1 00:00:00,440 --> 00:00:03,320 Speaker 1: Jersey and Amanda gam Nation. 2 00:00:03,640 --> 00:00:08,760 Speaker 2: Professor Richard Skolier has dedicated years to groundbreaking research transforming 3 00:00:08,960 --> 00:00:12,600 Speaker 2: the most advanced forms of melanoma into a largely curable disease, 4 00:00:12,640 --> 00:00:16,360 Speaker 2: helping millions. What makes this story so remarkable is his 5 00:00:16,360 --> 00:00:21,200 Speaker 2: first hand experience with his incurable brain cancer. His diagnosis 6 00:00:21,200 --> 00:00:24,480 Speaker 2: has forced him to undertake a world first experimental treatment. 7 00:00:24,760 --> 00:00:27,320 Speaker 2: He's written a new book called Brain Brainstorm. I've just 8 00:00:27,360 --> 00:00:29,320 Speaker 2: finished reading it. It is extraordinary. Richard. 9 00:00:29,320 --> 00:00:33,240 Speaker 1: Hello, Hey, a man, you'd great to talk here. I'm Brandon. 10 00:00:33,479 --> 00:00:37,199 Speaker 3: Good to see you again, Richard, look at you go ha. 11 00:00:38,360 --> 00:00:41,319 Speaker 1: I don't know about that, but yeah, I'm delight at 12 00:00:41,320 --> 00:00:45,720 Speaker 1: the Silvie year and doing pretty well. So yeah, all 13 00:00:45,760 --> 00:00:46,960 Speaker 1: good on my track. 14 00:00:47,120 --> 00:00:50,200 Speaker 2: What an incredible story. And you've been so open about 15 00:00:50,240 --> 00:00:52,320 Speaker 2: the emotional journey you've been on as well as the 16 00:00:52,840 --> 00:00:56,120 Speaker 2: physical journey. For those that aren't aware of your story, 17 00:00:56,360 --> 00:00:59,480 Speaker 2: you are using immunology. Oh, actually I should let you 18 00:00:59,560 --> 00:01:01,959 Speaker 2: tell it. But tell us about the science behind what 19 00:01:02,160 --> 00:01:03,800 Speaker 2: you're doing for your brain cancer. 20 00:01:04,959 --> 00:01:08,279 Speaker 1: Well, I guess, as you mentioned, we've made some great 21 00:01:08,319 --> 00:01:12,200 Speaker 1: advances in melanima maloma. If you get it early, most 22 00:01:12,240 --> 00:01:16,800 Speaker 1: people will be cured. But once it's spread distant sites, 23 00:01:17,200 --> 00:01:22,160 Speaker 1: which occurs in about five percent of patients a decade 24 00:01:22,280 --> 00:01:26,840 Speaker 1: or a little bit more ago, Basically there's nothing we 25 00:01:26,880 --> 00:01:30,319 Speaker 1: could do and most people would be dead within the year. 26 00:01:30,360 --> 00:01:33,520 Speaker 1: Five years, survival rates was less than five percent, but 27 00:01:33,640 --> 00:01:38,520 Speaker 1: because of groundbreaking work and clinical trials led by my 28 00:01:39,080 --> 00:01:42,520 Speaker 1: friend and colleague, Professor Georgina, along the five year survival 29 00:01:42,600 --> 00:01:47,000 Speaker 1: rates now about fifty seven percent. So great discoveries have 30 00:01:47,080 --> 00:01:50,120 Speaker 1: been made which have changed the field, not just in melanoma, 31 00:01:50,200 --> 00:01:54,000 Speaker 1: but in many other cancers now. And it had to 32 00:01:54,040 --> 00:02:01,480 Speaker 1: be diagnosed with supposedly incurable cancer which treatment hasn't changed 33 00:02:01,520 --> 00:02:05,280 Speaker 1: in twenty years didn't sit right with me, and Georgina 34 00:02:05,320 --> 00:02:06,800 Speaker 1: pull on the table, do you want to give it 35 00:02:06,840 --> 00:02:09,960 Speaker 1: a crack with some of the discoveries that we've made 36 00:02:09,960 --> 00:02:12,520 Speaker 1: in melanima, to see if we can make a difference here. 37 00:02:12,680 --> 00:02:18,240 Speaker 1: So from my perspective, it was no brainer to leaked 38 00:02:18,280 --> 00:02:20,320 Speaker 1: in and see if we could make a difference here too. 39 00:02:20,919 --> 00:02:24,520 Speaker 3: And might it happened for you when your diagnosis happened, 40 00:02:24,600 --> 00:02:27,120 Speaker 3: because you're you deal in this field all the time. 41 00:02:27,280 --> 00:02:30,720 Speaker 3: So I often wonder that about surgeons and the like 42 00:02:31,080 --> 00:02:33,240 Speaker 3: they think, does that always play on your mind, this 43 00:02:33,280 --> 00:02:35,320 Speaker 3: could happen to me? Or is it something that's out 44 00:02:35,360 --> 00:02:37,080 Speaker 3: of your mind you think it is having to other people. 45 00:02:37,880 --> 00:02:41,120 Speaker 1: No, I think realistically, you get about your life and 46 00:02:44,000 --> 00:02:46,760 Speaker 1: the odds are that you won't pick something up. I 47 00:02:46,760 --> 00:02:49,120 Speaker 1: guess you want to enjoy your life and make the 48 00:02:49,240 --> 00:02:53,720 Speaker 1: most of it. But and obviously my job as a 49 00:02:53,760 --> 00:02:57,679 Speaker 1: pathologist to make diagnosis of cancer. So you know, you 50 00:02:58,320 --> 00:03:01,480 Speaker 1: feel for the people in which it's occurred. But yeah, 51 00:03:01,480 --> 00:03:03,880 Speaker 1: it's a different journey when you become the patient. 52 00:03:03,919 --> 00:03:09,040 Speaker 2: Absolutely, it's been amazing that this kind of immunology hasn't 53 00:03:09,040 --> 00:03:11,959 Speaker 2: been used before really for brain cancer. As you say, 54 00:03:11,960 --> 00:03:15,000 Speaker 2: the results haven't changed, the treatment hasn't changed in so 55 00:03:15,040 --> 00:03:19,519 Speaker 2: many years. You are now over a year cancer free 56 00:03:19,800 --> 00:03:22,160 Speaker 2: in your brain. How unusual is that? 57 00:03:23,680 --> 00:03:28,320 Speaker 1: Well, the average survival for the subtype of brain cancer 58 00:03:28,360 --> 00:03:31,320 Speaker 1: I've got my age will be twelve months and the 59 00:03:31,440 --> 00:03:36,080 Speaker 1: usual time to recurrence six months. To go down this 60 00:03:36,280 --> 00:03:41,400 Speaker 1: path of using immunotherapy to stimulate the immune system to 61 00:03:41,480 --> 00:03:46,520 Speaker 1: try and fight the cancer, that it's more likely to 62 00:03:46,760 --> 00:03:52,120 Speaker 1: work from my perspective if I didn't take chemotherapy. So 63 00:03:52,320 --> 00:03:55,560 Speaker 1: basically the chance of it recurring and my salival rate 64 00:03:55,640 --> 00:03:59,760 Speaker 1: drops in half, so your average survival will be six months. 65 00:03:59,800 --> 00:04:04,080 Speaker 1: And the fact that I'm still here and functioning well, yeah, 66 00:04:04,640 --> 00:04:08,360 Speaker 1: is you know. I'm absolutely thrilled and delighted about it. 67 00:04:08,400 --> 00:04:13,760 Speaker 1: But the problem is that one patient doesn't mean anything 68 00:04:14,200 --> 00:04:16,839 Speaker 1: as far as the treatment goes. What we need is 69 00:04:17,120 --> 00:04:20,680 Speaker 1: a clinical trial to see if it's just luck that 70 00:04:20,839 --> 00:04:25,480 Speaker 1: I'm still here or whether the treatment is having an effect. 71 00:04:25,960 --> 00:04:31,640 Speaker 1: We've generated some science using the work that we've paneered 72 00:04:32,080 --> 00:04:36,240 Speaker 1: in melanioma to see if there's some scientific evidence to 73 00:04:36,400 --> 00:04:39,839 Speaker 1: suggest that this is a path that's worth going down 74 00:04:39,960 --> 00:04:43,200 Speaker 1: to test in a clinical trial, and there is some 75 00:04:43,279 --> 00:04:46,760 Speaker 1: promising data which we hope will be published very soon. 76 00:04:47,000 --> 00:04:51,640 Speaker 1: So yeah, it is a path worth exploring. But bottom 77 00:04:51,640 --> 00:04:54,919 Speaker 1: line is, we don't know if it's luck for me 78 00:04:55,560 --> 00:04:58,120 Speaker 1: or it's the treatment that's made a difference. We need 79 00:04:58,120 --> 00:05:01,640 Speaker 1: a clinical trial, and I know people are working very 80 00:05:01,800 --> 00:05:04,159 Speaker 1: very hard to try and get this over the line, 81 00:05:04,200 --> 00:05:07,640 Speaker 1: and it takes some time to get a clinical trial 82 00:05:07,720 --> 00:05:11,479 Speaker 1: up and running, but hopefully it will start and they're 83 00:05:11,520 --> 00:05:13,760 Speaker 1: not to distant future. Next year. 84 00:05:13,960 --> 00:05:16,240 Speaker 3: King Charles was just in town and I noticed you 85 00:05:16,279 --> 00:05:18,200 Speaker 3: were there. You had to chat to him and then 86 00:05:18,640 --> 00:05:20,479 Speaker 3: and then there was a moment I was watching you 87 00:05:20,520 --> 00:05:21,839 Speaker 3: on the telly. I don't know if you're aware of this, 88 00:05:22,080 --> 00:05:23,800 Speaker 3: and you sort of turned away from King Charles and 89 00:05:23,880 --> 00:05:25,919 Speaker 3: you were straight onto the microscope. You were just like 90 00:05:26,000 --> 00:05:28,200 Speaker 3: really focused on what you were doing. It was almost 91 00:05:28,240 --> 00:05:30,279 Speaker 3: like I just stand by there, King, I've got some 92 00:05:30,320 --> 00:05:30,800 Speaker 3: stuff to do. 93 00:05:32,920 --> 00:05:35,000 Speaker 1: Well. To be honest, what I was showing him that, 94 00:05:35,480 --> 00:05:39,480 Speaker 1: you know, melanima, if you see something new or changing 95 00:05:39,520 --> 00:05:42,040 Speaker 1: in you on your skin, you should go and get 96 00:05:42,080 --> 00:05:45,400 Speaker 1: it checked out and hopefully you pick up melom early 97 00:05:45,440 --> 00:05:48,479 Speaker 1: and most people will be cured once it's excided. But 98 00:05:49,000 --> 00:05:52,360 Speaker 1: for the poor patient that I was showing him, it 99 00:05:52,480 --> 00:05:55,880 Speaker 1: was more advanced primary tumor. And what we often do 100 00:05:56,000 --> 00:06:00,680 Speaker 1: for melanoma patients is see if the melanim spread to 101 00:06:00,760 --> 00:06:04,520 Speaker 1: local lymph nodes. So I wanted to show him this 102 00:06:04,600 --> 00:06:09,440 Speaker 1: technique which was developed in a clinical trial around the world. 103 00:06:09,440 --> 00:06:11,440 Speaker 1: But to be honest, we put on more than half 104 00:06:11,480 --> 00:06:15,440 Speaker 1: the patients at what was called Sydney melanam Unit now 105 00:06:15,480 --> 00:06:20,920 Speaker 1: Malami Institute, Australia, and that lymph gland called the sentinel 106 00:06:20,960 --> 00:06:24,760 Speaker 1: lymph gland under the armpit of this particular patient, there 107 00:06:24,839 --> 00:06:29,279 Speaker 1: was a bulky tumor, which means that their risk is greater. 108 00:06:29,720 --> 00:06:33,360 Speaker 1: And in fact, for this group of patients now in melanoma, 109 00:06:33,720 --> 00:06:38,360 Speaker 1: we would offer them adjuvant immino therapy. There's one thing 110 00:06:38,400 --> 00:06:41,520 Speaker 1: I just wanted to add about the problem with brain 111 00:06:41,600 --> 00:06:44,640 Speaker 1: cancer that I've got. It's sort of got tentacles that 112 00:06:44,920 --> 00:06:48,200 Speaker 1: sneak off everywhere into your brain and you can't see 113 00:06:48,240 --> 00:06:51,120 Speaker 1: that on X rays. The surgeon can't see it when 114 00:06:51,480 --> 00:06:55,240 Speaker 1: they go in. So we need we need some therapy 115 00:06:55,320 --> 00:06:58,800 Speaker 1: which will select our tumor cells but leave your normal 116 00:06:58,880 --> 00:07:02,880 Speaker 1: brain cells alone, and a local therapy can't do that. 117 00:07:03,120 --> 00:07:06,279 Speaker 1: So that that for me, it was a no brainer 118 00:07:06,360 --> 00:07:08,599 Speaker 1: to go down this route and see if we could 119 00:07:09,040 --> 00:07:12,680 Speaker 1: find it, whether imino therapy which hopefully will select out 120 00:07:12,680 --> 00:07:16,120 Speaker 1: the tumor cells and let my normal brain cells alone 121 00:07:16,160 --> 00:07:18,080 Speaker 1: so I can still function. 122 00:07:18,880 --> 00:07:21,760 Speaker 2: Was so I found your book absolutely gripping. And you 123 00:07:21,840 --> 00:07:24,680 Speaker 2: talk about how in light of winning Australian every year 124 00:07:25,240 --> 00:07:27,280 Speaker 2: you were on the project, and that Kate Lambrook said 125 00:07:27,320 --> 00:07:29,760 Speaker 2: these words to you. They say, a wise man plants 126 00:07:29,760 --> 00:07:32,440 Speaker 2: a tree under which he will never sit. And she said, 127 00:07:32,720 --> 00:07:34,400 Speaker 2: and I'm getting emotional, she said, And we and the 128 00:07:34,440 --> 00:07:36,440 Speaker 2: rest of Australia. I hope that you sit under that 129 00:07:36,480 --> 00:07:38,400 Speaker 2: tree that you have made for all of us, so 130 00:07:38,440 --> 00:07:41,160 Speaker 2: your work will live on forever and make huge in 131 00:07:41,240 --> 00:07:42,160 Speaker 2: roads for other people. 132 00:07:42,240 --> 00:07:45,840 Speaker 1: Richard. Yeah, thanks Richard. 133 00:07:46,120 --> 00:07:49,200 Speaker 2: It's a beautiful book. The book is called Brainstorm. I 134 00:07:49,280 --> 00:07:50,040 Speaker 2: highly recommend it. 135 00:07:50,040 --> 00:07:51,360 Speaker 3: A lot of emotion going on here. 136 00:07:51,440 --> 00:07:54,720 Speaker 1: But I keep saying this, but I think you know, 137 00:07:54,760 --> 00:07:56,400 Speaker 1: you've got to work as a team if you want 138 00:07:56,440 --> 00:07:59,000 Speaker 1: to make a difference. And we've got a great team 139 00:07:59,080 --> 00:08:02,240 Speaker 1: at the Lime Institute and also the team of people 140 00:08:02,320 --> 00:08:05,400 Speaker 1: who are caring for me. Georgina was the one who 141 00:08:05,440 --> 00:08:07,960 Speaker 1: put this on the table. But I think you know, 142 00:08:08,000 --> 00:08:11,240 Speaker 1: in all parts of society you need to think big, 143 00:08:11,680 --> 00:08:15,600 Speaker 1: be bold, and be courageous and work together. And that's say, 144 00:08:16,000 --> 00:08:19,840 Speaker 1: you know, lean in and don't just lean in, leap in, 145 00:08:19,920 --> 00:08:22,480 Speaker 1: and hopefully that's how you can make a difference. 146 00:08:22,760 --> 00:08:26,160 Speaker 3: Richard mate, thank you, thank you for sharing your time 147 00:08:26,160 --> 00:08:28,920 Speaker 3: with us today. Brainstorm is out now at all good bookstores. 148 00:08:29,080 --> 00:08:30,760 Speaker 3: Richard Scolia, thank you for joining us. 149 00:08:31,880 --> 00:08:34,000 Speaker 1: My pleasure joins in Amanda, thank you