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Brigham Buhler

๐Ÿ‘ค Speaker
3378 total appearances

Appearances Over Time

Podcast Appearances

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

I'm in at crucial points in heart surgeries, even where they're using high def cameras. And when they would hit the ablation device, they never taste tested it with all the other equipment that's in the OR. So you're at a crucial part of a heart surgery. You go hit an ablation device to burn or cauterize a piece of a heart tissue or whatever and piece of anatomy you're working on.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

The fucking camera would turn off. So imagine it's like a video game. You're doing the surgery, looking at the camera because it blows it up in high res. And when you go to do a crucial part of the surgery, blackout screen. Because they had never tested the camera to work with these pieces of equipment. I mean, there was a device that literally like a suction device.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

The fucking camera would turn off. So imagine it's like a video game. You're doing the surgery, looking at the camera because it blows it up in high res. And when you go to do a crucial part of the surgery, blackout screen. Because they had never tested the camera to work with these pieces of equipment. I mean, there was a device that literally like a suction device.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

The fucking camera would turn off. So imagine it's like a video game. You're doing the surgery, looking at the camera because it blows it up in high res. And when you go to do a crucial part of the surgery, blackout screen. Because they had never tested the camera to work with these pieces of equipment. I mean, there was a device that literally like a suction device.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And they didn't realize that it didn't have a disclaimer not to use it to suck like blood out of anatomy when you're in the middle of surgery. And it literally sucked out like pieces of an organ and killed people. I mean, there's so many examples. And then even more Wild West, I'll tell you the most crazy fucking story ever. I told this on Rogan and people, I swear, hand to God, this is true.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And they didn't realize that it didn't have a disclaimer not to use it to suck like blood out of anatomy when you're in the middle of surgery. And it literally sucked out like pieces of an organ and killed people. I mean, there's so many examples. And then even more Wild West, I'll tell you the most crazy fucking story ever. I told this on Rogan and people, I swear, hand to God, this is true.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And they didn't realize that it didn't have a disclaimer not to use it to suck like blood out of anatomy when you're in the middle of surgery. And it literally sucked out like pieces of an organ and killed people. I mean, there's so many examples. And then even more Wild West, I'll tell you the most crazy fucking story ever. I told this on Rogan and people, I swear, hand to God, this is true.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

I was in a surgery at the Houston Zoo on an animal, on a tiger or leopard, I don't remember, on a big cat. And I noticed the shaver, it's a piece of equipment they use to go in and clean up tissue in a joint. And it had green tape on it. It was labeled with green or red. I don't remember. It was labeled with tape. And so I noticed it was a loaner.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

I was in a surgery at the Houston Zoo on an animal, on a tiger or leopard, I don't remember, on a big cat. And I noticed the shaver, it's a piece of equipment they use to go in and clean up tissue in a joint. And it had green tape on it. It was labeled with green or red. I don't remember. It was labeled with tape. And so I noticed it was a loaner.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

I was in a surgery at the Houston Zoo on an animal, on a tiger or leopard, I don't remember, on a big cat. And I noticed the shaver, it's a piece of equipment they use to go in and clean up tissue in a joint. And it had green tape on it. It was labeled with green or red. I don't remember. It was labeled with tape. And so I noticed it was a loaner.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

So I look at the serial number just because I'm like, oh, it's a loaner. It's wild. The Houston Zoo has this freaking loaner handpiece. And like a month later, I'm in a human surgery at a hospital. And I see the guy shaving with this shaver with a green piece of tape on it. And so at the end of the surgery, I wait for it to all be done.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

So I look at the serial number just because I'm like, oh, it's a loaner. It's wild. The Houston Zoo has this freaking loaner handpiece. And like a month later, I'm in a human surgery at a hospital. And I see the guy shaving with this shaver with a green piece of tape on it. And so at the end of the surgery, I wait for it to all be done.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

So I look at the serial number just because I'm like, oh, it's a loaner. It's wild. The Houston Zoo has this freaking loaner handpiece. And like a month later, I'm in a human surgery at a hospital. And I see the guy shaving with this shaver with a green piece of tape on it. And so at the end of the surgery, I wait for it to all be done.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And I put on some gloves and I look and it's the same freaking piece of equipment, the same exact handpiece that was in a veterinary surgical procedure. Okay, reps carry what are called trunk stock, right? When I was a surgical rep, I have, like, a million dollars in surgical equipment in my fucking trunk.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And I put on some gloves and I look and it's the same freaking piece of equipment, the same exact handpiece that was in a veterinary surgical procedure. Okay, reps carry what are called trunk stock, right? When I was a surgical rep, I have, like, a million dollars in surgical equipment in my fucking trunk.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And I put on some gloves and I look and it's the same freaking piece of equipment, the same exact handpiece that was in a veterinary surgical procedure. Okay, reps carry what are called trunk stock, right? When I was a surgical rep, I have, like, a million dollars in surgical equipment in my fucking trunk.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And, like, you have restrictions, like, it's supposed to be kept at climate-controlled temperatures, 85 degrees. You know, we can't guarantee there's not bacteria if you're the hospital... How in the hell is a rep supposed to drive an hour across town, carry that equipment in their trunk, put it into a surgical procedure, wash it, clean it, take it off, drive it to another hospital.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And, like, you have restrictions, like, it's supposed to be kept at climate-controlled temperatures, 85 degrees. You know, we can't guarantee there's not bacteria if you're the hospital... How in the hell is a rep supposed to drive an hour across town, carry that equipment in their trunk, put it into a surgical procedure, wash it, clean it, take it off, drive it to another hospital.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And, like, you have restrictions, like, it's supposed to be kept at climate-controlled temperatures, 85 degrees. You know, we can't guarantee there's not bacteria if you're the hospital... How in the hell is a rep supposed to drive an hour across town, carry that equipment in their trunk, put it into a surgical procedure, wash it, clean it, take it off, drive it to another hospital.

Modern Wisdom
#912 - Brigham Buhler - Ex-Pharma Rep: Why American Healthcare Is So Broken

And the whole time it's sitting in a trunk that's literally 150 fucking degrees. There's so many. People are just unaware that it's not what it is portrayed to be. The environment is not as safe as it's portrayed to be. Trust but verify. Do your research. Do your homework. Don't take surgery lightly. Know that everything is a calculated risk.