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Orthopedic surgeon Michael Day discusses his article “Why it’s time for doctors to become performance coaches.” Michael explains why public trust in U.S. health care is declining and how patients are increasingly …
In the late 1990s, Yahoo dominated the internet by organizing websites. Human editors manually reviewed, categorized, and arranged them into a hierarchical directory, essentially a digital Yellow Pages. This worked while the web was small, but the approach couldn’t scale. Google took a radically different path. Instead of relying on human judgment, they built algorithms to crawl, index, and rank pages based on links and relevance. This allowed them to …
When a patient walks into an orthopedic spine clinic, most providers are focused on one thing: the back. But after over a decade of caring for patients with chronic pain, I noticed something deeper lurking behind the disc herniation and spinal stenosis: depression. And it was not being addressed.
That is why I launched a quality-improvement (QI) project focused on integrating depression screening into the routine evaluation of orthopedic spine patients. …
“We are under-exercised as a nation; we look instead of play; we ride instead of walk.”
—John F. Kennedy, Sports Illustrated, 1960
In 1960, then-President-elect John F. Kennedy issued a striking warning: Americans were becoming physically unfit, and this trend threatened not just individual health, but the vitality of the nation itself. He saw physical activity as foundational to our strength—not just as a people, but as a country. Over sixty years …
Spinal surgery patients frequently present to me after multiple years of managing their chronic back pain through physical therapy, injections, medications, and alternative treatment methods. Patients arrive at my office already worn out physically and emotionally drained from frustration about their chronic condition. What increases my concern is that irreversible damage has already resulted in many cases, which could have been reduced or prevented through earlier surgical treatment.
I recommend starting …
The American public has lost its faith in the traditional U.S. health care system. Ultimate Fighting Championship (UFC) President Dana White’s statement is representative: “Do not talk to a doctor about your general health.”
This is not a fringe sentiment.
A 2022 survey of 4,208 adults in the U.S. revealed that only 54 percent of respondents placed “a great deal” of trust in doctors as sources of information.
I have patients who tell …
The landscape of orthopedic care is undergoing a significant transformation, driven by rising health care costs, patient demand for convenience, and the increasing popularity of ambulatory surgery centers (ASCs). As an orthopedic surgeon dedicated to advancing minimally invasive techniques and maximizing patient outcomes, I believe the key to navigating this evolving landscape lies in prioritizing patient access to the appropriate clinician via seamless care delivery. Simply put, “the right clinician …
An excerpt from The Shieling.
The sun had set an hour earlier, but the light in the western sky lingered, as if nature itself couldn’t bear the thought of ending such a beautiful day. David stood on the shore, waiting until the last bit of light had faded away leaving a dark, moonless night with not a breath of wind, not a ripple on the smooth surface of the silent …
It took a traumatic spinal cord injury in 2008 to transform my life.
The experience was a radical awakening. I was told that I would never walk again.
On one fine spring day in 2008, my life changed forever. I was walking to work when I was hit by a car at high speed. My body was flung into the sky, and as I hovered, like a slow-motion movie, a few thoughts …
A recent discussion with a partner led us to list our academic goals for 2024.
It’s a process many of us go through each year. What did we accomplish throughout the year? Could we have done better? Is there more to do? How could we improve? What’s on tap for the upcoming year?
It’s an annual ritual, I know.
We reviewed his overall plan and went through how he could accomplish his professional …
An excerpt from BATTLE SCARS: A courageous memoir of one person’s life experience within our health care system.
The main part of my memoir focuses on the journey which led to my eventual recovery from Lacertus syndrome. I now have a name for my condition but am yet to understand why I’ve …
My fiancée had been complaining on and off about minor knee pain and swelling for months. She kept putting off doing anything about it, because she’s a former college basketball player who had already had two surgeries on that knee, and she assumed it was residual effects from those injuries. But I was having a slow day in clinic, so I told her to come in for an X-ray.
And then …
I recently had an incident involving a long-time patient. This particular encounter proved to be challenging. The patient had chronic pain for years and had already exhausted all conventional treatment options. Ironically, he was otherwise healthy and fit. His recalcitrant condition made him a prime candidate to be treated with a spinal sord stimulator (SCS).
An SCS is an implantable device with two electrode leads connected to a battery-powered pulse generator. …
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One in five adults in the U.S. suffers from chronic pain. We see these patients every day—but do we really hear them when they confide in us about their pain?
As health care providers, no matter our discipline, we can do more to truly listen and consider the best referral pathway for pain sufferers. We should never assume they’re making it up, that it’s in their heads, or that nothing …
How many rabbits have you seen with crooked teeth? How about bears or dogs? Why are humans the only mammals with crooked teeth?
An orofacial myofunctional disorder, or OMD, describes abnormal lip, jaw, or tongue positions during rest, swallowing, or speech. There are many distinct points at which a child or adult’s system may experience a breakdown, leading to subsequent events known as craniofacial sequences. Allowing these events to persist without …
An excerpt from Blue Collar, Blue Scrubs: The Making of a Surgeon.
They drive us. All day long they drive us. They drive us until the heat sears our lungs, and each breath rasps the back of our throats. They drive us until we pant like dogs and our tongues hang …
An excerpt from Meet Skulle.
This bone goes from the top of my sternum to the top of my shoulder. Can you name it? I have one on each side.
Did you guess the …
Ask Alex what cuddly toy they slept with as a child, and you’ll discover that it was a soccer ball – real, not plush. This was by choice; they assure me. We sit at a small corner table in a local coffee shop in Ann Arbor, MI. With exposed brick walls, mix-and-match seating, and the latest pride flag in the window, it’s no wonder that two queer millennials choose this …
I am a clinically retired orthopedist who completed my residency training in the mid-80s. I trained at a university residency program with faculty who were both forward-thinking and innovative, yet always grounded in evidence-based medicine. It was understood that many traditional concepts in orthopedic surgical care had not been challenged and lacked convincing clinical data to justify their continued advocacy. Examples included post-operative immobilization, avoidance of internal fixation in the …
Recently, growing attention has been given to the fact that some types of surgery may be overrated. This article succinctly summarizes the situation, citing dozens of studies showing that some orthopedic surgeries popular in past decades had no better results than non-invasive treatments.
This issue is deeply personal to me. In 2020, during the pandemic, I sustained an injury to my left knee, experiencing severe pain, swelling, and loss of …
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