ISPP 2015

Career Opportunities in Pharmacy

– My name is Ryan Osborne. I trained as a head and neck surgeon in South Central Los Angeles, managing the most complex
cancer and trauma patients in the country. I’ve operated across the globe in First and Third world countries. My experiences have taught me the value of flexible and innovative thinking. But I realized that our health care system doesn’t always allow for that. So I started Osborne
Head and Neck Institute. I made it my mission to find the best, most creative surgeons around and I gave them the space to excel. Together we create a new
standard of medicine. These are our stories. What made us decide to go
is we have a mission here at the institute and that
is to show excellence both locally, regionally
as well as internationally. And we felt that we had achieved our local and regional goals and it
was time for us to embark upon spreading our
influence internationally and we felt the best way to do it would be in the form of a medical mission. – From the time that we
got on the plane actually to the time that we arrived there the thing that was on my mind the most was that I had to bring
everything that I could possibly bring to make
this a positive experience for my team members and
especially for the patients. In my mind there wasn’t room for error. – Once we arrived in
Ethiopia it was overwhelming. – I just remember it was
like being in a movie. The whole crowd just
rushed the school bus. – I think roughly 900 to
1000 people at the hospital already lined up to be seen. – We would start the day around 5 a.m. – We would have probably over 100 patients already waiting by the
time we would get there. And we would see them in a clinic and really assess what were their needs, what was the problem that
had brought them there. There was a team that
was down in the clinic doing that every single day. – At the same time we
would simultaneously be prepping the operating
room for cases that we were going to do for that day. – So we would have
anywhere from one to two operating rooms going at any given time. – Our specialty really
requires that we have certain tools and
certain supplies in order to do what we do. And so going to another
country and not really being sure what was actually available or what was in working condition, it mandated that we be
prepared to bring everything. And that’s a challenging
and a daunting task. – The facility, the
hospital was a lot different than ours, things such
that we take for granted like suction and power
are not consistent there. – We experienced black outs,
equipment malfunctioning, equipment that didn’t work, so those were definitely some of the tougher
issues that we came across. – You’re just not familiar
with how things run. You don’t have all the tools
that you’re used to having. There’s different
standards for cleanliness and for what’s considered
disposable and what’s not. What are the cultural
expectations, how do you communicate with people? There was a lot of challenges. But I think that we had
such an engaged team on the Ethiopia side
as well as on our side that it really did run
smoothly despite all of that. – As far as any patients that stood out one of them that stood
out was a six year old boy born with microtia. He wanted to have a normal-looking ear. He wanted to be able to go to school and not be teased and so on. He was a long case, it
took about six hours to do this case and because
the anesthesia there is different than the anesthesia here and the medications used are different, it took him a long time to
wake up from anesthesia. We had him stay overnight
in the intensive care unit while he woke up. And the next day we went and
saw him and he was awake. It was one of those cases
where he was very grateful and I’m still in contact with parents. I’m very touched by the amount of love, by the amount of
gratefulness that I’m getting from the family and from him. He’s still healing but he’s
very happy and grateful and I’m very happy with the results. – I remember there was this one child that just kind of made me just pause. – He had a big parotid tumor and he came at the end of the day. I’m gonna have a hard
time telling you about it. We weren’t taking patients
at that point anymore but I was like, “Dr.
Osborne you have to see him. He’s young, and you have to see him.” – Just looking at this child’s face and looking at the deformity
that the tumor was causing it just made me feel like, we’ve gotta try to do something for this child. – He had cancer and … I’m sorry. – There were a lot of
things that kind of had a big impact on how we approach patients that we would never even consider here. – We couldn’t treat him. I wish I could tell you a
good story that we treated him but we couldn’t and it
wasn’t that we weren’t ready, we were ready but his
parents weren’t with him. He was under the care of an uncle and we needed permission from the parents to proceed with surgery,
it was a big surgery. And so unfortunately we
didn’t do that surgery. And that was it. – From a medical standpoint,
she’s probably a 13 year old girl who had some really
horrible ear infections. And they had happened to
her when she was so young that she’s basically been
deaf because of the infections in her ears since she
was probably age three. And because of that she
never developed language. So she’s unable to talk,
and she couldn’t hear and she was unable to really communicate because she hadn’t gotten the education in sign language as well. So looking at this beautiful young lady and she’s unable to
communicate with the world over a simple ear infection that we would’ve treated with an
antibiotic from the pediatrician for a couple of days. – And just to think of that
poor child, if it was your child and they have a medical
problem but there’s no experts there to take care of that medical problem was just amazing to try
to fix that solution while we were there. – There was one particular
case, it really wasn’t anything super complicated, it was just a tonsillectomy
on a little girl. – Before this surgery I
had actually sat with her and I was playing with her
and getting to know her just to calm her down before her surgery. – This girl had a complication waking up from anesthesia. – She was coding. – Her oxygen level was
dropping below normal. And at that point in time,
our team just converged on this little girl. All of us just ran to her side. And that’s when you really
saw the team come together. – Our anesthesiologist and
our team brought her back. – A lot of people thought this child was not going to make it. We did not give up. We fought and we battled
and we hung in there and we brought that girl back. – She was okay and she did great. – We’re not giving up,
we’re gonna keep going. This is like our child. And she came back, and I
have this photo in my head because someone took a picture, I didn’t even want to
put her on the gurney to roll her back I wanted to carry her and literally put her
back in her parents’ arms and we were able to do that. – That was someone that
definitely stuck out to me. She touched my heart, she
was a very sweet little girl. – We have everything here, we have all kinds of health
care clinics over here in the United States. But when you’re out there,
you want to help everybody and it’s very challenging
because you’re only one person. Yeah, we went as a group
but you wanna help everybody as much as you can, and you really can’t because you’re limited. – I think the most memorable
thing on this trip for me was the cohesiveness of us as a group how we worked together
to see so many patients and accomplish so many surgeries. – I think it was a chance
for us to all come together and kind of work with each other outside of the standard medical environment. And we had a chance to bond
and work with each other as a group outside the
country, helping patients that were in a lot of need. – To see how all these
people that we work with on a day-to-day basis here,
come out of their roles, out of their comfort zones,
really fill in the gaps where they were needed, unite as a team and really surgically take
care of over 50 patients in such a short time. Burning the candle from both
ends but never complaining. It was really a reinforcement
of why these people matter to us even here, it was the team. – We truly do help each other when needed. We all take on multiple roles. It’s not just each person
has an assigned task, we do all that we can
to help everybody with what they need to get done
to provide the best care for patients and the best outcomes. – We’re just getting
ready to operate on him. He has a sub-total perforation
in his right eardrum and we’re going to take him into the OR to have this repaired. – What touched me the
most was when Dr. Nazarian was able to bring back
that little boy’s hearing. He changed his life. – His mom and he, they were
both so grateful after. They welcomed us after with
cake and she was in tears after, she was just so grateful
that we helped her son. So that meant a lot. – Thank you for the team
and my special thank you goes to Nazarian. – Just the gratification
that you get from a smile, from a thank you, from
these patients that were pretty much hopeless, I think that sticks out the most for me. – It was just friendly interaction between the doctor and the family or patient and we’re just here to help and give you everything we have. And it was just this
sensation of why you wanted to be a doctor in the first place. I think that’s one of
the times that I felt it the most in my whole career so far. – The most rewarding thing for me was to get in touch with what made
me want to be a physician. You’re going to be perfectly fine. The tumor was completely removed. All your nerves are totally intact. And we’re happy with the results. – [Patient] I’m so happy too. – I never went into it for money, I didn’t go into it for
prestige or fame or recognition. I didn’t even go into it so I could say I was a doctor or wear this white coat. I went into it because
I wanted to help people and I actually was able to do that. – Just getting that opportunity to do something good was amazing. – The trip is life-changing
in the sense of perspective, it shows you that we
really are very blessed and privileged to be in
this country and to have all the things that we have that we take for granted everyday. When people talk about
not having things here, complaining, and then you
go somewhere like Ethiopia and you see actually
what not having much is, it just throws things in perspective. It helps you to focus on
the important things in life and not the small things
or the inconveniences. – The most memorable
thing for me on the trip was the day that we went to the orphanage. I think that was actually probably the best day of my life by far. – One of the things that
the kids really enjoy is playing soccer, but they
don’t really have goals, they kind of just put anything together, they can make that a goal. So what we did was we brought
goals with us over there. And we built them for them. And we decided to have a little match so it was team OHNI against the kids and let’s just say that they
walked away with a victory. But it was a close game,
and we shoulda won but- – It’s extremely
rewarding to be able to do something like this. It’s really why we go into medicine, this is the essence of it. It’s not to fill out paperwork or look at insurance
company cards and CPT codes. It’s to help people who need help. And at the bare, basic principle here, this was a group of people
that needed a service that we could provide. And they were grateful to have it and we were more than happy to provide it. It just doesn’t really
get any better than that.


  1. Ryan, Dr. Osborne, since I met you while still in Med. School, you have continued to show a level of care that is highly respected, not only by patients and friends but also your colleagues. You are a Blessing to this world and you and those like you make this a better world. Thank you. Hello to the kids and the wife. We loved the Christmas card.

  2. These are the people we should really consider them as a CELEBRITY. These are the one who should be invited to the Inauguration. I don't really know what to say but THANK YOU SO MUCH. You just made my day bright.

  3. I watched a video where Dr.Ryan Osborne and Dr. Jason Hamilton removed a large tumor from the face of a lady named Angie. They not only did a fantastic job but also found that the tumor was malignant which the cancer had spread to one of her lungs. They not just brought Angie from her depression but hopefully saved her life by discovering the cancer. These wonderful men did the surgery for free. If Angie had not had the surgery when she did the cancer would have spread and Angie may have lost her life. These precious men are hero's.

  4. Doc and team…you are all so blessed to be able to use your knowledge and experience to travel and help people who are in utter dire straits. Bless all of you. Keep up the inspirational work!

  5. Ethiopian people are very appreciative in general. It’s sad that so many gracious people live in squalor without basic medical advances.

  6. Respect for the Doctors, Nurses and all of the staff that are required for this incredible undertaking.. God Bless all of you!!!!!!.

  7. Wow these people really care i dont know it all but i feel like im able to see whats real from whats false these doctors are real

  8. Absolutely amazing… every time I watch  any of Dr. Osborne videos it restores a little more of my faith in humanity … Thank You

  9. In the world we live in there are corporations, businesses, people in different professions that care only about one thing, money. But then you come across people like this. People that really care about others. They do things from the goodness of their hearts. They are a gift from God. If only more people were like this, the world would be a better place.

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