A light-hearted and irreverent podcast discussing different aspects of trauma and orthopaedics. May contain naughty words so listen with discretion. Not affiliated with any institution and views are all Pete's.
On this episode of the See One Do One Podcast, we are speaking about not necessarily Orthopaedics!In this episode, we speak to the author of Dark Matter: The New Science of the Microbiome, James Kinross.The microbiome - our inner ecosystem of viruses, bacteria and other microbes - is critically important to our health and well-being. It is given to us by our mothers at birth, adapts with us as we age, influences our moods, determines how fast we run and even who we choose as a partner. Yet it is only now, as we are beginning to discover the microbiome's enormous potential, that we are realising it is in grave danger, being irrevocably destroyed through the globalisation of our diets, the war on bugs and the industrialised world.Join Kash and Pete as they pick James' brain on the microbiome and how everyday actions are affecting our health in ways we never would think!
Join us for this special LIVE edition of the Orthohub STORIES podcast, where we dive deep into the life and legacy of a titan in British Orthopaedics, Professor John Keating. Recorded at the annual BOTA 2023 Congress our hosts Kash Akhtar and Peter Bates, unravel the captivating four-decade-long journey of John Keating, international man of mystery...Highlights of the Episode:A Trailblazer's Tale: Discover the impressive career of John Keating, a figure who has shaped the landscape of orthopaedics in Britain. Delving into his early days in Dublin, Glasgow, Edinburgh, and Vancouver (and briefly even in London it transpires!) , we explore the origins of his illustrious career.Behind the Surgical Mask: Get an insider's look into the Edinburgh Trauma Unit, at the time a revolutionary concept in specialised trauma care. Understand the challenges and triumphs faced in setting up such an innovative unit.Evolving Art of Knee Surgery: John sheds light on the evolution of knee surgery over the years, discussing new techniques, his approach to the ever-changing landscape of orthopaedic surgery, and sharing his own personal preferences and techniques in the operating room.Reflections and Revelations: From discussing operations he misses to those he's glad are in the past, John provides a unique glimpse into his surgical repertoire and preferences.Wisdom for the Future: In a candid segment, John offers invaluable advice for upcoming surgeons and reflects on how training and practice have evolved over the years, providing a rare perspective that only decades of experience can offer.The Unseen Side: Known for his directness and academic rigour, John's colleagues share personal anecdotes, revealing the multifaceted personality of this respected surgeon.Why You Should NOT Miss This Episode:Whether you're a budding medical professional, an experienced surgeon, or simply a curious mind, this episode is a goldmine of insights, humour, and heartfelt stories. It's not just about the evolution of orthopaedic surgery; it's about the journey of a man who has dedicated his life to advancing the field and impacting countless lives.Tune in Now:Don't miss out on this enlightening and engaging conversation with Professor John Keating. Listen to the Orthohub STORIES podcast on your favorite platform or watch it on YouTube. Remember to like, subscribe, and share this episode with your colleagues and friends!Instagram links:orthohubKash Akhtar
Welcome to the first ever orthohub fireside chat brought to you in association with Conmed from the 20th year of the Sports Knee Surgery meeting.Enjoy this conversation between Kash Akhtar, Peter Verdonk and Al Getgood recorded live on stage in Birmingham:“what the experts really do- proven tactics for a smooth practice and avoiding pitfalls”In this light-hearted and pragmatic conversation the trio discuss different aspects of sports knee surgery (including all things meniscus, ACL, alignment and more), with a focus on keeping it real-world and practical, what they actually do.It's only 26 mins so do watch or listen and leave a comment.Dont forget to hit like and subscribe for more content like this - if enough people like it then we'll have to get them back in to record a part 2!Conmed: https://www.conmed.com/enSports Knee Surgery: https://sportskneesurgery.comorthohub: www.orthohub.xyz#orthopaedics #orthopaedicsurgery
Kash and Pete are back with a new episode!This time they are interviewing Dr Bryan Kelly (aka Mr Hip Arthroscopy) who is a pioneering sports medicine surgeon and also President, CEO and Surgeon-In-Chief Emeritus of the world-renowned Hospital for Special Surgery in New York.In this wide-ranging and fun conversation we discuss his jouney into orthopaedics, sports medicine, and shaping the emerging field of a new type of minimally invasive surgery that has transformed the landscape of orthopaedics.Bryan shares insights into the Hospital for Special Surgery's commitment to excellence, innovation, and compassionate care. Learn about the cutting-edge technologies, pioneering research initiatives, patient-centric approaches, and the collaborative spirit that sets this institution apart as one of the leaders in world orthopaedics.Explore the unique journey of a surgeon ascending to the roles of President and CEO. The trio discuss the challenges and rewards of balancing the responsibilities of a surgical innovator with the leadership demands of a top-tier medical institution.Understand how Bryan and HSS are shaping the future of orthopaedic medicine on an increasingly global scale. Discover the stories behind the breakthroughs, the challenges faced, and the unwavering commitment to advancing patient care.All done in a light-hearted and entertaining manner that is uniqely orthohub!Please subscribe on your podcast player and please leave us a rating and a review. You can also find us on YouTube, LinkedIn, Facebook, Instagramand at www.orthohub.xyzWatch the full video for added content on our YouTube channel.Instagram:@orthohubxyz@_kashakhtar
Welcome to episode 4 of our new series of podcasts under the orthohub banner, brought to you in conjunction with the QMUL MSc in Orthopaedic Trauma Science.This episode concludes our discussion on the acute management of pelvic trauma.We break down:· everything you ever needed to know about pelvic binders· particularly, when is it safe to take a binder off· why the ABC of trauma management is wrong and CAABC is correct!· major transfusion protocols - what are they and what is actually in it· why don't we just give whole blood?· ROTEM explained and why Pete loves wine· when to go to IR / angio and when to go straight to theatre for laparotomy· who is the ideal patient for embolisation, the logistics, and how does it actually work· the essentials of pelvic packing· the role of external fixators, if anyThe "orthomasters" podcasts sit alongside our "see one / do one" and "stories" series as another offering in our goal of providing comprehensive and entertaining orthopaedic content.Our hosts are Kash Akhtar and Pete Bates, Course Directors of the online distance-learning QMUL Masters (MSc) in Orthopaedic Trauma Science.This new series of short podcasts incorporates topics and materials from the course to break down, analyse and dissect key aspects of orthopaedic trauma.It is aimed at people of all levels, with a heavy focus on keeping it clinical and practical - how to understand the key issues in a way that helps you do the day job better and with confidence, for the ultimate benefit of all our patients.If you fancy more of this and want to learn more about studying with Pete, Kash and colleagues then please click here:https://www.qmul.ac.uk/postgraduate/taught/coursefinder/courses/orthopaedic-trauma-science-online-mscPlease also subscribe on your podcast player and leave us a rating!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagramand at www.orthohub.xyzWe are on twitter and all social media platforms:@orthohubxyz@kashakhtar@petebates
Welcome to episode 3 of our new series of podcasts under the orthohub banner, brought to you in conjunction with the QMUL MSc in Orthopaedic Trauma Science.This episode focuses on the acute management of pelvic trauma.We break down:· why does pelvic trauma carry such mystique across the entirety of emergency care · the essential role of the trauma team· how much Pete loves protocols· why the ABC of trauma management is missing a key element· the key destination of the trauma call· the 5 things you must do urgently to turn off the tap· why we don't talk about permissive hypotension anymore· everything you could every need to know about binders· the vital role of tranexamic acid (TXA)· the role of external fixators, if anyThe "orthomasters" podcasts sit alongside our "see one / do one" and "stories" series as another offering in our goal of providing comprehensive and entertaining orthopaedic content.Our hosts are Kash Akhtar and Pete Bates, Course Directors of the online distance-learning QMUL Masters (MSc) in Orthopaedic Trauma Science.This new series of short podcasts incorporates topics and materials from the course to break down, analyse and dissect key aspects of orthopaedic trauma.It is aimed at people of all levels, with a heavy focus on keeping it clinical and practical - how to understand the key issues in a way that helps you do the day job better and with confidence, for the ultimate benefit of all our patients.If you fancy more of this and want to learn more about studying with Pete, Kash and colleagues then please click here:https://www.qmul.ac.uk/postgraduate/taught/coursefinder/courses/orthopaedic-trauma-science-online-mscPlease also subscribe on your podcast player and leave us a rating!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagramand at www.orthohub.xyzWe are on twitter:@orthohubxyz@kashakhtar@petebates
On this episode, Kash and Pete are joined by Marc Swiontkowski, editor of the JBJS and legend of orthopaedics!0:00 intro5:22 Chip Routt14:20 Marc's Residency17:30 Common Operations During Residency 22:05 Problem Factors24:35 Memorable Operations26:30 JBJS48:15 Pay to Publish53:00 What do you value?56:00 Delivering Trials59:00 Predictions 1:09:50 Rehab 1:11:01 Mohit Bhandari1:13:20 Leadership 1:20:00 Mentors 1:22:00 What's Next?Dr. Swiontkowski is a professor in the Department of Orthopedic Surgery. He specialises in trauma, fractures, non-unions, malunions, children's fractures, osteomyelitis, and leg length inequality.Dr. Swiontkowski received his medical degree from the University of Southern California School of Medicine. He completed his internship and residency training at the University of Washington, then went to Davos, Switzerland where he completed a research fellowship at the Laboratory for Experimental Surgery.He began his work as Associate Professor at the Vanderbilt University where he helped establish the state of Tennesee's first level one trauma centre. Dr. Swiontkowski then moved to the University of Washington as Professor of Orthopaedic Surgery and Chief of Orthopaedic Surgery, Harborview Medical Center in Seattle, Washington from 1988-1997. From September 1997 through October 2007, he held the position of Professor and Chairman of the Department of Orthopaedic Surgery at the University of Minnesota.Since then, Dr. Swiontkowski has held the position of Professor in the Department of Orthopaedic Surgery at the University of Minnesota and was CEO of TRIA Orthopaedic Center in Bloomington, MN from 2007- 2015. He now holds the roles of Editor-in-Chief of the Journal of Bone and Joint Surgery (JBJS) and continues as a Professor at the University of Minnesota.He has received many honours nationally and internationally throughout his celebrated career, especially for his research and clinical achievements. Some of these include:Board of Directors Mid America Orthopaedic AssociationPast president of the American Orthopaedic Association and Orthopaedic Trauma AssociationDirector Emeritus of the American Board of Orthopaedic Surgery and American Board of Medical SpecialtiesEditor-in-Chief of the Journal of Bone and Joint SurgeryThis is a very informative and enjoyable podcast for all who are fans of Marc's work, as well as for those who are discovering him for the first time.Be sure to follow orthohub on all social media platforms:https://orthohub.xyz/https://www.facebook.com/orthohub.xyzhttps://www.instagram.com/orthohubxyz/https://www.linkedin.com/company/orthohub/https://twitter.com/OrthohubXYZ#orthopaedicsurgeons #orthopedics #health #orthopedic
Welcome to episode 2 of our new series of podcasts under the orthohub banner, brought to you in conjunction with the QMUL MSc in Orthopaedic Trauma Science.This episode concludes the discussion regarding the orthoplastic management of open fractures.The "orthomasters" podcasts sit alongside our "see one / do one" and "stories" series as another offering in our goal of providing comprehensive and entertaining orthopaedic content.Our hosts are Kash Akhtar and Pete Bates, Course Directors of the online distance-learning QMUL Masters (MSc) in Orthopaedic Trauma Science.This new series of short podcasts incorporates topics and materials from the course to break down, analyse and dissect key aspects of orthopaedic trauma.It is aimed at people of all levels, with a heavy focus on keeping it clinical and practical - how to understand the key issues in a way that helps you do the day job better and with confidence, for the ultimate benefit of all our patients.You can find the BOAST / BAPRAS open fracture management guidelines here:https://www.boa.ac.uk/resource/boast-4-pdf.htmlIf you fancy more of this and want to learn more about studying with Pete, Kash and colleagues then please click here:https://www.qmul.ac.uk/postgraduate/taught/coursefinder/courses/orthopaedic-trauma-science-online-mscPlease also subscribe on your podcast player and leave us a rating!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagramand at www.orthohub.xyzWe are on twitter:@orthohubxyz@kashakhtar@petebates
Welcome to the first episode of a new series of podcasts under the orthohub banner, brought to you in conjunction with the QMUL MSc in Orthopaedic Trauma Science.This first episode covers the orthoplastic management of open fractures using the BOAST / BAPRAS guidelines to frame the discussion. Join us next week for part two where we conclude the topic.The "orthomasters" podcasts will sit alongside our "see one / do one" and "stories" series as another offering in our goal of providing comprehensive and entertaining orthopaedic content.Our hosts are Kash Akhtar and Pete Bates, Course Directors of the online distance-learning QMUL Masters (MSc) in Orthopaedic Trauma Science.This new series of short podcasts incorporates topics and materials from the course to break down, analyse and dissect key aspects of orthopaedic trauma.It is aimed at people of all levels, with a heavy focus on keeping it clinical and practical - how to understand the key issues in a way that helps you do the day job better and with confidence, for the ultimate benefit of all our patients.You can find the BOAST / BAPRAS open fracture guidelines here:https://www.boa.ac.uk/resource/boast-4-pdf.htmlIf you fancy more of this and want to learn more about studying with Pete, Kash and colleagues then please click here:https://www.qmul.ac.uk/postgraduate/taught/coursefinder/courses/orthopaedic-trauma-science-online-mscPlease also subscribe on your podcast player and leave us a rating!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzWe are on twitter:@orthohubxyz@kashakhtar@petebates
US healthcare comes to the UK!The see one / do one podcast is back with our second episode of Season 2 – and it's a cracker!In this episode we speak with Tommaso Falcone, outgoing CEO of Cleveland Clinic London.We navigate this intersection of two distinct healthcare systems across the Atlantic that offers a fascinating topic for discussion and exploration. This thought-provoking podcast delves into the implications, challenges, and potential benefits of US healthcare coming to the UK.By bringing together knowledgeable guests, compelling personal stories, and in-depth analysis, this podcast seeks to shed light on this potentially significant shift in the British healthcare landscape. In this wide-ranging and fun conversation we cover many different topics:· why did Cleveland Clinic come to London· the differences (and similarities) between US and UK healthcare· the relationship between Cleveland Clinic London and the NHS· the challenges and advantages of robotic surgery· innovating new surgeries such as uterus transplants and what it entails· making the most of “your moment in time”· managing the transition from a successful clinician to a leader and manager· addressing concerns people may have around US healthcare · the Cleveland Clinic secret sauce· the future for Cleveland Clinic London, and for Tommaso personally · Pete's testosterone levels· and we also clear up some burning issues that Kash had to get off his chest…· and much more!Please subscribe on your podcast player and please leave us a rating and a review. You can also find us on YouTube, LinkedIn, Facebook, Instagram and at www.orthohub.xyz Watch the full video for added content on our YouTube channel. Twitter: @orthohubxyz @kashakhtar @petebates
It's been a long time (we shouldn't have left you...) but the see one / do one podcast is back with Season 2 after a summer hiatus - and how!In this episode we speak with Sanj Kakar, an orthopaedic hand and wrist surgeon and a Professor of Orthopaedic Surgery at the Mayo Clinic.But Sanj has a secret, he is in fact British! Furthermore, he actually went to medical school with our very own Pete Bates and knows one or two stories about the antics of a young Master Bates in his formative years, as we discover!In this wide-ranging and fun conversation we cover many different aspects of Sanj's life and career including:growing up in West Londonmedical school and early years surgical training in Londonhow he ended up going to the US initially and the decision to stay there for residency training and beyondwhy he chose Bostonhighlights from his time as an ABC Fellow and returning to Londonhow he survived the endurance test that is the ABC Fellowshipthe logistics and challenges of "The Match"how he ended up at the Mayo Clinicand the Mayo secret sauceKash's experiences of visiting Mayo as a Winston Churchill Fellowwhy the USA is the land of opportunitybut not all that glitters is goldlife in the USA for a Britkey mentors and people in his journeyhis plans for the futureand much more!Please subscribe on your podcast player and please leave us a rating and a review.You can also find us on YouTube, LinkedIn, Facebook, Instagramand at www.orthohub.xyzWatch the full video for added content on our YouTube channel.Twitter:@orthohubxyz@kashakhtar@petebates
Welcome to the latest episode of the see one / do one podcast.In this episode we speak with Heather Vallier, an orthopaedic trauma surgeon and Medical Director at MetroHealth in Cleveland, and a Professor of Orthopaedics at Case Weston Reserve University.She is a colossus of research output around orthopaedic trauma and popularised the concept of “Early Appropriate Care” - her name is mentioned in every lecture, discussion and journal club around the world when discussing the topic of orthopaedic polytrauma.Heather is the 36th President of the Orthopaedic Trauma Association (OTA), and the first ever female president.She is also one of Pete's orthopaedic heroes, as he reveals!In this wide-ranging and fun conversation we cover many different aspects of Heather's life and career including:how to pronounce her surname properly!her time at medical school and how she chose orthopaedics as a careerhow she ended up in orthopaedic trauma and the support / challenges she encounteredresidency training and fellowshiphow she thrived as a woman in a traditionally male-orientated specialtythe value of allies and mentorship and key mentors in her own journeyhaving children as a medical student and internand how she balances work and home-lifesome background on how “early appropriate care” came to behow it defines a proportion of her careerand where the future lies in the field of orthopaedic polytraumathe difference between self-efficacy and recidivismrecovery after trauma and breaking the cycle of trauma and repeated harmviolence prevention and key initiatives she is involved withher relationship with the OTA and becoming Presidentwill there ever be a national US trauma system and registry and where the challenges lieand why Kash has to go to the next OTA meeting...her time as fitness instructorand much more!Please subscribe on your podcast player and please leave us a rating and a review!You can also find us on YouTube, LinkedIn, Facebook, Instagramand at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
Welcome to the latest episode of the see one / do one podcast. In this episode we talk all about research.Hold on - we know this could be a somewhat dry topic, but not when done in our unique orthohub way!Our guests are Matt Costa and Dan Perry, two TITANS of orthopaedic academia who get their message across very well, and are great value too!Matt is a Professor of Orthopaedic Trauma at the University of Oxford and has been a leading light in the rise of the pragmatic trial - research done in the real world that directly impacts our daily work and how we actually treat patients.Dan is an NIHR Professor of Children's Surgery and Emergency Care and leads global randomised clinical trials in paediatric orthopaedic surgery and paediatric acute care. He is also a current ABC Fellow. Dan's research focuses on epidemiology and effectiveness research. He has an interest in 'big data' and clinical trials of orthopaedic interventions.In this wide-ranging and fun conversation we cover many different topics including:their very different journeys into research and the world of academiathe problem with pragmatic trials, and why they have upset some of the orthopaedic communitythe ying and yang between academics in their "ivory towers" vs everyone else in the "real world"the challenges with multi-centre / international collaborationsdoes being good at academia impact how good you are at operatinghow juniors undertaking research can avoid being taken for a ridehow do we stop poor quality researchare journals a scamthe future of research and impactand much more!Please subscribe on your podcast player and please leave us a rating and a review!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagramand at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@Pete Bates
The next in our series of ‘orthohub stories', this time we're with Swee Chai Ang: Orthopaedic surgeon, Aid worker, Activist and Author. She sits in the Singapore Women's Hall of Fame to boot!Swee talks about her parents and how their strength and harrowing experiences in captivity, forged the iron within her. She talks about how to make a difference to others and what it is to help people who are in need. We discuss how it was to become a female orthopaedic surgeon, back in a time when they could be counted on one hand. She describes the unique love story with her husband Francis, a relationship that was punctuated by periods of time in prison, undergoing interrogation and fleeing Singapore to the UK as refugees. We hear about her journey to Beirut, why she went and some of the horrors of war that she encountered. The story is humbling and, in places, very sad yet absolutely compelling to hear. She speaks very candidly about how different faiths can work together to find common ground. We end on a hopeful note, discussing what it might take to find peace in a region where memories of conflict and hostility are culturally engrained. Please subscribe on your podcast player and please leave us a rating and a review!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
Welcome to the latest edition of orthohub stories, where we explore the life stories and journeys of remarkable people. In this episode we find out all about what its really like to treat elite professional athletes, celebrities and VIPs.Our distinguished guest is Andy Williams.Andy is an orthopaedic surgeon who specialises in the management of sporting knee injuries. He has developed a unique practice and works with many elite sports teams across English Premier League football, Premiership Rugby and more. He is also an Honorary Reader at Imperial College London where he undertakes research into knee injuries. Andy has published over 150 scientific articles and lectures internationally on knee surgery. He is a member of the prestigious ACL Study Group, the Herodicus Society and was lead editor for the 39th edition of Gray's Anatomy.In this wide-ranging conversation we cover many different aspects of his life and career including:his childhood and how medicine was not even considered an option growing upand how being a builder was his fall-back optionhis initial plans to become a GP (family doctor) and how he ended up in orthopaedic surgery insteadovercoming impostor syndromehow he got into sports knee injuries and treating professional sportspeoplethe pressures and challenges (and joys!) of treating this special group of individualsmanaging stress and complications how he handles pressure and coping mechanismsthe value of pre-operative planning and the power of visualisationhow do athletes differ from your non-elite athlete patientsethical dilemmas in managing professional athleteswhy physiotherapy / physical therapy and rehab is the magic ingredientwhy he commits so much time to research, teaching and lecturingkey mentors who have directly and indirectly shaped his life and careerand poor behaviours he has seen within the medical professionhis work ethic and attention to detailthe impact on his family of his work and careerand what one thing would he change if he could do it all again Please subscribe on your podcast player and please leave us a rating and a review!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
Welcome to our first ever outside broadcast, "orthohub on tour", brought to you with the support of our colleagues at Clockwork Medical.This roundtable discussion was filmed live at the Sports Knee Surgery meeting in Warwick as we bring you what's new and trending (and what's actually practical and sensible) in the world of sports knee.We are joined by four top-notch guests with their fingers on the pulse in Tim Spalding, Pete Thompson, Sanjay Anand and Henry Bourke.Kash is in heaven as he can finally talk about some 'PROPER' orthopaedics!He and the other speakers discuss the latest techniques and evidence arising, but let's face it- what we really want to know is how applicable is this all really to our daily practices, and what it is that they actually do.Join us for lots of practical tips and tricks, learn about any changes the guests may make to their practices based on what they heard, and find out what things they definitely will not be adopting!Topics discussed include:the latest in graft choices for ACL reconstructiontips and tricks for harvesting and implanting BTB graftsfixation options for lateral tenodesis, and how much rotatory control does it actually give you?patella stabilisation, MPFL reconstruction and trochleoplastythe evolution of tibial osteotomywhat to actually (really) inject for early knee OAthe role of biologics and what is the role (if any) for PRPmanaging cartilage defectscell based treatments vs osteochondral allograftsthe challenge of allograft supply and working with tissue banksmeniscal repair and how to perform MCL release to obtain full access to the posterior horn and not damage cartilagehow best to manage meniscal root tearsPlease subscribe on your podcast player and leave us a rating and a review!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@clockworkmed
The clue is in the title...
Join our latest orthohub see one / do one episode with our distinguished guest Professor Sithombo Maqungo, where we find out all about practicing surgery in South Africa.Sithombo is the Head of the Orthopaedic Trauma Service at Groote Schuur Hospital and Professor at the University of Cape Town (UCT), internationally recognised for clinical excellence, research outputs, and training opportunities.As well as being the Lead for Trauma Care and Injury Prevention at UCT, Sithombo is also President of the South African Orthopaedic Trauma Society, faculty for AO South Africa & AO Europe, the founder and Chair of Cape Town International Trauma Conference. He was previously an AO Gordon Siboto travelling fellow and has also recently been made an ABC Fellow.His charity work includes advocating for a "Gun-free South Africa" and child safety.In this wide-ranging conversation, we cover many different aspects of his life and career including:how playing tennis (and his friend's hi-fi system) was instrumental in his becoming a doctorhis experiences of being a medical student as APARTHEID ended and Nelson Mandela became presidentwhat was surgical training like in Cape Town during the noughties and his medical experience as he travelled the world and how have things developed since thenhow much of trauma surgery still takes place overnightwhat does surgical training look like in South Africawhat are the biggest challenges of practicing orthopaedics in South Africa interfacing with bone-setters, rural practices, and state-of-the-art equipmentand the impact of gun violence, as well as measures to try and reduce this and focusing on injury preventionPlease subscribe on your podcast player and leave us a rating and a review!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
Join our new orthohub see one do / one episode on the difference between diversity, inclusion and equity with Johnson & Johnson's Executive Board members, Hani Abouhalka and Lucy Morrisey!Discover what exactly is it - is it some passing fad that we need to be seen to doffing our cap at to tick a box, or is it something we should all be putting right at the core of what we do?Our two special guests help us explore this in our own particular way!Hani Abouhalka is the company group chairman for Johnson & Johnson medical devices in Europe, the Middle East & Africa and is responsible for J&J's medical device businesses encompassing surgical technology, orthopaedics, cardiovascular and specialty solutions. He is the executive sponsor of the Women's Leadership & Inclusion employee resource group and a board member of the Johnson & Johnson Foundation, a charity responsible for managing J&J's community impact programme.We are also fortunate to be joined by Lucy Morrisey, who was previously blessed to have been Kash and Pete's boss at Barts as the Divisional Manager for Emergency Care and Trauma. She has previously spent time at the UCL Institute of Health Equity, as well as in senior management roles within some of London's largest hospitals where she led large service transformation agendas. Lucy took the role of ‘Silver Command' for the NHS cyber-attack and the London Bridge terrorist attack. She is now a director in the Strategic Capabilities team at Johnson & Johnson and the Women's Leadership Initiative Pillar Lead for UK and Ireland. Lucy discusses her experiences of diversity and inclusion and brings a uniquely broad lens covering healthcare, the NHS and the corporate world. She also tells us just how much she misses working with orthopaedic surgeons…In this wide-ranging conversation we cover many different topics including:• what exactly are diversity, inclusion, equality and equity and why do they even matter?• the value of role modelling, mentoring and sponsorship• why do we need to change if everything is working fine as it is?• is diversity and inclusion just trendy and “woke”, or does it hold real value?• what does it look like when it's done well?• why would anyone ever want to become a healthcare manager?• how orthopaedics often comes at the bottom of diversity tables and how best to address this• are certain professions more appropriate for men and women?• the role of unconscious bias• what is it like being at the receiving end of dismissive behaviour and how to respond?• stereotypes within surgery and in orthopaedics• how diversity and inclusion vary around the world• what can people in positions of privilege do to engage and to feel less awkward when discussions about diversity and inclusion arise• and how can we all bake this into what we do for the benefit of ourselves, our colleagues, and our patientsPlease subscribe on your podcast player and please leave us a rating and a review!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyz Twitter:@orthohubxyz@kashakhtar
Born in South East London to Jamaican parents, join violence reduction lead Martin Griffiths as he shares his inspiring story in our latest #orthohub #seeonedoone podcast!Our special guest for this story is Martin Griffiths, consultant trauma and vascular surgeon at Barts Health NHS Trust and National Clinical Director for violence reduction for NHS England, awarded a Commander of the Most Excellent Order of the British Empire (CBE) in the Queen's Birthday Honours List 2021.We talk about the future and what's next!In this wide-ranging conversation we discuss: - Martin's time at medical school- his surgical training- the changes he has seen and his development to become an opinion leader, activist and National Clinical Director for violence reduction. - where did his activism against knife crime come from and where do you start, trying to break the cycle of interpersonal violence. - how can you intervene in the lives of vulnerable individuals and their families without being pushed away? - what's it like to be a trauma surgeon? Why choose that specialty; surely there were easier career paths on the menu for him?Please subscribe on your podcast player and leave us a rating and a review! You can also find us on LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@petebates
Join one of the most successful people in medicine as you have never heard him before in our latest orthohub see one / do one podcast!Our special guest for this episode is Paul Tornetta III, MD - one of most well-known and respected orthopaedic surgeons in the world (and someone we thought would be far too sensible to actually come on our podcast!)Paul is Chief and Chair, Professor and Residency Program Director in the Department of Orthopaedic Surgery at Boston, as well as the Director of Orthopaedic Trauma for the Boston Medical Center.Paul has served on the executive committees of the SPRINT, FAITH, TRUST, and FLOW trials, as well as on the Department of Defense funded METRC consortium. He leads the Orthopaedic Trauma Research Consortium and has extensive experience as faculty on the AAOS / OTA, has over 250 peer-reviewed publications, and is a lead editor for Rockwood and Green's textbook on fracture care.He is a past president of the Orthopaedic Trauma Association and was an ABC (American British Canadian) traveling fellow. He is the incoming chair of the Council on Education for the AAOS and has won numerous prestigious prizes and awards.In this wide-ranging conversation we discuss:mentoring & how can you spot the winnersthe struggling trainee - and the struggling trainerattitudes and behaviours that are incompatible with the practice of medicine his theory on the 3 types of residents what are the biggest challenges to orthopaedics how he would bring the FDA into the 21st century via real-time registries & constant monitoring of outcomes how to improve functional outcomes in trauma patients are we training too many orthopaedic trauma surgeons?he explains why he doesn't have a fellow and reveals time management tips and tricks to do it the Tornetta waywe discover his plans to revolutionise surgical education by working with the AAOS to create a new Resident's curriculum as a “living document”he addresses some of the biggest myths in orthopaedicsand eventually professes his secret love of sports medicine!We really take a good look under the hood at what makes him tick, and learn key tips and tricks that we can all use in our daily practices.Please subscribe on your podcast player and please leave us a rating and a review!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
We are joined in the studio by 2 special guests for this fun episode.Virtually all of us have had an idea for an app or a company at some point in our lives (and not always healthcare-related), but it very rarely goes any further- until we see someone else getting millions in investment a few years later and we are left kicking ourselves at what might have been!Well if you have ever had an idea for a product or a business, this is the podcast for you!In this episode we talk about how to take an idea and develop it, who to approach and when, how to bring in the right people to grow your company, when and how to bring in investment, and how to protect your interests.We use a healthcare business as a basis for our discussion, but the principles, lessons and tips are applicable to any start-up in any field.Our special guests are Ash Kalraiya and Anton Lin.Ash is an orthopaedic resident (surgical trainee) and the founder and CEO of Medishout, healthcare's first one-stop app to help hospitals predict problems and prevent bottlenecks so that staff can focus on patient care. Medishout have been chosen to join Microsoft's AI for Social Impact programme, which aims to develop Artificial Intelligence solutions to improve people's lives around the world. They have recently closed a million pound funding round.Ash describes his journey and how he went from an idea one morning when he had to cancel 3 operations due to a faulty light bulb above the operating table, to developing a company that has raised over $1.5 million dollars in investment, and is continuing to grow.But how do you do it if you have limited money, business and IT experience?What's it like to then receive a million pounds in funding- and how do you spend that money??Ash tells us about the challenges, pitfalls and some of the missteps along the way- such as what do you do when you wake up in a foreign country to a barrage of irate error messages and have no apparent way of fixing it!He opens up about something that many medics have not experienced before and was certainly new to him- the concept of rejection. Ash tells us about the times that things didn't work out the way he had planned, how he bounced back and succeeded, and what skills he has developed now that he didn't possess before.Ash also talks about how to pitch for investment and what makes a good pitch. He speaks our language and also the language of Venture Capitalists, and so is excellent at guiding us through the maze.Anton is the money man.He completed a law degree at Oxford and then trained at Sandhurst and was a Captain in the British Army for 5 years. He has an MBA from Insead and is a Partner at Steed Capital, a Venture Capital Fund. Anton is also the Head of Strategy at Cognism, a Senior Fellow at the Institute for Statecraft and a mentor on the NHS Clinical Entrepreneurship ProgrammeHe gives us a unique insight into what medics are good at and not so good at. He also talks about topics such as whether medics should leave their comfort zone and take time out of training / work to focus on the business, or to do it alongside the day job. Anton tells us what it is that investors are looking for in a business idea that will convince them to finance it. He also discusses Intellectual Property and secret recipes!This is our most fun and wide-reaching episode yet so there really is something in it for everyone, even far beyond healthcare!
We are joined by a special guest who is dear to us and a valued friend of orthohub, Lisa Hadfield-Law. Lisa has worked as a surgical education consultant for over 25 years and has trained over 15,000 surgeons from 68 countries within Europe, North America, Latin America and Asia Pacific. During this time, she has been an official advisor to AO Trauma & AO Spine and has also been the education advisor to the British Orthopaedic Association and the Royal College of Surgeons for over a decade.Lisa has a Masters in Higher Professional Education and is a Fellow of the Academy of Medical Educators.Earlier in her career, Lisa was awarded Nurse of the Year by the Royal College of Nursing and the Department of Health, and more recently she was awarded the British Orthopaedic Association’s Presidential Merit Award in 2018.Having been immersed in both cultures, Lisa is in a unique position to provide educational advice to surgeons.In this wide-ranging conversation, we discuss:· how Lisa got into medical education· what the role of an educationalist actually is· dealing with surgeons· Kash and Pete’s first encounters with Lisa…· good and bad learning environments· how to make feedback useful and actionable· dealing with trainees in difficulty…· …and the concept of the “trainer in difficulty”· and impostor syndrome (even Pete Bates experiences it!) Please subscribe on your podcast player and leave us a rating and a review!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
This was a fun conversation with Dr Adam Starr, with whom Pete Bates did an orthopaedic trauma fellowship way back when!Dr Starr is the Hansjörg Wyss Distinguished Professor in Orthopaedic Trauma at UT Southwestern Medical Center and serves as Medical Director for Orthopaedic Surgery at Parkland Hospital. He specialises in treating trauma, fractures, and post-traumatic orthopaedic conditions. In this wide-ranging conversation, we discuss:life in Dallas vs life in Norwich we solve the JFK conspiracy (spoilers!)guns and gun safetytraining fellows and mentoring seniors trainees as they bloomwhat it's like to invent, design, make and then use a surgical devicethe differences in making physical devices vs digital appswhat it's like to be challenged by the orthopaedic communityconflicting surgical practice vs "the norm" and taking on dogmathe role of damage-control orthopaedics vs early total care and how to quantify that decision robots, navigation and intra-operative imagingthe rising prevalence of fragility fracturesthe psychological impact of traumaand why you should never touch the image intensifier in Parkland operating theatres!Please subscribe on your podcast player and leave us a rating and a review!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
David Sellu (https://www.davidsellu.com) was a respected colorectal surgeon with a record of over 40 years of outstanding medical service. He saved countless lives over 4 decades of practice, but then one patient encounter changed his life forever when a patient died under his care in February 2010. He was investigated by the GMC and then tried at the Old Bailey, where he was charged and convicted of gross negligence manslaughter in 2013.Many of the complexities of the case were not adequately explained or explored to the jury, and he was convicted by a jury with a majority of 10-2. He was jailed in a maximum security prison at the age of 66 and served 15 months of a two-and-a-half year prison sentence. His conviction was later quashed on appeal after major failings were discovered regarding his first trial.His story is one that sent shockwaves throughout medicine and has implications for every doctor.This conversation uncovers his early years in Sierra Leone where he received no formal education and taught himself how to read and write, often studying under street-lamps for illumination. He went on to win a scholarship to Manchester Medical School, become a Senior Lecturer in Surgery at Hammersmith Hospital and a Consultant General and Colorectal Surgeon in Oman and London.It is a story that encompasses a stellar career, medical error and blame culture, injustice, the brutality of life in prison, the battle to overturn his conviction and clear his name, and the ongoing fight to make sure this never happens again.
We are joined by Mr Tom Quick for our first ever video podcast on everything orthopaedic surgeons need to know about nerve injuries.You can listen to the audio here as usual, but you can see the video plus a little extra on our YouTube channel here!We have had some teething issues trying out this new video format and so you may hear an occasional glitch in the audio. Apologies if so, this has been fully rectified going forwards and we will fully return to the rich, golden tones you are so accustomed to. Even more reason to check out this first video!Tom is a consultant orthopaedic surgeon working at the renowned Peripheral Nerve Injury Unit at the Royal National Orthopaedic Hospital and an ABC Fellow 2020/22. He also holds honorary consultant appointments at Great Ormond Street Hospital and the Evelina's Children Hospital. In addition, he is an Honorary Associate Professor at University College London.In this fun and fascinating conversation, we discuss:functions of nerves and the classifications of nerve injuriesneurapraxia vs neuropraxia (and how to really annoy a PNI surgeon)what actually happens when a nerve is injureda practical guide for the assessment of nerve injuriesclinical examination and how to do itspecial tests- Nerve Conduction Studies & EMG finally made simple!what to do if you find a nerve intra-operatively that looks damaged or cutthe Brachial Plexus and why injuries here are so significantsome common everyday clinical scenarios with nerve injuries and what to dothe key facts about nerve transfers vs tendon transfersneuropathic pain and how to deal with itTom's passion for open water swimming and the health benefits of sub-zero temperatures...beekeeping and the health benefits of honeyYou'll have a newfound respect for Schwann cells before the end too!Please subscribe to the show on your podcast player and leave us a rating and a review (with actual words)!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
On International Women’s day, we bring you the first episode of a new feature: orthohub stories. Pete Bates interviews Deborah Eastwood, President Elect of the British Orthopaedic Association (BOA). Deborah talks about growing up, choosing surgery and her passage to becoming one of the most influential and indeed inspirational women in British and European orthopaedics. We discuss yards of ale, how being a medical student and junior doctor has changed over the years, and how the job of being a surgical trainer has had to flex to accommodate. Are medical graduates nowadays cleverer and better doctors than her generation were? Has the template for being a great role-model changed and has ‘the clinical team’ been degraded? We discuss leadership and what makes a bad leader! The BOA gets a close-up inspection; we talk pretty frankly about inclusivity and what they’re doing about the white, male-dominated image that some of us have of our advocating body. How do you instigate cultural change in an organisation like the BOA and is it effective at lobbying government on our behalf?There’re tons of other little nick-nacks and words of wisdom, not to mention the ideal breakfast.
It's a big one!We were privileged to have had this fun and wide-ranging conversation with Dr Mohit Bhandari.He is widely considered to be one of the most influential and respected orthopaedic surgeons in the world, a global leader in the promotion of evidence-based surgery and orthopaedic research.He is a Professor and University Scholar at McMaster University, Hamilton, Ontario, where he has just stepped down as Chair of the Department of Orthopaedic Surgery.He is the Canada Research Chair in Evidence-Based Orthopaedics, which is awarded to outstanding researchers acknowledged by their peers as world leaders in their fields.He is also the Founder and Editor-in-Chief of OrthoEvidence, the President of the Canadian Orthopaedic Association and has been awarded the Order of Canada, an honour which recognises the outstanding merit or distinguished service of Canadians who make a major difference to Canada through lifelong contributions.In this fun and fascinating conversation, we discuss:how he transitioned from heavy metal to rap and hip-hopwhy he initially chose medicine, and then orthopaedic trauma as a career choicehis top 5 rappers of all timefollowed by his top 5 orthopaedic surgeons!his time as Chair of MacOrtho and some of the challenges he encounteredwhat it's like to build a surgical 'brand'writing > 1,000 papers!evidence-based practice and the large, collaborative international trials that he is best known forthe advantages and challenges of pragmatic trialsthe future of orthopaedic researchdiscipline, handling work emails and WhatsApp messageshis morning routine and mantrasthe importance of legacy and the value of knowing when to move onwhat it's like to join the Air Canada Million Mile Club his passion for painting and mountain biking..and much much more!As always, listen out to the end for a musical surprise, this time a special request from Pete!Please subscribe to the show on your podcast player and leave us a rating and a review (with actual words)!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
aka shoulder instability for dummies.Following on from our orthohub webinar, Kash and Pete dive into the murky world of shoulder instability.Our guest is Graham Tytherleigh-Strong, described by many as a gentleman surgeon. We discuss all aspects of shoulder instability, including hypothetical situations of shoulder dislocations in ever-changing ages and genders (try and keep up!)We also get the lowdown on life in a real tank and Graham's training and career, as well as finding glaring holes in Pete's knowledge of eponymous conditions.We dissect:the first-time dislocator, their management and risks of further dislocationthe ins and outs of return to sport after conservative treatmentanterior glenohumeral instability in the contact athletewhen to operate and when not towhat to do with recurrent atraumatic dislocators and what does "sequencing" actually meancomparisons with patella instability how to spot a "muscle patterner" and the role of the Stanmore trianglewhy do shoulder stabilisations failwhat is a "Ibahibine"what to do when Latarjets go wrong..and much much more!It really is impressive listening to Graham trying to be professional throughout whilst trying to handle two jokers with limited knowledge of the field. He explains things brilliantly in simple language that anyone can understand, so much so that Pete is now all set for a new career as a shoulder arthroscopist!As always, listen out to the end for a musical Easter Egg, this time a request from our guest!Please subscribe to the show on your podcast player and leave us a rating and a review (with actual words)!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
We celebrate achieving 10k downloads (!!) with a fantastic episode with our first ever trans-Atlantic guest, Dr Yelena Bogdan (@invictaortho), a US Orthopaedic Trauma Surgeon working in New York.We talk about Yelena's story, Star Wars vs Star Trek (for which Pete did the most research he has done yet for any podcast), and the frank commercialism of baby Yoda. We discuss growing up in Russia and East Germany (Yelena, not us), before moving to the US and pursuing the American dream.Yelena tells us about Stony Brook medical school followed by navigating the challenges of the US matching scheme, Residency training in Boston and then Fellowship at HSS. We consider luck vs opportunity before Pete makes it really weird and brings in time travel (blame Apple News). Yelena then tells us about her life as an attending and how her career has evolved and flourished. We talk about her use of twitter as a social and educational tool, her role as a social media ambassador with the AAOS and OTA, and how she maximises her reach and effectiveness. We also review how to stay on the right side of patient confidentiality laws and when social media goes wrong (plus we pity the fool who questions Chip Routt).We consider Yelena's mentors and the impact they have had on her career and practice, before Pete tells us about his similarities with Matthew McConaughey...We highlight to Yelena why we think she is such an excellent educator, and the relationship between pre-operative planning, training, and success.Yelena then tells us about the way she practices evidence-based medicine: the journals she reads, her indexing system, and how this has grown into her role curating the evidence resource list for the Orthopaedic Trauma Association. We finish up talking about the future of trauma care in the USA and compare it with that here in the UK, before rounding up with some excellent take-home points......and much much more!As always, listen out to the end for a musical Easter Egg.Please subscribe on your podcast player and leave us a rating!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@orthohubxyz@kashakhtar@petebates
We are back in our most dangerous adventure yet- facing off with Prof Tim Briggs!We talk about the Briggs family history, his medical and surgical training, his appointment to the Royal National Orthopaedic Hospital and establishing the renowned Bone Tumour Unit. We discuss his time as Medical Director and his transition from orthopaedic surgeon to one of the most influential people in healthcare.This wide-ranging conversation also covers the development and principles of GIRFT (Getting It Right the First Time), what are Integrated Care Systems (ICS) and what this all means for our profession.We also talk about some of the challenges and concerns with these initiatives, and we finish up with the future of orthopaedics...and much much more!Please subscribe on your podcast player and leave us a rating!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyzTwitter:@kashakhtar@petebates
**not just for upper limb surgeons- just give it a listen!!!**this is quite possibly our best episode yet, from our new recording studio in the heart of Shoreditch.Bates is back with a vengeance (boy is he...) and kicks us off with one of the most disturbing stories we have ever heard.Our special guest is Lee Van Rensburg (aka @Gnomelover1970) and the title of the episode soon becomes clear.We discuss:how many Vans in elbowskilts vs dressesloving gnomes & why Graham Tytherleigh-Strong cannot be trusted with garden ornamentsthe magnificent World of Tanks & QuickyBabyan overview of the webinar with Adam Watts & Jorge OrbayJorge Orbay’s glorious case takeaway (link)a shoutout to Leda Orthopaedics & their support of educationproprioception in the anterior capsule!the evolution of elbow surgery & how our understanding of elbow injuries has developedwhere are we now in our understanding of elbow trauma?the classification of coronoid injuries and similarities with the posterior malleolusmodern surgical approaches to the elbowvariations in the management of elbow injuries in different centresthe value of increased collaboration within Orthopaedics what to do when you’ve fixed a terrible triad and there is still some instabilityalgorithms for managing terrible triads & the role of plaster casts...critical analysis of the Edinburgh paper on non-operative management of olecranon fracturesthe joyous beauty of EQ5Dsradial head fixation vs replacementchallenges of radial head replacement in young post-traumatic patients the management of elbow trauma in high-energy trauma patientshow to manage elbow instability instability vs stiffnessall about Essex-Lopresti injuries and some interesting medical history what does the NON-elbow surgeon do with elbow trauma on call on a weekend?is there ever a role for external fixators on the elbow?elbow injuries in elite athletes what options are there for young patients with post-traumatic OA?the future of elbow surgerywhy sport is bad for youand much much more!Please subscribe on your podcast player and leave us a rating!You can also find us on YouTube, LinkedIn, Twitter, Facebook, Instagram and at www.orthohub.xyz@kashakhtar@petebates
This is the second conversation with Mr Prim Achan, Consultant Trauma & Orthopaedic Surgeon, previous ABC Fellow and Training Programme Director for the Percivall Pott rotation.The topics covered are so universal and widely applicable that this episode will be of interest to all physicians and surgeons alike, from *all* backgrounds and specialities, as well as to *anyone* involved in managing teams. We discuss:an introduction to medical leadershipwhy leadership is a very sensitive topic in medicinethe role of the Specialist Advisory Committeethe difference between intent and impactwho in British Orthopaedics is most like Blofeld?what can we learn from the '90s Chicago Bulls?different leadership styleswhy leadership in sports is not transferrable to medicinewhat is leadership?ability vs credibilityqualifications in leadershipleading yourselfstarting leadership roles early in trainingthe concept of the Dutch Uncleleading a departmentthe value of a consultant development programmehow to truly know yourselfwhy Michael Jordan would be a terrible medical leaderpreventing and managing rifts between colleagueswhy Prim refuses to buy crisps in the local tavernother great sporting teamsthe biggest problem with medical recruitmentintroduction to shaping a team3 great leaders who were bad peopleand much more!
I really enjoyed this wide-ranging conversation with Mr Prim Achan, Consultant Trauma & Orthopaedic Surgeon, previous ABC Fellow and Training Programme Director for the Percivall Pott rotation.The topics covered are so universal and widely applicable that this episode will be of interest to all physicians and surgeons alike, from *all* backgrounds and specialities. We discuss:what factors are needed to build a world-class departmenthow to choose a mentorhow to give meaningful advice to menteesthe differences between a mentor vs an advisor vs a coachour personal experience of fellowships5 things that make a great fellowshipdo you have to do an overseas fellowship?should you do 2 fellowships?when to leave a fellowship earlythe benefit of travelling fellowshipsand more!
A BUMPER DOUBLE-EDITION episode to help get you through the lockdown!This unprecedented episode is brought to you by the words "covid", "tsunami", "FAME" and "unprecedented".We review the impact on Covid-19 on the management of trauma & orthopaedic patients.We talk about the changes in our day-to-day lives and the impact on our clinical practices.We review how Orthohub (www.orthohub.xyz) came about at breakneck speed, and look back over the 1st webinar. The initial plan was to provide teaching to our local trainees on the Royal London and Percivall Pott rotations, but this rapidly morphed (due to the beauty of t'internet) to providing free interactive orthopaedic education for all.We then hone in on the non-operative treatment of orthopaedic trauma and the challenges that arise, including the provision of physio and finding traction equipment nowadays.We think that orthopaedic surgeons may be more open to non-operative treatment after this covid experience and there may be more equipoise within the orthopaedic community.Pete gives us some tips on external fixation and optimising this in case it inadvertently becomes the definitive treatment out of necessity. We then discuss how not ALL upper limb fractures can be treated conservatively (shoutout to Dinesh Nathwani!) and those that may require surgical intervention.We detour on to Pete's very sharp lockdown haircut before coming back on track with humerus and elbow fractures, including 'milking' the capitellum.The importance of operating on neck of femur fractures whenever appropriate is highlighted before we undertake a detailed tour of knee injuries plus pelvis, femoral and tibial fractures.Pete finally comes out and explains why he loves the FAME trial.We discuss the difference between non-operative treatment and neglect, and what pitfalls to avoid.We then talk about the hidden burden of trauma that is likely to be coming our way with delayed presentation during a 2nd wave.Pete summarises his key lessons that we have learnt so far during Covid-19, and this is very good.He then lets himself down by displaying his ignorance of social media.Please follow us on twitter (@orthohubxyz), instagram (orthohubxyz), facebook (orthohubxyz) and subscribe and rate us on YouTube https://www.youtube.com/channel/UCUUB7XYW_rnVz_S--XLD1PQPlease do also subscribe on to see one / do one on your podcast app and leave us a rating, we need your love!
First the rise of Skywalker, now the rise of Bates.Pete is back to finish up with round 2 of the management of the bleeding pelvic patient.We recorded this prior to Covid-19 being on anyone's register and the biggest concerns were Brexit and Storm Dennis. Fortunately, Kash has always practiced social distancing from Pete just to be on the safe side.We talk about AO and what they do. Pete explains how AO were initially very platey and not very naily and how it developed. He then gives us his travelogue on Leeds.We discuss the 1st and 2nd line resuscitation of the bleeding pelvic patient and Kash even finds himself pushing for BATES (listen and it will all make sense) but will stick with BASTE out of spite.We get stuck into clotting, TEG and ROTEM. Pete then goes on to display a hidden v nerdy understanding of Star Wars canon and dismisses Kash's superficial knowledge of the subject in comparison with barely concealed disgust.Things get slightly high-brow as we discuss 2.5 electrolytes, before reverting to normal and Pete threatens Kash with a baseball bat (joking not joking).We discuss the decision-making process when deciding whether to take the patient to the angio suite for embolisation, or to the operating theatre for pelvic packing.We finish up with a chat about the beauty of pelvic binders and what elevates them above external fixators and C-Clamps.'What could possibly go wrong' we wondered at the time of recording and didn't consider that someone might eat a bat and set off a chain of events that we had never seen in our lifetimes...Chapter timings:00:00:00 intro00:01:02 preface00:01:48 one more thing00:02:15 orthohub live webinar00:02:57 AO00:05:50 Pete's guide to Leeds00:06:36 review of 1st line resuscitation of the bleeding pelvic patient00:07:23 our DNAR policy00:07:40 2nd phase resuscitation of the bleeding pelvic patient00:08:27 what is BASTE00:09:42 B is for blood00:10:19 clotting, TEG & ROTEM00:12:58 the pufferfish of death00:14:10 Pete lets slip his hidden supernerd00:15:08 A is for Acid-Base 00:15:24 don't drink a bottle of Hydrochloric Acid00:16:32 T is for temperature (S just doesn't fit here)00:17:52 E is for electrolytes00:18:33 Pete threatens to kill Kash (joking not joking)00:22:33 S is for Surgery! 00:23:46 decision making: angio vs pelvic packing00:28:57 why binders are (nearly always) better than pelvic ex-fixes00:31:12 what if embolisation doesn't work 00:32:00. Pete summarises 00:33:56 small talk00:34:19 how about coronavirus?
We are lucky enough to be joined by two of our paediatric and young adult trauma & orthopaedic surgical colleagues for this episode, Claudia Maizen and Manoj Ramachandran.Chapter timings:00:00:00 intro00:01:10 paediatric orthopaedics at Barts Health00:02:05 Claudia Amazing00:03:31 Manoj Ramachandran00:06:05 the 1st time Kash met Manoj00:07:46 Manoj sneaks in a plug #orthofastfacts00:08:38 everyone has a plan until they get punched in the mouth00:09:21 global healthcare challenges in paediatric orthopaedics00:10:57 unique positioning of The Royal London Hospital00:12:05 Mark Paterson- the man and his legacy00:15:54 story behind the Ghana visits00:19:41 children are not small adults00:20:05 logistics of providing paediatric orthopaedic care overseas00:24:19 kit & saving the world one meniscus at a time00:25:20 challenges of providing paediatric orthopaedic care overseas00:29:17 raising funds for the Mark Paterson foundation 00:30:00 getting people involved00:32:08 plans for future provision of wrap-around paediatric orthopaedic care00:36:03 application of technology00:38:10 Commonwealth Foundation / QMUL Scholarships 00:41:19 screening / DDH project in Mongolia00:42:58 wrap-upEpisode links:Claudia Maizen: https://bartskidsbones.weebly.com/claudia-maizen.htmlManoj Ramachandran: http://manoj.mystrikingly.com; https://www.viz.aieveryone has a plan until they get punched in the mouth: https://fewzion.com.au/mike-tyson-everyone-has-a-plan-until-they-get-punched-in-the-mouth/Lancet Commission on Global Surgery: https://www.youtube.com/watch?v=bRf8PbQgjGUhttps://www.lancetglobalsurgery.orgMark Paterson:bio https://livesonline.rcseng.ac.uk/client/en_GB/lives/search/detailnonmodal/ent:$002f$002fSD_ASSET$002f0$002fSD_ASSET:376975/one?qu=%22rcs%3A+E004792%22&rt=false%7C%7C%7CIDENTIFIER%7C%7C%7CResource+IdentifierMark Paterson Travelling Fellowship (supported by BJJ & EFORT) https://www.efort.org/fellowships/introduction/mptf/Ghana: https://en.wikipedia.org/wiki/GhanaMotec Life: http://www.moteclife.co.uk/?LMCL=sQ1pU0Andiamo: delivers a medically effective orthosis within 2 weeks of a person’s need globally https://andiamo.io/about/Comnmonwealth Foundation/ QMUL Scholarships: https://www.qmul.ac.uk/scholarships/items/commonwealth-masters-scholarships-low-income-countries.html
We start by talking about the repercussions of doing a podcast.Pete then gives Kash closure as they discuss everything you could ever possibly want to know about binders (its not as dull as it sounds, honest).They cover (amongst some other stuff) :where does the bleeding come from in pelvic fracturesthe nursery rhyme of the human centipedehow do binders actually workhow tight is too tightshould you use a binder in a vertical shear pelvic fracturethe implications of open pelvic fractures (v v bad)the problems with binderswhen to take binders off.Chapter timings:00:04:13 intro to pelvic binders00:04:49 the evidence for binders00:05:37 where should a pelvic binder be applied00:06:33 how tight is too tight00:07:29 the 3 ways binders work00:09:25 where does the bleeding come from00:11:38 soft tissue injuries00:13:20 central venous pressure in trauma00:13:45 dramatic pause00:14:45 the case of the vertical shear pelvic #00:15:39 Pete didn't have a telly00:18:05 life-threatening open pelvic fractures00:23:28 working with David Sellu00:25:29 the problem with pelvic binders00:26:28 when to take binders off00:29:19 final take-home message (yes he does say it again)
We catch up over our Christmases and the challenges of nut roast.Once we establish that Pete will always be late and no technology will help him, we move on to talk about the time that Pete almost died.Pete then waxes lyrical about his most favourite thing in the world (protocols), before touching on war, the pre-hospital management of trauma, clotting, transfusions and managing the clot.
So here we are, episode 2!This was recorded back to back with the pilot episode and so there is some reference back to the pilot episode on distal tibial fractures. It is almost seamless, but please don't mistake us for a professional outfit...In this episode, we discuss the hardest operation in orthopaedics: removal of metalwork.Pete drops pearls of wisdom that will make all our lives immeasurably better. He's basically a 'strawberry-blonde' Mother Teresa.
Our first effort so please be gentle!In this episode, we tell you a bit about ourselves, where we are based, who we are and what we do.We briefly touch on the aims of the podcast and then move on to discussing the FixDT trial https://www.ncbi.nlm.nih.gov/pubmed/29136444Pete goes off on a slight tangent and then Kash drags him back to talking about tips and tricks for distal tibial fractures. We talk about intra-articular extensions of distal fractures and how to avoid a valgus final position.We talk through the role of blocking/ poller screws before finishing up.We hint at the subsequent removal of metalwork and will come back to it in a future episode, if this doesn't all crash and burn!...
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