An excerpt from Injured to Elite: A Guide To Empowering Yourself to Transform Your Life After Injury. Don’t be the patient that says: “Doc, just tell me what to do ...” Instead, you should ask for information to empower yourself to make decisions about your healing process. Framing questions around the clinician’s experience is always a good starting point; ...

Read more...

As an orthopedic surgeon, I perform about 900 hip and knee replacements each year. In an era of rapid discharge and outpatient surgery, patient education is of paramount importance.  Nonetheless, besides the surgery itself, one of the most common areas of concern for patients is what comes after the procedure. The rehabilitation process after surgery is as important as what happens in the operating room itself, and each patient needs ...

Read more...

Before getting dressed for work this morning, I stood in my kitchen, marveling at the ice crystals, or “tree diamonds,” as my mother calls them, from the window above the sink. As I waited for the coffee to brew, I scrolled through the text messages sent to my phone overnight until I saw my friend’s forwarded news link: “Doctors suspect COVID delayed immune response in young surgeon’s death.” I clicked ...

Read more...

Sometimes I think. Sometimes I think and nothing happens. That seems to happen a lot during this period of the second wave of COVID-19 that has hit my hospital. Netcare Kingsway Hospital is a community private hospital and has been overwhelmed in caring for patients with COVID-19. Sometimes I think and something happens. That’s when a story takes shape, and I wonder how I will tie it together to make it work. Sometimes ...

Read more...

I’ll cut straight to the point: Collecting 5-star Google and Yelp reviews straight out of fellowship generated over $225,000 in new revenue from online patient referrals.  And I have the data to prove it. I joined my partner as a hand fellowship graduate four years ago. He already had a very busy practice with over 100 new patient visits a month, on average, and my arrival allowed him to cut down ...

Read more...

"In medicine, empiric therapy is treatment that is administered based on the probability of success because we don’t have all of the information. We make our 'best guess.' Actually, empiric decision-making exists in our everyday lives — running the garbage disposal when the sink is clogged, jiggling the key in the ...

Read more...

Back pain is one of the most common reasons people see their physician and one of the most common causes of missed days at work. Approximately 60% to 80% of adults experience low back pain during their lives, and for 10% of them, the pain lasts for more than three months. And although nearly 500,000 Americans have surgery for back pain each year, in most cases, ...

Read more...

It’s good to have options, isn’t it? So why isn’t there an option when it comes to taking your boards? In other words, can’t residents have a say with which board to become certified with once they’re done with their residency? Well, there’s good news for you. The answer is yes. You definitely have options. There are other boards for your initial written exams. (And that also includes the oral exams for ...

Read more...

For thousands of years, bonesetters and doctors could not accurately diagnosis broken bones or differentiate such injuries from joint dislocations and torn ligaments. That changed with a chance discovery almost exactly 125 years ago. Subsequently, perhaps with equal parts of chagrin and enlightenment, doctors began using the new discovery to discount their previous assumptions and accurately diagnose skeletal diseases.

In his darkened laboratory on November 8, 1895, ...

Read more...

Meniscus injuries of the knee are common. There are lots of treatment options, including meniscus tear surgery or injections. But which one is the best to address your meniscus tear pain? The data surprises almost everyone. History of meniscus tear treatments Orthopedic surgeons used to perform a total meniscectomy for patients with meniscus tears. This procedure involved taking out the entire meniscus. If you have a tear that causes you pain, why ...

Read more...

Optimal results are achieved when the patient takes an active role in the wellness plan. This is a phrase published in a brochure describing the details of my work. As a specialist in neuromusculoskeletal medicine and osteopathic manipulative medicine (OMT), patients often present with pain, which is usually multifactorial in nature. Given that the majority of evaluations result in the use of osteopathic manipulative treatment (OMT) to address mechanical dysfunction, there ...

Read more...

Physicians are natural caregivers. We are in-tune with the needs of our patients, often to the detriment of our own health. It is a rite of passage during medical school to stand in for lengthy eight to ten-hour surgeries, as retractor holders, keeping the surgical field clear for the surgeon. The thrill of being part of surgery makes us forget our own needs; the bleary-eyed fatigue of having woken up ...

Read more...

If you’ve always been an avid gym-goer, the COVID-19 pandemic may have significantly disrupted your fitness routine as gyms, health clubs and exercise classes were unavailable for months. Getting active again is not only good for your physical health, but it’s also beneficial for mental health and can help you manage the symptoms of depression and anxiety, which a larger than ever number of people report experiencing during the pandemic. But ...

Read more...

In 2019, the Premier Lacrosse League (PLL) entered the world’s stage, taking with it more than 100 of the greatest pro lacrosse players in the world from the Major League Lacrosse. The new league launched a tour-based model, offered higher player compensation, player equity, health insurance, and a major media rights deal with NBC Sports Group. In the months prior to the inaugural game at Gillette Stadium, I was brought on as the ...

Read more...

“Imagination is more important than knowledge. For knowledge is limited to all we now know and understand, while imagination embraces the entire world, and all there ever will be to know and understand.” - Albert Einstein “Mr. Thomas, are you OK? Sir, are you OK?”  It was a full clinic day, and I had just improvised a treatment on him. I had met this patient, “Mr. Thomas,” only once before.  After meeting me ...

Read more...

I have dealt with unstable knees since childhood. In December 2019, I noticed knee swelling, which would improve with rest. This flare-up was not unusual, except that the swelling and pain gradually became a routine fixture in my life. This was still pre-COVID, but winter is busy in the ICU, so I ignored my own health. We went on a trip to the beach in February, and I came back ...

Read more...

Transitioning from the classroom to the wards is an uncertain and anxiety-provoking time for many medical students. Schedules are constantly changing, as are expectations and learning objectives. Mentorship and advice from upperclassmen, residents, and attendings was an essential tool in my MS3 toolbox. I would go so far as to say that these pieces of insight are the toolbox. The 2020-2021 academic year will provide its own degree of obstacles ...

Read more...

Recently, a few colleagues and I sat down with our six incoming interns during a welcoming round-table discussion.  Being the closest member of the faculty to these residents in age and time from residency, I was best able to relate to them and their current feelings. I, too, sat in those chairs in a conference room that was last used for graduating our outgoing chief residents.  I, too, remember the feelings ...

Read more...

"With my passion for writing and connecting digitally with others in health care and the general public, this ‘downtime’ has allowed for an expansion of these interests. I’ve begun recording on my podcast, a multidisciplinary conversation between women who thrive in fields that traditionally they haven’t thought to be able to (or shouldn’t). I’ve spent more time than I ever could ...

Read more...

The stereotypical orthopedic residency class looks like a construction scene from the Flintstones, a few burly white men playing with tools. I can spend time here listing off different statistics and percentages showcasing why orthopedic surgery is the least diverse specialty in medicine, but just the fact that the stereotype is what it is should be enough. With this history in mind, it was almost a shock to see AAOS ...

Read more...

9 Pages

Most Popular

✓ Join 150,000+ subscribers
✓ Get KevinMD's most popular stories