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What It's Like To Be...

A Brain Surgeon

What It's Like To Be...

Dan Heath

Curiosity, Jobs, Careers, Business, Storytelling, Society & Culture, Human Interest

4.8646 Ratings

🗓️ 11 March 2025

⏱️ 41 minutes

🧾️ Download transcript

Summary

Zapping parts of the brain to know where to cut, operating a mouth-controlled microscope that's worth more than a house, and carrying the weight of life-or-death decisions with Dr. Alfredo Quiñones-Hinojosa, a brain surgeon at the Mayo Clinic. How do you preserve a mathematician's expertise when removing tumors? And how did he go from picking tomatoes to performing brain surgery? Dr. Q wrote about his remarkable journey to the operating room in the book, Becoming Dr. Q: My Journey from Migran...

Transcript

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0:00.0

How should I refer to you? What do you prefer?

0:02.6

You know, I can go for almost anything. My full name is Alfredo Quignonez Inocosa.

0:08.8

Some people can pronounce and some people cannot. And this is why people began to call me Dr. Q.

0:15.1

Dr. Q is a brain surgeon and chair of neurosurgery at the Mayo Clinic's Florida campus. He's got an

0:22.5

absolutely astonishing life story, which we'll get to later. But first, I want to zoom in on one

0:29.5

of his surgical days. He says his work begins long before he steps into the operating room.

0:36.1

So the moment someone sends me a picture about their scan,

0:39.9

their surgery begins to happen in my brain,

0:43.3

the potential complications, the potential dangers,

0:47.7

the issues that can become catastrophic.

0:51.7

On every surgery day, he follows a careful routine.

0:55.0

I like to come in early in the morning.

0:58.0

I like to review all the films, review my notes about the patient and family.

1:05.0

Most of Dr. Q's surgeries involve removing brain tumors, and in the morning, as he studies the images, he's mapping out

1:13.2

the challenges ahead. It's like when a boxer walks into the ring. It's when the lights are above

1:20.1

them. But the real training, the real fight happened in a dark room, in a dark gym day after day for many, many days before the surgery

1:30.6

months. In my case, it's many years of preparation. But that morning, when I'm looking at the

1:35.2

films, I am cementing all those years of training into one specific moment where I know exactly

1:43.5

what I need to do. And I have an idea about the potential

1:48.4

dangers and how to dance around those potential dangers.

2:05.7

I'm Dan Heath and this is what it's like to be.

2:10.3

In every episode, we walk in the shoes of someone from a different profession,

...

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