{"version":"1.0.0","segments":[{"speaker":"Dr Gavin Nimon","startTime":27.441000000000003,"endTime":30.561,"body":"What if treating cancer wasn't"},{"speaker":"Dr Gavin Nimon","startTime":30.561,"endTime":27.441000000000003,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":27.441000000000003,"endTime":30.561,"body":"just about fighting disease, but about"},{"speaker":"Dr Gavin Nimon","startTime":30.561,"endTime":30.561,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":30.561,"endTime":34.191,"body":"precision, compassion, and the delicate"},{"speaker":"Dr Gavin Nimon","startTime":34.191,"endTime":30.561,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":30.561,"endTime":34.191,"body":"balance between science and humanity?"},{"speaker":"Dr Gavin Nimon","startTime":34.191,"endTime":34.701,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":34.701,"endTime":38.751000000000005,"body":"In this episode of Aussie Med Ed, we step"},{"speaker":"Dr Gavin Nimon","startTime":38.751000000000005,"endTime":34.701,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":34.701,"endTime":38.751000000000005,"body":"inside the world of radiation oncology."},{"speaker":"Dr Gavin Nimon","startTime":38.751000000000005,"endTime":39.021,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":39.021,"endTime":42.351,"body":"Where every beam of energy is"},{"speaker":"Dr Gavin Nimon","startTime":42.351,"endTime":39.021,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":39.021,"endTime":42.351,"body":"carefully calculated to destroy"},{"speaker":"Dr Gavin Nimon","startTime":42.351,"endTime":42.351,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":42.351,"endTime":45.561,"body":"cancer cells while preserving as"},{"speaker":"Dr Gavin Nimon","startTime":45.561,"endTime":42.351,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":42.351,"endTime":45.561,"body":"much healthy tissue as possible."},{"speaker":"Dr Gavin Nimon","startTime":45.561,"endTime":45.981,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":45.981,"endTime":49.731,"body":"It's a field that combines cutting edge"},{"speaker":"Dr Gavin Nimon","startTime":49.731,"endTime":45.981,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":45.981,"endTime":49.731,"body":"physics, advanced imaging, and human"},{"speaker":"Dr Gavin Nimon","startTime":49.731,"endTime":49.731,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":49.731,"endTime":53.911,"body":"empathy in equal measure, and few people"},{"speaker":"Dr Gavin Nimon","startTime":53.911,"endTime":49.731,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":49.731,"endTime":53.911,"body":"who body that balance better than Dr."},{"speaker":"Dr Gavin Nimon","startTime":53.911,"endTime":53.911,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":53.911,"endTime":57.384,"body":"Vincent Pow, a radiation oncologist"},{"speaker":"Dr Gavin Nimon","startTime":57.384,"endTime":53.911,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":53.911,"endTime":57.384,"body":"based in South Australia."},{"speaker":"Dr Gavin Nimon","startTime":57.384,"endTime":57.864000000000004,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":57.864000000000004,"endTime":61.914,"body":"Dr. Pow joins us to unpack what"},{"speaker":"Dr Gavin Nimon","startTime":61.914,"endTime":57.864000000000004,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":57.864000000000004,"endTime":61.914,"body":"radiation oncology really involves, how"},{"speaker":"Dr Gavin Nimon","startTime":61.914,"endTime":61.914,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":61.914,"endTime":65.814,"body":"treatment has evolved with technology"},{"speaker":"Dr Gavin Nimon","startTime":65.814,"endTime":61.914,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":61.914,"endTime":65.814,"body":"like IMRT and stereotactic therapy."},{"speaker":"Dr Gavin Nimon","startTime":65.814,"endTime":66.174,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":66.174,"endTime":70.07400000000001,"body":"And why communication and patient-centered"},{"speaker":"Dr Gavin Nimon","startTime":70.07400000000001,"endTime":66.174,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":66.174,"endTime":70.07400000000001,"body":"care remain at the heart of good medicine."},{"speaker":"Dr Gavin Nimon","startTime":70.07400000000001,"endTime":70.584,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":70.584,"endTime":73.79400000000001,"body":"We'll also explore how telemedicine"},{"speaker":"Dr Gavin Nimon","startTime":73.79400000000001,"endTime":70.584,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":70.584,"endTime":73.79400000000001,"body":"is transforming access to cancer"},{"speaker":"Dr Gavin Nimon","startTime":73.79400000000001,"endTime":73.79400000000001,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":73.79400000000001,"endTime":77.214,"body":"care for patients in rural and"},{"speaker":"Dr Gavin Nimon","startTime":77.214,"endTime":73.79400000000001,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":73.79400000000001,"endTime":77.214,"body":"remote regions, and where the future"},{"speaker":"Dr Gavin Nimon","startTime":77.214,"endTime":77.214,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":77.214,"endTime":78.684,"body":"of radiation oncology is heading."},{"speaker":"Dr Gavin Nimon","startTime":78.684,"endTime":79.104,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":79.104,"endTime":82.674,"body":"So whether you're a gp, a medical student,"},{"speaker":"Dr Gavin Nimon","startTime":82.674,"endTime":79.104,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":79.104,"endTime":82.674,"body":"or simply curious about how modern cancer"},{"speaker":"Dr Gavin Nimon","startTime":82.674,"endTime":82.674,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":82.674,"endTime":86.994,"body":"care works, this conversation with Dr."},{"speaker":"Dr Gavin Nimon","startTime":86.994,"endTime":82.674,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":82.674,"endTime":86.994,"body":"Vincent Pow will shine a light on the"},{"speaker":"Dr Gavin Nimon","startTime":86.994,"endTime":86.994,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":86.994,"endTime":91.28399999999999,"body":"precision, compassion, and innovation"},{"speaker":"Dr Gavin Nimon","startTime":91.28399999999999,"endTime":86.994,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":86.994,"endTime":91.28399999999999,"body":"driving today's radiation oncology."},{"speaker":"Dr Gavin Nimon","startTime":91.537,"endTime":92.987,"body":"Good day and"},{"speaker":"Dr Gavin Nimon","startTime":92.987,"endTime":91.537,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":91.537,"endTime":92.987,"body":"welcome to Aussie Med Ed."},{"speaker":"Dr Gavin Nimon","startTime":92.987,"endTime":93.187,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":93.187,"endTime":96.487,"body":"The Aussie style Medical podcast"},{"speaker":"Dr Gavin Nimon","startTime":96.487,"endTime":93.187,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":93.187,"endTime":96.487,"body":"a pragmatic and relaxed medical"},{"speaker":"Dr Gavin Nimon","startTime":96.487,"endTime":96.487,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":96.487,"endTime":99.937,"body":"podcast designed for medical students"},{"speaker":"Dr Gavin Nimon","startTime":99.937,"endTime":96.487,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":96.487,"endTime":99.937,"body":"and general practitioners where we"},{"speaker":"Dr Gavin Nimon","startTime":99.937,"endTime":99.937,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":99.937,"endTime":103.657,"body":"explore relevant and practical medical"},{"speaker":"Dr Gavin Nimon","startTime":103.657,"endTime":99.937,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":99.937,"endTime":103.657,"body":"topics with expert specialists."},{"speaker":"Dr Gavin Nimon","startTime":103.657,"endTime":103.848,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":103.848,"endTime":107.47800000000001,"body":"Hosted by myself, Gavin Nimon, an"},{"speaker":"Dr Gavin Nimon","startTime":107.47800000000001,"endTime":103.848,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":103.848,"endTime":107.47800000000001,"body":"orthopaedic surgeon, this podcast"},{"speaker":"Dr Gavin Nimon","startTime":107.47800000000001,"endTime":107.508,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":107.508,"endTime":110.19800000000001,"body":"provides insightful discussions"},{"speaker":"Dr Gavin Nimon","startTime":110.19800000000001,"endTime":107.508,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":107.508,"endTime":110.19800000000001,"body":"to enhance your clinical knowledge"},{"speaker":"Dr Gavin Nimon","startTime":110.19800000000001,"endTime":110.358,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":110.358,"endTime":112.018,"body":"without unnecessary jargon."},{"speaker":"Dr Gavin Nimon","startTime":112.018,"endTime":112.608,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":112.608,"endTime":115.248,"body":"I'd like to start the podcast by"},{"speaker":"Dr Gavin Nimon","startTime":115.248,"endTime":112.608,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":112.608,"endTime":115.248,"body":"acknowledging the Kaurna people as"},{"speaker":"Dr Gavin Nimon","startTime":115.248,"endTime":115.248,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":115.248,"endTime":118.168,"body":"the traditional custodians of the land"},{"speaker":"Dr Gavin Nimon","startTime":118.168,"endTime":115.248,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":115.248,"endTime":118.168,"body":"on which this podcast is produced."},{"speaker":"Dr Gavin Nimon","startTime":118.168,"endTime":118.538,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":118.538,"endTime":120.768,"body":"I'd like to pay my respects to the"},{"speaker":"Dr Gavin Nimon","startTime":120.768,"endTime":118.538,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":118.538,"endTime":120.768,"body":"elders, both past, present, and"},{"speaker":"Dr Gavin Nimon","startTime":120.768,"endTime":120.778,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":120.778,"endTime":124.738,"body":"emerging, and recognizing their ongoing"},{"speaker":"Dr Gavin Nimon","startTime":124.738,"endTime":120.778,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":120.778,"endTime":124.738,"body":"connection to land, waters, and culture."},{"speaker":"Dr Gavin Nimon","startTime":124.738,"endTime":124.738,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":124.738,"endTime":127.678,"body":"I'd like to remind you that all the"},{"speaker":"Dr Gavin Nimon","startTime":127.678,"endTime":124.738,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":124.738,"endTime":127.678,"body":"information presented today is just one"},{"speaker":"Dr Gavin Nimon","startTime":127.678,"endTime":127.678,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":127.678,"endTime":130.888,"body":"opinion, and there are numerous ways"},{"speaker":"Dr Gavin Nimon","startTime":130.888,"endTime":127.678,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":127.678,"endTime":130.888,"body":"of treating all medical conditions."},{"speaker":"Dr Gavin Nimon","startTime":130.888,"endTime":131.073,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":131.073,"endTime":133.858,"body":"It's just general advice and may vary"},{"speaker":"Dr Gavin Nimon","startTime":133.858,"endTime":131.073,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":131.073,"endTime":133.858,"body":"depending upon the region in which"},{"speaker":"Dr Gavin Nimon","startTime":133.858,"endTime":133.858,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":133.858,"endTime":135.298,"body":"you're practicing or being treated."},{"speaker":"Dr Gavin Nimon","startTime":135.298,"endTime":135.958,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":135.958,"endTime":138.928,"body":"The information may not be appropriate"},{"speaker":"Dr Gavin Nimon","startTime":138.928,"endTime":135.958,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":135.958,"endTime":138.928,"body":"for your situation or health condition."},{"speaker":"Dr Gavin Nimon","startTime":138.928,"endTime":138.973,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":138.973,"endTime":141.46300000000002,"body":"And you should always seek the"},{"speaker":"Dr Gavin Nimon","startTime":141.46300000000002,"endTime":138.973,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":138.973,"endTime":141.46300000000002,"body":"advice from your health professionals"},{"speaker":"Dr Gavin Nimon","startTime":141.46300000000002,"endTime":141.46300000000002,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":141.46300000000002,"endTime":142.453,"body":"in the area in which you live."},{"speaker":"Dr Gavin Nimon","startTime":142.453,"endTime":143.113,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":143.113,"endTime":145.423,"body":"Also, if you have any concerns"},{"speaker":"Dr Gavin Nimon","startTime":145.423,"endTime":143.113,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":143.113,"endTime":145.423,"body":"about the information raised today,"},{"speaker":"Dr Gavin Nimon","startTime":145.423,"endTime":145.84300000000002,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":145.84300000000002,"endTime":149.083,"body":"please speak to your GP or seek"},{"speaker":"Dr Gavin Nimon","startTime":149.083,"endTime":145.84300000000002,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":145.84300000000002,"endTime":149.083,"body":"assistance from health organizations"},{"speaker":"Dr Gavin Nimon","startTime":149.083,"endTime":149.233,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":149.233,"endTime":150.703,"body":"such as Lifeline in Australia."},{"speaker":"Dr Gavin Nimon","startTime":150.763,"endTime":152.573,"body":"Well, joining us"},{"speaker":"Dr Gavin Nimon","startTime":152.573,"endTime":150.763,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":150.763,"endTime":152.573,"body":"today is Dr. Vincent Pow."},{"speaker":"Dr Gavin Nimon","startTime":152.573,"endTime":152.63299999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":152.63299999999998,"endTime":156.01800000000003,"body":"He's an experienced and compassionate"},{"speaker":"Dr Gavin Nimon","startTime":156.01800000000003,"endTime":152.63299999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":152.63299999999998,"endTime":156.01800000000003,"body":"radiation oncologist who consults"},{"speaker":"Dr Gavin Nimon","startTime":156.01800000000003,"endTime":156.01800000000003,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":156.01800000000003,"endTime":157.81799999999998,"body":"across multiple icons, cancer centers."},{"speaker":"Dr Gavin Nimon","startTime":157.81799999999998,"endTime":158.118,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":158.118,"endTime":159.498,"body":"Located in South Australia."},{"speaker":"Dr Gavin Nimon","startTime":159.498,"endTime":160.00799999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":160.00799999999998,"endTime":163.63799999999998,"body":"He completed his medical degree at"},{"speaker":"Dr Gavin Nimon","startTime":163.63799999999998,"endTime":160.00799999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":160.00799999999998,"endTime":163.63799999999998,"body":"the University of Adelaide in 2012 and"},{"speaker":"Dr Gavin Nimon","startTime":163.63799999999998,"endTime":163.63799999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":163.63799999999998,"endTime":165.82799999999997,"body":"obtained specialist training in 2021."},{"speaker":"Dr Gavin Nimon","startTime":165.82799999999997,"endTime":166.248,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":166.248,"endTime":169.098,"body":"He currently serves as head of"},{"speaker":"Dr Gavin Nimon","startTime":169.098,"endTime":166.248,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":166.248,"endTime":169.098,"body":"radiation oncology at both the Royal"},{"speaker":"Dr Gavin Nimon","startTime":169.098,"endTime":169.098,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":169.098,"endTime":172.548,"body":"Adelaide Hospital and the Lyell McEwen"},{"speaker":"Dr Gavin Nimon","startTime":172.548,"endTime":169.098,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":169.098,"endTime":172.548,"body":"Hospital and chairs the Radiation"},{"speaker":"Dr Gavin Nimon","startTime":172.548,"endTime":172.548,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":172.548,"endTime":174.31799999999998,"body":"Oncology Quality and Safety Committee."},{"speaker":"Dr Gavin Nimon","startTime":174.31799999999998,"endTime":174.858,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":174.858,"endTime":178.248,"body":"His expertise spends a wide range"},{"speaker":"Dr Gavin Nimon","startTime":178.248,"endTime":174.858,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":174.858,"endTime":178.248,"body":"of solid tumor malignancies with"},{"speaker":"Dr Gavin Nimon","startTime":178.248,"endTime":178.248,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":178.248,"endTime":181.878,"body":"special interest in genito-urinary,"},{"speaker":"Dr Gavin Nimon","startTime":181.878,"endTime":178.248,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":178.248,"endTime":181.878,"body":"gynecological, gastrointestinal"},{"speaker":"Dr Gavin Nimon","startTime":181.878,"endTime":181.878,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":181.878,"endTime":185.628,"body":"skin, and prostate cancers, as well"},{"speaker":"Dr Gavin Nimon","startTime":185.628,"endTime":181.878,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":181.878,"endTime":185.628,"body":"as stereotactic radiation therapy."},{"speaker":"Dr Gavin Nimon","startTime":185.628,"endTime":186.123,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":186.123,"endTime":189.543,"body":"He's also an advocate for telemedicine,"},{"speaker":"Dr Gavin Nimon","startTime":189.543,"endTime":186.123,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":186.123,"endTime":189.543,"body":"helping bridge the gap in cancer care"},{"speaker":"Dr Gavin Nimon","startTime":189.543,"endTime":189.543,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":189.543,"endTime":191.46300000000002,"body":"for patients in rural and remote regions."},{"speaker":"Dr Gavin Nimon","startTime":191.46300000000002,"endTime":192.063,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":192.063,"endTime":193.223,"body":"Welcome, Dr. Vincent Pow."},{"speaker":"Dr Gavin Nimon","startTime":193.223,"endTime":193.473,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":193.473,"endTime":194.52300000000002,"body":"Welcome to Aussie Med Ed."},{"speaker":"Dr Gavin Nimon","startTime":194.52300000000002,"endTime":194.553,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":194.553,"endTime":196.053,"body":"Thank you very much for coming on board."},{"speaker":"Dr Vincent Pow","startTime":196.296,"endTime":197.346,"body":"Thank"},{"speaker":"Dr Vincent Pow","startTime":197.346,"endTime":196.296,"body":" "},{"speaker":"Dr Vincent Pow","startTime":196.296,"endTime":197.346,"body":"you for having me, Gavin."},{"speaker":"Dr Gavin Nimon","startTime":197.601,"endTime":199.07100000000003,"body":"Well, what"},{"speaker":"Dr Gavin Nimon","startTime":199.07100000000003,"endTime":197.601,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":197.601,"endTime":199.07100000000003,"body":"actually is radiotherapy?"},{"speaker":"Dr Gavin Nimon","startTime":199.07100000000003,"endTime":199.07100000000003,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":199.07100000000003,"endTime":200.25099999999998,"body":"What actually does it involve"},{"speaker":"Dr Vincent Pow","startTime":200.796,"endTime":204.30599999999998,"body":"So I think to put"},{"speaker":"Dr Vincent Pow","startTime":204.30599999999998,"endTime":200.796,"body":" "},{"speaker":"Dr Vincent Pow","startTime":200.796,"endTime":204.30599999999998,"body":"it as simple as possible, radiation"},{"speaker":"Dr Vincent Pow","startTime":204.30599999999998,"endTime":204.30599999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":204.30599999999998,"endTime":206.976,"body":"therapy is high energy x-ray."},{"speaker":"Dr Vincent Pow","startTime":206.976,"endTime":207.55599999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":207.55599999999998,"endTime":209.026,"body":"And it's the clinical use of that."},{"speaker":"Dr Vincent Pow","startTime":209.026,"endTime":209.32600000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":209.32600000000002,"endTime":213.586,"body":"So we use, has to be ionizing radiation."},{"speaker":"Dr Vincent Pow","startTime":213.586,"endTime":213.856,"body":" "},{"speaker":"Dr Vincent Pow","startTime":213.856,"endTime":217.666,"body":"I can explain the slight differences in,"},{"speaker":"Dr Vincent Pow","startTime":217.666,"endTime":213.856,"body":" "},{"speaker":"Dr Vincent Pow","startTime":213.856,"endTime":217.666,"body":"in the different types of radiation, but"},{"speaker":"Dr Vincent Pow","startTime":217.666,"endTime":217.666,"body":" "},{"speaker":"Dr Vincent Pow","startTime":217.666,"endTime":220.75600000000003,"body":"we use ionizing radiation clinically."},{"speaker":"Dr Vincent Pow","startTime":220.75600000000003,"endTime":220.846,"body":" "},{"speaker":"Dr Vincent Pow","startTime":220.846,"endTime":224.051,"body":"So not only to treat cancers, but"},{"speaker":"Dr Vincent Pow","startTime":224.051,"endTime":220.846,"body":" "},{"speaker":"Dr Vincent Pow","startTime":220.846,"endTime":224.051,"body":"some benign conditions as well."},{"speaker":"Dr Vincent Pow","startTime":224.051,"endTime":224.591,"body":" "},{"speaker":"Dr Vincent Pow","startTime":224.591,"endTime":226.029,"body":"So that's what is simply,"},{"speaker":"Dr Gavin Nimon","startTime":226.88600000000002,"endTime":227.39600000000002,"body":"Right."},{"speaker":"Dr Gavin Nimon","startTime":227.39600000000002,"endTime":227.76600000000002,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":227.76600000000002,"endTime":231.966,"body":"what is the difference between ionizing"},{"speaker":"Dr Gavin Nimon","startTime":231.966,"endTime":227.76600000000002,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":227.76600000000002,"endTime":231.966,"body":"radiation and non-ionizing radiation"},{"speaker":"Dr Vincent Pow","startTime":232.70100000000002,"endTime":236.401,"body":"So, ionizing"},{"speaker":"Dr Vincent Pow","startTime":236.401,"endTime":232.70100000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":232.70100000000002,"endTime":236.401,"body":"radiation essentially is on"},{"speaker":"Dr Vincent Pow","startTime":236.401,"endTime":236.401,"body":" "},{"speaker":"Dr Vincent Pow","startTime":236.401,"endTime":237.93400000000003,"body":"the electromagnetic spectrum."},{"speaker":"Dr Vincent Pow","startTime":237.93400000000003,"endTime":238.861,"body":" "},{"speaker":"Dr Vincent Pow","startTime":238.861,"endTime":244.231,"body":"on the top end of it, x-rays, gamma"},{"speaker":"Dr Vincent Pow","startTime":244.231,"endTime":238.861,"body":" "},{"speaker":"Dr Vincent Pow","startTime":238.861,"endTime":244.231,"body":"rays, and it has to, essentially,"},{"speaker":"Dr Vincent Pow","startTime":244.231,"endTime":244.231,"body":" "},{"speaker":"Dr Vincent Pow","startTime":244.231,"endTime":249.00099999999998,"body":"the energy of it has to kick off an"},{"speaker":"Dr Vincent Pow","startTime":249.00099999999998,"endTime":244.231,"body":" "},{"speaker":"Dr Vincent Pow","startTime":244.231,"endTime":249.00099999999998,"body":"electron and that does the damage."},{"speaker":"Dr Vincent Pow","startTime":249.00099999999998,"endTime":249.301,"body":" "},{"speaker":"Dr Vincent Pow","startTime":249.301,"endTime":254.841,"body":"So, common things like microwaves and"},{"speaker":"Dr Vincent Pow","startTime":254.841,"endTime":249.301,"body":" "},{"speaker":"Dr Vincent Pow","startTime":249.301,"endTime":254.841,"body":"your phones, they're all on the spectrum."},{"speaker":"Dr Vincent Pow","startTime":254.841,"endTime":254.94099999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":254.94099999999997,"endTime":255.961,"body":"But they."},{"speaker":"Dr Vincent Pow","startTime":255.961,"endTime":256.306,"body":" "},{"speaker":"Dr Vincent Pow","startTime":256.306,"endTime":260.366,"body":"They don't have enough energy or"},{"speaker":"Dr Vincent Pow","startTime":260.366,"endTime":256.306,"body":" "},{"speaker":"Dr Vincent Pow","startTime":256.306,"endTime":260.366,"body":"enough power to actually do damage."},{"speaker":"Dr Vincent Pow","startTime":260.366,"endTime":261.536,"body":" "},{"speaker":"Dr Vincent Pow","startTime":261.536,"endTime":261.626,"body":"So"},{"speaker":"Dr Vincent Pow","startTime":261.626,"endTime":261.626,"body":" "},{"speaker":"Dr Vincent Pow","startTime":261.626,"endTime":265.916,"body":"that's a common misconception about"},{"speaker":"Dr Vincent Pow","startTime":265.916,"endTime":261.626,"body":" "},{"speaker":"Dr Vincent Pow","startTime":261.626,"endTime":265.916,"body":"things like microwaves and, but"},{"speaker":"Dr Vincent Pow","startTime":265.916,"endTime":265.916,"body":" "},{"speaker":"Dr Vincent Pow","startTime":265.916,"endTime":269.936,"body":"as you push towards the higher end"},{"speaker":"Dr Vincent Pow","startTime":269.936,"endTime":265.916,"body":" "},{"speaker":"Dr Vincent Pow","startTime":265.916,"endTime":269.936,"body":"of the electromagnetic spectrum,"},{"speaker":"Dr Vincent Pow","startTime":269.936,"endTime":269.936,"body":" "},{"speaker":"Dr Vincent Pow","startTime":269.936,"endTime":272.546,"body":"then certainly that's what we want."},{"speaker":"Dr Vincent Pow","startTime":272.546,"endTime":272.606,"body":" "},{"speaker":"Dr Vincent Pow","startTime":272.606,"endTime":275.996,"body":"We actually want to do some"},{"speaker":"Dr Vincent Pow","startTime":275.996,"endTime":272.606,"body":" "},{"speaker":"Dr Vincent Pow","startTime":272.606,"endTime":275.996,"body":"damage killing cancer cells."},{"speaker":"Dr Gavin Nimon","startTime":278.021,"endTime":280.711,"body":"So is a light, a"},{"speaker":"Dr Gavin Nimon","startTime":280.711,"endTime":278.021,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":278.021,"endTime":280.711,"body":"form of electromagnetic radiation"},{"speaker":"Dr Vincent Pow","startTime":280.941,"endTime":283.076,"body":"Yeah, so"},{"speaker":"Dr Vincent Pow","startTime":283.076,"endTime":280.941,"body":" "},{"speaker":"Dr Vincent Pow","startTime":280.941,"endTime":283.076,"body":"light, it certainly is on."},{"speaker":"Dr Vincent Pow","startTime":283.076,"endTime":283.126,"body":" "},{"speaker":"Dr Vincent Pow","startTime":283.126,"endTime":288.046,"body":"And you know, ultra ultraviolet light is"},{"speaker":"Dr Vincent Pow","startTime":288.046,"endTime":283.126,"body":" "},{"speaker":"Dr Vincent Pow","startTime":283.126,"endTime":288.046,"body":"sort of in the middle of the spectrum and"},{"speaker":"Dr Vincent Pow","startTime":288.046,"endTime":288.046,"body":" "},{"speaker":"Dr Vincent Pow","startTime":288.046,"endTime":290.11600000000004,"body":"can do a little bit of damage obviously."},{"speaker":"Dr Vincent Pow","startTime":290.11600000000004,"endTime":290.396,"body":" "},{"speaker":"Dr Vincent Pow","startTime":290.396,"endTime":294.446,"body":"But we are on the, at the top end Yes."},{"speaker":"Dr Gavin Nimon","startTime":294.55600000000004,"endTime":294.846,"body":"Okay."},{"speaker":"Dr Gavin Nimon","startTime":294.846,"endTime":295.361,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":295.361,"endTime":296.921,"body":"And how does that actually"},{"speaker":"Dr Gavin Nimon","startTime":296.921,"endTime":295.361,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":295.361,"endTime":296.921,"body":"kill the cells then?"},{"speaker":"Dr Gavin Nimon","startTime":296.921,"endTime":296.921,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":296.921,"endTime":300.071,"body":"You me mentioned that pushes off"},{"speaker":"Dr Gavin Nimon","startTime":300.071,"endTime":296.921,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":296.921,"endTime":300.071,"body":"the electrons out of the atoms."},{"speaker":"Dr Gavin Nimon","startTime":300.071,"endTime":300.12100000000004,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":300.12100000000004,"endTime":300.601,"body":"Is that how it"},{"speaker":"Dr Vincent Pow","startTime":300.976,"endTime":301.396,"body":"Yeah."},{"speaker":"Dr Vincent Pow","startTime":301.396,"endTime":301.396,"body":" "},{"speaker":"Dr Vincent Pow","startTime":301.396,"endTime":305.296,"body":"So, we study this when we when we go"},{"speaker":"Dr Vincent Pow","startTime":305.296,"endTime":301.396,"body":" "},{"speaker":"Dr Vincent Pow","startTime":301.396,"endTime":305.296,"body":"through our training it's a big part"},{"speaker":"Dr Vincent Pow","startTime":305.296,"endTime":305.296,"body":" "},{"speaker":"Dr Vincent Pow","startTime":305.296,"endTime":311.666,"body":"of our curriculum and an understanding"},{"speaker":"Dr Vincent Pow","startTime":311.666,"endTime":305.296,"body":" "},{"speaker":"Dr Vincent Pow","startTime":305.296,"endTime":311.666,"body":"of how we use radiation therapy safely."},{"speaker":"Dr Vincent Pow","startTime":311.666,"endTime":312.146,"body":" "},{"speaker":"Dr Vincent Pow","startTime":312.146,"endTime":317.136,"body":"So the key target for"},{"speaker":"Dr Vincent Pow","startTime":317.136,"endTime":312.146,"body":" "},{"speaker":"Dr Vincent Pow","startTime":312.146,"endTime":317.136,"body":"us is actually the DNA."},{"speaker":"Dr Vincent Pow","startTime":317.136,"endTime":317.676,"body":" "},{"speaker":"Dr Vincent Pow","startTime":317.676,"endTime":321.946,"body":"So we wanna damage the DNA strands"},{"speaker":"Dr Vincent Pow","startTime":321.946,"endTime":317.676,"body":" "},{"speaker":"Dr Vincent Pow","startTime":317.676,"endTime":321.946,"body":"and we want to create, basically"},{"speaker":"Dr Vincent Pow","startTime":321.946,"endTime":321.946,"body":" "},{"speaker":"Dr Vincent Pow","startTime":321.946,"endTime":325.30600000000004,"body":"damage both strands called"},{"speaker":"Dr Vincent Pow","startTime":325.30600000000004,"endTime":321.946,"body":" "},{"speaker":"Dr Vincent Pow","startTime":321.946,"endTime":325.30600000000004,"body":"double stranded, DNA breaks."},{"speaker":"Dr Vincent Pow","startTime":325.30600000000004,"endTime":325.75600000000003,"body":" "},{"speaker":"Dr Vincent Pow","startTime":325.75600000000003,"endTime":332.536,"body":"And when we can do that with the high"},{"speaker":"Dr Vincent Pow","startTime":332.536,"endTime":325.75600000000003,"body":" "},{"speaker":"Dr Vincent Pow","startTime":325.75600000000003,"endTime":332.536,"body":"energy x-rays, then that can actually"},{"speaker":"Dr Vincent Pow","startTime":332.536,"endTime":332.80600000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":332.80600000000004,"endTime":337.696,"body":"kill the malignant cells, obviously"},{"speaker":"Dr Vincent Pow","startTime":337.696,"endTime":332.80600000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":332.80600000000004,"endTime":337.696,"body":"can also harm normal cells, but we"},{"speaker":"Dr Vincent Pow","startTime":337.696,"endTime":337.696,"body":" "},{"speaker":"Dr Vincent Pow","startTime":337.696,"endTime":341.836,"body":"can go into how we minimize damage"},{"speaker":"Dr Vincent Pow","startTime":341.836,"endTime":337.696,"body":" "},{"speaker":"Dr Vincent Pow","startTime":337.696,"endTime":341.836,"body":"to healthy cells while maximizing"},{"speaker":"Dr Vincent Pow","startTime":341.836,"endTime":341.836,"body":" "},{"speaker":"Dr Vincent Pow","startTime":341.836,"endTime":344.606,"body":"damage to the, malignant cancer cells"},{"speaker":"Dr Gavin Nimon","startTime":345.201,"endTime":348.141,"body":"are cancer cells"},{"speaker":"Dr Gavin Nimon","startTime":348.141,"endTime":345.201,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":345.201,"endTime":348.141,"body":"more prone to be damaged by the"},{"speaker":"Dr Gavin Nimon","startTime":348.141,"endTime":348.141,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":348.141,"endTime":351.141,"body":"electro-magnetic radiation or"},{"speaker":"Dr Gavin Nimon","startTime":351.141,"endTime":348.141,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":348.141,"endTime":351.141,"body":"there other substances you can use"},{"speaker":"Dr Gavin Nimon","startTime":351.141,"endTime":351.141,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":351.141,"endTime":352.38100000000003,"body":"to help protect the normal cells."},{"speaker":"Dr Vincent Pow","startTime":352.736,"endTime":353.481,"body":"Yeah absolutely."},{"speaker":"Dr Vincent Pow","startTime":353.481,"endTime":353.62100000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":353.62100000000004,"endTime":358.011,"body":"So, malignant cells certainly"},{"speaker":"Dr Vincent Pow","startTime":358.011,"endTime":353.62100000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":353.62100000000004,"endTime":358.011,"body":"don't repair as well."},{"speaker":"Dr Vincent Pow","startTime":358.011,"endTime":358.071,"body":" "},{"speaker":"Dr Vincent Pow","startTime":358.071,"endTime":363.50100000000003,"body":"They don't have that repair mechanism"},{"speaker":"Dr Vincent Pow","startTime":363.50100000000003,"endTime":358.071,"body":" "},{"speaker":"Dr Vincent Pow","startTime":358.071,"endTime":363.50100000000003,"body":"as, as robust as normal tissue."},{"speaker":"Dr Vincent Pow","startTime":363.50100000000003,"endTime":364.101,"body":" "},{"speaker":"Dr Vincent Pow","startTime":364.101,"endTime":368.901,"body":"And there's a few things that"},{"speaker":"Dr Vincent Pow","startTime":368.901,"endTime":364.101,"body":" "},{"speaker":"Dr Vincent Pow","startTime":364.101,"endTime":368.901,"body":"we do to maximize tumour kill"},{"speaker":"Dr Vincent Pow","startTime":368.901,"endTime":369.56100000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":369.56100000000004,"endTime":371.571,"body":"while minimizing side effects."},{"speaker":"Dr Vincent Pow","startTime":371.571,"endTime":371.571,"body":" "},{"speaker":"Dr Vincent Pow","startTime":371.571,"endTime":374.661,"body":"And I mean, that's the whole"},{"speaker":"Dr Vincent Pow","startTime":374.661,"endTime":371.571,"body":" "},{"speaker":"Dr Vincent Pow","startTime":371.571,"endTime":374.661,"body":"concept of radio biology."},{"speaker":"Dr Vincent Pow","startTime":374.661,"endTime":374.801,"body":" "},{"speaker":"Dr Vincent Pow","startTime":374.801,"endTime":380.88100000000003,"body":"I usually describe it I think best"},{"speaker":"Dr Vincent Pow","startTime":380.88100000000003,"endTime":374.801,"body":" "},{"speaker":"Dr Vincent Pow","startTime":374.801,"endTime":380.88100000000003,"body":"with a classic scenario or picture"},{"speaker":"Dr Vincent Pow","startTime":380.88100000000003,"endTime":380.94100000000003,"body":" "},{"speaker":"Dr Vincent Pow","startTime":380.94100000000003,"endTime":383.49100000000004,"body":"that all radiation oncology trainees."},{"speaker":"Dr Vincent Pow","startTime":383.49100000000004,"endTime":384.141,"body":" "},{"speaker":"Dr Vincent Pow","startTime":384.141,"endTime":385.051,"body":"will know."},{"speaker":"Dr Vincent Pow","startTime":385.051,"endTime":385.471,"body":" "},{"speaker":"Dr Vincent Pow","startTime":385.471,"endTime":389.94100000000003,"body":"And it's essentially a picture of"},{"speaker":"Dr Vincent Pow","startTime":389.94100000000003,"endTime":385.471,"body":" "},{"speaker":"Dr Vincent Pow","startTime":385.471,"endTime":389.94100000000003,"body":"the Ram's testicles, the ram's balls."},{"speaker":"Dr Gavin Nimon","startTime":390.046,"endTime":390.136,"body":"right?"},{"speaker":"Dr Vincent Pow","startTime":390.901,"endTime":394.271,"body":"And so what they wanted"},{"speaker":"Dr Vincent Pow","startTime":394.271,"endTime":390.901,"body":" "},{"speaker":"Dr Vincent Pow","startTime":390.901,"endTime":394.271,"body":"to do essentially they thought, okay,"},{"speaker":"Dr Vincent Pow","startTime":394.271,"endTime":394.271,"body":" "},{"speaker":"Dr Vincent Pow","startTime":394.271,"endTime":400.091,"body":"we wanna sterilize a ram, so let's"},{"speaker":"Dr Vincent Pow","startTime":400.091,"endTime":394.271,"body":" "},{"speaker":"Dr Vincent Pow","startTime":394.271,"endTime":400.091,"body":"give it one big dose of radiation."},{"speaker":"Dr Vincent Pow","startTime":400.091,"endTime":400.331,"body":" "},{"speaker":"Dr Vincent Pow","startTime":400.331,"endTime":405.49100000000004,"body":"And yes, absolutely they sterilize"},{"speaker":"Dr Vincent Pow","startTime":405.49100000000004,"endTime":400.331,"body":" "},{"speaker":"Dr Vincent Pow","startTime":400.331,"endTime":405.49100000000004,"body":"the ram, but their scrotum or the"},{"speaker":"Dr Vincent Pow","startTime":405.49100000000004,"endTime":405.49100000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":405.49100000000004,"endTime":407.771,"body":"testicles were severely burnt."},{"speaker":"Dr Vincent Pow","startTime":407.771,"endTime":409.601,"body":" "},{"speaker":"Dr Vincent Pow","startTime":409.601,"endTime":412.89500000000004,"body":"And  instead of giving one big"},{"speaker":"Dr Vincent Pow","startTime":412.89500000000004,"endTime":409.601,"body":" "},{"speaker":"Dr Vincent Pow","startTime":409.601,"endTime":412.89500000000004,"body":"dose of radiation, why don't we"},{"speaker":"Dr Vincent Pow","startTime":412.89500000000004,"endTime":412.89500000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":412.89500000000004,"endTime":415.14500000000004,"body":"give smaller packages of doses?"},{"speaker":"Dr Vincent Pow","startTime":415.14500000000004,"endTime":415.14500000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":415.14500000000004,"endTime":420.575,"body":"Let's split it up into 3, 4, 5 little"},{"speaker":"Dr Vincent Pow","startTime":420.575,"endTime":415.14500000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":415.14500000000004,"endTime":420.575,"body":"packets equals the same dose that"},{"speaker":"Dr Vincent Pow","startTime":420.575,"endTime":420.575,"body":" "},{"speaker":"Dr Vincent Pow","startTime":420.575,"endTime":423.785,"body":"we gave in the first boom, but we"},{"speaker":"Dr Vincent Pow","startTime":423.785,"endTime":420.575,"body":" "},{"speaker":"Dr Vincent Pow","startTime":420.575,"endTime":423.785,"body":"give it into five little treatments."},{"speaker":"Dr Vincent Pow","startTime":423.785,"endTime":424.20500000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":424.20500000000004,"endTime":429.035,"body":"And they found that giving it that"},{"speaker":"Dr Vincent Pow","startTime":429.035,"endTime":424.20500000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":424.20500000000004,"endTime":429.035,"body":"way still created the outcome, the"},{"speaker":"Dr Vincent Pow","startTime":429.035,"endTime":429.035,"body":" "},{"speaker":"Dr Vincent Pow","startTime":429.035,"endTime":433.58500000000004,"body":"desired outcome of sterilization, but"},{"speaker":"Dr Vincent Pow","startTime":433.58500000000004,"endTime":429.035,"body":" "},{"speaker":"Dr Vincent Pow","startTime":429.035,"endTime":433.58500000000004,"body":"allowed the healthy tissue to recover."},{"speaker":"Dr Vincent Pow","startTime":433.58500000000004,"endTime":433.58500000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":433.58500000000004,"endTime":435.83500000000004,"body":"And the scrotum, although"},{"speaker":"Dr Vincent Pow","startTime":435.83500000000004,"endTime":433.58500000000004,"body":" "},{"speaker":"Dr Vincent Pow","startTime":433.58500000000004,"endTime":435.83500000000004,"body":"did get a little bit red."},{"speaker":"Dr Vincent Pow","startTime":435.83500000000004,"endTime":436.51,"body":" "},{"speaker":"Dr Vincent Pow","startTime":436.51,"endTime":440.77000000000004,"body":"It didn't certainly get severe, like in"},{"speaker":"Dr Vincent Pow","startTime":440.77000000000004,"endTime":436.51,"body":" "},{"speaker":"Dr Vincent Pow","startTime":436.51,"endTime":440.77000000000004,"body":"the first scenario with a single fraction."},{"speaker":"Dr Vincent Pow","startTime":440.77000000000004,"endTime":441.07,"body":" "},{"speaker":"Dr Vincent Pow","startTime":441.07,"endTime":445.94,"body":"So it's became the, you know, the basis"},{"speaker":"Dr Vincent Pow","startTime":445.94,"endTime":441.07,"body":" "},{"speaker":"Dr Vincent Pow","startTime":441.07,"endTime":445.94,"body":"of what we call in radiation oncology"},{"speaker":"Dr Vincent Pow","startTime":445.94,"endTime":445.94,"body":" "},{"speaker":"Dr Vincent Pow","startTime":445.94,"endTime":450.69,"body":"is we fractionate we split apart the"},{"speaker":"Dr Vincent Pow","startTime":450.69,"endTime":445.94,"body":" "},{"speaker":"Dr Vincent Pow","startTime":445.94,"endTime":450.69,"body":"doses and we give it over multiple doses"},{"speaker":"Dr Gavin Nimon","startTime":451.3,"endTime":453.1,"body":"And does that"},{"speaker":"Dr Gavin Nimon","startTime":453.1,"endTime":451.3,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":451.3,"endTime":453.1,"body":"fractionation vary depending on"},{"speaker":"Dr Gavin Nimon","startTime":453.1,"endTime":453.1,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":453.1,"endTime":454.27000000000004,"body":"the organ you're treating then?"},{"speaker":"Dr Vincent Pow","startTime":454.32,"endTime":454.8,"body":"Yeah."},{"speaker":"Dr Vincent Pow","startTime":454.8,"endTime":454.86,"body":" "},{"speaker":"Dr Vincent Pow","startTime":454.86,"endTime":456.175,"body":"There are varying schedules."},{"speaker":"Dr Vincent Pow","startTime":456.175,"endTime":456.225,"body":" "},{"speaker":"Dr Vincent Pow","startTime":456.225,"endTime":461.115,"body":"Typically when we are treating with"},{"speaker":"Dr Vincent Pow","startTime":461.115,"endTime":456.225,"body":" "},{"speaker":"Dr Vincent Pow","startTime":456.225,"endTime":461.115,"body":"a curative intent, then we would"},{"speaker":"Dr Vincent Pow","startTime":461.115,"endTime":461.115,"body":" "},{"speaker":"Dr Vincent Pow","startTime":461.115,"endTime":463.065,"body":"do it over a longer period of time."},{"speaker":"Dr Vincent Pow","startTime":463.065,"endTime":463.575,"body":" "},{"speaker":"Dr Vincent Pow","startTime":463.575,"endTime":468.945,"body":"And the idea being to give a smaller"},{"speaker":"Dr Vincent Pow","startTime":468.945,"endTime":463.575,"body":" "},{"speaker":"Dr Vincent Pow","startTime":463.575,"endTime":468.945,"body":"dose per treatment, although it's more"},{"speaker":"Dr Vincent Pow","startTime":468.945,"endTime":468.945,"body":" "},{"speaker":"Dr Vincent Pow","startTime":468.945,"endTime":475.115,"body":"prolonged, you still maximize that cell"},{"speaker":"Dr Vincent Pow","startTime":475.115,"endTime":468.945,"body":" "},{"speaker":"Dr Vincent Pow","startTime":468.945,"endTime":475.115,"body":"kill, but you also minimize, damage to"},{"speaker":"Dr Vincent Pow","startTime":475.115,"endTime":475.115,"body":" "},{"speaker":"Dr Vincent Pow","startTime":475.115,"endTime":477.785,"body":"healthy tissue and allow it to recover."},{"speaker":"Dr Vincent Pow","startTime":477.785,"endTime":478.02500000000003,"body":" "},{"speaker":"Dr Vincent Pow","startTime":478.02500000000003,"endTime":481.115,"body":"So that's one of the main"},{"speaker":"Dr Vincent Pow","startTime":481.115,"endTime":478.02500000000003,"body":" "},{"speaker":"Dr Vincent Pow","startTime":478.02500000000003,"endTime":481.115,"body":"reasons why we fractionate."},{"speaker":"Dr Vincent Pow","startTime":481.115,"endTime":481.115,"body":" "},{"speaker":"Dr Vincent Pow","startTime":481.115,"endTime":485.14500000000004,"body":"There are a number of others but"},{"speaker":"Dr Vincent Pow","startTime":485.14500000000004,"endTime":481.115,"body":" "},{"speaker":"Dr Vincent Pow","startTime":481.115,"endTime":485.14500000000004,"body":"I won't bore the audience with"},{"speaker":"Dr Vincent Pow","startTime":485.14500000000004,"endTime":485.595,"body":" "},{"speaker":"Dr Vincent Pow","startTime":485.595,"endTime":488.77500000000003,"body":"some of the other details about"},{"speaker":"Dr Vincent Pow","startTime":488.77500000000003,"endTime":485.595,"body":" "},{"speaker":"Dr Vincent Pow","startTime":485.595,"endTime":488.77500000000003,"body":"our radio biology curriculum."},{"speaker":"Dr Vincent Pow","startTime":488.77500000000003,"endTime":489.225,"body":" "},{"speaker":"Dr Vincent Pow","startTime":489.225,"endTime":491.385,"body":"But that's the main one"},{"speaker":"Dr Vincent Pow","startTime":491.385,"endTime":489.225,"body":" "},{"speaker":"Dr Vincent Pow","startTime":489.225,"endTime":491.385,"body":"that the concept there,"},{"speaker":"Dr Gavin Nimon","startTime":492.75,"endTime":495.33000000000004,"body":"is the general"},{"speaker":"Dr Gavin Nimon","startTime":495.33000000000004,"endTime":492.75,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":492.75,"endTime":495.33000000000004,"body":"health of the patient going"},{"speaker":"Dr Gavin Nimon","startTime":495.33000000000004,"endTime":495.33000000000004,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":495.33000000000004,"endTime":497.94,"body":"through the radiotherapy, does"},{"speaker":"Dr Gavin Nimon","startTime":497.94,"endTime":495.33000000000004,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":495.33000000000004,"endTime":497.94,"body":"that help the actual recovery then?"},{"speaker":"Dr Vincent Pow","startTime":497.96000000000004,"endTime":499.01,"body":"Yeah, absolutely."},{"speaker":"Dr Vincent Pow","startTime":499.01,"endTime":499.01,"body":" "},{"speaker":"Dr Vincent Pow","startTime":499.01,"endTime":499.67,"body":"Absolutely."},{"speaker":"Dr Vincent Pow","startTime":499.67,"endTime":499.67,"body":" "},{"speaker":"Dr Vincent Pow","startTime":499.67,"endTime":504.17,"body":"I think the first thing that we do is we"},{"speaker":"Dr Vincent Pow","startTime":504.17,"endTime":499.67,"body":" "},{"speaker":"Dr Vincent Pow","startTime":499.67,"endTime":504.17,"body":"are assessing that patient functionally,"},{"speaker":"Dr Vincent Pow","startTime":504.17,"endTime":504.62,"body":" "},{"speaker":"Dr Vincent Pow","startTime":535.99,"endTime":539.74,"body":"and then we typically think about"},{"speaker":"Dr Vincent Pow","startTime":539.74,"endTime":535.99,"body":" "},{"speaker":"Dr Vincent Pow","startTime":535.99,"endTime":539.74,"body":"the organ that we are treating or the"},{"speaker":"Dr Vincent Pow","startTime":539.74,"endTime":539.74,"body":" "},{"speaker":"Dr Vincent Pow","startTime":539.74,"endTime":541.3,"body":"organs around that we're treating."},{"speaker":"Dr Vincent Pow","startTime":541.3,"endTime":541.9,"body":" "},{"speaker":"Dr Vincent Pow","startTime":541.9,"endTime":544.84,"body":"We take that into account when"},{"speaker":"Dr Vincent Pow","startTime":544.84,"endTime":541.9,"body":" "},{"speaker":"Dr Vincent Pow","startTime":541.9,"endTime":544.84,"body":"we deliver our radiation dose."},{"speaker":"Dr Vincent Pow","startTime":544.84,"endTime":544.84,"body":" "},{"speaker":"Dr Vincent Pow","startTime":544.84,"endTime":548.47,"body":"So for instance, when we're treating"},{"speaker":"Dr Vincent Pow","startTime":548.47,"endTime":544.84,"body":" "},{"speaker":"Dr Vincent Pow","startTime":544.84,"endTime":548.47,"body":"lung cancer, we make sure that"},{"speaker":"Dr Vincent Pow","startTime":548.47,"endTime":548.47,"body":" "},{"speaker":"Dr Vincent Pow","startTime":548.47,"endTime":551.92,"body":"obviously they're optimized from"},{"speaker":"Dr Vincent Pow","startTime":551.92,"endTime":548.47,"body":" "},{"speaker":"Dr Vincent Pow","startTime":548.47,"endTime":551.92,"body":"a lung function point of view."},{"speaker":"Dr Vincent Pow","startTime":551.92,"endTime":551.92,"body":" "},{"speaker":"Dr Vincent Pow","startTime":551.92,"endTime":555.15,"body":"We get lung function tests and"},{"speaker":"Dr Vincent Pow","startTime":555.15,"endTime":551.92,"body":" "},{"speaker":"Dr Vincent Pow","startTime":551.92,"endTime":555.15,"body":"we have different thresholds, I"},{"speaker":"Dr Vincent Pow","startTime":555.15,"endTime":555.15,"body":" "},{"speaker":"Dr Vincent Pow","startTime":555.15,"endTime":559.63,"body":"suppose, where depending on their"},{"speaker":"Dr Vincent Pow","startTime":559.63,"endTime":555.15,"body":" "},{"speaker":"Dr Vincent Pow","startTime":555.15,"endTime":559.63,"body":"base level of function, whether or"},{"speaker":"Dr Vincent Pow","startTime":559.63,"endTime":559.63,"body":" "},{"speaker":"Dr Vincent Pow","startTime":559.63,"endTime":561.49,"body":"not they're a smoker, et cetera."},{"speaker":"Dr Vincent Pow","startTime":561.49,"endTime":561.49,"body":" "},{"speaker":"Dr Vincent Pow","startTime":561.49,"endTime":562.659,"body":"That's just one example."},{"speaker":"Dr Gavin Nimon","startTime":563.725,"endTime":566.215,"body":"What does the process"},{"speaker":"Dr Gavin Nimon","startTime":566.215,"endTime":563.725,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":563.725,"endTime":566.215,"body":"actually involve then for a patient"},{"speaker":"Dr Gavin Nimon","startTime":566.215,"endTime":566.245,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":566.245,"endTime":568.805,"body":"from referral to actual treatment?"},{"speaker":"Dr Vincent Pow","startTime":569.99,"endTime":570.26,"body":"Yeah."},{"speaker":"Dr Vincent Pow","startTime":570.26,"endTime":570.26,"body":" "},{"speaker":"Dr Vincent Pow","startTime":570.26,"endTime":575.4599999999999,"body":"So, typically the referral"},{"speaker":"Dr Vincent Pow","startTime":575.4599999999999,"endTime":570.26,"body":" "},{"speaker":"Dr Vincent Pow","startTime":570.26,"endTime":575.4599999999999,"body":"comes through, usually from a"},{"speaker":"Dr Vincent Pow","startTime":575.4599999999999,"endTime":575.52,"body":" "},{"speaker":"Dr Vincent Pow","startTime":575.52,"endTime":577.41,"body":"multidisciplinary team meeting."},{"speaker":"Dr Vincent Pow","startTime":577.41,"endTime":577.5699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":577.5699999999999,"endTime":580.9599999999999,"body":"So we very busy being"},{"speaker":"Dr Vincent Pow","startTime":580.9599999999999,"endTime":577.5699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":577.5699999999999,"endTime":580.9599999999999,"body":"involved in many MDTs."},{"speaker":"Dr Vincent Pow","startTime":580.9599999999999,"endTime":581.51,"body":" "},{"speaker":"Dr Vincent Pow","startTime":581.51,"endTime":586.9699999999999,"body":"We do subspecialize, but we usually,"},{"speaker":"Dr Vincent Pow","startTime":586.9699999999999,"endTime":581.51,"body":" "},{"speaker":"Dr Vincent Pow","startTime":581.51,"endTime":586.9699999999999,"body":"have a few areas of expertise."},{"speaker":"Dr Vincent Pow","startTime":586.9699999999999,"endTime":587.5699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":587.5699999999999,"endTime":591.49,"body":"And they're typically discussed in that"},{"speaker":"Dr Vincent Pow","startTime":591.49,"endTime":587.5699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":587.5699999999999,"endTime":591.49,"body":"forum and recommended for treatment there."},{"speaker":"Dr Vincent Pow","startTime":591.49,"endTime":591.67,"body":" "},{"speaker":"Dr Vincent Pow","startTime":591.67,"endTime":596.1999999999999,"body":"And so the referrals usually come through"},{"speaker":"Dr Vincent Pow","startTime":596.1999999999999,"endTime":591.67,"body":" "},{"speaker":"Dr Vincent Pow","startTime":591.67,"endTime":596.1999999999999,"body":"from the chair of the meeting, the"},{"speaker":"Dr Vincent Pow","startTime":596.1999999999999,"endTime":596.1999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":596.1999999999999,"endTime":600.67,"body":"respiratory physician, and most of the"},{"speaker":"Dr Vincent Pow","startTime":600.67,"endTime":596.1999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":596.1999999999999,"endTime":600.67,"body":"time it's actually from the surgical team."},{"speaker":"Dr Vincent Pow","startTime":600.67,"endTime":601.36,"body":" "},{"speaker":"Dr Vincent Pow","startTime":601.36,"endTime":604.7099999999999,"body":"And we see them in the clinic"},{"speaker":"Dr Vincent Pow","startTime":604.7099999999999,"endTime":601.36,"body":" "},{"speaker":"Dr Vincent Pow","startTime":601.36,"endTime":604.7099999999999,"body":"for an initial consultation."},{"speaker":"Dr Vincent Pow","startTime":604.7099999999999,"endTime":605.31,"body":" "},{"speaker":"Dr Vincent Pow","startTime":605.31,"endTime":609.42,"body":"And this is where we discuss obviously,"},{"speaker":"Dr Vincent Pow","startTime":609.42,"endTime":605.31,"body":" "},{"speaker":"Dr Vincent Pow","startTime":605.31,"endTime":609.42,"body":"the role that radiation plays."},{"speaker":"Dr Vincent Pow","startTime":609.42,"endTime":609.8399999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":609.8399999999999,"endTime":610.4399999999999,"body":"And we clearly"},{"speaker":"Dr Vincent Pow","startTime":610.4399999999999,"endTime":610.4399999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":610.4399999999999,"endTime":613.8299999999999,"body":"outline whether or not we are"},{"speaker":"Dr Vincent Pow","startTime":613.8299999999999,"endTime":610.4399999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":610.4399999999999,"endTime":613.8299999999999,"body":"trying to provide a cure or"},{"speaker":"Dr Vincent Pow","startTime":613.8299999999999,"endTime":613.8299999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":613.8299999999999,"endTime":615.48,"body":"trying to preserve an organ."},{"speaker":"Dr Vincent Pow","startTime":615.48,"endTime":615.93,"body":" "},{"speaker":"Dr Vincent Pow","startTime":615.93,"endTime":618.42,"body":"We're trying to palliate"},{"speaker":"Dr Vincent Pow","startTime":618.42,"endTime":615.93,"body":" "},{"speaker":"Dr Vincent Pow","startTime":615.93,"endTime":618.42,"body":"or help with symptoms."},{"speaker":"Dr Vincent Pow","startTime":618.42,"endTime":618.99,"body":" "},{"speaker":"Dr Vincent Pow","startTime":618.99,"endTime":622.8,"body":"So we'll discuss the side effects,"},{"speaker":"Dr Vincent Pow","startTime":622.8,"endTime":618.99,"body":" "},{"speaker":"Dr Vincent Pow","startTime":618.99,"endTime":622.8,"body":"obviously the potential outcomes, the"},{"speaker":"Dr Vincent Pow","startTime":622.8,"endTime":622.8,"body":" "},{"speaker":"Dr Vincent Pow","startTime":622.8,"endTime":627.16,"body":"success rates and the typical side effects"},{"speaker":"Dr Vincent Pow","startTime":627.16,"endTime":622.8,"body":" "},{"speaker":"Dr Vincent Pow","startTime":622.8,"endTime":627.16,"body":"during the treatment and the typical side"},{"speaker":"Dr Vincent Pow","startTime":627.16,"endTime":627.16,"body":" "},{"speaker":"Dr Vincent Pow","startTime":627.16,"endTime":629.99,"body":"effects that you could expect long term."},{"speaker":"Dr Vincent Pow","startTime":629.99,"endTime":630.8,"body":" "},{"speaker":"Dr Vincent Pow","startTime":630.8,"endTime":631.73,"body":"If they're all okay."},{"speaker":"Dr Vincent Pow","startTime":631.73,"endTime":631.73,"body":" "},{"speaker":"Dr Vincent Pow","startTime":631.73,"endTime":635.03,"body":"Obviously with that, then they"},{"speaker":"Dr Vincent Pow","startTime":635.03,"endTime":631.73,"body":" "},{"speaker":"Dr Vincent Pow","startTime":631.73,"endTime":635.03,"body":"proceed to their first appointment,"},{"speaker":"Dr Vincent Pow","startTime":635.03,"endTime":635.03,"body":" "},{"speaker":"Dr Vincent Pow","startTime":635.03,"endTime":636.38,"body":"which is a planning scan."},{"speaker":"Dr Vincent Pow","startTime":636.38,"endTime":636.4399999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":636.4399999999999,"endTime":641.4499999999999,"body":"So They need to have a CT"},{"speaker":"Dr Vincent Pow","startTime":641.4499999999999,"endTime":636.4399999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":636.4399999999999,"endTime":641.4499999999999,"body":"scan, that's specific for us."},{"speaker":"Dr Vincent Pow","startTime":641.4499999999999,"endTime":641.8399999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":641.8399999999999,"endTime":643.8499999999999,"body":"We set them up in the treatment position."},{"speaker":"Dr Vincent Pow","startTime":643.8499999999999,"endTime":644.37,"body":" "},{"speaker":"Dr Vincent Pow","startTime":644.37,"endTime":647.88,"body":"We have a few little things to make"},{"speaker":"Dr Vincent Pow","startTime":647.88,"endTime":644.37,"body":" "},{"speaker":"Dr Vincent Pow","startTime":644.37,"endTime":647.88,"body":"sure that they're really immobilized"},{"speaker":"Dr Vincent Pow","startTime":647.88,"endTime":647.9699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":647.9699999999999,"endTime":652.38,"body":"in the right position, set up exactly"},{"speaker":"Dr Vincent Pow","startTime":652.38,"endTime":647.9699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":647.9699999999999,"endTime":652.38,"body":"how we want it, some special techniques"},{"speaker":"Dr Vincent Pow","startTime":652.38,"endTime":652.38,"body":" "},{"speaker":"Dr Vincent Pow","startTime":652.38,"endTime":656.9699999999999,"body":"depending on where we want to treat so"},{"speaker":"Dr Vincent Pow","startTime":656.9699999999999,"endTime":652.38,"body":" "},{"speaker":"Dr Vincent Pow","startTime":652.38,"endTime":656.9699999999999,"body":"we can track their breathing can really"},{"speaker":"Dr Vincent Pow","startTime":656.9699999999999,"endTime":657.0,"body":" "},{"speaker":"Dr Vincent Pow","startTime":657.0,"endTime":660.5999999999999,"body":"make an individualized mask to keep"},{"speaker":"Dr Vincent Pow","startTime":660.5999999999999,"endTime":657.0,"body":" "},{"speaker":"Dr Vincent Pow","startTime":657.0,"endTime":660.5999999999999,"body":"their head really nice and straight."},{"speaker":"Dr Vincent Pow","startTime":660.5999999999999,"endTime":660.9599999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":660.9599999999999,"endTime":664.43,"body":"So a few things that we can do to"},{"speaker":"Dr Vincent Pow","startTime":664.43,"endTime":660.9599999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":660.9599999999999,"endTime":664.43,"body":"set the patient up and they have"},{"speaker":"Dr Vincent Pow","startTime":664.43,"endTime":664.43,"body":" "},{"speaker":"Dr Vincent Pow","startTime":664.43,"endTime":669.17,"body":"their CT scan that gets imported"},{"speaker":"Dr Vincent Pow","startTime":669.17,"endTime":664.43,"body":" "},{"speaker":"Dr Vincent Pow","startTime":664.43,"endTime":669.17,"body":"into our system, our planning system."},{"speaker":"Dr Vincent Pow","startTime":669.17,"endTime":669.8,"body":" "},{"speaker":"Dr Vincent Pow","startTime":669.8,"endTime":674.0899999999999,"body":"And what we can do now as well"},{"speaker":"Dr Vincent Pow","startTime":674.0899999999999,"endTime":669.8,"body":" "},{"speaker":"Dr Vincent Pow","startTime":669.8,"endTime":674.0899999999999,"body":"is we fuse or we bring in MRI PET"},{"speaker":"Dr Vincent Pow","startTime":674.0899999999999,"endTime":674.0899999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":674.0899999999999,"endTime":680.06,"body":"scan, diagnostic ct, and we put it"},{"speaker":"Dr Vincent Pow","startTime":680.06,"endTime":674.0899999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":674.0899999999999,"endTime":680.06,"body":"all into the one, system and we use"},{"speaker":"Dr Vincent Pow","startTime":680.06,"endTime":680.06,"body":" "},{"speaker":"Dr Vincent Pow","startTime":680.06,"endTime":681.8,"body":"that to help us with the targeting."},{"speaker":"Dr Vincent Pow","startTime":681.8,"endTime":681.8,"body":" "},{"speaker":"Dr Vincent Pow","startTime":681.8,"endTime":684.2099999999999,"body":"So that's essentially"},{"speaker":"Dr Vincent Pow","startTime":684.2099999999999,"endTime":681.8,"body":" "},{"speaker":"Dr Vincent Pow","startTime":681.8,"endTime":684.2099999999999,"body":"my surgery or my what."},{"speaker":"Dr Vincent Pow","startTime":684.2099999999999,"endTime":684.7049999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":684.7049999999999,"endTime":686.145,"body":"How I plan the radiation."},{"speaker":"Dr Vincent Pow","startTime":686.145,"endTime":686.145,"body":" "},{"speaker":"Dr Vincent Pow","startTime":686.145,"endTime":688.935,"body":"So I get on the computer with the program."},{"speaker":"Dr Vincent Pow","startTime":688.935,"endTime":689.295,"body":" "},{"speaker":"Dr Vincent Pow","startTime":689.295,"endTime":692.895,"body":"It's essentially my daughters"},{"speaker":"Dr Vincent Pow","startTime":692.895,"endTime":689.295,"body":" "},{"speaker":"Dr Vincent Pow","startTime":689.295,"endTime":692.895,"body":"call it like paint on CT scans."},{"speaker":"Dr Vincent Pow","startTime":692.895,"endTime":693.435,"body":" "},{"speaker":"Dr Vincent Pow","startTime":693.435,"endTime":699.4649999999999,"body":"We draw out the tumour where we want"},{"speaker":"Dr Vincent Pow","startTime":699.4649999999999,"endTime":693.435,"body":" "},{"speaker":"Dr Vincent Pow","startTime":693.435,"endTime":699.4649999999999,"body":"to treat, we draw out the areas at risk"},{"speaker":"Dr Vincent Pow","startTime":699.4649999999999,"endTime":699.525,"body":" "},{"speaker":"Dr Vincent Pow","startTime":699.525,"endTime":701.745,"body":"potentially of that need radiation."},{"speaker":"Dr Vincent Pow","startTime":701.745,"endTime":702.265,"body":" "},{"speaker":"Dr Vincent Pow","startTime":702.265,"endTime":706.2249999999999,"body":"We draw out the areas where"},{"speaker":"Dr Vincent Pow","startTime":706.2249999999999,"endTime":702.265,"body":" "},{"speaker":"Dr Vincent Pow","startTime":702.265,"endTime":706.2249999999999,"body":"we don't want radiation to go."},{"speaker":"Dr Vincent Pow","startTime":706.2249999999999,"endTime":706.2249999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":706.2249999999999,"endTime":709.625,"body":"So we'll obviously draw out the"},{"speaker":"Dr Vincent Pow","startTime":709.625,"endTime":706.2249999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":706.2249999999999,"endTime":709.625,"body":"critical organs, the organs around it."},{"speaker":"Dr Vincent Pow","startTime":709.625,"endTime":710.255,"body":" "},{"speaker":"Dr Vincent Pow","startTime":710.255,"endTime":714.665,"body":"And then once we've provided"},{"speaker":"Dr Vincent Pow","startTime":714.665,"endTime":710.255,"body":" "},{"speaker":"Dr Vincent Pow","startTime":710.255,"endTime":714.665,"body":"those volumes, we give"},{"speaker":"Dr Vincent Pow","startTime":714.665,"endTime":714.665,"body":" "},{"speaker":"Dr Vincent Pow","startTime":714.665,"endTime":715.865,"body":"that to our planning team."},{"speaker":"Dr Vincent Pow","startTime":715.865,"endTime":715.865,"body":" "},{"speaker":"Dr Vincent Pow","startTime":715.865,"endTime":720.0949999999999,"body":"So we have department filled"},{"speaker":"Dr Vincent Pow","startTime":720.0949999999999,"endTime":715.865,"body":" "},{"speaker":"Dr Vincent Pow","startTime":715.865,"endTime":720.0949999999999,"body":"with radiation therapists who"},{"speaker":"Dr Vincent Pow","startTime":720.0949999999999,"endTime":720.0949999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":720.0949999999999,"endTime":721.385,"body":"will help plan the treatment."},{"speaker":"Dr Vincent Pow","startTime":721.385,"endTime":721.385,"body":" "},{"speaker":"Dr Vincent Pow","startTime":721.385,"endTime":726.275,"body":"So they'll design a radiation"},{"speaker":"Dr Vincent Pow","startTime":726.275,"endTime":721.385,"body":" "},{"speaker":"Dr Vincent Pow","startTime":721.385,"endTime":726.275,"body":"plan to our, to, to the goals."},{"speaker":"Dr Vincent Pow","startTime":726.275,"endTime":726.275,"body":" "},{"speaker":"Dr Vincent Pow","startTime":726.275,"endTime":729.995,"body":"So the goals will be set by us"},{"speaker":"Dr Vincent Pow","startTime":729.995,"endTime":726.275,"body":" "},{"speaker":"Dr Vincent Pow","startTime":726.275,"endTime":729.995,"body":"as the radiation oncologist."},{"speaker":"Dr Vincent Pow","startTime":729.995,"endTime":730.385,"body":" "},{"speaker":"Dr Vincent Pow","startTime":730.385,"endTime":735.125,"body":"We might say, I want this area or"},{"speaker":"Dr Vincent Pow","startTime":735.125,"endTime":730.385,"body":" "},{"speaker":"Dr Vincent Pow","startTime":730.385,"endTime":735.125,"body":"the tumour to receive this dose."},{"speaker":"Dr Vincent Pow","startTime":735.125,"endTime":735.5899999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":735.5899999999999,"endTime":739.68,"body":"I don't want the this organ"},{"speaker":"Dr Vincent Pow","startTime":739.68,"endTime":735.5899999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":735.5899999999999,"endTime":739.68,"body":"to receive this much dose."},{"speaker":"Dr Vincent Pow","startTime":739.68,"endTime":740.1899999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":740.1899999999999,"endTime":742.98,"body":"Please come up with a plan based on that."},{"speaker":"Dr Vincent Pow","startTime":742.98,"endTime":743.04,"body":" "},{"speaker":"Dr Vincent Pow","startTime":743.04,"endTime":747.995,"body":"And so they'll come up with, you"},{"speaker":"Dr Vincent Pow","startTime":747.995,"endTime":743.04,"body":" "},{"speaker":"Dr Vincent Pow","startTime":743.04,"endTime":747.995,"body":"know, a potentially a plan that has"},{"speaker":"Dr Vincent Pow","startTime":747.995,"endTime":747.995,"body":" "},{"speaker":"Dr Vincent Pow","startTime":747.995,"endTime":749.9749999999999,"body":"a radiation beams going this way."},{"speaker":"Dr Vincent Pow","startTime":749.9749999999999,"endTime":750.275,"body":" "},{"speaker":"Dr Vincent Pow","startTime":750.275,"endTime":755.105,"body":"They'll have it intensified this way"},{"speaker":"Dr Vincent Pow","startTime":755.105,"endTime":750.275,"body":" "},{"speaker":"Dr Vincent Pow","startTime":750.275,"endTime":755.105,"body":"or that way to achieve those goals."},{"speaker":"Dr Vincent Pow","startTime":755.105,"endTime":755.3449999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":755.3449999999999,"endTime":760.0949999999999,"body":"And then once we approve of that plan, the"},{"speaker":"Dr Vincent Pow","startTime":760.0949999999999,"endTime":755.3449999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":755.3449999999999,"endTime":760.0949999999999,"body":"patient starts their treatment journey."},{"speaker":"Dr Vincent Pow","startTime":760.0949999999999,"endTime":760.305,"body":" "},{"speaker":"Dr Vincent Pow","startTime":760.305,"endTime":765.405,"body":"So they typically come in, so again,"},{"speaker":"Dr Vincent Pow","startTime":765.405,"endTime":760.305,"body":" "},{"speaker":"Dr Vincent Pow","startTime":760.305,"endTime":765.405,"body":"if depends if it's a curative treatment"},{"speaker":"Dr Vincent Pow","startTime":765.405,"endTime":765.405,"body":" "},{"speaker":"Dr Vincent Pow","startTime":765.405,"endTime":768.9749999999999,"body":"or a palliative treatment, but they'll"},{"speaker":"Dr Vincent Pow","startTime":768.9749999999999,"endTime":765.405,"body":" "},{"speaker":"Dr Vincent Pow","startTime":765.405,"endTime":768.9749999999999,"body":"typically come in as an outpatient."},{"speaker":"Dr Vincent Pow","startTime":768.9749999999999,"endTime":769.8449999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":769.8449999999999,"endTime":772.16,"body":"Usually it's a daily treatment"},{"speaker":"Dr Vincent Pow","startTime":772.16,"endTime":769.8449999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":769.8449999999999,"endTime":772.16,"body":"if it's a curative treat."},{"speaker":"Dr Vincent Pow","startTime":772.16,"endTime":773.04,"body":" "},{"speaker":"Dr Vincent Pow","startTime":773.04,"endTime":777.0899999999999,"body":"Treatments are like what I describe"},{"speaker":"Dr Vincent Pow","startTime":777.0899999999999,"endTime":773.04,"body":" "},{"speaker":"Dr Vincent Pow","startTime":773.04,"endTime":777.0899999999999,"body":"to patients as having a CT scan."},{"speaker":"Dr Vincent Pow","startTime":777.0899999999999,"endTime":777.15,"body":" "},{"speaker":"Dr Vincent Pow","startTime":777.15,"endTime":779.25,"body":"It's as really as simple as that."},{"speaker":"Dr Vincent Pow","startTime":779.25,"endTime":779.43,"body":" "},{"speaker":"Dr Vincent Pow","startTime":779.43,"endTime":782.64,"body":"Usually roughly a 20 minute"},{"speaker":"Dr Vincent Pow","startTime":782.64,"endTime":779.43,"body":" "},{"speaker":"Dr Vincent Pow","startTime":779.43,"endTime":782.64,"body":"appointment, they come in,"},{"speaker":"Dr Vincent Pow","startTime":782.64,"endTime":782.6999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":782.6999999999999,"endTime":784.15,"body":"they lie down on the machine."},{"speaker":"Dr Vincent Pow","startTime":784.15,"endTime":784.2099999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":784.2099999999999,"endTime":786.6999999999999,"body":"Most of it, most of the time"},{"speaker":"Dr Vincent Pow","startTime":786.6999999999999,"endTime":784.2099999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":784.2099999999999,"endTime":786.6999999999999,"body":"actually, it's setting them"},{"speaker":"Dr Vincent Pow","startTime":786.6999999999999,"endTime":786.6999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":786.6999999999999,"endTime":787.8399999999999,"body":"up in the right position."},{"speaker":"Dr Vincent Pow","startTime":787.8399999999999,"endTime":788.4699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":788.4699999999999,"endTime":789.91,"body":"We have to be extremely accurate."},{"speaker":"Dr Vincent Pow","startTime":789.91,"endTime":790.5,"body":" "},{"speaker":"Dr Vincent Pow","startTime":790.5,"endTime":792.0,"body":"A lot of checks and balances."},{"speaker":"Dr Vincent Pow","startTime":792.0,"endTime":792.3299999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":792.3299999999999,"endTime":796.56,"body":"And so on top of that, we actually have"},{"speaker":"Dr Vincent Pow","startTime":796.56,"endTime":792.3299999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":792.3299999999999,"endTime":796.56,"body":"a whole physics department, medical"},{"speaker":"Dr Vincent Pow","startTime":796.56,"endTime":796.56,"body":" "},{"speaker":"Dr Vincent Pow","startTime":796.56,"endTime":801.2099999999999,"body":"physics department that checked and"},{"speaker":"Dr Vincent Pow","startTime":801.2099999999999,"endTime":796.56,"body":" "},{"speaker":"Dr Vincent Pow","startTime":796.56,"endTime":801.2099999999999,"body":"QA every single radiation plan to"},{"speaker":"Dr Vincent Pow","startTime":801.2099999999999,"endTime":801.2099999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":801.2099999999999,"endTime":804.9,"body":"say, this is what we are delivering"},{"speaker":"Dr Vincent Pow","startTime":804.9,"endTime":801.2099999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":801.2099999999999,"endTime":804.9,"body":"and we're delivering it safely."},{"speaker":"Dr Vincent Pow","startTime":804.9,"endTime":806.0999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":806.0999999999999,"endTime":809.25,"body":"Patient lies down, they don't"},{"speaker":"Dr Vincent Pow","startTime":809.25,"endTime":806.0999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":806.0999999999999,"endTime":809.25,"body":"feel a thing, so it's painless."},{"speaker":"Dr Vincent Pow","startTime":809.25,"endTime":809.49,"body":" "},{"speaker":"Dr Vincent Pow","startTime":809.49,"endTime":810.48,"body":"They don't see anything."},{"speaker":"Dr Vincent Pow","startTime":810.48,"endTime":810.54,"body":" "},{"speaker":"Dr Vincent Pow","startTime":810.54,"endTime":813.63,"body":"It is like having a,"},{"speaker":"Dr Vincent Pow","startTime":813.63,"endTime":810.54,"body":" "},{"speaker":"Dr Vincent Pow","startTime":810.54,"endTime":813.63,"body":"an x-ray or a CT scan."},{"speaker":"Dr Vincent Pow","startTime":813.63,"endTime":814.05,"body":" "},{"speaker":"Dr Vincent Pow","startTime":814.05,"endTime":817.62,"body":"They have their treatment, they"},{"speaker":"Dr Vincent Pow","startTime":817.62,"endTime":814.05,"body":" "},{"speaker":"Dr Vincent Pow","startTime":814.05,"endTime":817.62,"body":"hear some noises, that's it."},{"speaker":"Dr Vincent Pow","startTime":817.62,"endTime":817.89,"body":" "},{"speaker":"Dr Vincent Pow","startTime":817.89,"endTime":821.79,"body":"They walk out and they come in every"},{"speaker":"Dr Vincent Pow","startTime":821.79,"endTime":817.89,"body":" "},{"speaker":"Dr Vincent Pow","startTime":817.89,"endTime":821.79,"body":"day until they finish their treatment."},{"speaker":"Dr Vincent Pow","startTime":821.79,"endTime":822.39,"body":" "},{"speaker":"Dr Vincent Pow","startTime":822.39,"endTime":826.0899999999999,"body":"We typically see them once a week"},{"speaker":"Dr Vincent Pow","startTime":826.0899999999999,"endTime":822.39,"body":" "},{"speaker":"Dr Vincent Pow","startTime":822.39,"endTime":826.0899999999999,"body":"throughout their treatment as scheduled."},{"speaker":"Dr Vincent Pow","startTime":826.0899999999999,"endTime":826.15,"body":" "},{"speaker":"Dr Vincent Pow","startTime":826.15,"endTime":831.41,"body":"And they also see, dietician, nurse,"},{"speaker":"Dr Vincent Pow","startTime":831.41,"endTime":826.15,"body":" "},{"speaker":"Dr Vincent Pow","startTime":826.15,"endTime":831.41,"body":"all parts of the multidisciplinary team."},{"speaker":"Dr Vincent Pow","startTime":831.41,"endTime":832.01,"body":" "},{"speaker":"Dr Vincent Pow","startTime":832.01,"endTime":835.25,"body":"And then they finish their treatment"},{"speaker":"Dr Vincent Pow","startTime":835.25,"endTime":832.01,"body":" "},{"speaker":"Dr Vincent Pow","startTime":832.01,"endTime":835.25,"body":"and that goes on to the follow up stage."},{"speaker":"Dr Vincent Pow","startTime":835.25,"endTime":835.25,"body":" "},{"speaker":"Dr Vincent Pow","startTime":835.25,"endTime":839.362,"body":"And then obviously we are then"},{"speaker":"Dr Vincent Pow","startTime":839.362,"endTime":835.25,"body":" "},{"speaker":"Dr Vincent Pow","startTime":835.25,"endTime":839.362,"body":"monitoring response and recurrence."},{"speaker":"Dr Gavin Nimon","startTime":840.26,"endTime":840.77,"body":"Right."},{"speaker":"Dr Gavin Nimon","startTime":840.77,"endTime":841.2199999999999,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":841.2199999999999,"endTime":845.39,"body":"So you've got a radiation oncologist, like"},{"speaker":"Dr Gavin Nimon","startTime":845.39,"endTime":841.2199999999999,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":841.2199999999999,"endTime":845.39,"body":"the, or the conductor of an orchestra."},{"speaker":"Dr Gavin Nimon","startTime":845.39,"endTime":845.9599999999999,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":845.9599999999999,"endTime":847.9399999999999,"body":"You've got the radio therapist."},{"speaker":"Dr Gavin Nimon","startTime":847.9399999999999,"endTime":847.9399999999999,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":847.9399999999999,"endTime":848.03,"body":"Yep."},{"speaker":"Dr Gavin Nimon","startTime":848.03,"endTime":848.15,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":848.15,"endTime":850.16,"body":"who also have a degree"},{"speaker":"Dr Gavin Nimon","startTime":850.16,"endTime":848.15,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":848.15,"endTime":850.16,"body":"in physics, do they or?"},{"speaker":"Dr Vincent Pow","startTime":850.245,"endTime":853.555,"body":"Oh So I think they,"},{"speaker":"Dr Vincent Pow","startTime":853.555,"endTime":850.245,"body":" "},{"speaker":"Dr Vincent Pow","startTime":850.245,"endTime":853.555,"body":"they go through like diagnostic"},{"speaker":"Dr Vincent Pow","startTime":853.555,"endTime":853.555,"body":" "},{"speaker":"Dr Vincent Pow","startTime":853.555,"endTime":857.5749999999999,"body":"radiographer pathway, but then they"},{"speaker":"Dr Vincent Pow","startTime":857.5749999999999,"endTime":853.555,"body":" "},{"speaker":"Dr Vincent Pow","startTime":853.555,"endTime":857.5749999999999,"body":"split out and they have a therapeutic."},{"speaker":"Dr Vincent Pow","startTime":857.5749999999999,"endTime":858.385,"body":" "},{"speaker":"Dr Vincent Pow","startTime":858.385,"endTime":863.385,"body":"so it is a very niche and"},{"speaker":"Dr Vincent Pow","startTime":863.385,"endTime":858.385,"body":" "},{"speaker":"Dr Vincent Pow","startTime":858.385,"endTime":863.385,"body":"highly skilled degree as well."},{"speaker":"Dr Gavin Nimon","startTime":863.385,"endTime":865.3349999999999,"body":"So they're like"},{"speaker":"Dr Gavin Nimon","startTime":865.3349999999999,"endTime":863.385,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":863.385,"endTime":865.3349999999999,"body":"the musicians in the orchestra?"},{"speaker":"Dr Vincent Pow","startTime":865.4549999999999,"endTime":867.015,"body":"So they're"},{"speaker":"Dr Vincent Pow","startTime":867.015,"endTime":865.4549999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":865.4549999999999,"endTime":867.015,"body":"planning the treatment."},{"speaker":"Dr Vincent Pow","startTime":867.015,"endTime":867.015,"body":" "},{"speaker":"Dr Vincent Pow","startTime":867.015,"endTime":869.415,"body":"They're del, they're the ones that"},{"speaker":"Dr Vincent Pow","startTime":869.415,"endTime":867.015,"body":" "},{"speaker":"Dr Vincent Pow","startTime":867.015,"endTime":869.415,"body":"actually deliver the treatment."},{"speaker":"Dr Vincent Pow","startTime":869.415,"endTime":869.415,"body":" "},{"speaker":"Dr Vincent Pow","startTime":869.415,"endTime":872.925,"body":"So I'm not actually there on"},{"speaker":"Dr Vincent Pow","startTime":872.925,"endTime":869.415,"body":" "},{"speaker":"Dr Vincent Pow","startTime":869.415,"endTime":872.925,"body":"the machine pressing the button."},{"speaker":"Dr Vincent Pow","startTime":872.925,"endTime":873.3149999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":873.3149999999999,"endTime":874.935,"body":"Our radiation therapists do that,"},{"speaker":"Dr Gavin Nimon","startTime":875.1659999999999,"endTime":876.99,"body":"And you've got"},{"speaker":"Dr Gavin Nimon","startTime":876.99,"endTime":875.1659999999999,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":875.1659999999999,"endTime":876.99,"body":"nurses looking after them as well."},{"speaker":"Dr Vincent Pow","startTime":877.18,"endTime":877.5,"body":"Absolutely."},{"speaker":"Dr Vincent Pow","startTime":877.5,"endTime":877.5999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":877.5999999999999,"endTime":882.515,"body":"So we've got a big nursing team"},{"speaker":"Dr Vincent Pow","startTime":882.515,"endTime":877.5999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":877.5999999999999,"endTime":882.515,"body":"as well that helps with the side"},{"speaker":"Dr Vincent Pow","startTime":882.515,"endTime":882.515,"body":" "},{"speaker":"Dr Vincent Pow","startTime":882.515,"endTime":885.105,"body":"effects, dressings education."},{"speaker":"Dr Vincent Pow","startTime":885.105,"endTime":885.105,"body":" "},{"speaker":"Dr Vincent Pow","startTime":885.105,"endTime":887.115,"body":"So they play a really important part."},{"speaker":"Dr Vincent Pow","startTime":887.115,"endTime":887.495,"body":" "},{"speaker":"Dr Vincent Pow","startTime":887.495,"endTime":889.4449999999999,"body":"Just providing that holistic care."},{"speaker":"Dr Vincent Pow","startTime":889.4449999999999,"endTime":889.5949999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":889.5949999999999,"endTime":893.4599999999999,"body":"We've got dieticians, speech path,"},{"speaker":"Dr Vincent Pow","startTime":893.4599999999999,"endTime":889.5949999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":889.5949999999999,"endTime":893.4599999999999,"body":"social worker on board as well."},{"speaker":"Dr Vincent Pow","startTime":893.4599999999999,"endTime":893.8,"body":" "},{"speaker":"Dr Vincent Pow","startTime":893.8,"endTime":897.2149999999999,"body":"So we try to look at the patient,"},{"speaker":"Dr Vincent Pow","startTime":897.2149999999999,"endTime":893.8,"body":" "},{"speaker":"Dr Vincent Pow","startTime":893.8,"endTime":897.2149999999999,"body":"obviously at all facets to get"},{"speaker":"Dr Vincent Pow","startTime":897.2149999999999,"endTime":897.2149999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":897.2149999999999,"endTime":900.0649999999999,"body":"them through their treatment"},{"speaker":"Dr Vincent Pow","startTime":900.0649999999999,"endTime":897.2149999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":897.2149999999999,"endTime":900.0649999999999,"body":"and the physics, I suppose."},{"speaker":"Dr Vincent Pow","startTime":900.0649999999999,"endTime":900.0649999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":900.0649999999999,"endTime":902.6949999999999,"body":"I don't know what analogy you would"},{"speaker":"Dr Vincent Pow","startTime":902.6949999999999,"endTime":900.0649999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":900.0649999999999,"endTime":902.6949999999999,"body":"say that they are, but they're"},{"speaker":"Dr Vincent Pow","startTime":902.6949999999999,"endTime":902.6949999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":902.6949999999999,"endTime":905.9649999999999,"body":"the ones that are making sure that"},{"speaker":"Dr Vincent Pow","startTime":905.9649999999999,"endTime":902.6949999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":902.6949999999999,"endTime":905.9649999999999,"body":"what we say we're doing is correct."},{"speaker":"Dr Vincent Pow","startTime":905.9649999999999,"endTime":906.035,"body":" "},{"speaker":"Dr Vincent Pow","startTime":906.035,"endTime":907.4749999999999,"body":"Very important as well"},{"speaker":"Dr Gavin Nimon","startTime":907.8349999999999,"endTime":908.435,"body":"Excellent."},{"speaker":"Dr Gavin Nimon","startTime":908.435,"endTime":908.745,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":908.745,"endTime":911.985,"body":"How does it vary from say,"},{"speaker":"Dr Gavin Nimon","startTime":911.985,"endTime":908.745,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":908.745,"endTime":911.985,"body":"chemotherapy or surgery?"},{"speaker":"Dr Gavin Nimon","startTime":911.985,"endTime":911.985,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":911.985,"endTime":915.135,"body":"I mean, how do you consider yourself"},{"speaker":"Dr Gavin Nimon","startTime":915.135,"endTime":911.985,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":911.985,"endTime":915.135,"body":"different in that way and how"},{"speaker":"Dr Gavin Nimon","startTime":915.135,"endTime":915.135,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":915.135,"endTime":916.275,"body":"does the treatment feel different?"},{"speaker":"Dr Vincent Pow","startTime":916.3249999999999,"endTime":920.5999999999999,"body":"So, I think we"},{"speaker":"Dr Vincent Pow","startTime":920.5999999999999,"endTime":916.3249999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":916.3249999999999,"endTime":920.5999999999999,"body":"all play a a part in the whole."},{"speaker":"Dr Vincent Pow","startTime":920.5999999999999,"endTime":920.5999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":920.5999999999999,"endTime":923.584,"body":"Any patient's cancer"},{"speaker":"Dr Vincent Pow","startTime":923.584,"endTime":920.5999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":920.5999999999999,"endTime":923.584,"body":"journey or cancer diagnosis?"},{"speaker":"Dr Vincent Pow","startTime":923.584,"endTime":924.31,"body":" "},{"speaker":"Dr Vincent Pow","startTime":924.31,"endTime":926.5,"body":"Surgery and radiation."},{"speaker":"Dr Vincent Pow","startTime":926.5,"endTime":926.55,"body":" "},{"speaker":"Dr Vincent Pow","startTime":926.55,"endTime":930.1899999999999,"body":"I would say obviously the, generally"},{"speaker":"Dr Vincent Pow","startTime":930.1899999999999,"endTime":926.55,"body":" "},{"speaker":"Dr Vincent Pow","startTime":926.55,"endTime":930.1899999999999,"body":"the mainstay of trying to cure patients."},{"speaker":"Dr Vincent Pow","startTime":930.1899999999999,"endTime":930.91,"body":" "},{"speaker":"Dr Vincent Pow","startTime":930.91,"endTime":935.56,"body":"We sort of provide roughly 30 to"},{"speaker":"Dr Vincent Pow","startTime":935.56,"endTime":930.91,"body":" "},{"speaker":"Dr Vincent Pow","startTime":930.91,"endTime":935.56,"body":"40% actually of cures in cancer."},{"speaker":"Dr Vincent Pow","startTime":935.56,"endTime":936.0699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":936.0699999999999,"endTime":943.0899999999999,"body":"And I think where we play in, depending"},{"speaker":"Dr Vincent Pow","startTime":943.0899999999999,"endTime":936.0699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":936.0699999999999,"endTime":943.0899999999999,"body":"on obviously what tumour type, we,"},{"speaker":"Dr Vincent Pow","startTime":943.0899999999999,"endTime":943.48,"body":" "},{"speaker":"Dr Vincent Pow","startTime":943.48,"endTime":945.73,"body":"sometimes we do it instead of surgery."},{"speaker":"Dr Vincent Pow","startTime":945.73,"endTime":946.03,"body":" "},{"speaker":"Dr Vincent Pow","startTime":946.03,"endTime":949.9,"body":"Sometimes we do things"},{"speaker":"Dr Vincent Pow","startTime":949.9,"endTime":946.03,"body":" "},{"speaker":"Dr Vincent Pow","startTime":946.03,"endTime":949.9,"body":"to preserve an organ."},{"speaker":"Dr Vincent Pow","startTime":949.9,"endTime":950.02,"body":" "},{"speaker":"Dr Vincent Pow","startTime":950.02,"endTime":955.0999999999999,"body":"Sometimes we do things to downstage"},{"speaker":"Dr Vincent Pow","startTime":955.0999999999999,"endTime":950.02,"body":" "},{"speaker":"Dr Vincent Pow","startTime":950.02,"endTime":955.0999999999999,"body":"tumours, so some to help the"},{"speaker":"Dr Vincent Pow","startTime":955.0999999999999,"endTime":955.0999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":955.0999999999999,"endTime":959.4599999999999,"body":"surgeons get a better resection or"},{"speaker":"Dr Vincent Pow","startTime":959.4599999999999,"endTime":955.0999999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":955.0999999999999,"endTime":959.4599999999999,"body":"a clear margin to downstage tumours."},{"speaker":"Dr Vincent Pow","startTime":959.4599999999999,"endTime":960.06,"body":" "},{"speaker":"Dr Vincent Pow","startTime":960.06,"endTime":962.0699999999999,"body":"and sometimes we give the radiation."},{"speaker":"Dr Vincent Pow","startTime":962.0699999999999,"endTime":962.48,"body":" "},{"speaker":"Dr Vincent Pow","startTime":962.48,"endTime":966.29,"body":"Concurrently with chemotherapy to"},{"speaker":"Dr Vincent Pow","startTime":966.29,"endTime":962.48,"body":" "},{"speaker":"Dr Vincent Pow","startTime":962.48,"endTime":966.29,"body":"help our treatment be more effective."},{"speaker":"Dr Vincent Pow","startTime":966.29,"endTime":967.17,"body":" "},{"speaker":"Dr Vincent Pow","startTime":967.17,"endTime":971.23,"body":"And sometimes we give it after surgery"},{"speaker":"Dr Vincent Pow","startTime":971.23,"endTime":967.17,"body":" "},{"speaker":"Dr Vincent Pow","startTime":967.17,"endTime":971.23,"body":"just to, for those high risk tumours."},{"speaker":"Dr Vincent Pow","startTime":971.23,"endTime":971.64,"body":" "},{"speaker":"Dr Vincent Pow","startTime":971.64,"endTime":972.12,"body":"So"},{"speaker":"Dr Vincent Pow","startTime":972.12,"endTime":973.5,"body":" "},{"speaker":"Dr Vincent Pow","startTime":973.5,"endTime":973.68,"body":"yeah,"},{"speaker":"Dr Vincent Pow","startTime":973.68,"endTime":973.68,"body":" "},{"speaker":"Dr Vincent Pow","startTime":973.68,"endTime":977.64,"body":"I think you can break them down"},{"speaker":"Dr Vincent Pow","startTime":1007.05,"endTime":1003.0899999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":973.68,"endTime":977.64,"body":"into the main roles that we play is"},{"speaker":"Dr Vincent Pow","startTime":1007.05,"endTime":1007.3799999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1007.3799999999999,"endTime":1010.42,"body":"curative or radical organ preservation."},{"speaker":"Dr Vincent Pow","startTime":1010.42,"endTime":1010.8699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1010.8699999999999,"endTime":1015.4399999999999,"body":"And those who are not medically fit for"},{"speaker":"Dr Vincent Pow","startTime":1015.4399999999999,"endTime":1010.8699999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1010.8699999999999,"endTime":1015.4399999999999,"body":"surgery, we often play a role there or"},{"speaker":"Dr Vincent Pow","startTime":1015.4399999999999,"endTime":1015.4399999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1015.4399999999999,"endTime":1017.2099999999999,"body":"those who are surgically unresectable."},{"speaker":"Dr Vincent Pow","startTime":1017.2099999999999,"endTime":1017.3599999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1017.3599999999999,"endTime":1019.7599999999999,"body":"And we come in as well."},{"speaker":"Dr Vincent Pow","startTime":1019.7599999999999,"endTime":1020.3599999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1020.3599999999999,"endTime":1024.05,"body":"Then you go into the neoadjuvant"},{"speaker":"Dr Vincent Pow","startTime":1024.05,"endTime":1020.3599999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1020.3599999999999,"endTime":1024.05,"body":"or before surgery to, as I said, to"},{"speaker":"Dr Vincent Pow","startTime":1024.05,"endTime":1024.05,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1024.05,"endTime":1026.87,"body":"downstage, adjuvant after surgery."},{"speaker":"Dr Vincent Pow","startTime":1026.87,"endTime":1026.87,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1026.87,"endTime":1030.31,"body":"So usually those at high"},{"speaker":"Dr Vincent Pow","startTime":1030.31,"endTime":1026.87,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1026.87,"endTime":1030.31,"body":"risk of recurrence, and"},{"speaker":"Dr Vincent Pow","startTime":1030.31,"endTime":1030.31,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1030.31,"endTime":1031.6,"body":"then there's the palliation."},{"speaker":"Dr Vincent Pow","startTime":1031.6,"endTime":1031.84,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1031.84,"endTime":1036.31,"body":"And so I think we all combine and we're"},{"speaker":"Dr Vincent Pow","startTime":1036.31,"endTime":1031.84,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1031.84,"endTime":1036.31,"body":"trying to find novel ways to combine all"},{"speaker":"Dr Vincent Pow","startTime":1036.31,"endTime":1036.31,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1036.31,"endTime":1041.655,"body":"the time with chemotherapy, obviously"},{"speaker":"Dr Vincent Pow","startTime":1041.655,"endTime":1036.31,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1036.31,"endTime":1041.655,"body":"chemotherapy gets a little bit more of"},{"speaker":"Dr Vincent Pow","startTime":1041.655,"endTime":1041.655,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1041.655,"endTime":1043.935,"body":"a, an understanding in the community."},{"speaker":"Dr Vincent Pow","startTime":1043.935,"endTime":1043.965,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1043.965,"endTime":1044.355,"body":"I think."},{"speaker":"Dr Vincent Pow","startTime":1044.355,"endTime":1044.835,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1044.835,"endTime":1046.515,"body":"It's more of a systemic treatment."},{"speaker":"Dr Vincent Pow","startTime":1046.515,"endTime":1046.665,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1046.665,"endTime":1051.175,"body":"It's more of a treatment that"},{"speaker":"Dr Vincent Pow","startTime":1051.175,"endTime":1046.665,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1046.665,"endTime":1051.175,"body":"strategy that affects the whole"},{"speaker":"Dr Vincent Pow","startTime":1051.175,"endTime":1051.175,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1051.175,"endTime":1054.315,"body":"body and can kill tumours all over."},{"speaker":"Dr Vincent Pow","startTime":1054.315,"endTime":1054.645,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1054.645,"endTime":1059.265,"body":"Whereas radiation is more akin to surgery"},{"speaker":"Dr Vincent Pow","startTime":1059.265,"endTime":1054.645,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1054.645,"endTime":1059.265,"body":"that it's certainly more targeted more"},{"speaker":"Dr Vincent Pow","startTime":1059.265,"endTime":1059.265,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1059.265,"endTime":1064.395,"body":"for local areas, but we're again combining"},{"speaker":"Dr Vincent Pow","startTime":1064.395,"endTime":1059.265,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1059.265,"endTime":1064.395,"body":"different approaches all the time."},{"speaker":"Dr Gavin Nimon","startTime":1065.715,"endTime":1066.225,"body":"looking at it."},{"speaker":"Dr Gavin Nimon","startTime":1066.225,"endTime":1066.225,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1066.225,"endTime":1069.405,"body":"When you talk about the ionizing"},{"speaker":"Dr Gavin Nimon","startTime":1069.405,"endTime":1066.225,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1066.225,"endTime":1069.405,"body":"radiation, what about different types of"},{"speaker":"Dr Gavin Nimon","startTime":1069.405,"endTime":1069.525,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1069.525,"endTime":1073.245,"body":"ionizing radiation there, the different"},{"speaker":"Dr Gavin Nimon","startTime":1073.245,"endTime":1069.525,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1069.525,"endTime":1073.245,"body":"frequencies of the waves you're releasing?"},{"speaker":"Dr Gavin Nimon","startTime":1073.245,"endTime":1073.525,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1073.525,"endTime":1074.935,"body":"Or different types too."},{"speaker":"Dr Vincent Pow","startTime":1075.415,"endTime":1078.585,"body":"So there's, I"},{"speaker":"Dr Vincent Pow","startTime":1078.585,"endTime":1075.415,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1075.415,"endTime":1078.585,"body":"guess we can break it down into"},{"speaker":"Dr Vincent Pow","startTime":1078.585,"endTime":1078.665,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1078.665,"endTime":1081.575,"body":"the different modalities or"},{"speaker":"Dr Vincent Pow","startTime":1081.575,"endTime":1078.665,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1078.665,"endTime":1081.575,"body":"types of radiation that we give."},{"speaker":"Dr Vincent Pow","startTime":1081.575,"endTime":1081.995,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1081.995,"endTime":1086.2549999999999,"body":"And broadly speaking, it's external"},{"speaker":"Dr Vincent Pow","startTime":1086.2549999999999,"endTime":1081.995,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1081.995,"endTime":1086.2549999999999,"body":"radiation, which is the large majority"},{"speaker":"Dr Vincent Pow","startTime":1086.2549999999999,"endTime":1086.2549999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1086.2549999999999,"endTime":1090.155,"body":"of what we do that's on our linear"},{"speaker":"Dr Vincent Pow","startTime":1090.155,"endTime":1086.2549999999999,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1086.2549999999999,"endTime":1090.155,"body":"accelerator or what we call a linac."},{"speaker":"Dr Vincent Pow","startTime":1090.155,"endTime":1090.965,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1090.965,"endTime":1095.945,"body":"And essentially it shoots an electron"},{"speaker":"Dr Vincent Pow","startTime":1095.945,"endTime":1090.965,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1090.965,"endTime":1095.945,"body":"beam into the machine, speeds it up to"},{"speaker":"Dr Vincent Pow","startTime":1095.945,"endTime":1095.945,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1095.945,"endTime":1101.735,"body":"the speed of light, hits a target, and we"},{"speaker":"Dr Vincent Pow","startTime":1101.735,"endTime":1095.945,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1095.945,"endTime":1101.735,"body":"get our x-rays or photons coming out, and"},{"speaker":"Dr Vincent Pow","startTime":1101.735,"endTime":1101.735,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1101.735,"endTime":1103.415,"body":"that will be our mainstay of treatment."},{"speaker":"Dr Vincent Pow","startTime":1103.415,"endTime":1103.895,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1103.895,"endTime":1109.955,"body":"Now we can vary the intensity of that,"},{"speaker":"Dr Vincent Pow","startTime":1109.955,"endTime":1103.895,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1103.895,"endTime":1109.955,"body":"vary what angles and what beams to"},{"speaker":"Dr Vincent Pow","startTime":1109.955,"endTime":1109.955,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1109.955,"endTime":1111.635,"body":"deliver the type of dose that we want."},{"speaker":"Dr Vincent Pow","startTime":1111.635,"endTime":1112.2350000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1112.2350000000001,"endTime":1113.585,"body":"And then we modulate that,"},{"speaker":"Dr Vincent Pow","startTime":1113.585,"endTime":1114.4950000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1114.4950000000001,"endTime":1119.304,"body":"modify it using Different apertures"},{"speaker":"Dr Vincent Pow","startTime":1119.304,"endTime":1114.4950000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1114.4950000000001,"endTime":1119.304,"body":"and different ways of creating"},{"speaker":"Dr Vincent Pow","startTime":1119.304,"endTime":1119.304,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1119.304,"endTime":1121.459,"body":"that beam coming outta the machine."},{"speaker":"Dr Vincent Pow","startTime":1121.459,"endTime":1122.2740000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1122.2740000000001,"endTime":1125.364,"body":"We also have things like electron therapy."},{"speaker":"Dr Vincent Pow","startTime":1125.364,"endTime":1125.364,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1125.364,"endTime":1134.259,"body":"So this time it uses, we just essentially"},{"speaker":"Dr Vincent Pow","startTime":1134.259,"endTime":1125.364,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1125.364,"endTime":1134.259,"body":"trying to use the best radiation"},{"speaker":"Dr Vincent Pow","startTime":1134.259,"endTime":1135.114,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1135.114,"endTime":1138.034,"body":"characteristics to suit the tumour."},{"speaker":"Dr Vincent Pow","startTime":1138.034,"endTime":1138.2340000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1138.2340000000002,"endTime":1142.564,"body":"So electron therapy is used and what"},{"speaker":"Dr Vincent Pow","startTime":1142.564,"endTime":1138.2340000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1138.2340000000002,"endTime":1142.564,"body":"we call superficial radiotherapy is"},{"speaker":"Dr Vincent Pow","startTime":1142.564,"endTime":1142.564,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1142.564,"endTime":1144.664,"body":"used very commonly for skin cancers."},{"speaker":"Dr Vincent Pow","startTime":1144.664,"endTime":1144.964,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1144.964,"endTime":1148.784,"body":"So it's actually a different profile"},{"speaker":"Dr Vincent Pow","startTime":1148.784,"endTime":1144.964,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1144.964,"endTime":1148.784,"body":"in the way it delivers its dose."},{"speaker":"Dr Vincent Pow","startTime":1148.784,"endTime":1148.934,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1148.934,"endTime":1153.374,"body":"So more superficially that would"},{"speaker":"Dr Vincent Pow","startTime":1153.374,"endTime":1148.934,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1148.934,"endTime":1153.374,"body":"be the mainstay of our treatment."},{"speaker":"Dr Vincent Pow","startTime":1153.374,"endTime":1154.454,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1154.454,"endTime":1157.904,"body":"Then we have internal"},{"speaker":"Dr Vincent Pow","startTime":1157.904,"endTime":1154.454,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1154.454,"endTime":1157.904,"body":"radiation or brachytherapy."},{"speaker":"Dr Vincent Pow","startTime":1157.904,"endTime":1158.5040000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1158.5040000000001,"endTime":1161.594,"body":"So this is actually where"},{"speaker":"Dr Vincent Pow","startTime":1161.594,"endTime":1158.5040000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1158.5040000000001,"endTime":1161.594,"body":"we use a radioactive source."},{"speaker":"Dr Vincent Pow","startTime":1161.594,"endTime":1162.779,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1162.779,"endTime":1165.1090000000002,"body":"We deliver right into the tumour."},{"speaker":"Dr Vincent Pow","startTime":1165.1090000000002,"endTime":1165.599,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1165.599,"endTime":1174.239,"body":"So brachytherapy is used in things like"},{"speaker":"Dr Vincent Pow","startTime":1174.239,"endTime":1165.599,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1165.599,"endTime":1174.239,"body":"prostate cancer, cervix cancer, and we"},{"speaker":"Dr Vincent Pow","startTime":1174.239,"endTime":1174.239,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1174.239,"endTime":1177.089,"body":"are able to get to where the tumour is."},{"speaker":"Dr Vincent Pow","startTime":1177.089,"endTime":1178.069,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1178.069,"endTime":1180.439,"body":"it's more, a little bit more,"},{"speaker":"Dr Vincent Pow","startTime":1180.439,"endTime":1178.069,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1178.069,"endTime":1180.439,"body":"certainly more invasive."},{"speaker":"Dr Vincent Pow","startTime":1180.439,"endTime":1181.239,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1181.239,"endTime":1185.8890000000001,"body":"But we deliver a radiation source"},{"speaker":"Dr Vincent Pow","startTime":1185.8890000000001,"endTime":1181.239,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1181.239,"endTime":1185.8890000000001,"body":"directly to the area and it delivers the"},{"speaker":"Dr Vincent Pow","startTime":1185.8890000000001,"endTime":1185.8890000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1185.8890000000001,"endTime":1193.209,"body":"radiation from the actual source itself"},{"speaker":"Dr Vincent Pow","startTime":1193.209,"endTime":1185.8890000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1185.8890000000001,"endTime":1193.209,"body":"most of the time, depending on the type"},{"speaker":"Dr Vincent Pow","startTime":1193.209,"endTime":1193.209,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1193.209,"endTime":1195.8590000000002,"body":"of brachytherapy, we will remove it."},{"speaker":"Dr Vincent Pow","startTime":1195.8590000000002,"endTime":1196.249,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1196.249,"endTime":1197.569,"body":"And it's delivered it's dose internally."},{"speaker":"Dr Gavin Nimon","startTime":1199.579,"endTime":1201.589,"body":"There's no way of"},{"speaker":"Dr Gavin Nimon","startTime":1201.589,"endTime":1199.579,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1199.579,"endTime":1201.589,"body":"putting a substance internally than"},{"speaker":"Dr Gavin Nimon","startTime":1201.589,"endTime":1201.589,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1201.589,"endTime":1203.1190000000001,"body":"activating it with a beam externally?"},{"speaker":"Dr Vincent Pow","startTime":1204.259,"endTime":1205.3690000000001,"body":"No, not quite."},{"speaker":"Dr Vincent Pow","startTime":1205.3690000000001,"endTime":1205.3690000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1205.3690000000001,"endTime":1208.989,"body":"But there is for prostate cancer"},{"speaker":"Dr Vincent Pow","startTime":1208.989,"endTime":1205.3690000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1205.3690000000001,"endTime":1208.989,"body":"treatment, we have a low dose rate"},{"speaker":"Dr Vincent Pow","startTime":1208.989,"endTime":1208.989,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1208.989,"endTime":1212.199,"body":"brachytherapy where we actually put."},{"speaker":"Dr Vincent Pow","startTime":1212.199,"endTime":1213.0240000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1213.0240000000001,"endTime":1218.644,"body":"Radioactive pellets into the prostate"},{"speaker":"Dr Vincent Pow","startTime":1218.644,"endTime":1213.0240000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1213.0240000000001,"endTime":1218.644,"body":"and it delivers its radiation slowly"},{"speaker":"Dr Vincent Pow","startTime":1218.644,"endTime":1218.644,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1218.644,"endTime":1221.554,"body":"over time So, and they stay there."},{"speaker":"Dr Vincent Pow","startTime":1221.554,"endTime":1221.554,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1221.554,"endTime":1224.7640000000001,"body":"So those patients are technically"},{"speaker":"Dr Vincent Pow","startTime":1224.7640000000001,"endTime":1221.554,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1221.554,"endTime":1224.7640000000001,"body":"radioactive, although the activity is"},{"speaker":"Dr Vincent Pow","startTime":1224.7640000000001,"endTime":1224.7640000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1224.7640000000001,"endTime":1230.964,"body":"really so low outside that it's very"},{"speaker":"Dr Vincent Pow","startTime":1230.964,"endTime":1224.7640000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1224.7640000000001,"endTime":1230.964,"body":"to be in so that there is some types"},{"speaker":"Dr Vincent Pow","startTime":1230.964,"endTime":1230.964,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1230.964,"endTime":1233.434,"body":"that we actually purposely do that."},{"speaker":"Dr Vincent Pow","startTime":1233.434,"endTime":1234.154,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1234.154,"endTime":1237.4840000000002,"body":"And for thyroid cancers as well we"},{"speaker":"Dr Vincent Pow","startTime":1237.4840000000002,"endTime":1234.154,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1234.154,"endTime":1237.4840000000002,"body":"actually give patients radioactive"},{"speaker":"Dr Vincent Pow","startTime":1237.4840000000002,"endTime":1237.4840000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1237.4840000000002,"endTime":1242.194,"body":"iodine and it actually hones out thyroid"},{"speaker":"Dr Vincent Pow","startTime":1242.194,"endTime":1237.4840000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1237.4840000000002,"endTime":1242.194,"body":"cancer cells and kills it that way."},{"speaker":"Dr Vincent Pow","startTime":1242.194,"endTime":1242.7640000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1242.7640000000001,"endTime":1244.564,"body":"We're doing a little bit"},{"speaker":"Dr Vincent Pow","startTime":1244.564,"endTime":1242.7640000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1242.7640000000001,"endTime":1244.564,"body":"less and less of that now."},{"speaker":"Dr Vincent Pow","startTime":1244.564,"endTime":1244.564,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1244.564,"endTime":1248.344,"body":"The nuclear Med physicians are are"},{"speaker":"Dr Vincent Pow","startTime":1248.344,"endTime":1244.564,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1244.564,"endTime":1248.344,"body":"being a bit more involved in that space."},{"speaker":"Dr Gavin Nimon","startTime":1249.454,"endTime":1251.374,"body":"What about it's always"},{"speaker":"Dr Gavin Nimon","startTime":1251.374,"endTime":1249.454,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1249.454,"endTime":1251.374,"body":"a single beam when you're doing the"},{"speaker":"Dr Gavin Nimon","startTime":1251.374,"endTime":1251.374,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1251.374,"endTime":1254.854,"body":"external radiotherapy or can use dual"},{"speaker":"Dr Gavin Nimon","startTime":1254.854,"endTime":1251.374,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1251.374,"endTime":1254.854,"body":"beams to actually hit each other?"},{"speaker":"Dr Vincent Pow","startTime":1254.8690000000001,"endTime":1256.084,"body":"that's"},{"speaker":"Dr Vincent Pow","startTime":1256.084,"endTime":1254.8690000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1254.8690000000001,"endTime":1256.084,"body":"a great question, Gavin."},{"speaker":"Dr Vincent Pow","startTime":1256.084,"endTime":1256.2340000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1256.2340000000002,"endTime":1260.434,"body":"So that probably goes on to the history"},{"speaker":"Dr Vincent Pow","startTime":1260.434,"endTime":1256.2340000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1256.2340000000002,"endTime":1260.434,"body":"of radiation and how far we've come."},{"speaker":"Dr Vincent Pow","startTime":1260.434,"endTime":1261.034,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1261.034,"endTime":1263.864,"body":"So it used to be literally four beams."},{"speaker":"Dr Vincent Pow","startTime":1263.864,"endTime":1264.189,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1264.189,"endTime":1266.829,"body":"One from the front, one from"},{"speaker":"Dr Vincent Pow","startTime":1266.829,"endTime":1264.189,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1264.189,"endTime":1266.829,"body":"the back, one from the left,"},{"speaker":"Dr Vincent Pow","startTime":1266.829,"endTime":1266.829,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1266.829,"endTime":1270.339,"body":"one from the right, classically"},{"speaker":"Dr Vincent Pow","startTime":1270.339,"endTime":1266.829,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1266.829,"endTime":1270.339,"body":"called that the four field box."},{"speaker":"Dr Vincent Pow","startTime":1270.339,"endTime":1270.759,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1270.759,"endTime":1276.939,"body":"And literally everything in that box got"},{"speaker":"Dr Vincent Pow","startTime":1276.939,"endTime":1270.759,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1270.759,"endTime":1276.939,"body":"the same amount of dose and radiation."},{"speaker":"Dr Vincent Pow","startTime":1276.939,"endTime":1276.939,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1276.939,"endTime":1283.059,"body":"Oncologists, not so long ago, were"},{"speaker":"Dr Vincent Pow","startTime":1283.059,"endTime":1276.939,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1276.939,"endTime":1283.059,"body":"drawing on x-rays, just China graph an"},{"speaker":"Dr Vincent Pow","startTime":1283.059,"endTime":1283.059,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1283.059,"endTime":1287.094,"body":"x-ray, say, this is where I'd like the"},{"speaker":"Dr Vincent Pow","startTime":1287.094,"endTime":1283.059,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1283.059,"endTime":1287.094,"body":"dose to go and everything in that area."},{"speaker":"Dr Vincent Pow","startTime":1287.094,"endTime":1287.094,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1287.094,"endTime":1287.424,"body":"Got it."},{"speaker":"Dr Vincent Pow","startTime":1287.424,"endTime":1287.934,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1287.934,"endTime":1292.284,"body":"So that's what the era of 2D"},{"speaker":"Dr Vincent Pow","startTime":1292.284,"endTime":1287.934,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1287.934,"endTime":1292.284,"body":"planning or 2D radiotherapy."},{"speaker":"Dr Vincent Pow","startTime":1292.284,"endTime":1292.614,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1292.614,"endTime":1293.9940000000001,"body":"Then we moved to 3D."},{"speaker":"Dr Vincent Pow","startTime":1293.9940000000001,"endTime":1294.144,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1294.144,"endTime":1296.424,"body":"So then we started using CT scans."},{"speaker":"Dr Vincent Pow","startTime":1296.424,"endTime":1296.724,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1296.724,"endTime":1300.4840000000002,"body":"We started using multiple"},{"speaker":"Dr Vincent Pow","startTime":1300.4840000000002,"endTime":1296.724,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1296.724,"endTime":1300.4840000000002,"body":"beams from different angles."},{"speaker":"Dr Vincent Pow","startTime":1300.4840000000002,"endTime":1301.5040000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1301.5040000000001,"endTime":1305.974,"body":"and now we've evolved to nearly"},{"speaker":"Dr Vincent Pow","startTime":1305.974,"endTime":1301.5040000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1301.5040000000001,"endTime":1305.974,"body":"all of our treatments are what"},{"speaker":"Dr Vincent Pow","startTime":1305.974,"endTime":1305.974,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1305.974,"endTime":1307.954,"body":"we would call IMRT or vmat."},{"speaker":"Dr Vincent Pow","startTime":1307.954,"endTime":1307.9840000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1307.9840000000002,"endTime":1313.474,"body":"So a fancy word for volumetric,"},{"speaker":"Dr Vincent Pow","startTime":1313.474,"endTime":1307.9840000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1307.9840000000002,"endTime":1313.474,"body":"modulated arc therapy."},{"speaker":"Dr Vincent Pow","startTime":1313.474,"endTime":1313.7440000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1313.7440000000001,"endTime":1315.5140000000001,"body":"And essentially the radiation is."},{"speaker":"Dr Vincent Pow","startTime":1315.5140000000001,"endTime":1315.874,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1315.874,"endTime":1321.2440000000001,"body":"Beam is always on and it's always moving"},{"speaker":"Dr Vincent Pow","startTime":1321.2440000000001,"endTime":1315.874,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1315.874,"endTime":1321.2440000000001,"body":"in a continuous clockwise fashion."},{"speaker":"Dr Vincent Pow","startTime":1321.2440000000001,"endTime":1321.5140000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1321.5140000000001,"endTime":1326.374,"body":"So we go clockwise and anti-clockwise"},{"speaker":"Dr Vincent Pow","startTime":1326.374,"endTime":1321.5140000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1321.5140000000001,"endTime":1326.374,"body":"and the beam itself, there's no stop,"},{"speaker":"Dr Vincent Pow","startTime":1326.374,"endTime":1326.554,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1326.554,"endTime":1329.4940000000001,"body":"shoot, stop, shoot, this angle fixed."},{"speaker":"Dr Vincent Pow","startTime":1329.4940000000001,"endTime":1329.4940000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1329.4940000000001,"endTime":1335.464,"body":"It's one continuous nice circle back"},{"speaker":"Dr Vincent Pow","startTime":1335.464,"endTime":1329.4940000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1329.4940000000001,"endTime":1335.464,"body":"and the radiation's always on, but"},{"speaker":"Dr Vincent Pow","startTime":1335.464,"endTime":1335.464,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1335.464,"endTime":1339.574,"body":"there's little leaves inside the"},{"speaker":"Dr Vincent Pow","startTime":1339.574,"endTime":1335.464,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1335.464,"endTime":1339.574,"body":"machine that can modulate the dose."},{"speaker":"Dr Vincent Pow","startTime":1339.574,"endTime":1339.904,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1339.904,"endTime":1343.284,"body":"And that's really from the power of"},{"speaker":"Dr Vincent Pow","startTime":1343.284,"endTime":1339.904,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1339.904,"endTime":1343.284,"body":"computers and the technology that's"},{"speaker":"Dr Vincent Pow","startTime":1343.284,"endTime":1343.284,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1343.284,"endTime":1345.2640000000001,"body":"able to figure that out for us."},{"speaker":"Dr Gavin Nimon","startTime":1346.2540000000001,"endTime":1347.844,"body":"Sounds like"},{"speaker":"Dr Gavin Nimon","startTime":1347.844,"endTime":1346.2540000000001,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1346.2540000000001,"endTime":1347.844,"body":"the whole area is just a dead"},{"speaker":"Dr Gavin Nimon","startTime":1347.844,"endTime":1347.844,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1347.844,"endTime":1349.854,"body":"sitter for AI technology as well."},{"speaker":"Dr Gavin Nimon","startTime":1349.854,"endTime":1350.364,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1350.364,"endTime":1352.434,"body":"And is that used much"},{"speaker":"Dr Gavin Nimon","startTime":1352.434,"endTime":1350.364,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1350.364,"endTime":1352.434,"body":"at all at this stage?"},{"speaker":"Dr Vincent Pow","startTime":1352.434,"endTime":1352.7340000000002,"body":"Yeah."},{"speaker":"Dr Vincent Pow","startTime":1352.7340000000002,"endTime":1352.784,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1352.784,"endTime":1353.594,"body":"We love ai."},{"speaker":"Dr Vincent Pow","startTime":1353.594,"endTime":1353.694,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1353.694,"endTime":1359.2640000000001,"body":"So we do have AI deep learning"},{"speaker":"Dr Vincent Pow","startTime":1359.2640000000001,"endTime":1353.694,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1353.694,"endTime":1359.2640000000001,"body":"modules on our planning systems."},{"speaker":"Dr Vincent Pow","startTime":1359.2640000000001,"endTime":1359.684,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1359.684,"endTime":1365.074,"body":"So now what that has helped us at the"},{"speaker":"Dr Vincent Pow","startTime":1365.074,"endTime":1359.684,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1359.684,"endTime":1365.074,"body":"moment is helping us contour organs"},{"speaker":"Dr Vincent Pow","startTime":1365.074,"endTime":1365.074,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1365.074,"endTime":1367.594,"body":"or so we've trained them on data sets."},{"speaker":"Dr Vincent Pow","startTime":1367.594,"endTime":1367.689,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1367.689,"endTime":1374.3590000000002,"body":"And they've even been trained on our"},{"speaker":"Dr Vincent Pow","startTime":1374.3590000000002,"endTime":1367.689,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1367.689,"endTime":1374.3590000000002,"body":"own cases, and it can automatically"},{"speaker":"Dr Vincent Pow","startTime":1374.3590000000002,"endTime":1374.449,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1374.449,"endTime":1379.679,"body":"have contoured all the normal"},{"speaker":"Dr Vincent Pow","startTime":1379.679,"endTime":1374.449,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1374.449,"endTime":1379.679,"body":"organ structures for us So that's"},{"speaker":"Dr Vincent Pow","startTime":1379.679,"endTime":1379.679,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1379.679,"endTime":1381.229,"body":"where it's sitting at the moment."},{"speaker":"Dr Vincent Pow","startTime":1381.229,"endTime":1381.499,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1381.499,"endTime":1383.269,"body":"Obviously, the sky is the limit."},{"speaker":"Dr Vincent Pow","startTime":1383.269,"endTime":1383.699,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1383.699,"endTime":1388.559,"body":"There are programs and ways that"},{"speaker":"Dr Vincent Pow","startTime":1388.559,"endTime":1383.699,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1383.699,"endTime":1388.559,"body":"are conting automatically areas for"},{"speaker":"Dr Vincent Pow","startTime":1388.559,"endTime":1388.559,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1388.559,"endTime":1391.199,"body":"you coming up with better plans."},{"speaker":"Dr Vincent Pow","startTime":1391.199,"endTime":1391.439,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1391.439,"endTime":1392.489,"body":"It's really exciting."},{"speaker":"Dr Gavin Nimon","startTime":1393.1190000000001,"endTime":1393.749,"body":"Excellent."},{"speaker":"Dr Gavin Nimon","startTime":1393.749,"endTime":1394.499,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1394.499,"endTime":1398.189,"body":"Well, moving on to what sort of cancers"},{"speaker":"Dr Gavin Nimon","startTime":1398.189,"endTime":1394.499,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1394.499,"endTime":1398.189,"body":"could be treated with radiotherapy?"},{"speaker":"Dr Gavin Nimon","startTime":1398.189,"endTime":1398.239,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1398.239,"endTime":1401.689,"body":"I believe you've produced a"},{"speaker":"Dr Gavin Nimon","startTime":1401.689,"endTime":1398.239,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1398.239,"endTime":1401.689,"body":"website targeting Cancer, which"},{"speaker":"Dr Gavin Nimon","startTime":1401.689,"endTime":1401.689,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1401.689,"endTime":1404.989,"body":"I've looked at and looked like"},{"speaker":"Dr Gavin Nimon","startTime":1404.989,"endTime":1401.689,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1401.689,"endTime":1404.989,"body":"every type of cancer's on there."},{"speaker":"Dr Gavin Nimon","startTime":1404.989,"endTime":1405.409,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1405.409,"endTime":1408.589,"body":"Which are the most common ones and are"},{"speaker":"Dr Gavin Nimon","startTime":1408.589,"endTime":1405.409,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1405.409,"endTime":1408.589,"body":"there any ones that can't be treated?"},{"speaker":"Dr Vincent Pow","startTime":1409.409,"endTime":1411.269,"body":"The short answer is no."},{"speaker":"Dr Vincent Pow","startTime":1411.269,"endTime":1411.3890000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1411.3890000000001,"endTime":1411.809,"body":"I think."},{"speaker":"Dr Vincent Pow","startTime":1411.809,"endTime":1412.964,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1412.964,"endTime":1417.654,"body":"Statistic that is that one in two cancer"},{"speaker":"Dr Vincent Pow","startTime":1417.654,"endTime":1412.964,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1412.964,"endTime":1417.654,"body":"patients will have radiation play a"},{"speaker":"Dr Vincent Pow","startTime":1417.654,"endTime":1417.654,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1417.654,"endTime":1420.224,"body":"role in some stage of their journey."},{"speaker":"Dr Vincent Pow","startTime":1420.224,"endTime":1420.5240000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1420.5240000000001,"endTime":1422.624,"body":"So one in two that's quite significant."},{"speaker":"Dr Vincent Pow","startTime":1422.624,"endTime":1422.794,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1422.794,"endTime":1428.824,"body":"And I guess we play a role in every cancer"},{"speaker":"Dr Vincent Pow","startTime":1428.824,"endTime":1422.794,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1422.794,"endTime":1428.824,"body":"because the radiation or the x-ray beam"},{"speaker":"Dr Vincent Pow","startTime":1428.824,"endTime":1428.824,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1428.824,"endTime":1433.134,"body":"or the it doesn't discriminate There"},{"speaker":"Dr Vincent Pow","startTime":1433.134,"endTime":1428.824,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1428.824,"endTime":1433.134,"body":"are tumours that, that respond better."},{"speaker":"Dr Vincent Pow","startTime":1433.134,"endTime":1433.2440000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1433.2440000000001,"endTime":1433.574,"body":"Yes."},{"speaker":"Dr Vincent Pow","startTime":1433.574,"endTime":1433.574,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1433.574,"endTime":1438.094,"body":"And some tumours that don't respond,"},{"speaker":"Dr Vincent Pow","startTime":1438.094,"endTime":1433.574,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1433.574,"endTime":1438.094,"body":"but particularly in the palliative"},{"speaker":"Dr Vincent Pow","startTime":1438.094,"endTime":1438.094,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1438.094,"endTime":1442.439,"body":"setting or the way that we are helping"},{"speaker":"Dr Vincent Pow","startTime":1442.439,"endTime":1438.094,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1438.094,"endTime":1442.439,"body":"with symptoms, certainly it plays a"},{"speaker":"Dr Vincent Pow","startTime":1442.439,"endTime":1442.439,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1442.439,"endTime":1444.169,"body":"bit a majority of the role really."},{"speaker":"Dr Vincent Pow","startTime":1444.169,"endTime":1444.809,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1444.809,"endTime":1448.679,"body":"There are obviously tumour sites where"},{"speaker":"Dr Vincent Pow","startTime":1448.679,"endTime":1444.809,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1444.809,"endTime":1448.679,"body":"sometimes radiation is more beneficial."},{"speaker":"Dr Vincent Pow","startTime":1448.679,"endTime":1449.099,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1449.099,"endTime":1451.579,"body":"So this is where we think"},{"speaker":"Dr Vincent Pow","startTime":1451.579,"endTime":1449.099,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1449.099,"endTime":1451.579,"body":"about organ preservation."},{"speaker":"Dr Vincent Pow","startTime":1451.579,"endTime":1452.279,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1452.279,"endTime":1457.209,"body":"So for instance early stage larynx"},{"speaker":"Dr Vincent Pow","startTime":1457.209,"endTime":1452.279,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1452.279,"endTime":1457.209,"body":"cancers radiation is generally preferred."},{"speaker":"Dr Vincent Pow","startTime":1457.209,"endTime":1458.059,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1458.059,"endTime":1463.579,"body":"Cervix cancers locally advanced cervix,"},{"speaker":"Dr Vincent Pow","startTime":1463.579,"endTime":1458.059,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1458.059,"endTime":1463.579,"body":"cancers, bladder cancer, anal cancer."},{"speaker":"Dr Vincent Pow","startTime":1463.579,"endTime":1463.6290000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1463.6290000000001,"endTime":1467.169,"body":"Radiation, is off often"},{"speaker":"Dr Vincent Pow","startTime":1467.169,"endTime":1463.6290000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1463.6290000000001,"endTime":1467.169,"body":"the first point of call."},{"speaker":"Dr Vincent Pow","startTime":1467.169,"endTime":1467.829,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1467.829,"endTime":1470.809,"body":"And there are some tumour sites"},{"speaker":"Dr Vincent Pow","startTime":1470.809,"endTime":1467.829,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1467.829,"endTime":1470.809,"body":"that respond well to radiation."},{"speaker":"Dr Vincent Pow","startTime":1470.809,"endTime":1471.079,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1471.079,"endTime":1476.329,"body":"So we know that squamous cell cancers"},{"speaker":"Dr Vincent Pow","startTime":1476.329,"endTime":1471.079,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1471.079,"endTime":1476.329,"body":"or SCCs, respond very well to radiation."},{"speaker":"Dr Vincent Pow","startTime":1476.329,"endTime":1476.509,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1476.509,"endTime":1481.6090000000002,"body":"So particularly those that are HPV"},{"speaker":"Dr Vincent Pow","startTime":1481.6090000000002,"endTime":1476.509,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1476.509,"endTime":1481.6090000000002,"body":"driven, so head and neck cancers,"},{"speaker":"Dr Vincent Pow","startTime":1481.6090000000002,"endTime":1481.909,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1481.909,"endTime":1485.569,"body":"sometimes, anal cancer, cervix,"},{"speaker":"Dr Vincent Pow","startTime":1485.569,"endTime":1481.909,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1481.909,"endTime":1485.569,"body":"cancers, that sort of thing."},{"speaker":"Dr Vincent Pow","startTime":1485.569,"endTime":1486.019,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1486.019,"endTime":1490.029,"body":"We would strongly favor radiation"},{"speaker":"Dr Vincent Pow","startTime":1490.029,"endTime":1486.019,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1486.019,"endTime":1490.029,"body":"as a way to obviously get rid of the"},{"speaker":"Dr Vincent Pow","startTime":1490.029,"endTime":1490.029,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1490.029,"endTime":1492.8590000000002,"body":"cancer, but try to preserve the organ."},{"speaker":"Dr Vincent Pow","startTime":1492.8590000000002,"endTime":1494.179,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1494.179,"endTime":1498.059,"body":"so those would be the main sites where"},{"speaker":"Dr Vincent Pow","startTime":1498.059,"endTime":1494.179,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1494.179,"endTime":1498.059,"body":"we think about organ preservation."},{"speaker":"Dr Vincent Pow","startTime":1498.059,"endTime":1498.539,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1498.539,"endTime":1502.969,"body":"And then I think as the evidence"},{"speaker":"Dr Vincent Pow","startTime":1502.969,"endTime":1498.539,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1498.539,"endTime":1502.969,"body":"evolves and our technology evolves,"},{"speaker":"Dr Vincent Pow","startTime":1502.969,"endTime":1503.569,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1503.569,"endTime":1505.064,"body":"you might start to see a shift."},{"speaker":"Dr Vincent Pow","startTime":1505.064,"endTime":1505.334,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1505.334,"endTime":1509.354,"body":"So I particularly like, for instance,"},{"speaker":"Dr Vincent Pow","startTime":1509.354,"endTime":1505.334,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1505.334,"endTime":1509.354,"body":"in lung cancer, early stage lung cancer."},{"speaker":"Dr Vincent Pow","startTime":1509.354,"endTime":1509.894,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1509.894,"endTime":1513.164,"body":"We deliver a treatment now called"},{"speaker":"Dr Vincent Pow","startTime":1513.164,"endTime":1509.894,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1509.894,"endTime":1513.164,"body":"Sabre, which is just a technique."},{"speaker":"Dr Vincent Pow","startTime":1513.164,"endTime":1513.164,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1513.164,"endTime":1514.424,"body":"It's still the same radiation."},{"speaker":"Dr Vincent Pow","startTime":1514.424,"endTime":1514.944,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1514.944,"endTime":1519.804,"body":"Just highly precise and highly"},{"speaker":"Dr Vincent Pow","startTime":1519.804,"endTime":1514.944,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1514.944,"endTime":1519.804,"body":"targeted, and that performs a"},{"speaker":"Dr Vincent Pow","startTime":1519.804,"endTime":1519.804,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1519.804,"endTime":1521.814,"body":"more ablative dose of radiation."},{"speaker":"Dr Vincent Pow","startTime":1521.814,"endTime":1522.084,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1522.084,"endTime":1526.0240000000001,"body":"And that is now an established"},{"speaker":"Dr Vincent Pow","startTime":1526.0240000000001,"endTime":1522.084,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1522.084,"endTime":1526.0240000000001,"body":"treatment for those who are not"},{"speaker":"Dr Vincent Pow","startTime":1526.0240000000001,"endTime":1526.0240000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1526.0240000000001,"endTime":1531.594,"body":"suitable for lobectomy and who"},{"speaker":"Dr Vincent Pow","startTime":1531.594,"endTime":1526.0240000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1526.0240000000001,"endTime":1531.594,"body":"knows as the evidence matures and"},{"speaker":"Dr Vincent Pow","startTime":1531.594,"endTime":1531.594,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1531.594,"endTime":1535.7340000000002,"body":"those trials come out, that might be"},{"speaker":"Dr Vincent Pow","startTime":1535.7340000000002,"endTime":1531.594,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1531.594,"endTime":1535.7340000000002,"body":"the preferred option in the future"},{"speaker":"Dr Gavin Nimon","startTime":1536.209,"endTime":1537.949,"body":"well, you've"},{"speaker":"Dr Gavin Nimon","startTime":1537.949,"endTime":1536.209,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1536.209,"endTime":1537.949,"body":"mentioned some of the advances, but"},{"speaker":"Dr Gavin Nimon","startTime":1537.949,"endTime":1537.949,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1537.949,"endTime":1541.039,"body":"trying the different technologies"},{"speaker":"Dr Gavin Nimon","startTime":1541.039,"endTime":1537.949,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1537.949,"endTime":1541.039,"body":"with different beams and now this"},{"speaker":"Dr Gavin Nimon","startTime":1541.039,"endTime":1541.039,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1541.039,"endTime":1543.979,"body":"continuous beam, what other advances"},{"speaker":"Dr Gavin Nimon","startTime":1543.979,"endTime":1541.039,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1541.039,"endTime":1543.979,"body":"have occurred over the years?"},{"speaker":"Dr Gavin Nimon","startTime":1543.979,"endTime":1544.189,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1544.189,"endTime":1545.659,"body":"Obviously AI is a new one."},{"speaker":"Dr Vincent Pow","startTime":1546.1090000000002,"endTime":1549.289,"body":"AI certainly,"},{"speaker":"Dr Vincent Pow","startTime":1549.289,"endTime":1546.1090000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1546.1090000000002,"endTime":1549.289,"body":"certainly a new advance for us as well."},{"speaker":"Dr Vincent Pow","startTime":1549.289,"endTime":1549.729,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1549.729,"endTime":1557.249,"body":"I think our specialty is clearly heading"},{"speaker":"Dr Vincent Pow","startTime":1557.249,"endTime":1549.729,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1549.729,"endTime":1557.249,"body":"into trying to be even more precise and so"},{"speaker":"Dr Vincent Pow","startTime":1557.249,"endTime":1557.3690000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1557.3690000000001,"endTime":1563.039,"body":"the more precise we can be and the better"},{"speaker":"Dr Vincent Pow","startTime":1563.039,"endTime":1557.3690000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1557.3690000000001,"endTime":1563.039,"body":"our techniques, then we can, we feel"},{"speaker":"Dr Vincent Pow","startTime":1563.039,"endTime":1563.039,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1563.039,"endTime":1565.209,"body":"safer to reduce the number of treatments."},{"speaker":"Dr Vincent Pow","startTime":1565.209,"endTime":1565.919,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1565.919,"endTime":1566.159,"body":"So"},{"speaker":"Dr Vincent Pow","startTime":1566.159,"endTime":1567.3990000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1567.3990000000001,"endTime":1572.079,"body":"we have seen a clear shift, particularly"},{"speaker":"Dr Vincent Pow","startTime":1572.079,"endTime":1567.3990000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1567.3990000000001,"endTime":1572.079,"body":"in prostate cancer where that used"},{"speaker":"Dr Vincent Pow","startTime":1572.079,"endTime":1572.079,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1572.079,"endTime":1573.3790000000001,"body":"to be eight weeks of treatment."},{"speaker":"Dr Vincent Pow","startTime":1573.3790000000001,"endTime":1574.329,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1574.329,"endTime":1577.599,"body":"The standard now is four weeks of"},{"speaker":"Dr Vincent Pow","startTime":1577.599,"endTime":1574.329,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1574.329,"endTime":1577.599,"body":"treatment and now there's really"},{"speaker":"Dr Vincent Pow","startTime":1577.599,"endTime":1577.599,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1577.599,"endTime":1580.239,"body":"good evidence to say that five"},{"speaker":"Dr Vincent Pow","startTime":1580.239,"endTime":1577.599,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1577.599,"endTime":1580.239,"body":"treatments is as good as four"},{"speaker":"Dr Vincent Pow","startTime":1580.239,"endTime":1580.239,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1580.239,"endTime":1582.789,"body":"week treatments many scenarios."},{"speaker":"Dr Vincent Pow","startTime":1582.789,"endTime":1582.789,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1582.789,"endTime":1588.699,"body":"So there's a clear shift there, and we can"},{"speaker":"Dr Vincent Pow","startTime":1588.699,"endTime":1582.789,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1582.789,"endTime":1588.699,"body":"see that in breast cancer, again, five to"},{"speaker":"Dr Vincent Pow","startTime":1588.699,"endTime":1588.699,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1588.699,"endTime":1592.8990000000001,"body":"six weeks was the standard before we've"},{"speaker":"Dr Vincent Pow","startTime":1592.8990000000001,"endTime":1588.699,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1588.699,"endTime":1592.8990000000001,"body":"gone down to three, which is the standard"},{"speaker":"Dr Vincent Pow","startTime":1592.8990000000001,"endTime":1593.439,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1593.439,"endTime":1597.309,"body":"and the new standard and what we're"},{"speaker":"Dr Vincent Pow","startTime":1597.309,"endTime":1593.439,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1593.439,"endTime":1597.309,"body":"doing already is one week of treatment"},{"speaker":"Dr Vincent Pow","startTime":1597.309,"endTime":1597.309,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1597.309,"endTime":1599.3790000000001,"body":"for those, I dunno if it's gonna get."},{"speaker":"Dr Vincent Pow","startTime":1599.3790000000001,"endTime":1599.784,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1599.784,"endTime":1601.044,"body":"Much lower than that."},{"speaker":"Dr Vincent Pow","startTime":1601.044,"endTime":1601.374,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1601.374,"endTime":1605.719,"body":"It may, there are some studies to say that"},{"speaker":"Dr Vincent Pow","startTime":1605.719,"endTime":1601.374,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1601.374,"endTime":1605.719,"body":"we can do it in even a few treatments,"},{"speaker":"Dr Vincent Pow","startTime":1605.719,"endTime":1606.384,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1606.384,"endTime":1610.074,"body":"but that really helps the patient because"},{"speaker":"Dr Vincent Pow","startTime":1610.074,"endTime":1606.384,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1606.384,"endTime":1610.074,"body":"as you can imagine, telling patients"},{"speaker":"Dr Vincent Pow","startTime":1610.074,"endTime":1610.074,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1610.074,"endTime":1615.564,"body":"to come in every day for eight weeks"},{"speaker":"Dr Vincent Pow","startTime":1615.564,"endTime":1610.074,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1610.074,"endTime":1615.564,"body":"for it's quite a logistical challenge."},{"speaker":"Dr Vincent Pow","startTime":1615.564,"endTime":1616.034,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1616.034,"endTime":1620.554,"body":"And when you can tell patients we can get"},{"speaker":"Dr Vincent Pow","startTime":1620.554,"endTime":1616.034,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1616.034,"endTime":1620.554,"body":"it done in five treatments and it's an"},{"speaker":"Dr Vincent Pow","startTime":1620.554,"endTime":1620.554,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1620.554,"endTime":1622.474,"body":"outpatient treatment they jump at that."},{"speaker":"Dr Vincent Pow","startTime":1622.474,"endTime":1622.894,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1622.894,"endTime":1626.354,"body":"So smaller treatment schedules."},{"speaker":"Dr Vincent Pow","startTime":1626.354,"endTime":1626.7740000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1626.7740000000001,"endTime":1627.374,"body":"Absolutely."},{"speaker":"Dr Vincent Pow","startTime":1627.374,"endTime":1627.374,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1627.374,"endTime":1631.644,"body":"I think we can see that the"},{"speaker":"Dr Vincent Pow","startTime":1631.644,"endTime":1627.374,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1627.374,"endTime":1631.644,"body":"other exciting area is what we"},{"speaker":"Dr Vincent Pow","startTime":1631.644,"endTime":1631.644,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1631.644,"endTime":1633.564,"body":"would call adaptive radiotherapy."},{"speaker":"Dr Vincent Pow","startTime":1633.564,"endTime":1634.134,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1634.134,"endTime":1637.164,"body":"So again, this is where"},{"speaker":"Dr Vincent Pow","startTime":1637.164,"endTime":1634.134,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1634.134,"endTime":1637.164,"body":"AI can really help us."},{"speaker":"Dr Vincent Pow","startTime":1637.164,"endTime":1637.914,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1637.914,"endTime":1641.394,"body":"At the moment we are a bit more reactive."},{"speaker":"Dr Vincent Pow","startTime":1641.394,"endTime":1641.604,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1641.604,"endTime":1645.414,"body":"So you know how I said we"},{"speaker":"Dr Vincent Pow","startTime":1645.414,"endTime":1641.604,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1641.604,"endTime":1645.414,"body":"do a CT scanning, CT scan."},{"speaker":"Dr Vincent Pow","startTime":1645.414,"endTime":1645.684,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1645.684,"endTime":1650.574,"body":"We try to replicate that plan at the start"},{"speaker":"Dr Vincent Pow","startTime":1650.574,"endTime":1645.684,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1645.684,"endTime":1650.574,"body":"of the treatment, but organs move people."},{"speaker":"Dr Vincent Pow","startTime":1650.574,"endTime":1651.459,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1651.459,"endTime":1653.279,"body":"Slight changes in variation."},{"speaker":"Dr Vincent Pow","startTime":1653.279,"endTime":1654.429,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1654.429,"endTime":1659.8590000000002,"body":"all those little changes we do"},{"speaker":"Dr Vincent Pow","startTime":1659.8590000000002,"endTime":1654.429,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1654.429,"endTime":1659.8590000000002,"body":"account for, but we don't change the"},{"speaker":"Dr Vincent Pow","startTime":1659.8590000000002,"endTime":1659.8590000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1659.8590000000002,"endTime":1662.069,"body":"plan unless it's quite different."},{"speaker":"Dr Vincent Pow","startTime":1662.069,"endTime":1663.009,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1663.009,"endTime":1667.279,"body":"So what adaptive is doing is"},{"speaker":"Dr Vincent Pow","startTime":1667.279,"endTime":1663.009,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1663.009,"endTime":1667.279,"body":"can we be proactive about it?"},{"speaker":"Dr Vincent Pow","startTime":1667.279,"endTime":1667.759,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1667.759,"endTime":1672.6390000000001,"body":"We can actually see the scan or the"},{"speaker":"Dr Vincent Pow","startTime":1672.6390000000001,"endTime":1667.759,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1667.759,"endTime":1672.6390000000001,"body":"tumour every day and essentially"},{"speaker":"Dr Vincent Pow","startTime":1672.6390000000001,"endTime":1672.6390000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1672.6390000000001,"endTime":1677.969,"body":"create a new plan of radiation every"},{"speaker":"Dr Vincent Pow","startTime":1677.969,"endTime":1672.6390000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1672.6390000000001,"endTime":1677.969,"body":"single day if needed, and deliver"},{"speaker":"Dr Vincent Pow","startTime":1677.969,"endTime":1677.969,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1677.969,"endTime":1679.949,"body":"the dose exactly where we want it to."},{"speaker":"Dr Vincent Pow","startTime":1679.949,"endTime":1680.549,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1680.549,"endTime":1685.469,"body":"And then that might lead to, well, if"},{"speaker":"Dr Vincent Pow","startTime":1685.469,"endTime":1680.549,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1680.549,"endTime":1685.469,"body":"we can clearly see it shrinking, do we"},{"speaker":"Dr Vincent Pow","startTime":1685.469,"endTime":1685.469,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1685.469,"endTime":1687.449,"body":"need to give it that much more dose?"},{"speaker":"Dr Vincent Pow","startTime":1687.449,"endTime":1687.959,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1687.959,"endTime":1692.189,"body":"Or if we see it not moving, or some"},{"speaker":"Dr Vincent Pow","startTime":1692.189,"endTime":1687.959,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1687.959,"endTime":1692.189,"body":"areas that are progressing or getting"},{"speaker":"Dr Vincent Pow","startTime":1692.189,"endTime":1692.189,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1692.189,"endTime":1694.439,"body":"worse, do we need to escalate the dose?"},{"speaker":"Dr Vincent Pow","startTime":1694.439,"endTime":1694.949,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1694.949,"endTime":1699.8590000000002,"body":"And so that comes in with some new"},{"speaker":"Dr Vincent Pow","startTime":1699.8590000000002,"endTime":1694.949,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1694.949,"endTime":1699.8590000000002,"body":"technology, some new pieces of equipment."},{"speaker":"Dr Vincent Pow","startTime":1699.8590000000002,"endTime":1700.069,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1700.069,"endTime":1702.499,"body":"We have an MRI simulator."},{"speaker":"Dr Vincent Pow","startTime":1702.499,"endTime":1703.6480000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1703.6480000000001,"endTime":1705.729,"body":"which we're eventually getting"},{"speaker":"Dr Vincent Pow","startTime":1705.729,"endTime":1703.6480000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1703.6480000000001,"endTime":1705.729,"body":"here at the Royal Adelaide."},{"speaker":"Dr Vincent Pow","startTime":1705.729,"endTime":1705.8690000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1705.8690000000001,"endTime":1706.8890000000001,"body":"So I'm very happy with that."},{"speaker":"Dr Vincent Pow","startTime":1706.8890000000001,"endTime":1707.449,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1707.449,"endTime":1714.499,"body":"And some centers have an MRI Linac, so the"},{"speaker":"Dr Vincent Pow","startTime":1714.499,"endTime":1707.449,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1707.449,"endTime":1714.499,"body":"linear accelerator has an MRI built in."},{"speaker":"Dr Vincent Pow","startTime":1714.499,"endTime":1715.159,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1715.159,"endTime":1720.479,"body":"So that's also seen in a few centers"},{"speaker":"Dr Vincent Pow","startTime":1720.479,"endTime":1715.159,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1715.159,"endTime":1720.479,"body":"interstate so that these bits of kit"},{"speaker":"Dr Vincent Pow","startTime":1720.479,"endTime":1720.509,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1720.509,"endTime":1726.6190000000001,"body":"allow us that, you know, that sensitivity"},{"speaker":"Dr Vincent Pow","startTime":1726.6190000000001,"endTime":1720.509,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1720.509,"endTime":1726.6190000000001,"body":"and that resolution to see exactly you"},{"speaker":"Dr Vincent Pow","startTime":1726.6190000000001,"endTime":1726.6190000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1726.6190000000001,"endTime":1730.029,"body":"know, what we're doing and where we"},{"speaker":"Dr Vincent Pow","startTime":1730.029,"endTime":1726.6190000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1726.6190000000001,"endTime":1730.029,"body":"can escalate the dose and deescalate."},{"speaker":"Dr Vincent Pow","startTime":1730.029,"endTime":1730.029,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1730.029,"endTime":1732.939,"body":"So I think, and AI can"},{"speaker":"Dr Vincent Pow","startTime":1732.939,"endTime":1730.029,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1730.029,"endTime":1732.939,"body":"play a big part of that."},{"speaker":"Dr Vincent Pow","startTime":1732.939,"endTime":1732.969,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1732.969,"endTime":1736.839,"body":"'cause that's a lot of, obviously,"},{"speaker":"Dr Vincent Pow","startTime":1736.839,"endTime":1732.969,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1732.969,"endTime":1736.839,"body":"a lot of processing power data"},{"speaker":"Dr Vincent Pow","startTime":1736.839,"endTime":1736.929,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1736.929,"endTime":1738.849,"body":"that, that needs to occur."},{"speaker":"Dr Vincent Pow","startTime":1738.849,"endTime":1738.909,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1738.909,"endTime":1740.6190000000001,"body":"And a lot of manual process at the moment."},{"speaker":"Dr Vincent Pow","startTime":1740.6190000000001,"endTime":1741.1290000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1741.1290000000001,"endTime":1742.079,"body":"I think it's getting there."},{"speaker":"Dr Vincent Pow","startTime":1742.079,"endTime":1742.079,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1742.079,"endTime":1742.709,"body":"It's nearly there,"},{"speaker":"Dr Gavin Nimon","startTime":1743.8790000000001,"endTime":1747.469,"body":"And , in theory it sounds"},{"speaker":"Dr Gavin Nimon","startTime":1747.469,"endTime":1743.8790000000001,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1743.8790000000001,"endTime":1747.469,"body":"good, but have adaptive radiotherapy."},{"speaker":"Dr Gavin Nimon","startTime":1747.469,"endTime":1747.799,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1747.799,"endTime":1750.049,"body":"Is, does it actually change"},{"speaker":"Dr Gavin Nimon","startTime":1750.049,"endTime":1747.799,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1747.799,"endTime":1750.049,"body":"the actual percentage in"},{"speaker":"Dr Gavin Nimon","startTime":1750.049,"endTime":1750.319,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1750.319,"endTime":1752.749,"body":"survivorship or in curative rates"},{"speaker":"Dr Vincent Pow","startTime":1752.854,"endTime":1753.904,"body":"the"},{"speaker":"Dr Vincent Pow","startTime":1753.904,"endTime":1752.854,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1752.854,"endTime":1753.904,"body":"data is still emerging."},{"speaker":"Dr Vincent Pow","startTime":1753.904,"endTime":1754.474,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1754.474,"endTime":1759.424,"body":"I think there's good data now that"},{"speaker":"Dr Vincent Pow","startTime":1759.424,"endTime":1754.474,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1754.474,"endTime":1759.424,"body":"it's safe, it's very safe and that it's"},{"speaker":"Dr Vincent Pow","startTime":1759.424,"endTime":1759.424,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1759.424,"endTime":1762.334,"body":"actually improved side effect profiles."},{"speaker":"Dr Vincent Pow","startTime":1762.334,"endTime":1762.694,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1762.694,"endTime":1767.044,"body":"So I think really where they're looking"},{"speaker":"Dr Vincent Pow","startTime":1767.044,"endTime":1762.694,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1762.694,"endTime":1767.044,"body":"at is now is can we even increase"},{"speaker":"Dr Vincent Pow","startTime":1767.044,"endTime":1767.044,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1767.044,"endTime":1771.334,"body":"the the cure rates by giving extra"},{"speaker":"Dr Vincent Pow","startTime":1771.334,"endTime":1767.044,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1767.044,"endTime":1771.334,"body":"dose to those who aren't responding?"},{"speaker":"Dr Vincent Pow","startTime":1771.334,"endTime":1771.7640000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1771.7640000000001,"endTime":1775.5140000000001,"body":"So there, there's still emerging data"},{"speaker":"Dr Vincent Pow","startTime":1775.5140000000001,"endTime":1771.7640000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1771.7640000000001,"endTime":1775.5140000000001,"body":"there, but certainly side effects"},{"speaker":"Dr Vincent Pow","startTime":1775.5140000000001,"endTime":1775.5140000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1775.5140000000001,"endTime":1776.954,"body":"have, we've seen some reductions."},{"speaker":"Dr Gavin Nimon","startTime":1778.424,"endTime":1780.704,"body":"Well, that's a good"},{"speaker":"Dr Gavin Nimon","startTime":1780.704,"endTime":1778.424,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1778.424,"endTime":1780.704,"body":"introduction to the side effects actually."},{"speaker":"Dr Gavin Nimon","startTime":1780.704,"endTime":1780.704,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1780.704,"endTime":1782.194,"body":"So good foot in the door there."},{"speaker":"Dr Gavin Nimon","startTime":1782.194,"endTime":1782.194,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1782.194,"endTime":1784.414,"body":"But what are the side"},{"speaker":"Dr Gavin Nimon","startTime":1784.414,"endTime":1782.194,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1782.194,"endTime":1784.414,"body":"effects of radiotherapy then?"},{"speaker":"Dr Gavin Nimon","startTime":1784.414,"endTime":1784.474,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1784.474,"endTime":1786.2440000000001,"body":"Obviously it depends on"},{"speaker":"Dr Gavin Nimon","startTime":1786.2440000000001,"endTime":1784.474,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":1784.474,"endTime":1786.2440000000001,"body":"what area you're treating."},{"speaker":"Dr Vincent Pow","startTime":1787.474,"endTime":1793.304,"body":"yeah, so the side effects"},{"speaker":"Dr Vincent Pow","startTime":1793.304,"endTime":1787.474,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1787.474,"endTime":1793.304,"body":"are local and so we describe to our"},{"speaker":"Dr Vincent Pow","startTime":1793.304,"endTime":1793.304,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1793.304,"endTime":1795.674,"body":"patients acute or short term side effects."},{"speaker":"Dr Vincent Pow","startTime":1795.674,"endTime":1795.674,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1795.674,"endTime":1796.304,"body":"And these are."},{"speaker":"Dr Vincent Pow","startTime":1796.304,"endTime":1796.874,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1796.874,"endTime":1797.5040000000001,"body":"Transient."},{"speaker":"Dr Vincent Pow","startTime":1797.5040000000001,"endTime":1797.654,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1797.654,"endTime":1800.084,"body":"They occur usually during the treatment."},{"speaker":"Dr Vincent Pow","startTime":1800.084,"endTime":1800.624,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1800.624,"endTime":1802.9940000000001,"body":"They build up usually towards"},{"speaker":"Dr Vincent Pow","startTime":1802.9940000000001,"endTime":1800.624,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1800.624,"endTime":1802.9940000000001,"body":"the end of the treatment."},{"speaker":"Dr Vincent Pow","startTime":1802.9940000000001,"endTime":1803.684,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1803.684,"endTime":1807.5240000000001,"body":"Actually they peak about a week or"},{"speaker":"Dr Vincent Pow","startTime":1807.5240000000001,"endTime":1803.684,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1803.684,"endTime":1807.5240000000001,"body":"two after the treatment And then they"},{"speaker":"Dr Vincent Pow","startTime":1807.5240000000001,"endTime":1808.034,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1808.034,"endTime":1811.724,"body":"mostly subside back to your baseline"},{"speaker":"Dr Vincent Pow","startTime":1811.724,"endTime":1808.034,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1808.034,"endTime":1811.724,"body":"at the four to six in, in general."},{"speaker":"Dr Vincent Pow","startTime":1811.724,"endTime":1812.314,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1812.314,"endTime":1813.9940000000001,"body":"So those are the ones."},{"speaker":"Dr Vincent Pow","startTime":1813.9940000000001,"endTime":1813.9940000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1813.9940000000001,"endTime":1816.864,"body":"So when I counsel a"},{"speaker":"Dr Vincent Pow","startTime":1816.864,"endTime":1813.9940000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1813.9940000000001,"endTime":1816.864,"body":"patient it really depends."},{"speaker":"Dr Vincent Pow","startTime":1816.864,"endTime":1817.104,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1817.104,"endTime":1819.804,"body":"So I'm thinking, okay, so we're"},{"speaker":"Dr Vincent Pow","startTime":1819.804,"endTime":1817.104,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1817.104,"endTime":1819.804,"body":"treating your prostate here."},{"speaker":"Dr Vincent Pow","startTime":1819.804,"endTime":1820.434,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1820.434,"endTime":1821.874,"body":"So what's near your prostate?"},{"speaker":"Dr Vincent Pow","startTime":1821.874,"endTime":1821.9940000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1821.9940000000001,"endTime":1825.2640000000001,"body":"What's, what are the organs around"},{"speaker":"Dr Vincent Pow","startTime":1825.2640000000001,"endTime":1821.9940000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1821.9940000000001,"endTime":1825.2640000000001,"body":"it or the bladder, the prostate"},{"speaker":"Dr Vincent Pow","startTime":1825.2640000000001,"endTime":1825.2640000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1825.2640000000001,"endTime":1827.7540000000001,"body":"itself, the rectum, the skin."},{"speaker":"Dr Vincent Pow","startTime":1827.7540000000001,"endTime":1828.2340000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1828.2340000000002,"endTime":1831.784,"body":"And so we think of it simply"},{"speaker":"Dr Vincent Pow","startTime":1831.784,"endTime":1828.2340000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1828.2340000000002,"endTime":1831.784,"body":"as, okay, we're gonna be causing"},{"speaker":"Dr Vincent Pow","startTime":1831.784,"endTime":1831.784,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1831.784,"endTime":1833.5240000000001,"body":"inflammation, acute inflammation."},{"speaker":"Dr Vincent Pow","startTime":1833.5240000000001,"endTime":1834.094,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1834.094,"endTime":1835.414,"body":"And what does that manifest in?"},{"speaker":"Dr Vincent Pow","startTime":1835.414,"endTime":1835.414,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1835.414,"endTime":1839.384,"body":"Well, you know, with the bladder side"},{"speaker":"Dr Vincent Pow","startTime":1839.384,"endTime":1835.414,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1835.414,"endTime":1839.384,"body":"of things, cystitis, urgency, frequency"},{"speaker":"Dr Vincent Pow","startTime":1839.384,"endTime":1839.924,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1839.924,"endTime":1841.874,"body":"getting up at night, that sort of thing."},{"speaker":"Dr Vincent Pow","startTime":1841.874,"endTime":1841.874,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1841.874,"endTime":1844.604,"body":"Bowels looser a bit more frequent."},{"speaker":"Dr Vincent Pow","startTime":1844.604,"endTime":1846.584,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1846.584,"endTime":1850.419,"body":"so I, and I teach"},{"speaker":"Dr Vincent Pow","startTime":1850.419,"endTime":1846.584,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1846.584,"endTime":1850.419,"body":"registrars, so it really is."},{"speaker":"Dr Vincent Pow","startTime":1850.419,"endTime":1850.7340000000002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1850.7340000000002,"endTime":1851.604,"body":"As simple as that."},{"speaker":"Dr Vincent Pow","startTime":1851.604,"endTime":1851.604,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1851.604,"endTime":1855.654,"body":"So if we're treating your oesophagus, what"},{"speaker":"Dr Vincent Pow","startTime":1855.654,"endTime":1851.604,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1851.604,"endTime":1855.654,"body":"does that look like when it's inflamed?"},{"speaker":"Dr Vincent Pow","startTime":1855.654,"endTime":1855.654,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1855.654,"endTime":1861.334,"body":"Well, this is manifests in pain,"},{"speaker":"Dr Vincent Pow","startTime":1861.334,"endTime":1855.654,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1855.654,"endTime":1861.334,"body":"dysphagia, reflux, that sort of, you"},{"speaker":"Dr Vincent Pow","startTime":1861.334,"endTime":1861.334,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1861.334,"endTime":1867.144,"body":"know, burning sensation secretions,"},{"speaker":"Dr Vincent Pow","startTime":1867.144,"endTime":1861.334,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1861.334,"endTime":1867.144,"body":"that sort so it's tolerated"},{"speaker":"Dr Vincent Pow","startTime":1867.144,"endTime":1867.144,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1867.144,"endTime":1869.094,"body":"differently depending on where it is."},{"speaker":"Dr Vincent Pow","startTime":1869.094,"endTime":1869.094,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1869.094,"endTime":1875.184,"body":"And so, we kind of know already areas"},{"speaker":"Dr Vincent Pow","startTime":1875.184,"endTime":1869.094,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1869.094,"endTime":1875.184,"body":"that are gonna be more difficult to treat."},{"speaker":"Dr Vincent Pow","startTime":1875.184,"endTime":1875.364,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1875.364,"endTime":1879.5040000000001,"body":"So, you know, head and neck cancer,"},{"speaker":"Dr Vincent Pow","startTime":1879.5040000000001,"endTime":1875.364,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1875.364,"endTime":1879.5040000000001,"body":"certainly more difficult because"},{"speaker":"Dr Vincent Pow","startTime":1879.5040000000001,"endTime":1880.224,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1880.224,"endTime":1883.384,"body":"of all the critical organs there"},{"speaker":"Dr Vincent Pow","startTime":1883.384,"endTime":1880.224,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1880.224,"endTime":1883.384,"body":"and part of their nutrition."},{"speaker":"Dr Vincent Pow","startTime":1883.384,"endTime":1884.0040000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1884.0040000000001,"endTime":1889.194,"body":"Anal cancer can be quite challenging"},{"speaker":"Dr Vincent Pow","startTime":1889.194,"endTime":1884.0040000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1884.0040000000001,"endTime":1889.194,"body":"sometimes And certainly the skin nowadays"},{"speaker":"Dr Vincent Pow","startTime":1889.194,"endTime":1889.5040000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1889.5040000000001,"endTime":1894.2740000000001,"body":"we don't tend to see what we used to"},{"speaker":"Dr Vincent Pow","startTime":1894.2740000000001,"endTime":1889.5040000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1889.5040000000001,"endTime":1894.2740000000001,"body":"see, many years ago that the skin,"},{"speaker":"Dr Vincent Pow","startTime":1894.2740000000001,"endTime":1894.904,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1894.904,"endTime":1899.674,"body":"unless we're targeting the skin doesn't"},{"speaker":"Dr Vincent Pow","startTime":1899.674,"endTime":1894.904,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1894.904,"endTime":1899.674,"body":"get to the big points of ulceration"},{"speaker":"Dr Vincent Pow","startTime":1899.674,"endTime":1899.674,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1899.674,"endTime":1905.689,"body":"quite desquamated skin anymore, unless"},{"speaker":"Dr Vincent Pow","startTime":1905.689,"endTime":1899.674,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1899.674,"endTime":1905.689,"body":"we're treating those clear sub subsites."},{"speaker":"Dr Vincent Pow","startTime":1905.689,"endTime":1906.219,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1906.219,"endTime":1910.8690000000001,"body":"It's more those internal organs"},{"speaker":"Dr Vincent Pow","startTime":1910.8690000000001,"endTime":1906.219,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1906.219,"endTime":1910.8690000000001,"body":"and typically though the symptoms"},{"speaker":"Dr Vincent Pow","startTime":1910.8690000000001,"endTime":1910.8690000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1910.8690000000001,"endTime":1912.219,"body":"are very mild and manageable."},{"speaker":"Dr Vincent Pow","startTime":1912.219,"endTime":1912.6490000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1912.6490000000001,"endTime":1918.169,"body":"So the good thing for us is we have"},{"speaker":"Dr Vincent Pow","startTime":1918.169,"endTime":1912.6490000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1912.6490000000001,"endTime":1918.169,"body":"seen, again, that shift where we used"},{"speaker":"Dr Vincent Pow","startTime":1918.169,"endTime":1918.169,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1918.169,"endTime":1922.969,"body":"to have a large inpatient cohort of"},{"speaker":"Dr Vincent Pow","startTime":1922.969,"endTime":1918.169,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1918.169,"endTime":1922.969,"body":"those particularly head and neck cancers"},{"speaker":"Dr Vincent Pow","startTime":1922.969,"endTime":1923.089,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1923.089,"endTime":1926.779,"body":"towards the end of their treatment"},{"speaker":"Dr Vincent Pow","startTime":1926.779,"endTime":1923.089,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1923.089,"endTime":1926.779,"body":"really, they're needing to be admitted"},{"speaker":"Dr Vincent Pow","startTime":1926.779,"endTime":1926.779,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1926.779,"endTime":1928.489,"body":"because of pain to look after them."},{"speaker":"Dr Vincent Pow","startTime":1928.489,"endTime":1928.489,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1928.489,"endTime":1933.799,"body":"So we, we don't see that very often"},{"speaker":"Dr Vincent Pow","startTime":1933.799,"endTime":1928.489,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1928.489,"endTime":1933.799,"body":"anymore, rarely, So, which is really"},{"speaker":"Dr Vincent Pow","startTime":1933.799,"endTime":1933.799,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1933.799,"endTime":1937.939,"body":"pleasing because not only are we still"},{"speaker":"Dr Vincent Pow","startTime":1937.939,"endTime":1933.799,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1933.799,"endTime":1937.939,"body":"trying to come up with strategies"},{"speaker":"Dr Vincent Pow","startTime":1937.939,"endTime":1937.989,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1937.989,"endTime":1942.009,"body":"to help, you know, reduce their side"},{"speaker":"Dr Vincent Pow","startTime":1942.009,"endTime":1937.989,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1937.989,"endTime":1942.009,"body":"effects, but I think there's better"},{"speaker":"Dr Vincent Pow","startTime":1942.009,"endTime":1942.039,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1942.039,"endTime":1944.289,"body":"overall supportive care in that as well."},{"speaker":"Dr Vincent Pow","startTime":1944.289,"endTime":1944.949,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1944.949,"endTime":1947.969,"body":"I think in general, I think radiation"},{"speaker":"Dr Vincent Pow","startTime":1947.969,"endTime":1944.949,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1944.949,"endTime":1947.969,"body":"certainly causes some fatigue."},{"speaker":"Dr Vincent Pow","startTime":1947.969,"endTime":1949.049,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1949.049,"endTime":1953.089,"body":"And I explain to patients that's"},{"speaker":"Dr Vincent Pow","startTime":1953.089,"endTime":1949.049,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1949.049,"endTime":1953.089,"body":"your normal cells healing every day."},{"speaker":"Dr Vincent Pow","startTime":1953.089,"endTime":1953.6290000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1953.6290000000001,"endTime":1954.999,"body":"And so fatigue common."},{"speaker":"Dr Vincent Pow","startTime":1954.999,"endTime":1955.489,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1955.489,"endTime":1957.799,"body":"Again, not debilitating usually."},{"speaker":"Dr Vincent Pow","startTime":1957.799,"endTime":1957.8890000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1957.8890000000001,"endTime":1961.219,"body":"Men are, well the men that I see"},{"speaker":"Dr Vincent Pow","startTime":1961.219,"endTime":1957.8890000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1957.8890000000001,"endTime":1961.219,"body":"with prostate cancer treatment, for"},{"speaker":"Dr Vincent Pow","startTime":1961.219,"endTime":1961.219,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1961.219,"endTime":1964.624,"body":"instance, we've got them, some of them"},{"speaker":"Dr Vincent Pow","startTime":1964.624,"endTime":1961.219,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1961.219,"endTime":1964.624,"body":"playing golf during their treatment"},{"speaker":"Dr Vincent Pow","startTime":1964.624,"endTime":1964.624,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1964.624,"endTime":1966.439,"body":"and be able, being able to work."},{"speaker":"Dr Vincent Pow","startTime":1966.439,"endTime":1966.749,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1966.749,"endTime":1967.409,"body":"And that's what we want."},{"speaker":"Dr Vincent Pow","startTime":1967.409,"endTime":1968.294,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1968.294,"endTime":1971.664,"body":"there are also long-term potential"},{"speaker":"Dr Vincent Pow","startTime":1971.664,"endTime":1968.294,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1968.294,"endTime":1971.664,"body":"side effects of radiation."},{"speaker":"Dr Vincent Pow","startTime":1971.664,"endTime":1972.4940000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1972.4940000000001,"endTime":1975.799,"body":"These are things that can occur some"},{"speaker":"Dr Vincent Pow","startTime":1975.799,"endTime":1972.4940000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1972.4940000000001,"endTime":1975.799,"body":"months to years later, potentially."},{"speaker":"Dr Vincent Pow","startTime":1975.799,"endTime":1976.574,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1976.574,"endTime":1980.204,"body":"It usually is as a result of"},{"speaker":"Dr Vincent Pow","startTime":1980.204,"endTime":1976.574,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1976.574,"endTime":1980.204,"body":"your short term side effects."},{"speaker":"Dr Vincent Pow","startTime":1980.204,"endTime":1980.204,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1980.204,"endTime":1982.5140000000001,"body":"And those, there'll be"},{"speaker":"Dr Vincent Pow","startTime":1982.5140000000001,"endTime":1980.204,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1980.204,"endTime":1982.5140000000001,"body":"a degree of recovery."},{"speaker":"Dr Vincent Pow","startTime":1982.5140000000001,"endTime":1982.9940000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1982.9940000000001,"endTime":1984.884,"body":"And again, it's really dose dependent."},{"speaker":"Dr Vincent Pow","startTime":1984.884,"endTime":1984.884,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1984.884,"endTime":1988.7640000000001,"body":"It's function dependent how"},{"speaker":"Dr Vincent Pow","startTime":1988.7640000000001,"endTime":1984.884,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1984.884,"endTime":1988.7640000000001,"body":"well your baseline function is."},{"speaker":"Dr Vincent Pow","startTime":1988.7640000000001,"endTime":1989.2540000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1989.2540000000001,"endTime":1993.814,"body":"But typically any serious reactions or"},{"speaker":"Dr Vincent Pow","startTime":1993.814,"endTime":1989.2540000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1989.2540000000001,"endTime":1993.814,"body":"serious side effects are really uncommon."},{"speaker":"Dr Vincent Pow","startTime":1993.814,"endTime":1994.2740000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1994.2740000000001,"endTime":1997.204,"body":"And we'll discuss that with the"},{"speaker":"Dr Vincent Pow","startTime":1997.204,"endTime":1994.2740000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1994.2740000000001,"endTime":1997.204,"body":"patient, depending on the area."},{"speaker":"Dr Vincent Pow","startTime":1997.204,"endTime":1997.204,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1997.204,"endTime":2001.154,"body":"But again, it, the mechanism is"},{"speaker":"Dr Vincent Pow","startTime":2001.154,"endTime":1997.204,"body":" "},{"speaker":"Dr Vincent Pow","startTime":1997.204,"endTime":2001.154,"body":"essentially like a scarring or a"},{"speaker":"Dr Vincent Pow","startTime":2001.154,"endTime":2001.154,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2001.154,"endTime":2004.204,"body":"fibrosis that can occur in that area."},{"speaker":"Dr Vincent Pow","startTime":2004.204,"endTime":2004.394,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2004.394,"endTime":2009.554,"body":"And sometimes we can certainly"},{"speaker":"Dr Vincent Pow","startTime":2009.554,"endTime":2004.394,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2004.394,"endTime":2009.554,"body":"cause that long-term so that"},{"speaker":"Dr Vincent Pow","startTime":2009.554,"endTime":2009.554,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2009.554,"endTime":2010.694,"body":"some of them are serious."},{"speaker":"Dr Vincent Pow","startTime":2010.694,"endTime":2011.084,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2011.084,"endTime":2015.894,"body":"But again as we reduce the short-term side"},{"speaker":"Dr Vincent Pow","startTime":2015.894,"endTime":2011.084,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2011.084,"endTime":2015.894,"body":"effects we know that we are gonna reduce"},{"speaker":"Dr Vincent Pow","startTime":2015.894,"endTime":2015.894,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2015.894,"endTime":2018.2340000000002,"body":"the potential long-term side effects"},{"speaker":"Dr Gavin Nimon","startTime":2018.684,"endTime":2022.159,"body":"What about the risk of"},{"speaker":"Dr Gavin Nimon","startTime":2022.159,"endTime":2018.684,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2018.684,"endTime":2022.159,"body":"causing a cancer by receiving radiation?"},{"speaker":"Dr Gavin Nimon","startTime":2022.159,"endTime":2022.654,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2022.654,"endTime":2026.844,"body":"Obviously Madame Curie didn't do so well"},{"speaker":"Dr Gavin Nimon","startTime":2026.844,"endTime":2022.654,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2022.654,"endTime":2026.844,"body":"from her radiation that she received."},{"speaker":"Dr Gavin Nimon","startTime":2026.844,"endTime":2026.924,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2026.924,"endTime":2030.544,"body":"What's the chance of a secondary cancer"},{"speaker":"Dr Gavin Nimon","startTime":2030.544,"endTime":2026.924,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2026.924,"endTime":2030.544,"body":"of being developing from radiotherapy"},{"speaker":"Dr Vincent Pow","startTime":2031.006,"endTime":2031.144,"body":"cancer?"},{"speaker":"Dr Vincent Pow","startTime":2031.144,"endTime":2031.169,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2031.169,"endTime":2033.969,"body":"Yeah, the a great question Gavin."},{"speaker":"Dr Vincent Pow","startTime":2033.969,"endTime":2034.1490000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2034.1490000000001,"endTime":2037.219,"body":"Radiation and I, we counsel"},{"speaker":"Dr Vincent Pow","startTime":2037.219,"endTime":2034.1490000000001,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2034.1490000000001,"endTime":2037.219,"body":"this on nearly all patients."},{"speaker":"Dr Vincent Pow","startTime":2037.219,"endTime":2037.699,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2037.699,"endTime":2042.219,"body":"we know that it can cause a"},{"speaker":"Dr Vincent Pow","startTime":2078.829,"endTime":2074.309,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2037.699,"endTime":2042.219,"body":"second  malignancy risk and that"},{"speaker":"Dr Vincent Pow","startTime":2078.829,"endTime":2078.829,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2078.829,"endTime":2080.429,"body":"risk is very hard to quantify."},{"speaker":"Dr Vincent Pow","startTime":2080.429,"endTime":2081.146,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2081.146,"endTime":2085.709,"body":"It's, very rare and it depends"},{"speaker":"Dr Vincent Pow","startTime":2085.709,"endTime":2081.146,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2081.146,"endTime":2085.709,"body":"on the age of a patient, how"},{"speaker":"Dr Vincent Pow","startTime":2085.709,"endTime":2085.709,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2085.709,"endTime":2086.879,"body":"much dose they're getting."},{"speaker":"Dr Vincent Pow","startTime":2086.879,"endTime":2087.439,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2087.439,"endTime":2092.039,"body":"I think any amount of radiation"},{"speaker":"Dr Vincent Pow","startTime":2092.039,"endTime":2087.439,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2087.439,"endTime":2092.039,"body":"can technically cause cancer."},{"speaker":"Dr Vincent Pow","startTime":2092.039,"endTime":2092.459,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2092.459,"endTime":2096.629,"body":"But we try to reassure patients"},{"speaker":"Dr Vincent Pow","startTime":2096.629,"endTime":2092.459,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2092.459,"endTime":2096.629,"body":"that, that, that can occur."},{"speaker":"Dr Vincent Pow","startTime":2096.629,"endTime":2096.629,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2096.629,"endTime":2099.209,"body":"If you're taking a flight the"},{"speaker":"Dr Vincent Pow","startTime":2099.209,"endTime":2096.629,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2096.629,"endTime":2099.209,"body":"cosmic ray actually, you're"},{"speaker":"Dr Vincent Pow","startTime":2099.209,"endTime":2099.209,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2099.209,"endTime":2101.339,"body":"getting radiation all the time."},{"speaker":"Dr Vincent Pow","startTime":2101.339,"endTime":2101.859,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2101.859,"endTime":2105.914,"body":"And we're trying to we counsel patients"},{"speaker":"Dr Vincent Pow","startTime":2105.914,"endTime":2101.859,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2101.859,"endTime":2105.914,"body":"that it is, a known side effect."},{"speaker":"Dr Vincent Pow","startTime":2105.914,"endTime":2106.664,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2106.664,"endTime":2110.654,"body":"And we have to balance that"},{"speaker":"Dr Vincent Pow","startTime":2110.654,"endTime":2106.664,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2106.664,"endTime":2110.654,"body":"risk, I guess, with the chance"},{"speaker":"Dr Vincent Pow","startTime":2110.654,"endTime":2110.654,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2110.654,"endTime":2113.264,"body":"of curing the cancer itself."},{"speaker":"Dr Vincent Pow","startTime":2113.264,"endTime":2113.924,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2113.924,"endTime":2116.6240000000003,"body":"So, you know, we're, we, obviously"},{"speaker":"Dr Vincent Pow","startTime":2116.6240000000003,"endTime":2113.924,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2113.924,"endTime":2116.6240000000003,"body":"where it becomes particularly"},{"speaker":"Dr Vincent Pow","startTime":2116.6240000000003,"endTime":2116.6240000000003,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2116.6240000000003,"endTime":2118.304,"body":"important is in pediatrics."},{"speaker":"Dr Vincent Pow","startTime":2118.304,"endTime":2118.304,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2118.304,"endTime":2121.734,"body":"So we do obviously have a large"},{"speaker":"Dr Vincent Pow","startTime":2121.734,"endTime":2118.304,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2118.304,"endTime":2121.734,"body":"pediatric cohort and we see"},{"speaker":"Dr Vincent Pow","startTime":2121.734,"endTime":2121.734,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2121.734,"endTime":2122.634,"body":"them at the Royal Adelaide."},{"speaker":"Dr Vincent Pow","startTime":2122.634,"endTime":2123.174,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2123.174,"endTime":2127.114,"body":"And we do see some of the devastating side"},{"speaker":"Dr Vincent Pow","startTime":2127.114,"endTime":2123.174,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2123.174,"endTime":2127.114,"body":"effects of radiation over their lifetime."},{"speaker":"Dr Vincent Pow","startTime":2127.114,"endTime":2127.564,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2127.564,"endTime":2131.164,"body":"These are patients that have a high"},{"speaker":"Dr Vincent Pow","startTime":2131.164,"endTime":2127.564,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2127.564,"endTime":2131.164,"body":"cure rate with the treatments, but"},{"speaker":"Dr Vincent Pow","startTime":2131.164,"endTime":2131.164,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2131.164,"endTime":2135.034,"body":"also the known side effects, the"},{"speaker":"Dr Vincent Pow","startTime":2135.034,"endTime":2131.164,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2131.164,"endTime":2135.034,"body":"late side effects of treatment."},{"speaker":"Dr Vincent Pow","startTime":2135.034,"endTime":2135.034,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2135.034,"endTime":2138.364,"body":"And they are at risk of"},{"speaker":"Dr Vincent Pow","startTime":2138.364,"endTime":2135.034,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2135.034,"endTime":2138.364,"body":"developing, some cancers."},{"speaker":"Dr Vincent Pow","startTime":2138.364,"endTime":2138.364,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2138.364,"endTime":2142.444,"body":"So we, particularly in pediatrics"},{"speaker":"Dr Vincent Pow","startTime":2142.444,"endTime":2138.364,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2138.364,"endTime":2142.444,"body":"survivorship is really important."},{"speaker":"Dr Vincent Pow","startTime":2142.444,"endTime":2142.444,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2142.444,"endTime":2146.194,"body":"So we look okay, how much dose did"},{"speaker":"Dr Vincent Pow","startTime":2146.194,"endTime":2142.444,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2142.444,"endTime":2146.194,"body":"the breast tissue get or how much"},{"speaker":"Dr Vincent Pow","startTime":2146.194,"endTime":2146.194,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2146.194,"endTime":2151.2039999999997,"body":"dose did there, and we will act"},{"speaker":"Dr Vincent Pow","startTime":2151.2039999999997,"endTime":2146.194,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2146.194,"endTime":2151.2039999999997,"body":"accordingly in terms of surveying that."},{"speaker":"Dr Vincent Pow","startTime":2151.2039999999997,"endTime":2151.8039999999996,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2151.8039999999996,"endTime":2155.4939999999997,"body":"Generally the patients that we"},{"speaker":"Dr Vincent Pow","startTime":2155.4939999999997,"endTime":2151.8039999999996,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2151.8039999999996,"endTime":2155.4939999999997,"body":"treat that are older, I generally"},{"speaker":"Dr Vincent Pow","startTime":2155.4939999999997,"endTime":2155.4939999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2155.4939999999997,"endTime":2158.1639999999998,"body":"tell them that there's nothing"},{"speaker":"Dr Vincent Pow","startTime":2158.1639999999998,"endTime":2155.4939999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2155.4939999999997,"endTime":2158.1639999999998,"body":"special that we need to do."},{"speaker":"Dr Vincent Pow","startTime":2158.1639999999998,"endTime":2158.1639999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2158.1639999999998,"endTime":2159.394,"body":"It's a known risk."},{"speaker":"Dr Vincent Pow","startTime":2159.394,"endTime":2160.024,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2160.024,"endTime":2164.984,"body":"And that risk is small and and we will"},{"speaker":"Dr Vincent Pow","startTime":2164.984,"endTime":2160.024,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2160.024,"endTime":2164.984,"body":"have to deal with it if we can at that"},{"speaker":"Dr Gavin Nimon","startTime":2166.919,"endTime":2169.8889999999997,"body":"Well, obviously with"},{"speaker":"Dr Gavin Nimon","startTime":2169.8889999999997,"endTime":2166.919,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2166.919,"endTime":2169.8889999999997,"body":"so many cancers being potentially"},{"speaker":"Dr Gavin Nimon","startTime":2169.8889999999997,"endTime":2169.8889999999997,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2169.8889999999997,"endTime":2173.109,"body":"treated with radiotherapy there"},{"speaker":"Dr Gavin Nimon","startTime":2173.109,"endTime":2169.8889999999997,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2169.8889999999997,"endTime":2173.109,"body":"must be a huge demand for it."},{"speaker":"Dr Gavin Nimon","startTime":2173.109,"endTime":2173.109,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2173.109,"endTime":2176.229,"body":"Just wondering how many radiation"},{"speaker":"Dr Gavin Nimon","startTime":2176.229,"endTime":2173.109,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2173.109,"endTime":2176.229,"body":"oncologists there are, say for instance,"},{"speaker":"Dr Gavin Nimon","startTime":2176.229,"endTime":2176.229,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2176.229,"endTime":2180.5389999999998,"body":"in South Australia and what's the chance"},{"speaker":"Dr Gavin Nimon","startTime":2180.5389999999998,"endTime":2176.229,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2176.229,"endTime":2180.5389999999998,"body":"of the average person requiring your"},{"speaker":"Dr Gavin Nimon","startTime":2180.5389999999998,"endTime":2180.5389999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2180.5389999999998,"endTime":2182.519,"body":"services at some stage in their life?"},{"speaker":"Dr Vincent Pow","startTime":2184.064,"endTime":2186.734,"body":"Well, I think in terms"},{"speaker":"Dr Vincent Pow","startTime":2186.734,"endTime":2184.064,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2184.064,"endTime":2186.734,"body":"of how many radiation oncologists"},{"speaker":"Dr Vincent Pow","startTime":2186.734,"endTime":2186.734,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2186.734,"endTime":2192.854,"body":"in our state say, it's probably"},{"speaker":"Dr Vincent Pow","startTime":2192.854,"endTime":2186.734,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2186.734,"endTime":2192.854,"body":"in the order of about 20 odd."},{"speaker":"Dr Vincent Pow","startTime":2192.854,"endTime":2193.1839999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2193.1839999999997,"endTime":2199.044,"body":"So not too many of us most"},{"speaker":"Dr Vincent Pow","startTime":2199.044,"endTime":2193.1839999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2193.1839999999997,"endTime":2199.044,"body":"of us work, both publicly and"},{"speaker":"Dr Vincent Pow","startTime":2199.044,"endTime":2199.044,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2199.044,"endTime":2201.054,"body":"privately, so I think I would."},{"speaker":"Dr Vincent Pow","startTime":2201.054,"endTime":2201.654,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2201.654,"endTime":2205.174,"body":"If I had to, I'll roughly guess"},{"speaker":"Dr Vincent Pow","startTime":2205.174,"endTime":2201.654,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2201.654,"endTime":2205.174,"body":"it would be around that figure."},{"speaker":"Dr Vincent Pow","startTime":2205.174,"endTime":2205.744,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2205.744,"endTime":2209.404,"body":"Look, I'm not sure how, what the"},{"speaker":"Dr Vincent Pow","startTime":2209.404,"endTime":2205.744,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2205.744,"endTime":2209.404,"body":"general public will need to see."},{"speaker":"Dr Vincent Pow","startTime":2209.404,"endTime":2209.404,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2209.404,"endTime":2213.724,"body":"One of us, I hope, like I tell many, I"},{"speaker":"Dr Vincent Pow","startTime":2213.724,"endTime":2209.404,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2209.404,"endTime":2213.724,"body":"hope I don't have to see them, that you"},{"speaker":"Dr Vincent Pow","startTime":2213.724,"endTime":2213.724,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2213.724,"endTime":2215.194,"body":"don't have to meet me professionally."},{"speaker":"Dr Vincent Pow","startTime":2215.194,"endTime":2216.034,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2216.034,"endTime":2219.394,"body":"Yeah, it'd be interesting to know what"},{"speaker":"Dr Vincent Pow","startTime":2219.394,"endTime":2216.034,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2216.034,"endTime":2219.394,"body":"the average person's risk is, but as we"},{"speaker":"Dr Vincent Pow","startTime":2219.394,"endTime":2219.394,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2219.394,"endTime":2225.774,"body":"know that that we are finding ourselves"},{"speaker":"Dr Vincent Pow","startTime":2225.774,"endTime":2219.394,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2219.394,"endTime":2225.774,"body":"playing a role and more so as radiation"},{"speaker":"Dr Vincent Pow","startTime":2225.774,"endTime":2225.774,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2225.774,"endTime":2231.264,"body":"becomes more safe and more effective"},{"speaker":"Dr Vincent Pow","startTime":2231.264,"endTime":2225.774,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2225.774,"endTime":2231.264,"body":"and more known as a really effective"},{"speaker":"Dr Vincent Pow","startTime":2231.264,"endTime":2231.264,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2231.264,"endTime":2234.924,"body":"treatment, then we are finding that"},{"speaker":"Dr Vincent Pow","startTime":2234.924,"endTime":2231.264,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2231.264,"endTime":2234.924,"body":"we are getting busier and busier to"},{"speaker":"Dr Gavin Nimon","startTime":2236.019,"endTime":2236.589,"body":"excellent."},{"speaker":"Dr Gavin Nimon","startTime":2236.589,"endTime":2236.929,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2236.929,"endTime":2239.899,"body":"some of the terms I've actually been"},{"speaker":"Dr Gavin Nimon","startTime":2239.899,"endTime":2236.929,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2236.929,"endTime":2239.899,"body":"looking up to prepare for this talk"},{"speaker":"Dr Gavin Nimon","startTime":2239.899,"endTime":2239.899,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2239.899,"endTime":2244.3089999999997,"body":"today, intensity, modulated radiotherapy"},{"speaker":"Dr Gavin Nimon","startTime":2244.3089999999997,"endTime":2239.899,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2239.899,"endTime":2244.3089999999997,"body":"and stereotactic radiotherapy."},{"speaker":"Dr Gavin Nimon","startTime":2244.3089999999997,"endTime":2244.819,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2244.819,"endTime":2246.2889999999998,"body":"And you've mentioned SABRE as well."},{"speaker":"Dr Gavin Nimon","startTime":2246.2889999999998,"endTime":2246.2889999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2246.2889999999998,"endTime":2248.269,"body":"That's the one used for breast cancer."},{"speaker":"Dr Vincent Pow","startTime":2249.334,"endTime":2253.459,"body":"so, intensity modulated"},{"speaker":"Dr Vincent Pow","startTime":2253.459,"endTime":2249.334,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2249.334,"endTime":2253.459,"body":"radiotherapy or IMRT is the, is what"},{"speaker":"Dr Vincent Pow","startTime":2253.459,"endTime":2253.459,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2253.459,"endTime":2256.0389999999998,"body":"I was talking about with the IMRT."},{"speaker":"Dr Vincent Pow","startTime":2256.0389999999998,"endTime":2256.144,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2256.144,"endTime":2257.869,"body":"Vmat is just the technique."},{"speaker":"Dr Vincent Pow","startTime":2257.869,"endTime":2258.169,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2258.169,"endTime":2263.629,"body":"It's the way we deliver that dose"},{"speaker":"Dr Vincent Pow","startTime":2263.629,"endTime":2258.169,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2258.169,"endTime":2263.629,"body":"And SABRE is again, another more"},{"speaker":"Dr Vincent Pow","startTime":2263.629,"endTime":2263.629,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2263.629,"endTime":2267.962,"body":"specialized technique where we give"},{"speaker":"Dr Vincent Pow","startTime":2267.962,"endTime":2263.629,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2263.629,"endTime":2267.962,"body":"higher dose in a shorter period of time."},{"speaker":"Dr Vincent Pow","startTime":2267.962,"endTime":2267.9919999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2267.9919999999997,"endTime":2268.832,"body":"So really short."},{"speaker":"Dr Vincent Pow","startTime":2268.832,"endTime":2268.832,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2268.832,"endTime":2275.132,"body":"So typically can be, you know, as small"},{"speaker":"Dr Vincent Pow","startTime":2275.132,"endTime":2268.832,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2268.832,"endTime":2275.132,"body":"as one fraction or up to five fractions."},{"speaker":"Dr Vincent Pow","startTime":2275.132,"endTime":2275.642,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2275.642,"endTime":2278.792,"body":"And we're typically aiming"},{"speaker":"Dr Vincent Pow","startTime":2278.792,"endTime":2275.642,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2275.642,"endTime":2278.792,"body":"with a different mindset."},{"speaker":"Dr Vincent Pow","startTime":2278.792,"endTime":2278.792,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2278.792,"endTime":2282.182,"body":"We're trying to aim at"},{"speaker":"Dr Vincent Pow","startTime":2282.182,"endTime":2278.792,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2278.792,"endTime":2282.182,"body":"ablating or killing it all off."},{"speaker":"Dr Vincent Pow","startTime":2282.182,"endTime":2282.692,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2282.692,"endTime":2283.802,"body":"In that short treatment."},{"speaker":"Dr Vincent Pow","startTime":2283.802,"endTime":2284.342,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2284.342,"endTime":2289.392,"body":"So, we are finding Sabre was used"},{"speaker":"Dr Vincent Pow","startTime":2289.392,"endTime":2284.342,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2284.342,"endTime":2289.392,"body":"much more than we ever have before."},{"speaker":"Dr Vincent Pow","startTime":2289.392,"endTime":2289.9919999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2289.9919999999997,"endTime":2291.372,"body":"And that's due to the technology."},{"speaker":"Dr Vincent Pow","startTime":2291.372,"endTime":2291.372,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2291.372,"endTime":2295.2419999999997,"body":"It's due to the clinical trials that"},{"speaker":"Dr Vincent Pow","startTime":2295.2419999999997,"endTime":2291.372,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2291.372,"endTime":2295.2419999999997,"body":"have shown its safety and efficacy."},{"speaker":"Dr Vincent Pow","startTime":2295.2419999999997,"endTime":2295.602,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2295.602,"endTime":2299.412,"body":"So, as I said, in lung, that's"},{"speaker":"Dr Vincent Pow","startTime":2299.412,"endTime":2295.602,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2295.602,"endTime":2299.412,"body":"quite an established pathway."},{"speaker":"Dr Vincent Pow","startTime":2299.412,"endTime":2300.102,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2300.102,"endTime":2303.282,"body":"We are doing Sabre now for kidney cancers."},{"speaker":"Dr Vincent Pow","startTime":2303.282,"endTime":2303.4919999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2303.4919999999997,"endTime":2306.042,"body":"We're doing it for prostate cancer."},{"speaker":"Dr Vincent Pow","startTime":2306.042,"endTime":2306.432,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2306.432,"endTime":2314.682,"body":"We're also doing it as a sort of a"},{"speaker":"Dr Vincent Pow","startTime":2314.682,"endTime":2306.432,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2306.432,"endTime":2314.682,"body":"new-ish pathway where previously patients"},{"speaker":"Dr Vincent Pow","startTime":2314.682,"endTime":2314.682,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2314.682,"endTime":2317.382,"body":"are either palliative or curative."},{"speaker":"Dr Vincent Pow","startTime":2317.382,"endTime":2318.042,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2318.042,"endTime":2321.432,"body":"And now there's this sort of new"},{"speaker":"Dr Vincent Pow","startTime":2321.432,"endTime":2318.042,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2318.042,"endTime":2321.432,"body":"area called oligometastatic disease"},{"speaker":"Dr Vincent Pow","startTime":2321.432,"endTime":2321.432,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2321.432,"endTime":2323.4719999999998,"body":"where patients fit in between."},{"speaker":"Dr Vincent Pow","startTime":2323.4719999999998,"endTime":2323.832,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2323.832,"endTime":2328.152,"body":"So they may, might, may have cancer"},{"speaker":"Dr Vincent Pow","startTime":2328.152,"endTime":2323.832,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2323.832,"endTime":2328.152,"body":"that has spread, but it might it"},{"speaker":"Dr Vincent Pow","startTime":2328.152,"endTime":2328.152,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2328.152,"endTime":2330.132,"body":"be spread to only a few areas."},{"speaker":"Dr Vincent Pow","startTime":2330.132,"endTime":2330.612,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2330.612,"endTime":2335.4719999999998,"body":"And so, more what we're finding is if we"},{"speaker":"Dr Vincent Pow","startTime":2335.4719999999998,"endTime":2330.612,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2330.612,"endTime":2335.4719999999998,"body":"select those patients correctly and we"},{"speaker":"Dr Vincent Pow","startTime":2335.4719999999998,"endTime":2335.4719999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2335.4719999999998,"endTime":2341.862,"body":"give stereotactic or Sabre treatment to"},{"speaker":"Dr Vincent Pow","startTime":2341.862,"endTime":2335.4719999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2335.4719999999998,"endTime":2341.862,"body":"the lung cancer spot, or the bone spot"},{"speaker":"Dr Vincent Pow","startTime":2341.862,"endTime":2341.862,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2341.862,"endTime":2347.322,"body":"or the liver metastases or the brain"},{"speaker":"Dr Vincent Pow","startTime":2347.322,"endTime":2341.862,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2341.862,"endTime":2347.322,"body":"metastases, then we're keeping patients"},{"speaker":"Dr Vincent Pow","startTime":2347.322,"endTime":2347.322,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2347.322,"endTime":2349.962,"body":"on their systemic treatments longer."},{"speaker":"Dr Vincent Pow","startTime":2349.962,"endTime":2350.632,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2350.632,"endTime":2351.052,"body":"We are"},{"speaker":"Dr Vincent Pow","startTime":2351.052,"endTime":2352.582,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2352.582,"endTime":2356.002,"body":"keeping patients away from needing"},{"speaker":"Dr Vincent Pow","startTime":2356.002,"endTime":2352.582,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2352.582,"endTime":2356.002,"body":"to escalate to another systemic"},{"speaker":"Dr Vincent Pow","startTime":2356.002,"endTime":2356.092,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2356.092,"endTime":2361.272,"body":"option and keeping some patients"},{"speaker":"Dr Vincent Pow","startTime":2361.272,"endTime":2356.092,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2356.092,"endTime":2361.272,"body":"alive a lot longer potentially"},{"speaker":"Dr Gavin Nimon","startTime":2362.042,"endTime":2364.772,"body":"Now one of your"},{"speaker":"Dr Gavin Nimon","startTime":2364.772,"endTime":2362.042,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2362.042,"endTime":2364.772,"body":"interest is telemedicine and"},{"speaker":"Dr Gavin Nimon","startTime":2364.772,"endTime":2364.772,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2364.772,"endTime":2366.362,"body":"access to the rural community."},{"speaker":"Dr Gavin Nimon","startTime":2366.362,"endTime":2366.792,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2366.792,"endTime":2369.842,"body":"I could see that'd be hard, obviously,"},{"speaker":"Dr Gavin Nimon","startTime":2369.842,"endTime":2366.792,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2366.792,"endTime":2369.842,"body":"'cause you can't have, these machines"},{"speaker":"Dr Gavin Nimon","startTime":2369.842,"endTime":2369.842,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2369.842,"endTime":2371.552,"body":"out in the, in every country area."},{"speaker":"Dr Gavin Nimon","startTime":2371.552,"endTime":2371.862,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2371.862,"endTime":2374.457,"body":"can you tell me a little bit more about"},{"speaker":"Dr Gavin Nimon","startTime":2374.457,"endTime":2371.862,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2371.862,"endTime":2374.457,"body":"that, about your telemedicine approach"},{"speaker":"Dr Vincent Pow","startTime":2375.037,"endTime":2375.3269999999998,"body":"Yeah."},{"speaker":"Dr Vincent Pow","startTime":2375.3269999999998,"endTime":2375.607,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2375.607,"endTime":2380.232,"body":"I think it for us and probably like"},{"speaker":"Dr Vincent Pow","startTime":2380.232,"endTime":2375.607,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2375.607,"endTime":2380.232,"body":"many specialties, COVID was a big"},{"speaker":"Dr Vincent Pow","startTime":2380.232,"endTime":2380.412,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2380.412,"endTime":2385.122,"body":"impetus to light that fire of how do"},{"speaker":"Dr Vincent Pow","startTime":2385.122,"endTime":2380.412,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2380.412,"endTime":2385.122,"body":"we deliver this treatment or deliver"},{"speaker":"Dr Vincent Pow","startTime":2385.122,"endTime":2385.122,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2385.122,"endTime":2390.282,"body":"services, you know, closer to home"},{"speaker":"Dr Vincent Pow","startTime":2390.282,"endTime":2385.122,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2385.122,"endTime":2390.282,"body":"or for patients who live rurally and,"},{"speaker":"Dr Vincent Pow","startTime":2390.282,"endTime":2390.4719999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2390.4719999999998,"endTime":2395.342,"body":"when I first looked into how we can do"},{"speaker":"Dr Vincent Pow","startTime":2395.342,"endTime":2390.4719999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2390.4719999999998,"endTime":2395.342,"body":"that for our service it was clearly a"},{"speaker":"Dr Vincent Pow","startTime":2395.342,"endTime":2395.342,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2395.342,"endTime":2399.412,"body":"challenge for radiation our service and"},{"speaker":"Dr Vincent Pow","startTime":2399.412,"endTime":2395.342,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2395.342,"endTime":2399.412,"body":"our patients who live rurally because"},{"speaker":"Dr Vincent Pow","startTime":2399.412,"endTime":2400.2219999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2400.2219999999998,"endTime":2402.652,"body":"our machines are only located centrally."},{"speaker":"Dr Vincent Pow","startTime":2402.652,"endTime":2402.802,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2402.802,"endTime":2403.802,"body":"And that's a big problem."},{"speaker":"Dr Vincent Pow","startTime":2403.802,"endTime":2404.072,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2404.072,"endTime":2407.152,"body":"And I think studies have shown that"},{"speaker":"Dr Vincent Pow","startTime":2407.152,"endTime":2404.072,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2404.072,"endTime":2407.152,"body":"the further you live away from a"},{"speaker":"Dr Vincent Pow","startTime":2407.152,"endTime":2407.152,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2407.152,"endTime":2411.412,"body":"metropolitan area from a linac,"},{"speaker":"Dr Vincent Pow","startTime":2411.412,"endTime":2407.152,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2407.152,"endTime":2411.412,"body":"that their outcomes are inferior."},{"speaker":"Dr Vincent Pow","startTime":2411.412,"endTime":2411.862,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2411.862,"endTime":2414.232,"body":"And so how do we bridge that gap?"},{"speaker":"Dr Vincent Pow","startTime":2414.232,"endTime":2416.002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2416.002,"endTime":2418.402,"body":"Telehealth is the first step."},{"speaker":"Dr Vincent Pow","startTime":2418.402,"endTime":2418.552,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2418.552,"endTime":2422.739,"body":"So we have established a quite"},{"speaker":"Dr Vincent Pow","startTime":2422.739,"endTime":2418.552,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2418.552,"endTime":2422.739,"body":"robust telehealth program where"},{"speaker":"Dr Vincent Pow","startTime":2422.739,"endTime":2422.739,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2422.739,"endTime":2429.399,"body":"we can see patients locally at the"},{"speaker":"Dr Vincent Pow","startTime":2429.399,"endTime":2422.739,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2422.739,"endTime":2429.399,"body":"local hospital via video link, or we"},{"speaker":"Dr Vincent Pow","startTime":2429.399,"endTime":2429.399,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2429.399,"endTime":2433.419,"body":"can now also do that through their"},{"speaker":"Dr Vincent Pow","startTime":2433.419,"endTime":2429.399,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2429.399,"endTime":2433.419,"body":"phones or their laptops or iPads."},{"speaker":"Dr Vincent Pow","startTime":2433.419,"endTime":2433.959,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2433.959,"endTime":2435.864,"body":"So we do that commonly for rural patients."},{"speaker":"Dr Vincent Pow","startTime":2435.864,"endTime":2436.719,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2436.719,"endTime":2441.609,"body":"We do that to organize ourselves as"},{"speaker":"Dr Vincent Pow","startTime":2441.609,"endTime":2436.719,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2436.719,"endTime":2441.609,"body":"well so that when they come down, they"},{"speaker":"Dr Vincent Pow","startTime":2441.609,"endTime":2441.609,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2441.609,"endTime":2445.959,"body":"really only need to come down for their"},{"speaker":"Dr Vincent Pow","startTime":2445.959,"endTime":2441.609,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2441.609,"endTime":2445.959,"body":"planning scan and everything's sort"},{"speaker":"Dr Vincent Pow","startTime":2445.959,"endTime":2445.959,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2445.959,"endTime":2450.0389999999998,"body":"of set up and then they can go home"},{"speaker":"Dr Vincent Pow","startTime":2450.0389999999998,"endTime":2445.959,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2445.959,"endTime":2450.0389999999998,"body":"and then we can sort out the social"},{"speaker":"Dr Vincent Pow","startTime":2450.0389999999998,"endTime":2450.0389999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2450.0389999999998,"endTime":2452.089,"body":"logistics where they're gonna stay."},{"speaker":"Dr Vincent Pow","startTime":2452.089,"endTime":2452.089,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2452.089,"endTime":2456.859,"body":"So often our patients stay in the cancer"},{"speaker":"Dr Vincent Pow","startTime":2456.859,"endTime":2452.089,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2452.089,"endTime":2456.859,"body":"lodge and they have transport to and fro."},{"speaker":"Dr Vincent Pow","startTime":2456.859,"endTime":2457.489,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2457.489,"endTime":2460.679,"body":"And that we try our best to"},{"speaker":"Dr Vincent Pow","startTime":2460.679,"endTime":2457.489,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2457.489,"endTime":2460.679,"body":"minimize their disruption."},{"speaker":"Dr Vincent Pow","startTime":2460.679,"endTime":2460.679,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2460.679,"endTime":2465.659,"body":"So do little things like having the"},{"speaker":"Dr Vincent Pow","startTime":2465.659,"endTime":2460.679,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2460.679,"endTime":2465.659,"body":"first treatment of the day on Friday"},{"speaker":"Dr Vincent Pow","startTime":2465.659,"endTime":2465.659,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2465.659,"endTime":2469.8089999999997,"body":"and the last treatment on a Monday so"},{"speaker":"Dr Vincent Pow","startTime":2469.8089999999997,"endTime":2465.659,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2465.659,"endTime":2469.8089999999997,"body":"some patients can get home if they want."},{"speaker":"Dr Vincent Pow","startTime":2469.8089999999997,"endTime":2471.009,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2471.009,"endTime":2475.049,"body":"And I think the next step is how"},{"speaker":"Dr Vincent Pow","startTime":2475.049,"endTime":2471.009,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2471.009,"endTime":2475.049,"body":"do we minimize the planning scan"},{"speaker":"Dr Vincent Pow","startTime":2475.049,"endTime":2475.409,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2475.409,"endTime":2479.5789999999997,"body":"even needing to come in to the"},{"speaker":"Dr Vincent Pow","startTime":2479.5789999999997,"endTime":2475.409,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2475.409,"endTime":2479.5789999999997,"body":"hospital for their planning scan."},{"speaker":"Dr Vincent Pow","startTime":2479.5789999999997,"endTime":2479.759,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2479.759,"endTime":2480.749,"body":"Can we do it locally?"},{"speaker":"Dr Vincent Pow","startTime":2480.749,"endTime":2480.749,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2480.749,"endTime":2484.429,"body":"And we are exploring options to"},{"speaker":"Dr Vincent Pow","startTime":2484.429,"endTime":2480.749,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2480.749,"endTime":2484.429,"body":"doing planning scans locally."},{"speaker":"Dr Vincent Pow","startTime":2484.429,"endTime":2484.834,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2484.834,"endTime":2486.604,"body":"Or not needing the planning scan at all."},{"speaker":"Dr Vincent Pow","startTime":2486.604,"endTime":2487.054,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2487.054,"endTime":2488.464,"body":"There are some centers that do that."},{"speaker":"Dr Vincent Pow","startTime":2488.464,"endTime":2489.154,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2489.154,"endTime":2491.0389999999998,"body":"That's been a big help for those patients."},{"speaker":"Dr Vincent Pow","startTime":2491.0389999999998,"endTime":2491.919,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2491.919,"endTime":2496.729,"body":"And then more broadly is can"},{"speaker":"Dr Vincent Pow","startTime":2496.729,"endTime":2491.919,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2491.919,"endTime":2496.729,"body":"we put potentially a radiation"},{"speaker":"Dr Vincent Pow","startTime":2496.729,"endTime":2496.729,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2496.729,"endTime":2499.413,"body":"machine in a bigger rural center?"},{"speaker":"Dr Vincent Pow","startTime":2499.413,"endTime":2499.893,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2499.893,"endTime":2503.093,"body":"And that has been shown to be"},{"speaker":"Dr Vincent Pow","startTime":2503.093,"endTime":2499.893,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2499.893,"endTime":2503.093,"body":"really helpful for communities."},{"speaker":"Dr Vincent Pow","startTime":2503.093,"endTime":2503.573,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2503.573,"endTime":2508.433,"body":"And so because a lot of the stuff"},{"speaker":"Dr Vincent Pow","startTime":2508.433,"endTime":2503.573,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2503.573,"endTime":2508.433,"body":"can be done remotely, so I can do"},{"speaker":"Dr Vincent Pow","startTime":2508.433,"endTime":2508.433,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2508.433,"endTime":2510.293,"body":"my radiation planning remotely."},{"speaker":"Dr Vincent Pow","startTime":2510.293,"endTime":2510.683,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2510.683,"endTime":2513.203,"body":"The radiation therapist can"},{"speaker":"Dr Vincent Pow","startTime":2513.203,"endTime":2510.683,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2510.683,"endTime":2513.203,"body":"do the plans on computer."},{"speaker":"Dr Vincent Pow","startTime":2513.203,"endTime":2513.863,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2513.863,"endTime":2517.583,"body":"I certainly know in my private work"},{"speaker":"Dr Vincent Pow","startTime":2517.583,"endTime":2513.863,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2513.863,"endTime":2517.583,"body":"that the planning side of things"},{"speaker":"Dr Vincent Pow","startTime":2517.583,"endTime":2517.583,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2517.583,"endTime":2521.993,"body":"can be done nationally because of,"},{"speaker":"Dr Vincent Pow","startTime":2521.993,"endTime":2517.583,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2517.583,"endTime":2521.993,"body":"it's a program, it's a computer."},{"speaker":"Dr Vincent Pow","startTime":2521.993,"endTime":2522.333,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2522.333,"endTime":2526.7129999999997,"body":"So there, there are ways that we can"},{"speaker":"Dr Vincent Pow","startTime":2526.7129999999997,"endTime":2522.333,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2522.333,"endTime":2526.7129999999997,"body":"help patients who don't have easy access."},{"speaker":"Dr Vincent Pow","startTime":2526.7129999999997,"endTime":2527.173,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2527.173,"endTime":2528.493,"body":"But there's still a long way to go."},{"speaker":"Dr Vincent Pow","startTime":2528.493,"endTime":2528.493,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2528.493,"endTime":2529.363,"body":"I think still a long"},{"speaker":"Dr Gavin Nimon","startTime":2530.278,"endTime":2530.953,"body":"That's brilliant."},{"speaker":"Dr Gavin Nimon","startTime":2530.953,"endTime":2531.553,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2531.553,"endTime":2535.3379999999997,"body":"Well, one of the other ways you give"},{"speaker":"Dr Gavin Nimon","startTime":2535.3379999999997,"endTime":2531.553,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2531.553,"endTime":2535.3379999999997,"body":"a better access is good information."},{"speaker":"Dr Gavin Nimon","startTime":2535.3379999999997,"endTime":2535.728,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2535.728,"endTime":2538.908,"body":"And your other pet hobby is"},{"speaker":"Dr Gavin Nimon","startTime":2538.908,"endTime":2535.728,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2535.728,"endTime":2538.908,"body":"your website targeting cancer."},{"speaker":"Dr Gavin Nimon","startTime":2538.908,"endTime":2539.328,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2539.328,"endTime":2541.938,"body":"Perhaps you can tell me a little bit"},{"speaker":"Dr Gavin Nimon","startTime":2541.938,"endTime":2539.328,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2539.328,"endTime":2541.938,"body":"about that and what efforts got into that."},{"speaker":"Dr Gavin Nimon","startTime":2541.938,"endTime":2541.938,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2541.938,"endTime":2543.078,"body":"It looks pretty impressive, what I've"},{"speaker":"Dr Vincent Pow","startTime":2543.268,"endTime":2544.863,"body":"Oh, I can't take credit."},{"speaker":"Dr Vincent Pow","startTime":2544.863,"endTime":2545.253,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2545.253,"endTime":2547.2329999999997,"body":"This is not my website, Gavin."},{"speaker":"Dr Vincent Pow","startTime":2547.2329999999997,"endTime":2547.2329999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2547.2329999999997,"endTime":2552.363,"body":"I'm part of the management committee,"},{"speaker":"Dr Vincent Pow","startTime":2552.363,"endTime":2547.2329999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2547.2329999999997,"endTime":2552.363,"body":"so Targeting Cancer Campaign, or is"},{"speaker":"Dr Vincent Pow","startTime":2552.363,"endTime":2552.783,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2552.783,"endTime":2556.543,"body":"essentially set up by our college, the"},{"speaker":"Dr Vincent Pow","startTime":2556.543,"endTime":2552.783,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2552.783,"endTime":2556.543,"body":"Royal Australian College of radiologists,"},{"speaker":"Dr Vincent Pow","startTime":2556.543,"endTime":2556.603,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2556.603,"endTime":2558.1929999999998,"body":"the Department of Radiation Oncology."},{"speaker":"Dr Vincent Pow","startTime":2558.1929999999998,"endTime":2558.793,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2558.793,"endTime":2562.303,"body":"And it was set up mainly to do"},{"speaker":"Dr Vincent Pow","startTime":2562.303,"endTime":2558.793,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2558.793,"endTime":2562.303,"body":"exactly what we're doing today."},{"speaker":"Dr Vincent Pow","startTime":2562.303,"endTime":2562.363,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2562.363,"endTime":2567.023,"body":"So this is why I when I saw your"},{"speaker":"Dr Vincent Pow","startTime":2567.023,"endTime":2562.363,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2562.363,"endTime":2567.023,"body":"podcast and and your website it aligned"},{"speaker":"Dr Vincent Pow","startTime":2567.023,"endTime":2567.293,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2567.293,"endTime":2571.853,"body":"exactly to, to what the targeting"},{"speaker":"Dr Vincent Pow","startTime":2571.853,"endTime":2567.293,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2567.293,"endTime":2571.853,"body":"cancer aims to do, which is basically to"},{"speaker":"Dr Vincent Pow","startTime":2571.853,"endTime":2571.853,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2571.853,"endTime":2577.9829999999997,"body":"educate the public and educate medical"},{"speaker":"Dr Vincent Pow","startTime":2577.9829999999997,"endTime":2571.853,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2571.853,"endTime":2577.9829999999997,"body":"students, other gps, other specialties"},{"speaker":"Dr Vincent Pow","startTime":2577.9829999999997,"endTime":2577.9829999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2577.9829999999997,"endTime":2580.2129999999997,"body":"about what we do, how we do it."},{"speaker":"Dr Vincent Pow","startTime":2580.2129999999997,"endTime":2580.373,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2580.373,"endTime":2586.803,"body":"so we aim to promote it as a safe,"},{"speaker":"Dr Vincent Pow","startTime":2586.803,"endTime":2580.373,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2580.373,"endTime":2586.803,"body":"really effective treatment and"},{"speaker":"Dr Vincent Pow","startTime":2586.803,"endTime":2586.803,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2586.803,"endTime":2591.763,"body":"just dispel some of the you know,"},{"speaker":"Dr Vincent Pow","startTime":2591.763,"endTime":2586.803,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2586.803,"endTime":2591.763,"body":"the rumors or the bad stories."},{"speaker":"Dr Vincent Pow","startTime":2591.763,"endTime":2591.793,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2591.793,"endTime":2592.9629999999997,"body":"And it's evidence-based."},{"speaker":"Dr Vincent Pow","startTime":2592.9629999999997,"endTime":2592.9629999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2592.9629999999997,"endTime":2598.4629999999997,"body":"It's written by radiation oncologists,"},{"speaker":"Dr Vincent Pow","startTime":2598.4629999999997,"endTime":2592.9629999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2592.9629999999997,"endTime":2598.4629999999997,"body":"consumers are involved in that."},{"speaker":"Dr Vincent Pow","startTime":2598.4629999999997,"endTime":2598.793,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2598.793,"endTime":2602.923,"body":"So we have a few consumer reps and"},{"speaker":"Dr Vincent Pow","startTime":2602.923,"endTime":2598.793,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2598.793,"endTime":2602.923,"body":"radiation oncologists across the country."},{"speaker":"Dr Vincent Pow","startTime":2602.923,"endTime":2603.673,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2603.673,"endTime":2605.793,"body":"And yeah the website is."},{"speaker":"Dr Vincent Pow","startTime":2605.793,"endTime":2606.378,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2606.378,"endTime":2610.458,"body":"Built specifically for patients"},{"speaker":"Dr Vincent Pow","startTime":2610.458,"endTime":2606.378,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2606.378,"endTime":2610.458,"body":"and their carers, and then"},{"speaker":"Dr Vincent Pow","startTime":2610.458,"endTime":2610.458,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2610.458,"endTime":2613.218,"body":"also built for GPS as well."},{"speaker":"Dr Vincent Pow","startTime":2613.218,"endTime":2613.668,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2613.668,"endTime":2617.148,"body":"And I love showing my"},{"speaker":"Dr Vincent Pow","startTime":2617.148,"endTime":2613.668,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2613.668,"endTime":2617.148,"body":"patients that website."},{"speaker":"Dr Vincent Pow","startTime":2617.148,"endTime":2617.418,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2617.418,"endTime":2618.438,"body":"Particularly the videos."},{"speaker":"Dr Vincent Pow","startTime":2618.438,"endTime":2618.468,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2618.468,"endTime":2622.788,"body":"I think the videos are really important"},{"speaker":"Dr Vincent Pow","startTime":2622.788,"endTime":2618.468,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2618.468,"endTime":2622.788,"body":"just to to take away the anxiety."},{"speaker":"Dr Vincent Pow","startTime":2622.788,"endTime":2623.028,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2623.028,"endTime":2627.718,"body":"It's a big thing, you know, going"},{"speaker":"Dr Vincent Pow","startTime":2627.718,"endTime":2623.028,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2623.028,"endTime":2627.718,"body":"through treatment and videos"},{"speaker":"Dr Vincent Pow","startTime":2627.718,"endTime":2627.718,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2627.718,"endTime":2629.8579999999997,"body":"and more information is helpful."},{"speaker":"Dr Vincent Pow","startTime":2629.8579999999997,"endTime":2629.8579999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2629.8579999999997,"endTime":2631.188,"body":"And it's Australian."},{"speaker":"Dr Vincent Pow","startTime":2631.188,"endTime":2631.238,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2631.238,"endTime":2633.718,"body":"and we recently refreshed the website."},{"speaker":"Dr Vincent Pow","startTime":2633.718,"endTime":2633.718,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2633.718,"endTime":2637.468,"body":"So, I'm very happy to be part"},{"speaker":"Dr Vincent Pow","startTime":2637.468,"endTime":2633.718,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2633.718,"endTime":2637.468,"body":"involved in that committee"},{"speaker":"Dr Vincent Pow","startTime":2637.468,"endTime":2637.468,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2637.468,"endTime":2638.968,"body":"and refreshing that website."},{"speaker":"Dr Vincent Pow","startTime":2638.968,"endTime":2638.968,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2638.968,"endTime":2643.748,"body":"So, would encourage all who"},{"speaker":"Dr Vincent Pow","startTime":2643.748,"endTime":2638.968,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2638.968,"endTime":2643.748,"body":"are interested to have a look"},{"speaker":"Dr Gavin Nimon","startTime":2644.573,"endTime":2646.703,"body":"Yeah, there is,"},{"speaker":"Dr Gavin Nimon","startTime":2646.703,"endTime":2644.573,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2644.573,"endTime":2646.703,"body":"interface was very easy to work"},{"speaker":"Dr Gavin Nimon","startTime":2646.703,"endTime":2646.703,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2646.703,"endTime":2647.933,"body":"through and it was areas from."},{"speaker":"Dr Gavin Nimon","startTime":2647.933,"endTime":2648.3379999999997,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2648.3379999999997,"endTime":2652.598,"body":"Basics to more advanced papers to actually"},{"speaker":"Dr Gavin Nimon","startTime":2652.598,"endTime":2648.3379999999997,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2648.3379999999997,"endTime":2652.598,"body":"read if you needed more information."},{"speaker":"Dr Gavin Nimon","startTime":2652.598,"endTime":2652.598,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2652.598,"endTime":2653.288,"body":"So it was great."},{"speaker":"Dr Gavin Nimon","startTime":2653.288,"endTime":2653.288,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2653.288,"endTime":2655.008,"body":"So I'm very impressed"},{"speaker":"Dr Vincent Pow","startTime":2655.083,"endTime":2655.553,"body":"Thank you."},{"speaker":"Dr Gavin Nimon","startTime":2655.674,"endTime":2657.264,"body":"obviously Vince,"},{"speaker":"Dr Gavin Nimon","startTime":2657.264,"endTime":2655.674,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2655.674,"endTime":2657.264,"body":"we've talked about the whole"},{"speaker":"Dr Gavin Nimon","startTime":2657.264,"endTime":2657.264,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2657.264,"endTime":2660.594,"body":"team that's involved in radiation"},{"speaker":"Dr Gavin Nimon","startTime":2660.594,"endTime":2657.264,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2657.264,"endTime":2660.594,"body":"oncology and radiotherapy."},{"speaker":"Dr Gavin Nimon","startTime":2660.594,"endTime":2660.9539999999997,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2660.9539999999997,"endTime":2663.8559999999998,"body":"But one, person that's really important"},{"speaker":"Dr Gavin Nimon","startTime":2663.8559999999998,"endTime":2660.9539999999997,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2660.9539999999997,"endTime":2663.8559999999998,"body":"is a general practitioner who might"},{"speaker":"Dr Gavin Nimon","startTime":2663.8559999999998,"endTime":2663.8559999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2663.8559999999998,"endTime":2666.826,"body":"pick up on the area or be supporting"},{"speaker":"Dr Gavin Nimon","startTime":2666.826,"endTime":2663.8559999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2663.8559999999998,"endTime":2666.826,"body":"the patient behind the scenes."},{"speaker":"Dr Gavin Nimon","startTime":2666.826,"endTime":2667.156,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2667.156,"endTime":2669.1059999999998,"body":"Perhaps you can tell me their"},{"speaker":"Dr Gavin Nimon","startTime":2669.1059999999998,"endTime":2667.156,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2667.156,"endTime":2669.1059999999998,"body":"involvement, how they can be"},{"speaker":"Dr Gavin Nimon","startTime":2669.1059999999998,"endTime":2669.1059999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2669.1059999999998,"endTime":2670.906,"body":"involved in the whole process"},{"speaker":"Dr Vincent Pow","startTime":2670.956,"endTime":2671.6459999999997,"body":"Absolutely."},{"speaker":"Dr Vincent Pow","startTime":2671.6459999999997,"endTime":2671.746,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2671.746,"endTime":2675.046,"body":"I think the GP plays such a"},{"speaker":"Dr Vincent Pow","startTime":2675.046,"endTime":2671.746,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2671.746,"endTime":2675.046,"body":"critical role in any patients."},{"speaker":"Dr Vincent Pow","startTime":2675.046,"endTime":2675.971,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2675.971,"endTime":2678.581,"body":"Cancer journey from diagnosis."},{"speaker":"Dr Vincent Pow","startTime":2678.581,"endTime":2678.581,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2678.581,"endTime":2681.881,"body":"They're usually the ones that"},{"speaker":"Dr Vincent Pow","startTime":2681.881,"endTime":2678.581,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2678.581,"endTime":2681.881,"body":"pick it up from the start."},{"speaker":"Dr Vincent Pow","startTime":2681.881,"endTime":2682.541,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2682.541,"endTime":2687.431,"body":"And they have known these patients for a"},{"speaker":"Dr Vincent Pow","startTime":2687.431,"endTime":2682.541,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2682.541,"endTime":2687.431,"body":"long time and then they also are the ones"},{"speaker":"Dr Vincent Pow","startTime":2687.431,"endTime":2687.431,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2687.431,"endTime":2689.681,"body":"involved in that multidisciplinary care."},{"speaker":"Dr Vincent Pow","startTime":2689.681,"endTime":2689.9809999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2689.9809999999998,"endTime":2694.181,"body":"Sometimes there is a gap between seeing"},{"speaker":"Dr Vincent Pow","startTime":2694.181,"endTime":2689.9809999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2689.9809999999998,"endTime":2694.181,"body":"their oncologist, seeing the palliative"},{"speaker":"Dr Vincent Pow","startTime":2694.181,"endTime":2694.181,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2694.181,"endTime":2696.881,"body":"care doctors, or seeing us or the surgeon."},{"speaker":"Dr Vincent Pow","startTime":2696.881,"endTime":2697.241,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2697.241,"endTime":2701.891,"body":"So I think they play absolutely critical"},{"speaker":"Dr Vincent Pow","startTime":2701.891,"endTime":2697.241,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2697.241,"endTime":2701.891,"body":"role in terms of looking at the patient"},{"speaker":"Dr Vincent Pow","startTime":2701.891,"endTime":2701.891,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2701.891,"endTime":2704.2309999999998,"body":"holistically, filling that gap as well."},{"speaker":"Dr Vincent Pow","startTime":2704.2309999999998,"endTime":2704.801,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2704.801,"endTime":2710.051,"body":"You know, there are many things that they"},{"speaker":"Dr Vincent Pow","startTime":2710.051,"endTime":2704.801,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2704.801,"endTime":2710.051,"body":"can help with in terms of optimizing,"},{"speaker":"Dr Vincent Pow","startTime":2710.051,"endTime":2710.051,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2710.051,"endTime":2714.261,"body":"particularly smoking, optimizing their"},{"speaker":"Dr Vincent Pow","startTime":2714.261,"endTime":2710.051,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2710.051,"endTime":2714.261,"body":"health in preparation for radiation."},{"speaker":"Dr Vincent Pow","startTime":2714.261,"endTime":2715.321,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2715.321,"endTime":2720.391,"body":"Often a lot of the things that we"},{"speaker":"Dr Vincent Pow","startTime":2720.391,"endTime":2715.321,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2715.321,"endTime":2720.391,"body":"prescribe or do like, such as things"},{"speaker":"Dr Vincent Pow","startTime":2720.391,"endTime":2720.391,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2720.391,"endTime":2724.381,"body":"like I often prescribe hormone"},{"speaker":"Dr Vincent Pow","startTime":2724.381,"endTime":2720.391,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2720.391,"endTime":2724.381,"body":"therapy for prostate cancer has a"},{"speaker":"Dr Vincent Pow","startTime":2724.381,"endTime":2724.381,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2724.381,"endTime":2728.221,"body":"lot of side effects that and that can"},{"speaker":"Dr Vincent Pow","startTime":2728.221,"endTime":2724.381,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2724.381,"endTime":2728.221,"body":"occur from a whole body perspective."},{"speaker":"Dr Vincent Pow","startTime":2728.221,"endTime":2728.221,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2728.221,"endTime":2732.965,"body":"So we do rely as well on, on"},{"speaker":"Dr Vincent Pow","startTime":2732.965,"endTime":2728.221,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2728.221,"endTime":2732.965,"body":"a good GP to, to help us think"},{"speaker":"Dr Vincent Pow","startTime":2732.965,"endTime":2732.995,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2732.995,"endTime":2737.235,"body":"we've always want to also empower"},{"speaker":"Dr Vincent Pow","startTime":2737.235,"endTime":2732.995,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2732.995,"endTime":2737.235,"body":"GPS and and that's what the website"},{"speaker":"Dr Vincent Pow","startTime":2737.235,"endTime":2737.235,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2737.235,"endTime":2741.645,"body":"is there for, so that they have an"},{"speaker":"Dr Vincent Pow","startTime":2741.645,"endTime":2737.235,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2737.235,"endTime":2741.645,"body":"understanding as well, and equally that"},{"speaker":"Dr Vincent Pow","startTime":2741.645,"endTime":2741.705,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2741.705,"endTime":2747.1349999999998,"body":"they don't have to wait for, to see"},{"speaker":"Dr Vincent Pow","startTime":2747.1349999999998,"endTime":2741.705,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2741.705,"endTime":2747.1349999999998,"body":"their oncologists or see their surgeon"},{"speaker":"Dr Vincent Pow","startTime":2747.1349999999998,"endTime":2747.435,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2747.435,"endTime":2749.355,"body":"to say, well, what about radiation?"},{"speaker":"Dr Vincent Pow","startTime":2749.355,"endTime":2749.805,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2749.805,"endTime":2753.975,"body":"And we are seeing that more and more"},{"speaker":"Dr Vincent Pow","startTime":2753.975,"endTime":2749.805,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2749.805,"endTime":2753.975,"body":"now that gps feel quite comfortable."},{"speaker":"Dr Vincent Pow","startTime":2753.975,"endTime":2754.365,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2754.365,"endTime":2760.845,"body":"If a patient has particularly metastatic"},{"speaker":"Dr Vincent Pow","startTime":2760.845,"endTime":2754.365,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2754.365,"endTime":2760.845,"body":"cancer and they have a symptom, then"},{"speaker":"Dr Vincent Pow","startTime":2760.845,"endTime":2761.265,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2761.265,"endTime":2765.04,"body":"we don't need to wait the two weeks or"},{"speaker":"Dr Vincent Pow","startTime":2765.04,"endTime":2761.265,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2761.265,"endTime":2765.04,"body":"three weeks to see their oncologist."},{"speaker":"Dr Vincent Pow","startTime":2765.04,"endTime":2766.37,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2766.37,"endTime":2771.06,"body":"So we certainly want to empower GPS"},{"speaker":"Dr Vincent Pow","startTime":2771.06,"endTime":2766.37,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2766.37,"endTime":2771.06,"body":"from that regard in terms of early"},{"speaker":"Dr Vincent Pow","startTime":2771.06,"endTime":2771.06,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2771.06,"endTime":2773.24,"body":"referrals to help the patients."},{"speaker":"Dr Vincent Pow","startTime":2773.24,"endTime":2774.02,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2774.02,"endTime":2777.68,"body":"Equally, the other majority of"},{"speaker":"Dr Vincent Pow","startTime":2777.68,"endTime":2774.02,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2774.02,"endTime":2777.68,"body":"referrals that we see through GPS are"},{"speaker":"Dr Vincent Pow","startTime":2777.68,"endTime":2777.68,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2777.68,"endTime":2779.54,"body":"through for a lot of skin cancers."},{"speaker":"Dr Vincent Pow","startTime":2779.54,"endTime":2779.84,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2779.84,"endTime":2786.0,"body":"So we, we have a role in early stage"},{"speaker":"Dr Vincent Pow","startTime":2786.0,"endTime":2779.84,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2779.84,"endTime":2786.0,"body":"skin cancers, so for patients who are"},{"speaker":"Dr Vincent Pow","startTime":2786.0,"endTime":2786.0,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2786.0,"endTime":2790.57,"body":"not keen on more surgery it is an option"},{"speaker":"Dr Vincent Pow","startTime":2790.57,"endTime":2786.0,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2786.0,"endTime":2790.57,"body":"in those that are surgically difficult"},{"speaker":"Dr Vincent Pow","startTime":2790.57,"endTime":2790.57,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2790.57,"endTime":2796.134,"body":"to get to But no we wanna work closely"},{"speaker":"Dr Vincent Pow","startTime":2796.134,"endTime":2790.57,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2790.57,"endTime":2796.134,"body":"with them and and I think, as I said,"},{"speaker":"Dr Vincent Pow","startTime":2796.134,"endTime":2796.134,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2796.134,"endTime":2798.014,"body":"they play an integral part of  the team."},{"speaker":"Dr Vincent Pow","startTime":2798.014,"endTime":2798.014,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2798.014,"endTime":2802.584,"body":"So again, if there's any gps that are"},{"speaker":"Dr Vincent Pow","startTime":2802.584,"endTime":2798.014,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2798.014,"endTime":2802.584,"body":"interested in finding out more, certainly"},{"speaker":"Dr Vincent Pow","startTime":2802.584,"endTime":2802.584,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2802.584,"endTime":2805.344,"body":"I'd say look at the website equally."},{"speaker":"Dr Vincent Pow","startTime":2805.344,"endTime":2805.344,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2805.344,"endTime":2809.214,"body":"We when we get round to it, we are looking"},{"speaker":"Dr Vincent Pow","startTime":2809.214,"endTime":2805.344,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2805.344,"endTime":2809.214,"body":"at putting on some workshops through"},{"speaker":"Dr Vincent Pow","startTime":2809.214,"endTime":2809.214,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2809.214,"endTime":2815.054,"body":"targeting cancer which goes through some"},{"speaker":"Dr Vincent Pow","startTime":2815.054,"endTime":2809.214,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2809.214,"endTime":2815.054,"body":"common scenarios, common indications, and"},{"speaker":"Dr Vincent Pow","startTime":2815.054,"endTime":2815.054,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2815.054,"endTime":2818.9539999999997,"body":"then bring them into the Royal Adelaide"},{"speaker":"Dr Vincent Pow","startTime":2818.9539999999997,"endTime":2815.054,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2815.054,"endTime":2818.9539999999997,"body":"and give them a tour of our department."},{"speaker":"Dr Vincent Pow","startTime":2818.9539999999997,"endTime":2819.114,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2819.114,"endTime":2822.804,"body":"And that way they really understand"},{"speaker":"Dr Vincent Pow","startTime":2822.804,"endTime":2819.114,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2819.114,"endTime":2822.804,"body":"what's being done to these patients and"},{"speaker":"Dr Vincent Pow","startTime":2822.804,"endTime":2822.804,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2822.804,"endTime":2824.964,"body":"where they're going and what's involved."},{"speaker":"Dr Gavin Nimon","startTime":2825.564,"endTime":2826.224,"body":"Excellent."},{"speaker":"Dr Gavin Nimon","startTime":2826.224,"endTime":2826.854,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2826.854,"endTime":2828.4139999999998,"body":"Well, where do you think"},{"speaker":"Dr Gavin Nimon","startTime":2828.4139999999998,"endTime":2826.854,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2826.854,"endTime":2828.4139999999998,"body":"the future's heading though?"},{"speaker":"Dr Gavin Nimon","startTime":2828.4139999999998,"endTime":2828.564,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2828.564,"endTime":2831.594,"body":"I mean, obviously there's been a lot of"},{"speaker":"Dr Gavin Nimon","startTime":2831.594,"endTime":2828.564,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2828.564,"endTime":2831.594,"body":"advances over the last 20 or 30 years,"},{"speaker":"Dr Vincent Pow","startTime":2831.644,"endTime":2835.024,"body":"yeah, look, it's,"},{"speaker":"Dr Vincent Pow","startTime":2835.024,"endTime":2831.644,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2831.644,"endTime":2835.024,"body":"it is exciting and part of the"},{"speaker":"Dr Vincent Pow","startTime":2835.024,"endTime":2835.024,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2835.024,"endTime":2840.6639999999998,"body":"reason why I love this specialty is"},{"speaker":"Dr Vincent Pow","startTime":2840.6639999999998,"endTime":2835.024,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2835.024,"endTime":2840.6639999999998,"body":"because it is very technology driven."},{"speaker":"Dr Vincent Pow","startTime":2840.6639999999998,"endTime":2840.814,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2840.814,"endTime":2846.274,"body":"And also very strong, robust"},{"speaker":"Dr Vincent Pow","startTime":2846.274,"endTime":2840.814,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2840.814,"endTime":2846.274,"body":"clinical trials driven."},{"speaker":"Dr Vincent Pow","startTime":2846.274,"endTime":2846.874,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2846.874,"endTime":2854.074,"body":"And so I think we've spoken about ai, yes,"},{"speaker":"Dr Vincent Pow","startTime":2854.074,"endTime":2846.874,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2846.874,"endTime":2854.074,"body":"we're very happy that it can help assist"},{"speaker":"Dr Vincent Pow","startTime":2854.074,"endTime":2854.074,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2854.074,"endTime":2857.224,"body":"us in making better plans and efficiency."},{"speaker":"Dr Vincent Pow","startTime":2857.224,"endTime":2857.734,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2857.734,"endTime":2862.594,"body":"And I think the other step is we've"},{"speaker":"Dr Vincent Pow","startTime":2862.594,"endTime":2857.734,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2857.734,"endTime":2862.594,"body":"adaptive, which we've talked about, I"},{"speaker":"Dr Vincent Pow","startTime":2862.594,"endTime":2862.594,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2862.594,"endTime":2868.364,"body":"think, shorter treatments more access"},{"speaker":"Dr Vincent Pow","startTime":2868.364,"endTime":2862.594,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2862.594,"endTime":2868.364,"body":"to some more specialized techniques."},{"speaker":"Dr Vincent Pow","startTime":2868.364,"endTime":2868.364,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2868.364,"endTime":2871.9339999999997,"body":"So we'll certainly see"},{"speaker":"Dr Vincent Pow","startTime":2871.9339999999997,"endTime":2868.364,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2868.364,"endTime":2871.9339999999997,"body":"more saber going forward."},{"speaker":"Dr Vincent Pow","startTime":2871.9339999999997,"endTime":2871.964,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2871.964,"endTime":2874.364,"body":"We'll see shorter treatments"},{"speaker":"Dr Vincent Pow","startTime":2874.364,"endTime":2871.964,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2871.964,"endTime":2874.364,"body":"we've talked about."},{"speaker":"Dr Vincent Pow","startTime":2874.364,"endTime":2874.904,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2874.904,"endTime":2878.534,"body":"Hopefully you'll see, there's some"},{"speaker":"Dr Vincent Pow","startTime":2878.534,"endTime":2874.904,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2874.904,"endTime":2878.534,"body":"new, you know, emerging evidence"},{"speaker":"Dr Vincent Pow","startTime":2878.534,"endTime":2878.534,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2878.534,"endTime":2884.034,"body":"now that we use biological scans"},{"speaker":"Dr Vincent Pow","startTime":2884.034,"endTime":2878.534,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2878.534,"endTime":2884.034,"body":"to say, well, this area of tumour"},{"speaker":"Dr Vincent Pow","startTime":2884.034,"endTime":2884.624,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2884.624,"endTime":2886.574,"body":"is more aggressive than this area."},{"speaker":"Dr Vincent Pow","startTime":2886.574,"endTime":2886.574,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2886.574,"endTime":2887.984,"body":"Why don't we paint"},{"speaker":"Dr Vincent Pow","startTime":2887.984,"endTime":2888.644,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2888.644,"endTime":2891.854,"body":"the dose rather than give a standard dose?"},{"speaker":"Dr Vincent Pow","startTime":2891.854,"endTime":2892.304,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2892.304,"endTime":2897.264,"body":"Why don't we paint the dose again"},{"speaker":"Dr Vincent Pow","startTime":2897.264,"endTime":2892.304,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2892.304,"endTime":2897.264,"body":"to, and that so making it really"},{"speaker":"Dr Vincent Pow","startTime":2897.264,"endTime":2897.324,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2897.324,"endTime":2900.024,"body":"personalized down to the biological level."},{"speaker":"Dr Vincent Pow","startTime":2900.024,"endTime":2900.714,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2900.714,"endTime":2904.1839999999997,"body":"I think that's where we can"},{"speaker":"Dr Vincent Pow","startTime":2904.1839999999997,"endTime":2900.714,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2900.714,"endTime":2904.1839999999997,"body":"see things going forward."},{"speaker":"Dr Vincent Pow","startTime":2904.1839999999997,"endTime":2904.424,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2904.424,"endTime":2905.264,"body":"Yeah, who knows"},{"speaker":"Dr Gavin Nimon","startTime":2906.929,"endTime":2907.439,"body":"brilliant."},{"speaker":"Dr Gavin Nimon","startTime":2907.439,"endTime":2908.127,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2908.127,"endTime":2910.437,"body":"one of the other things I heard"},{"speaker":"Dr Gavin Nimon","startTime":2910.437,"endTime":2908.127,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2908.127,"endTime":2910.437,"body":"about in the future was something"},{"speaker":"Dr Gavin Nimon","startTime":2910.437,"endTime":2910.437,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2910.437,"endTime":2913.767,"body":"like proton therapy, which I presume"},{"speaker":"Dr Gavin Nimon","startTime":2913.767,"endTime":2910.437,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2910.437,"endTime":2913.767,"body":"uses protons instead of electrons"},{"speaker":"Dr Gavin Nimon","startTime":2913.767,"endTime":2913.767,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2913.767,"endTime":2915.567,"body":"as a form of ionizing radiation."},{"speaker":"Dr Gavin Nimon","startTime":2915.567,"endTime":2915.987,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2915.987,"endTime":2917.967,"body":"Is that something that's"},{"speaker":"Dr Gavin Nimon","startTime":2917.967,"endTime":2915.987,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2915.987,"endTime":2917.967,"body":"around in the future, do you"},{"speaker":"Dr Vincent Pow","startTime":2918.04,"endTime":2918.162,"body":"think"},{"speaker":"Dr Vincent Pow","startTime":2918.162,"endTime":2918.192,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2918.192,"endTime":2918.792,"body":"yeah."},{"speaker":"Dr Vincent Pow","startTime":2918.792,"endTime":2918.892,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2918.892,"endTime":2924.712,"body":"Proton therapy is, Very exciting"},{"speaker":"Dr Vincent Pow","startTime":2924.712,"endTime":2918.892,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2918.892,"endTime":2924.712,"body":"because of the characteristics"},{"speaker":"Dr Vincent Pow","startTime":2924.712,"endTime":2924.712,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2924.712,"endTime":2926.362,"body":"of the proton therapy beam."},{"speaker":"Dr Vincent Pow","startTime":2926.362,"endTime":2927.2019999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2927.2019999999998,"endTime":2932.932,"body":"What we see in is actually it"},{"speaker":"Dr Vincent Pow","startTime":2932.932,"endTime":2927.2019999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2927.2019999999998,"endTime":2932.932,"body":"deposits a very high dose to where"},{"speaker":"Dr Vincent Pow","startTime":2932.932,"endTime":2932.932,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2932.932,"endTime":2936.4719999999998,"body":"we want it to, and then after"},{"speaker":"Dr Vincent Pow","startTime":2936.4719999999998,"endTime":2932.932,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2932.932,"endTime":2936.4719999999998,"body":"that it drops down dramatically."},{"speaker":"Dr Vincent Pow","startTime":2936.4719999999998,"endTime":2936.862,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2936.862,"endTime":2942.682,"body":"And so proton therapy at the moment"},{"speaker":"Dr Vincent Pow","startTime":2942.682,"endTime":2936.862,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2936.862,"endTime":2942.682,"body":"is really for pediatric patients."},{"speaker":"Dr Vincent Pow","startTime":2942.682,"endTime":2943.072,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2943.072,"endTime":2948.032,"body":"And those where there are critical organs"},{"speaker":"Dr Vincent Pow","startTime":2948.032,"endTime":2943.072,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2943.072,"endTime":2948.032,"body":"that we need to get in a really high dose."},{"speaker":"Dr Vincent Pow","startTime":2948.032,"endTime":2948.092,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2948.092,"endTime":2953.582,"body":"We just can't because it's sitting next to"},{"speaker":"Dr Vincent Pow","startTime":2953.582,"endTime":2948.092,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2948.092,"endTime":2953.582,"body":"the brainstem, the optic nerve or chiasm."},{"speaker":"Dr Vincent Pow","startTime":2953.582,"endTime":2954.002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2954.002,"endTime":2956.372,"body":"So proton therapy there"},{"speaker":"Dr Vincent Pow","startTime":2956.372,"endTime":2954.002,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2954.002,"endTime":2956.372,"body":"is really beneficial."},{"speaker":"Dr Vincent Pow","startTime":2956.372,"endTime":2957.047,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2957.047,"endTime":2961.697,"body":"So there are a few machines certainly"},{"speaker":"Dr Vincent Pow","startTime":2961.697,"endTime":2957.047,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2957.047,"endTime":2961.697,"body":"overseas, a fair few machines now."},{"speaker":"Dr Vincent Pow","startTime":2961.697,"endTime":2961.937,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2961.937,"endTime":2966.027,"body":"And and hopefully Australia will"},{"speaker":"Dr Vincent Pow","startTime":2966.027,"endTime":2961.937,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2961.937,"endTime":2966.027,"body":"get their first one shortly because"},{"speaker":"Dr Vincent Pow","startTime":2966.027,"endTime":2966.387,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2966.387,"endTime":2970.427,"body":"currently our pediatric patients,"},{"speaker":"Dr Vincent Pow","startTime":2970.427,"endTime":2966.387,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2966.387,"endTime":2970.427,"body":"if they're accepted for proton beam"},{"speaker":"Dr Vincent Pow","startTime":2970.427,"endTime":2970.427,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2970.427,"endTime":2972.467,"body":"therapy, will have to go overseas."},{"speaker":"Dr Vincent Pow","startTime":2972.467,"endTime":2972.467,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2972.467,"endTime":2975.407,"body":"And that obviously that's a"},{"speaker":"Dr Vincent Pow","startTime":2975.407,"endTime":2972.467,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2972.467,"endTime":2975.407,"body":"real stress on the patients."},{"speaker":"Dr Vincent Pow","startTime":2975.407,"endTime":2975.407,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2975.407,"endTime":2979.187,"body":"So we hope that can be brought"},{"speaker":"Dr Vincent Pow","startTime":2979.187,"endTime":2975.407,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2975.407,"endTime":2979.187,"body":"to Australia very soon."},{"speaker":"Dr Vincent Pow","startTime":2979.187,"endTime":2979.267,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2979.267,"endTime":2981.787,"body":"And that will benefit all"},{"speaker":"Dr Vincent Pow","startTime":2981.787,"endTime":2979.267,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2979.267,"endTime":2981.787,"body":"pediatric patients to begin with."},{"speaker":"Dr Vincent Pow","startTime":2981.787,"endTime":2981.787,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2981.787,"endTime":2985.267,"body":"And then there is certainly"},{"speaker":"Dr Vincent Pow","startTime":2985.267,"endTime":2981.787,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2981.787,"endTime":2985.267,"body":"more indications to come"},{"speaker":"Dr Vincent Pow","startTime":2985.267,"endTime":2985.897,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2985.897,"endTime":2989.167,"body":"because of the beneficial nature"},{"speaker":"Dr Vincent Pow","startTime":2989.167,"endTime":2985.897,"body":" "},{"speaker":"Dr Vincent Pow","startTime":2985.897,"endTime":2989.167,"body":"of the actual beam itself."},{"speaker":"Dr Gavin Nimon","startTime":2990.247,"endTime":2990.727,"body":"Excellent."},{"speaker":"Dr Gavin Nimon","startTime":2990.727,"endTime":2990.727,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2990.727,"endTime":2992.557,"body":"Well look, watch this space."},{"speaker":"Dr Gavin Nimon","startTime":2992.557,"endTime":2993.187,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2993.187,"endTime":2995.407,"body":"Well, one of the thoughts that"},{"speaker":"Dr Gavin Nimon","startTime":2995.407,"endTime":2993.187,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2993.187,"endTime":2995.407,"body":"came to mind when we talked"},{"speaker":"Dr Gavin Nimon","startTime":2995.407,"endTime":2995.407,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2995.407,"endTime":2996.667,"body":"about radiation oncology."},{"speaker":"Dr Gavin Nimon","startTime":2996.667,"endTime":2997.2219999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2997.2219999999998,"endTime":3001.122,"body":"I went through medical school many years"},{"speaker":"Dr Gavin Nimon","startTime":3001.122,"endTime":2997.2219999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":2997.2219999999998,"endTime":3001.122,"body":"ago, and one of my colleagues, a friend"},{"speaker":"Dr Gavin Nimon","startTime":3001.122,"endTime":3001.182,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3001.182,"endTime":3004.842,"body":"at the time went through and he went"},{"speaker":"Dr Gavin Nimon","startTime":3004.842,"endTime":3001.182,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3001.182,"endTime":3004.842,"body":"down and became a radiation oncologist."},{"speaker":"Dr Gavin Nimon","startTime":3004.842,"endTime":3005.2019999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3005.2019999999998,"endTime":3008.172,"body":"And I thought to myself at the time,"},{"speaker":"Dr Gavin Nimon","startTime":3008.172,"endTime":3005.2019999999998,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3005.2019999999998,"endTime":3008.172,"body":"I thought, how do you get that idea?"},{"speaker":"Dr Gavin Nimon","startTime":3008.172,"endTime":3008.232,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3008.232,"endTime":3011.361,"body":"I didn't even think about"},{"speaker":"Dr Gavin Nimon","startTime":3011.361,"endTime":3008.232,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3008.232,"endTime":3011.361,"body":"radiotherapy as an option."},{"speaker":"Dr Gavin Nimon","startTime":3011.361,"endTime":3011.631,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3011.631,"endTime":3014.211,"body":"And how do people, head into this pathway?"},{"speaker":"Dr Gavin Nimon","startTime":3014.211,"endTime":3014.211,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3014.211,"endTime":3015.651,"body":"You know, they're more and more doing so."},{"speaker":"Dr Gavin Nimon","startTime":3015.651,"endTime":3015.701,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3015.701,"endTime":3017.141,"body":"And what does the training look like?"},{"speaker":"Dr Vincent Pow","startTime":3017.186,"endTime":3019.916,"body":"Yeah, that's a"},{"speaker":"Dr Vincent Pow","startTime":3019.916,"endTime":3017.186,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3017.186,"endTime":3019.916,"body":"great question and we all have"},{"speaker":"Dr Vincent Pow","startTime":3019.916,"endTime":3019.916,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3019.916,"endTime":3023.486,"body":"our own little origin stories, I"},{"speaker":"Dr Vincent Pow","startTime":3023.486,"endTime":3019.916,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3019.916,"endTime":3023.486,"body":"suppose, in terms of how we got here."},{"speaker":"Dr Vincent Pow","startTime":3023.486,"endTime":3023.936,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3023.936,"endTime":3029.186,"body":"And it's true, I think it starts from"},{"speaker":"Dr Vincent Pow","startTime":3029.186,"endTime":3023.936,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3023.936,"endTime":3029.186,"body":"medical school and the general public."},{"speaker":"Dr Vincent Pow","startTime":3029.186,"endTime":3030.066,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3030.066,"endTime":3034.716,"body":"Part of actually targeting cancer's"},{"speaker":"Dr Vincent Pow","startTime":3034.716,"endTime":3030.066,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3030.066,"endTime":3034.716,"body":"strategies is actually to deliver more"},{"speaker":"Dr Vincent Pow","startTime":3034.716,"endTime":3034.836,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3034.836,"endTime":3039.966,"body":"talks and things through medical school So"},{"speaker":"Dr Vincent Pow","startTime":3039.966,"endTime":3034.836,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3034.836,"endTime":3039.966,"body":"when I also went through medical school,"},{"speaker":"Dr Vincent Pow","startTime":3039.966,"endTime":3039.966,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3039.966,"endTime":3042.156,"body":"it wasn't told or talked about very much."},{"speaker":"Dr Vincent Pow","startTime":3042.156,"endTime":3042.756,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3042.756,"endTime":3048.786,"body":"And I also just luckily enough to"},{"speaker":"Dr Vincent Pow","startTime":3048.786,"endTime":3042.756,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3042.756,"endTime":3048.786,"body":"be given that rotation in oncology."},{"speaker":"Dr Vincent Pow","startTime":3048.786,"endTime":3049.206,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3049.206,"endTime":3052.296,"body":"And there was a week of radiation"},{"speaker":"Dr Vincent Pow","startTime":3052.296,"endTime":3049.206,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3049.206,"endTime":3052.296,"body":"oncology, a week of oncology,"},{"speaker":"Dr Vincent Pow","startTime":3052.296,"endTime":3052.296,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3052.296,"endTime":3053.556,"body":"and a week of palliative care."},{"speaker":"Dr Vincent Pow","startTime":3053.556,"endTime":3054.1259999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3054.1259999999997,"endTime":3058.951,"body":"And when I, and, did that"},{"speaker":"Dr Vincent Pow","startTime":3058.951,"endTime":3054.1259999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3054.1259999999997,"endTime":3058.951,"body":"rotation in radiation oncology."},{"speaker":"Dr Vincent Pow","startTime":3058.951,"endTime":3059.7419999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3059.7419999999997,"endTime":3060.816,"body":"I knew nothing about it."},{"speaker":"Dr Vincent Pow","startTime":3060.816,"endTime":3060.816,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3060.816,"endTime":3064.296,"body":"And often the students that still come"},{"speaker":"Dr Vincent Pow","startTime":3064.296,"endTime":3060.816,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3060.816,"endTime":3064.296,"body":"through, they don't know much about it."},{"speaker":"Dr Vincent Pow","startTime":3064.296,"endTime":3064.776,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3064.776,"endTime":3069.286,"body":"But when I had that rotation, I said,"},{"speaker":"Dr Vincent Pow","startTime":3069.286,"endTime":3064.776,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3064.776,"endTime":3069.286,"body":"wow this is something that's exciting."},{"speaker":"Dr Vincent Pow","startTime":3069.286,"endTime":3069.336,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3069.336,"endTime":3073.746,"body":"It's clearly something I"},{"speaker":"Dr Vincent Pow","startTime":3073.746,"endTime":3069.336,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3069.336,"endTime":3073.746,"body":"can see has a strong future."},{"speaker":"Dr Vincent Pow","startTime":3073.746,"endTime":3074.346,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3074.346,"endTime":3078.756,"body":"And what drew me to it and what"},{"speaker":"Dr Vincent Pow","startTime":3078.756,"endTime":3074.346,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3074.346,"endTime":3078.756,"body":"draws others, I suppose, is"},{"speaker":"Dr Vincent Pow","startTime":3078.756,"endTime":3079.086,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3079.086,"endTime":3084.336,"body":"it has a nice balance firstly"},{"speaker":"Dr Vincent Pow","startTime":3084.336,"endTime":3079.086,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3079.086,"endTime":3084.336,"body":"of the type of patient cohort."},{"speaker":"Dr Vincent Pow","startTime":3084.336,"endTime":3084.336,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3084.336,"endTime":3088.3559999999998,"body":"So, I think you can provide very"},{"speaker":"Dr Vincent Pow","startTime":3088.3559999999998,"endTime":3084.336,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3084.336,"endTime":3088.3559999999998,"body":"meaningful change and meaningful"},{"speaker":"Dr Vincent Pow","startTime":3088.3559999999998,"endTime":3088.3559999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3088.3559999999998,"endTime":3092.016,"body":"difference in, in any role that"},{"speaker":"Dr Vincent Pow","startTime":3092.016,"endTime":3088.3559999999998,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3088.3559999999998,"endTime":3092.016,"body":"you play in a patient, a cancer"},{"speaker":"Dr Vincent Pow","startTime":3092.016,"endTime":3092.016,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3092.016,"endTime":3097.1459999999997,"body":"patient's but it also has a balance"},{"speaker":"Dr Vincent Pow","startTime":3097.1459999999997,"endTime":3092.016,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3092.016,"endTime":3097.1459999999997,"body":"of, it's not quite surgery, but we"},{"speaker":"Dr Vincent Pow","startTime":3097.1459999999997,"endTime":3097.1459999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3097.1459999999997,"endTime":3098.841,"body":"are providing curative treatments."},{"speaker":"Dr Vincent Pow","startTime":3098.841,"endTime":3099.576,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3099.576,"endTime":3100.266,"body":"It's."},{"speaker":"Dr Vincent Pow","startTime":3100.266,"endTime":3100.821,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3100.821,"endTime":3105.891,"body":"Got a balance of doing things with"},{"speaker":"Dr Vincent Pow","startTime":3105.891,"endTime":3100.821,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3100.821,"endTime":3105.891,"body":"technology and those who are interested"},{"speaker":"Dr Vincent Pow","startTime":3105.891,"endTime":3105.941,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3105.941,"endTime":3111.854,"body":"technology certainly from it's one, it's,"},{"speaker":"Dr Vincent Pow","startTime":3111.854,"endTime":3105.941,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3105.941,"endTime":3111.854,"body":"certainly suited for those sort of people."},{"speaker":"Dr Vincent Pow","startTime":3111.854,"endTime":3112.424,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3112.424,"endTime":3117.364,"body":"I also really like the detailed"},{"speaker":"Dr Vincent Pow","startTime":3117.364,"endTime":3112.424,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3112.424,"endTime":3117.364,"body":"orientated nature of radiation oncology"},{"speaker":"Dr Vincent Pow","startTime":3117.364,"endTime":3117.364,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3117.364,"endTime":3120.1839999999997,"body":"and how it was very data driven."},{"speaker":"Dr Vincent Pow","startTime":3120.1839999999997,"endTime":3120.344,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3120.344,"endTime":3126.134,"body":"Very clinical trials driven by the"},{"speaker":"Dr Vincent Pow","startTime":3126.134,"endTime":3120.344,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3120.344,"endTime":3126.134,"body":"evidence and how that all combines"},{"speaker":"Dr Vincent Pow","startTime":3126.134,"endTime":3126.134,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3126.134,"endTime":3129.554,"body":"into one with the technology,"},{"speaker":"Dr Vincent Pow","startTime":3129.554,"endTime":3126.134,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3126.134,"endTime":3129.554,"body":"the patient care, the trials."},{"speaker":"Dr Vincent Pow","startTime":3129.554,"endTime":3130.094,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3130.094,"endTime":3133.9539999999997,"body":"So, it it's certainly"},{"speaker":"Dr Vincent Pow","startTime":3133.9539999999997,"endTime":3130.094,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3130.094,"endTime":3133.9539999999997,"body":"become quite popular."},{"speaker":"Dr Vincent Pow","startTime":3133.9539999999997,"endTime":3133.9539999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3133.9539999999997,"endTime":3137.314,"body":"I think now we're starting"},{"speaker":"Dr Vincent Pow","startTime":3137.314,"endTime":3133.9539999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3133.9539999999997,"endTime":3137.314,"body":"to see that a lot more."},{"speaker":"Dr Vincent Pow","startTime":3137.314,"endTime":3137.594,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3137.594,"endTime":3140.984,"body":"the training program is very competitive"},{"speaker":"Dr Vincent Pow","startTime":3140.984,"endTime":3137.594,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3137.594,"endTime":3140.984,"body":"now and I think that's where we"},{"speaker":"Dr Vincent Pow","startTime":3140.984,"endTime":3140.984,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3140.984,"endTime":3145.424,"body":"see more and more people wanting to"},{"speaker":"Dr Vincent Pow","startTime":3145.424,"endTime":3140.984,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3140.984,"endTime":3145.424,"body":"have a career in radiation oncology."},{"speaker":"Dr Vincent Pow","startTime":3145.424,"endTime":3146.174,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3146.174,"endTime":3147.784,"body":"The training program is tough."},{"speaker":"Dr Vincent Pow","startTime":3147.784,"endTime":3147.784,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3147.784,"endTime":3149.404,"body":"Like, like any training program."},{"speaker":"Dr Vincent Pow","startTime":3149.404,"endTime":3149.974,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3149.974,"endTime":3153.844,"body":"we're part of the radiology college,"},{"speaker":"Dr Vincent Pow","startTime":3153.844,"endTime":3149.974,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3149.974,"endTime":3153.844,"body":"but we actually have our own training"},{"speaker":"Dr Vincent Pow","startTime":3153.844,"endTime":3153.844,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3153.844,"endTime":3158.644,"body":"program, which is, doesn't go through a"},{"speaker":"Dr Vincent Pow","startTime":3158.644,"endTime":3153.844,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3153.844,"endTime":3158.644,"body":"physician pathway or a surgical pathway."},{"speaker":"Dr Vincent Pow","startTime":3158.644,"endTime":3158.644,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3158.644,"endTime":3162.754,"body":"It's a five year program split"},{"speaker":"Dr Vincent Pow","startTime":3162.754,"endTime":3158.644,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3158.644,"endTime":3162.754,"body":"into two phases with exams."},{"speaker":"Dr Vincent Pow","startTime":3162.754,"endTime":3163.254,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3163.254,"endTime":3166.644,"body":"And you can expect to rotate"},{"speaker":"Dr Vincent Pow","startTime":3166.644,"endTime":3163.254,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3163.254,"endTime":3166.644,"body":"amongst the different sites."},{"speaker":"Dr Vincent Pow","startTime":3166.644,"endTime":3167.154,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3167.154,"endTime":3171.554,"body":"And in, in SA we rotate through"},{"speaker":"Dr Vincent Pow","startTime":3171.554,"endTime":3167.154,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3167.154,"endTime":3171.554,"body":"Royal Adelaide Lyell McEwin"},{"speaker":"Dr Vincent Pow","startTime":3171.554,"endTime":3171.574,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3171.574,"endTime":3173.614,"body":"Flinders, and even Darwin as well."},{"speaker":"Dr Vincent Pow","startTime":3173.614,"endTime":3173.614,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3173.614,"endTime":3175.144,"body":"So we are networked with Darwin."},{"speaker":"Dr Vincent Pow","startTime":3175.144,"endTime":3175.409,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3175.409,"endTime":3177.399,"body":"So it, it's a I trained here."},{"speaker":"Dr Vincent Pow","startTime":3177.399,"endTime":3177.399,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3177.399,"endTime":3178.659,"body":"It's a fantastic program."},{"speaker":"Dr Vincent Pow","startTime":3178.659,"endTime":3178.869,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3178.869,"endTime":3181.929,"body":"I trained with your colleague,"},{"speaker":"Dr Vincent Pow","startTime":3181.929,"endTime":3178.869,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3178.869,"endTime":3181.929,"body":"under your colleague, and now"},{"speaker":"Dr Vincent Pow","startTime":3181.929,"endTime":3181.929,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3181.929,"endTime":3183.549,"body":"he's my colleague as well."},{"speaker":"Dr Vincent Pow","startTime":3183.549,"endTime":3183.649,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3183.649,"endTime":3185.639,"body":"And you know, look I've really enjoyed it."},{"speaker":"Dr Vincent Pow","startTime":3185.639,"endTime":3185.639,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3185.639,"endTime":3189.199,"body":"I'm originally from Melbourne and"},{"speaker":"Dr Vincent Pow","startTime":3189.199,"endTime":3185.639,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3185.639,"endTime":3189.199,"body":"you know, I wouldn't now want to"},{"speaker":"Dr Vincent Pow","startTime":3189.199,"endTime":3189.199,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3189.199,"endTime":3190.609,"body":"go anywhere, any, anywhere else"},{"speaker":"Dr Gavin Nimon","startTime":3192.548,"endTime":3193.174,"body":"That's brilliant."},{"speaker":"Dr Gavin Nimon","startTime":3193.174,"endTime":3193.984,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3193.984,"endTime":3196.654,"body":"Well, it's been fantastic hearing"},{"speaker":"Dr Gavin Nimon","startTime":3196.654,"endTime":3193.984,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3193.984,"endTime":3196.654,"body":"about this excellent specialty."},{"speaker":"Dr Gavin Nimon","startTime":3196.654,"endTime":3196.894,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3196.894,"endTime":3200.724,"body":"and hopefully this will generate some"},{"speaker":"Dr Gavin Nimon","startTime":3200.724,"endTime":3196.894,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3196.894,"endTime":3200.724,"body":"information for those and questions"},{"speaker":"Dr Gavin Nimon","startTime":3200.724,"endTime":3200.724,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3200.724,"endTime":3205.524,"body":"where they may go to targeting cancer"},{"speaker":"Dr Gavin Nimon","startTime":3205.524,"endTime":3200.724,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3200.724,"endTime":3205.524,"body":"they'll able to get more information."},{"speaker":"Dr Gavin Nimon","startTime":3205.524,"endTime":3205.524,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3205.524,"endTime":3208.404,"body":"So thank you very much Vince for"},{"speaker":"Dr Gavin Nimon","startTime":3208.404,"endTime":3205.524,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3205.524,"endTime":3208.404,"body":"giving up your time today and I really"},{"speaker":"Dr Gavin Nimon","startTime":3208.404,"endTime":3208.404,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3208.404,"endTime":3209.874,"body":"appreciate coming on Aussie Med Ed."},{"speaker":"Dr Vincent Pow","startTime":3210.304,"endTime":3211.0589999999997,"body":"Thank you, Gavin."},{"speaker":"Dr Vincent Pow","startTime":3211.0589999999997,"endTime":3211.0589999999997,"body":" "},{"speaker":"Dr Vincent Pow","startTime":3211.0589999999997,"endTime":3211.3289999999997,"body":"Thanks for"},{"speaker":"Dr Gavin Nimon","startTime":3212.964,"endTime":3213.354,"body":"Thanks very"},{"speaker":"Dr Gavin Nimon","startTime":3213.354,"endTime":3214.824,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3214.824,"endTime":3217.604,"body":"I'd like to remind you that all the"},{"speaker":"Dr Gavin Nimon","startTime":3217.604,"endTime":3214.824,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3214.824,"endTime":3217.604,"body":"information presented today is just one"},{"speaker":"Dr Gavin Nimon","startTime":3217.604,"endTime":3217.604,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3217.604,"endTime":3220.624,"body":"opinion, and that there are numerous"},{"speaker":"Dr Gavin Nimon","startTime":3220.624,"endTime":3217.604,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3217.604,"endTime":3220.624,"body":"ways of treating all medical conditions."},{"speaker":"Dr Gavin Nimon","startTime":3220.624,"endTime":3220.974,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3220.974,"endTime":3223.584,"body":"It's just general advice, and may vary"},{"speaker":"Dr Gavin Nimon","startTime":3223.584,"endTime":3220.974,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3220.974,"endTime":3223.584,"body":"depending upon the region in which"},{"speaker":"Dr Gavin Nimon","startTime":3223.584,"endTime":3223.584,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3223.584,"endTime":3224.984,"body":"you are practising or being treated."},{"speaker":"Dr Gavin Nimon","startTime":3224.984,"endTime":3225.924,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3225.924,"endTime":3229.314,"body":"The information may not be appropriate"},{"speaker":"Dr Gavin Nimon","startTime":3229.314,"endTime":3225.924,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3225.924,"endTime":3229.314,"body":"for your situation or health condition,"},{"speaker":"Dr Gavin Nimon","startTime":3229.314,"endTime":3229.324,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3229.324,"endTime":3231.784,"body":"and you should always seek the"},{"speaker":"Dr Gavin Nimon","startTime":3231.784,"endTime":3229.324,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3229.324,"endTime":3231.784,"body":"advice from your health professionals"},{"speaker":"Dr Gavin Nimon","startTime":3231.784,"endTime":3231.994,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3231.994,"endTime":3232.964,"body":"in the area in which you live."},{"speaker":"Dr Gavin Nimon","startTime":3232.964,"endTime":3234.2039999999997,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3234.2039999999997,"endTime":3236.564,"body":"Also, if you have any concerns"},{"speaker":"Dr Gavin Nimon","startTime":3236.564,"endTime":3234.2039999999997,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3234.2039999999997,"endTime":3236.564,"body":"about the information raised today,"},{"speaker":"Dr Gavin Nimon","startTime":3236.564,"endTime":3236.844,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3236.844,"endTime":3239.874,"body":"Please speak to your GP or seek"},{"speaker":"Dr Gavin Nimon","startTime":3239.874,"endTime":3236.844,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3236.844,"endTime":3239.874,"body":"assistance from health organisations"},{"speaker":"Dr Gavin Nimon","startTime":3239.874,"endTime":3240.144,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3240.144,"endTime":3241.7039999999997,"body":"such as Lifeline in Australia."},{"speaker":"Dr Gavin Nimon","startTime":3241.7039999999997,"endTime":3242.624,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3242.624,"endTime":3245.334,"body":"Thanks again for listening to the"},{"speaker":"Dr Gavin Nimon","startTime":3245.334,"endTime":3242.624,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3242.624,"endTime":3245.334,"body":"podcast and please subscribe to"},{"speaker":"Dr Gavin Nimon","startTime":3245.334,"endTime":3245.334,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3245.334,"endTime":3246.744,"body":"the podcast for the next episode."},{"speaker":"Dr Gavin Nimon","startTime":3246.744,"endTime":3247.134,"body":" "},{"speaker":"Dr Gavin Nimon","startTime":3247.134,"endTime":3249.054,"body":"Until then, please stay safe."}]}