Renowned Harvard-trained American cancer surgeon Dr. Paul Sugarbaker has overcome decades of resistance, skepticism and hostility. He invented his eponymous metastatic peritoneal cancer treatment method, The Sugarbaker Procedure. What motivates this eminent cancer surgeon? How he still manages to “treat one patient at a time”? Leading cancer surgeon on his motivation in life and work. Dr. Paul Sugarbaker, leading peritoneal cancer surgeon shares his life experience. What drives leading surgeon? What keeps leading surgeon going in hard work? Dr. Anton Titov, MD. How to become leading surgeon? What qualities should leading surgeon have? Colon cancer, gastric cancer, ovarian cancer spread in the abdomen and peritoneal cavity. Dr. Paul Sugarbaker, MD. Peritoneal metastases in advanced stage 4 colon cancer treatment by cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC) [hot chemo bath, heated chemotherapy]. Medical second opinion clarifies colon cancer or ovarian cancer diagnosis. Medical second opinion confirms that cure is possible in metastatic colon cancer. Intraperitoneal chemotherapy treatment for advanced stage 4 cancer with metastatic lesions in the abdomen. Dr. Paul Sugarbaker, MD. Medical second opinion helps to select a precision medicine treatment for stage 4 ovarian cancer or stage 4 colon cancer or metastatic stage 4 gastric cancer. Get medical second opinion on advanced cancer with peritoneal metastases. Best peritoneal metastatic advanced cancer treatment by surgical operation and regional chemotherapy. Dr. Anton Titov, MD. Video interview with Dr. Paul Sugarbaker. Leading expert in peritoneal metastatic cancer treatment (cytoreductive surgery and Hyperthermic Intraperitoneal Chemotherapy (HIPEC), hot chemo bath, heated chemotherapy. Dr. Paul Sugarbaker reflects on his career and life motivation. Leading cancer surgeon on his motivation in life and work. Dr. Anton Titov, MD. Dr. Sugarbaker, this is an opportunity to talk not only about the Sugarbaker Procedure. You and your colleagues have developed and pioneered peritoneal cancer treatment. Dr. Anton Titov, MD. Let’s talk about you. Because it is a very important point. In modern age the public starts to view medicine as a "technology play". Medicine is viewed as a collection of gadgets, algorithms, beeping sounds and various technological developments. Dr. Paul Sugarbaker, MD. But we have to remember that it is humans who are dedicated to the lives of patients. Humans push medicine forward. Physicians, nurses, additional health care professionals are the main reason medicine is progressing. thats your career and your life exemplifies this dedication to the well being of patients. I would like to ask you this question. What drives you in life? Maybe you can share a little bit about your upbringing, about your values and your dedication. What gets you going when the going gets tough? Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. That's a difficult question to try and figure yourself out. Dr. Anton Titov, MD. Why you do things? Why you don't do other things? My father was a surgical oncologist. I used to operate with him when I was in medical school. I participated in surgical operations with my father even before I went to medical school. in some respects I was brought up in the operating room. Dr. Paul Sugarbaker, MD. I got a feeling for what was a really high quality surgical procedure. I knew what didn't turn out well during the surgical operations. I began to develop a feeling for it. Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. Somehow, when you start very young with some things, you get a perspective on things that you otherwise wouldn't have. I got to credit my father who was a really groundbreaking surgical oncologist trained to Memorial Hospital. My father was the founding member of the James Ewing society. [Now it is American Cancer Society]. My father was definitely a guiding force in my life. My professor at Harvard Medical School, Dr. Frances Moore, used to have this saying. He used to say to us: "The best method to care for a patient is to care for the patient". that is really very true. Your patient is a person who entrusted their life to you. Sometimes you are really concerned about your patient. Dr. Paul Sugarbaker, MD. Then you give them absolutely the best clinical result possible. You do that one patient at a time. Then you are going to have a superior result in medicine. That "one patient at a time" concept is now not so popular. They would like us to see twenty patients in an afternoon session. Dr. Anton Titov, MD. "One patient at a time" was a motto in your classical days of surgery training at the Peter Bent Brigham Hospital in Boston. [Now Brigham & Women's Hospital]. Dr. Paul Sugarbaker, MD. Renowned Gastrointestinal Cancer Surgeon. That's correct. That's correct. Perhaps that has lingered on throughout my career. Dr. Paul Sugarbaker, MD. Now I am in the senior position. I have the luxury of still evaluating every patient extremely carefully prior to surgery. I make sure that my patients have a real good chance. They have a real good possibility to benefit from treatment. Before we take the patient to the operating room for a procedure that could potentially cost them their lives. Dr. Anton Titov, MD. Leading cancer surgeon on motivation in life and work. Dr. Paul Sugarbaker is leading abdominal cancer surgeon in the United States. What drives him in life?