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[Music] hi my name is dr dave novak im an orthopedic surgeon at ortho virginia uh we are the largest subspecialty group in virginia we have multiple offices across the state including in north virginia where im based i work out of our fair oaks and mclean tysons office and ive been in this group since uh 2005. so were here today to talk about everything that a patient needs to know about shoulder replacement and well talk a little bit about just a brief outline well talk about uh diagnoses that may lead to the need for shoulder replacement well talk about the different types of shoulder replacement mainly whats called anatomic or standard and then well also talk about uh reverse shoulder replacement so just a little background on me or for me um i did my undergrad degree at university pennsylvania in philadelphia and then i went to georgetown and completed my medical school there i stayed on at georgetown for another five years and completed my orthopedic presidency and then