went to investigate if I had
someone doing this and found the work
a doctor from the floor but Arab neighborhood
I downloaded the work and started the law and
the whole life you publish a job
scientific
with this the contact address the mail the
and mail these things there send an email
for he did not know he never had
heard of his life the doctor there
neighborhood back kiss I’m English, right?
I am a young Brazilian surgeon have
made many surgeries had made a
I’ve played a lot of surgeries.
hearing aids and wanted to know
the service is about to see how it’s better
then he answered right his mistake was to have
answered only you can come here to
dubai will take a course in Oman bank will
have a pomegranate cost and you will be mine
invited to take part in the course if
I said something, it was there, I was right.
a country in the Middle East is not
Muslim and I took the anesthetist doctor
of my wife also in this contest to
people have met other people
what were you doing with these two
italian teacher daniel marcone
teacher arrested in Bologna and
and we started a group that
calls international group surgery
endoscopic ear canal
When we leave the adress, we’ll leave.
We were going to dinner with you, too.
only that I spent the day more or less in the
university making course the disappointments
You’re going to know the city, but Kate is
a city that was founded by
Portuguese have such a strong history.
Portuguese and that’s how I spend the day in
university knows our strengths
Nice when night comes.
10 shows the photos and has this photo of
Hotel balcony of the hotel that’s it
if you do not know the city it was not
to not not I tried was the taxi driver
taxi driver came to her husband’s house
So when will I take the money to the
country right
but in dubai which is more liberal then the
people get to have fun she was the one
desert is one of hair and almost led to
fall took the spirit of the road and such
that thing full of clothes like that
I do not like two women of course
There was love, but we started to
publish the first books
we took part in the first courses in
united states in europe and japan
always the same litany until we
was invited to be a teacher at home
harvard who as the general title spoke
wrong of life
The device does nothing what the university does.
it is people who do not
It’s the hospital’s doctors are not going
to operate in albert einstein beauty is
You better operate on JF. It was the doctor.
better than the doctor was to operate at albert
einstein né
so it is interesting that here the
photo of the first course but some books
that we’ve published one more
interesting thing the health does not have
price but it has cost
This is a very interesting thing that
the medical people and you patients have to
understand and at the end of the day someone goes
pay the bill whether you’re paying
directly to the doctor paid in your plan
health care, whether the government
taxes that are charged to you then
someone will pay the bill the whole life they
to include new technology in the
different from other areas
for example has a factory to do
car
if you are a theft in the factory do
cars and decreases the final cost of
production in medicine all life that
you put a new material on technology
new you increase the final cost
this surgery is different is one of the
few surgeries you are including
and is reducing the cost of
end of medicine then this is a
progress to the entire health system to
people because you can see better
Can you study better?
but of course you know there’s always that business
anesthesia and I eat star wars, right?
always looking to the light of this story
light
We are looking to receive the
doctor there right?
is the dark side of the force to suspend
or do not know Lusa
Always complicated care for you to be
complicated but clear né 11 gw coming
to do the surgery in the center
surgical right
But of course I do not have it either.
He comes to try to interrupt surgeries.
and does not serve them
do not use this technique is the technique
works for nothing, right?
but of course there are other people who
can help network but this technique me
gave the possibility also to know the
world of prague city for example is not
Not a joke, but I was yesterday.
I was in Vietnam
then the thing I’ve been to yet in India
No, my wife does not like it when she
these photos of women but nothing of
Special
this is to see that all the life that the people
do the courses you do in India is so
interesting that you have to light
a candle for the ancestors and
disrespect the family very respectfully
very the ancestors you have to that
here in the surgical center doing
surgeries live and something that
drew attention in the center of the city
I had this plate here on speedy or
do not be worth the pins and today my best
This is very interesting, right?
technique that you’re benefiting
patients that was created here in ceará
in the northeast in Brazil where the
staff thinks there is no medicine
but it is where there is actually one of the
the best medicines that are practiced today
in Brazil that is in the world
So we have doctors here.
extremely competent hospitals we have
extremely low and we make
difference for you for patients
have a technique that is less invasive has
a much safer technique than
traditional techniques with the
opportunity to maintain where even
even improve the hearing of people and
today even toys the subject who wants
is what never do surgery
you see that you already know the country to
lack of the channel can not show that
It is without prejudice shirt cv teacher
now always like every surgical technique
always has the resistances
especially in people who do not
They want to make that key, I do not think it’s legal
but has a cool phrase from the philosopher who
calls to the mall hours the German he
says the whole truth
she goes through three stages first she
It is to equalize this not be approved
It’s crazy here on the Ceará side and
as she is violently betting
You can not do it if you did it here.
It will be expelled from surgery and such but
then it is accepted as is evident and
that we saw in 2009 when people
presented for the first time in the
american congress of otorrino country
instituting the world year may be only one
crazy total in 2013 these same people
the Vancouver Congress these
same people who said that the
endoscopic surgery I think I do this
About ten years ago I do this, it’s very
cool, Sergio is interesting war
so finally I like to show
this video sic theft was not a
argentino at the mercedes at the grand prize
of 1954 hp adelaide formula 1
drive and a start of whiskey and cachaça
to drive a car that did not have
helmet had no seat belt
had no remedy had nothing to do
a very primitive pit stop you had a
mechanic to take the tires off
things took a while and lost almost
minute or two minutes doing a pit
stop the pilot there with that helmet that
you do not see anything and it’s interesting that you have
a market that is only clearing the stops
breeze but did not have to open the parade
breeze, pilot face, right?
then after a minute the car will leave
and now we’ll see the same thing 2014
fernando alonso na ferrari the same thing
even pit stop what do we do
Endoscopic ear surgery the same
thing that traditional surgeons
They only do it, we do it faster.
better and makes the patient cheaper
Thank you so much guys
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