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Um, well, Doctor Maxie is fine. I'll just take a second to introduce myself. Hi, I'm Sara. I'm an MS two and I'm one of the cores of O SIG. I am Tim, I'm also an MS 21 of the cores of O SIG. Um, we have um, two lovely speakers fac on faculty um at, in the UF Department of orthopedic surgery. Um, do Decker who is a spine surgeon and Doctor Maxie who I guess, I don't know what Doctor Maxie's official title is. Um, currently, but she, she holds the team together. I would say, uh, a blue person if you will, it's Uber top secret. It changes by the day. Uh Well, I guess I will, I will start, um, again, my name is Rob Decker. It's, it's nice to see you all. Um, I'm the program director here at the University of Florida and really just gonna give a highlevel brief presentation co on what is orthopedics and then we'll kind of segue into, you know, what brought Doctor Max into orthopedics and I can touch on kind of what I, what drew me into orthopedics and then just basically opened things up for for questions, um, hoping that this presentation will work. But, you know, what is orthopedics? Um, and this is all kind of in my own kind of, you know, feeling and interpretation, but it's really kind of boils down to providing patients with functional improvements as well as, uh, for pain relief in order to really try to improve their lives. Um, and be able to get, um, either back to what they want to do or, you know, get some sort of functional improvement kind of moving forward in their lives. And then, you know, we really do work all over kind of the body. Um But in orthopedics, I think we in general have a pretty good sense of humor and is a great types of folks. So we probably see um the body more like this than as in um Michelangelo kind of did originally or at least I think it was Michelangelo. But, you know, as I mentioned before, the orthopedics really touches kind of most of the body from the musculoskeletal system, you know, whether it be upper extremities, shoulder spine, hip, knee, lower extremities, um pediatrics, adults, um oncology, kind of being all over the body. Um There really is a lot of different functional areas and functional interests k uh within orthopedics in general. Um So there's a lot there for people to tap into or different areas that may uh really interest folks. Um I'm just gonna go through just some kind of, uh, kind of the basic things that, uh, orthopedics treat, uh, and things that we do. So trauma kind of can start even very basic, an outpatient or a non operative role. Um, for cash treatment or splint treatment for broken bones. Uh, the way we like to also think about it, it's very operative field. Um, so kind of like the, um, the funny phrase of bone broke, knee fix. Um, you here, you see a, a femur fracture and what we've done is place the intramedullary rod in order to kind of hold that bone together. Uh in order to get that bone to heal and get that patient back up and walking instead of being kind of bedridden for months while the the fracture heals either in traction or in a, in a cast. Um as another modality to try to treat that. Um Here you can somebody with a both bone form fracture, very common injury and that we see and a different way of uh treating the fracture as opposed to kind of rods. We can also put plates and screws. So a lot of people will also come to orthopedics who have like a very mechanical kind of side of the brain. Um It's almost like building a house or, you know, working on, on the wood and kind of putting things back together and kind of fixing and kind of a jigsaw puzzle if you will, trying to get sometimes trauma or fractures back together again. And then, you know, one of my favorite things is kind of working on the spine. Um You see here, we kind of put, you know, large screws and rods in to really work as an internal fixation device so that somebody can heal this burst fracture that you see on the left. Um Basically stabilizing things so that they heal uh appropriately. Uh A lot of people kind of engage orthopedics early in their life either through trauma like I just briefly mentioned or kind of sports. Kind of a classic one is an AC L tear. This is Robert Griffin the third, um a former kind of football player and now a commentator. But when he tore his AC L kind of during his, I believe his rookie year um in the national football league, uh this is something that orthopedic uh doctors fix um with the reconstruction of their AC L different, many different ways to do that. Uh But a lot of people engage orthopedics kind of from a, a sports perspective either through old injuries that they've had in, in engagements or kind of really being interested in, in sports. Some of our sport physicians here at the University of Florida will travel with a team, a lot of our residents and some of our doctors will also follow kinda other local colleges or local high schools. There's also a great way for regular orthopedists to engage in the community is to follow and help participate in uh sports coverage uh uh within their neighborhood or in their community. Uh Another large aspect of orthopedics is a joint replacement. Um With the aging population, we see folks who come in to see us uh that are really, you know, in pain or functionally limited by kind of lack of range of motion or really kind of destructive dis, you know, issues going on in their joints from either osteoarthritis, rheumatoid arthritis, posttraumatic arthritis. This can this image just shows uh uh uh hip arthritis, but this can easily be in the ankle, the knee, the shoulder, kind of the wrist, um et cetera. And this is a a total hip arthroplasty, basically a kind of metal and plastic part if you will, that allows the hip um to range and kind of move kind of freely, kind of improving someone's function but also kinda decreasing someone's uh pain, really one of the probably the best surgeries that we offer in orthopedics in regards to functional improvement and uh and pain relief. And this is just a a little cartoon showing kind of the normal hip joint on the, on the right of the pelvis and, and arthritic one on the left and again, a cartoon of the, the artificial joint that um we can kind of replace the native hip with in order for functional improvement. So, and that was, you know, just a few of the many, many, many things that we do all around the body. But there's also some co really cool things kind of about uh orthopedics, kind of there's scoliosis reconstruction. So this is an uh an adolescent with a thoracolumbar curve, um or more of a thoracic curve in reality. And, and this is just a reconstruction kind of basically straightening the spine. Um There's also a lot of industry involvement. So this is, this is just some of our use of uh uh computer navigation and spine surgery where we we, we um partner with a lot of advanced imaging modalities as well as kind of companies where you know, you they create these products that we are able to implant like a total hip replacement in the body in order to improve someone's someone's uh life or decrease someone's pain. But this little slide is just basically computer navigation where we are kind of uh in real time imaging and evaluating the spine so that we can put in our pedicle screws kind of with more accuracy um and in a more minimally invasive manner. So on the left, you see the real time imaging of the patient's spine and then that blue kind of line is something that we're moving around. It's static in the picture, but it's really kind of dynamic um in real life. And it allows us to put instrumentation uh and cages in um kind of with really high kind of accuracy and it's really fun to play with. So if you're really good at video games, you'd be really good at, uh, a spine surgery or, or arthroscopic surgery from a sports perspective. And then we, when we do some crazy things kind of this is a, a surgery that's called a, a rotation plasty or van Nest rotation plasty where, um, either for trauma or for a tumor, we basically take someone's knee out, rotate their, their leg around and reattach the, the, the leg onto the femur so that the person can use their ankle as a, as a knee joint in order to give them a little bit more kind of functional kind of improvement because it's better to have a functional knee as opposed to kind of having a above the knee amputation. So, having done one of these in my residency, it's, it's really kind of a uh uh a wild procedure that you normally you would not really think of. But when you realize what, what the goal is, um, it, it's really amazing w um what we can do uh here our orthopedic oncologists, you know, they don't do these every day, but usually a few times a year. Um, this gets done here at the University of Florida where we have a historically, a very good and currently as well, very good oncologic service within our orthopedic department just talking kind of briefly on kind of different ways that you can actually kind of work in orthopedics. One of the nice things is that we work all over the body. Another nice thing is that there's a lot of different practice types that you can engage in either like an academic practice, say like here at the University of Florida or private practice, like Doctor Maxim was um in for a while where you kinda work in the community. Um you can have hospital bases practices kind of where you're employed by a hospital and seeing patients associated with that facility. Um There's inpatient type of orthopedics, like spine joints, uh tumor where most of your patients will be operated on within the hospital, uh and stay in the hospital in kind of like a traditional kind of sense. And then there's also an outpatient type, um practices like such as sports, foot and ankle hand where most of your surgery is done kind of in a surgical center and uh mostly outpatient. So there's less folks to, you know, see in the hospital or round on or you can kinda have a mix of all of these things. So it's, it's a, it's a really nice field in the sense that um there's a lot of different variety within the field. So you can generally find kind of a practice type or a body part that may interest you kind of really s kind of significantly. Um And this is really kind of one of my last slides, but, you know, particularly for the, the, the first years and the second years, you know, if, uh, you're even interested in orthopedics. Unfortunately, here at the University of Florida, there's not a lot of kind of, um, uh, engagement from a musculoskeletal perspective within the medical school curriculum. Um, so I would encourage everybody to, you know, come to our conferences. They're usually Wednesdays and Thur sorry, Thursdays and Fridays. This is information I should know. Um, and then kind of see what, you know, orthopedics is all about. Please reach out to us, reach out to the junior on trauma. Um They're always um happy to have someone kind of shadow them for, you know, a few hours or for a day, kind of whatever works and fits um in your schedule, you know, come hang out with us in clinic and see what we do on that side of things. Um And then there's usually a lot of, you know, research going on kind of either with faculties or sometimes more um accessible would be access to kind of research that the residents are doing because the residents are always looking for a little bit of help. Um So the baseline of that is, you know, if it's here at University of Florida or somewhere else, kinda engage, engage and gauge and that'll give you a better sense of um what the field is and whether or not it's something that you're interested in. Um if you're, it's generally uh a very operative um engaging field, but if you're really interested in, in musculoskeletal medicine and, you know, surgery is not your thing. You can still do that from orthopedics or there's a lot of different ways to engage musculoskeletal uh, medicine that may be outside of your typical standard orthopedics in that you could do like an internal medicine residency, a family medicine residency, uh an emergency medicine residency and then do fellowships and, you know, non operative or primary care kind of sports to have a very kind of heavy orthopedic um cur um not curriculum but career or, you know, musculoskeletal um is also covered pretty significantly in physical medicine rehabilitation. Um So that's an also another great way of accessing musculoskeletal care. Um Also, you know, some interventional um medicine as well through PM NR. And then there's also some other kind of ways to go about doing it either, you know, plastic surgery sometimes has some engagement in hand and upper extremity. And as does uh general surgery, people can do a general surgery residency and then do a, a fellowship in in hand surgery. So there, you know, I would say a lot of people go through the orthopedic surgery route, but there's a lot of different ways to access musculoskeletal um care and careers. Uh even the, even if you're, you're not somebody who's gonna be that interested in, in orthopedics or the operative side or the trauma side and careers can have mixes of a lot of different things so I would really engage everybody to come check us out. And that's really kind of all that I have, uh, from a presentation perspective, I'll defer to Doctor Max and maybe she can tell her story and brief and kind of what drew her into orthopedics. Uh, hello, everyone. Um, I'm Mandy Maxey and I started my residency at the University of Florida 30 years ago. That's a long time ago. So I came to medical school here, not interested in orthopedics. I mean, not uninterested, but thinking I wanted to do something completely different and it was an anatomy lecture. Um One of our retired faculty members, Doctor Van showed a rotation plasty and of course, that wasn't the objective of the lecture. But I was fascinated honestly by like, who are these people that came up with such an incredibly creative and functional solution to a really difficult problem. And so I was intrigued and um enough so to sign up for a rotation and really the hook for me was an experience with a patient who was wheelchair bound from knee arthritis. And she got both of her knees replaced in those days, she spent like a week in the hospital. Um but to watch her get up out of the wheelchair and how that was gonna change her life like that was really the hook for me. And then kind of hindsight, once I got started, things I think that are wonderful and particularly were good for me is there is some immediate gratification. So, even if people don't heal immediately, you get to put things back together and take an x-ray. And so that's pretty cool. I love to do things with my hands. Um, you get to treat people of all ages and you're really helping people get their function back, whether that's to be able to work, to play with their grandkids to walk their dog to travel, um, you know, whatever it is. So that's, uh, those are the things that I found really satisfying about being involved in orthopedics. But again, didn't, didn't show up to medical school, thinking about orthopedics. It was, um, the people that I ran into here and the patient encounters and then the ability to help people improve the function in their lives. And I was, uh, my specialty was foot and ankle. So I did residency here and then I did a foot and ankle fellowship and I was in private practice and in those days, foot and ankle, the bigger procedures were still done in the hospital. Actually. Now, a lot of things like ankle fusions, um, are, are done as outpatients. So things change tremendously. And that's another exciting thing about orthopedics and medicine in general is there's, um, there's so much change, um, and progress that you really are learning all the time. And I think that's a pretty exciting thing as well. That's my story briefly. Oh, I think, yeah. I, I was drawn to a lot of the same things myself in medical school, I wo I initially thought I was gonna be a pediatrician, then an internal medicine doctor, then an ent I kinda liked a lot of different things. I spent a lot of time with um our transplant physicians. I did medical school up in New York. And that really drew me in because I saw the, the return to function that you got for a patient uh when you did a liver transplant or a kidney transplant. And that was really engaging to me. But at the same time, I was watching that and these trans we would go out on procurements at, you know, eight o'clock at night or midnight and kind of operate through the night. Um And while it was, was fascinating and kind of and thrilling, um it was also really tiring. Um and I, I was watching the people that I was working with and kind of their life balance was a, a little skew. Um maybe that was, you know, a very small sample size. And then a good friend of mine was really interested in orthopedics. He, you know, we, we sometimes see pa or sometimes see medical students or colleagues who essentially were born new and knowing that they were going to orthopedics. But I was like, you know, let me do a rotation in orthopedics just so that I can know what he's interested in. And kind of see that and I, and I did a month of knee replacements and, you know, it was the same kind of thing that the liver transplant folks were doing. But instead of going to Texas or going to Omaha or going to kind of South Carolina to get a liver, you know, you could just kind of go in the back room and get this knee component and put them in and, and, you know, give them, you know, phenomenal functional improvement and pain relief. Um So it was really engaging and that was kind of the hook for me. Um I went through a bunch of different things about what I wanted to do once I got into residency and I really like the constructs that we built and the neurologic kind of side of, of spine. Um So that's what I do. That's mainly an inpatient kind of service though. We do have some outpatient stuff that we do. Um And it was also something that really like engaged me and kind of scared me a little bit too. So that kind of kept it interesting and, and I came here at a fellowship from uh from uh interest in getting back to the Southeast. Um as well as kind of being able to engage residents from a an educational perspective was really something that I was that I was drawn to and interested in. So kind of been here since. So that is kind of my story in a nutshell. Um But there's a lot of different perspectives, a lot of different things you can do a lot of different places. You can practice the financial side of it is, is strong. Um, there's also engagement with industry, you can make widgets or you can ex, you know, you know, research widgets, widgets mean all kinds of different things that you can implant or utilize to help kind of patients. And there's a lot of, um, kinda computer kind of cutting edge kind of stuff that, that we do that's also very engaging and very interesting as well. Ss So, unless Doctor Max has got something else to add, I'm just going to open things up to questions and.