From: Jeffrey Epstein <jeevacationggmail.com>
To: Boris Nikolic
Subject: Fwd:
Date: Mon, 21 May 2012 20:36:15 +0000
so you can see the answer to my question.and a confirmation of her multiple surgeryies
Forwarded message
From:
Date: Mon, May 21, 2012 at 10:30 PM
Subject: Re:
To: jeevacation@gmail.com
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 intense 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 cases have a beginning and an end
(move on to the next one), the learning is challenging. Using skills and making decisions where I am
accountable is terrific. While there is always room for improvement and tons of input from folks all over
the hospital - doctors largely make autonomous decisions where there are real outcomes. Nothing
fake or intangible. And it feels like a merit-based place in the sense that the gossip and politics are
secondary to the 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 ecmpassing decisions (unless it is God). I
like neurology and neurosurgery both and I plan to continue to carve out a cool hybrid role that
manages both specifically with expertise in trauma and cerebrovascular pathology since that is where I
have lots of training and experience.
There are a ton of really cool research questions that no one will fund. 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 basically 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 you don't really need all the
space/people but the university needs that to keep 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 Swedish Hospital where
they want me to run their vascular fellowship and be a neurosurgical hospitalist (neurology +
neurosurgery inpatient only, no clinic). But it is a real commitment and so bureaucratic/academic - not
creative and a step in a direction that I am not keen to take.
Original Message
From: Jeffre E stein <jeevacation mail.com>
To: MD <
EFTA00935520
Sent Mon, May 21, 2012 1:03 pm
Since you are in the hospital doing surgery two or three times a night , for two weeks. , isn`t there something that is an
offshoot of medicine that you are passsionate about
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