
Professor Dr. Paul Sugarbaker MD, abdominal peritoneal metastatic cancer treatment expert, co-author of The Sugarbaker Procedure - Cytoreductive Surgery with Hyperthermic Intraperitoneal Chemotherapy CRS HIPEC, and Dr. Anton Titov MD PhD MBA / Exclusive interview
- Dr. Sugarbaker, this is an opportunity to talk not only about the Sugarbaker Procedure that you and your colleagues have developed and pioneered - but also about you - because I think it's very important. In modern age, the public starts to view medicine as a "technology play" - as a collection of gadgets, algorithms, beeping sounds and various technological developments. But we have to remember that it is humans who are dedicated to the lives of patients. They drive medicine forward - physicians, nurses, other health care professionals I think that your career and your life exemplifies this dedication. So I would like to ask you, What drives you in life? Maybe you can share a little bit about your upbringing, about your values and your dedication. What gets you going when the going gets tough? That's a difficult question - to try and figure yourself out. Why you do things? Why you don't do other things? My father was a surgical oncologist. And I used to operate with him when I was in medical school, even before I went to medical school. So in some respects I was brought up in the operating room. And I got a feeling for what was a really high quality surgical procedure, and what didn't turn out well during an operation. I began to develop a feeling for it. Somehow, when you start very young with some things, you get a perspective on things that you otherwise wouldn't have. So I got to credit my father, who was a really groundbreaking surgical oncologist trained at Memorial Hospital. My father was the founding member of the James Ewing society. [Now it is American Cancer Society] My father was definitely a guiding force in my life. My professor at Harvard Medical School, Dr. Francis Moore, used to have this saying: "The best way to care for a patient is to care for the patient". And that's really I think very true. If you are really concerned about this person, who's entrusted their life to you, If you are really concerned, then you give them absolutely the best result possible. And you do that one patient at a time. Then you are going to have a superior result of treatment. I think that "one patient at a time" concept is now not so popular. They would like us to see 20 patients in an afternoon.
- Especially in modern medicine!
- Yes, that's right! "One patient at a time" was a motto during classical days of surgery at Peter Bent Brigham Hospital in Boston. [Now Brigham & Women's Hospital] That's correct! So perhaps that has lingered on throughout my career. And now, being in the position that I am in, I have the luxury of still evaluating every patient extremely carefully prior to surgery. to make sure that my patients have a real good chance, a real good possibility to benefit from treatment, before we take them to the operating room for a procedure that could potentially cost them their life.
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