Latest / Voices of Otolaryngology / Hat Trick: Global Outreach, Research, and Clinical Care

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Hat Trick: Global Outreach, Research, and Clinical Care · Voices of Otolaryngology

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  Welcome to the Voices of Otolaryngology podcast series, where we spotlight
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  diverse perspectives and insights within the field of otolaryngology.
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  I'm your host, Rahul Shah.
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  Let's jump into it.
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  Welcome to Voices of Otolaryngology.
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  We are closing up the expo floor.
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  It's Monday,
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  October 13th in Indianapolis, and I'm meeting a new friend, Greg Basura.
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  That's right.
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  Gregor. Gregory.
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  Greg. Gregory, if I'm in trouble.
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  All right, Greg. I hope I’m not in trouble.
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  No. We just have gratitude for you today.
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  Really helping with our international work.
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  It's pretty awesome. Tell us a little bit about yourself.
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  So I'm currently a professor of Otology/Neurotology
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  at University of Pittsburgh. I just moved there a year ago.
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  I was on faculty, University of Michigan for 12 years and made a jump.
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  And have a year before that.
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  So before that I did fellowship in Michigan,
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  and then I did my residency at Carolina Cadet School in Seattle.
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  Cool.
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  So I'm a PhD and, currently,
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  in the Division of Otology/Neurotology and I share my time.
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  I basically have three full time hats clinical.
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  I have an NIH funded lab and R01 grant.
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  And then I have, I'm the current, lead for, global outreach in the department.
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  Wow. And you wear an academy hat..
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  I wear an academy hat.
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  I'm currently the humanitarian efforts committee chair for one more year.
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  I've.
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  I've had that, phenomenal post for the last three years,
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  and I've got one more year and I'll, I'll, chair Alex Ryan Belcher
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  from Vanderbilt will take over the reins, next fall in Los Angeles.
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  So we have a wellness zone back here.
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  You might be someone who needs that. You're doing so much work.
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  I gotta get you some massage, too.
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  I was hoping that, you know, maybe some of my academy dues could go towards that.
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  It sure does.
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  It sure does.
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  We take care of our people.
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  Most, most definitely.
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  So what was your a PhD in?
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  Anatomy and cell biology.
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  But it was, all neuroscience.
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  My thesis was in Parkinson's disease.
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  Oh, wow.
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  Looking at, alternative neurotransmitters
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  to, substitute
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  dopamine to reregulate a basal ganglia that gets dysfunction.
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  And that was at Seattle.
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  That was actually a Wayne State school of Medicine in Detroit.
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  It's terrific. Yeah. Very cool.
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  And you're not too far from that Otology/Neurotology.
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  What's your, Ro1 fund in?
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  So the R01 funding is so basically two things.
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  One is to objectify human tinnitus this using innovative brain imaging
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  using functional near infrared spectroscopy.
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  Basically that's. Whoa.
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  Go back. Hold on. I got the word objective.
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  Yeah, it's very important.
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  Hold on.
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  I think I got to say one more time to objectify- Objectify human tinnitus
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  in the human brain.
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  So we know that tinnitus or phantom sound
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  in the absence of a sound stimulus is a brain phenomena.
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  The brain is doing that. And so you want to image that.
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  And I'm trying to objectify a subjective problem
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  using a noninvasive brain imaging technique.
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  Yeah.
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  Called FNIRS or functional near
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  infrared spectroscopy, which is basically yeah, pulse oximetry for the brain.
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  We use hemoglobin concentration as a So you put something here. Yep.
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  EEGs style opto.
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  So it has infrared light into the brain.
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  And then I can measure hemoglobin concentration under different conditions
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  of stimuli. Incredible. What are you starting to see?
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  So we're starting to see phenomenal things.
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  So I was a basic scientist before that.
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  We used to say two neural correlates of tinnitus in our models.
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  One is increased spontaneous firing on the auditory pathway on its own.
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  This this increased spontaneous firing.
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  We found this.
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  It's called central gain, usually in response to hearing loss.
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  That byproducts of what we think people hear.
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  But then the second neural correlate is neural synchrony.
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  So misery loves company.
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  Neurons are not only firing spontaneously, they're firing together. Wow.
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  So in the human brain we never had a lunch.
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  So I had my hypothosis was that's happening in the human brain.
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  And lo
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  and behold, and the avatar of cortex I can measure when someone has tinnitus,
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  that their cortical function in silence is at a higher basal rate
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  than someone who doesn’t have tinnitus.
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  And so we're measuring that and we're doing some different things
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  was what's called somatosensory tinnitus which is, a different bird.
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  But it's people that have bad jaws or teeth, neck whiplash injury.
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  They can have tinnitus without hearing loss.
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  And because the somatosensory circuits feed into the brainstem auditory circuit.
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  So they can they can modulate their tinnitus
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  by moving their head and the tennis goes up or down.
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  So we're now we're we're objectifying that as well.
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  So the goal here is to find the key parts of the brain that are bearings
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  and then target that with some retroactive animal studies of living it,
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  neurophysiology, neuropharmacology and even some retraining,
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  devices to retrain the circuit.
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  I got a man. Give me five, I understand it.
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  What a great, great description.
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  That is super incredible, super incredible.
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  Exciting, really exciting and obviously clinically applicable.
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  So Doctor Basura that's amazing.
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  And I always love learning about our guests.
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  And congratulations, you are on the young side
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  to be a full professor and you've been granted funding.
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  That's that's phenomenal.
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  Congrats on that.
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  Thank you.
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  Your passion. One of them is humanitarian work.
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  Absolutely.
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  You've done an incredible amount of work.
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  Yeah.
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  Yeah.
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  How? Why? Tell me some stories.
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  Well I my first experience was with Brent Senior,
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  Brent Seniors is a rhinologist, he’s been going Vietnam for 15, 20 years.
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  And my first experience in global
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  biomedicine was with him going to View Nam.
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  Hanoi.
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  As a resident, as a chief resident at UNC.
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  So 2005?
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  No. This was 2009. No.
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  I graduated in ten.
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  So my fall of nine, going into my last year.
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  And what I learned from that experience was from him, is he been going there is.
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  So you graduate residency what year? 2010.
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  And you became a full professor when?
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  Just last year.
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  It's like one of the fastest pathways, man.
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  Oh, it's a nice time to tenure.
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  I love it at two amazing institutions, Michigan and Pitt. Wow.
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  Thank you.
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  Congrats.
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  It's incredible what I, What I appreciated with Brent's
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  work was the connections
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  he made with international partners and how they can learn from each other
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  and the contributions he could make and the things that he could
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  show them to expand their skill set and how they could manage patients.
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  So you start in Vietnam, Vietnam, and. Then right there.
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  Then I went to a fellowship, and I knew right away,
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  I'm going to be I'm going to build this.
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  This is to me part of my career.
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  And so when I graduated, fellowship started faculty in August of 2012.
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  At Michigan?
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  At Michigan, I jumped right into humanitarian work.
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  What do you mean, jumped in?
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  People always say how do I get involved in the academy?
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  So how did you jump in?
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  So first thing I did was there was a private group,
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  Kenya Relief, which is an organization that was going to Kenya.
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  Is really not affiliated an organization, an academic organization.
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  So I thought, okay, I'm going to go with them and see what that's all about.
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  So we went to Western Kenya. Small.
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  How did you find this group?
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  Oh, they they, one of their main, one of their main advocates
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  was a nurse of Michigan.
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  Oh fine, so your network?
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  it was right there.
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  So you had the bug? I Found it right there.
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  So you weren't looking for head and neck. You weren't looking for Otology.
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  You said, I'm going to do medical missionary. I mean, you a medical mission.
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  So you went to I went to Kenya.
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  We went out to the small,
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  clinic out in the middle of
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  Western Kenya, Migori, near Lake Victoria.
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  And that's more of a what we call a mission trip for.
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  We dropped in, we did cases.
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  So what we were really training people and then we leave.
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  And I really reflected on my experience and I thought okay that's phenomenal.
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  We're actually we're servicing and we're helping a needed community.
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  But I, I thought to myself, I want I want a true partnership.
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  I want what Brent Senior has. I want.
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  We all want what Brant Senior has.
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  Do you want to grow up to be Brent Senior?
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  Well, yes I do.
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  Yes, sir, I we love that guy.
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  Yeah. So so the idea was okay.
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  That's wonderful what they're doing.
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  But that's not exactly what I'm looking at. Okay. Sure.
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  So it turns out University of Michigan in obstetrics
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  and gynecology have been going to this place called Cath Hospital.
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  Buddy, you're an otolaryngologist. You're hanging out with OBs?
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  Well, well.
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  All right, so Vietnam, then. Kenya. Kenya.
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  But now you found Ghana?
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  No, no, no, I found Ghana, okay? In Kumasi.
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  The obstetrics department at in Michigan have been going to this hospital in
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  in Ghana for 30 years.
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  How did you find that out?
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  Just talk it out now.
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  Through my chairman and, One of my one of my faculty admission.
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  So you start again using your network. That's right. Using the network.
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  Absolutely.
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  So I went over there as, as, basically,
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  needs assessment and they had a residency there at Cath Hospital.
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  So two attendings training residents in an otolaryngology department.
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  Oh, cool. What they needed most was ear surgery.
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  So I'm a I'm a neurotologist. I'm an otologist.
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  And, like, perfect.
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  So we go over there, we build them a temporal bone lab.
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  We start giving.
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  I give their first temporal bone course- You mean built them a temporal?
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  You thought about it here, what you needed,
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  and you came there and set it up?
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  So we got some small funding from the department and matching funds from the.
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  Foot pedal drill. Microscopic drill.
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  You know, the little instruments they need?
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  Yeah, yeah, we went in there, built a two station temporal bone lab.
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  Amazing.
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  And we took a microscope into the O.R.
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  for that.
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  So our first week over there was.
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  Okay, let's let's do some temporal bone teaching.
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  Let's teach in the clinic on good
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  ear exams, and they will do some basic cases.
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  So that that lasted for three years.
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  Mastoid basic cases? Yeah.
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  And so that evolved over three years.
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  We were going twice a year.
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  And I realized after our third year that we weren't making the traction
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  or the, the.
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  Impact that you wanted? Correct.
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  And there are many reasons that probably go beyond our time here.
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  But what I realized was
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  I’m a fellowship training neurotologist
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  after five years of residency, I did two years of fellowship.
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  I would argue
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  that folks in the developing world, they need as much training as possible
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  because a lot of their residency training is is, you know, it's very cursory.
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  So I realize this after, you know, it's not taking hold in that model.
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  So we learned that model was not ideal to get them where they needed to be.
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  And we got to build fellowships.
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  So I started thinking, okay, there's only so many places in Africa
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  where they have the infrastructure and the
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  and that there are capable instructors to do this.
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  So I looked north, I looked into Egypt, I went to the University of Alexandria
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  to pitch the idea of a fellowship, and they loved it.
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  I wrote up, I wrote up the whole proposal I gave it to the university.
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  Done.
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  They got two professors there.
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  They're otology trained.
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  I identified the first fellow from northern Ghana.
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  I had partners that were going to come in.
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  I was going to be going out great.
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  And then the Pandemic blew the whole thing up.
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  So as the pandemic,
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  we emerged from the pandemic, most of the key players had moved away.
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  And so it actually had been dismantled.
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  It, so I called my old friend, I saw an old friend, Yohan Fagan,
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  University of Cape Town, South Africa.
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  Celebrated as a living legend. That's right.
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  Did you get to see that at the opening ceremony?
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  Absolutely.
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  And and let me just diverge in a minute and say, no one deserves that more than
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  Doctor Fagan. Incredible. It's just amazing.
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  We agree. We agree.
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  20 years of heading that fellowship.
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  So he had he had built the fellowship modeling app.
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  And and so I called him and said, Johan, we need to build you need to build it.
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  An otology fellowship. And
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  he's like, well, right.
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  We're actually we're about to launch it.
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  I said, are you kidding me?
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  And said, yeah, we're in communications with MED-EL.
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  They're going to fund it.
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  Tashneem Harris is she's the otology-fellowship
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  trained faculty on the ground.
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  And I said, Johan, I want to be involved! He said absolutely.
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  So Tashneem and I teamed up and our first fellow started in March of 2022.
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  And the fellowship is based where!
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  In Cape Town, South Africa at the University of Cape Town.
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  And it's a one year fellowship.
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  And who's it open to?
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  So it's open to only Africans.
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  Yeah.
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  Has to be an African physician with a gentleman or gentlewoman's agreement
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  that they're going to go back to their home country. Sure.
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  So we are now.
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  So it's a one year dedicated fellowship.
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  They - MED-EL pays the stipend.
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  They give ten cochliar implants free implants for their fellowship.
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  Tashneen trains them on a week to week basis
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  every Friday for the last nearly three, well three years now.
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  Over three, almost four years in March next year,
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  I do a Zoom lecture every Friday morning at five thirty, six thirty in the morning.
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  So we're on Zoom every Friday doing.
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  Lectures, and I kind of have a curriculum.
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  Who’s attending that lecture?
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  So the fellow,
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  the Cape Town residents and then and Brad Welling from Harvard has joined me.
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  And that's just a small group of us.
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  How many residents do they have?
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  Well, they're spread out.
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  So on the otology service, so maybe 1 or 2?
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  You're absolutely amazing.
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  Every other Friday or every Friday.
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  Every Friday, every Friday you're up at five in the morning, 530,
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  to give a lecture to two people. Absolutely.
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  Every Friday. That's amazing. Every Friday.
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  You know what pisses me off?
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  Some people like, oh, I want the auditorium filled.
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  I want 100 people.
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  You're doing this for two people that impact thousands of lives!
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  Absolutely. And what they do is it's bidirectional.
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  A course that they have questions! Absolutely.
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  “Dr Basrura, I did this this week...” Weekend or I'm
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  another current fellow she's at Greg, we have an interesting case.
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  Can we move moving on and then we'll go back and forth.
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  What a treat.
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  But then I have I have audiologists giving lectures, vestibular lectures - I have
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  and then the otology residents on the service.
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  They're required.
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  As I've started in Pittsburgh, the otology residents on service
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  have to give a lecture and then the fellow fellowship for our fellow.
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  They have to give two lectures per year.
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  So I've got - Have you ever thought about this.
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  The irony of what you wanted to do in Alexandria, Egypt, got interrupted
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  by the pandemic, but the pandemic has now facilitated global learning.
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  That ironic?
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  The cool thing about this is now we have a sustainable,
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  tried and true model for fellowship training in the low net income countries.
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  And the cool thing now is Amina Seguya, the current fellow from Uganga
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  So our first fellow from Zimbabwe, second from Ghana, third from Kenya,
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  current from Uganda.
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  She's going back in her home country.
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  And her home institution just gave her the green light to be the second
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  fellowship on the path to be the second, second fellowship center for otology.
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  Whoa whoa whoa.
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  She's going back to where to back to Uganda.
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  How did they give the green light, competence and all you have?
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  And plus one of Johan Sagan's old fellows is there, and he started a fellowship
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  and he'd already gone through the process to the academics.
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  So. Oh, so. They need you as you can. Oh.
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  So now the otology fellowship is following suit.
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  So now you'll have fellowship train ontologies.
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  They're starting a fellowship in Africa.
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  Then they must have the analog of our academy.
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  Is that what you're getting at? Somebody has to stand that's like that.
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  So great question. So now we take it one step further.
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  So I knew that fellowships would be popping up.
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  So as, almost two years ago, in November of 23, I bought a domain.
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  I started up the African Otological Society - a
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  once a month virtual society just started from scratch.
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  We just had our 20th meeting, two weeks ago with the idea.
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  And how many folks attended? There's about 50 on the call.
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  Oh my gosh.
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  And there's over 200 that are registered on our site.
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  Oh Lord!
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  And the goal of that is, is to one create capacity and community on the climate to.
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  So we now we know who's doing what.
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  So each year each - at each month,
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  a new country presents their otology and audiology capacity.
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  But you also understand what's going on at a macro level.
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  Absolutely.
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  But what I also wanted it to become is some kind of
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  umbrella society to start legitimizing fellowships.
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  So that's where it's going.
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  So now the charge I have on me is to push it to the next level.
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  And be some kind of standardizing body, which I'm working on that now because
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  the dangers of people doing training in some place and said,
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  oh, I did a fellowship. You have to be careful.
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  We want to make sure that the training is legitimate and standard.
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  That we're meeting, you know, metrics.
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  Like the name escaped me, and I want to acknowledge our colleague
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  who is the lead otologist in Cape Town, that.
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  Tashneem Harris.
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  Doctor Harris, Doctor Harris, Doctor Harris.
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  Well kudos to Doctor Harris for taking that plunge.
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  Yeah she's amazing.
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  This podcast is called “Voices of Otolaryngology.”
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  Maybe “Global Voices” or “Voices of Global Otolaryngology”.
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  We should edit it.
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  Yeah.
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  Talk to me about the incidence and prevalence
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  of ear disease on the African continent.
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  How does it differ? There's regional differences.
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  We know that across the world.
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  But just a little bit just to educate, our mostly domestic listeners.
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  Certainly. So so it's far and wide.
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  So the big issue when we talk about chronic otitis media,
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  usually it's it's either infectious or it's often caused by an underlying
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  cholesteatoma, which is a fancy word for skin in the wrong place.
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  And that we're still seeing that. Absolutely.
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  So you see a lot of chronic ear disease in those pharynx where either,
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  some parts of Africa, particularly in Ghana where I was, was more Congenital?
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  It was there's some congenital, but there's also acquired.
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  I’ve seen adults that’ve acquired ear disease when they get infection.
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  You still see TB.
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  So the other issue is in Africa, where in the States - How does that manifest?
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  So TB in the ear they can have tuberculosis in the ear.
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  So you can have draining ears.
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  It's still a basically infected by TB.
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  So what is this surgical algorithm for that?
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  I don't know. Yeah. It's usually not so much surgical.
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  So treat topically or with other types of has got.
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  So but you have to recognize it. Absolutely.
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  So ear disease is prevalent.
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  So there's different genetic forms of disease.
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  There's congenital disease.
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  But a lot of adults deal
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  with the sequelae from from pediatric disease and never got.
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  So they have perforated drum subtotal drum perforation.
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  You're going to get an acquired cholesteatoma ingrowth- Absolutely.
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  So a lot of this is aquired and the pathologists- They just live with it!
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  They do they do.
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  So in part some of the things they again
• 17:55
  is, is it's ironic to say this, but many of them have a subtotal perforation.
• 18:00
  But that's actually good because they exactly it's exterior.
• 18:02
  Right. Exactly.
• 18:03
  So they don't actually trap- Exactly. Yeah, exactly.
• 18:06
  And so because I've seen devastating cases where they've actually
• 18:10
  patients have succumbed to meningitis or brain abscess.
• 18:14
  So there's a whole spectrum of disease, which is why we call it chronic otitis
• 18:18
  media by.
• 18:19
  But the issue now is, is the implant,
• 18:22
  the implant companies funding the fellowship.
• 18:27
  But the goals of the eventually implant surgeons.
• 18:30
  But well we're using implant companies for is to train
• 18:33
  the cord become chronic ear surgery.
• 18:35
  So it's a wonderful way for private
• 18:38
  industry to partner in the educational opportunity.
• 18:42
  But were true. But we're actually actually.
• 18:45
  (inaudible) which is amazing.
• 18:46
  As implant technologies evolving so quickly.
• 18:49
  And there's wireless, there's phones.
• 18:52
  How you and I did implants and the maintenance of that
• 18:54
  is going to be very different ten years from now.
• 18:56
  So they can probably control one from California.
• 18:58
  Yeah. Absolutely.
• 18:59
  So so it's really exciting to see where this is going.
• 19:02
  And I think that I'm so excited to see.
• 19:05
  So what's amazing about like being here, the Academy and being involved
• 19:08
  with the mentoring efforts and a visiting scholar. Hold on.
• 19:11
  That's a pin. What does that.
• 19:12
  And so this pin is you want to show you the camera.
• 19:14
  And right here is the represents the Eugene Myers Global Education Fund.
• 19:18
  So I just saw Doctor Myers walk in the hallway. Yep.
• 19:21
  So 91 years old. And he still
• 19:25
  travels the world.
• 19:25
  So I can't say enough about what he's done.
• 19:28
  But this Pin represents a fund
• 19:31
  that was named after him based on his legacy of global outreach,
• 19:36
  so that our international partners in low and middle
• 19:40
  income countries get you have the capacity to come to academy.
• 19:44
  Have you see some of your colleagues from Africa that got the Gene Myers Fund?
• 19:48
  Absolutely. And they're here now.
• 19:49
  Is that like a circle? Absolutely.
• 19:51
  And they're actually on the African Otological Society calls.
• 19:54
  So it's really amazing. Awesome to connect.
• 19:56
  And then this week I've actually met
• 19:58
  some of my colleagues face to face for the first time
• 20:00
  that I've always seen on the screen.
• 20:01
  Did you meet one of your fellows here?
• 20:04
  Oh yeah.
• 20:04
  One of the fellows future fellow, our next fellows.
• 20:07
  It is our honor next to high five to that!
• 20:09
  Our next fellow.
• 20:10
  You actually met him here in Indianapolis? She's here.
• 20:13
  So she's here.
• 20:14
  She'll be starting in January, heading. All the lectures.
• 20:16
  And she goes home and she's ready is right.
• 20:18
  So do you go back and operate now or take your residence there?
• 20:23
  I don't think so.
• 20:23
  Because your programs evolved where you might go back to,
• 20:27
  help from a programmatic administrative view.
• 20:31
  Yeah. So.
• 20:31
  Well, I.so for Cape Town, I go twice a year, but I train the,
• 20:33
  I train the fellow in the temporal bone lab with advanced skull base.
• 20:37
  So I teach you more, I bring it on, I teach, and I do advanced
• 20:40
  neurotologic things because, yeah, you get a new tumor,
• 20:43
  but they may have to do advanced cholesteatoma.
• 20:45
  And you can look at some cases while you're there and help.
• 20:47
  So think about it. Absolutely.
• 20:48
  But the neat thing now is, my Chair, José Zevallos, is from yes, is Peruvian.
• 20:53
  So I just got back from Peru, Lima.
• 20:56
  So we are going to build the same platform.
• 20:58
  We just have at Cape Town in Lima.
• 21:01
  So that's the next plan for us is to take the same blueprint
• 21:06
  hybrid virtual, all these different things we have
• 21:08
  that's called the Brothers Brothers Foundation in Pittsburgh.
• 21:11
  They help distribute instruments.
• 21:13
  And they take that blueprint now,
• 21:16
  which is battle tested in Cape Town,
• 21:19
  and apply it to our next location so we can create
• 21:23
  long term partnership, increase their capacity, and then they can
• 21:27
  and they can enhance their training them and their ultimately their patient care.
• 21:32
  As we start wrapping up, let's get to the why
• 21:36
  not why you
• 21:37
  do it, but tell our audience why should they get involved?
• 21:40
  And how?
• 21:42
  it's always intimidating.
• 21:43
  It started from one guy who listened to an OR nurse who went to Kenya, who said,
• 21:48
  all right, and then you talk to the OBs You ended up in Ghana.
• 21:51
  I mean - It's a journey.
• 21:53
  I think it's a journey.
• 21:54
  I think that I think for me, you know, there's always been
• 21:58
  an overwhelming desire to contribute and contribute at a higher level.
• 22:02
  And I think that the I think what's so amazing about our field,
• 22:06
  and in otolaryngology is: I think it attracts people that want to contribute.
• 22:11
  I think it's a wonderful as you mentioned, we have such as amazing specialty,
• 22:16
  because I think it attracts people that want to give.
• 22:19
  And I think that so that I think that desire is already there.
• 22:23
  So what you need to do is how do you put it into action?
• 22:26
  And so I think this is where things like Humanitarian Efforts
• 22:28
  Committee is so important, where we have, our travel grant.
• 22:32
  Right. So these are the trainees.
• 22:33
  And what we do is we fund them an opportunity to go and have an experience.
• 22:38
  So we give them their real - many scientists, their first experience.
• 22:41
  And who are we funding with that?
• 22:43
  We're funding usually residents.
• 22:45
  US residents. Yes. Right.
• 22:46
  Oh I see to give them exposure? Absolutely.
• 22:48
  To get the “Basura bug.” Does anyone call it that?
• 22:52
  “Basura bug”?
• 22:53
  Well, you know, my last name means “garbage” in Spanish.
• 22:55
  Lo siento.
• 22:56
  But you're not Spanish, are you not? I'm not. Okay.
• 22:58
  And that'd be tied.
• 22:59
  So the “Basura bug.” That's right.
• 23:01
  Yeah, but it's so they.
• 23:03
  Can have their brand senior moment. Yeah.
• 23:05
  And awesome.
• 23:06
  It's - how many grants did you all give out?
• 23:09
  We had, let's see, we had eight I think this.
• 23:12
  Super cool. This. Yeah.
• 23:13
  And not all of them are going to convert over.
• 23:15
  But you're giving them an exposure.
• 23:17
  That's right. Absolutely.
• 23:18
  So the hope is I think when you ask like “how?”
• 23:21
  I think us, it's like we provide the opportunity.
• 23:24
  So we take that inherent curiosity to contribute and channel it and say,
• 23:30
  well here, here's an opportunity and then see where it takes us.
• 23:33
  And I think that
• 23:35
  That’s what we do.
• 23:35
  I think that's is if we continue to provide opportunities,
• 23:40
  we're going to have more and more people engaged.
• 23:42
  Building these lifelong journeys is lifelong partnerships as well.
• 23:45
  The I mean, the dividends are immeasurable.
• 23:48
  I cannot wait to repeat this with you in about nine months or years.
• 23:52
  See where you are.
• 23:52
  I'd love to hear the progress you're making.
• 23:54
  You're starting to scale it.
• 23:55
  You're starting to go to another continent.
• 23:57
  That's insane.
• 23:58
  And I want to keep up on your,
• 24:01
  R01 work because that's actually pretty exciting.
• 24:03
  And I love how you're you're tackling the big problems of of moving,
• 24:06
  and you're looking at the brain at a different level with the functional.
• 24:10
  I are.
• 24:10
  Absolutely right.
• 24:11
  Pleasure to meet you. Congratulations on all your work.
• 24:13
  Thank you. I made a new friend. Thank you! I appreciate it.
• 24:16
  Thank you.
• 24:17
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• 24:20
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• 24:24
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• 24:25
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• 24:27
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• 24:30
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• 24:34
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