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EMET Talk - Dr. Mark Rutenberg
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um what is the scariest cancer you can
think of so just just let's go this
someone says to someone else you have X
cancer what is the scariest thing to put
in that
xtic pancreatic right why because the
survival rate is so low um if nothing is
done it's going to be number two in
mortality but in the next seven
years um I don't even know what the
pancreas usually detected when the
patients's got a T3 T4 tumor and it's
too late to do surgery and even if it's
a T1 the survival is only about
50% that's about to end okay now I asked
I to starting to talk about it last year
when people asked me what I was up to I
told them I gave them an evasive answer
because it wasn't ready but it's going
to be ready it's going to be it's
clinically available in a few places
within the next 30
days and uh people who can get it or
high-risk patients the average risk of
pancreatic cancer for average risk
people is
1.5% there's a 98 and a half% chance
you're going to check out of this hotel
for some other cause could be a skiing
accident on your 120th birthday it's not
going to be pancreatic cancer but
there's a 1 and a half% chance is
pancreatic cancer unless you have a
first-degree relative who had the
disease so if a mother father brother
sister son daughter the risk goes up to
4 and a half% and because of that people
with those risk factors and there's some
other risk factors like late on set
diabetes are reimbursed and encouraged
to get annual screening to try to find
the disease early the problem is the
screening tests don't really work we fix
that okay and that fix is going to be in
the market in about a
month but here's here's the scenario I'm
trying to I want to communicate to make
a breakthrough in medicine or anything
else you have to make a breakthrough in
yourself there there are numerous groups
that have raised billions of dollars
literally billions of dollars to try to
solve this problem okay do you ever
remember that movie uh Raiders of the
Lost Arc it was a really cool movie 1987
or something the first uh Indiana Jones
movie remember that there was a there
was a medallion that the Nazi guy put
his hand on in a fire and The Medallion
goes on the top of a stick in the middle
of the stick there's a little lens and
you stand in this special place and the
sun shines through the lens and it
illuminates on in the map room where the
where the Aron a kodesh is buried was a
great movie anyhow the guy put his hand
on the on The Medallion and he got the
wrong he he didn't know there was
another side so he had the wrong length
so when they figured this out Indiana
Harrison Ford and his team figured this
out it say they're digging in the wrong
place because the the stick was one
amama Too Short there were it lit up the
wrong place in the map room I keep
thinking about that there are numerous
groups that are trying to find
pancreatic cancer in the blood they're
digging in the wrong place we we we're
digging in the right place I'm not going
to get into that we found it in the
pancreatic fluid this is the fluid
that's maed by the pancreatic
juice so we did three years of animal
experiments in Israel and then we
started doing
humans and um
for the first group of humans I was
working with pigs everything in GI is
first done in a porene model with large
50 kilogram pigs we did 30 pigs and it
worked and it was safe and there were no
issues okay it's time to transition to
humans so we got IRB approval we have
FDA approval to go into humans fine I
showed up in Florida with um with uh
expired one of the drugs we use was
expired by 3 months I know the
manufacturer it's a powder it's probably
good for the next 30 Years the
exploration is are meaningless but I
thought I was doing it with pigs so I
wasn't thinking I put it in my suitcase
I was late ran to the airport I show up
there and now there's bunch of nurses
who are getting the patients ready one
of them comes up to me and says Dr
Rutenberg this drug has expired it's
okay I talk to the manufacturer says no
we can't inject an inspired drug into a
patient and I thought what an idiot I am
here I am responsible for these patients
and why did I do that I did it because I
didn't believe in what I was doing I
didn't believe in myself who am I to
come up with a solution to this major
cancer I didn't believe I didn't get
those messages from my family no one of
my family did anything like this you
know you look at Bill Gates's parents or
some of these other people they were
they did stuff like he did no one in my
family ever did anything like
that and they even give me messages that
I could come up with something that that
that everyone else couldn't figure it
out and I figured it out a lot of
self-doubt it it's that self-doubt that
resulted in me bringing expired lumisan
to the experiment what the hell you
think it's going to work anyway who the
hell do you think you are got that voice
in yourself so says next week's para
when when the questions ASV ask yakob
who the hell who do you think you are
you have that there's an as of inside of
each one of us that's asking that
question who do you think you
are I I came back I I managed to get
unexpired drug it was a miracle the
hospital pharmacy happened to have it I
got someone to write a prescription I
got it I brought
it but I said to my I said to my wife um
I just got a kick in the rear end by God
he just gave me a kick in the rear end
he says you got to take yourself
seriously now the pancreatic juice has
enzymes that's designed to digest your
food food right amas lipase
protease we're taking cells out of the
pancreatic juice the juice was digesting
the cells that was a problem for us so
we came up with a solution to lower the
pH of the pancreatic juice of of the of
the formula I called my big expert the
guru in in Harvard and she says Mark you
don't want to do that no no don't want
to do that neutral buffer formula that's
what we always
use and I was going to do that I was
going to use neutral buffer formul and
we're going to have half-digested cells
little Pacman cells like we had for the
last 3 years and I said to my wife we're
in saroda there in this place and I said
you know Hashem just gave me a kick in
the rear end for bringing that because
not believing in myself I think we have
to reduce the pH of the formalin and I
don't give a damn what she said I know
she's the world expert and I showed up
at 5:00 a.m. I put on I felt like I was
in a high school biology lab with the
white coat and the mask and the
hydrochloric acid and the litus paper I
lowered the pH to five and it worked
beautifully and my expert at Harvard
wrote us a letter saying I've never seen
such beautiful looking cells that was
big breakthrough and how did it happen
because I realized I didn't believe in
myself and I had to stop any
breakthrough you make in any field you
want to do anything you want to do
you're going to be fighting with
yourself and if unless you win that
battle it's
hopeless it's hopeless you win that
battle you got some hope that's it 's
up that was beautiful