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And we now have prof Jamjoon who's come from Saudi Arabia and I'm sorry, I'm going to have to rush you as well. Thank you. I would like to thank the organizers for inviting me such a great honor and pleasure to take part of this wonderful occasion. I didn't sign up to be followed by uh to follow uh the excellent presentation by improper. This is extremely unfair. Uh First, like please, I worked as a necessary show uh in Bristol for six months long time ago. In 1980 for 18 85. I returned back in 93.5 years later to do the two years. So next likely to do the uh two year registrar job. And from 1990 onward, I've been practicing in Saudi Arabia initially in Riyadh and then uh in the last 20 years. And so in Jeddah, next time, please. So my memories of my time, as I said, show, I was a young guy uh placed on war two friendship Hospital, um sister in charge Ellie Jackson. I'm glad she's here to see her here. She was extremely kind to me. She never complained about me. That's meant I was okay. Um The highlight of the week was the Wednesday uh morning grand round. Um Hugh Griffith always had something intelligent to say, Brian Cummins always had something funny to say. The whole round was a combination of good experience and good fun. A memorable case would be uh an elderly lady with a primary leptomeningeal uh hematosis presented with papilledema. Uh she was diagnosed with a brain CT myelogram, open biopsy One level laminectomy done by Griffith. No MRI because there was no MRI in friendship. In 1984 I think it came in 1985. The patient died 222 months later, I arranged with the relatives, the GP the ambulance service for the body to be transferred to French for an autopsy which was done. And I remember the case because for a while I was known amongst my colleagues as the guy you talk to. If you want a body transferred. Next slide, please. My memory is as a, as a registrar, I had already done two years in Wales when I came. So it was uh good experience. I was exposed to uh huge operative load and uh increased. My operative experience was exponential. Also I passed the uh Fressn uh in September 1989. That was a time when the test was done by the Edinburgh College before it became intercollegiate. At the time, eight candidates took the exam. Three past two of them were Bristol trainees and that's a reflection of the quality of training in Bristol. The highlight of this period of course would be doing the stepping up to do Mike Torrance's locum consultant for three months. Uh That was a wonderful experience. Um uh It boosted my confidence tremendously and, and prepared me for being a consultancy in Saudi Arabia, being a locum consultant at French at age 31 was a high point in my career that I was grateful to have uh to get the opportunity. I don't remember any disasters, but it could be that memory is selective. Um Also the period coincided with an increase in my academic productivity of the projects I was involved with. I ultimately uh in the two year period, ultimately published 30 papers. Some of them were actually published 34 years after leaving French, eh and uh the help in my promotion from assistant to associate professor in Riyadh. Next flight please. My link to Bristol was revived through my son Nayman who was born in South Meat when I was a necessary show in Bristol in 1985. And after completing his training in Scotland, he returned to uh Bristol to do a year of Neuro Oncology Fellowship, which is about to complete. Also during the nineties, three of our colleagues from Riyadh, uh more shit. Sherrif YTD Osama Jamel, they all came to French ended two years of training, they all did very well afterwards became consultants and full professors in Riyadh. Again, reflection of the quality of training I should also add uh Mr Amber Mohammed. He I just met him just now. He also was registrar was with this in Riyadh. And ultimately the training in friendship. Now he's a consultant in Cardiff next side, please. So next year, so that one before, sorry, long before. So my time and and Bristol is remembered by the uh painting of the suspension bridge, which was actually the uh leaving gift that was given to me uh from the French had Staph in 1990 which is still hanging on a wall in my house in Jedda. It moved with me a couple of times in the last 30 years. Next, please. Um This uh this photo was taken in towards the end of 1989. Uh when Thaddeus Mooney right there in the middle, his who sponsored trainee, he was leaving to uh to go back home to Ethiopia and as part of Aids to Africa, the consultants, all of them, the lead by Hugh Griffith and also some contribution from National Rawlinson who was registered at the time, arranged with the surgical equipment, companies to donate full sets of basic neurosurgical instruments and to ship them all the way to Ethiopia. And that was something so nice. And no, that was the spirit of Bristol neurosurgery at the time. Next side, please. I think this is another group photo from early 1989. I think it's already posted outside, but I'm sitting there in the front and on my left, Richard Ash Ball. Uh next slide, please. And this is the last, next one, please. This is the last group photo from summer of 2019 90. Uh When after Rick Nelson joined. Uh next please, I just have a couple of sides about neurosurgery in Saudi Arabia. So when I joined in 1990 there were 40 new research in Saudi Arabia. Four of them were Saudis. Uh And last year, we had 238 and just that half of them are Saudis. So during this period, population has increased from 16 million to 34 million population. So despite having our own training program in 1995 and despite producing as uh full capacity of trainees, the country is still reliant on, on neurosurgeons coming from abroad and also on training opportunities abroad. I think as British trainees, we, we always hate to say this, but one of the good things that happened two medicine in Saudi Arabia is what we call the Canadian connection. And that over the last three decades, about uh maybe 3000 residents of which maybe 40 50 neurosurgeons completed the residency in Candida. And they uh they were trained very well and reach very high standard. Um Of course, that doesn't come cheap. Actually, the, the Saudi government pays 100,000 Canadian dollar per year for every trainee. And in fact, at this moment of time training. Saudi residents and fellows is an industry worth $100 million a year for Canadian universities. Something for the Bristol neurosurgery to, to think about next, please. One of the problem with Saudi Arabia's health structure is that the funding of hospitals come from various places and all of them, they compete and all of them, they want to have all the facilities next slide please. So as a as a result, even though the population is 34 million, we currently have 85 hospitals that have neurosurgery. Most of them are small, having 123 neurosurgeons. Of course, the standard will be very widely from a very high standard western comparable twisting countries to very basic and week. As a result, of course, all the week and smaller units refer even medium complexity cases to the more advanced units and so on and so forth. But uh and also you get the clustering of the neurosurgeon, the major city, for example, in Riyadh, you have 20% of the population and more than 35% of the of the neurosurgical manpower. But nevertheless, uh there is cause for optimism in that the number of uh good train, new resurgence, increasing, Saudi a new resurgence and also the number of units, advanced unit is also increasing. So thank you. I would like to end by saying uh that uh in summary, the uh my time in Bristol had a great impact on my career in my life. I enjoyed it very much and uh I always associated period of maximal productivity while working in a happy environment. Thank you very much.
