From: ██████████
Sent: Monday, May 21, 2012 8:31 PM
To: jeevacation@gmail.com
Subject: Re:

Good question

Not really

The medical space is so filled - it honestly doesn't feel like a space=for innovation. People talk a lot but the regulatory environment and inten=e competition for resources to support well established labs makes it hard=to make progress.

I enjoy spending time in the hospitals, learning about stuff. The case= have a beginning and an end (move on to the next one), the learning is ch=llenging. Using skills and making decisions where I am accountable is terr=fic. While there is always room for improvement and tons of input from fol=s all over the hospital - doctors largely make autonomous decisions where =here are real outcomes. Nothing fake or intangible. And it feels like a me=it-based place in the sense that the gossip and politics are secondary to =he patient care (and not the primary drivers of it). There is also no cult=of a supreme leader or head of state that makes emotional and often all ec=passing decisions (unless it is God). I like neurology and neurosurgery bo=h and I plan to continue to carve out a cool hybrid role that manages both=specifically with expertise in trauma and cerebrovascular pathology since =hat is where I have lots of training and experience.

There are a ton of really cool research questions that no one will fun=. I'm not sure even how to answer the questions but if they were provable,=they would be game changing. I've tried to get research grants but basical=y unless you are doing genomics or degenerative disease - there really isn=t much to qualify for. Setting up a lab is also a bogus operation since yo= don't really need all the space/people but the university needs that to k=ep funding flowing. So the "dean's tax" is a huge barrier too.

There is an offer on the table in the private sector at a big hospital=here called here they want me to run their vascular fell=wship and be a neurosurgical hospitalist (neurology + neurosurgery inpatie=t only, no clinic). But it is a real commitment and so bureaucratic/academ=c - not creative and a step in a direction that I am not keen to take.

-----Original Message-----
From: Jeffrey Epstein <jeevacation@gmail.com>
To: 
Sent: Mon, May 21, 2012 1:03 pm

Since you are i= the hospital doing surgery two or three times a night , for two weeks. , =sn't there something that is an offshoot of medicine that you are passsion=te about

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