Latest / Becker’s Healthcare Podcast / Dr. James C. Wittig on Integrative Cancer Care, Mind-Body Healing and AI Innovation
Transcript
- 0:02- There's a small circle of people who truly
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- 0:22- Becker's fourteenth annual CEO and CFO roundtable
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- 0:39- Join us November second through the fifth in
- 0:41- Chicago.
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- 0:49- upper right.
- 0:50- This is Scott Becker with the Beckers HealthCare
- 0:53- podcast.
- 0:54- Thrilled today to be joined by a brilliant
- 0:57- surgeon. We're joined today,
- 0:59- by doctor James Wittig. And doctor Wittig's an
- 1:02- orthopedic,
- 1:03- oncologist,
- 1:04- and sarcoma surgeon.
- 1:06- He's also an author, a speaker, and innovator.
- 1:09- He's trying to make a difference in health
- 1:11- care.
- 1:11- You do a lot of things, doctor Wittig.
- 1:14- Take a moment and tell us how you
- 1:16- frame yourself, how you think about yourself, your
- 1:18- introduction,
- 1:19- and then we'll talk about what you're watching,
- 1:21- what you're trying to accomplish, and a lot
- 1:22- more. And thank you so much for joining
- 1:24- us.
- 1:25- Oh, thank you very much, Scott. I really
- 1:27- appreciate being invited to the podcast.
- 1:30- Well, I'm doctor James Whittig. I'm an orthopedic
- 1:32- oncologist and sarcoma surgeon. And what that means
- 1:35- is for the majority of my career, I've
- 1:37- taken care of children and adults
- 1:39- with bone and soft tissue tumors and the
- 1:41- real, you know, the real specialized
- 1:44- feature of my practice is taking care
- 1:48- of children and adults with bone and soft
- 1:50- tissue sarcomas
- 1:52- and saving their limbs while helping to save
- 1:55- their
- 1:56- lives. So that's been the the major part
- 1:59- of my career
- 2:00- but I've gotten, more,
- 2:02- very much interested over the years in a
- 2:05- holistic approach to cancer patients
- 2:08- and including integrative medical aspects of it,
- 2:12- revolving around
- 2:14- the brain, the body, the soul, and the
- 2:16- spiritual.
- 2:18- Still more recently, I founded a
- 2:21- company called Mandala Medical Group as a way
- 2:23- to extend my work beyond the operating room,
- 2:25- and it's become a platform for me for
- 2:28- education,
- 2:29- innovation, wellness, coaching,
- 2:31- and helping patients, families, and clinicians understand complex
- 2:35- cancer care while exploring some new approaches to
- 2:37- healing.
- 2:38- And it's with that emphasis on brain, body,
- 2:41- soul, spirit
- 2:42- that we're we're working on.
- 2:45- Thank you. And talk a little bit about
- 2:46- how you came to that.
- 2:48- How this came to be sort of the
- 2:50- where you evolved to how this became sort
- 2:52- of your core focus, this holistic approach,
- 2:55- thinking about this differently. And and and talk
- 2:57- a bit about that, how you evolved or
- 2:59- came to this.
- 3:00- Well, I personally
- 3:02- always had a fascination
- 3:04- with the brain
- 3:06- and how the brain can influence your health.
- 3:10- The brain controls,
- 3:11- the body. I always had a fascination with
- 3:14- hypnosis and neurofeedback.
- 3:16- And, you know, there's,
- 3:18- when we do studies on different types of
- 3:21- drugs to see if they work, we do
- 3:23- randomized controlled trials often with a placebo. Right?
- 3:26- And a patient can get a placebo
- 3:29- and,
- 3:30- you know, maybe you give the placebo to
- 3:31- a 100 patients and a 100 other patients
- 3:33- get the pill.
- 3:35- And still 30 or 40 patients out of
- 3:37- the 100 will respond to the placebo,
- 3:39- showing you that there's a tremendous effect that
- 3:41- the brain can have on the body. So
- 3:43- that's always been a big interest of mine.
- 3:46- As well as just, like, figuring out, like,
- 3:48- why are people developing cancer? What are all
- 3:51- the the basic root causes
- 3:53- of cancer? Looking at a functional approach
- 3:56- to patients' health
- 3:58- as well as how it how to optimize
- 4:00- it.
- 4:01- When I've been taking care of the cancer
- 4:02- patients, you know, I did
- 4:05- I felt like I achieved a lot with
- 4:07- surgery. I did very sophisticated
- 4:09- surgery,
- 4:10- but I thought that there was more there
- 4:12- that I needed to offer the patients right
- 4:14- there. They come in, they're diagnosed with a
- 4:17- with a rare type of cancer when they
- 4:19- come to see me
- 4:21- and instantaneously
- 4:23- they're traumatized. That's true. That's trauma
- 4:27- on top of whatever pre existing trauma that
- 4:29- they have.
- 4:30- And I really felt like there were different
- 4:32- things that we could do to optimize
- 4:36- the
- 4:36- the global function of their body and the
- 4:38- global function of the brain
- 4:41- that could, help them deal with the cancer
- 4:43- better, get through the treatments, and get through
- 4:46- recovery,
- 4:47- and lead to a better outcome.
- 4:48- And, so that's always been a desire of
- 4:50- mine, and I've had the opportunity to start
- 4:53- to develop it over the last year.
- 4:56- That that's amazing. And and talk a little
- 4:58- bit about this this mind body, which is
- 5:00- so important to
- 5:02- to health. It is not just taking care
- 5:05- of the fracture, taking care of the the
- 5:07- cancer, which is so, so important,
- 5:10- but that mind body connection. Talk a little
- 5:12- bit about how important that is. You mentioned
- 5:14- that some when you talk about even the
- 5:16- placebo effect of people feeling that because they
- 5:18- feel like they're being taken care of. How
- 5:20- important is that feeling of being taken care
- 5:22- of emotionally
- 5:24- to go with great technical care?
- 5:26- Well, you know, first, you have to understand,
- 5:28- right, that the that the brain, there's different
- 5:31- emotions that you experience. Right? And there is
- 5:34- the emotions of despair, depression,
- 5:37- anxiety.
- 5:38- Those types of emotions,
- 5:41- stimulate release of different chemicals in your body,
- 5:43- different hormones,
- 5:45- right, that have negative effects on the body.
- 5:48- And then there's the emotions of happiness and
- 5:51- joy and love.
- 5:53- Right? Those type of emotions,
- 5:56- stimulate positive hormones, hormones that can lead to
- 5:59- healing, turn on different genes
- 6:01- that can,
- 6:03- improve your health. Right? So you imagine a
- 6:05- person
- 6:06- with cancer comes into you. Right? Or they're
- 6:09- they're diagnosed with cancer,
- 6:11- instantaneously,
- 6:12- those bad
- 6:13- actors get turned on. Bad emotions, bad actors.
- 6:17- Right? So what I always saw that was
- 6:19- extremely important
- 6:21- for me as the
- 6:22- doctor, the surgeon who's going
- 6:25- to lead them through this journey, not only
- 6:27- take care of them, but lead them through
- 6:28- it and guide them and be their coach,
- 6:31- right, their cheerleader
- 6:32- is the first thing that I have to
- 6:33- do is make sure that they know that
- 6:36- there's hope, establish hope.
- 6:39- And that, I think, is one of the
- 6:40- first keys to developing your relationship with the
- 6:44- patient. And they need to know that you
- 6:46- are on their side and you're there to
- 6:49- to to get them better whatever way you
- 6:51- can
- 6:52- and also to improve the quality of their
- 6:53- lives no matter what they're gonna go through.
- 6:56- Yeah. I'm gonna give you a name,
- 6:59- and I want you, doctor Wittig, to give
- 7:01- me your first response to that name. You
- 7:04- you'll let me know if you're up for
- 7:05- the challenge.
- 7:07- Sure. Sure. Give me it. Okay. So here
- 7:09- is the name I'm gonna give you. It
- 7:11- is PJ Caruissimo.
- 7:15- Yes.
- 7:17- Well, he certainly knows how to establish hope.
- 7:20- Right? So,
- 7:22- PJ, do we know each other from college
- 7:24- by any chance? So No. But I did
- 7:27- see that you're a Seton Hall guy.
- 7:29- That's where that comes from.
- 7:32- So,
- 7:33- yeah. So, PJ, you know, when I was
- 7:36- in college, he was the coach of the
- 7:38- basketball team
- 7:40- and Sean Paul had not done very well
- 7:42- for many years. And he brought them to
- 7:44- the final four,
- 7:46- which was just, I mean, the the hope
- 7:48- that he established and you know just right
- 7:51- after that you know Seaton Hall took off
- 7:53- it became less of a commuter school and
- 7:55- more of a school where people wanted to
- 7:58- travel from a far distance and and come
- 8:01- to so you really did some,
- 8:04- remarkable things for the entire school just by
- 8:07- leading that basketball team.
- 8:10- Great joy, great excitement, great emotion, and and
- 8:12- so much can be done by an innovator,
- 8:14- somebody who's a catalyst to push us forward.
- 8:17- I mean, really remarkable.
- 8:19- Yeah. Yeah. Yeah. Amazing.
- 8:21- And and talk about doctor Wittig. I'll take
- 8:23- you back to this discussion.
- 8:24- Where are you most focused and excited this
- 8:26- next six months, this next year you founded?
- 8:28- You had this fantastic career
- 8:31- leading health systems
- 8:33- as a chairman of orthopedics, chairman of orthopedic
- 8:35- oncology. I mean, you've had this great, great
- 8:37- career.
- 8:38- Talk about your excitement now and where are
- 8:40- you most focused, you know, currently and excited.
- 8:43- Well, I'm I'm very, very excited about building
- 8:46- different models of integrative cancer care and combining
- 8:49- surgical precision with functional medicine
- 8:52- and the various wellness practices
- 8:54- and, in particular,
- 8:56- neurofeedback and that brain body communication
- 8:59- and,
- 9:00- incorporating things like,
- 9:02- you know, meditation, hypnosis,
- 9:05- neurofeedback,
- 9:06- all those things that enable you to tap
- 9:08- into the subconscious
- 9:10- and
- 9:11- maintain or build some sense of happiness or
- 9:16- joy
- 9:16- despite these challenges that the patients are going
- 9:19- through.
- 9:20- I'm also very much interested in
- 9:24- developing
- 9:25- different aspects
- 9:27- of artificial intelligence, of AI, and helping patients
- 9:31- with that. And over the last year, I've
- 9:33- also built,
- 9:35- well, I I,
- 9:37- you know, I ventured into publishing a textbook
- 9:40- of a 111 orthopedic oncology cases that are
- 9:42- designed
- 9:44- to teach residents and medical students
- 9:47- about the different aspects of orthopedic oncology. So
- 9:49- I've been working on that for a year
- 9:50- and hope to get that published in the
- 9:52- next year.
- 9:54- That's remarkable. Teaching platform.
- 9:56- Yeah. I'm gonna stop you for the question
- 9:58- again real really quickly here, doctor Wittig, which
- 10:01- is we're at the spot where in the
- 10:02- nation,
- 10:03- there's a shortage of pediatrics.
- 10:06- There's a tremendous shortage of oncologists. There's 27,000
- 10:09- oncologists,
- 10:10- 2,000,000 new diagnosis a year,
- 10:13- and people could then frame that however they
- 10:15- want to. But most of the time, when
- 10:17- I come across oncologists
- 10:19- and specialists,
- 10:21- they're exhausted, they're burnt out, there there's too
- 10:24- much to do, there's information overload,
- 10:27- and to then bring the empathy and compassion
- 10:29- to the patient they bring. And it's just
- 10:31- your numbers thing.
- 10:33- And so when I see someone like you,
- 10:35- who is so enthusiastic
- 10:37- about new areas, new ways of approaching care,
- 10:41- I find that to be so refreshing
- 10:43- given the amount of sort of burnout there
- 10:45- is out there or not not I don't
- 10:47- blame
- 10:48- the physician at all. It's just the numbers
- 10:50- don't work. The number of oncologists
- 10:52- treating the amount of diagnosis we have and
- 10:56- the amount of subspecialists, we're just so short.
- 10:58- How do you what do you attribute your
- 11:00- energy level to and your enthusiasm and creativity
- 11:03- for? Because that is just a breath of
- 11:05- fresh air, doctor Wittig. Talk a little bit
- 11:07- about where that comes from and how you
- 11:09- can inspire others, because I think that is
- 11:11- just remarkable.
- 11:13- Well, I've always
- 11:14- found tremendous
- 11:16- fulfillment in taking care of patients
- 11:18- and having a very patient centric focus.
- 11:21- So I never consider myself to have ever
- 11:24- worked a day in my life. This has
- 11:26- always been my hobby because I've enjoyed it
- 11:28- so much.
- 11:30- And I think as a doctor or a
- 11:32- surgeon
- 11:32- or whatever your position is in the health
- 11:35- care field, right, you have to focus on
- 11:37- what brings you joy and fulfillment.
- 11:40- And I think for almost everybody, the reason
- 11:42- you go into medicine is you wanna take
- 11:43- care of other people and that's what you
- 11:45- gotta
- 11:46- focus on. And I'm very competitive with myself.
- 11:48- I'm not necessarily competitive with other people. I
- 11:50- always wanna do
- 11:52- do better for myself, which means taking care
- 11:55- of patients better and better in different ways.
- 11:58- Right? And always coming up with new ways
- 12:00- or innovative ways to take to take care
- 12:02- of them and help them. And you're right.
- 12:04- There is a tremendous amount of stress and
- 12:07- burnout going on
- 12:08- in the medical or health care field right
- 12:10- now. And I think one opportunity
- 12:12- that we have, because one of the things
- 12:15- leading to burnout is the tremendous administrative burden
- 12:19- that goes on with taking care of patients.
- 12:21- And we have to really,
- 12:24- I think, capitalize
- 12:26- on the use of AI driven technologies
- 12:29- to help minimize
- 12:31- those administrative burdens and enable us to take
- 12:34- sort of more,
- 12:35- efficient care of patients
- 12:38- and educate patients also and create better patient
- 12:42- engagement and overall satisfaction
- 12:45- by using these various new technologies that are
- 12:47- coming out.
- 12:49- Well, Doug, a 100%. I I wanna take
- 12:51- a moment and just thank you for joining
- 12:53- us
- 12:54- and thank you for what you're doing. I
- 12:55- I just love the perspective. I love the
- 12:58- energy.
- 12:59- It is so needed today. It's so hard
- 13:01- to find. And there are so many, like,
- 13:03- as as George Bush used to say, so
- 13:05- many thousand points of light. People trying to
- 13:07- make a difference. And and I and I
- 13:09- see you doing that, and I think it
- 13:10- just is, literally fantastic. And so so thank
- 13:13- you so much for what you're doing,
- 13:15- and for joining us today on the Becker's
- 13:17- Healthcare podcast.
- 13:19- Well, thank you very much. It's been my
- 13:21- pleasure to be on it. Thank you for
- 13:22- inviting me.