00:00You have to go in. Basically, you don't need a plaster for this. It's seven millimeters across. I have mentioned
00:07this. So a seven millimeter cut basically feels like you just had blood taken from your arm. And so that's
00:13all it is.
00:13And so this replaces this procedure to do all kinds of things open because we can use minimally invasive equipment
00:23to do the thing. Keep reading and keep empowering yourself with knowledge. I think if you read enough and you
00:35empower yourself with enough knowledge, then you know what to do. And now like Pippin says, you have a lot
00:41of access to our chat GBT.
00:43But it's important to always not discount the fact that just because you don't have symptoms and you're young and
00:50everything is going to be good. So because there are increasing number of young patients that have no symptoms and
00:57still have issues. So don't be kind of loud into thinking that everything is going to be okay without being
01:04aware there are actually ways to screen some of these conditions that are probably yours.
01:11I think for me it would be just, you know, in this day and age, screening tests are so accessible.
01:18Everybody should know your numbers, right? If I ask you what your blood pressure is, what's your sugar level, what's
01:25your cholesterol, you know, you should be able to tell me that.
01:29It should be difficult for any adult, right? And if you don't know the number, then go find out the
01:34number because it's really very, very easy to do it now.
01:38So everyone needs to make use of just very, very low cost screening facilities, you know, waiting, right?
01:50And so there's constantly new technology coming up. We want to make procedures safer. We want to make the procedures
01:59more effective, right?
02:01And so whenever new technology comes onto the field, it has to be proven before it is recognized. And so
02:10when these things are recognized, they go into what we call guidelines.
02:13And, you know, a few of us will write these internal guidelines. But if you read it and it says
02:18that if you have this condition, it is best to treat with all these things, right?
02:23So, and it's constantly, but if you look at the trend over the last 20, 30 years, what is clear
02:28is that we do less, we want to do less open surgeries.
02:32We want to do more minimally invasive stuff. We want patients to stay in hospital less, right?
02:39And as a result of doing the surgery, the patient has to benefit.
02:44So when you sometimes read in the newspapers about new treatments that in a trial was proven,
02:49although the intentions were good, in a trial, it proved to have no benefit, right?
02:55And no benefit treatments are equally thrown away in cardiology very quickly.
03:00So if you have a treatment that turns out to be ineffective or no better than what it was in
03:05the past,
03:06we will all stop doing it, right?
03:09And so it's based on this proof of, you know, evidence that you have,
03:14and it dictates how we practice, right?
03:17So we are basically up to date with whatever that happens around the world.
03:22So at APC, if there's something happening around the world, you will have access to it,
03:27if it is effective, if it results in better patient outcomes.
03:33The other thing to add is nowadays when you look at clinical trials,
03:37I mean, now you have access to the internet and you read these trials.
03:40In the past, we oftentimes only look at very hard outcomes, like does this technology prolong life?
03:47Does this technology reduce the patient's, say, heart failure episodes?
03:53So very hard, distinct kind of outcomes.
03:55But these outcomes are, yes, they're important,
03:58but there's also an important aspect nowadays that involves the assessment of quality of life as well.
04:03So nowadays, most of these trials, if you read them carefully,
04:07there will be heart outcomes and there will also be patient-centered or patient-centric outcomes.
04:11So you're right, if asked whether these will be invasive technologies translate to these outcomes,
04:17and most of them will clearly show benefit.
04:21If they are being written guidelines,
04:22they will have oftentimes heart outcomes and also improvement in patient's quality of life.
04:28So nowadays, it's quite important that we actually listen to what patients want.
04:33That's the reason why these things have gone into the trials as well.
04:36Always collect patient quality outcomes as well.
04:40The heart.
04:40It can cross from the right heart to the left,
04:43and the next place this is clot then would go to would be the brain.
04:48And what we need to do is actually to try to identify these patients early,
04:52and then close this gap so that the chance of having clot again is reduced.
04:57So you can see here, when the clot travels to the brain...
05:18So you can see here, when the clot travels to the brain...
05:27So you can see here, when the clot ==
05:28...
05:32So you can see here, when the clot travels to the brain...
05:32So carefullydoes the brain...
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