<p begin="00:00:02.308" end="00:00:05.058" style="s2">(sirens wailing)</p>
<p begin="00:00:08.005" end="00:00:10.338" style="s2">(sad music)</p>
<p begin="00:00:19.286" end="00:00:21.258" style="s2">- There are definitely,<br />some of the patients come in</p>
<p begin="00:00:21.258" end="00:00:22.578" style="s2">that they just really get to you.</p>
<p begin="00:00:22.578" end="00:00:25.314" style="s2">- So, it was Merry Christmas,<br />you have breast cancer.</p>
<p begin="00:00:25.314" end="00:00:27.147" style="s2">- And I get off the phone, and I'm like,</p>
<p begin="00:00:27.147" end="00:00:29.213" style="s2">she just thanked me for<br />telling me, for you know,</p>
<p begin="00:00:29.213" end="00:00:30.690" style="s2">me telling her that she had cancer.</p>
<p begin="00:00:30.690" end="00:00:32.514" style="s2">- And we kidded around,<br />and that's what I need.</p>
<p begin="00:00:32.514" end="00:00:34.454" style="s2">I need somebody that can say,</p>
<p begin="00:00:34.454" end="00:00:37.333" style="s2">yeah, you're gonna need a<br />good glass of wine tonight.</p>
<p begin="00:00:37.333" end="00:00:38.793" style="s2">- If I was not using ultrasound,</p>
<p begin="00:00:38.793" end="00:00:40.859" style="s2">she came in with her<br />mammograms and ultrasounds,</p>
<p begin="00:00:40.859" end="00:00:42.387" style="s2">I would look at them on the view box,</p>
<p begin="00:00:42.387" end="00:00:43.726" style="s2">say yeah, there's your tumor.</p>
<p begin="00:00:43.726" end="00:00:45.256" style="s2">But I can't feel anything,</p>
<p begin="00:00:45.256" end="00:00:47.751" style="s2">and the radiologist is<br />gonna stick a wire there,</p>
<p begin="00:00:47.751" end="00:00:49.582" style="s2">and we'll know for sure<br />that we got it out.</p>
<p begin="00:00:49.582" end="00:00:52.895" style="s2">- She just was very sure<br />of what was going on,</p>
<p begin="00:00:52.895" end="00:00:55.674" style="s2">and what was gonna happen to me.</p>
<p begin="00:00:55.674" end="00:00:57.924" style="s2">- Now what I can do is<br />scan them in the office,</p>
<p begin="00:00:57.924" end="00:01:00.203" style="s2">she's here with her husband,<br />they both see the pictures,</p>
<p begin="00:01:00.203" end="00:01:01.981" style="s2">they look exactly like the pictures</p>
<p begin="00:01:01.981" end="00:01:03.714" style="s2">that the radiologist took,</p>
<p begin="00:01:03.714" end="00:01:05.953" style="s2">and they know then that<br />I'm gonna take this</p>
<p begin="00:01:05.953" end="00:01:09.228" style="s2">to the operating room and actually remove</p>
<p begin="00:01:09.228" end="00:01:11.001" style="s2">what needs to be removed.</p>
<p begin="00:01:11.001" end="00:01:12.461" style="s2">- The milestones are<br />really important to me.</p>
<p begin="00:01:12.461" end="00:01:14.863" style="s2">Let's say we're at Tucker's graduation.</p>
<p begin="00:01:14.863" end="00:01:16.028" style="s2">- I love what I do.</p>
<p begin="00:01:16.028" end="00:01:18.377" style="s2">This is pretty much my life.</p>
<p begin="00:01:18.377" end="00:01:20.396" style="s2">- And like we were saying before,</p>
<p begin="00:01:20.396" end="00:01:22.405" style="s2">I guess I would just be really thankful</p>
<p begin="00:01:22.405" end="00:01:23.929" style="s2">I was born in this time.</p>
<p begin="00:01:23.929" end="00:01:26.124" style="s2">That we have doctors that do what they do,</p>
<p begin="00:01:26.124" end="00:01:28.183" style="s2">and we have medicine<br />that does what it does.</p>
<p begin="00:01:28.183" end="00:01:30.351" style="s2">- The fact that I don't have<br />to rely on a radiologist</p>
<p begin="00:01:30.351" end="00:01:33.500" style="s2">allows me to just do what I need to do</p>
<p begin="00:01:33.500" end="00:01:37.667" style="s2">and I think it allows me to<br />take better care of my patients.</p>
<p begin="00:01:40.799" end="00:01:44.966" style="s2">- I'd just be really<br />grateful that I'm still here.</p>
<p begin="00:01:47.976" end="00:01:50.142" style="s2">- And that gives me,<br />actually, a lot of strength</p>
<p begin="00:01:50.142" end="00:01:51.379" style="s2">and a lot of satisfaction.</p>
<p begin="00:01:51.379" end="00:01:53.031" style="s2">To see what they're able to go through.</p>
<p begin="00:01:53.031" end="00:01:55.433" style="s2">I'm not sure I could do that.</p>
<p begin="00:01:55.433" end="00:01:58.600" style="s2">(inspirational music)</p>

<p begin="00:00:08.821" end="00:00:10.922" style="s2">- [Voiceover] So basically<br />what we're doing initially</p>
<p begin="00:00:10.922" end="00:00:13.005" style="s2">is just putting numbing medication in.</p>
<p begin="00:00:13.005" end="00:00:14.989" style="s2">And so we'll numb up<br />the skin of the breast</p>
<p begin="00:00:14.989" end="00:00:18.787" style="s2">and then the underlying breast tissue.</p>
<p begin="00:00:18.787" end="00:00:19.951" style="s2">- Do you feel this?</p>
<p begin="00:00:19.951" end="00:00:20.850" style="s2">- [Patient] A little bit.</p>
<p begin="00:00:20.850" end="00:00:21.683" style="s2">- [Doctor] A little bit, yeah,</p>
<p begin="00:00:21.683" end="00:00:23.184" style="s2">this is on the other side of it.</p>
<p begin="00:00:23.184" end="00:00:24.134" style="s2">- [Patient] On and off.</p>
<p begin="00:00:24.134" end="00:00:25.147" style="s2">- Okay.</p>
<p begin="00:00:25.147" end="00:00:27.024" style="s2">If you look up on the screen,</p>
<p begin="00:00:27.024" end="00:00:28.680" style="s2">you can see the fibroadenoma to the right.</p>
<p begin="00:00:28.680" end="00:00:31.430" style="s2">And then the numbing medication's</p>
<p begin="00:00:33.573" end="00:00:36.859" style="s2">going all the way over to the back side.</p>
<p begin="00:00:36.859" end="00:00:38.692" style="s2">And then I'm gonna put<br />some up over the top,</p>
<p begin="00:00:38.692" end="00:00:40.910" style="s2">which does two things.</p>
<p begin="00:00:40.910" end="00:00:43.628" style="s2">One is it gives us some numbing up top,</p>
<p begin="00:00:43.628" end="00:00:45.975" style="s2">but the other is, see how<br />close this fibroadenoma</p>
<p begin="00:00:45.975" end="00:00:46.808" style="s2">is to her skin.</p>
<p begin="00:00:46.808" end="00:00:50.000" style="s2">Once we start the freezing,<br />we need to protect that skin.</p>
<p begin="00:00:50.000" end="00:00:51.695" style="s2">Otherwise, she's gonna<br />get frostbite, and then</p>
<p begin="00:00:51.695" end="00:00:55.559" style="s2">it sort of defeats the purpose<br />of a nice cosmetic procedure.</p>
<p begin="00:00:55.559" end="00:00:59.222" style="s2">So in putting some numbing<br />up here, it gives you</p>
<p begin="00:00:59.222" end="00:01:02.034" style="s2">the anesthetic effect, but it<br />also drops that fibroadenoma</p>
<p begin="00:01:02.034" end="00:01:05.856" style="s2">down and gives us a little room<br />for that ice to do its job.</p>
<p begin="00:01:05.856" end="00:01:07.797" style="s2">And then the last thing I'm<br />gonna do is put some numbing</p>
<p begin="00:01:07.797" end="00:01:12.593" style="s2">actually underneath it,<br />because it's not only close</p>
<p begin="00:01:12.593" end="00:01:16.195" style="s2">to the skin, but this line down here</p>
<p begin="00:01:16.195" end="00:01:18.931" style="s2">is her pectoralis muscle underneath.</p>
<p begin="00:01:18.931" end="00:01:21.571" style="s2">So sometimes as that ice freezes, it kinda</p>
<p begin="00:01:21.571" end="00:01:23.738" style="s2">gets real cold on the pec.</p>
<p begin="00:01:25.039" end="00:01:27.622" style="s2">So we'll put some numbing down.</p>
<p begin="00:01:29.025" end="00:01:33.742" style="s2">So you probably will feel<br />this a little bit more.</p>
<p begin="00:01:33.742" end="00:01:36.609" style="s2">This is actually a step<br />we don't always do.</p>
<p begin="00:01:36.609" end="00:01:41.405" style="s2">In fact, if I've done the core<br />biopsy, this is already done.</p>
<p begin="00:01:41.405" end="00:01:43.767" style="s2">It's pretty standard when<br />you do biopsies on things</p>
<p begin="00:01:43.767" end="00:01:46.017" style="s2">to leave a marker in place.</p>
<p begin="00:01:48.604" end="00:01:51.193" style="s2">And especially with this<br />procedure because eventually</p>
<p begin="00:01:51.193" end="00:01:54.876" style="s2">the goal is gonna be that<br />the fibroadenoma goes away.</p>
<p begin="00:01:54.876" end="00:01:58.615" style="s2">We want basically a record<br />on her subsequent mammograms</p>
<p begin="00:01:58.615" end="00:02:01.367" style="s2">and images where it was.</p>
<p begin="00:02:01.367" end="00:02:03.950" style="s2">Okay, go ahead and get started.</p>
<p begin="00:02:05.035" end="00:02:06.808" style="s2">So you're gonna hear a<br />lot of noises over here,</p>
<p begin="00:02:06.808" end="00:02:08.171" style="s2">and you're gonna hear the machine turn on,</p>
<p begin="00:02:08.171" end="00:02:11.200" style="s2">and then you're gonna hear this<br />kind of chug chugging noise.</p>
<p begin="00:02:11.200" end="00:02:12.033" style="s2">Go ahead.</p>
<p begin="00:02:13.642" end="00:02:15.751" style="s2">So what you'll see if you're<br />watching on the screen,</p>
<p begin="00:02:15.751" end="00:02:17.802" style="s2">you see the probe there,<br />and you see it starting</p>
<p begin="00:02:17.802" end="00:02:19.552" style="s2">to get black behind it.</p>
<p begin="00:02:19.552" end="00:02:20.922" style="s2">That's because the ultrasound waves</p>
<p begin="00:02:20.922" end="00:02:22.216" style="s2">can't go through the ice.</p>
<p begin="00:02:22.216" end="00:02:24.021" style="s2">You'll see that double<br />white line get higher</p>
<p begin="00:02:24.021" end="00:02:25.631" style="s2">and higher and higher.</p>
<p begin="00:02:25.631" end="00:02:29.798" style="s2">And that's just as it's starting<br />to engulf the whole thing.</p>
<p begin="00:02:34.463" end="00:02:35.977" style="s2">It sort of eclipses it.</p>
<p begin="00:02:35.977" end="00:02:37.713" style="s2">As you can see, you have<br />to have the probe centered</p>
<p begin="00:02:37.713" end="00:02:40.423" style="s2">directly in the middle of the lesion.</p>
<p begin="00:02:40.423" end="00:02:43.229" style="s2">This is not something you<br />can just do by palpation</p>
<p begin="00:02:43.229" end="00:02:44.826" style="s2">or just by feel.</p>
<p begin="00:02:44.826" end="00:02:47.024" style="s2">I think there's some<br />surgeons that probably work</p>
<p begin="00:02:47.024" end="00:02:49.628" style="s2">with radiologists and<br />maybe have the radiologist</p>
<p begin="00:02:49.628" end="00:02:50.961" style="s2">place the probe.</p>
<p begin="00:02:52.218" end="00:02:54.600" style="s2">I'm not sure why then the surgeon's</p>
<p begin="00:02:54.600" end="00:02:57.100" style="s2">actually treating the patient.</p>
<p begin="00:02:58.651" end="00:03:00.815" style="s2">So you absolutely have<br />to, you just can't do</p>
<p begin="00:03:00.815" end="00:03:03.648" style="s2">this procedure without ultrasound.</p>
<p begin="00:03:04.521" end="00:03:06.983" style="s2">But the image quality is,</p>
<p begin="00:03:06.983" end="00:03:10.097" style="s2">I mean you're not gonna<br />get much better than this.</p>
<p begin="00:03:10.097" end="00:03:11.500" style="s2">No matter how much pay for the system,</p>
<p begin="00:03:11.500" end="00:03:14.408" style="s2">no matter how much it weighs.</p>
<p begin="00:03:14.408" end="00:03:16.160" style="s2">And so when you consider<br />you're getting this incredible</p>
<p begin="00:03:16.160" end="00:03:19.382" style="s2">image quality and the functionality,</p>
<p begin="00:03:19.382" end="00:03:20.617" style="s2">or I can just pack this up and take it</p>
<p begin="00:03:20.617" end="00:03:22.481" style="s2">to the operating room, throw<br />it in the trunk of my car</p>
<p begin="00:03:22.481" end="00:03:25.542" style="s2">and not have to worry about it.</p>
<p begin="00:03:25.542" end="00:03:27.841" style="s2">You don't get that with any other system.</p>
<p begin="00:03:27.841" end="00:03:32.008" style="s2">And what they've been able<br />to do is not just keep pace</p>
<p begin="00:03:32.961" end="00:03:37.129" style="s2">with everybody else, but<br />really surpass everybody else.</p>
<p begin="00:03:37.129" end="00:03:40.390" style="s2">And everybody else is<br />trying to catch up to them.</p>
<p begin="00:03:40.390" end="00:03:42.880" style="s2">When I got my 180 Plus, they<br />were the only hand-carried</p>
<p begin="00:03:42.880" end="00:03:46.047" style="s2">ultrasound on the market back in 2002.</p>
<p begin="00:03:47.777" end="00:03:49.227" style="s2">Like I said, with each generation,</p>
<p begin="00:03:49.227" end="00:03:51.439" style="s2">it just gets better and better.</p>
<p begin="00:03:51.439" end="00:03:53.937" style="s2">And I don't know what<br />GE's customer support is</p>
<p begin="00:03:53.937" end="00:03:58.035" style="s2">or anybody else, but I'm not<br />necessarily willing to try.</p>
<p begin="00:03:58.035" end="00:03:59.593" style="s2">I mean, I've got a clinical specialist</p>
<p begin="00:03:59.593" end="00:04:01.994" style="s2">that I started with back in 2002.</p>
<p begin="00:04:01.994" end="00:04:04.526" style="s2">If I have a question, Jody's here.</p>
<p begin="00:04:04.526" end="00:04:08.934" style="s2">You're not gonna get that<br />with a lot of other companies.</p>
<p begin="00:04:08.934" end="00:04:11.614" style="s2">So, from all ends, it's<br />not only that they make</p>
<p begin="00:04:11.614" end="00:04:14.606" style="s2">what I think is a superior<br />product, but they have</p>
<p begin="00:04:14.606" end="00:04:17.817" style="s2">superior customer service too.</p>
<p begin="00:04:17.817" end="00:04:21.293" style="s2">I had the opportunity<br />about a year or so ago</p>
<p begin="00:04:21.293" end="00:04:25.525" style="s2">to go and actually, I'd<br />never taken the plant visit,</p>
<p begin="00:04:25.525" end="00:04:26.746" style="s2">the assembly line and everything,</p>
<p begin="00:04:26.746" end="00:04:29.688" style="s2">and watch how they drop<br />test these and everything.</p>
<p begin="00:04:29.688" end="00:04:32.617" style="s2">We get a little nervous<br />if we kinda slip with it,</p>
<p begin="00:04:32.617" end="00:04:36.784" style="s2">but they throw all of these<br />on the floor under force.</p>
<p begin="00:04:37.668" end="00:04:38.918" style="s2">You doing okay?</p>
<p begin="00:04:39.915" end="00:04:41.915" style="s2">Minute 12 seconds to go.</p>
<p begin="00:04:43.819" end="00:04:45.751" style="s2">And they warranty them.</p>
<p begin="00:04:45.751" end="00:04:47.780" style="s2">There's a five-year warranty on these</p>
<p begin="00:04:47.780" end="00:04:50.407" style="s2">that basically covers everything.</p>
<p begin="00:04:50.407" end="00:04:53.453" style="s2">You're not gonna get that<br />with too many other products.</p>
<p begin="00:04:53.453" end="00:04:54.819" style="s2">And not only do they replace it,</p>
<p begin="00:04:54.819" end="00:04:57.986" style="s2">they FedEx it to you the next morning.</p>
<p begin="00:04:59.292" end="00:05:00.953" style="s2">If there were any technical issues,</p>
<p begin="00:05:00.953" end="00:05:02.995" style="s2">we never had a technical<br />problem with the MicroMaxx,</p>
<p begin="00:05:02.995" end="00:05:05.191" style="s2">and we've not had one with our Turbo yet.</p>
<p begin="00:05:05.191" end="00:05:08.008" style="s2">But if there were, all I have<br />to do is make a phone call</p>
<p begin="00:05:08.008" end="00:05:10.513" style="s2">and I've got one the next morning.</p>
<p begin="00:05:10.513" end="00:05:12.121" style="s2">Because, again, I can't<br />practice without it.</p>
<p begin="00:05:12.121" end="00:05:13.788" style="s2">They recognize that.</p>
<p begin="00:05:15.695" end="00:05:17.230" style="s2">And if I really needed<br />it by that afternoon,</p>
<p begin="00:05:17.230" end="00:05:19.424" style="s2">they'd probably figure<br />out a way to do that too.</p>
<p begin="00:05:19.424" end="00:05:20.257" style="s2">How much?</p>
<p begin="00:05:20.257" end="00:05:21.090" style="s2">Okay.</p>