[
  {
    "start": 0.0,
    "text": ",639\nSpeaker:\nLet's start with the second\npart.\n2",
    "end": 1.0
  },
  {
    "start": 1.0,
    "text": ",480\nSpeaker:\nWelcome back, Professor Reddy.\n3",
    "end": 3.0
  },
  {
    "start": 3.0,
    "text": ",240\nSpeaker:\nThank you.\n4",
    "end": 4.0
  },
  {
    "start": 4.0,
    "text": ",879\nSpeaker:\nSo we're continuing our talk\nbecause it's been expansive.\n5",
    "end": 7.0
  },
  {
    "start": 7.0,
    "text": ",679\nSpeaker:\nAnd what you've shared in the\nfirst part.\n6",
    "end": 10.0
  },
  {
    "start": 10.0,
    "text": ",679\nSpeaker:\nAnd now I'd like to talk about\n7",
    "end": 12.0
  },
  {
    "start": 12.0,
    "text": ",919\nSpeaker:\ninnovations in less fortunate\n8",
    "end": 14.0
  },
  {
    "start": 14.0,
    "text": ",880\nSpeaker:\nareas.\n9",
    "end": 15.0
  },
  {
    "start": 15.0,
    "text": ",760\nSpeaker:\nYou are very passionate about\n10",
    "end": 17.0
  },
  {
    "start": 17.0,
    "text": ",600\nSpeaker:\nhygiene in endoscopy, expanding\n11",
    "end": 20.0
  },
  {
    "start": 20.0,
    "text": ",320\nSpeaker:\nyour clinics to mobile vehicles\n12",
    "end": 23.0
  },
  {
    "start": 23.0,
    "text": ",320\nSpeaker:\nand providing medical care in\n13",
    "end": 26.0
  },
  {
    "start": 26.0,
    "text": ",199\nSpeaker:\nrural areas, and also cascade\n14",
    "end": 29.0
  },
  {
    "start": 29.0,
    "text": ",960\nSpeaker:\nguidelines.\n15",
    "end": 29.0
  },
  {
    "start": 29.0,
    "text": ",759\nSpeaker:\nWhat can we offer as a second or\nthird option where the best ones\n16",
    "end": 35.0
  },
  {
    "start": 35.0,
    "text": ",960\nSpeaker:\nare not available?\n17",
    "end": 36.0
  },
  {
    "start": 36.0,
    "text": ",640\nSpeaker:\nSo what's your approach here?\n18",
    "end": 38.0
  },
  {
    "start": 38.0,
    "text": ",640\nSpeaker:\nYeah, I think this is a very\n19",
    "end": 40.0
  },
  {
    "start": 40.0,
    "text": ",340\nSpeaker:\nimportant point, because I think\n20",
    "end": 43.0
  },
  {
    "start": 43.0,
    "text": ",039\nSpeaker:\nthose in the Western world don't\n21",
    "end": 45.0
  },
  {
    "start": 45.0,
    "text": ",359\nSpeaker:\nrealize some of the problems we\n22",
    "end": 47.0
  },
  {
    "start": 47.0,
    "text": ",920\nSpeaker:\nhave, especially with the\n23",
    "end": 48.0
  },
  {
    "start": 48.0,
    "text": ",439\nSpeaker:\nunderprivileged, those who are\n24",
    "end": 50.0
  },
  {
    "start": 50.0,
    "text": ",119\nSpeaker:\nnot having access to medical\n25",
    "end": 52.0
  },
  {
    "start": 52.0,
    "text": ",960\nSpeaker:\ncare.\n26",
    "end": 52.0
  },
  {
    "start": 52.0,
    "text": ",399\nSpeaker:\nUnless you actually visit these\n27",
    "end": 54.0
  },
  {
    "start": 54.0,
    "text": ",960\nSpeaker:\nplaces and see what's happening,\n28",
    "end": 55.0
  },
  {
    "start": 55.0,
    "text": ",700\nSpeaker:\nyou don't realize how pathetic\n29",
    "end": 58.0
  },
  {
    "start": 58.0,
    "text": ",539\nSpeaker:\nthe situation is people are\n30",
    "end": 60.0
  },
  {
    "start": 60.0,
    "text": ",340\nSpeaker:\ndying of GI bleeds which could\n31",
    "end": 62.0
  },
  {
    "start": 62.0,
    "text": ",500\nSpeaker:\nbe salvaged.\n32",
    "end": 63.0
  },
  {
    "start": 63.0,
    "text": ",019\nSpeaker:\nDying of cholangitis because the\n33",
    "end": 65.0
  },
  {
    "start": 65.0,
    "text": ",459\nSpeaker:\nCBD stones could not be removed\n34",
    "end": 67.0
  },
  {
    "start": 67.0,
    "text": ",939\nSpeaker:\nbecause there is no facility\n35",
    "end": 68.0
  },
  {
    "start": 68.0,
    "text": ",420\nSpeaker:\nthere.\n36",
    "end": 69.0
  },
  {
    "start": 69.0,
    "text": ",500\nSpeaker:\nAnd of course, cancers which\n37",
    "end": 71.0
  },
  {
    "start": 71.0,
    "text": ",700\nSpeaker:\nbecome advanced when you see\n38",
    "end": 72.0
  },
  {
    "start": 72.0,
    "text": ",000\nSpeaker:\nthem again because nobody\n39",
    "end": 75.0
  },
  {
    "start": 75.0,
    "text": ",299\nSpeaker:\nactually looked in to see in the\n40",
    "end": 76.0
  },
  {
    "start": 76.0,
    "text": ",140\nSpeaker:\nearly stage.\n41",
    "end": 77.0
  },
  {
    "start": 77.0,
    "text": ",040\nSpeaker:\nSo all these things, we realized\nthat how important it is that\n42",
    "end": 81.0
  },
  {
    "start": 81.0,
    "text": ",219\nSpeaker:\neven if we can't provide what by\nWestern standards is adequate\n43",
    "end": 86.0
  },
  {
    "start": 86.0,
    "text": ",620\nSpeaker:\ndiagnosis and treatment for\nthem, we should do something so\n44",
    "end": 89.0
  },
  {
    "start": 89.0,
    "text": ",939\nSpeaker:\nthat we can help these patients.\n45",
    "end": 90.0
  },
  {
    "start": 90.0,
    "text": ",299\nSpeaker:\nSo this, uh, I realized long\nback in practice, early when I\n46",
    "end": 95.0
  },
  {
    "start": 95.0,
    "text": ",819\nSpeaker:\nstarted seeing many of these\npeople at a very early stage or\n47",
    "end": 98.0
  },
  {
    "start": 98.0,
    "text": ",879\nSpeaker:\ncoming in shock after a bleed\nwhen could have been saved in\n48",
    "end": 101.0
  },
  {
    "start": 101.0,
    "text": ",739\nSpeaker:\nthat situation and so on.\n49",
    "end": 103.0
  },
  {
    "start": 103.0,
    "text": ",400\nSpeaker:\nSo what we did was we started\nmaking these large vans, which,\n50",
    "end": 108.0
  },
  {
    "start": 108.0,
    "text": ",000\nSpeaker:\nuh, are equipped with endoscopy,\ncolonoscopy, uh, with\n51",
    "end": 113.0
  },
  {
    "start": 113.0,
    "text": ",379\nSpeaker:\nultrasound, basic medications\nwhich can be given to them and\n52",
    "end": 117.0
  },
  {
    "start": 117.0,
    "text": ",920\nSpeaker:\nwent into villages.\n53",
    "end": 118.0
  },
  {
    "start": 118.0,
    "text": ",159\nSpeaker:\nOne important thing to remember\n54",
    "end": 120.0
  },
  {
    "start": 120.0,
    "text": ",719\nSpeaker:\nis that seventy percent of\n55",
    "end": 121.0
  },
  {
    "start": 121.0,
    "text": ",540\nSpeaker:\nIndian population is still\n56",
    "end": 124.0
  },
  {
    "start": 124.0,
    "text": ",519\nSpeaker:\nliving in areas, villages or\n57",
    "end": 127.0
  },
  {
    "start": 127.0,
    "text": ",539\nSpeaker:\nrural areas which are or\n58",
    "end": 129.0
  },
  {
    "start": 129.0,
    "text": ",919\nSpeaker:\nsemi-urban areas.\n59",
    "end": 130.0
  },
  {
    "start": 130.0,
    "text": ",360\nSpeaker:\nThey don't have access to any of\n60",
    "end": 133.0
  },
  {
    "start": 133.0,
    "text": ",879\nSpeaker:\nthese type of medical treatment,\n61",
    "end": 134.0
  },
  {
    "start": 134.0,
    "text": ",520\nSpeaker:\nespecially endoscopy.\n62",
    "end": 136.0
  },
  {
    "start": 136.0,
    "text": ",039\nSpeaker:\nSo we made these vans and then\n63",
    "end": 138.0
  },
  {
    "start": 138.0,
    "text": ",360\nSpeaker:\nthese vans go into the villages\n64",
    "end": 140.0
  },
  {
    "start": 140.0,
    "text": ",560\nSpeaker:\npark there.\n65",
    "end": 141.0
  },
  {
    "start": 141.0,
    "text": ",800\nSpeaker:\nAnd then we announced that we\nhave these facilities.\n66",
    "end": 143.0
  },
  {
    "start": 143.0,
    "text": ",319\nSpeaker:\nSo our gastroenterologists\n67",
    "end": 145.0
  },
  {
    "start": 145.0,
    "text": ",960\nSpeaker:\ninitially trainees and then\n68",
    "end": 146.0
  },
  {
    "start": 146.0,
    "text": ",240\nSpeaker:\nconsultants would go first look\n69",
    "end": 149.0
  },
  {
    "start": 149.0,
    "text": ",000\nSpeaker:\nat the patients, triage them the\n70",
    "end": 151.0
  },
  {
    "start": 151.0,
    "text": ",039\nSpeaker:\nnext day.\n71",
    "end": 152.0
  },
  {
    "start": 152.0,
    "text": ",819\nSpeaker:\nThose who have potential\nproblems expected cirrhosis,\n72",
    "end": 154.0
  },
  {
    "start": 154.0,
    "text": ",840\nSpeaker:\nvarices, ulcers and so on would\nbe put up for procedures.\n73",
    "end": 158.0
  },
  {
    "start": 158.0,
    "text": ",479\nSpeaker:\nAnd then the procedures were\ndone in these vans.\n74",
    "end": 162.0
  },
  {
    "start": 162.0,
    "text": ",719\nSpeaker:\nAnd of course, the problem with\nhygiene and you mentioned this\n75",
    "end": 165.0
  },
  {
    "start": 165.0,
    "text": ",139\nSpeaker:\ncascade are from where I think\nthat's very important because if\n76",
    "end": 170.0
  },
  {
    "start": 170.0,
    "text": ",520\nSpeaker:\nyou insist on perfect systems\nthen you can't do it.\n77",
    "end": 172.0
  },
  {
    "start": 172.0,
    "text": ",280\nSpeaker:\nYou can't carry washing machines\nto those areas.\n78",
    "end": 175.0
  },
  {
    "start": 175.0,
    "text": ",560\nSpeaker:\nEnough water is not there.\n79",
    "end": 176.0
  },
  {
    "start": 176.0,
    "text": ",379\nSpeaker:\nMore important, you require\nlarge amount of water if you are\n80",
    "end": 179.0
  },
  {
    "start": 179.0,
    "text": ",340\nSpeaker:\nusing the washing machine.\n81",
    "end": 180.0
  },
  {
    "start": 180.0,
    "text": ",680\nSpeaker:\nSo what we do is like\n82",
    "end": 182.0
  },
  {
    "start": 182.0,
    "text": ",979\nSpeaker:\nmechanically clean use,\n83",
    "end": 184.0
  },
  {
    "start": 184.0,
    "text": ",419\nSpeaker:\nsometimes even glutaraldehyde\n84",
    "end": 186.0
  },
  {
    "start": 186.0,
    "text": ",819\nSpeaker:\nbut other agents to for scope\n85",
    "end": 188.0
  },
  {
    "start": 188.0,
    "text": ",580\nSpeaker:\nhygiene.\n86",
    "end": 189.0
  },
  {
    "start": 189.0,
    "text": ",340\nSpeaker:\nIt may not be perfect, it may\nnot be that you can take out\n87",
    "end": 193.0
  },
  {
    "start": 193.0,
    "text": ",460\nSpeaker:\nsome rare spots, but I think\nit's good enough because you're\n88",
    "end": 196.0
  },
  {
    "start": 196.0,
    "text": ",819\nSpeaker:\nsaving so many lives.\n89",
    "end": 197.0
  },
  {
    "start": 197.0,
    "text": ",379\nSpeaker:\nSo it's a trade off between\nsaving lives versus perfection.\n90",
    "end": 201.0
  },
  {
    "start": 201.0,
    "text": ",840\nSpeaker:\nAnd, uh, I remember telling me\n91",
    "end": 203.0
  },
  {
    "start": 203.0,
    "text": ",620\nSpeaker:\nonce in endoscopy, perfection is\n92",
    "end": 206.0
  },
  {
    "start": 206.0,
    "text": ",780\nSpeaker:\nnot best.\n93",
    "end": 207.0
  },
  {
    "start": 207.0,
    "text": ",180\nSpeaker:\nSometimes you have to be a\n94",
    "end": 209.0
  },
  {
    "start": 209.0,
    "text": ",740\nSpeaker:\nlittle less perfect to achieve\n95",
    "end": 210.0
  },
  {
    "start": 210.0,
    "text": ",259\nSpeaker:\nyour results.\n96",
    "end": 211.0
  },
  {
    "start": 211.0,
    "text": ",900\nSpeaker:\nAnd this is an important area.\n97",
    "end": 212.0
  },
  {
    "start": 212.0,
    "text": ",740\nSpeaker:\nSo we started now going into\nthis, we are done.\n98",
    "end": 216.0
  },
  {
    "start": 216.0,
    "text": ",300\nSpeaker:\nMaybe now ten million people\n99",
    "end": 219.0
  },
  {
    "start": 219.0,
    "text": ",979\nSpeaker:\nhave been actually looked at in\n100",
    "end": 220.0
  },
  {
    "start": 220.0,
    "text": ",379\nSpeaker:\nthis way.\n101",
    "end": 221.0
  },
  {
    "start": 221.0,
    "text": ",379\nSpeaker:\nVery large numbers I think is\nequivalent to population of some\n102",
    "end": 224.0
  },
  {
    "start": 224.0,
    "text": ",900\nSpeaker:\ncountries where you screen them,\nuh, looked at various things.\n103",
    "end": 227.0
  },
  {
    "start": 227.0,
    "text": ",099\nSpeaker:\nOf course, Helicobacter also is\nvery common.\n104",
    "end": 230.0
  },
  {
    "start": 230.0,
    "text": ",419\nSpeaker:\nSixty seventy percent of\n105",
    "end": 231.0
  },
  {
    "start": 231.0,
    "text": ",340\nSpeaker:\npopulation still has\n106",
    "end": 232.0
  },
  {
    "start": 232.0,
    "text": ",300\nSpeaker:\nHelicobacter.\n107",
    "end": 233.0
  },
  {
    "start": 233.0,
    "text": ",819\nSpeaker:\nSo these are screened early\n108",
    "end": 234.0
  },
  {
    "start": 234.0,
    "text": ",199\nSpeaker:\ngastric cancers have been\n109",
    "end": 236.0
  },
  {
    "start": 236.0,
    "text": ",439\nSpeaker:\ncatching very early gastric\n110",
    "end": 237.0
  },
  {
    "start": 237.0,
    "text": ",199\nSpeaker:\ncancer.\n111",
    "end": 238.0
  },
  {
    "start": 238.0,
    "text": ",000\nSpeaker:\nTreating esophageal varices.\n112",
    "end": 240.0
  },
  {
    "start": 240.0,
    "text": ",120\nSpeaker:\nRemoving polyps which\n113",
    "end": 241.0
  },
  {
    "start": 241.0,
    "text": ",159\nSpeaker:\npotentially can become\n114",
    "end": 242.0
  },
  {
    "start": 242.0,
    "text": ",000\nSpeaker:\nmalignant.\n115",
    "end": 243.0
  },
  {
    "start": 243.0,
    "text": ",199\nSpeaker:\nAnd it's a huge satisfaction for\nus.\n116",
    "end": 245.0
  },
  {
    "start": 245.0,
    "text": ",620\nSpeaker:\nAnd of course all this is done\n117",
    "end": 246.0
  },
  {
    "start": 246.0,
    "text": ",960\nSpeaker:\nfree of cost because it's\n118",
    "end": 247.0
  },
  {
    "start": 247.0,
    "text": ",240\nSpeaker:\nsupported by philanthropy and\n119",
    "end": 249.0
  },
  {
    "start": 249.0,
    "text": ",159\nSpeaker:\ndonors.\n120",
    "end": 250.0
  },
  {
    "start": 250.0,
    "text": ",780\nSpeaker:\nAnd so we believe that doing\nthis, we are actually affecting\n121",
    "end": 254.0
  },
  {
    "start": 254.0,
    "text": ",639\nSpeaker:\na large population and helping\nthem in this way.\n122",
    "end": 258.0
  },
  {
    "start": 258.0,
    "text": ",240\nSpeaker:\nSo I think this problem hygiene\ncame up sometimes it's very\n123",
    "end": 262.0
  },
  {
    "start": 262.0,
    "text": ",439\nSpeaker:\ndifficult to follow all the\nstandard steps that you have to\n124",
    "end": 265.0
  },
  {
    "start": 265.0,
    "text": ",199\nSpeaker:\ndo to process your scopes.\n125",
    "end": 267.0
  },
  {
    "start": 267.0,
    "text": ",160\nSpeaker:\nAnd of course, I think this is\nacceptable to the society.\n126",
    "end": 271.0
  },
  {
    "start": 271.0,
    "text": ",240\nSpeaker:\nYeah, of course I mean,\ninfection or hepatitis versus\n127",
    "end": 276.0
  },
  {
    "start": 276.0,
    "text": ",439\nSpeaker:\ndying of a variceal bleed is\nquite an easy choice.\n128",
    "end": 281.0
  },
  {
    "start": 281.0,
    "text": ",800\nSpeaker:\nNow, if you actually look at\ndata transmission of infections\n129",
    "end": 285.0
  },
  {
    "start": 285.0,
    "text": ",139\nSpeaker:\nthrough a regular upper GI and\ncolonoscopy is extremely rare\n130",
    "end": 289.0
  },
  {
    "start": 289.0,
    "text": ",680\nSpeaker:\nbecause it shouldn't happen.\n131",
    "end": 290.0
  },
  {
    "start": 290.0,
    "text": ",360\nSpeaker:\nIf it can be zero, it's best.\n132",
    "end": 292.0
  },
  {
    "start": 292.0,
    "text": ",439\nSpeaker:\nBut even if you look at the era\n133",
    "end": 295.0
  },
  {
    "start": 295.0,
    "text": ",540\nSpeaker:\nbefore all these hygiene\n134",
    "end": 296.0
  },
  {
    "start": 296.0,
    "text": ",459\nSpeaker:\nstandards came in, they're very\n135",
    "end": 298.0
  },
  {
    "start": 298.0,
    "text": ",399\nSpeaker:\nscarce reports of hepatitis or\n136",
    "end": 300.0
  },
  {
    "start": 300.0,
    "text": ",079\nSpeaker:\nsalmonella being transmitted\n137",
    "end": 302.0
  },
  {
    "start": 302.0,
    "text": ",980\nSpeaker:\nvery less.\n138",
    "end": 302.0
  },
  {
    "start": 302.0,
    "text": ",540\nSpeaker:\nBut I think the mechanical the\n139",
    "end": 304.0
  },
  {
    "start": 304.0,
    "text": ",500\nSpeaker:\ncascade system that we follow,\n140",
    "end": 306.0
  },
  {
    "start": 306.0,
    "text": ",180\nSpeaker:\nthe mechanical cleaning is good\n141",
    "end": 308.0
  },
  {
    "start": 308.0,
    "text": ",740\nSpeaker:\nenough to prevent this very rare\n142",
    "end": 310.0
  },
  {
    "start": 310.0,
    "text": ",259\nSpeaker:\nresistant spores.\n143",
    "end": 312.0
  },
  {
    "start": 312.0,
    "text": ",459\nSpeaker:\nWe can't clean, but as long as\nthey're not doing procedures\n144",
    "end": 315.0
  },
  {
    "start": 315.0,
    "text": ",459\nSpeaker:\nlike Ercp or us in this type of\nsituation, it's okay.\n145",
    "end": 320.0
  },
  {
    "start": 320.0,
    "text": ",939\nSpeaker:\nOkay.\n146",
    "end": 320.0
  },
  {
    "start": 320.0,
    "text": ",720\nSpeaker:\nJust to put it in a context,\n147",
    "end": 322.0
  },
  {
    "start": 322.0,
    "text": ",620\nSpeaker:\nyou're actually serving the\n148",
    "end": 324.0
  },
  {
    "start": 324.0,
    "text": ",180\nSpeaker:\npopulation three times of my\n149",
    "end": 327.0
  },
  {
    "start": 327.0,
    "text": ",100\nSpeaker:\nentire country.\n150",
    "end": 329.0
  },
  {
    "start": 329.0,
    "text": ",100\nSpeaker:\nSo going forward, this is what\nwe can do, what we can accept.\n151",
    "end": 334.0
  },
  {
    "start": 334.0,
    "text": ",660\nSpeaker:\nAnd sometimes there are\nconsequences.\n152",
    "end": 336.0
  },
  {
    "start": 336.0,
    "text": ",220\nSpeaker:\nBut what about mistakes?\n153",
    "end": 338.0
  },
  {
    "start": 338.0,
    "text": ",420\nSpeaker:\nWhat constitutes for you a true\nmedical mistake?\n154",
    "end": 342.0
  },
  {
    "start": 342.0,
    "text": ",980\nSpeaker:\nQuite philosophical question.\n155",
    "end": 344.0
  },
  {
    "start": 344.0,
    "text": ",220\nSpeaker:\nYeah.\n156",
    "end": 345.0
  },
  {
    "start": 345.0,
    "text": ",379\nSpeaker:\nAgain very important.\n157",
    "end": 346.0
  },
  {
    "start": 346.0,
    "text": ",079\nSpeaker:\nThis is something that I've\nalways been talking to our\n158",
    "end": 349.0
  },
  {
    "start": 349.0,
    "text": ",579\nSpeaker:\njuniors and students.\n159",
    "end": 351.0
  },
  {
    "start": 351.0,
    "text": ",240\nSpeaker:\nI think in, in medicine,\n160",
    "end": 353.0
  },
  {
    "start": 353.0,
    "text": ",240\nSpeaker:\nespecially when you are doing\n161",
    "end": 354.0
  },
  {
    "start": 354.0,
    "text": ",480\nSpeaker:\nprocedures, mistakes are bound\n162",
    "end": 356.0
  },
  {
    "start": 356.0,
    "text": ",399\nSpeaker:\nto occur.\n163",
    "end": 357.0
  },
  {
    "start": 357.0,
    "text": ",879\nSpeaker:\nWe don't call them mistakes.\n164",
    "end": 358.0
  },
  {
    "start": 358.0,
    "text": ",040\nSpeaker:\nNormally I think the words Peter\nCotton and nicely changed them\n165",
    "end": 362.0
  },
  {
    "start": 362.0,
    "text": ",399\nSpeaker:\nfrom complications to adverse\nevents that can occur.\n166",
    "end": 365.0
  },
  {
    "start": 365.0,
    "text": ",079\nSpeaker:\nSo when you do a procedure or\nany procedure, for example,\n167",
    "end": 369.0
  },
  {
    "start": 369.0,
    "text": ",040\nSpeaker:\nercp, you can have bleed, you\ncan have pancreatitis in spite\n168",
    "end": 372.0
  },
  {
    "start": 372.0,
    "text": ",079\nSpeaker:\nof all the precautions.\n169",
    "end": 373.0
  },
  {
    "start": 373.0,
    "text": ",800\nSpeaker:\nIf you do third space you can\nhave bleed or perforation.\n170",
    "end": 375.0
  },
  {
    "start": 375.0,
    "text": ",959\nSpeaker:\nSo first important thing is that\neven if you do it for true\n171",
    "end": 378.0
  },
  {
    "start": 378.0,
    "text": ",879\nSpeaker:\nindication with true intentions,\nwith all the skills, you can\n172",
    "end": 382.0
  },
  {
    "start": 382.0,
    "text": ",639\nSpeaker:\nstill get some so-called adverse\nevents during endoscopy.\n173",
    "end": 387.0
  },
  {
    "start": 387.0,
    "text": ",680\nSpeaker:\nThe first important thing is how\nyou can tackle this.\n174",
    "end": 391.0
  },
  {
    "start": 391.0,
    "text": ",120\nSpeaker:\nYou make mistakes, but tackling\n175",
    "end": 393.0
  },
  {
    "start": 393.0,
    "text": ",079\nSpeaker:\nthese mistakes are very\n176",
    "end": 394.0
  },
  {
    "start": 394.0,
    "text": ",199\nSpeaker:\nimportant.\n177",
    "end": 395.0
  },
  {
    "start": 395.0,
    "text": ",800\nSpeaker:\nFor example, have you used\nIndomethacin IV fluids\n178",
    "end": 398.0
  },
  {
    "start": 398.0,
    "text": ",040\nSpeaker:\nadequately to prevent ercp?\n179",
    "end": 401.0
  },
  {
    "start": 401.0,
    "text": ",000\nSpeaker:\nIf you haven't done that, then\nit's a mistake.\n180",
    "end": 404.0
  },
  {
    "start": 404.0,
    "text": ",560\nSpeaker:\nHave you assessed the patient\nfor potential bleed in terms of\n181",
    "end": 407.0
  },
  {
    "start": 407.0,
    "text": ",279\nSpeaker:\ncoagulation and so on.\n182",
    "end": 409.0
  },
  {
    "start": 409.0,
    "text": ",120\nSpeaker:\nAnd before doing third space of\npoem?\n183",
    "end": 411.0
  },
  {
    "start": 411.0,
    "text": ",779\nSpeaker:\nIf you haven't done, then that's\na mistake.\n184",
    "end": 413.0
  },
  {
    "start": 413.0,
    "text": ",300\nSpeaker:\nSo I think mistakes and adverse\nevents are different.\n185",
    "end": 417.0
  },
  {
    "start": 417.0,
    "text": ",980\nSpeaker:\nSo whenever an adverse events\nhappen in the in our department\n186",
    "end": 420.0
  },
  {
    "start": 420.0,
    "text": ",379\nSpeaker:\nevery weekend, Saturday, we sit\nand look at them, see if there's\n187",
    "end": 424.0
  },
  {
    "start": 424.0,
    "text": ",680\nSpeaker:\nsomething that we overlooked\nwhich could have prevented this\n188",
    "end": 427.0
  },
  {
    "start": 427.0,
    "text": ",339\nSpeaker:\nadverse event from occurring.\n189",
    "end": 429.0
  },
  {
    "start": 429.0,
    "text": ",459\nSpeaker:\nIf you made a mistake, that\n190",
    "end": 431.0
  },
  {
    "start": 431.0,
    "text": ",579\nSpeaker:\nmeans we didn't look at\n191",
    "end": 432.0
  },
  {
    "start": 432.0,
    "text": ",540\nSpeaker:\nsomething that could have\n192",
    "end": 433.0
  },
  {
    "start": 433.0,
    "text": ",180\nSpeaker:\npredicted this adverse events\n193",
    "end": 435.0
  },
  {
    "start": 435.0,
    "text": ",939\nSpeaker:\nfrom occurring.\n194",
    "end": 435.0
  },
  {
    "start": 435.0,
    "text": ",180\nSpeaker:\nIn fact, we're just publishing\n195",
    "end": 437.0
  },
  {
    "start": 437.0,
    "text": ",639\nSpeaker:\nthis data on one of the largest\n196",
    "end": 439.0
  },
  {
    "start": 439.0,
    "text": ",839\nSpeaker:\nadverse events in the endoscopy\n197",
    "end": 441.0
  },
  {
    "start": 441.0,
    "text": ",300\nSpeaker:\nunit.\n198",
    "end": 442.0
  },
  {
    "start": 442.0,
    "text": ",220\nSpeaker:\nI think we have to be frank\nabout it.\n199",
    "end": 444.0
  },
  {
    "start": 444.0,
    "text": ",500\nSpeaker:\nThe reason we are publishing\nthis is because we also do the\n200",
    "end": 446.0
  },
  {
    "start": 446.0,
    "text": ",180\nSpeaker:\nlargest number of procedures,\nuh, in an endoscopy unit in the\n201",
    "end": 450.0
  },
  {
    "start": 450.0,
    "text": ",779\nSpeaker:\nworld, we do almost seven\nhundred procedures a day.\n202",
    "end": 452.0
  },
  {
    "start": 452.0,
    "text": ",100\nSpeaker:\nSo which means we are bound to\nhave mistakes which are going to\n203",
    "end": 456.0
  },
  {
    "start": 456.0,
    "text": ",259\nSpeaker:\nbe larger number.\n204",
    "end": 457.0
  },
  {
    "start": 457.0,
    "text": ",699\nSpeaker:\nSo we are publishing all the\ndata of adverse events.\n205",
    "end": 459.0
  },
  {
    "start": 459.0,
    "text": ",339\nSpeaker:\nSo we're also going to show that\n206",
    "end": 461.0
  },
  {
    "start": 461.0,
    "text": ",980\nSpeaker:\nyou can actually prevent many of\n207",
    "end": 462.0
  },
  {
    "start": 462.0,
    "text": ",819\nSpeaker:\nthe adverse events if you have\n208",
    "end": 464.0
  },
  {
    "start": 464.0,
    "text": ",139\nSpeaker:\nfollowed all the guidelines\n209",
    "end": 466.0
  },
  {
    "start": 466.0,
    "text": ",019\nSpeaker:\nproperly.\n210",
    "end": 467.0
  },
  {
    "start": 467.0,
    "text": ",240\nSpeaker:\nBut sometimes what happens is in\n211",
    "end": 469.0
  },
  {
    "start": 469.0,
    "text": ",319\nSpeaker:\nlack of adequate equipment can\n212",
    "end": 471.0
  },
  {
    "start": 471.0,
    "text": ",000\nSpeaker:\nalso result.\n213",
    "end": 472.0
  },
  {
    "start": 472.0,
    "text": ",839\nSpeaker:\nSo I used to be very passionate\nabout doing things even if\n214",
    "end": 475.0
  },
  {
    "start": 475.0,
    "text": ",879\nSpeaker:\neverything are not available.\n215",
    "end": 476.0
  },
  {
    "start": 476.0,
    "text": ",879\nSpeaker:\nBut I'll tell you an example.\n216",
    "end": 477.0
  },
  {
    "start": 477.0,
    "text": ",879\nSpeaker:\nWhen I started IRC first in\nnineteen eighty three, this was\n217",
    "end": 482.0
  },
  {
    "start": 482.0,
    "text": ",519\nSpeaker:\neighty three eighty four.\n218",
    "end": 484.0
  },
  {
    "start": 484.0,
    "text": ",040\nSpeaker:\nAt that time we didn't have\nmechanical lithotripter.\n219",
    "end": 487.0
  },
  {
    "start": 487.0,
    "text": ",680\nSpeaker:\nI did an endoscopy, a large CBD\nstone put in the basket, and the\n220",
    "end": 491.0
  },
  {
    "start": 491.0,
    "text": ",600\nSpeaker:\nbasket got caught impacted.\n221",
    "end": 493.0
  },
  {
    "start": 493.0,
    "text": ",879\nSpeaker:\nI couldn't take it out.\n222",
    "end": 494.0
  },
  {
    "start": 494.0,
    "text": ",160\nSpeaker:\nI couldn't get the scope out.\n223",
    "end": 496.0
  },
  {
    "start": 496.0,
    "text": ",240\nSpeaker:\nEverything got impacted.\n224",
    "end": 497.0
  },
  {
    "start": 497.0,
    "text": ",560\nSpeaker:\nWe didn't have mechanical\nlithotripsy at that time, so I\n225",
    "end": 500.0
  },
  {
    "start": 500.0,
    "text": ",319\nSpeaker:\nhad to send the patient, along\nwith the endoscope in the mouth\n226",
    "end": 503.0
  },
  {
    "start": 503.0,
    "text": ",879\nSpeaker:\nto the surgeon.\n227",
    "end": 504.0
  },
  {
    "start": 504.0,
    "text": ",120\nSpeaker:\nAt that time, surgeons and\n228",
    "end": 506.0
  },
  {
    "start": 506.0,
    "text": ",240\nSpeaker:\nendoscopists were not very\n229",
    "end": 507.0
  },
  {
    "start": 507.0,
    "text": ",120\nSpeaker:\nfriendly.\n230",
    "end": 508.0
  },
  {
    "start": 508.0,
    "text": ",920\nSpeaker:\nThe surgeon took a photograph of\nthe patient with endoscope\n231",
    "end": 510.0
  },
  {
    "start": 510.0,
    "text": ",399\nSpeaker:\nthrough the mouth, operated,\nsaved the patient.\n232",
    "end": 513.0
  },
  {
    "start": 513.0,
    "text": ",840\nSpeaker:\nAnd whenever I'd pass him by the\n233",
    "end": 514.0
  },
  {
    "start": 514.0,
    "text": ",840\nSpeaker:\ncorridor, he showed me this\n234",
    "end": 515.0
  },
  {
    "start": 515.0,
    "text": ",220\nSpeaker:\nphotograph to remind me that you\n235",
    "end": 518.0
  },
  {
    "start": 518.0,
    "text": ",120\nSpeaker:\nare endoscopy.\n236",
    "end": 519.0
  },
  {
    "start": 519.0,
    "text": ",759\nSpeaker:\nAnd be careful.\n237",
    "end": 520.0
  },
  {
    "start": 520.0,
    "text": ",679\nSpeaker:\nNow, of course, we are very\n238",
    "end": 521.0
  },
  {
    "start": 521.0,
    "text": ",919\nSpeaker:\nfriendly surgeons who wouldn't\n239",
    "end": 522.0
  },
  {
    "start": 522.0,
    "text": ",559\nSpeaker:\ndo that.\n240",
    "end": 523.0
  },
  {
    "start": 523.0,
    "text": ",080\nSpeaker:\nSo I then stopped doing ercp for\n241",
    "end": 527.0
  },
  {
    "start": 527.0,
    "text": ",669\nSpeaker:\nsix months till we got a\n242",
    "end": 528.0
  },
  {
    "start": 528.0,
    "text": ",340\nSpeaker:\nmechanical lithotriptor.\n243",
    "end": 530.0
  },
  {
    "start": 530.0,
    "text": ",379\nSpeaker:\nI realized that unless we have a\nmechanical.\n244",
    "end": 532.0
  },
  {
    "start": 532.0,
    "text": ",639\nSpeaker:\nBecause at that time, mechanical\n245",
    "end": 533.0
  },
  {
    "start": 533.0,
    "text": ",740\nSpeaker:\nwere not available in the\n246",
    "end": 534.0
  },
  {
    "start": 534.0,
    "text": ",500\nSpeaker:\nmarket.\n247",
    "end": 535.0
  },
  {
    "start": 535.0,
    "text": ",539\nSpeaker:\nI talked to Mahendra and then\nsix months later, a commercial\n248",
    "end": 539.0
  },
  {
    "start": 539.0,
    "text": ",340\nSpeaker:\none is available.\n249",
    "end": 540.0
  },
  {
    "start": 540.0,
    "text": ",299\nSpeaker:\nI got that and then we restarted\ndoing again.\n250",
    "end": 543.0
  },
  {
    "start": 543.0,
    "text": ",159\nSpeaker:\nSo this is very important that\nbefore you do the procedure, you\n251",
    "end": 547.0
  },
  {
    "start": 547.0,
    "text": ",620\nSpeaker:\nactually try and cut down your\npotential chance of a adverse\n252",
    "end": 551.0
  },
  {
    "start": 551.0,
    "text": ",139\nSpeaker:\nevents occurring by being\nprepared for that.\n253",
    "end": 554.0
  },
  {
    "start": 554.0,
    "text": ",240\nSpeaker:\nI think all people doing\n254",
    "end": 555.0
  },
  {
    "start": 555.0,
    "text": ",139\nSpeaker:\nendoscopy should read this book\n255",
    "end": 557.0
  },
  {
    "start": 557.0,
    "text": ",899\nSpeaker:\ncalled Complications by Atul\n256",
    "end": 558.0
  },
  {
    "start": 558.0,
    "text": ",860\nSpeaker:\nGawande.\n257",
    "end": 559.0
  },
  {
    "start": 559.0,
    "text": ",779\nSpeaker:\nAtul Gawande is a is a physician\nin the US, and he was looking at\n258",
    "end": 563.0
  },
  {
    "start": 563.0,
    "text": ",059\nSpeaker:\nthe mistakes made at Harvard and\nthe number of deaths occurring\n259",
    "end": 567.0
  },
  {
    "start": 567.0,
    "text": ",460\nSpeaker:\nbecause of hydrogenic problems.\n260",
    "end": 569.0
  },
  {
    "start": 569.0,
    "text": ",860\nSpeaker:\nAnd then, of course, he has made\n261",
    "end": 570.0
  },
  {
    "start": 570.0,
    "text": ",340\nSpeaker:\nthis checklist, so-called\n262",
    "end": 572.0
  },
  {
    "start": 572.0,
    "text": ",419\nSpeaker:\nchecklist, which is usually used\n263",
    "end": 574.0
  },
  {
    "start": 574.0,
    "text": ",980\nSpeaker:\nin airlines, the nine\n264",
    "end": 575.0
  },
  {
    "start": 575.0,
    "text": ",700\nSpeaker:\nchecklists.\n265",
    "end": 576.0
  },
  {
    "start": 576.0,
    "text": ",659\nSpeaker:\nSo now what we've done is in our\nendoscopy unit we have a\n266",
    "end": 579.0
  },
  {
    "start": 579.0,
    "text": ",580\nSpeaker:\nchecklist nurse who before any\ninterventional procedure goes\n267",
    "end": 583.0
  },
  {
    "start": 583.0,
    "text": ",179\nSpeaker:\nand checks is there carbon\ndioxide coming out.\n268",
    "end": 586.0
  },
  {
    "start": 586.0,
    "text": ",440\nSpeaker:\nIs this hot biopsy forceps\nworking well?\n269",
    "end": 588.0
  },
  {
    "start": 588.0,
    "text": ",720\nSpeaker:\nAre the terms working\nadequately?\n270",
    "end": 590.0
  },
  {
    "start": 590.0,
    "text": ",879\nSpeaker:\nAll these things are done.\n271",
    "end": 591.0
  },
  {
    "start": 591.0,
    "text": ",039\nSpeaker:\nWe have made a checklist.\n272",
    "end": 593.0
  },
  {
    "start": 593.0,
    "text": ",559\nSpeaker:\nAnd before each procedure there,\n273",
    "end": 594.0
  },
  {
    "start": 594.0,
    "text": ",440\nSpeaker:\nthe nurse checklist nurse ticks\n274",
    "end": 596.0
  },
  {
    "start": 596.0,
    "text": ",879\nSpeaker:\noff.\n275",
    "end": 596.0
  },
  {
    "start": 596.0,
    "text": ",759\nSpeaker:\nAnd we have found that we have\nactually decreased our mistakes.\n276",
    "end": 600.0
  },
  {
    "start": 600.0,
    "text": ",039\nSpeaker:\nOnce you have this type of\nprocedure.\n277",
    "end": 603.0
  },
  {
    "start": 603.0,
    "text": ",639\nSpeaker:\nSo pre check.\n278",
    "end": 604.0
  },
  {
    "start": 604.0,
    "text": ",960\nSpeaker:\nLook if all the precautions are\nbeing taken.\n279",
    "end": 606.0
  },
  {
    "start": 606.0,
    "text": ",080\nSpeaker:\nHave a checklist nurse checking\n280",
    "end": 609.0
  },
  {
    "start": 609.0,
    "text": ",200\nSpeaker:\nout that everything all the\n281",
    "end": 610.0
  },
  {
    "start": 610.0,
    "text": ",440\nSpeaker:\ninstruments everything is in\n282",
    "end": 611.0
  },
  {
    "start": 611.0,
    "text": ",759\nSpeaker:\nperfect.\n283",
    "end": 611.0
  },
  {
    "start": 611.0,
    "text": ",679\nSpeaker:\nAnd if a adverse events occur\nmanage them in a proper way.\n284",
    "end": 615.0
  },
  {
    "start": 615.0,
    "text": ",960\nSpeaker:\nI think that's the whole\nphilosophy in this area.\n285",
    "end": 617.0
  },
  {
    "start": 617.0,
    "text": ",440\nSpeaker:\nYou also do have the very famous\n286",
    "end": 620.0
  },
  {
    "start": 620.0,
    "text": ",980\nSpeaker:\nslide of Nike swoosh with saying\n287",
    "end": 623.0
  },
  {
    "start": 623.0,
    "text": ",679\nSpeaker:\nIrcp.\n288",
    "end": 624.0
  },
  {
    "start": 624.0,
    "text": ",600\nSpeaker:\nJust don't do it.\n289",
    "end": 626.0
  },
  {
    "start": 626.0,
    "text": ",720\nSpeaker:\nSo I guess the like pre list is\nalso the deciding whether you\n290",
    "end": 632.0
  },
  {
    "start": 632.0,
    "text": ",399\nSpeaker:\nneed that ircp.\n291",
    "end": 634.0
  },
  {
    "start": 634.0,
    "text": ",559\nSpeaker:\nSo before I remember when\neverybody was so enthusiastic\n292",
    "end": 637.0
  },
  {
    "start": 637.0,
    "text": ",759\nSpeaker:\nabout Ircp, they were diagnostic\nircp being done and ircp being\n293",
    "end": 641.0
  },
  {
    "start": 641.0,
    "text": ",440\nSpeaker:\ndone for all sorts of diseases.\n294",
    "end": 643.0
  },
  {
    "start": 643.0,
    "text": ",409\nSpeaker:\nSo I would in fact now I changed\nthe slide a little.\n295",
    "end": 647.0
  },
  {
    "start": 647.0,
    "text": ",330\nSpeaker:\nI put my face on a Buddha's\nface.\n296",
    "end": 650.0
  },
  {
    "start": 650.0,
    "text": ",610\nSpeaker:\nYou know, Buddha sat under a\n297",
    "end": 651.0
  },
  {
    "start": 651.0,
    "text": ",409\nSpeaker:\ntree for enlightenment for forty\n298",
    "end": 653.0
  },
  {
    "start": 653.0,
    "text": ",129\nSpeaker:\nyears.\n299",
    "end": 654.0
  },
  {
    "start": 654.0,
    "text": ",250\nSpeaker:\nIt took me forty years of\n300",
    "end": 656.0
  },
  {
    "start": 656.0,
    "text": ",409\nSpeaker:\nworking on earth to realize now\n301",
    "end": 658.0
  },
  {
    "start": 658.0,
    "text": ",769\nSpeaker:\nthat never to do ercp when it's\n302",
    "end": 660.0
  },
  {
    "start": 660.0,
    "text": ",009\nSpeaker:\nnot indicated.\n303",
    "end": 662.0
  },
  {
    "start": 662.0,
    "text": ",690\nSpeaker:\nIndication.\n304",
    "end": 662.0
  },
  {
    "start": 662.0,
    "text": ",649\nSpeaker:\nIndication is very, very\nimportant.\n305",
    "end": 664.0
  },
  {
    "start": 664.0,
    "text": ",929\nSpeaker:\nAnd this is now a theme in our\nunit.\n306",
    "end": 667.0
  },
  {
    "start": 667.0,
    "text": ",450\nSpeaker:\nSo if ercp is done without\nproper indication that endoscopy\n307",
    "end": 672.0
  },
  {
    "start": 672.0,
    "text": ",690\nSpeaker:\nis not excused.\n308",
    "end": 673.0
  },
  {
    "start": 673.0,
    "text": ",970\nSpeaker:\nI think this is something we\nhave to insist to our juniors.\n309",
    "end": 676.0
  },
  {
    "start": 676.0,
    "text": ",090\nSpeaker:\nAlso, ercp is an invasive\nprocedure.\n310",
    "end": 680.0
  },
  {
    "start": 680.0,
    "text": ",009\nSpeaker:\nIt has potential complication.\n311",
    "end": 682.0
  },
  {
    "start": 682.0,
    "text": ",409\nSpeaker:\nSome of these complications can\n312",
    "end": 683.0
  },
  {
    "start": 683.0,
    "text": ",649\nSpeaker:\nbe very devastating and we\n313",
    "end": 685.0
  },
  {
    "start": 685.0,
    "text": ",129\nSpeaker:\nshould not do it unless strongly\n314",
    "end": 687.0
  },
  {
    "start": 687.0,
    "text": ",009\nSpeaker:\nindicated.\n315",
    "end": 688.0
  },
  {
    "start": 688.0,
    "text": ",090\nSpeaker:\nOkay, so going back to your\njuniors and the current clash\n316",
    "end": 693.0
  },
  {
    "start": 693.0,
    "text": ",889\nSpeaker:\nbetween generations, the life\nwork balance question.\n317",
    "end": 697.0
  },
  {
    "start": 697.0,
    "text": ",370\nSpeaker:\nAnd if you are doing seven\nhundred endoscopies per day,\n318",
    "end": 701.0
  },
  {
    "start": 701.0,
    "text": ",309\nSpeaker:\nthat must mean that you're\nworking insane hours.\n319",
    "end": 706.0
  },
  {
    "start": 706.0,
    "text": ",629\nSpeaker:\nAnd, um, let's say Gen Z is\n320",
    "end": 709.0
  },
  {
    "start": 709.0,
    "text": ",669\nSpeaker:\ntalking more and more about\n321",
    "end": 711.0
  },
  {
    "start": 711.0,
    "text": ",309\nSpeaker:\nhaving a life beside the\n322",
    "end": 713.0
  },
  {
    "start": 713.0,
    "text": ",789\nSpeaker:\nhospital.\n323",
    "end": 713.0
  },
  {
    "start": 713.0,
    "text": ",110\nSpeaker:\nWhat's your take on this?\n324",
    "end": 716.0
  },
  {
    "start": 716.0,
    "text": ",269\nSpeaker:\nYeah, of course, we have a large\n325",
    "end": 717.0
  },
  {
    "start": 717.0,
    "text": ",409\nSpeaker:\nnumber of, uh, endoscopy is also\n326",
    "end": 719.0
  },
  {
    "start": 719.0,
    "text": ",950\nSpeaker:\nworking about thirty at a time,\n327",
    "end": 720.0
  },
  {
    "start": 720.0,
    "text": ",830\nSpeaker:\nso.\n328",
    "end": 721.0
  },
  {
    "start": 721.0,
    "text": ",750\nSpeaker:\nBut more than that, I think this\nis a very important question you\n329",
    "end": 724.0
  },
  {
    "start": 724.0,
    "text": ",350\nSpeaker:\nraised about work life balance.\n330",
    "end": 727.0
  },
  {
    "start": 727.0,
    "text": ",649\nSpeaker:\nThe work life balance is\nsomething that Gen Z is now\n331",
    "end": 730.0
  },
  {
    "start": 730.0,
    "text": ",769\nSpeaker:\ntalking about and say five\no'clock, they have to go home to\n332",
    "end": 733.0
  },
  {
    "start": 733.0,
    "text": ",149\nSpeaker:\nspend life with the family.\n333",
    "end": 735.0
  },
  {
    "start": 735.0,
    "text": ",909\nSpeaker:\nI have no objections to that.\n334",
    "end": 736.0
  },
  {
    "start": 736.0,
    "text": ",350\nSpeaker:\nBut the problem is, for me, it's\nnot work life balance.\n335",
    "end": 742.0
  },
  {
    "start": 742.0,
    "text": ",509\nSpeaker:\nIt's actually work home balance.\n336",
    "end": 744.0
  },
  {
    "start": 744.0,
    "text": ",110\nSpeaker:\nSo when you finish your work,\nwhat do you go home?\n337",
    "end": 747.0
  },
  {
    "start": 747.0,
    "text": ",750\nSpeaker:\nYou spend your life with your\npartner or with your wife or\n338",
    "end": 749.0
  },
  {
    "start": 749.0,
    "text": ",070\nSpeaker:\nchildren and so on.\n339",
    "end": 751.0
  },
  {
    "start": 751.0,
    "text": ",909\nSpeaker:\nSo it's home.\n340",
    "end": 751.0
  },
  {
    "start": 751.0,
    "text": ",710\nSpeaker:\nIt's very important for whoever\nis, uh, getting into this\n341",
    "end": 754.0
  },
  {
    "start": 754.0,
    "text": ",269\nSpeaker:\nspeciality to think whether they\ncan strike a equation between\n342",
    "end": 758.0
  },
  {
    "start": 758.0,
    "text": ",830\nSpeaker:\nthe home and work.\n343",
    "end": 759.0
  },
  {
    "start": 759.0,
    "text": ",610\nSpeaker:\nSuppose you have a very\nunderstanding partner, or your\n344",
    "end": 762.0
  },
  {
    "start": 762.0,
    "text": ",690\nSpeaker:\nchildren are well settled.\n345",
    "end": 763.0
  },
  {
    "start": 763.0,
    "text": ",850\nSpeaker:\nYou don't have to spend so much\ntime, which means you can spend\n346",
    "end": 766.0
  },
  {
    "start": 766.0,
    "text": ",850\nSpeaker:\nmore time in your work.\n347",
    "end": 767.0
  },
  {
    "start": 767.0,
    "text": ",929\nSpeaker:\nSo then the work home balance\nchanges a little.\n348",
    "end": 770.0
  },
  {
    "start": 770.0,
    "text": ",169\nSpeaker:\nIf you talk about work, life is\na little different.\n349",
    "end": 773.0
  },
  {
    "start": 773.0,
    "text": ",250\nSpeaker:\nSo I always tell people, don't\nthink about work life.\n350",
    "end": 775.0
  },
  {
    "start": 775.0,
    "text": ",769\nSpeaker:\nThink about work work home\nbalance.\n351",
    "end": 777.0
  },
  {
    "start": 777.0,
    "text": ",570\nSpeaker:\nSo it's the equation you have\nwith your family.\n352",
    "end": 780.0
  },
  {
    "start": 780.0,
    "text": ",809\nSpeaker:\nThe second thing is the term\nwork.\n353",
    "end": 782.0
  },
  {
    "start": 782.0,
    "text": ",370\nSpeaker:\nAgain, I don't like that work so\nmuch.\n354",
    "end": 785.0
  },
  {
    "start": 785.0,
    "text": ",649\nSpeaker:\nActually it's not work for me.\n355",
    "end": 787.0
  },
  {
    "start": 787.0,
    "text": ",690\nSpeaker:\nPeople say, how do you work for\neighteen hours?\n356",
    "end": 789.0
  },
  {
    "start": 789.0,
    "text": ",610\nSpeaker:\nI say, I'm not working.\n357",
    "end": 790.0
  },
  {
    "start": 790.0,
    "text": ",169\nSpeaker:\nI'm just enjoying my life.\n358",
    "end": 792.0
  },
  {
    "start": 792.0,
    "text": ",809\nSpeaker:\nSo if you enjoy your work, it\n359",
    "end": 793.0
  },
  {
    "start": 793.0,
    "text": ",690\nSpeaker:\nbecomes a series of enjoyments\n360",
    "end": 795.0
  },
  {
    "start": 795.0,
    "text": ",210\nSpeaker:\nthroughout the day or throughout\n361",
    "end": 797.0
  },
  {
    "start": 797.0,
    "text": ",850\nSpeaker:\nthe year.\n362",
    "end": 797.0
  },
  {
    "start": 797.0,
    "text": ",169\nSpeaker:\nSo if you enjoy what you are\n363",
    "end": 799.0
  },
  {
    "start": 799.0,
    "text": ",570\nSpeaker:\ndoing, it's not hard work at\n364",
    "end": 800.0
  },
  {
    "start": 800.0,
    "text": ",730\nSpeaker:\nall.\n365",
    "end": 800.0
  },
  {
    "start": 800.0,
    "text": ",450\nSpeaker:\nIt's very difficult to hard\nwork.\n366",
    "end": 802.0
  },
  {
    "start": 802.0,
    "text": ",970\nSpeaker:\nJust enjoy what you are doing\nand then you can do it for many,\n367",
    "end": 805.0
  },
  {
    "start": 805.0,
    "text": ",210\nSpeaker:\nmany hours together.\n368",
    "end": 807.0
  },
  {
    "start": 807.0,
    "text": ",690\nSpeaker:\nSo when Gen Z comes and tells\n369",
    "end": 808.0
  },
  {
    "start": 808.0,
    "text": ",809\nSpeaker:\nme, uh, look, I can't work so\n370",
    "end": 810.0
  },
  {
    "start": 810.0,
    "text": ",970\nSpeaker:\nhard and all I tell, okay, can\n371",
    "end": 812.0
  },
  {
    "start": 812.0,
    "text": ",289\nSpeaker:\nyou spend a lot of time in a\n372",
    "end": 814.0
  },
  {
    "start": 814.0,
    "text": ",730\nSpeaker:\ncinema?\n373",
    "end": 814.0
  },
  {
    "start": 814.0,
    "text": ",289\nSpeaker:\nCan you spend a lot of time in a\npub?\n374",
    "end": 816.0
  },
  {
    "start": 816.0,
    "text": ",370\nSpeaker:\nThey say, yes, we can do.\n375",
    "end": 817.0
  },
  {
    "start": 817.0,
    "text": ",289\nSpeaker:\nThat's enjoying.\n376",
    "end": 818.0
  },
  {
    "start": 818.0,
    "text": ",690\nSpeaker:\nThen I said, do the same thing\nhere.\n377",
    "end": 819.0
  },
  {
    "start": 819.0,
    "text": ",850\nSpeaker:\nEnjoy your work.\n378",
    "end": 820.0
  },
  {
    "start": 820.0,
    "text": ",049\nSpeaker:\nIt becomes like spending time in\na pub or spending time in a\n379",
    "end": 824.0
  },
  {
    "start": 824.0,
    "text": ",909\nSpeaker:\nmovie hall, you know?\n380",
    "end": 824.0
  },
  {
    "start": 824.0,
    "text": ",669\nSpeaker:\nSo it's the trick is to enjoy a\n381",
    "end": 826.0
  },
  {
    "start": 826.0,
    "text": ",110\nSpeaker:\nwork to strike a work home\n382",
    "end": 829.0
  },
  {
    "start": 829.0,
    "text": ",149\nSpeaker:\nbalance.\n383",
    "end": 830.0
  },
  {
    "start": 830.0,
    "text": ",590\nSpeaker:\nUh, and then only.\n384",
    "end": 831.0
  },
  {
    "start": 831.0,
    "text": ",110\nSpeaker:\nBut in spite of this, if\nsomebody says he's not up to it,\n385",
    "end": 834.0
  },
  {
    "start": 834.0,
    "text": ",629\nSpeaker:\nI think he should start thinking\nof changing his profession.\n386",
    "end": 837.0
  },
  {
    "start": 837.0,
    "text": ",950\nSpeaker:\nBecause if you unless you care\n387",
    "end": 839.0
  },
  {
    "start": 839.0,
    "text": ",629\nSpeaker:\nvery strongly for the patient,\n388",
    "end": 841.0
  },
  {
    "start": 841.0,
    "text": ",269\nSpeaker:\ndon't care about the timing\n389",
    "end": 843.0
  },
  {
    "start": 843.0,
    "text": ",830\nSpeaker:\npart, only then you'll be a good\n390",
    "end": 844.0
  },
  {
    "start": 844.0,
    "text": ",970\nSpeaker:\ndoctor, especially good\n391",
    "end": 845.0
  },
  {
    "start": 845.0,
    "text": ",230\nSpeaker:\nendoscopists.\n392",
    "end": 847.0
  },
  {
    "start": 847.0,
    "text": ",509\nSpeaker:\nThis is very important.\n393",
    "end": 848.0
  },
  {
    "start": 848.0,
    "text": ",750\nSpeaker:\nYeah.\n394",
    "end": 848.0
  },
  {
    "start": 848.0,
    "text": ",629\nSpeaker:\nThere's also the responsibility\n395",
    "end": 850.0
  },
  {
    "start": 850.0,
    "text": ",909\nSpeaker:\nto the patient because it comes\n396",
    "end": 852.0
  },
  {
    "start": 852.0,
    "text": ",950\nSpeaker:\nto your technical abilities and\n397",
    "end": 854.0
  },
  {
    "start": 854.0,
    "text": ",830\nSpeaker:\nyou need the volume to reach\n398",
    "end": 856.0
  },
  {
    "start": 856.0,
    "text": ",669\nSpeaker:\nthat.\n399",
    "end": 857.0
  },
  {
    "start": 857.0,
    "text": ",950\nSpeaker:\nSo a patient comes to us with a\nfull trust.\n400",
    "end": 859.0
  },
  {
    "start": 859.0,
    "text": ",289\nSpeaker:\nJust imagine a patient is coming\n401",
    "end": 862.0
  },
  {
    "start": 862.0,
    "text": ",450\nSpeaker:\nto you and giving all his\n402",
    "end": 863.0
  },
  {
    "start": 863.0,
    "text": ",149\nSpeaker:\norgans.\n403",
    "end": 864.0
  },
  {
    "start": 864.0,
    "text": ",909\nSpeaker:\nNo other profession would be\ntrusted so much.\n404",
    "end": 866.0
  },
  {
    "start": 866.0,
    "text": ",429\nSpeaker:\nYou can't.\n405",
    "end": 868.0
  },
  {
    "start": 868.0,
    "text": ",429\nSpeaker:\nNo other profession will.\n406",
    "end": 869.0
  },
  {
    "start": 869.0,
    "text": ",629\nSpeaker:\nA person going saying, take my\nbody and do whatever it is we\n407",
    "end": 872.0
  },
  {
    "start": 872.0,
    "text": ",710\nSpeaker:\nwant to do with it?\n408",
    "end": 873.0
  },
  {
    "start": 873.0,
    "text": ",669\nSpeaker:\nThis is a medical medicine is\nonly profession to do that.\n409",
    "end": 876.0
  },
  {
    "start": 876.0,
    "text": ",590\nSpeaker:\nWhen somebody is coming with so\nmuch trust to say, okay, I've\n410",
    "end": 880.0
  },
  {
    "start": 880.0,
    "text": ",769\nSpeaker:\ndone half the endoscopy.\n411",
    "end": 881.0
  },
  {
    "start": 881.0,
    "text": ",529\nSpeaker:\nFive o'clock.\n412",
    "end": 882.0
  },
  {
    "start": 882.0,
    "text": ",049\nSpeaker:\nTime is up.\n413",
    "end": 883.0
  },
  {
    "start": 883.0,
    "text": ",490\nSpeaker:\nI have to go.\n414",
    "end": 883.0
  },
  {
    "start": 883.0,
    "text": ",850\nSpeaker:\nWe'll see.\n415",
    "end": 883.0
  },
  {
    "start": 883.0,
    "text": ",049\nSpeaker:\nTomorrow is absolutely wrong.\n416",
    "end": 886.0
  },
  {
    "start": 886.0,
    "text": ",730\nSpeaker:\nWe have to give the trust they\ngive on us.\n417",
    "end": 888.0
  },
  {
    "start": 888.0,
    "text": ",490\nSpeaker:\nI think it's very important that\nas doctors, we do what is best\n418",
    "end": 892.0
  },
  {
    "start": 892.0,
    "text": ",649\nSpeaker:\nthat we can do.\n419",
    "end": 894.0
  },
  {
    "start": 894.0,
    "text": ",970\nSpeaker:\nThis is very, very important.\n420",
    "end": 895.0
  },
  {
    "start": 895.0,
    "text": ",649\nSpeaker:\nWe are like, um, you know,\npriests in a religion.\n421",
    "end": 898.0
  },
  {
    "start": 898.0,
    "text": ",009\nSpeaker:\nYou know, we are high priests of\nthat religion, of medicine.\n422",
    "end": 902.0
  },
  {
    "start": 902.0,
    "text": ",730\nSpeaker:\nAnd when they're coming to us\nwith so much stress, we have to\n423",
    "end": 904.0
  },
  {
    "start": 904.0,
    "text": ",009\nSpeaker:\nbe good high priests.\n424",
    "end": 906.0
  },
  {
    "start": 906.0,
    "text": ",450\nSpeaker:\nOtherwise, it's not doing the\nright thing.\n425",
    "end": 908.0
  },
  {
    "start": 908.0,
    "text": ",570\nSpeaker:\nI get your point.\n426",
    "end": 909.0
  },
  {
    "start": 909.0,
    "text": ",409\nSpeaker:\nBut coming to the Gen Z and your\n427",
    "end": 913.0
  },
  {
    "start": 913.0,
    "text": ",129\nSpeaker:\nmentees that you currently are\n428",
    "end": 916.0
  },
  {
    "start": 916.0,
    "text": ",009\nSpeaker:\nmentoring, what do you expect\n429",
    "end": 918.0
  },
  {
    "start": 918.0,
    "text": ",009\nSpeaker:\nfrom them?\n430",
    "end": 919.0
  },
  {
    "start": 919.0,
    "text": ",809\nSpeaker:\nWhat other skills besides\n431",
    "end": 920.0
  },
  {
    "start": 920.0,
    "text": ",129\nSpeaker:\nclinical and academic are needed\n432",
    "end": 923.0
  },
  {
    "start": 923.0,
    "text": ",409\nSpeaker:\nin the current medical\n433",
    "end": 924.0
  },
  {
    "start": 924.0,
    "text": ",330\nSpeaker:\nlandscape?\n434",
    "end": 925.0
  },
  {
    "start": 925.0,
    "text": ",450\nSpeaker:\nYeah, of course skills is\nneeded.\n435",
    "end": 927.0
  },
  {
    "start": 927.0,
    "text": ",970\nSpeaker:\nUh, person has to be up to date\nin what he is doing.\n436",
    "end": 929.0
  },
  {
    "start": 929.0,
    "text": ",289\nSpeaker:\nBut more important, we talked\n437",
    "end": 931.0
  },
  {
    "start": 931.0,
    "text": ",250\nSpeaker:\nabout this earlier in the\n438",
    "end": 932.0
  },
  {
    "start": 932.0,
    "text": ",690\nSpeaker:\nepisode.\n439",
    "end": 932.0
  },
  {
    "start": 932.0,
    "text": ",370\nSpeaker:\nOne is compassion.\n440",
    "end": 934.0
  },
  {
    "start": 934.0,
    "text": ",009\nSpeaker:\nI think the compassion doesn't\ncome naturally.\n441",
    "end": 938.0
  },
  {
    "start": 938.0,
    "text": ",169\nSpeaker:\nThis is very important.\n442",
    "end": 939.0
  },
  {
    "start": 939.0,
    "text": ",350\nSpeaker:\nPeople say, okay, some people\ncan be compassionate or no.\n443",
    "end": 942.0
  },
  {
    "start": 942.0,
    "text": ",669\nSpeaker:\nCompassion can also be trained.\n444",
    "end": 944.0
  },
  {
    "start": 944.0,
    "text": ",149\nSpeaker:\nYou can get a training into\nbecoming compassionate.\n445",
    "end": 947.0
  },
  {
    "start": 947.0,
    "text": ",990\nSpeaker:\nThis is important to realize\nthat.\n446",
    "end": 948.0
  },
  {
    "start": 948.0,
    "text": ",029\nSpeaker:\nYou can say, for example, if a\nvery small child comes to me, I\n447",
    "end": 954.0
  },
  {
    "start": 954.0,
    "text": ",950\nSpeaker:\nthink of the child as my\ngrandson or granddaughter, then\n448",
    "end": 956.0
  },
  {
    "start": 956.0,
    "text": ",590\nSpeaker:\nI become compassionate.\n449",
    "end": 958.0
  },
  {
    "start": 958.0,
    "text": ",509\nSpeaker:\nWhen a teenager comes, I think\nis like my daughter or son, then\n450",
    "end": 961.0
  },
  {
    "start": 961.0,
    "text": ",509\nSpeaker:\nI become compassionate.\n451",
    "end": 962.0
  },
  {
    "start": 962.0,
    "text": ",110\nSpeaker:\nSo the important thing about\n452",
    "end": 964.0
  },
  {
    "start": 964.0,
    "text": ",330\nSpeaker:\ncompassion is not, uh, no\n453",
    "end": 966.0
  },
  {
    "start": 966.0,
    "text": ",070\nSpeaker:\nsympathy.\n454",
    "end": 967.0
  },
  {
    "start": 967.0,
    "text": ",070\nSpeaker:\nIt's empathy.\n455",
    "end": 968.0
  },
  {
    "start": 968.0,
    "text": ",269\nSpeaker:\nPut yourself into the patient\nbody and then think what they\n456",
    "end": 971.0
  },
  {
    "start": 971.0,
    "text": ",309\nSpeaker:\nthink, or the parents think, or\nwhat the relatives think.\n457",
    "end": 974.0
  },
  {
    "start": 974.0,
    "text": ",470\nSpeaker:\nIf you start thinking of\n458",
    "end": 975.0
  },
  {
    "start": 975.0,
    "text": ",429\nSpeaker:\nyourself that way, then you\n459",
    "end": 976.0
  },
  {
    "start": 976.0,
    "text": ",389\nSpeaker:\nbecome compassionate.\n460",
    "end": 977.0
  },
  {
    "start": 977.0,
    "text": ",990\nSpeaker:\nBecause I've seen youngsters\n461",
    "end": 978.0
  },
  {
    "start": 978.0,
    "text": ",870\nSpeaker:\ntrying to do procedures which\n462",
    "end": 980.0
  },
  {
    "start": 980.0,
    "text": ",549\nSpeaker:\nthey're not competent, they're\n463",
    "end": 982.0
  },
  {
    "start": 982.0,
    "text": ",669\nSpeaker:\ntrying to do a third space\n464",
    "end": 983.0
  },
  {
    "start": 983.0,
    "text": ",269\nSpeaker:\nendoscopy.\n465",
    "end": 984.0
  },
  {
    "start": 984.0,
    "text": ",990\nSpeaker:\nWhen there's a competent person\nnear them whom they can refer\n466",
    "end": 987.0
  },
  {
    "start": 987.0,
    "text": ",830\nSpeaker:\nto, they don't do that.\n467",
    "end": 988.0
  },
  {
    "start": 988.0,
    "text": ",309\nSpeaker:\nThey try and do themselves.\n468",
    "end": 990.0
  },
  {
    "start": 990.0,
    "text": ",230\nSpeaker:\nAnd just imagine if you are\n469",
    "end": 991.0
  },
  {
    "start": 991.0,
    "text": ",110\nSpeaker:\ndoing it, your own father or\n470",
    "end": 993.0
  },
  {
    "start": 993.0,
    "text": ",309\nSpeaker:\nmother and then produce the\n471",
    "end": 994.0
  },
  {
    "start": 994.0,
    "text": ",110\nSpeaker:\ncomplication.\n472",
    "end": 995.0
  },
  {
    "start": 995.0,
    "text": ",070\nSpeaker:\nWould that be okay?\n473",
    "end": 996.0
  },
  {
    "start": 996.0,
    "text": ",570\nSpeaker:\nNo. If you have more competent\nperson may not refer to them.\n474",
    "end": 999.0
  },
  {
    "start": 999.0,
    "text": ",970\nSpeaker:\nYou know, just because you get\nmore and more trained.\n475",
    "end": 1001.0
  },
  {
    "start": 1001.0,
    "text": ",129\nSpeaker:\nOnce you become good, you know\n476",
    "end": 1004.0
  },
  {
    "start": 1004.0,
    "text": ",490\nSpeaker:\nthat you are very good in that\n477",
    "end": 1005.0
  },
  {
    "start": 1005.0,
    "text": ",970\nSpeaker:\nprocedure.\n478",
    "end": 1005.0
  },
  {
    "start": 1005.0,
    "text": ",049\nSpeaker:\nYou can do it.\n479",
    "end": 1007.0
  },
  {
    "start": 1007.0,
    "text": ",210\nSpeaker:\nSo I think realizing the\nlimitations of what they're\n480",
    "end": 1010.0
  },
  {
    "start": 1010.0,
    "text": ",649\nSpeaker:\ndoing, being compassionate and\ntrying to develop skills in a\n481",
    "end": 1014.0
  },
  {
    "start": 1014.0,
    "text": ",490\nSpeaker:\nparticular area, which is the\noptimum, is very important.\n482",
    "end": 1017.0
  },
  {
    "start": 1017.0,
    "text": ",809\nSpeaker:\nSo I tell my unless you do this,\nyou won't become good doctors or\n483",
    "end": 1021.0
  },
  {
    "start": 1021.0,
    "text": ",490\nSpeaker:\ngood human beings.\n484",
    "end": 1023.0
  },
  {
    "start": 1023.0,
    "text": ",809\nSpeaker:\nIn fact, I also tell them\nexample of long.\n485",
    "end": 1026.0
  },
  {
    "start": 1026.0,
    "text": ",609\nSpeaker:\nBack when I starting at CP, I\nonce asked Michelle Kramer, who\n486",
    "end": 1031.0
  },
  {
    "start": 1031.0,
    "text": ",250\nSpeaker:\nwas at that time known as the\nfather of IRC.\n487",
    "end": 1035.0
  },
  {
    "start": 1035.0,
    "text": ",210\nSpeaker:\nSo I asked him, what does it\n488",
    "end": 1037.0
  },
  {
    "start": 1037.0,
    "text": ",890\nSpeaker:\ntake to become a good\n489",
    "end": 1038.0
  },
  {
    "start": 1038.0,
    "text": ",049\nSpeaker:\nendoscopist?\n490",
    "end": 1040.0
  },
  {
    "start": 1040.0,
    "text": ",089\nSpeaker:\nAnd Michelle told me a very, you\nknow, very strange answer.\n491",
    "end": 1043.0
  },
  {
    "start": 1043.0,
    "text": ",069\nSpeaker:\nHe said, Nagy, it's to become a\ngood endoscopist not the skill\n492",
    "end": 1047.0
  },
  {
    "start": 1047.0,
    "text": ",730\nSpeaker:\nor it is.\n493",
    "end": 1048.0
  },
  {
    "start": 1048.0,
    "text": ",609\nSpeaker:\nIf you are a good human being,\nyou become a good Endoscopist I\n494",
    "end": 1051.0
  },
  {
    "start": 1051.0,
    "text": ",450\nSpeaker:\ndidn't understand it.\n495",
    "end": 1052.0
  },
  {
    "start": 1052.0,
    "text": ",250\nSpeaker:\nThen what is good human being?\n496",
    "end": 1054.0
  },
  {
    "start": 1054.0,
    "text": ",789\nSpeaker:\nI realize now that this is very,\nvery right.\n497",
    "end": 1056.0
  },
  {
    "start": 1056.0,
    "text": ",990\nSpeaker:\nif you're a good human being,\nyou do the right procedure for\n498",
    "end": 1059.0
  },
  {
    "start": 1059.0,
    "text": ",150\nSpeaker:\nthe right indications.\n499",
    "end": 1061.0
  },
  {
    "start": 1061.0,
    "text": ",190\nSpeaker:\nYou know your limitations, and\nyou know how to manage people.\n500",
    "end": 1064.0
  },
  {
    "start": 1064.0,
    "text": ",309\nSpeaker:\nWhen something happens,\ncomplication happens.\n501",
    "end": 1066.0
  },
  {
    "start": 1066.0,
    "text": ",789\nSpeaker:\nSo I think this is very\nimportant.\n502",
    "end": 1067.0
  },
  {
    "start": 1067.0,
    "text": ",430\nSpeaker:\nNow, I realize after forty years\nwhat you said is true.\n503",
    "end": 1070.0
  },
  {
    "start": 1070.0,
    "text": ",950\nSpeaker:\nTo be a good endoscopist be a\ngood human being first.\n504",
    "end": 1073.0
  },
  {
    "start": 1073.0,
    "text": ",029\nSpeaker:\nAnd that's the advice I give to\nall my mentees.\n505",
    "end": 1077.0
  },
  {
    "start": 1077.0,
    "text": ",789\nSpeaker:\nThat's that's very important.\n506",
    "end": 1078.0
  },
  {
    "start": 1078.0,
    "text": ",430\nSpeaker:\nThat's a tall order.\n507",
    "end": 1080.0
  },
  {
    "start": 1081.0,
    "text": ",710\nSpeaker:\nThe advice of being a good human\nbeing.\n508",
    "end": 1084.0
  },
  {
    "start": 1084.0,
    "text": ",750\nSpeaker:\nThat's lifetime achievement kind\nof thing.\n509",
    "end": 1087.0
  },
  {
    "start": 1087.0,
    "text": ",190\nSpeaker:\nBut then I'm curious, because\n510",
    "end": 1090.0
  },
  {
    "start": 1090.0,
    "text": ",869\nSpeaker:\nthere's also a very different\n511",
    "end": 1092.0
  },
  {
    "start": 1092.0,
    "text": ",190\nSpeaker:\nparadigm that to be a good\n512",
    "end": 1095.0
  },
  {
    "start": 1095.0,
    "text": ",049\nSpeaker:\ndoctor, you kind of have to\n513",
    "end": 1097.0
  },
  {
    "start": 1097.0,
    "text": ",190\nSpeaker:\ndistance yourself and to be\n514",
    "end": 1099.0
  },
  {
    "start": 1099.0,
    "text": ",470\nSpeaker:\nobjective.\n515",
    "end": 1100.0
  },
  {
    "start": 1100.0,
    "text": ",349\nSpeaker:\nThat's very contrarian to what\nyou are teaching yours.\n516",
    "end": 1104.0
  },
  {
    "start": 1104.0,
    "text": ",670\nSpeaker:\nYeah.\n517",
    "end": 1104.0
  },
  {
    "start": 1104.0,
    "text": ",309\nSpeaker:\nSo no, this is a very important\n518",
    "end": 1106.0
  },
  {
    "start": 1106.0,
    "text": ",230\nSpeaker:\nI think you raised a very\n519",
    "end": 1107.0
  },
  {
    "start": 1107.0,
    "text": ",910\nSpeaker:\nimportant point.\n520",
    "end": 1107.0
  },
  {
    "start": 1107.0,
    "text": ",509\nSpeaker:\nYou're right that if you get\nemotionally very involved with\n521",
    "end": 1111.0
  },
  {
    "start": 1111.0,
    "text": ",509\nSpeaker:\nthe patient, sometimes doing\nprocedures become difficult.\n522",
    "end": 1114.0
  },
  {
    "start": 1114.0,
    "text": ",650\nSpeaker:\nI've seen this happen in some of\nthe endoscopists.\n523",
    "end": 1116.0
  },
  {
    "start": 1116.0,
    "text": ",970\nSpeaker:\nAs they age, they become more\nemotionally involved.\n524",
    "end": 1119.0
  },
  {
    "start": 1119.0,
    "text": ",890\nSpeaker:\nThey tend to become less\naggressive.\n525",
    "end": 1121.0
  },
  {
    "start": 1121.0,
    "text": ",049\nSpeaker:\nThey make good physicians, but\nnot good therapeutic endoscopy.\n526",
    "end": 1127.0
  },
  {
    "start": 1127.0,
    "text": ",130\nSpeaker:\nSo it doesn't mean that just\n527",
    "end": 1129.0
  },
  {
    "start": 1129.0,
    "text": ",289\nSpeaker:\nbecause you have an empathy or\n528",
    "end": 1130.0
  },
  {
    "start": 1130.0,
    "text": ",309\nSpeaker:\ncompassion, you're getting\n529",
    "end": 1131.0
  },
  {
    "start": 1131.0,
    "text": ",730\nSpeaker:\ntotally involved into the\n530",
    "end": 1132.0
  },
  {
    "start": 1132.0,
    "text": ",170\nSpeaker:\npatient.\n531",
    "end": 1133.0
  },
  {
    "start": 1133.0,
    "text": ",569\nSpeaker:\nSo keeping some distance is very\nimportant.\n532",
    "end": 1136.0
  },
  {
    "start": 1136.0,
    "text": ",490\nSpeaker:\nBut if a complication occurs I\n533",
    "end": 1139.0
  },
  {
    "start": 1139.0,
    "text": ",869\nSpeaker:\nadvise the endoscopy has become\n534",
    "end": 1140.0
  },
  {
    "start": 1140.0,
    "text": ",930\nSpeaker:\ntotally involved.\n535",
    "end": 1141.0
  },
  {
    "start": 1141.0,
    "text": ",809\nSpeaker:\nYou have to become a part of the\npatient and patient's family.\n536",
    "end": 1144.0
  },
  {
    "start": 1144.0,
    "text": ",769\nSpeaker:\nOnly then you can manage it very\nwell.\n537",
    "end": 1146.0
  },
  {
    "start": 1146.0,
    "text": ",730\nSpeaker:\nSo there are two little\ncontradictory.\n538",
    "end": 1148.0
  },
  {
    "start": 1148.0,
    "text": ",690\nSpeaker:\nBut compassion is very\nimportant.\n539",
    "end": 1152.0
  },
  {
    "start": 1152.0,
    "text": ",569\nSpeaker:\nKeeping a little distance is\n540",
    "end": 1154.0
  },
  {
    "start": 1154.0,
    "text": ",450\nSpeaker:\nimportant in the sense that you\n541",
    "end": 1156.0
  },
  {
    "start": 1156.0,
    "text": ",210\nSpeaker:\nhave.\n542",
    "end": 1157.0
  },
  {
    "start": 1157.0,
    "text": ",170\nSpeaker:\nYou are doing aggressive\n543",
    "end": 1158.0
  },
  {
    "start": 1158.0,
    "text": ",450\nSpeaker:\nprocedures, especially happens\n544",
    "end": 1159.0
  },
  {
    "start": 1159.0,
    "text": ",049\nSpeaker:\nwith surgeons.\n545",
    "end": 1160.0
  },
  {
    "start": 1160.0,
    "text": ",529\nSpeaker:\nYou know, you can't ask a\nsurgeon to operate on his own\n546",
    "end": 1163.0
  },
  {
    "start": 1163.0,
    "text": ",490\nSpeaker:\nmother or father.\n547",
    "end": 1164.0
  },
  {
    "start": 1164.0,
    "text": ",769\nSpeaker:\nMany of them don't like to do\n548",
    "end": 1165.0
  },
  {
    "start": 1165.0,
    "text": ",250\nSpeaker:\nit, so you have to keep a little\n549",
    "end": 1167.0
  },
  {
    "start": 1167.0,
    "text": ",890\nSpeaker:\ndistance.\n550",
    "end": 1167.0
  },
  {
    "start": 1167.0,
    "text": ",890\nSpeaker:\nBut compassion is a little\ndifferent.\n551",
    "end": 1169.0
  },
  {
    "start": 1169.0,
    "text": ",950\nSpeaker:\nHaving compassion, uh, is very,\nvery important Indeed.\n552",
    "end": 1174.0
  },
  {
    "start": 1174.0,
    "text": ",150\nSpeaker:\nThank you so, so much,\nprofessor.\n553",
    "end": 1177.0
  },
  {
    "start": 1177.0,
    "text": ",549\nSpeaker:\nAnd I guess your advice of\n554",
    "end": 1179.0
  },
  {
    "start": 1179.0,
    "text": ",650\nSpeaker:\nbecoming the best person you can\n555",
    "end": 1181.0
  },
  {
    "start": 1181.0,
    "text": ",769\nSpeaker:\nis the conclusion of our talk,\n556",
    "end": 1184.0
  },
  {
    "start": 1184.0,
    "text": ",630\nSpeaker:\nand also of your journey through\n557",
    "end": 1187.0
  },
  {
    "start": 1187.0,
    "text": ",950\nSpeaker:\nthe years.\n558",
    "end": 1188.0
  },
  {
    "start": 1188.0,
    "text": ",349\nSpeaker:\nThank you so, so much.\n559",
    "end": 1190.0
  },
  {
    "start": 1190.0,
    "text": ",569\nSpeaker:\nThat was, uh, incredible to to\n560",
    "end": 1193.0
  },
  {
    "start": 1193.0,
    "text": ",869\nSpeaker:\nhear your thoughts and your\n561",
    "end": 1194.0
  },
  {
    "start": 1194.0,
    "text": ",230\nSpeaker:\ninsights.\n562",
    "end": 1196.0
  },
  {
    "start": 1196.0,
    "text": ",069\nSpeaker:\nAnd we hope we really hope to\nsee you here again.\n563",
    "end": 1200.0
  },
  {
    "start": 1200.0,
    "text": ",309\nSpeaker:\nThank you professor.\n564",
    "end": 1201.0
  },
  {
    "start": 1201.0,
    "text": ",950\nSpeaker:\nThank you.\n565",
    "end": 1201.0
  },
  {
    "start": 1201.0,
    "text": ",309\nSpeaker:\nI think it was fun doing this\npodcast.\n566",
    "end": 1204.0
  },
  {
    "start": 1204.0,
    "text": ",230\nSpeaker:\nI'd like to thank you for doing\nthis.\n567",
    "end": 1207.0
  },
  {
    "start": 1207.0,
    "text": ",589\nSpeaker:\nI know we talked a lot out of\nendoscopy area, but I think\n568",
    "end": 1210.0
  },
  {
    "start": 1210.0,
    "text": ",430\nSpeaker:\nsometimes these are also very\nimportant, especially for\n569",
    "end": 1213.0
  },
  {
    "start": 1213.0,
    "text": ",509\nSpeaker:\nsomebody who is going into this\narea of course.\n570",
    "end": 1216.0
  },
  {
    "start": 1216.0,
    "text": ",789\nSpeaker:\nAnd also we do not talk that\n571",
    "end": 1218.0
  },
  {
    "start": 1218.0,
    "text": ",309\nSpeaker:\nmuch about things like being\n572",
    "end": 1220.0
  },
  {
    "start": 1220.0,
    "text": ",990\nSpeaker:\ncompassionate.\n573",
    "end": 1221.0
  },
  {
    "start": 1221.0,
    "text": ",869\nSpeaker:\nIt's more the basics of\nendoscopy.\n574",
    "end": 1224.0
  },
  {
    "start": 1224.0,
    "text": ",789\nSpeaker:\nThank you professor, and thank\n575",
    "end": 1226.0
  },
  {
    "start": 1226.0,
    "text": ",430\nSpeaker:\nyou for the audience for tuning\n576",
    "end": 1228.0
  },
  {
    "start": 1228.0,
    "text": ",710\nSpeaker:\nin.\n577",
    "end": 1228.0
  },
  {
    "start": 1228.0,
    "text": ",990\nSpeaker:\nWe hope you enjoyed it and we\nwill see you in another one.\n578",
    "end": 1232.0
  },
  {
    "start": 1232.0,
    "text": ",549\nSpeaker:\nBye.",
    "end": 1233.0
  }
]