Taking Charge of Your Health

(warm piano and strings music) (dark, enchanting music) – [Announcer] We have Dr. Ryan F. Osborne and the surgeons of Osborne
Head & Neck Institution. (panelists clapping) Dr. Ryan is a key ENT surgeon
and head of surgical team who has come all the way
from USA for this camp. – We will be doing our
best to take care of anyone and everyone who is interested
in the services we provide. Our plan was simple. We’ll go anywhere where there
are people who need help. We heard there might be
some people here in India. My name is Ryan Osborne. I trained as a head and neck surgeon in South Central Los Angeles,
managing the most complex cancer and trauma patients in the country. I’ve operated across the globe in first and third world countries. My experiences have taught
me the value of flexible and innovative thinking, but I realized that our healthcare system doesn’t always allow for that. So I started Osborne Head & Neck Institute and made it my mission to find the best, most creative surgeons around and I gave them the space to excel. Together we create a new
standard in medicine. These are our stories. (nostalgic orchestral music) – If you must go on your
own, let somebody know. – As we embark upon our mission to India, we find ourselves congregating
again in the airport. This time, we’re flying
from Los Angeles to Canada, from Canada to Delhi. It took us only, meh, a mere 28 hours. When we arrived, the team was surprisingly in pretty good shape. I guess after Africa, we’re
pretty much ready for anything. (tense orchestral music) So we just traveled
literally around the world. We’re in Delhi and what happens? Of course, the luggage is not all here. Part of the luggage is here, but not the part that
has our clothes in it. So we’ve gotta keep moving, we’ve got a connecting flight. Once we arrived in Delhi, we assembled the final
members of our team. Dr. Nazarian left his family trip early in Morocco to meet us, Dr. Nemanja arrived from Serbia, and Dr. Swarn Gupta,
Dr. Reena Gupta’s dad, he met us from New York. Dr. Gupta’s dad offered
to escort the equipment to make sure it actually got there and which would allow the team to catch a small commuter plane from Delhi to Amritsar Airport and cut that seven-hour
drive down to one hour. It’s an ambulance. Can you believe that? Our luggage is going to be
transported via an ambulance from Delhi to Jalandhar. This is only gonna happen in India. (man speaking faintly) – [Ryan] This is how we do it. (frantic orchestral music) (warm, reflective piano music) (somber piano music) – [Ryan] After a short one-hour flight, we made it from Delhi to Amritsar. There was a bus waiting
outside the airport to transport us to the city of Jalandhar, which is roughly about a two-hour drive. There we would set up for our mission. – Ten.
– Eleven. – Twelve. – We’re almost there. (birds chirping) – [Ryan] When we arrived to Jalandhar, I sent the majority of
the team to get some rest and a small group of us stayed awake, waiting for the equipment to
arrive with Dr. Gupta’s dad. Once it arrived in the
middle of the night, we headed to the hospital
and began to unload. We wanted to make sure we
were ready first thing, bright and early in the morning so we could get right to work. (powerful, dramatic orchestral music) After a few hours’ sleep, I got everybody up bright
and early in the morning. We assembled in the lobby
to go over logistics and to strategize how we would
triage the day’s patients. (enchanting, rhythmic music) – [Announcer] We have Dr. Ryan F. Osborne and the surgeons of Osborne
Head & Neck Institution. (panelists clapping) Dr. Ryan is a key ENT surgeon
and head of surgical team who has come all the way
from USA for this camp. – We are a group of medical professionals that believe that medicine is most uniting profession in the world. It transcends race, religion, gender, economics, politics. It’s human, it’s humanity. I know we have a lot of
cultural differences, but just know that during
the time that we are here, we are here to show respect, to show the quality of our medical care, and the content of our character to you. We are here to make friends,
to help, and to build bridges. We will be doing our best to take care of anyone and everyone who is interested in the services we provide. Our plan was simple. We’ll go anywhere where there
are people who need help. We heard there might be
some people here in India. – India is a developing country and it has developed in
the last 50, 60 years since independence. People are so much illiterate, our villages, city is improving. – We had translators there, but
it was still kinda difficult performing patient examinations. I found myself repeating
myself a lot to the translator. – There are no male
nurses where we were at. To be a male nurse in
India is just unheard of. – Every patient saw me as
their own personal resource. They were coming to me
with all of their problems because they understood that I was the one who spoke their language
and I could help them. But I only had so much energy. – There was about 200
patients waiting to be seen. – It was a free-for-all. People would just bombard you
and throw you out of the way. – Every single doctor is busy
trying to screen patients and seeing which one is
surgical and which one is not. – People still believe in
the old style medicine. They still think the allopathic
medicine is not that good, they still believe in the
homeopathic, Ayurvedic tricks and all that stuff. – Oh, my gosh. There were, there were some
real challenges on this trip. – Everything that we’re
accustomed to here in the US, it kinda goes out the window. (people chattering) – [Ryan] Day one of any
mission is the same. It’s long. We have to get through tons of patients, trying to triage and figure
out who needs surgery, who needs medical care. Actually, who’s even safe for surgery. – It looks like in India, a
lot of people had ear problems and it was nonstop. I never had a moment to myself. Oh, my god. Ear infection. (tense, dramatic orchestral music) – [Ryan] I’m amazed at how
despite the language barriers and the cultural differences, my team always seems to find a
way to bond with the patients as well as the local medical staff. (mesmerizing, nostalgic music) – Crayons. – I had a memorable patient
that had a mass on his nose called a rhinophyma. It’s a growth of the skin. It’s not cancer, it’s
not life-threatening, but it is life-altering. And one of the reasons this
patient wanted to get this fixed was because he wanted to just
be able to present himself normally to the world. (dramatic orchestral music) The surgery for him went very well and he looked great, I saw him
in clinic a few days later. He looked amazing, he
was entirely appreciative and he felt like we were
giving him his life back. (car honking)
(people chattering) – [Ryan] India is universally
known for its beauty. However, it’s also well-known for its extreme areas of poverty. (haunting exotic music) The hospital staff tried to keep us safe and within the confines of
the building, but seriously? I trained in South Central LA. I’m no stranger to poverty
or dangerous neighborhoods. So in between cases, I would sneak out and meet the community. I wanted a deeper connection with the people that I
was actually here to help. (vehicles honking) (enchanting, exotic music) (tender orchestral music) – A memorable patient
that I had in this day was a older gentleman who had a lesion of the inside of his cheek. And this had been growing for a while. And it was obviously cancer. It looked like cancer, it
was behaving like cancer. The game plan for him is
to have Dr. Osborne go in, remove the tumor, and
then I’ll go in afterwards and reconstruct the defect that’s left. (tense, expectant orchestral music) His lip looked great and I
think he’s gonna do well. We got the pathology. It was cancer, but it
was entirely removed. It was great news for him. I think we cured his cancer and he’s gonna have a
longer, healthier life from this point, so that was great. (speaking in foreign language) (people chattering) (uplifting piano music) – One of the patients that
really stood out to me was a young woman. She was probably around 20 or 21 years old and she had neck masses on both sides. They had tried to take out this first one and actually she ended up
with a vocal cord paralysis, and so they couldn’t figure
out what was going on. They left most of the mass
there because they recognized that there was something more going on, but they sort of just left it at that. They didn’t know really what to do next. So I reviewed the case with Dr. Osborne, we talked about what we
could do for this young woman with two tumors in her neck,
a vocal cord paralysis, no diagnosis established, and
her whole life ahead of her. – Going into the surgery,
yes, I knew I could remove it, but the real goal was to figure
out what exactly is this. – You gotta live inside
that. (speaking faintly) (swelling, emotive orchestral music) – I am. – So we took her to surgery and the surgical plan was
very much to be determined. (tense, dramatic orchestral music) – Throughout the surgery,
it became very apparent that there was definitely
something strange going on here. This wasn’t a straightforward neck mass. – I don’t think I’ve ever
seen a case like that. It was absolutely incredible. And within about an hour, we
realized that her entire neck was full of these little nodular growths. – I could see the peripheral nerves, meaning the nerves that
are close to the skin, had undergone some sort
of neoplastic change and I began to think immediately, this is probably neurofibroma. Because there are different
types of neurofibromatosis, the goal is to figure out
which one the patient has. – We sent tissue for
diagnosis and it came back as likely to be something
called neurofibromatosis. – Neurofibromatosis is a
poorly understood disease, but one that is not
easily managed surgically. – And I remember we were talking
to her father afterwards. And actually, this was a
case I pulled my dad in for ’cause I said I really
need him to understand the full extent of this. And we were talking, and
as the father took my hand to thank me, I noticed he had
neurofibromas on his hand. We got into this whole story about, okay, this is a genetic condition and this is how this might
affect other family members. And he looked up and he said, “Yeah, my sister had this too.” And it was just one of those things where you realize you’re having
an impact beyond that moment and that one patient, you’re helping this whole
family understand something and seek treatment that they might not have
otherwise known to seek and it will change their outcomes. There’s no cure, but there’s management. I was glad that my dad could
help them understand it and that we could help her get on the path towards treatment. (tranquil music) (rhythmic, energetic music) – [Jason] The case that
stuck with me the most was this small girl. – She was only seven year old. She was from Nepal,
actually living in India. More interestingly, when
you listen to the child, she was saying she wants to be a doctor and she wants to do all these missions out so when she grows up. – She had fibrous dysplasia, which is lesion involving the bone where it starts to change the
bone into sort of a cartilage so it gets soft and deformed, and it starts growing like a big mass. And she unfortunately had it right here on the front of her head and it was so large that
it was pushing her hair out and it looked like she had just
a small little mass of tumor protruding from the front of her skull. (melancholic music) – I remember I was a little
nervous to bring this girl into the operating room,
but we had to do it. – [Woman] Your mommy is gonna be with you. – And then just at the last minute, I saw him in the corner of my eye, I said, “Dad, just come in and just
help this girl feel comfortable, “if you don’t mind.” He came in and he took her hand, and he just soothed her until
the anesthesia took effect and she fell asleep. (dramatic orchestral music) – The case involved shaving
and carving down that bone so that her skull underneath
looks completely normal. At three separate times,
the power went out. (instrument rasping) We’re using a drill, we’re
operating on a child, and all of a sudden,
everything goes black. I really wanted her to
have a great outcome, but at the same time, I was
really worried about being safe because we were having
problems with the electricity. And I think we did a really good job. I feel like we made her life
potentially a little better. – After surgery, what she said is, “I’m glad everything went well “because I wanna be a doctor
like him when I grow up.” I mean, I know how she feels. I grew up feeling that way. I grew up feeling like I wanna
be like him when I grow up. – So there was this lady
with this large parotid tumor and I feel very at home with that. That’s something I do
absolutely every single day. (gentle, melancholic music) (moves into tense orchestral music) The difference here is we’re gonna do this with no nerve monitor, none of the typical things that we use to keep ourselves out of trouble. (machinery rasping) (machinery rasping) Despite not having our normal monitors and safety measures and safeguards, the reality is, the
surgery went beautiful. Tumor was removed, facial
nerve was totally intact, she had no facial nerve
paralysis or even weakness, for that matter, and
she’s gonna do beautiful. And I’m really happy I had
an opportunity to help her. When we perform a mission, we try to stay focused on
spending every possible moment just engaged in patient care. But often, we have to spend time in sort of ceremonious activities. You have to acknowledge the hard work that goes into organizing and making the necessary preparations for an international mission
to proceed successfully. (wistful, exotic music) – My name is Paras, Paras Sareen. I am from Punjab then Jalandhar. I was seven or eight years when I found that I have a sinus problem. I consulted many doctors, but didn’t get any good response. – And they basically examined his sinuses and told him that nothing’s wrong, and they’re actually right. His primary problem is that he has a really bad deviated septum and he has collapse of
his upper nasal vault, and that’s causing him to be obstructed. He’s unable to breathe through his nose and that’s causing a lot
of pressure on the sinuses. So in this case, we’re gonna
have to do something called an open septoplasty. – I’m quite nervous and excited. It’s my first surgery ever. – So the game plan for the
surgery is, number one, straighten the inside of the septum that’s causing blockage of
his right nasal passage. Number two, correct the deviation
on the bridge of the nose that’s causing his upper
airway to be collapsed and support it with some cartilage that we borrow from the septoplasty and then number three, support the tip of this nose so that it doesn’t continue to droop and cause him problems in the future. Paras is asleep and
under general anesthesia, but we’re still gonna anesthetize the nose so he doesn’t feel anything
when the surgery is over. The second thing we’re gonna do is work on straightening the
inside portion of the septum by repositioning the cartilage and removing any excess that’s
blocking the nasal passage. We’re now gonna open up the skin envelope that’s covering up the
structure of the nose. We’re gonna use some
cartilage from the septum and we’ll carve that into grafts that will support and bolster
the upper part of the nose to give him support. Lastly, we’ll close everything up with a little bit support
on the tip of the nose so that he has a functional
nose that looks normal and will last him his whole life. I think he’s gonna have a excellent result and this is gonna last him
for his whole lifetime, and I’m glad that we had the opportunity to take care of him on this trip. (gentle, nostalgic piano music) (people chattering and laughing) (enchanting exotic music) (vehicle honking) – Once we left the hotel
and got to the hospital, it was just all systems go. (restless, dramatic music) Two separate teams, an
operative team, a clinic team. Patients would be waiting. They would’ve slept in that
hospital lobby overnight, waiting for us to arrive. They knew we were gonna be there and that we were gonna
hit the ground running the second we got there. – We’re always fighting against time until ultimately, we ran out. – One of the cases that I did was of an older gentleman who
had a growth in his larynx. We took him to the operating
room and I biopsied it so that we could establish diagnosis. The case went really well. We found the mass, took a good biopsy, and now we’re just waiting for pathology to see what the diagnosis is. So we have to do a trach. My dad is an incredible person. He’s pretty much, I think the most amazing
person I’ve ever met. He always raised us to think of being a doctor as a privilege, not as something to be egotistical about. But he would always say
that you’re so blessed to be able to be educated and the gift is given to you so that you can help other people. It’s your privilege, it’s not… It’s your calling. – You feel so much good, you know, when you are next to your children and you see them doing these things. That gives you the happiness in the heart that whatever objectives
we had in our life, we were able to achieve those objectives and our children are doing it. – It’s one of those things you know you can never really achieve that. I don’t think I could
ever be the doctor he is because he does it with
every fiber of his being. It’s who he is. – Pleasure. Standing next to your own child, you know, and you see them, they grow up and they are doing these operations. Sometimes you wonder, you know, how the children will grow up, so it was very much giving
me lot of happiness inside to see the child doing all this. – [James] This is Tanya. Tanya? (gentle orchestral music) – [Ryan] One of the most
impactful aspects of the mission is when we get an opportunity to work with the local doctors. They come into the operating
room and work with us and gives us an opportunity
to share and exchange both knowledge and techniques. – There was this one patient that came on the second or
third day of our clinic. And he had a very serious ear problem. He had something called a
cholesteatoma inside his ear. The problem was that he
came a little bit too late. He didn’t come up and see
us till the second day. By that point, we had
surgeries for every single day, so the only thing I could tell
him was we’re totally full, but if you really wanna
have this surgery done, we can help you, but you just have to come and show up every morning and see if anything gets canceled. He came every single day and he would wait there all day long to see if any surgeries canceled. And finally on the last
day that we were there, we decided to take on his case because we had a cancellation. – I’m gonna get out. (speaking faintly) (tense, dramatic orchestral music) – The surgery was very challenging because he had a pretty big tumor, but we were able to eradicate
the growth inside his ear, clean everything up, and
actually restore his hearing. I was very proud of that surgery. (melancholic music) – So this was our last
case of the mission. It was a thyroid, big goiter, tons of opportunity for blood loss. And to be honest with you, I was completely wiped out, fatigued. In fact, I actually took
a nap before the surgery while Dr. Nazarian was
finishing the case before. And I knew this was
gonna be a bloody case. This lady had hyperthyroidism. She essentially, what we
thought, had Graves disease, which is a disease in which the thyroid has gotten really, really large, it’s got tons of blood
vessels going to it, and the treatment really is either to ablate the thyroid
surgically by removing it, or to use radioactive iodine, which was not available to her. (tense, dramatic music) I really had no energy left in me and I just knew I needed to pace myself to get through this surgery. (machinery beeping) It was like a sigh of relief. I mean, in a lot of ways, we had finally completed a few things. The mission was actually over, this surgery was over,
I could stop pretending and I could actually allow myself to feel as sick as I actually was. Just a lot of things kinda,
kinda came to this one point at the same time and it was
just like, (heavily exhales) we’re done. So as our mission has come to an end, we made so many friends. We’ve been forever changed by these once-in-a-lifetime
human interactions. We’ll never forget the flavor of India. The smiles, the spirit, and
the vastness of this country. We’ve worked as hard as we could
to help as many as we could and we leave knowing one thing, that when you have a
population of over 1.3 billion, the number of people we helped, it’s a drop in the bucket
compared to the number that probably need help. From a public health standpoint, one might say, what’s the point? And really, all this
effort, why even do it? I would just say, ask one
person who received assistance if they feel like it
was a waste of effort. We may not be able to change the world, but we can change someone’s world. (warm, uplifting orchestral music) (rhythmic, dramatic music) (gentle, swelling orchestral music) – There is no question that
this mission changed my life. – I really feel like
I’ll never be the same. – This was a great blessing for me. – They just really cemented
my desire to go into medicine and go to be a doctor. – All the experiences in that
one week that I was there, it made me look a lot
at the bigger picture. – I think one thing that people in America do take for granted and
kind of just expect it now is convenience, like,
convenience is a privilege and we’ve kind of just
expected it from everything. – We overindulge in everything in the US. It’s so over the top compared
to these places we go where people literally have nothing. – We have freedoms to express ourselves and be whoever we wanna
be in whatever situation. – We have education here. – You have the freedom to
study what you wanna study. – We have the opportunity to work. – Have the freedom to be who you wanna be. – We can speak up as females. – We have the freedom to interact with who you wanna interact. – Cars are available,
comfortable transportation, clean water, clean food
that we’re able to eat and not really even have to think about. – We don’t realize that a lot
of the world is struggling and that some of the things
that we take for granted are just not available,
so it’s easy to judge. – We shouldn’t take that for granted. We should really be blessed and thankful that we have the
opportunities we have here. – During the mission, we
just hit the ground running and everybody just did the
best that they possibly could with whatever came their
way, whatever it was. – Through all the adversity that we faced, the crew just did
wonderfully and did amicably, and it just was an amazing
feat to see and witness, and I’m really, really happy
that I was part of that. – My mom was asking me about
my experiences from the trip, and I told her, Mom, this
is honestly what I wanna do with the rest of my life. – It’s really cool being exposed to all these different surgeries. It’s very, very interesting. – Helping out during the surgeries has been absolutely
life-changing experience that I would not trade
for anything in the world. – I hoping that this
is not my last mission, that will be more missions
like that all around the world. And that I will bring
something to my home, to my people, and to my colleagues. – I felt like I had gone home and that I was actually
able to give back to people who made me who I am. – So happy to notice that the
whole mission was successful. – That’s a reward for a lifetime, and I don’t think I’ll ever
forget the people of India. – Think bigger, think
bigger than yourself, think bigger than your state, think bigger than your country. Being in India just
kind of opened the doors and helped me think, I’m a
nurse, but at this point, I’m a global nurse. I can be more and everyone can be more, and we don’t have to stay
in these little boxes. We actually can make a difference. – This was the best thing
that has ever happened to me, meeting these people at OHNI,
they really changed my life. Sorry. Just thank you.

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