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Um, you know, for everyone, uh, listening to this at a later date. Um Thanks for having me and obviously everyone tuned in live. Thanks. Um, the, the point of this series is to give you an introduction to sports medicine. And then, you know, when we're in combination with the orthopedic surgery interest group to give you an introduction to sports me, uh, to orthopedic surgery as well. Um, we are gonna have a number of, uh, other speakers that can speak more towards the non operative side. Um And so when I, when I talk today, I'm really gonna focus on, you know, orthopedic surgery, what it is and then www what it took to me for me to get there and also what kind of my daily life is. So, um, this is a little bit about me. So I was, I, I started off in New York, upstate New York, went to a suny purchase and played soccer there, uh, and then went to two lane, hence the Drews Jersey in the back, um, where I got my MS and MD and then I went to New York, uh, for my orthopedic surgery residency. And then I did a fellowship in and at Andrews. And so, you know, that was a total of 16 years. So, for some of you just starting off it, it is a long road but it is certainly doable when, uh, you know, for my road map to Ortho and I give this lecture sometimes the undergrads too. So, but it's a lot of tests. Right. It's a lot of steps to get there. Um, a and, and again, for some of the first year medical students just starting, uh we're at the beginning of the road, but it is a fun road. Um There are some, you know, bumps and some road, uh some, you know, sometimes some roadblocks in the way, but you just got to work through them and ultimately get to a point where I'm at where I finally have a job. But when I talk to people, I think this is kind of the way I think of my road map, right? So, um all orthopedic surgeons think they're uh probably a little bit better than they are. Um But, you know, we all started with humble beginnings. So what is orthopedic surgery? Um you know, when we talk about subspecialties, these are kind of the subspecialties. Um Obviously I put sports medicine first cause it's the best. Um when you talk to other doctors, uh you know, the, the uh the picture on the right really describes what, what they think of us. So, um but, uh, honestly sports in an orthopedic, uh, surgery, uh, on the whole is, is just much different than other forms of medicine. Um, but it's still, uh, an awesome field of medicine. So when we talk about sports medicine, you know, everyone kind of thinks of this, right? Um, or, or this, but really it's, it's this as well. And so it covers the game of all o of all athletic activities. So it doesn't mean you have to be a professional athlete or anyone that even plays sports, it's just injuries that happen to active people. Um And I should warn you all, there are some graphic pictures. So I'm sorry, but thi this is kind of the life of a sports medicine surgeon. These are bad injuries. I'll try to clip through that. Um You know, I put Alabama picture in here uh to uh to antagonize some people, but also that's where I trained. So, and that's doctor Andrews. I had to put a picture of him cause he's really the godfather of sports medicine. This is us when uh you know Florida uh played Alabama in the swamp, which was a great reunion. Um So what do we actually do? Uh it's really uh kind of joint preservation surgery. We are uh well, uh also considered arthroscopy. So we, we use these fancy cameras uh to access special parts of the body, mainly joints to do surgery. Um There are other surgical subspecialties that use cameras. So general surgeons will use them really uh uh uh many different forms of surgeons will use them um when they're put in different parts of the body, they're named different things. So arthro just means joint and scope obviously is the camera. Um So trauma is really kind of the workhorse of orthopedics. This is, this is, you know, basically bread and butter, but it's also just awesome stuff. You, you, you take really injured people and fix them. So this is a, an example of a femoral shaft fracture, ankle fracture, and tibia fracture, just shattered bones and, and they put them back together. So it's u using different constructs, different materials for people that have biomechanical uh or bio uh uh medical engineering backgrounds or any engineering backgrounds. Uh This, this is a really nice uh uh link between the two. And this is I put this picture in here because to, and I do sports medicine, but I'm still fascinated with all aspects of orthopedics. This is one of the coolest things that we do. This is called bone transport. So for people that have a leg length discrepancy, either because they were born with it or maybe a traumatic injury left them with a, a bone defect, we can grow bone using, you know, special uh procedures and instruments. Um In turn picture C to picture F which is, which is just unbelievable to me. Um So uh uh adult reconstruction or, or joint replacement surgery is, is another uh amazing aspect of orthopedics. Um This is really focused on, um you know, uh the sports medicine surgeon is joint preservation, this is joint replacement. So once joint preservation fails, the end stage is usually some form of arthritis. Um and, and to treat arthritis, we do joint replacements. So you see a normal knee on, on the left and the arthritic knee on the right and then they get treated with total joint replacements. So, and, and we can do this all over the body. So their total joint, their total knee replacements. As demonstrated here, there's total hip replacements. Um We also do total shoulders, total elbows, total wrists, total ankles. So most joints can be replaced when they fail. So, spine surgery, this is, you know, in my opinion, one of the more heroic fields of, of orthopedics, um they're big surgeries, big risks, but big rewards. Um you can turn crooked people into straight people. So if you, you, if you see this left picture, you have a uh uh a scoliotic spine or, or a curved spine and y you know, using these amazing instruments and constructs, you can straighten this pen on the right. You have another uh uh a very dangerous area. This is, you know, this is what's called an ACDF or anterior cervical diskectomy in fusion where we approach through the front of your neck, through, you know, and, and move over some very important structures to get to the, to get to the vertebrae and then fuse them together. So um really kind of crazy stuff and and believe it or not, they're actually now doing spine surgery with a camera. So there are there is actually not arthroscopy but endoscopy of the spine, which is pretty cool. And actually this is kind of one of the uh the indications for for an endoscopic spine approach would be a simple herniated disc here which you whi which you have the herniation into this spinal canal and you have compression of the nerves. So, pediatrics, really awesome field um take care of obviously great patients. Um that's, you know, encompass basically every part of the, the the growing person from birth all the way to um you know, adolescence and and through. So, um some of the things we get consulted and with i in terms of the new babies, believe it or not, um would be this, which is club foot. Um We also get hip dysplasia. So um there will be times where you are called to the well baby nursery to examine a one day old baby, which is pretty cool. Um But you also uh and this is just a form of treatment for that, but it also spans to scoliosis and, and basically everything in between. So, pediatrics is a really awesome field in terms of the the spectrum of pathology that you see um just focused on, on young on young people, hand surgery is, is really, uh, interesting. And so this is a, a common picture you'll see on social media, uh, right around Fourth of July. So these are all firework injuries. Um, and they are, uh, as you can see from the x-ray is pretty darn dramatic. Um, and hand surgeons work to save these injuries and, and they can do what's called, what, what are called replants or reimplantation where they take, uh, amputated things, fingers, hands, um, and put them back on the body, uh, which is pretty cool and that's obviously pretty intense. The two pictures on the right show kind of what the bread and butter hand surgeon does, which is carpal tunnel and trigger finger. So, um, the world of hand surgery is a, it's a very nice, um, lifestyle you operate sitting down, you do very small procedures. You can do upwards of, uh, uh, of 10 to 15 cases a day just because they're relatively small and, and they make dramatic changes. So some of you may have parents that have had some of these surgeries. Carpal tunnel syn sur surgery is, is very common co common and trigger finger is very common too. And both are, are very successful in terms of alleviating symptoms and then foot and ankle surgery is really cool. Um, it's basically hand surgery for the foot. Um, a and again, there's a, there's a wide a uh, array of different things that they do some broken bones, some kind of tendon and musculoskeletal, uh, stuff, but they also do, uh, joint replacements as well and then kind of the most heroic of them all. And, and really what University of Florida I is known for is, is tumor surgery. And so, um, oftentimes we, you know, especially in sports medicine, I'll tell, tell trainees that, you know, we don't, we don't really ever get to save lives. Um, but in tumor surgery and, you know, some, some forms of other orthopedic surgery, um, you, you really do get to save lives so you can take really destructive problems. So there are a few here. This is Chondrosarcoma, which is one of the deadliest. Um, and, and you can save a young person's life. So, um, i, it is again, really heroic stuff, way too heroic for what I do. So, or what I, you know, for my personality. So, what do I actually do? So, I've talked to some of you about this, Ravi, I talked to you a lot about this, but, you know, you got to understand who you are and what you want in life, right? And so, um, I have young kids. I, I like to be home. I, I like, I like having a balanced life. And so sports medicine really allowed me to, to do what I love as my passion, but also still maintain balance in, in the family. So when I, when I look at my week, you know, basically every surgeon will have two days at clinic and two days in the operating room. Um When you do academics, which is what we do here at an institution like University of Florida, any teaching institution, you generally get some built in time to teach and, and do research. And so that's considered an admin day, my schedule shifted a little bit from here. Um But the, the, the idea is basically a balanced uh week in terms of clinic operating room and then some time to play catch up. So La Shawn maybe I'm sure you know what that word means, but that's, that's s for a little extra. Um but it doesn't just end there, right? So sports medicine, I think one of the tougher parts of it is that there's a lot of other stuff to do. Um a and the big thing I think most people think of is sports coverage. And so here at University of Florida, we have University of Florida Athletics. You have all the high schools we cover and that's not just all of the games you have to take care of, but then you have special clinics where you take care of some of these athletes, you have all the physicals, um which, which some of you have helped with and certainly we encourage you guys to get more involved with and then you have all the travel to the game. So, um oftentimes especially at the higher levels, we have to go to away games and things like that and that, that can be, uh you know, that can require a significant amount of your time. You still have to take trauma call. So all those broken bones, um, we s uh every type of doctor or orthopedic surgeon will still participate in a trauma call to help alleviate some of the pressure on the trauma surgeons just because they're, they're generally very busy. Um And so we'll take trauma call and that, that breaks down to basically once a month. Um Then you serve on committees. So you, you'll be on national committees, local committees, um regional committees, all, all different forms of committees to, to try to make things better for, for patients, for, for students, for whoever you wanna commit your time to. And then like most of you all know, on this, there's research, right? So, um which is important. Um and then, uh you know, most important is really teaching and that's why, um you know, if you're at an ACA uh academic institution, that's why you're here. Um It's to treat patients, but also to teach you minds like yourselves how to, how to be good doctors. Um And so, besides, you know, medical students, we actually obviously teach residents, but we also are involved in the P A the athletic training curriculum, undergrads and physical therapist. So it's a really uh awesome opportunity to, to uh reach a lot of young minds. So, but it, but it is a considerable amount of work. So, um, I, I put these in here because, um, i, it's i, it's important no matter where you're at to understand that you, you got to, to be successful, you gotta have balance, right. And so these are just some quotes that I kind of, I, I rely on in terms of bringing back to reality because I think in medicine a and especially where, where you all are at. Um, medical school is, uh, is, is tough. It's a big time commitment. It's a lot of stress. Um, but you got to find ways to, to stay human, to stay balanced and to stay healthy. Right. Um, so, you know, II, I find these quotes inspirational but also kind of somewhat, um, you know, grounding in terms of bringing you back and saying, hey, you know, what? Don't get too caught up in the, in the current, you're still a person, you're still a dad or whatever you may be. Uh, and don't forget that. And these, these are the kids that keep me grounded. So, all right. So let's, uh, does anyone ha uh or