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Live now. I I'll just put myself on mute until gets test. Welcome everyone. This is another session that we have joined. One of our consultants to speak about subspecialties in orthopedics. This uh platform of learning opportunity has been brought to you by Aberdeen University, Edinburgh and Glasgow. And this is our sixth talk. We have previously covered pediatrics, foot and ankle, oncology and trauma and we will continue to cover more subspecialties. Today, we are speaking about spinal surgery in orthopedics and for that, we have our renowned orthopedics consultant, Mr Santosh Polia, who has got his consultancy uh has been appointed to uh consultancy position in Aberdeen. In 2017. He has graduated from medicine in Aberdeen University. And uh we are delighted to have him today because not just he's a great surgeon, but he also, he helps a lot of medical students and professionals to find their career and learn more about medicine. Thank you Mister Belliger for joining us. Uh Flo is yours and we will listen. Thank you for back. Um Thank you very much for asking me to speak at this event. Um It's really good to see um people really engaging in, um, the specialty that I love that I've given a lot part of my, um, life to. Um, and I think it's a, it's definitely a worthwhile discipline and I recommend for anyone that enjoys spending time with patients, the practicalities of surgery and the challenges that go with it. Um, I definitely recommend this and it's a bit difficult to know what to speak about today. So, um, and I could run through all of the things that I do a specific topic on, um putting in pedicle screws, uh corrections of scoliosis. But the fact is that within 10 years or five years, a lot of these things are gonna change quite significantly as they have in the last 5, 10 years. Um So what I thought I'd do is show my insight into uh my career, why I like it. Um What's the challenges regarding it and what I think the future may be? Uh And maybe that'll give you an insight whether um, orthopedics and certainly spinal surgery is, is for you. Um, ok. So I am gonna start sharing my presentation. Um So, um I'm just gonna confirm that you can see this or not. Bye bye. Yes, we can, you can see my first slide all visible. Yes, thanks very much. Yeah. Ok. So, uh as I said, I said, I'm a consultant uh orthopedic surgeon here in Aberdeen. Um I'm split between uh wood end where I'm currently at my office where we do most of my elective work and Aberdeen Royal Infirmary, which is a tertiary referral center, a major trauma center um for doing major adult trauma as well as uh spinal emergencies. So both uh um not just fractures, but also called Qui syndromes called compressions. Um So from essentially C one to coccyx, uh we deal with the, the whole of spinal problems uh in our service. Um So what I'm gonna talk about, I'm gonna tell you why orthopedics in particularly spinal surgery, why, why I, why I chose it. I'm gonna talk a little bit about my training path and over the next 5 to 10 years, it's very much likely to be much the same. Uh There may be some uh adjustments to that. Um, uh, my job does involve, um, a part of my post does involve a selection of uh fy trainees and SD ones to SD ones and ST three posts across both Scotland and England. Um I'll talk a little bit about the future, both of training, but also of spinal surgery. Um, and what it's likely to hold and what are the, uh, the good parts of that and bad parts of that, particularly working in the NHS. Uh And a little bit of advice for that may be useful for you. Um, whichever career you choose. Um So why for me? So everyone thinks that orthopedic surgeons uh are just good with their tools, um, doing diy and I certainly do enjoy, I'm definitely a very practical person. I do enjoy spending time, um, fixing things and always have done since I was at school and, and younger than that. And that certainly is a big challenge of it, but that's not all I've got to say, I'm definitely a people's person. II love working in teams and being, being, uh, being a doctor of any involves being good at being in, but particularly so in surgery, not just on the ward, but also in theater. Um, managing your, the team that you've got, whether it's fy one doctors, registrars, but also your scrub staff. They're all every single person, whether you're doing a big operation or a simple hemiarthroplasty, every single person that's involved in your team is essential and, and without everyone doing their job, my job will be impossible. Um, so whether that's the person that takes sterilizes the crate that brings the crate that mops the floor that, um, hands me the instruments that brings the patient down. Every single one of those patients is absolutely vital for helping us for the end goal, which is to, to, to hopefully find a surgical solution for this patient. And sometimes uh patients who do not need surgery, a lot of the time patients don't need surgery and they need outpatient care. They need medical care and I need other specialties to be involved with that too. And hence being a, a good team. Uh and being able to form good relation, working relationships amongst all parts of um the hospital is absolutely key and not just the hospital uh also in GP practice. So some of my work also involves going up to Shetland and Orkney. Certainly Orkney, I have been since I've been a consultant for them.