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And great. The last paper in the first session is by my successor who joined French shape as I left. So David over to you. Good morning, everybody. I um promised that Mario that my talk would be, uh, would be one which I could make flexible. So, uh, but there isn't actually coffee on the. Uh, no, we're gonna have the same trouble as everybody else. It comes up, sorry. Um, different people tackle retirement in different ways. And uh my way was to put neurosurgery behind me. I think neurosurgery had enough of me and I'd certainly reached the stage that I couldn't felt I couldn't hold the standards together enough to do neurosurgery. So I decided to move on and that involve moving to the north of Scotland and being responsible for 20 acres of the, um, of the Kangol National Park. And at the same time as doing all that, I was planting new woodland, but at the same time, you can't give up neurosurgery completely. And I keep having memories of patient's and people come to my mind which, where I think a form fruits of post traumatic stress disorder. Um They weren't just disasters there were plenty of them, but also the patient's that did well that we took risk with. And I think that was something that I hadn't expected. And what we did was at the same time as I was creating this woodland. I was, I just wrote down the memories and dedicated trees to patient's. So we've got a hectare of new woodland that doesn't come up, got a hectare of new woodland and 100 trees are dedicated two different patient's and people to do with French shape. I had a great friend from medical schools, retired physician who came to stay. And he said, David, the trees are your patient's now. Um uh how many ward rounds a day you contracted for? Um It's uh there's uh many a true word spoken in jest. So I thought what I do is take you on a ward round and meet some of the patient's. You said um The first one is, is right at the entrance to the wood and it's a sweet chestnut. It's the only one in the group in the, in the, in the uh in, in the wood. And it's deliberately dedicated to this to a boy who is the only glioma patient, malignant glioma patient in 30 years that I cured. He was 12 when he presented with this tumor. He has a bit of a taxi and it was the early days after image guidance, we did a biopsy, image guided biopsy in the posterior fossa, it was anaplastic astro well circumscribed. What do you do? Giving, giving steroids, a radiotherapy? Um, and tell his family not to expect him to be around in nine months or do you take it out? Well, I went back in and we took it out. I was going to say that my, my witness to this was Chris Chandler, but he couldn't be here today. Sadly, um, the most remarkable thing about this case at the time was the fact that we did it on a Tuesday afternoon, finished at six o'clock at night. But Thursday morning, the boy was at the door of ward eight saying could he go home? That was the revolution of image guidance in our department was the speed with which people recovered. Um Bristol was the first place that image guidance was used in clinical practice in the world. And the reason for that comes a lot from the from the influence of Hugh Griffith that we talked about. I think Tom mentioned Hugh or somebody mentioned Hugh sitting in front of a BT screen was as you as as scans were being transferred down telephone lines. It took about 20 minutes for each scan to come through. He could have easily taken off his dressing gown and gone back to the hospital to see the scan a lot quicker. But he didn't. I turned up as Mike successor, ostensibly the stereotactic neurosurgeon. I wasn't interested in frame based stereotaxic much at all. And I told you that now most consult, senior consultants would be cross about that. Not Hugh. We sat down and worked out. Why wasn't it any good? What do we need for a universal system? And came up with a list of ideas for cranial neurosurgery. Um We didn't think about spinal image guidance that time that came to the department when Kieren Bolger arrived. But it's hard to think that that mechanical device has been such a revolution. But the story was this, I broke my journey, went to Toronto, was sitting in Jim Drake's theater and sick kids and he was doing a third ventriculostomy with no mechanical landmarks. Um And with the image guidance, took us straight to the straight to see where the basilar was. And I said to the next door neighbor where this is the business. Can we buy one know? Of course, you can't, they're being evaluated by the PSA sites in America and Candida and we can't until the FDA approve it. Oh, but well, we're not in the FDA. Why can't it come to Europe? We can't possibly support it in Europe. We've only got one technician in Europe. Oh, where do they live? Place called bath? Do you know that? So the deal was done in five minutes. And the thing I'm most proud of was the discussion we had with the marking till director as to how much this should cost. Well, stereotactic frame because 50,000 at the time, we used them for 3%. A craniotomy. I reckon that we use this for 30%. It would be worth double. So literally in five minutes, I said, we'll pay you 100,000 lbs, pay you 10,000 now and raise the rest by public demand. I came back to this country, spoke to my precocious three year old to try and tell her what was what we were doing. And she said, oh dad, a magic wand, the magic wand appeal was born and we raised the money and the rest is history. And that case, you see is the very first case we did, which was a trans uh local approach to the glioma. And we actually became the focus for my uh for my transall called epilepsy surgery. So let's move on if I can. Um these two trees are dedicated to, to patient's that illustrate that the development of that epilepsy surgery program. The first one, Leonor, I can't, I never forget because every time I go on the hill, I have a hip flask with her name on she had extra temporal epilepsy and went through the full work up including subdural grids. Now, I don't know whether I'm a bad surgeon or an honest surgeon or a combination of two, but there's no way I could get my complication rate with this operation down to less low than less than 10%. So as soon as the there was technology to change and it arrived in the form of few Steve Gills robot, which was we moved to the deep replacement of deep brain electrodes. And they want to make a tribute to my neurology colleagues. Not once. Do they complain to me that I had taken away their way of practicing looking at two dimensional grids and moving over to three dimensional grids. We did it overnight and this girl was Francis, she has had had a frontal hematoma, a frontal hamartoma removed and make no difference to our epilepsy. The deep brain electrodes identified the focus is medial temporal and we and we cured or epilepsy. That way, this little corner is dedicated to the Copen co comes and the cummings. But I don't want to talk about you and Brian enough people have been said about that and I'd like to talk about these two ladies. Well, I heard about the janitor died through the great uh felt a sort of acute sense of loss and I thought I had to try and work out why and the why was quite simple, Jan it and Anne had been around the whole of my professional career right from the locum sho right through to emeritus consultant. I love that for old fart has been pushed off his perch. But and they were always there and they were always supportive, they understood the stress we were under and they and to my mind, they were the glue that held the urine neurosurgical family together that you, that's been alert to been alluded to, to everybody else. So now I'm going to go to my next dedication which uh in places I planted trees and one didn't grow. So I planted another one, I ended up with two trees close together. That's quite useful. In this case. Both these patient's have malignant, upend a moma's and this is, this is what I call my kipling corner. This is where you meet with triumph and disaster and treat both those impostors. Just the same. Ken on the left had disseminated tumor. When he presented, he had intercranial tumor and spinal tumor operated on him four times over eight years removed twice to save his vision twice to keep, keep him on his feet. He became great. He and his wife, Kath became great friends in the time and open. He died eventually when he's after eight years, when his disease caught up with him, Andrew on the other hand, had a sing had tumor just in his cervical spine. It was relatively well straight forward operation. But four days after surgery, he developed a, uh he developed a POSTOP hematoma, made his quadriparesis work worse. He successfully sued me for nearly 5 million lbs. Um Half of that, of course, went to his lawyers who then proceeded to make an aggressive approach to the GMC. The GMC did what they do. They're unsympathetic, they've got clunky process but they set up a hearing at short notice and they gave you all my colleagues less than 48 hours to write personal recommendations. All 12 of you did. I didn't read them. All the ones I read were like present tense obituaries. The GMC case was thrown out and this is my opportunity to thank you all because without support for each other, we cannot survive in the business. And neurosurgery has always been the unit par excellence where we all support each other. And I really hope that, that, that ethos has continued now. Um I think for the purpose of time, I'm not going to discuss previous but uh any more page. Let me what's happening here, I'll come straight on if I can right to this slide, which is really a tribute to, to Jim Robertson and the statement that I like that he used to make, I'm not gonna have a very good Southern accent. But unless you lead dog, the view never changes, the view has changed throughout my career in Bristol. For that. I'm hugely grateful. I now live in a place where I have to do nothing but just stand still and the view changes all the time. Um And it's a place that we, we love and really this is an opening litigation to anybody who comes north to, to join us. I now have a new mantra mantra that lives, that follows my new life, which is you can't see it very well. But he's a friend of Elizabeth who died recently, um wrote a great friend, great fan of high coons and he wrote this one, he said, meditate on trees. They will repay us all with maturity. On that note, I'm going to leave you with a flight of mug shots. So I went through my photo government, you know, it's entirely random. But uh these are some of the lovely people I've worked with over the years. Thank you very much.