 Please welcome to the stage Professor Dr. Eka Jay Wojo-Promono first. Thank you very much for inviting me to be here Dr. Rajiv Peshawariya Michael Sabri, I don't know why I'm invited here because Because I'm not leader. I'm not boss But I just want to show you that some important organ If something damaged don't think about leader everything gone with the way I show you to prove I Show you to prove okay, so When Rajiv asked me what is the title? I do not know because I don't I don't have theory about leadership So I'm not going to talk about theory how to become a leader But I just want to share my experience and what my understanding after exploring the brain So, you know title is a brain and its function It influence a human being and leadership and pioneering in in my feet and brain surgery So again without brain everything gone. I'll show you later So brain you know that this is actually a Central cable Central computer so brain made of water and from the brain come everything I will show you later Yeah, because of the brain. So you are here Someday with no lag like a Geneva can come here, but no brain is definitely absolutely. So you will never be here without brain No leader no chairman so I agree absolutely with With such if say that about clarity of purpose clarity of value and also ability to use the harness of the brain But actually from which side? from which side so brain Not all not only our soul, but only our mind is there So if you say that oh I'm very very Disappeared as this pointing or something everything is in brain. I'll show you later. And so talking about energy also Again, so many theory that maybe maybe someone become a leader because of the genetically So maybe the family of Aquino family of Kennedy of the US family of Gandhi becoming Sun becoming grand general becoming leader, but there are something that we cannot create Genetically, but something that what Rajiv doing is how to make like notice from the environment how to To build a talent to be a leader Right something we can do genetically. We cannot do anything Generally, we cannot do so again question where I actually the energy come I agree so like a Mandela was 28 years in the prison and why the energy still there Right, sometimes I'm thinking but probably Mandela living in the very hard situation, but Million people like Mandela why only him and still have energy in the prison 28 years and So if maybe quit and give up and follow something but Mandela is not Right, so this is a big mystery. So ladies and gentlemen learning learning brain is More difficult that learning after space Much more mystery we still do not know So we just know some very few but something we didn't notice the mystery, but let's explore with me So, you know, this is bring and the most front here is may be related with intelligence Look at the I'm sorry. Mr. Ajiv's forehead Why he became so smart I Will show you the other example, right? So I mean from here then become a Mandela become candy and become Mother Teresa With a golden heart becoming the Pope and remember also becoming terrorist attacking Paris So they're also leader Can you imagine? sometimes I'm surprised that somebody can Park Buddhist rain and can can high check Airbus or what struck the Twin Tower of the black September in America my question How come their leader can wash the brain and Become striking the airplane to the Twin Tower. How can be I don't think that Mr. Sajiv can raise yarn was even to go to the wheel or go to the sea But they can struck and then go to side by himself. How can it's very difficult to understand, right? but they are leader and We need to to to learn from them how they can be a leader can wash the brain from somebody That's all they happen in the era of couple hundred Years ago in the Chinese era where somebody Open the hat and make something the people that totally dedicated whatever to the king to the emperor But it's not anymore right now something happened. We need to learn like it about how to become a good terrorist So because of the brain because of the brain Hippocrates, this is the father of the doctor in all for the word. So already couple Centuries before Christ already said and men should know from nothing else, but from the brain Come joy the light laughter yet sorrow everything So you can be very sad. You can be very happy You I think somebody asked why make you happy right your brain Believe me without brain. You will never happy Several people asked right from happiness come from from the brain. Believe me Well, so we all together go to the market and eating maybe with the people and drinking coffee somebody unhappy Oh, why so low why I don't buy or such it don't bring me to big restaurant But somebody said happy or happy I enjoy drink with the people in the market in the Vietnam noodle, whatever your brain Make us happy or sad really is so because was not our environment. Yeah our brain Really, I will show you later. So, you know From the brain So this is, you know, the brain is process of electric chemical electric This is the chemical electric make a stimulation between cells in the brain and again from here You know, there is a electric process in the brain. It's I'm talking This is electric process my brain in my speech center make them can Enjoy like this. They can case and sometimes very side and even going to suicide Somebody for instance two girls one is left by the boyfriend and still happy. Oh, I'll find another boyfriend But the others reside Right, and what's happening? It's because they're brain because they bring maybe production of some so-called Chemical electric last in somebody make a very easy to get set This is a patient came to me. He got a very severe traffic injury We did surgery on the brain and we can save him But you know many part of the so-called the neocortex I think you later are broken and damaged permanently and He become like a plan So he live with somebody give food So he can swallow we can cry he can heart beating but no terror communication with outer space So he don't know everyone and even himself So he become a plant So you you believe me now that without brain. It's like this and this is proof It's no question. No doubt everything is in your brain. This is proof and this is so called a fidgettive state and After one after one year we call it fidgettive state permanently So forever becoming like this. I was invited very rich person in Jakarta The only son struck by truck and becoming like the doctor if you can make him alive I'll give you how much ever you want So I said no, I'm sorry up to this second The rule is one of the neuron the cell of the brain a diet is never and ever recover up to this second So be careful about your princess Really Okay, so again This is the brain So, you know the brain and this is consist of cells You know, this is so the cell of the brain, you know, this is like a stars with so many hair like this Right, so everybody Got about a hundred billion cells Since we born everybody and you know The cell is never Increased the number never and ever But you know this cell of the brain so, you know, there's many hair and the hair connected its other So got a sign up You know, so sorry at this lecture so You know sign up the more we learn something and Especially if you learn something of very impressed for instance, we saw Jennifer here. It's so impressed that it's different if we only Read the book of Jennifer, but showing the video and we so impressed Impressed means come to the brain and come to the permanent story of the brains Then for instance, you are teacher then you can encourage yours to do. Oh, I saw Jennifer It is impressed in my mind and maybe also encourage ourselves to be like that So means that what you saw when Jennifer here, so you saw and it's coming to here It's not coming to your brain cell means only temporary Memory and will be gone when you come back to your country tomorrow. You forget about Jennifer But if you impress very much, so that's why I always when I give talk, I always use a so many movies I just want to give you more impressed I hope then you you never you never forgot about that. So anyway brain We divided into this is the old brain So the Archie cortex and this is new brain. So the red layer is new brain So everybody this is old brain. This animal also have So your your your sexual desire is here Your appetite is here your angry center is here Your patient center is here. So cut the Archie cortex amygdala and then After becoming more modern so this old Brain covered by the new brain so cut a new cortex Neocortex is where make different you and I and make different why make mine to be a modern in the problem of human being I'll show you because of the so-called a neocortex So be careful every broken new both must be balanced, right and Chinese old Philosophy this is the yin and yang means this must be balanced. You can imagine very smart, but you have no desire If you have no appetite, you can imagine But if you have appetite too much, you don't bring we just also very careful for it in this one This looks very wild right a lion Cheetah and then hunting deer and eating like to so why why because they have like this when they feel angry They want to eat He doesn't care the the deer is coming from where you just want to eat. This is animal But we have also the same but we different because we before you eat of course you have to order first you have to pay first Right if you always eat everything like this policemen will catch you So if it is a young journalist, oh, you want to be we have a sexual life. You have to be married first better so Animal also has a like a desire But he starts again if I saw in the mall a beautiful girl. I want her or maybe somebody would help me So again Our British balance between the old function article text and your cortex be careful make balance Make balance. You cannot add some cells. I told you right, but you may add your sign ups The more you learn definitely the you more smarter because Something additional in the synapse So this is the brain function old and new bill brain So, you know that the brain actually just like a human Development evolution mostly in the front. I told you right you see here The more here is the more forehead. Please touch your forehead. How big it is? That's true. So I so I don't want to make any discrimination But you can see that some some ending this story so flat and you can you can imagine what's happening with them Yes or no Yeah, okay, so actually this is like evolution of human brain. This is the evolution. Yeah, so you we remember that Hundred years ago. So the first erected human when I give duck in Ethiopia So I visited the museum. They have also got a Lucy Lucy is the first Erected human before that they walk like this, right? So, you know that from Africa They go everywhere becoming developed and Australia America and Asia becoming developed developed this one developed So the old brings not developed same, but this one developed So in Africa, they don't manage a scale is other and it but here is different, right? So because of the coupling of the new cortex here So here again the developing of them and you can see that after that One of the first civilization in the Middle East they can build a pyramid and Mummy maybe found it. Maybe I don't know seven eight years Before Christ a thousand years before Christ. They already have a chain, right? There is a re necklace everything even maybe my ancient still Walking like this around the river So this is like all of just a human civilization, but again Leadership is not only making modern but also sometimes makes something terrorist. I told you like this So becoming very bad and you can see here. Sometimes this is on the Colony of Dutch and their time in Indonesia 300 years ago, and then there's Becoming terrorist bombing everything. So because of your brain sometimes becoming a positive side Becoming a good leader but something because becoming and that's all this negative side like this all just because the brain They are all leaders, but with leader we won So this is again, this is the plopping of the brain. This is Nazi for it is he tell us a very good brain That's very good leader, but what kind of leader he is, right? So actually, I'm not expert of the brain. I just learned from my exploration of the brain So start from 1997 I start in my hospital and that I'm my boss want to bid actually like a modern Hospital for heart surgery, but I think why I had surgery I said to my boss, let's go to the head Brain surgery. He did not trust me. Okay. I give case case case and finally he to have he has to buy Something to develop my brain surgery So by opening like this, we know that everything is in the brain So right right not only the the case I showed you but here you can see after opening the brain You see here a center. This is for instance like nerve for for your eye This is a tumor. Yeah, no for your eye here if I do wrong I removed for the end of the patient becoming blind after surgery for instance, so From this exploration. I know exactly for instance somebody got stroke When we remove the stroke the the hematoma from somewhat. I don't know why my patient of a sloth To meet every just love It's different personality before Somebody very sad always stay at the room sometime had to suicide. So again, everything is in the brain. Believe it or not Everything is the brain be careful. Yeah, so if you come to me be careful, which one you want to touch to be touch Can can make you different one of My uncle of my colleague so he got a severe Savior injury so finally he can save him you remember after after he saved he talked So he got like a so-called a frontal loop syndrome frontal loop means that he can talk everything honestly without break You have break right? So sorry When when he he talked in ice you with with the wife. Oh, it's already Did 30 please remember yeah send my money. This is my second wife is test my third wife is there And then this the first wife become collapse He talked everything very honest that's very honest just because no break So before that he talked everything of course with the break right within this something so be careful if you have a brain disease Remember your break So that's true story. I'm not kidding Okay, so this is about brain surgery. No developing very much in my country. So before I start in 1997 it was only traditional brain surgery in my country. So I introduced modern brain surgery from 1997 it was everything is just trauma kids, but we developing everything now Okay, so this is from learning my experience. So Somebody told me a guy you have to build a team. It's just impossible you work everything yours It's impossible to dangerous for the patient and I believe then I put a team now working with me is 19 years isn't working with me handling Salam most people along Indonesia because again, nobody can work with stuff Especially the very dangerous and risky surgery like this if you come to Neurogens don't trust if your doctor on the work alone Sometimes just tired. He said something is quarreling with wife at home then coming still like this one to lose Better with the team. Yeah, believe me So my hospital here 1997 then we not developing a system in Indonesia Where this is my team 19 of them I put them in a hole in Indonesia and They need always report to me with using what's up like very whatever every case So even this is the salt pass or the East Pass of Indonesia the patient come to I Guarantee that every diagnostic and every option that we is standard standard means whatever They upload real-time upload we can we can get of the ice in a team, right? And our system is my young colleague working here in Coupang near Park Buddhist place when they have a like a difficult case I said don't do surgery yourself with tomorrow I or my team will fly there and working together. So this is what I create Indonesia, you know Indonesia have a 17,000 islands Managing Indonesia. I said it's much more difficult that managing United States How can how can you touch people here people here also live at 2000 in the village you walk 10 hours 10000 hours, how can you finish? So I try to develop something different that may not suitable at different with a developed country because geographically is like this right with a 250 million inhabitants with 1300s at next blah blah blah, so this is Indonesia what we accredit So after we starting like this then Fortunity and then people becoming trust us So patient coming from not only from in whole Indonesia proper overseas also come to our center to repair the brain and You know they come to my place maybe with aeroplane with helicopter But sometimes with it is like so-called uncle uncle. This doesn't a traditional public transport where there is no facilities So in a brain surgery I said and I promise also in my team Every because Indonesia at the time even now the the health insurance is still very bad system So many poor people also come to us Well, I say I Have knowledge. I have skills And somebody may be dying or suffering need helps nothing something to be removed from the brain I said there is no reason for me not to do because they cannot pay So our team for it to be promised. We will do free definitely free But we'll pay for the expenses. So that's why in later I will tell you about how we built our so-called Indonesia brain foundation because it's unfair is somebody need our help we can have but Nothing can be done because of the money So this is What we are doing in a group so actually My personal experience won't make what make me like this when when when I was a young is a son Inspired me just because my mother working very hard every day every morning. I saw her working very hard She never talks something with me, but I saw her Working very hard and I had to wake up in the morning. I help her I have my my brother and sister I take care of them and also I saw one of my neighbor is a good doctor. So it just in my mind Oh, there's a so-called a memorizing inside. Oh, maybe it's good. If I could be a doctor Now the question is how to reach Only willingness is cannot be done, but how to reach that That is the question. So, you know, what is memory? It's a process of retaining storing recording experiences closely associated learning and Also through knowledge. So I thought you'd be for that. Maybe somebody become leader because of genetically But somebody maybe because of the environment input. So that's what Eclipse made that so given the environment It's something to do genetically. We cannot do anything, right? So environmentally for instance through visual through visual and then you see the movie Then coming to your so-called a temporary memory. So if your movie is not impressed you so tomorrow you forget if The movie impressed you a lot like you saw Geneva here. You saw by yourself. No luck So if the temple temporary memory become becoming impressed that becoming so-called a permanent memory So why something maybe somebody told me when I was child and I never forget I think I died For instance, why also not to talk but it's just like this And also also from visual on haptic. So this got a memory. So Teachers need to learn how to make the memory becoming a permanent stop Right, so that's why there's so many method of teaching for instance by everything just to make the permanent store of the memory Right. So this is about five months. So from the eye you saw something This is the cable so called optic nerve then going to the brain and again going to the short term store Then when going to the long term store need a technique. That's why we develop technique How to make participant interested? Right, that is from the visual also from learning you learn something you learn something beautiful and you impress you go to the Short term then if very much impressed go to the long term store So some some sentence some words sometimes again, I never forget until I died What my mother said to me on the couple sentence what my teacher said to me Until I died I never because in the permanent store, right? This is so called a just short term store So active learning need everything is have you say that if only read 20 percent 30 percent here see 50 percent say do and 90 percent see here say and do that's why we make it like that in a little Staining so that's when I was in a in my childhood Then fortunately after struggling a lot. I accepted in the medical school In medical school when I have a conference of surgeon I saw surgeons coming from whole Indonesia to my place and I said, oh, how great they are so Handsome so big so rich blah blah blah, so that's that impressed me So oh, I want to be surgeon So that's impressed me a lot seeing them in the conference And again how to reach so again only on the impresses cannot Can't nothing happen, but how to this step how to become like that? So this is when I was in medical student then again fortunately after struggling So in Indonesia in that time so many discrimination about some, you know, we have so many ethnic's religion But so there is a lot of discrimination So the people like me is highly highly unlikely to be accepted to learn in the so-called the specialist program and I want to be a neurosurgeon is just like a dream But something happened that I met a very good provisor Accepted me to be his pupil then I got chance to learn so-called a neurosurgery Residency training program So my proviso I I had a lot of impression of them So he brought me he introduced me to international society his friend So I met so many great neurosurgeoning along the words and I was so impressed So I said oh, I want to be like him So again, this is also many actually Doctor like me, but somebody else I won't do it. Maybe this just enough. Oh I cannot do it. So it's so difficult But how can make you the energy make us to be okay? I will do it. I Will do it. So that is I don't know what inspired me, but I want to do it So I told you that at the time Indonesia was very much underdeveloped in brain surgery So I just thinking why I cannot so my boss gave me chance to learn in Germany And also to practice in Japan. I just thinking why Indonesian doctor cannot do like that What is the difference? I mean we have the same brain with forehead and also Equipment yes, I will ask my post to work to me to do something Then finally I need to prove that in Indonesia is not less that developed country in in brain surgery So what I'm thinking at that time. So again impression is very important in the beginning So that's why I bring my student my son my daughter when I have a great meeting conference I do all you see this is the big man from Harvard This is the big professor from Japan, please take care of when you talk with your chat you inspire problems And this is my purpose so again now knowledge we can learn by ourselves students very easy to get internet to learn Knowledge very important, but again now the most important for us to be teaching is to be a role model role model So when I started my career as a neurosurgeon I Want to do my past for my patient what does my best mean my best mean that somebody come to me Then I have to find out What is the final diagnosis? Must be not wrong then I have to give an option what could be done So and the patient okay, okay doctor. I want to get surgery from you Then I have to do surgery not less than developed country. This is what I mean in my past When I started in 1997 yes, of course, I was still young and very very less experience Fortunately when I was in Japan, I have so many friends. They are so nice so many senior colleagues Oh, I got don't worry. I come to you They came to my place. They pay everything by themselves I just treat them to bring somewhere and having food But when they come to my place, then they teach us how to do surgery us and my nurses and everything everything and then one of the patient from from Fujita eyes to remember After three years. He told me Eka is enough We came here three years working with you doing so many surgery is enough Do not seek any help to not back any support again from other country You have to do yourself is enough. He said to me I remember never forget in my life and he said now a car your time to go to other kind of to help them to Support them. That's why I was committed and I still committed to be like Educational committee because in a word for the ration So every month I fly to go everywhere in the all-continent Bangladesh, India United States Germany to share To share what's happening with us and to share the knowledge and the skill to them. That is my commitment So even I go to Ethiopia, you know, we are 12 faculty go to Ethiopia because of Ethiopia There is they they they cannot rent this beautiful building like this So the meeting was in the United States United Nations building So we came eight o'clock in the morning. No student come So faculty have to wait two hours that they come one by one. Okay. We start that is Ethiopia So anyway, there's our commitment. So after certain of time We enough to fulfill that we have to share with other. This is what I doing I said what I do my best for my patients. So for me now and The time again many patients Just very easy to cross Singapore Malaysia Australia German if they have money America to seek the brain surgery because of what because we were so bad We were so unprofessional. So patient didn't like us. So they prefer doctor abroad So we cannot forbid them to go. So I said to Michael is what we doing do our best proof that we are not less Then they will trust us Right, so we cannot forbid them to go. Anyway, we do everything now my best My best to my patient. So I said to my friend I will not send you abroad wherever because we are unable if you want of course if your money of course But we will not send you to other center because we are not able So I mean whatever your case I will able to do it Me my team and I were able to do it with with the same and equal quality with developed country in brain surgery quality means the Same number of mortality and morbidity Mortality means if I do 1000 surgery to all three died is normal If I do a thousand one hundred died is not normal. Nobody come to me So it's got a mortality. So I mean mortality and morbidity must be equal or not last so Entire time actually After meeting a lot of great person in the world. So it's the oh, I want to be provisor I want to be provisor of your decision But how I told you at that time there are so many discrimination Don't dream then because let me will be accepted or will be proposed as a provisor Okay, so after I applied in the government hospital in Bandung area, but I rejected. Okay, go. We don't need you So anyway, I work in the hospital just normal of the village not teaching hospital After two years working then somebody why my energy is almost gone So I don't know Senior professor re-energize me. Okay Why don't we we again coming to your idea to be provisor? Oh, yeah, I remember Because the only institution Could propose me as a professor university So I proposed to my university. Why don't we open a medical school at that time? We had no medical school actually, so I come to my boss. I encourage I instruct him not instruct I encourage him boss. Maybe good if you have a medical school. Oh, oh, yes. Yes, you're right Then we go together. I myself I cannot do it because did money, right? Then my boss and I go and they finally we can we can open medical school so called a UPH So after couple years, I said, okay UPS have to propose me as a provisor So what do you got? It's like mutual network. It's other I need him and he need me, right? I said, oh boss, I need you, but you need me also, right? So this is working together. So that's why now I became provisor because my unit proposed me and I created to build a university. So this is a mutual something to the working together, right? So I don't know whether it's correct or the mutual harness So I want to be respected to other nurses and I told you I do many cases then I show Fortunately when I presented my surgery, I will show you later Then I in I invited to give talk in Harvard in Toronto, whatever. I just want to show the word that Our standard is equal not less than them because in surgery different surgery surgeon like me It's not not only can talk yeah before I show a lecture like this I have to show where is the Imaging before surgery and how is the surgery and how where is the image after surgery so we cannot cheat and Again people like me. I have to talk in front of them based on my own experience So I cannot talk. Oh, this is Japan experience is Malaysian experience What is your experience? Then they can believe and they can talk This is a medical provisor. So you you should not talk based on other person Experience has to come from your own experience. Then you have to be listened smaller So this is I want to be a respected and show the word about it So this is one of the case milestone important is I never focus in my life In 2001 came to me young or 21 year old male He is a poor people. He has no father and father mother he immediately got paralyzed and The eyes like this and the breath almost stopped and he brought by his brother to my hospital When we check like this, this is the so-called MRI you see have you seen MRI before? If you not yet, you come to me. I bring your MRI Sorry, this is not promotion, but it's very important to see your brain Don't love and their time everybody after 40 you said oh, I want to go to a heart check up Everybody right I said more important brain check up Why not Once you have money you can do brain check without any harm at all and you can see your brain How big and how good your brain actually tonight? I will show you if you can come all together how to how to take care of brain and how to check your brain very easy Very cheap and very accurate Because this is so-called MRI MRI is never wrong For instance doctor my wife still Every day headache. I don't know. Okay. Just go MRI. I don't want to discuss a lot Do MRI the brain could all see as a CS headache because of you Except there is a tumor inside I removed the tumor, but it's normal brain So because of you probably you need to give a diamond whatever then had it gone so anyway, you see This mission this is MRI and This is the brain the brain is center everything you understand right center everything of your body So the brain control your body control your body So the brain you don't like a cells and becoming fiber Actually, that's a bundle of Cables the cable coming to in the central cable so called. This is like a brain stem Brings them as fix your Tom Located in the center of here. This is the center of the brain if Brings them damage totally Doctor can you say to you you are brain that? Brain that means you that Even your heart still beating and this is in Europe was happening when your heart still beating and you bring that This is a time for them to remove Your heart your kidney your cornea to be transplanted to other because you died already This is so called brain. So you know how important brainstorm. So in the time He immediately paralyzed because of the tumor here, you see this tumor as big as a meatball and the tumor ruptured So immediately he was dying when he came to me When I saw this I said what's oh my god? I said I said frankly doctor have to bring to the the brother. I have never seen before Living brainstem. I just saw in the cadaver in the dead body practicum I never seen before even in Germany in in Japan. I never seen don't talk about operate even Never see before But I said but your brother is in the critical condition If you ask me to refer, I don't know where to refer because I don't know I don't listen where Who in South Asia? Opened this case and if I said to America Maybe we don't have time and who will pay. They are very poor people and Brother told me a car. I trust you do something to my brother Tomorrow my parent left me a very Poor house in the beach. I will sell tomorrow. I don't care how much is cost and I will give to you That's brother said to me Then oh my god. I said well, okay. I need to because this is the first time I got one assistant Okay, anyway, we have to explore and I come to my boss my boss is a banker boss Look, this is very important. Please pay Oh Really, so I mean I have to use also my boss wealth, right? But he is a great man. I can't don't worry go ahead I said this is very important case boss and somebody dying in front of in in your hospital Because he did not expect that the poor people come to the hospital for me No, no boss poor on Rachel may come and made the same service So anyway, we operate and we remove this to mouth This is a very very tough most difficult Danger rare case and we did the surgery. So the patient is in the prone position You see from here operation. So this is the beauty of brainstorm. You understand ladies and gentlemen So I need to open the brainstorm. So can you put out my heartbeat at wars? So I have to remove this just like a delivering a baby and Even even this type is one of the very very unique and difficult case Even in the US never happened like this because that picture is very beautiful This is a tumor and this is like around you remember, right because so hollow sign like if you if in a Christmas card you say like Joseph we say like this is a hello. Yeah So I said to even young children. Oh America says it is horrible surgery and even I said, oh, I don't know He died all of it But anyway, fortunately, you know, this is after surgery. He is a fisherman. He's alive Thank you so much and He visited me every year bringing corn brimming fish Yeah, and this is so I told you that surgeon If show something I need to show the MRI after surgery, right? The tumor was here, right? You remember and now it's gone So it is new to be seen better. Oh, okay. Okay. I understand Indonesia can do it before that There's nobody believe if you only talk nobody believe, right? So that's okay. I believe and this is also Ray energize me So, you know, sometimes the doctor let me so tired, you know, if in a month, there is 10 patient with a stroke Especially a stroke in the left side Anybody of you left-handed or not? Anybody of you left-handed? So if you left-handed, please write on here. Yeah, I'm left-handed You know, I mean because if we do surgery if the tumor located at the center, we always prefer go to the Right side because if we are right-handed So left is dominant brain If possible, we go not through the dominant brain for it is somebody gets stroke. I will tell you tonight stroke in the in the Right brain means paralyzed in the left Exhibition that only paralyzed. It's okay. You can walk But if the stroke is at the left brain, which is dominant brain you get a paralyzed in the left side and Cannot understand everything cannot talk everything Difficult and what you said I accept different. I talk to very frustrated Very very very because this is dominant brain. So please write down in here. Yeah, we thought to sit. I am left Right-handed is a gender. No and open your left brain Really, so that's about brain brain is miracle, right? So left and right is different function Be careful if you are right-handed because with your left brain. Yeah, talk to you doctor. Oh, I'm left-handed Yeah, doctor. Be careful. Don't operate to my right side okay, anyway, he he can come back like this and this is a milestone and Everything is well documented So when I presenting in the lecture in Bali many colleagues from America, they was okay And I got please come to Harvard and talk a story about this Then also, of course, it is like like a milestone for us and this is this is re-energized me Sometimes we are so tired. I told you right in the month. We have a 10 patient with stroke after the drill and You saw stroke patient or not? Have you seen severe stroke so-called if the stroke in the left brain Long life the more they take on them the longer they live You need to talk to your spouse if I got so like this Go for surgery or not. How about you your chip? So in The US they said for instance, okay Call to the to the lawyer and also to this was your if if I got the severe stroke don't bring me to hospital. Yeah Because I saw every day so for me it's very house tip So sometimes it's terrible terrible terrible things, right? They just be careful. Yeah, so check your brain Say to your spouse if you get severe go ahead or not So again, this is re-energized me to do more difficult cases So from there we initiated to have took out like a brain foundation up to now Maybe we have about 300 cases of brain not many because the brain brain surgery is very costly So we cannot find racing or so not that not that easy. So Well becoming doctor need the empathy sharing loving caring. It's not only knowledge Not always skill, but everything have to be in the same side of the brain So after that I was invited to give talk in the Howard in Massachusetts in almost whole Asian country and also I give talk Somebody my role model invite me together everywhere almost every month No, I give talk in the broad just talking about brain surgery because that is the first time but you know that It's not always Incidentally after that because we did everything then about 50 cases of brain surgery came to us and we can Not not difficult, but not so difficult and still easy to do that and everybody no one died Within 50 cases. It's quite quite prestigious Just because of him right maybe without him we still doubt whether we can do it or not We can do it but after that there's no problem. You can come to me We can operate for the brain stem surgery and this quite a lot when I give talk in Oxford In Oxford is one of the oldest medical school in the UK about 400 year Maybe he said that they do it within 400 years and with it with we do it within 20 years There's not the case for instance So called the so called the this is so called the giant aneurysm Giant aneurysm is like a balloon of vessel which is exploded If this is my expert it make you headache If you don't check The second and explosion will coming So this is one of the most most most difficult case. I have never seen before also in Indonesia I've never touched before but you know I Promoted to the television newspaper about how danger so called this is aneurysm about aneurysm If you are something, please come to the doctor. Oh my god someday come real come to me I Said already this is dangerous need emergency surgery, but whoa, I never do it So I said also well anyway, I say to my team we have to do it So you know that sometimes we we post to do it because of the situation So this is need something that really what you would be a bit crazy Because before that nobody want to do in Indonesia is too difficult to Complicated to risky and the causes same with you to the head injury patient Had you the patient come to me may be died may be left no problem But this one she came only with headache you can imagine once I may make a mistake for instance The bomb exploded during the surgery. She may died on the table Right and this type of surgery once I started to do I have to find it This is not easy to find yeah, so there is no reason not to find Once I found it I need to do and to kill the bomb If I cannot kill because for some reason so the patient even still danger and more danger before surgery So there's a very very very big moral obligation for us Okay, fortunately God is always in my side So we can do it here surgery So yeah, this is the aneurysm. This is brain surgery here Yeah, you sing microscope and lots of what 20 times it is the bomb I told you the socket here and we can finally so-called clip the bomb So the bomb is killed by clipping here like this like this like this And this is one of so one of the first we done in Indonesia I think about two zero zero four something like that and this is also like a milestone That we now believe that we can do everything off self. So you saw this is all clipping of the aneurysm So this is clipping our rhythm. So this is He sees a lady come from Bali and flew to my place with a headache So this is like moral obligation to do the best of the patient So like this you see this is after surgery no more bomb and this is the patient We always show like this. This is the patient after surgery. So not a cheat it So this is another also so-called a bypass surgery, you know before that people know only bypass in the heart but actually a Brain also could be bypassed. So you need to check your brain and your vessel Don't laugh me Sometimes you know that vessel a very it's a very common you check your your your heart vessel, right? When it's narrow, then they're going to standing right? It's very common, but brain be careful The brain you need to check because of the brain is narrow very much. Sometimes we need to bypass So I said to my patient when we are old. Oh I preferred I prefer to die because of heart disease rather than brain disease Heart disease or I can die peacefully on my bed in my room Don't bring me to ice you But because of the brain if you proud to ice you oh my god, you may die you might survive you may have died You might three quarters died You may want for died. I don't want so I said like a Vegetarian like this, right? Oh, I said oh my god every visitor said oh, so sorry about it So sorry about it and it finally died. So again, yeah, remember when we are old We don't need to go to heart check up just bring check up You agree with me or not. So if you don't agree you come to my place. I bring you to ice you tour To see we have a collection of the people like this I'm a said doctor said I don't want to be like that. So better if I old enough I died on my bed on my room don't bring to ice you. It's horrible. So yeah everything Because of your heart your brain. Yeah, so this is brain vessel surgery Okay, and then after that I invited again really that I give talk in the whole continent in the world Every month I share my experience. I like education very much. So we we we have the young generation to come even We have to pay for them to come to the center and our fortunately my center now is appointed by what the word federation So every young nurse it can come to us and we will provide everything to learn three four six months So when I was appointed as a dean What what what make me agree to be dean to be dean for me is actually just as one this so becoming dean surgery I can earn a Thousand us dollar per hour, but as a dean my payment is only two thousand us dollar per month So I said that okay, I still was have some idealism that I won I won my student my young colleague is maybe better than me So I said to my student every time in the first year of the lecture. I invite student in the parent I said look I said We doing everything in 20 years in brain surgery and then our position is not not lasted other country if you guys You want to be like a heart doctor kidney doctor Interstate doctor with a principle like this that you don't want to be less than other and Believe me that you can do it. I believe that Indonesia is not less. There's nobody look down I believe this is what I said to my young students. That's why again I just I'm not expert when when my boss in appointed me as a dean. Oh, I don't have a Talent I don't know about medical education But what I do is just like a role model and what I do Okay, boss, but give me give me Chance yeah, I invite my colleague from Canada and from India to be my my first dean to rule everything I cannot I don't understand. So I just be like a role model for them So I want to encourage them to better career and future role model and I say to them It's very good from nothing be become something So before I started 19 as if it's nothing nothing modern Neurosurgery Indonesia become something something that we can show the word then we are not less So I come I always compare like this. Okay. May your clinic and do it. I can do it John Hopkins. I can do it with the same with equal Equal result at the end This is what I said to my Student so last it's how to reenergize side of you So meeting patient. I told you big sometimes reenergize me. So meeting the guys will bring me fish every every year Reenergize me sometimes. I'm so tight. Oh, I don't want to do it. So I got once very bad experience in my life. I got a 40 years old made with two diseases in the brain One is the balloon like so-called aneurysm and one so called the AVM both is very very very difficult So I need to do twice surgery. I Did one such a day so-called aneurysm the balloon the balloon located is the most most most difficult place everybody Everybody in the world know it is the most difficult and I killed The balloon successful way then the patient Okay, you come back home about two weeks then for the next surgery and then I spend with my family New year holiday in New Zealand. I remember what it So, you know patient of mine after they come back home. They becoming my friend We tax each other at the time. No blackberry. Yeah. How are you doctor? I'm fine I'm happy in New Zealand with my kids. Oh, we are so happy. We just having Satay in somewhere in the restaurant But doctor don't forget to remember to come back to Indonesia. Yeah, I remember my second hat Anyway, anyway, I Let my wife and my kid spend time more time in the cold coast and I came back for him what I promised So I came back. I think almost in the end of the year and We did it. We we we doing this second surgery Second surgery also difficult and very long a lot of an hours So, you know, you can imagine I removed the disease and I was closuring the scalp When I closed ring the scalp the anesthetist told me a cast up The heart stop beating of the patient, huh? You kidding? So invite you your colleague. I'm here check check check Maybe your cable is not connected Really, how can imagine so coming to three another anesthetist told me a car. Yes The heart stopped so patient died on the table behind my hand and you know and the time we have operating theater here and this is a glass wall and Sometimes, you know, I let the family Observe the city and the wife sitting Beyond the glass wall sitting and watching what I'm doing. Can you imagine? Oh my god, I fit maybe I don't want to talk anything. I just I how can I talk I? Just say assistant you closely guy. I don't have no more energy for me so we just cried with her and Going home against, you know Eating all source. I don't know what I eat and my family's in the goal. Really. There's about three days Really no energy. It's really bad. You know how how bad my feeling. It's not my fault But again, how bad my feeling? So, you know what reintroduce me The wife tax be in a cell phone. Hey, how are you? We just come back from the grave of my husband Because the three-day at this ceremony three days after died. Yeah, we just come back. He said a car. I'm the one who lost Someone who I only have they have no children So you can answer what I'm feeling a car But the next time he sees it to me, but a car Go back to your hospital Go back to your job Go back to your patient. I Know you are very frustrated But go back That's it. What she said you need that is the only thing the only tax really really make me alive again There's two stories. This is very hard job, but again, that's re-energize me Okay, I come back again. I kept up with the challenging. So that's really happened with me and I have never forget all my life like this So you can remember the wife Who lost the husband re-energized me to come back again to my dangerous job So if I'm with patients sometimes they re-energize me And also if some of your students also re-energize me, okay Sometimes I go out bun with them because I know this is very young student They need a role model to reach the better future. So this make me re-energize I don't know how how to say in a theory, but something re-energize me So you you need to also what re-energize you of course, it's different right? But this is really my experience re-energize my career so last Keep balance working tireless and enjoying life I like also not really diving that snorkeling I like animals I like plants sometimes just This is to reverse. Yeah, not to re-energize but to refresh But re-energize is different. It might be this different that Remembering us that oh our job still far beyond that we have to straight. I Thank you very much for your attention