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I GAVE A DOCTOR $30,000 DOLLARS! | Doctor Mike

I GAVE A DOCTOR $30,000 DOLLARS! | Doctor Mike

(upbeat music) – Some people are firm on the notion that social media is bad for society. Some say that it disconnects
us more than it connects us. They point to the increases
in depression and anxiety as reasons why it’s not
good for our mental health. But I wanna give you one
example where social media has had a fantastic impact on our society. In the midst of my social media fame, I started a foundation
called Limitless Tomorrow and my aim was to help other individuals and even companies who
aspire to do great things in this world to make
a change that affects all of us as humans. The startup funding for this foundation started through a unique collaboration between Coffee Meets Bagel,
a dating app, and myself. I ended up auctioning
a date off for charity and raised almost $100,000
for my new foundation. Now, a lot of people
have asked me questions, where did that money go? Where does it go now? This video highlights a prime example of a person set out to change the world in a positive way for us all. Meet Dr. Angelo Leto Barone. – Approximately 10 million
people overall in the world suffer from various ear
and nose deformities. At ReconstratA we have a dream. We imagine a world where we
can easily treat the severe facial deformities in an easy, reliable and cost-effective way. So basically thanks to Limitless Tomorrow, we were able to create a cookie cutter for ear and nose reconstruction. – Dr. Leto Barone, can you
tell us what your current position is and how you
figured out that you’re gonna go into your field of choice because we have a lot of
medical students watching. They’re trying to figure out what they wanna do with their lives. They’re curious to know about
all aspects of medicine, so how did you get into the
the field that you’re in now? – Absolutely, so I was
actually six years old and I saw this man go around
my town back home in Italy. He was going around, he had
a complete burn of his face. It was completely
disfigured and I was looking at this person and I saw that he had lost like a sense of self. So I just pulled my mom. I was like, who’s the
doctor who does that, who fixes that? She was like, you know,
being a physician herself– – Pretty impressive for a six-year-old. – Right. And she was like a plastic surgeon. I was like that’s what I wanna be. – But you have a unique journey
because you didn’t just go and do the specialty here
in the United States. You were born in Italy, right? – Correct. – Palermo’s your hometown. – Yep, where I went to medical school. – Nice. And how did you do that? Did you go through
medical school right away? What’s the training in Italy like? – So the training is you do
five years of high school and then it was very rigorous. And then you go straight
into medical school which is six year. – Which is different
than what we have here in the United States
because we do high school, university then medical school. – Correct. – And then in medical school, were you set in saying I’m gonna
specialize in plastic surgery? – I was set. Everyone kept saying you’re
gonna change your mind a thousand times. Didn’t happen. I had my mission and I stuck with it. And I went to the University
of Palermo Medical School then I was recruited to the residency with the program there. And then I decided that– – Now, was that a competitive process because here in the
United States, if you want a plastic surgery
residency, very difficult, you have to be at the top of your class. As you know, if you’re a foreign graduate, it’s very difficult to get a position in plastic surgery residency. So how is that in Italy? Does that compare? – It’s also very challenging. There is less spots and
also less people applying, but at the same time, you can only apply to one program at a time. – Wow. – So I applied to the only
program that I was interested in and you either match or don’t match, so it’s little bit more… – Scarier. – Yep, a little scarier. I did a lot of research through residency. A few years I was at
Harvard, the Mass General, and then I went back
home, finished residency and decided to come back and join the Johns Hopkins University program. – Interesting, so what kind of research did you do there while you were– – It was mostly teaching engineering and vascularized composite
allotransplantation which is– – That’s not complicated
at all, by the way, totally easy to say. – It’s a fancy word for face
and hand transplant research. So you know that these operations, besides being extremely challenging, they require a lot of immunosuppressants to make sure that the body
doesn’t reject the face from the cadaver who donated it. – Very impressive stuff. You’re working at Johns Hopkins. You’re a happy but very tired
plastic surgery resident and you wake up one morning
or you’re in the OR one day and you say I have an idea. Take me through that. – It was both in Italy
and the U.S. it started, mostly in Italy. We were doing a case and we
were basically having problems with the cartilage and lacking cartilage and I was thinking as
we were trying to treat this microtia case, so this
kid was born without an ear, and we were trying to carve
this ear out of rib cartilage, which is a cartilage that
comes from the rib cage, I realize that it was a process that was, that entailed a great
amount of detail and skill that probably most plastic
surgeons did not have, despite going receive your training, but it also required a very long surgery. And this is course
suboptimal for a patient who’s 10 years old and who has to undergo a 12 hour operation. So I was like, this is 2017
or 2015, whatever year it was, 2012, and we cannot do this,
we cannot have this operation last this long. So I thought what if
somebody made a cookie cutter that could allow us to
do this very quickly. – Do you like cookies, is that why you went to the cookie cutter? – I love cookies, I
like the Cookie Monster. – See, we never really
give cookies any benefit because we always blame
diabetes on cookies, all these issues, but look,
cookies can save the world and clearly they were a
motivating factor here. – Absolutely, just like
playing with Play-Doh. – Exactly. – There was really a humanitarian mission and purpose behind it. In the U.S., it’s easy to
perform such an operation with these incredibly talented surgeons and with the resources that we have, but there are resources for countries that cannot have either
access to plastic surgeons with that training or have the economical potential
to undergo the surgery. – Sure. – So we thought if we
make this cookie cutter, we could actually go to these countries and not only as a company
donate this device to those hospitals, but
also bring our own set of physicians and train them
to perform the operation without, basically giving them a fish, but basically teaching them how to fish. One of my students who was
actually writing papers with me and who was very
interested in plastic surgery, who holds a biomedical
engineer degree from MIT, told me one day, like, hey– – That’s not impressive. – Not impressive at all. Too bad he couldn’t be here today. So basically he was like,
do you have any ideas that we can actually bring to fruition because he had like a
month off and I thought, you know what, in Italy I
thought of this cookie cutter. We need to really bring it to life. And we designed it together and we started our Kickstarter campaign
which is actually how we got in touch with you, looking for funds. – Today’s a great day
because today’s the first day that I actually see your devise. – Yes, absolutely. – This magical device that can
change so many people’s lives and we have the device right here with us. This very beautiful project. Not only is it functional,
but it looks great, so that whole aspect is there from a plastic surgery standpoint. So tell us a little bit about it. – Absolutely, so this is
AuryzoN and was mostly funded through our Kickstarter
campaign as well as the Limitless Tomorrow’s funds that you graciously awarded us. So it’s basically modular components. You have a top cassette that
is basically customizable and then this would be anchored. There you go, super easy. And then you would
remove the base cassette. You would select the cassette that has– – There’s sizes here if you don’t see. – Right, so this is a small ear, which is a 48 millimeters, for example. – I have small ears. – And give this gives basically an idea of where the cartilage should
sit in order to be stamped appropriately with the blade. You would just press. And once you, boom, once you raise it, you have something that you
can suture together with wires. – Now how much time does
a process like this save from the actual sculpting,
because there are surgeons in the world that can do
it relatively quickly, but you could probably
count them on one hand. – Right, I was lucky enough
to actually go to Dr. Nagata’s clinic in Japan, he’s the
guru of ear reconstruction and one of the surgeons
who advanced the field. So currently the gold
standard of reconstruction is his technique, which
is what this allows to do super quick, so Nagata
can do this operation in about four, five hours. Most surgeons take up to 12 hours. And as you have mentioned before, one minute in the OR cost $82. So if you consider 12
hours of an operation of this kind, the cost
would be about $42, $45,000, you guys do the math. So this would allow it to carve everything at a very precise level
in a matter of seconds. – Excellent. – And then the assembling and then the– – Actual attachment. – The attachment to subcutaneous pocket would take probably like an hour or two. – And now the other techniques that exist, what’s the different between those and– – So there is another
technique that uses a polymer and a synthetic ear
framework and that is– – So it’s not human. – It’s not human. – It’s made out of different compounds that are not found within the body. – Correct, it’s basically
a biocompatible plastic. – Okay. – And you basically put
underneath the skin flaps and you create an ear. Unfortunately, there results
are not always optimal and not in everyone’s hands are optimal. And at the same time,
it’s still a foreign body, so it can give a lot of inflammation, it can give infections, it can stick out and we call that extrusion. And when it sticks out, usually the whole area gets infected. You can go back to square one
or even to a worse scenario. – Has there ever been a thought about using donor application cartilage, or maybe even animal cartilage? You know pig cartilage is used
all over in medical stuff. – Absolutely. So, pig cartilage or cadaver cartilage have a hurdle which is the
fact that pig cartilage is a xenotransplant, so it’s a transplant between two different
species and for that reason it will be rejected. So it cannot be used. So it would resorb and actually create, probably create an infection as well. At the same time, cadaver cartilage, which we use actually during
this kind of reconstruction, has been irrigated and the
cells are not going to– – They’re not quality. – Well they’re not going to
give an immunological response, so they’re not gonna be
attacked by your own body. So it is used, sometimes it resorbs a lot and often we did not get
enough of that in big pieces to really make the ear,
so we really need to get the patient’s own ribs. – Got it. What’s the next step? How are we gonna see this
in real-world application? How long does that take? – So as you can imagine,
it takes a long time because first it’s gonna… It will need to be tested
by skilled surgeons in a very controlled fashion, which is what we plan on
doing in my institution. It could be as quick as one or two years. It could take way longer. It really all depends
on the funding that we will be able to secure and then of course the reach that we can get through you and in general our institution. – And you. – And you guys. – So people wanna learn more
about the AuryzoN device, they wanna maybe even donate and help you achieve even more spectacular
results with the device, what do they do, where do they go? – So they can donate
definitely to our company. We are setting up a non-for-profit branch that will allow us to
finance both the device and the humanitarian
mission portion for it. – We wanna give a huge thank
you for having you here today. – Thank you for having me. – And all the amazing
work that you’re doing. And we wish you the
best of luck from myself and I’m sure everyone watching at home. – Thank you very much. (upbeat music)

  • Amazing, you are a great guy for using the reach you have with your subscribers to do something selfless instead of what a lot of YouTube stars stars do a lot of times is act selfishly. I really hope and pray that this will take off for you guys!

  • So not only does this amazing device save time and money for the people who need this operation but it also frees up 10 HOURS for surgeons to be able to attend other patients. This is amazing and you are both heroes (:

  • Not to be insulting just funny. If two alpha male metrosexuals meet in a room does it rip a hole in space and time? Lol

  • Thank God for engineers without whom the medical field would definitely not be where it is now. Biomedical engineering is super impressive, just look everywhere in the hospitals and clinics.

  • What about if the ear was grown in the person's arm and their rib cartilage was used; would that be just as effective as the cookie cutter idea? This was done recently on a solider from Texas.

  • I hope your foundation can help with low income ALS Patients one day. It's a terrible disease and so many do not have the funds to stay home. My best friend is in her 30's with 2 under age children and she is now having to consider moving into a facility because she does not have accommodations and certain things like transportation & housing have no funding. Plus insurance only covers so much. I help all I can and I've searched everywhere for some form of help, it just doesn't exist. Just something that weighs heavy on me. We live in a small rural area and that makes it hard as well. I love everything you do and you're an amazing soul!

  • Hey dr really good things you are telling to people of socity,I think you are a gift of GOD to miss your mom,sorry,she is not with you but she will be happy to see you happy.So,never feel sad,always be happy.

  • It's a shame this video only gets a tenth of your other videos. What an amazing doctor and amazing philanthropic work Dr. Mike. Thank you for all you do guys. ?

  • What an awesome idea! I hope it doesn't take too long to start using this and helping all the people who needs it.

  • Wow, Dr Mike, that’s awesome! Having suffered a burn injury as a child, I can personally attest to the life-changing work done by reconstructive plastic surgeons. It’s epic. Thank you for supporting this work.

  • So they're "stamping" cadaver tissue? Skin? If it's cartilage, where would you find a flap of cartilage of that size in one piece to stamp for the entire ear? I could understand strips of tissue, but I'm not understanding?

  • they have the same gesture and voice pitch like Ricky Dillon 😀 nice video though. Thanks for the knowledge.

  • Dr.mike we need more doctors and people in general like much positivity and so caring keep up the good work

  • Doctor mike, I changed my birth control from an IUD to a under the skin implant. I did not have my period for five years with the IUD. When I changed, my menstrual cycle went crazy, I got depressed, gain a ton of weight, My beasts swelled about two letters in bra size. Now I am taking a pill with it and my cycle and depression are a little more controlled and I am being able to live normally, but it feels impossible to lose weight. My doctor recommended vitamin E and I am taking 2000 mg/day. It helped with my breasts, but she told me to not stop taking it. is it correct?

  • Woah you were auctioning off dates with you and I missed this?! Unacceptable. You Rock Dr Mike such a caring person and so smart and adorable!! Seriously I missed it?

  • This is very informative presented by two handsome and charismatic gentlemen. I'm reminded of the episode of 60 Minutes where Ed Bradley interviewed Mia Angelou. You just knew they went out for coffee after the shoot. Grats on all your successes, Dr. Mike.

  • Save the world with cookies and play dhoo. Sounds like a brilliant plan. I really mean this with the best of heart.

  • Your an amazing doc and we really need more docs like that actually give a shizzzzz and not just in it to get that insurance claim in / or money? That's amazing that you could create that and it's nice to see that when you donate it actually does count and it actually does help people!!!! Thank you for your services doc even though i can't see you as a patient being as though I'm in Philly….

  • You should travel the states and see patients, like on a mobile doctor bus, like they have them "Minute Clinics on Wheels" . You really need to do that, and def stop in Philly in Manayunk/Roxborough first?

  • I love this video! I had a question for both of you, not sure if you will see it considering this video is 10 months old. Anyway, I am 33yrs old with klippel-feil syndrom, was born without my left ear. I had reconstructive surgery when I was about 5. They used my own rib, but for me it turned to bone. How is what you're doing different? I guess…how do you keep the graph from hardening into bone… it was always something that I was teased about, and even at the age of 33 there are still people who make pretty rude comments about my ear. ?‍♀️

  • Please, do more videos like this, even though it didn't get tons of views, compared to your usual numbers. Thank you, Mike.

  • This is such an amazing story Dr. Mike! Keep doing what you’re doing Dr. Mike! Love viewing and hearing of such work being done. ❤️

  • I read comments on lots of youtubers and report the negative comments that is bringing eather one of the other people commenting or toward the youtuber. It amazes me I see no negative comments

  • i want to be like you once i’m older. i heavily look up to you— even though i’m only mid-way through junior high.

  • As a machinist / mechanical engineer I’m freaking out over this product. I LOVE doing prototyping work.. I would loose my mind if I got to do a job like this.

  • Is this money his or from his charity pool? He really needs to update his charity site – with its legal structure, signatures, and a transparent annual report

  • The doctor is so well mannered. They both are. While they're doing something so important. Even as they talk, they're never interrupting the other. Good listeners ✔️ awesome interview❤

  • There are both pros and cons of social media. So far, it has been more negative and this negativity has gone much further in the direction of destruction, than of helping. Sorry, Dr. Mike. Trust me, even you, in the future will experience this. You just haven't experienced it yet.

  • Beautiful initiative. If the world had more doctors like you, it would be wonderful ! It is a praiseworthy and admirable profession. It is an act of love for one's neighbor. Congratulations, Doctor Mike! ! I'm loving your videos. Hugs and kisses from Brazil. ?? ??

  • This is so awesome! I love seeing these advances in technology and medicine. He literally looks like my old psychiatrist down to a T!

  • Your face is so similar to the actor of the film confessionism of a shoppaholic, the man that felt in love with the protagonist. Really you are so similar

  • Just found this and I’ve been watching your videos lately. I’m an NP student and my daughter has aural atresia and microtia. Thank you for helping get this off the ground and for Dr. Angelo Leto-Barone. My daughter has undergone hearing restoration (once with four revisions) but hasn’t been able to get her microtia repaired yet as we were denied due to my husband’s Active Duty medical insurance here in the US. I just want to say that this is huge for people, especially kids. She has been bullied her entire life because of her ear and just wants to wear her hair up and have earrings. Thank you so much Dr. Leto-Barone and Dr. Mike. I hope this works.

  • MIT and Harvard guys be like : I have ONE Month Off ,
    Let's create cookie cutter for sculpting ribcage bone to repair ear damage to help the 3rd world countries
    Me be like : I have 5 years off , let's eat chips and binge watch everything = get fat and then die

  • Dr. Mike : Thank you so much for investing in projects that helps humanity worldwide

    Also wud be nice to know the status of the project – if the cutter's already in use

  • Serious question: why is it called "plastic" surgeon when they work so heavily in grafting from your own body and not plastic?

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