Podcasts about clinical orthopaedics

Mary I. O'Connor, MD is founder and Chief Medical Officer of Vori Health, a virtual musculoskeletal company focus on transforming the delivery of patient-centered and value drive care. She is a nationally recognized leader in health equity and Chair of the Board of Directors of Movement is Life, a nonprofit multi-stakeholder coalition committed to addressing musculoskeletal health disparities. Her new book, “Taking Care of You: The Empowered Woman's Guide to Better Health,” supports women advocating for equitable healthcare. A past Olympian (US Women's Rowing), she is passionate in her promotion of the power of sports for girls and women. Dr. O'Connor is Professor Emerita of Orthopedics at Mayo Clinic and past Professor of Orthopaedics and Rehabilitation at Yale School of Medicine. She received her MD from Drexel University and completed her residency in orthopedics and fellowship in orthopedic oncology at the Mayo Clinic in Rochester, MN. She practiced at Mayo Clinic in Florida until 2015 during which time she served in many leadership roles: Enterprise-wide Medical Director of the Office of Integrity and Compliance; Chair, Orthopedic Surgery Department (Florida); Medical Director for Development (Florida); and member of the Executive Operations Team (Florida). In 2015, she became the inaugural Director of the Center for Musculoskeletal Care at Yale School of Medicine and Yale New Haven Health. In February 2021, Dr. O'Connor became a founder and Chief Medical Officer at Vori Health to advance her passion for transforming musculoskeletal care. Dr. O'Connor has published extensively on clinical research and innovation in care pathways, hip fracture care, limb salvage for tumor, sex and gender differences in arthritis, and regenerative medicine. At Yale, she led the creation of a multidisciplinary hip fracture program which transformed clinical outcomes and promoted innovation in the care of this vulnerable population. She authors a quarterly column in Clinical Orthopaedics and Related Research entitled, “Equity360: Gender, Race and Ethnicity,” to advance health equity in the orthopedic profession. She has broken numerous gender barriers as the first female member of the Musculoskeletal Tumor Society (MSTS), the International Society of Limb Salvage (ISOLS), the American Association of Hip and Knee Surgeons (AAHKS) and The Knee Society. She is the Past President of the Association of Bone and Joint Surgeon, AAHKS, ISOLS, MSTS and the Ruth Jackson Orthopaedic Society. She is past Chair of the American Academy of Orthopaedic Surgery (AAOS) Diversity Advisory Board and the AAOS Women's Health Issues Advisory Board, founding member of the AAHKS Women in Arthroplasty Group, past board member of the Perry Foundation, and member of the AAHKS Diversity Advisory Board. She is past member of the Advisory Committee on Research on Women's Health at NIH. Dr. O'Connor has received numerous awards and honors during her training and career, including the 2023 AAOS Diversity Award, 2023 AAHKS Diversity Award, Distinguished Clinician Award at Mayo Clinic, and the Corinne Farrell Award from the International Skeletal Society. She received the Congressional Gold Medal as a 1980 Olympian (Women's Rowing). Company: https://www.vorihealth.com LinkedIn page: https://www.linkedin.com/in/maryoconnormd/ TEDx: Promoting Health: Your Secret Superpower https://www.ted.com/talks/mary_o_connor_promoting_health_your_secret_superpower Book: https://mcpress.mayoclinic.org/product/taking-care-of-you/ https://www.amazon.com/Taking-Care-You-Empowered-Womans/dp/1945564148 Movement is Life (the non-profit focused on health equity): https://www.movementislifecommunity.org

Quali sono i benefici dello stretching per la tua salute? Approfondiamo l'importanza dello stretching per migliorare la flessibilità, prevenire infortuni e alleviare tensioni muscolari. Integra tecniche efficaci nella tua routine quotidiana per un benessere fisico ottimale. Segui Postura Da Paura su Instagram e Facebook per trovare altri consigli e informazioni per vivere una vita più equilibrata e serena. Per noi il movimento è una medicina naturale, visita il sito www.posturadapaura.com per trovare il programma di allenamento più adatto alle tue esigenze. Come promesso ecco le fonti citate durante la puntata:  Behm, D. G., Alizadeh, S., Anvar, S. H., Drury, B., Granacher, U., & Moran, J. (2021). Non-local Acute Passive Stretching Effects on Range of Motion in Healthy Adults: A Systematic Review with Meta-analysis. Sports Medicine, 51(5), 945–959. https://doi.org/10.1007/s40279-020-01422-5 Behm, D. G., Blazevich, A. J., Kay, A. D., & McHugh, M. (2015). Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: A systematic review. Applied Physiology, Nutrition and Metabolism, 41(1), 1–11. https://doi.org/10.1139/apnm-2015-0235 Caiozzo, V. J., Utkan, A., Chou, R., Khalafi, A., Chandra, H., Baker, M., Rourke, B., Adams, G., Baldwin, K., & Green, S. (2002). Effects of distraction on muscle length: Mechanisms involved in sarcomerogenesis. Clinical Orthopaedics and Related Research, 403(SUPPL.), 133–145. https://doi.org/10.1097/00003086-200210001-00016 Freitas, S. R., Mendes, B., Le Sant, G., Andrade, R. J., Nordez, A., & Milanovic, Z. (2018). Can chronic stretching change the muscle-tendon mechanical properties? A review. Scandinavian Journal of Medicine and Science in Sports, 28(3), 794–806. https://doi.org/10.1111/sms.12957 Guissard, N., & Duchateau, J. (2006). Neural aspects of muscle stretching. Exercise and Sport Sciences Reviews, 34(4), 154–158. https://doi.org/10.1249/01.jes.0000240023.30373.eb Pearson, S. J., & McMahon, J. (2012). Lower Limb Mechanical Properties. Sports Medicine, 42(11), 929–940. https://doi.org/10.2165/11635110-000000000-00000 Thomas, E., Bianco, A., Paoli, A., & Palma, A. (2018). The Relation between Stretching Typology and Stretching Duration: The Effects on Range of Motion. International Journal of Sports Medicine, 39(4), 243–254. https://doi.org/10.1055/s-0044-101146 Ullman, Z. J., Fernandez, M. B., & Klein, M. (2021). Effects of Isometric Exercises versus Static Stretching in Warm-up Regimens for Running Sport Athletes : A Systematic Review. International Journal of Exercise Science, 14(6), 1204–1218. Weppler, C. H., & Magnusson, S. P. (2010). Increasing muscle extensibility: A matter of increasing length or modifying sensation? Physical Therapy, 90(3), 438–449. https://doi.org/10.2522/ptj.20090012

When back pain leads to back surgeries and long term debilitating pain and anxiety leads to missing out on your authentic self, diving deeper into the why behind it all became an urgent exploration for Caitlin. In this episode, she shares about the complicated and diverse nature in which people encounter chronic pain, and elaborates on her experience with chronic pain and anxiety across her life.  TW: Eating disordersSources:Aroke, E. N., Joseph, P. V., Roy, A., Overstreet, D. S., Tollefsbol, T. O., Vance, D. E., & Goodin, B. R. (2019). Could epigenetics help explain racial disparities in chronic pain? Journal of Pain Research, Volume 12, 701–710. https://doi.org/10.2147/jpr.s191848Biopsychosocial Factors that Underlie Racial Disparities in Pain Outcomes, Comorbidities, Inequities, and Barriers to Treatment. Current Pain and Headache Reports, 27(1), 1–10. https://doi.org/10.1007/s11916-022-01098-8 Chronic Pain. Cleveland Clinic. https://my.clevelandclinic.org/health/diseases/4798-chronic-pain Mossey, J. (2011b). Defining Racial and Ethnic Disparities in Pain Management. Clinical Orthopaedics and Related Research, 469(7), 1859–1870. https://doi.org/10.1007/s11999-011-1770-9Nestel, S. (2012). Colour Coded Health Care: The Impact of Race and Racism on Canadians' Health. In The Wellesley Institute. https://www.wellesleyinstitute.com/wp-content/uploads/2012/02/Colour-Coded-Health-Care-Sheryl-Nestel.pdfNew Fact Sheets Show Growing Racial Disparities in Canada | OCASI. (n.d.). https://ocasi.org/new-fact-sheets-show-growing-racial-disparities-canadaOverstreet, D. S., Pester, B. D., Wilson, J. M., Flowers, K. M., Kline, N. K., & Meints, S. M. (2022). The Experience of BIPOC Living with Chronic Pain in the USA: Biopsychosocial Factors that Underlie Racial Disparities in Pain Outcomes, Comorbidities, Inequities, and Barriers to Treatment. Current Pain and Headache Reports, 27(1), 1–10. https://doi.org/10.1007/s11916-022-01098-8Socioeconomic status and occurrence of chronic pain: a meta-analysis. Rheumatology, 60(3), 1091–1105. https://doi.org/10.1093/rheumatology/keaa758 What are Anxiety Disorders? (n.d.). https://www.psychiatry.org/patients-families/anxiety-disorders/what-are-anxiety-disorders#:~:text=Anxiety%20is%20a%20normal%20reaction,involve%20excessive%20fear%20or%20anxiety.Remember that we never walk this journey alone. Helpful numbers if you or someone you love finds themself in need quickly:988- suicide and crisis hotline741 741 - crisis text hotline911- medical emergencies

We are joined by Dr. Wren McCallister to discuss How to Prevent Hand Injuries for Dentists and more!Wren V. McCallister, MD, MBA has been practicing Hand Surgery in Edmonds, Washington since 2006. Board-Certified in both Orthopedics and Hand Surgery, he has been recognized for excellence in patient care with numerous “Top Doctor” awards including Seattle Met Magazine and Castle Connolly. His award-winning work in clinical and basic science research has been published in the Journal of Hand Surgery, Hand Clinics of North America, Journal of the American Academy of Orthopedic Surgeons, Orthopedic Clinics of North America, Journal of Bone and Joint Surgery, Journal of Reconstructive Microsurgery, Neurosurgery Clinics of North America, and Clinical Orthopaedics and Related Research. Dr. McCallister is a Fellow of the American Academy of Orthopedic Surgery and is an Active Member of the American Society for Surgery of the Hand and American Association for Hand Surgery. Dr. McCallister's focus now is on simplifying the complex nature of medical and surgical care as it relates to conditions affecting the hand and upper extremity. The HandGuyMD® Patient Guide series and HandGuyMD.com provide the same clear, concise and understandable information his patients have come to appreciate during their clinic visits the past two decades. HandGuyMD is “Expert Help for Hand Problems”.Learn more:https://www.handguymd.com/ ***** SPONSOR: – Omni Premier Marketing: https://omnipremier.com/dental-marketing/ CONNECT: – Facebook: https://www.facebook.com/thedentalbrief/ – Instagram: https://www.instagram.com/thedentalbriefpodcast/ – LinkedIn: https://www.linkedin.com/in/dental-brief-podcast-564267217 – Patrick's LinkedIn: https://www.linkedin.com/in/pchavoustie/– Youtube: https://www.youtube.com/channel/UCd08JzybKfNH0v12Q9jf50w WEBSITE: – https://dentalbrief.com/

In this episode, Marc and Mo are joined by special guest Kent Anderson (former CEO of JBJS, founder of The Geyser and The Scholarly Kitchen) in a timely and wide-ranging discussion designed to enlighten the audience on several topics related to scholarly publication, including open access, preprints, technology, social media, peer review, datasets, AI, the roles of editors and publishers, and the human component in knowledge creation. Links: The Geyser: https://www.the-geyser.com/ The Scholarly Kitchen: https://scholarlykitchen.sspnet.org/ Leopold SS, Haddad FS, Sandell LJ, Swiontkowski M. Clinical Orthopaedics and Related Research, The Bone & Joint Journal, the Journal of Orthopaedic Research, and The Journal of Bone and Joint Surgery Will Not Accept Clinical Research Manuscripts Previously Posted to Preprint Servers. J Bone Joint Surg Am. 2019 Jan 2;101(1):1-4. doi: 10.2106/JBJS.18.01215. PMID: 30601410; PMCID: PMC6319698. https://bit.ly/3yYKblq Subspecialties: Orthopaedic Essentials

Der Mikrostromtherapie wird nachgesagt, dass Sie die metabolischen Prozesse positiv beeinflussen kann. Dazu zählen beispielsweise die ATP-Produktion, der Membrantransport und die Proteinsynthese (vgl. Cheng et al., 1982). Neuere zellbiologischen Untersuchungen von deutschen Firmen haben gezeigt, dass der Mikrostrom tatsächlich in der Lage ist, die Zellen zu erreichen und diese zu beeinflussen. (vgl. Schönfelder et al., 2017) Die Anwendung von orthomolekularer Medizin, wie hochwertigen Nahrungsergänzungsmittlen, ist in Deutschland in vielen ärztlichen und naturheilkundlichen Praxen Alltag. Stoffe wie z.B. NADH oder Q10 sind für die Bildung von energiereichen Phosphaten essenziell wichtig. Daher kann auch die Kombination der Mikrostromtherapie mit abgestimmten orthomolekularen Präparaten ein interessanter Ansatz sein. Es liegt auf der Hand, dass sich diese beiden Verfahren ergänzen können. Wir haben uns unterhalten mit dem Entwickler und Hersteller von orthomolekularen Präparaten, Alexander Martens von der Firma Natugena. Durch die Zusammenarbeit mit wissenschaftlichen Fachexperten, wie z.B. Prof. Dr. König (eine, wenn nicht die bekannteste Forscherin auf dem Bereich der Mitochondrien), entstehen bei Natugena hochwirksame und auf Basis der Wissenschaft nachgewiesene Produkte. Links zu dieser Episode Natugena: https://natugena.de/Startseite.aspx?r=0420 ZellEnergie: https://natugena.de/artikeldetails/ZellEnergie.aspx?r=0420 Weitere Informationen und Transkript: https://www.luxxamed.de/2022/05/16/orthomolekulare-medizin-mikrostrom/ Quellen: CHENG, N., van HOOF, H., BOCKX, E., HOOGMARTENS, M. J., MULIER, J. C., DIJCKER, F. J. de, SANSEN, W. M. & LOECKER, W. de (1982). The Effects of Electric Currents on ATP Generation, Protein Synthesis, and Membrane Transport in Rat Skin. Clinical Orthopaedics and Related Research, &NA;(171), 264-272. https://doi.org/10.1097/00003086-198211000-00045 Schönfelder, J., Walker, S. & Kenner, L. (2017). Wirkung einer neuen Gerätegeneration auf in vitro-Zellkulturen: AP 3: Wirkung der Mikrostromtherapie auf in vitro-Zellkulturen.

Are vaccinations associated with shoulder pain? Shoulder injury related to vaccine administration (SIRVA) has received a lot of attention on social media as vaccination levels have increased. If your patient has shoulder pain after a vaccine, what does this mean for treatment? Also in this podcast, how can you identify non-musculoskeletal causes of shoulder pain related to NSAID use or viscera? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/frozenshoulder Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson at clinicaledge.co/shoulder Links associated with this episode: Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Bancsi A, Houle SK, Grindrod KA. Getting it in the right spot: Shoulder injury related to vaccine administration (SIRVA) and other injection site events. Canadian Pharmacists Journal/Revue des Pharmaciens du Canada. 2018 Sep;151(5):295-9. Cross GB, Moghaddas J, Buttery J, Ayoub S, Korman TM. Don't aim too high: avoiding shoulder injury related to vaccine administration. Australian family physician. 2016 May;45(5):303-6. Gonzalez AI, Kortlever JT, Moore MG, Ring DC. Influenza Vaccination Is Not Associated with Increased Number of Visits for Shoulder Pain. Clinical Orthopaedics and Related Research®. 2020 Oct 1;478(10):2343-8. Hesse EM, Atanasoff S, Hibbs BF, Adegoke OJ, Ng C, Marquez P, Osborn M, Su JR, Moro PL, Shimabukuro T, Nair N. Shoulder injury related to vaccine administration (SIRVA): petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016. Vaccine. 2020 Jan 29;38(5):1076-83. Hibbs BF, Ng CS, Museru O, Moro PL, Marquez P, Woo EJ, Cano MV, Shimabukuro TT. Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010–2017. Vaccine. 2020 Jan 29;38(5):1137-43.

Show notes at: www.naileditortho.com/pelvis  Listen to our episode on Intro to Pelvis Fractures & Acute Management as Dr. Vemulapalli & Dr. Hawkins give us an excellent overview!  Dr. Chandra Vemulapalli @ChandraVemulapalli is an Assistant Professor of Clinical Orthopaedics at Tulane University School of Medicine and joins the University Medical Center New Orleans as Orthopaedic Trauma Surgeon. Dr. Vemulapalli moved to Houston, TX where he specializes in Orthopedic Surgery and Orthopedic Trauma Surgery after finishing his undergraduate degree (Magna Cum Laude) at Wake Forest University, where he moved to the University of Texas where he completed his medical degree, residency, and fellowship.  Also, he joins national organizations, including the American Academy of Orthopaedic Surgeons, the Orthopaedic Trauma Association, the American Orthopaedic Association Emerging Leaders Program, and AO Trauma. We also have Dr. Barrett Hawkins who joined us on the podcast episode. He is a current Orthopaedic surgery PGY-3 at Tulane University SOM, and future Orthopaedic Traumatologist. He shares enthusiasm for complex pelvic injuries and has joined the show with his co-resident Dr. Cole. Goal of the episode: To develop a baseline knowledge on Intro to Pelvis Fractures & Acute Management. We cover:   Acute management of pelvic injuries Pelvis sheeting, binders Pelvic Ex- fixes Non-operative Treatment

Show notes at: www.naileditortho.com/pelvis  Listen to our episode on Intro to Pelvis Fractures & Acute Management as Dr. Vemulapalli & Dr. Hawkins give us an excellent overview!  Dr. Chandra Vemulapalli @ChandraVemulapalli is an Assistant Professor of Clinical Orthopaedics at Tulane University School of Medicine and joins the University Medical Center New Orleans as Orthopaedic Trauma Surgeon. Dr. Vemulapalli moved to Houston, TX where he specializes in Orthopedic Surgery and Orthopedic Trauma Surgery after finishing his undergraduate degree (Magna Cum Laude) at Wake Forest University, where he moved to the University of Texas where he completed his medical degree, residency, and fellowship.  Also, he joins national organizations, including the American Academy of Orthopaedic Surgeons, the Orthopaedic Trauma Association, the American Orthopaedic Association Emerging Leaders Program, and AO Trauma. We also have Dr. Barrett Hawkins who joined us on the podcast episode. He is a current Orthopaedic surgery PGY-3 at Tulane University SOM, and future Orthopaedic Traumatologist. He shares enthusiasm for complex pelvic injuries and has joined the show with his co-resident Dr. Cole. Goal of the episode: To develop a baseline knowledge on Intro to Pelvis Fractures & Acute Management. We cover: Anatomy MOI Classification systems  Physical exam Acute management of pelvic injuries Pelvis sheeting, binders Pelvic Ex- fixes Non-operative Treatment

I denne episoden snakker vi med Ken Fredin om medialt tibialt stressyndrom (MTSS). MTSS ble tidligere (feilaktig) kalt beinhinnebetennelse og i denne podcasten går Ken inn på de mange mytene omkring denne tilstanden. Ken drifter også websiden mtss.no hvor han skriver gode og utdypende fagartikler om emnet. AKTUELLE REFERANSER: Oppsummeringsartikkel:·       Winters, M. (2017). Medial Tibial Stress Syndrome: Diagnosis, Treatment and Outcome Assessment. Utrecht University, Meta-analyse av risikofaktorer:·       Reinking, M. F., Austin, T. M., Richter, R. R., & Krieger, M. M. (2017). Medial tibial stress syndrome in active individuals: a systematic review and meta-analysis of risk factors. Sports health, 9(3), 252-261. Biopsier av beinhinne, fascia og kortikalt bein:·       Johnell, O., Rausing, A., Wendeberg, B., & Westlin, N. (1982). Morphological bone changes in shin splints. Clinical Orthopaedics and Related Research (1976-2007), 167, 180-184.·       Bhatt, R., Lauder, I., Finlay, D., Allen, M., & Belton, I. (2000). Correlation of bone scintigraphy and histological findings in medial tibial syndrome. British journal of sports medicine, 34(1), 49-53. ·       Winters, M., Burr, D. B., van der Hoeven, H., Condon, K. W., Bellemans, J., & Moen, M. H. (2019). Microcrack-associated bone remodeling is rarely observed in biopsies from athletes with medial tibial stress syndrome. Journal of bone and mineral metabolism, 37(3), 496-502.Beintetthet hos utøvere med og uten MTSS:·       Magnusson, H. I., Westlin, N. E., Nyqvist, F., Gärdsell, P., Seeman, E., & Karlsson, M. K. (2001). Abnormally decreased regional bone density in athletes with medial tibial stress syndrome. The American journal of sports medicine, 29(6), 712-715. ·       Magnusson, H. I., Ahlborg, H. G., Karlsson, C., Nyquist, F., & Karlsson, M. K. (2003). Low regional tibial bone density in athletes with medial tibial stress syndrome normalizes after recovery from symptoms. The American journal of sports medicine, 31(4), 596-600.·       Özgürbüz, C., Yüksel, O., Ergün, M., İşlegen, Ç., Taskiran, E., Denerel, N., & Karamizrak, O. (2011). Tibial bone density in athletes with medial tibial stress syndrome: a controlled study. Journal of sports science & medicine, 10(4), 743.Det er ingen spesifikke billedfunn for MTSS:·       Moen, M., Schmikli, S., Weir, A., Steeneken, V., Stapper, G., De Slegte, R., . . . Backx, F. (2014). A prospective study on MRI findings and prognostic factors in athletes with MTSS. Scandinavian journal of medicine & science in sports, 24(1), 204-210.·       Bergman, A. G., Fredericson, M., Ho, C., & Matheson, G. O. (2004). Asymptomatic tibial stress reactions: MRI detection and clinical follow-up in distance runners. American Journal of Roentgenology, 183(3), 635-638.·       Winters, M., Bon, P., Bijvoet, S., Bakker, E. W., & Moen, M. H. (2017). Are ultrasonographic findings like periosteal and tendinous edema associated with medial tibial stress syndrome? A case-control study. Journal of Science and Medicine in Sport, 20(2), 128-133.MUSIKK: Joseph McDade - Mirrors

Por que o médico residente se chama médico residente? Como o ensino da cirurgia se desenvolveu? Você gostaria de ser operado por um médico residente? Ficou curioso? Ouça o episódio. Fontes FINEBERG, Steven J. et al. Outcomes of cervical spine surgery in teaching and non-teaching hospitals. Spine, v. 38, n. 13, p. 1089-1096, 2013. LAVERNIA, Carlos J.; SIERRA, Rafael J.; HERNANDEZ, Ruben A. The cost of teaching total knee arthroplasty surgery to orthopaedic surgery residents. Clinical Orthopaedics and Related Research®, v. 380, p. 99-107, 2000. LINDER, Stuart A.; MELE, Joseph A.; CAPOZZI, Angelo. Teaching aesthetic surgery at the resident level. Aesthetic plastic surgery, v. 20, n. 4, p. 351-354, 1996. MARKEL, Howard. An anatomy of addiction: Sigmund Freud, William Halsted, and the miracle drug cocaine. Vintage Books, 2012. MCLAREN, Neil; THORBECK, Rafael Vara. Little-known aspect of Theodor Billroth's work: His contribution to musical theory. World journal of surgery, v. 21, n. 5, p. 569-571, 1997. OSBORNE, Michael P. William Stewart Halsted: his life and contributions to surgery. The lancet oncology, v. 8, n. 3, p. 256-265, 2007. RAJA, Asad J.; LEVIN, Alex V. Challenges of teaching surgery: ethical framework. World journal of surgery, v. 27, n. 8, p. 948-951, 2003. SWEENEY, W. Brian. Teaching surgery to medical students. Clinics in colon and rectal surgery, v. 25, n. 3, p. 127, 2012. TARAVELLA, Michael J. et al. Time and cost of teaching cataract surgery. Journal of Cataract & Refractive Surgery, v. 40, n. 2, p. 212-216, 2014. VINDEN, Christopher et al. Teaching surgery takes time: the impact of surgical education on time in the operating room. Canadian Journal of Surgery, v. 59, n. 2, p. 87, 2016. --- Send in a voice message: https://anchor.fm/jordanoaraujo/message

Get to know our favorite orthopedic hijabis, Dr. Aziz. After completing a 6-year combined undergraduate and medical school program, she completed her residency at Baylor College of Medicine in Houston, and her Foot and Ankle fellowship across the street at UT Houston. We discuss resiliency, Islamophobia, having children during residency, and much more! Articles we reference: (1) Poon S, Nellans K, Rothman A, et al. Underrepresented minority applicants are competitive for orthopaedic surgery residency programs, but enter residency at lower rates. JAAOS-Journal of the American Academy of Orthopaedic Surgeons 2019;27(21):e957-e68. (2) Siljander, B. R., Van Nortwick, S. S., Flakne, J. C., Van Heest, A. E., & Bohn, D. C. (2020). What Proportion of Orthopaedic Surgery Residency Programs Have Accessible Parental Leave Policies, and How Generous are They?. Clinical Orthopaedics and Related Research®, 478(7), 1506-1511.(3) A Guide to Hijab in the Operating Room

Get to know our favorite orthopedic hijabis, Dr. Aziz. After completing a 6-year combined undergraduate and medical school program, she completed her residency at Baylor College of Medicine in Houston, and her Foot and Ankle fellowship across the street at UT Houston. We discuss resiliency, Islamophobia, having children during residency, and much more! Articles we reference: (1) Poon S, Nellans K, Rothman A, et al. Underrepresented minority applicants are competitive for orthopaedic surgery residency programs, but enter residency at lower rates. JAAOS-Journal of the American Academy of Orthopaedic Surgeons 2019;27(21):e957-e68. (2) Siljander, B. R., Van Nortwick, S. S., Flakne, J. C., Van Heest, A. E., & Bohn, D. C. (2020). What Proportion of Orthopaedic Surgery Residency Programs Have Accessible Parental Leave Policies, and How Generous are They?. Clinical Orthopaedics and Related Research®, 478(7), 1506-1511.(3) A Guide to Hijab in the Operating Room

เก็บตก Ig Nobel 2019 https://www.youtube.com/watch?v=mfzs8ZIPVIA MEDICINE PRIZE [ITALY, THE NETHERLANDS] Silvano Gallus, for collecting evidence that pizza might protect against illness and death, if the pizza is made and eaten in Italy. การกินพิซซ่าอาจช่วยป้องกันโรคภัยไข้เจ็บได้หลายอย่าง แต่ต้องกินที่อิตาลีเท่านั้น REFERENCE: “Does Pizza Protect Against Cancer?“, Silvano Gallus, Cristina Bosetti, Eva Negri, Renato Talamini, Maurizio Montella, Ettore Conti, Silvia Franceschi, and Carlo La Vecchia, International Journal of Cancer, vol. 107, no. 2, November 1, 2003, pp. 283-284. REFERENCE: “Pizza and Risk of Acute Myocardial Infarction,” Silvano Gallus, A. Tavani, and C. La Vecchia, European Journal of Clinical Nutrition, vol. 58, no. 11, November 2004, pp. 1543-1546. REFERENCE: “Pizza Consumption and the Risk of Breast, Ovarian and Prostate Cancer,” Silvano Gallus, Renato Talamini, Cristina Bosetti, Eva Negri, Maurizio Montella, Silvia Franceschi, Attilio Giacosa, and Carlo La Vecchia, European Journal of Cancer Prevention, vol. 15, no. 1, February 2006, pp. 74-76. WHO ATTENDED THE CEREMONY: Silvano Gallus. MEDICAL EDUCATION PRIZE [USA] Karen Pryor and Theresa McKeon, for using a simple animal-training technique— called “clicker training” —to train surgeons to perform orthopedic surgery. เอาวิธีฝึกหมามาฝึกหมอผ่าตัด ได้ผลดีกว่าสอนปกติ REFERENCE: “Is Teaching Simple Surgical Skills Using an Operant Learning Program More Effective Than Teaching by Demonstration,” I. Martin Levy, Karen W. Pryor, and Theresa R. McKeon, Clinical Orthopaedics and Related Research, vol. 474, no. 4, April 2016, pp. 945–955. WHO ATTENDED THE CEREMONY:Karen Pryor and Theresa McKeon คลิปฝึกหมาด้วย clicker https://www.youtube.com/watch?v=HPDOrEEsAJ8 BIOLOGY PRIZE [SINGAPORE, AUSTRIA, CHINA, GERMANY, AUSTRALIA, POLAND, USA, BULGARIA] การทำแมลงสาบที่ตายแล้วให้กลายเป็นแม่เหล็ก ให้ผลไม่เหมือนการทำแมลงสาบที่ยังมีชีวิตอยู่ให้กลายเป็นแม่เหล็ก Ling-Jun Kong, Herbert Crepaz, Agnieszka Górecka, Aleksandra Urbanek, Rainer Dumke, and Tomasz Paterek, for discovering that dead magnetized cockroaches behave differently than living magnetized cockroaches. REFERENCE: “In-Vivo Biomagnetic Characterisation of the American Cockroach,” Ling-Jun Kong, Herbert Crepaz, Agnieszka Górecka, Aleksandra Urbanek, Rainer Dumke, Tomasz Paterek, Scientific Reports, vol. 8, no. 1, 2018: 5140. WHO ATTENDED THE CEREMONY: Tomasz Paterek, Herbert Crepaz, Rainer Dumke. ANATOMY PRIZE [FRANCE] Roger Mieusset and Bourras Bengoudifa, for measuring scrotal temperature asymmetry in naked and clothed postmen in France. วัดอุณหภูมิไข่บุรุษไปรษณีย์ในฝรั่งเศส แล้วค้นพบความไม่สมมาตรระหว่างซ้ายกับขวา และความแตกต่างระหว่างเปลือยกายกับไม่เปลือยกาย REFERENCE: “Thermal Asymmetry of the Human Scrotum,” Bourras Bengoudifa and Roger Mieusset, Human Reproduction, vol. 22, no. 8, 2007, pp. 2178-2182. เครื่องวัดขนาดอัณฑะ หรือ Orchidometer ลองไปดูรูปวิธีใช้ใน wikipedia กันเองนะครับ ฟิสิกส์ของลึงค์ เพลงประกอบที่ใช้ในตอน https://www.youtube.com/watch?v=o8-Bj5ACAMw https://www.youtube.com/watch?v=pz_Rb9qkPMI https://www.youtube.com/watch?v=6zqzbTrbgLQ

Casey Jo Humbyrd, MD, is an Associate Professor of Orthopaedic Surgery in the School of Medicine at Johns Hopkins University. She is an Associate Faculty Member of the Berman Institute of Bioethics, and she completed a Masters of Bioethics at the Berman Institute. Dr. Humbyrd received her B.A. from the University of Pennsylvania and her M.D. from the Mount Sinai School of Medicine. During medical school, she participated in a month-long ethics fellowship at the University of Oxford.  After medical school, Dr. Humbyrd completed her residency in Orthopaedic Surgery at Johns Hopkins School of Medicine followed by a foot and ankle fellowship at Mercy Medical Center. Dr. Humbyrd’s research interest focus on ethical concerns related to surgery in general and orthopedic surgery in particular. Her current primary research interest revolves around the ethics of bundled payment programs for total joint replacement, ethical use of opioids in orthopedic surgery, and disparities in access to orthopedic care. She is a quarterly columnist on orthopedic ethical issues for the journal of Clinical Orthopaedics and Related Research. Nationally, she is involved in advocacy work as a delegate to the American Medical Association and Chair of the health policy committee of the American Orthopaedic Foot and Ankle Society. Dr. Humbyrd is also the faculty advisor for the Johns Hopkins medical student section of MedChi and the AMA.

Sources: NRMP DataMary's EssaySchrock, J. B., Kraeutler, M. J., Dayton, M. R., & McCarty, E. C. (2017). A comparison of matched and unmatched orthopaedic surgery residency applicants from 2006 to 2014: data from the National Resident Matching Program. JBJS, 99(1), e1.Chen, A. F., Secrist, E. S., Scannell, B. P., & Patt, J. C. (2020). Matching in orthopaedic surgery. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 28(4), 135-144.Kheir, M. M., Tan, T. L., Rondon, A. J., & Chen, A. F. (2020). The Fate of Unmatched Orthopaedic Applicants: Risk Factors and Outcomes. JBJS Open Access, 5(2), e20.Amin, N. H., Jakoi, A. M., Cerynik, D. L., Kumar, N. S., & Johanson, N. (2013). How should unmatched orthopaedic surgery applicants proceed?. Clinical Orthopaedics and Related Research®, 471(2), 672-679.

Sources: NRMP DataMary's EssaySchrock, J. B., Kraeutler, M. J., Dayton, M. R., & McCarty, E. C. (2017). A comparison of matched and unmatched orthopaedic surgery residency applicants from 2006 to 2014: data from the National Resident Matching Program. JBJS, 99(1), e1.Chen, A. F., Secrist, E. S., Scannell, B. P., & Patt, J. C. (2020). Matching in orthopaedic surgery. JAAOS-Journal of the American Academy of Orthopaedic Surgeons, 28(4), 135-144.Kheir, M. M., Tan, T. L., Rondon, A. J., & Chen, A. F. (2020). The Fate of Unmatched Orthopaedic Applicants: Risk Factors and Outcomes. JBJS Open Access, 5(2), e20.Amin, N. H., Jakoi, A. M., Cerynik, D. L., Kumar, N. S., & Johanson, N. (2013). How should unmatched orthopaedic surgery applicants proceed?. Clinical Orthopaedics and Related Research®, 471(2), 672-679.

Dr. Seth Leopold is the editor-in-chief of Clinical Orthopaedics and Related Research.  This episode is all about the power of words.  Specifically, how words are important to us as physicians both as on the scientific evidence side and how we connect with patients. 

On this episode of the Healthy Wealthy and Smart Podcast, I welcome Dr. Peter Fabricant on the show to discuss pediatric ACL injuries. Dr. Peter Fabricant is an orthopedic surgeon specializing in pediatric and adolescent orthopedic surgery. His clinical expertise is in sports medicine and trauma surgery of the knee, hip, shoulder, elbow, and ankle. In this episode, we discuss: -How to determine if a patient should have non-surgical treatment or surgical treatment following ACL injury -Rehabilitation considerations following Physeal-Sparing ACL Reconstruction Surgery -Setting realistic expectations for return to sport with the pediatric population -And so much more!   Resources: HSS Peter Fabricant   For more information on Dr. Fabricant: Dr. Peter Fabricant is an orthopedic surgeon specializing in pediatric and adolescent orthopedic surgery. His clinical expertise is in sports medicine and trauma surgery of the knee, hip, shoulder, elbow, and ankle. Dr. Fabricant completed his undergraduate studies at the University of Rochester, graduating with honors. He then attended Yale University School of Medicine. During his orthopedic surgery residency training at Hospital for Special Surgery, Dr. Fabricant earned a Master of Public Health Degree from Columbia University, and won several awards for excellence in patient care and innovation in patient safety. Following residency, Dr. Fabricant completed two fellowships: first in pediatric orthopedic surgery at The Children's Hospital of Philadelphia and the second in sports medicine at Boston Children's Hospital. This afforded him the unique opportunity to study with renowned mentors at both institutions, including Dr. Lyle Micheli, Dr. Mininder Kocher, and Dr. Theodore Ganley, in order to compile additional subspecialty training uniquely focused on the care of children and adolescents with sports-related injuries. He has cared for athletes and performers at all levels, including the Boston Ballet, Babson College, the International Skating Union World Figure Skating Championships, and the Boston Marathon. Dr. Fabricant is an accomplished researcher, with over 100 peer-reviewed publications and 15 book chapters in circulation. He has received multiple institutional, national, and international awards for clinical research, including the Herodicus Award (AOSSM), the Excellence in Research Award (AOSSM), and the Promising Career Award (PRiSM Society), among others. Dr. Fabricant currently serves on several research and education committees in two international professional societies (POSNA and PRiSM). He is a member of several pediatric orthopedic and sports medicine research consortiums, through which he participates in cutting-edge multicenter clinical research studies with many of the most prolific researchers in pediatric and adolescent sports medicine. He also serves on the editorial boards of Clinical Orthopaedics and Related Research (CORR) and the Journal of ISAKOS, on the Peer Review Committee for the Orthopaedic Research and education Foundation (OREF), and as a reviewer for several academic orthopaedic journals including the Journal of Bone and Joint Surgery (JBJS), the American Journal of Sports Medicine (AJSM), and the Bone & Joint Journal (BJJ). Dr. Fabricant understands the physical and emotional complexities of injuries in youth and adolescent athletes. Sports and recreational activities provide social, emotional, and physical development, leadership skills, and encouragement for children to work as a part of a team with their peers. Dr. Fabricant has dedicated himself to addressing sports injuries in the context of all of these important issues and strives to return his patients back to their sports and activities as quickly and as safely possible, while minimizing the risk of future injury and prioritizing their long-term health and well-being.   Read the full transcript below: Karen Litzy:                   00:00                Hi Dr. Fabricant Welcome to the Healthy Wealthy and Smart Podcast. I am so excited to have you on today to talk about pediatric ACL injuries. Karen Litzy:                   00:13                So we're just going to kind of jump right into it because I know our time is limited here so the reason that I wanted to do this is because I have a patient now with an ACL tear who had surgery and there seemed to be a lot of questions in the rehab world around this population. So after a confirmed ACL tear in a pediatric patient can you take us through your decision making process as to whether or not that patient will have non-surgical treatment which would mean high quality rehab or ACL reconstruction plus rehab. Dr. Fabricant:                00:53                Yeah that's a really great question. So historically kids who still had you know growth remaining who had open growth plates would kind of be held off until they were fully grown and then have an ACL reconstruction then. But we know that that's not the ideal thing to do just because they have an unstable knee they can develop cartilage and meniscus injuries that might not be repairable once they reach the maturity but there are a subset of patients who tend to do pretty well without surgery and with high quality rehab alone. And so typically when I'm evaluating a patient the ones that tend to do well with high quality rehab alone would be typically younger patients. So kids who are like under 14 years old and kids who have non full thickness ACL tear. So like a partial ACL tear like a 50 percent tear. Dr. Fabricant:                01:49                And so kids who are young and who have you know a 50 percent partial tear their ACL who have rotational stability of their knee so their knee doesn't kind of rotate during things like a pivot shift examination. Those are kids who tend to do pretty well without surgery with a period of protected weight bearing bracing and high quality rehab. When I'm seeing kids who are either older and or have a full thickness ACL tear with a really unstable knee those tend to be the kids who we recommend surgery for especially if they're involved in cutting or pivoting sports jumping or landing sports things like that. So that's basically how I approach it in general. Karen Litzy:                   02:34                And so let's talk about the surgical procedures because there are several surgical procedures one can do on a pediatric ACL patient taking into account the growth plate damage. How do you decide which surgical procedure to do with this population? Dr. Fabricant:                02:57                I think that's a great question too. So I kind of think about these kids in three groups. Dr. Fabricant:                03:04                Let's go from kind of oldest to youngest so the oldest type of kid is the kid who either has growth plates that are closed or near closed or they have very little growth remaining let's say like less than six months of growth remaining. Those are kids that I kind of think about a little more like adults. But then within that within kind of specific to your question the kids who have open growth plates. The question I ask myself are kind of are these kind of the youngest kids like prepubescent kids. So those are kids with greater than 2 years of growth remaining.  In girls, those who haven't had started having their periods yet. In boys and girls kids who really haven't had a growth spurt or who are kind of prepubescent. Dr. Fabricant:                03:53                There's kind of that group and then there's the pubescent kids who are between let's say two years of growth remaining and six months of growth remaining you know in girls let's say they've had their periods for a year, in boys they may have already showed some signs of puberty or of their growth spurt. So those are kind of the pubescent kids even though they have growth remaining and so in thinking about a reconstruction technique I try to figure out are they in the prepubescent group or the pubescent group. And then there are a couple of different described surgical procedures in each but in broad generalities the prepubescent group you need to really avoid the growth plate completely and so that can be done either with techniques where you do drill tunnels in the bone but you confine it to the epiphysis of the bone or the area that's kind of away from the growth plate or you can do a procedure where you're not drilling any tunnels which would be like the IT Band ACL procedure and that those both can protect the growth plate and they're both been well described and then in the kids who are pubescent who have growth remaining but maybe not so much growth remaining those kids you typically can drill tunnels in the bone but you just need to use a graft that's made of soft tissue because if you take let's say a bone plug from a graft and fix it across the growth plate that can inhibit their growth and cause a limb length deformity limb length discrepancy or like an angular deformity of the limb. Dr. Fabricant:                05:31                So that's kind of how I think about the two groups that still have growth remaining and taking surgical procedures. Karen Litzy:                                           And does the activity of the child come into play when deciding on which procedure to do or is it really just their kind of bony anatomy and age. Dr. Fabricant:                                        Yeah it's mostly their age and skeletal maturity and their developmental maturity. The sports sometimes come into play when you're deciding whether or not to do a reconstruction but once you kind of made the decision to do a reconstruction you know which technique you choose is typically chosen based on their skeletal maturity. Karen Litzy:                   06:11                Got it got it. And then you sort of alluded to this a little bit earlier talking about the meniscus but why is the health of the meniscus so important in the pediatric ACL patients. Karen Litzy:                   06:22                So from what I've read it seems like if there is a bucket handle tear or other repairable meniscus injury surgery is really warranted. Why is that?   Dr. Fabricant:                06:42                So if there's the meniscus is pretty precious tissue and it's really the shock absorber of the knee but it also provides secondary stability to the knee, nourishment of the joint. It provides congruence between the femur and the tibia and so it's really important to try to save as much meniscal tissue as possible and then these kids obviously have quite a long life ahead of them and many have a long athletic career ahead of them. So you definitely want to save as much meniscus as possible so if there is a large unstable meniscus tear and the knee remains unstable it's likely to continue to degenerate whereas if you go and stabilize the knee and fix the meniscus you have the best chance at preserving that tissue and getting it to heal. Karen Litzy:                   07:20                Yeah that makes sense. And now for a lot of my listeners who are physical therapists this is sort of the money question right. Karen Litzy:                   07:27                What are the most important considerations for rehab after these physeal-sparing ACL reconstruction surgeries? Dr. Fabricant:                07:36                So it's interesting there's not like a really strong evidence base about like specific things with rehab but I would tell you that kind of the way that I approach it and kind in in broad generalities typically the first six weeks are where there's the biggest difference depending on how the procedure goes. So if if it's let's say a procedure where you're drilling tunnels and fixing it with implants you know those kids can tend to weightbear relatively soon the implants tend to confer a lot of stability to the graft and allow the body to heal the graft. If there's a meniscus repair at the time of surgery, I tend to protect the weight bearing for a total of six weeks just to let the meniscus heal and in the kids who end up getting the IT Band ACL because there are no tunnels drilled in the bone and therefore there's no like screws holding the graft in place and the graft tends to be fixed to the periosteum of the bone or the skin around the bone with heavy duty suture. Dr. Fabricant:                08:39                Those kids I tend to protect for six weeks regardless of if they've had a meniscus tear repaired just because I want to make sure they've started to have some biologic healing of the graft before I let them really bear full weight. So for me the first six weeks are kind of the most critical portion where if I've done a IT Band ACL and I'm kind of relying on suture for fixation I tend to protect their weight bearing a little longer but once they hit about six weeks for me at least the rehab tends to progress the same whereas essentially all kids are kind of started to wean off crutches by six weeks starting to work on strengthening and then for me I tend to let kids start to jog around 12 weeks and from there on it's pretty similar rehab to the adult rehab. Karen Litzy:                   09:24                So why with the ACL reconstruction using the IT band, why is no lunging a precaution with this population. Dr. Fabricant:                09:37                When I was in training I had some of my mentors would say that they found that kids who load the knee from a flexed position after any ACL reconstruction tend to kind of flare the knee up especially in the early phase and so I tend to tell kids to avoid you know deep lunges and squats early on. So that's just something that I do I don't know that there's a lot of great evidence for that but it seems to have worked for some of my mentors and so I've kind of adopted it into my practice as well. Karen Litzy:                   10:13                Got it. Got it yeah. Because I read that out of Boston right. And OK so that makes a lot of sense because I often wondered. Karen Litzy:                   10:24                Well they can jog and run but they can't squat or they can't lunge. And is that obviously to protect the knee and is that also to maybe protect secondary problems like patellar tendinopathy or something like that. Dr. Fabricant:                10:38                You know right after surgery there is a bit of inflammation going on in the knee and so certainly doing like deep squats and lunges can increase the risk of further inflammation. Dr. Fabricant:                10:50                But I really do like squats like leg presses that go down to about 90 degrees of knee flexion. I really find it helps strengthen the knee without inflaming it too much. But you know the physical therapist that we work with tend to do that and the patients do pretty well and they end up building it pretty quickly. Karen Litzy:                   11:12                That makes sense. And now let's talk to a lot of these kids want to return to sport. I mean you're working with kids all the time as you know their attention spans are a little short and they're all really excited to get back to sport A.S.A.P. but according to the IOC consensus on pediatric ACL they recommend waiting twelve months to return to sport. So what is your thought on that? Dr. Fabricant:                11:43                Yeah I would say the short answer is I agree with that completely. I typically mentally prepare kids for a year to return to play. Dr. Fabricant:                11:53                I think that you know there's really three things you need in order to successfully return back to sports safely. So one is the anatomy which is really the job of the surgeon and reconstructing the anatomy. The other is you know strength and balance and coordination which is a team effort between the physical therapist and the patient and the surgeon as well. And then the third thing is just time. So it just takes about a year for the graft to incorporate and mature and remodel and kind of be biologically ready. And I think that's the hardest part about this surgery is really kind of keeping the kids engaged for a full year. I think kids sometimes hear about some professional athletes who get back to sports sooner than a year and so they feel like they want to get back sooner than a year. Dr. Fabricant:                12:39                But I typically tell families you know a couple of things. First off the average time to return to sport, even in professional athletes like in the NFL is about eleven months. So even in pro athletes who have no job other than to rehab their knee you know they don't have chores and schoolwork and things like that that it's still about a year and that's an average. So while they might hear you know on the news about people who get back after six or eight months there's also people who don't get back for 14 or 16 or 18 months. And so even professional athletes it takes about a year and then the other thing is that kids are really even higher risk than professional athletes because typically you know if there's something about the child's anatomy or their physiology or how they're moving Dr. Fabricant:                13:24                That puts them at such high risk that they're gonna tear their ACL when they're 11, 12, 13, 15 years old. They're at higher risk patient than the guy or gal who goes through you know high school and college and professional sports before tearing their ACL. They've made it through let's say 30 years of life before tearing their ACL. So I tend to try to kind of work with kids and families and say you know look you're a higher risk than a professional athlete for one and two you know all they do all day is rehab and it still takes them a year to get back to sports. So I tend to agree with the one year recommendation. I tend to let kids just because they're itching to get back. I tend to let them do some light practice with their team at the beginning of the following season. So for instance if a kid injures themselves midway through a soccer football season in the fall you know usually it's around nine or 10 months till the next beginning of the next season I say that they can do some kind of non contact practice with their team just so they can stay involved. But I do agree with the one year before they're really kind of on the field or the court competing with other kids. Karen Litzy:                   14:33                Yeah and I'm so glad that you brought up what they see on TV and what they hear or see on social media because that's something that's so pervasive amongst a lot of these kids and they think someone else did it. They should be able to do it too. So I thank you for that. And I think that advice to tell the parents and to keep reiterating that to the patient to the pediatric patient is so important because boy they just want to every day. Well when can I do this. Well when can I do that and being able to keep them like you said motivated but realistic expectations and being honest is a challenge. Dr. Fabricant:                15:14                Yeah you're totally right. I think that even setting expectations before surgery you know they kind of forget you know when their knee starts feeling pretty good around three or six months but you know I think the other important thing is that you know what they hear on TV and in social media tends to be the exceptions to the rule rather than the average. Dr. Fabricant:                15:31                So they hear about the person who gets back to sports at six or seven months but they don't necessarily hear about the people who take a year and a half to get back to sports in the pros or who don't make it back to sports in the pros. So I think you know also telling them they're probably getting a bit of a biased view when a lot of these kind of news outlets kind of sensationalize people who are getting that quickly they think it's the norm when actually it's the exception. Karen Litzy:                   15:54                Absolutely. I just had this conversation the other day about what a bell curve is and how some people are on one side some people are on the other but most people are in the middle. Karen Litzy:                   16:04                And to really keep that in mind when you see these big extremes so now is there anything else that you would like to add as far as let's say speaking to physical therapists or people who are going to be working with your patients. Anything else you would like to add as far as the pediatric ACL patient is concerned. Dr. Fabricant:                16:27                Not not really. I think we really kind of touched upon all the important topics. I think it's just important to understand a lot of people are really beginning to realize that you know kids aren't just small adults and they have their own unique considerations both with the surgery and in the rehab and in the kind of mental preparedness for sports. And so I always really enjoy working with therapists who enjoy working with kids and engaging kids because it's not just that the surgery and even the exercises are different it's the whole kind of mindset and the approach. And so when the whole team is on the same page it's always really rewarding. Karen Litzy:                   17:09                Awesome well thank you so much for taking the time out. And where can people find more about you if they would like to know more about you and what you do and have any questions. Dr. Fabricant:                17:18                Yes so I practice at the Hospital for Special Surgery so they can go to the hospital for special surgeries Web site which is a Hss.edu they can look me up on that Web site or they can Google search my name at HSS and we're here and happy to take care of our youth athletes who get injured. Karen Litzy:                   17:39                Awesome. Well thank you so much and everyone else. Thank you so much for listening. Have a great couple of days and stay healthy wealthy and smart.     Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram  and facebook to stay updated on all of the latest!  Show your support for the show by leaving a rating and review on iTunes!  

Vinod Dasa, MD, Joint Replacement Surgeon, Associate Professor of Clinical Orthopaedics at LSU, joins the show to discuss the proper role of the implant representative in the operating room.

O tecido Fascial é altamente discutido em consultórios de fisioterapia, mídias sociais e até conferências são dedicas a esse tecido. A fascia é considerada por muitos terapeutas o tecido-chave para muito dos mistérios terapêuticos e vem sendo alvo de terapias alternativas para o tratamento da dor. Apesar da quantidade de pesquisas sobre a Fascia, nenhum estudo é claramente relevante para a prática clinica. Ao invés de teorias firmes baseadas em dados válidos, o que vemos são especulações sobre suas propriedades e funções, como esse tecido influencia a dor e como devemos tratá-lo. O que é Fascia e qual a sua função? Como é explicado a contribuição desse tecido nos sintomas dolorosos? Como avaliamos isso? É possível modelar, liberar, ou influenciar a fascia com as mãos ou utilizando instrumentos? Ehhh… segura ia! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Minha intenção é oferecer informação sobre saúde, ciência, reabilitação e claro… Fisioterapia! O Fisio na Pauta Podcast é uma produção independente, elaborado por Heric Lopes, um fisioterapeuta disposto a disseminar o conhecimento e a informação em prol da evolução da ciência da Fisioterapia. O conteúdo desse programa é meramente informativo e não deve ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos colaboradores do canal. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Spotify: Fisio na Pauta Podcast Quer apoiar o canal Fisio na Pauta? Acesse:   http://www.fisionapauta.com.br/apoie/ Divulgue, compartilhe… APOIE! Músicas: Rebirth of Cool | DJ Cam Quartet – https://www.youtube.com/watch?v=oU0ZmbBY9QI Libera nos | Christopher Argent – https://www.youtube.com/watch?v=8c-ppXjcB5A Scientific Discovery | Shockwave-sound - https://www.youtube.com/watch?v=T23VwebGJeE Libera Geral | Xuxa - https://www.youtube.com/watch?v=3Bx6QxHiT_8 Underwater Pulse | Shockwave-sound – https://www.youtube.com/watch?v=BbTviSkADzI One+one | Graeme James - https://www.youtube.com/watch?v=IEh2V2V_AAs Referências Bibliográficas: Guillaud, A., Darbois, N., Monvoisin, R., & Pinsault, N. (2018). Reliability of diagnosis and clinical efficacy of visceral osteopathy: a systematic review. BMC Complementary and Alternative Medicine, 18, 65. http://doi.org/10.1186/s12906-018-2098-8 Steve Levin - biotensegridade - http://www.biotensegrity.com Gil Hedley - “Fuzz Fascial” - https://www.youtube.com/watch?v=_FtSP-tkSug Jeff Linn - The transcript is from Tape A5 1970, Side 1, available to members only on www.rolfguild.org Schleip, Trager et al. - http://www.amt.org.au/downloads/journal-archive/Dec2013.pdf Stephen Typaldos - Modelo da Distorção Fascial (MDF) - https://afdma.com Zügel, M., Maganaris, C. N., Wilke, J., Jurkat-Rott, K., Klingler, W., Wearing, S. C., ... & Bloch, W. (2018). Fascial tissue research in sports medicine: from molecules to tissue adaptation, injury and diagnostics. Br J Sports Med, bjsports-2018. Wong, K. K., Chai, H. M., Chen, Y. J., Wang, C. L., Shau, Y. W., & Wang, S. F. (2017). Mechanical deformation of posterior thoracolumbar fascia after myofascial release in healthy men: A study of dynamic ultrasound imaging. Musculoskeletal Science and Practice, 27, 124-130. Schleip, R. (2003). Fascial plasticity–a new neurobiological explanation: Part 1. Journal of Bodywork and movement therapies, 7(1), 11-19. Schleip, R. (2003). Fascial plasticity–a new neurobiological explanation Part 2. Journal of Bodywork and movement therapies, 7(2), 104-116. Wilhelm, M., Matthijs, O., Browne, K., Seeber, G., Matthijs, A., Sizer, P. S., ... & Gilbert, K. K. (2017). Deformation Response of the Iliotibial Band-Tensor Fascia Lata Complex to Clinical-Grade Longitudinal Tension Loading In-Vitro. International journal of sports physical therapy, 12(1), 16. Thalhamer, C. (2018). A fundamental critique of the fascial distortion model and its application in clinical practice. Journal of bodywork and movement therapies, 22(1), 112-117. Chaudhry, H., Schleip, R., Ji, Z., Bukiet, B., Maney, M., & Findley, T. (2008). Three-dimensional mathematical model for deformation of human fasciae in manual therapy. The Journal of the American Osteopathic Association, 108(8), 379-390. Findley, T., Chaudhry, H., Stecco, A., & Roman, M. (2012). Fascia research–A narrative review. Journal of bodywork and movement therapies, 16(1), 67-75. Chaudhry, H., Bukiet, B., Ji, Z., Stecco, A., & Findley, T. W. (2014). Deformations experienced in the human skin, adipose tissue, and fascia in osteopathic manipulative medicine. The Journal of the American Osteopathic Association, 114(10), 780-787. Chaitow, L. (2017). Fascial well-being: Mechanotransduction in manual and movement therapies. Bereznick, D. E., Ross, J. K., & McGill, S. M. (2002). The frictional properties at the thoracic skin–fascia interface: implications in spine manipulation. Clinical Biomechanics, 17(4), 297-303. Kerkman, J. N., Daffertshofer, A., Gollo, L. L., Breakspear, M., & Boonstra, T. W. (2018). Network structure of the human musculoskeletal system shapes neural interactions on multiple time scales. Science advances, 4(6), eaat0497. Dahl, M., Hansen, P., Stål, P., Edmundsson, D., & Magnusson, S. P. (2011). Stiffness and thickness of fascia do not explain chronic exertional compartment syndrome. Clinical Orthopaedics and Related Research®, 469(12), 3495-3500. Ingraham, P. - Does Fascia Matter? A detailed critical analysis of the clinical relevance of fascia science and fascia properties - https://www.painscience.com/articles/does-fascia-matter.php Sanvito, A. - If We Cannot Stretch Fascia, What Are We Doing? - http://www.massage-stlouis.com/if-we-cannot-stretch-fascia-what-are-we-doing Lehman, G. - FASCIA SCIENCE: STRETCHING THE POWER OF MANUAL THERAPY - http://www.greglehman.ca/blog/2012/10/26/fascia-science-stretching-the-relevance-of-the-gluteus-maximus-and-latissimus-dorsi-sling  

O tecido Fascial é altamente discutido em consultórios de fisioterapia, mídias sociais e até conferências são dedicas a esse tecido. A fascia é considerada por muitos terapeutas o tecido-chave para muito dos mistérios terapêuticos e vem sendo alvo de terapias alternativas para o tratamento da dor. Apesar da quantidade de pesquisas sobre a Fascia, nenhum estudo é claramente relevante para a prática clinica. Ao invés de teorias firmes baseadas em dados válidos, o que vemos são especulações sobre suas propriedades e funções, como esse tecido influencia a dor e como devemos tratá-lo. O que é Fascia e qual a sua função? Como é explicado a contribuição desse tecido nos sintomas dolorosos? Como avaliamos isso? É possível modelar, liberar, ou influenciar a fascia com as mãos ou utilizando instrumentos? Ehhh… segura ia! Esse podcast é parte do canal Fisio na Pauta. Nesse canal, assuntos relevantes serão discutidos usando a ciência e o ceticismo como pedras fundamentais. Minha intenção é oferecer informação sobre saúde, ciência, reabilitação e claro… Fisioterapia! O Fisio na Pauta Podcast é uma produção independente, elaborado por Heric Lopes, um fisioterapeuta disposto a disseminar o conhecimento e a informação em prol da evolução da ciência da Fisioterapia. O conteúdo desse programa é meramente informativo e não deve ser utilizado como conselho médico, uma vez que o conteúdo científico está constantemente evoluindo. Em caso de sintomas e/ou dúvidas, recomendo procurar um profissional da área da saúde. As informações e opiniões expressas nesse programa são de inteira responsabilidade de seus autores, não correspondendo necessariamente ao ponto de vista dos colaboradores do canal. Você pode acompanhar o Fisio na Pauta Podcast das seguintes maneiras: website: www.fisionapauta.com.br email: contato@fisionapauta.com.br Twitter: @fisionapauta Facebook: @canalfisionapauta Instagram: fisionapauta Spotify: Fisio na Pauta Podcast Quer apoiar o canal Fisio na Pauta? Acesse:   http://www.fisionapauta.com.br/apoie/ Divulgue, compartilhe… APOIE! Músicas: Rebirth of Cool | DJ Cam Quartet – https://www.youtube.com/watch?v=oU0ZmbBY9QI Libera nos | Christopher Argent – https://www.youtube.com/watch?v=8c-ppXjcB5A Scientific Discovery | Shockwave-sound - https://www.youtube.com/watch?v=T23VwebGJeE Libera Geral | Xuxa - https://www.youtube.com/watch?v=3Bx6QxHiT_8 Underwater Pulse | Shockwave-sound – https://www.youtube.com/watch?v=BbTviSkADzI One+one | Graeme James - https://www.youtube.com/watch?v=IEh2V2V_AAs Referências Bibliográficas: Guillaud, A., Darbois, N., Monvoisin, R., & Pinsault, N. (2018). Reliability of diagnosis and clinical efficacy of visceral osteopathy: a systematic review. BMC Complementary and Alternative Medicine, 18, 65. http://doi.org/10.1186/s12906-018-2098-8 Steve Levin - biotensegridade - http://www.biotensegrity.com Gil Hedley - “Fuzz Fascial” - https://www.youtube.com/watch?v=_FtSP-tkSug Jeff Linn - The transcript is from Tape A5 1970, Side 1, available to members only on www.rolfguild.org Schleip, Trager et al. - http://www.amt.org.au/downloads/journal-archive/Dec2013.pdf Stephen Typaldos - Modelo da Distorção Fascial (MDF) - https://afdma.com Zügel, M., Maganaris, C. N., Wilke, J., Jurkat-Rott, K., Klingler, W., Wearing, S. C., ... & Bloch, W. (2018). Fascial tissue research in sports medicine: from molecules to tissue adaptation, injury and diagnostics. Br J Sports Med, bjsports-2018. Wong, K. K., Chai, H. M., Chen, Y. J., Wang, C. L., Shau, Y. W., & Wang, S. F. (2017). Mechanical deformation of posterior thoracolumbar fascia after myofascial release in healthy men: A study of dynamic ultrasound imaging. Musculoskeletal Science and Practice, 27, 124-130. Schleip, R. (2003). Fascial plasticity–a new neurobiological explanation: Part 1. Journal of Bodywork and movement therapies, 7(1), 11-19. Schleip, R. (2003). Fascial plasticity–a new neurobiological explanation Part 2. Journal of Bodywork and movement therapies, 7(2), 104-116. Wilhelm, M., Matthijs, O., Browne, K., Seeber, G., Matthijs, A., Sizer, P. S., ... & Gilbert, K. K. (2017). Deformation Response of the Iliotibial Band-Tensor Fascia Lata Complex to Clinical-Grade Longitudinal Tension Loading In-Vitro. International journal of sports physical therapy, 12(1), 16. Thalhamer, C. (2018). A fundamental critique of the fascial distortion model and its application in clinical practice. Journal of bodywork and movement therapies, 22(1), 112-117. Chaudhry, H., Schleip, R., Ji, Z., Bukiet, B., Maney, M., & Findley, T. (2008). Three-dimensional mathematical model for deformation of human fasciae in manual therapy. The Journal of the American Osteopathic Association, 108(8), 379-390. Findley, T., Chaudhry, H., Stecco, A., & Roman, M. (2012). Fascia research–A narrative review. Journal of bodywork and movement therapies, 16(1), 67-75. Chaudhry, H., Bukiet, B., Ji, Z., Stecco, A., & Findley, T. W. (2014). Deformations experienced in the human skin, adipose tissue, and fascia in osteopathic manipulative medicine. The Journal of the American Osteopathic Association, 114(10), 780-787. Chaitow, L. (2017). Fascial well-being: Mechanotransduction in manual and movement therapies. Bereznick, D. E., Ross, J. K., & McGill, S. M. (2002). The frictional properties at the thoracic skin–fascia interface: implications in spine manipulation. Clinical Biomechanics, 17(4), 297-303. Kerkman, J. N., Daffertshofer, A., Gollo, L. L., Breakspear, M., & Boonstra, T. W. (2018). Network structure of the human musculoskeletal system shapes neural interactions on multiple time scales. Science advances, 4(6), eaat0497. Dahl, M., Hansen, P., Stål, P., Edmundsson, D., & Magnusson, S. P. (2011). Stiffness and thickness of fascia do not explain chronic exertional compartment syndrome. Clinical Orthopaedics and Related Research®, 469(12), 3495-3500. Ingraham, P. - Does Fascia Matter? A detailed critical analysis of the clinical relevance of fascia science and fascia properties - https://www.painscience.com/articles/does-fascia-matter.php Sanvito, A. - If We Cannot Stretch Fascia, What Are We Doing? - http://www.massage-stlouis.com/if-we-cannot-stretch-fascia-what-are-we-doing Lehman, G. - FASCIA SCIENCE: STRETCHING THE POWER OF MANUAL THERAPY - http://www.greglehman.ca/blog/2012/10/26/fascia-science-stretching-the-relevance-of-the-gluteus-maximus-and-latissimus-dorsi-sling  

Guest Speaker: Dr Sue Dyson (Head of Clinical Orthopaedics, centre for Equine Studies, Animal Health Trust)The National Equine Forum (NEF) is the only equine conference of its kind in the UK, free from any specific equine sector affiliation, bias or commercial influence.Recognised in the horse world as an outstanding annual event this exceptional conference brings together influential members of the equine industry, experts and government to debate pertinent topical issues and discuss current research and innovation. It also provides a unique opportunity for networking with the leaders of the industry. Join in the conversation on Twitter and Facebook, just use #HorseHour #NEF18. www.nationalequineforum.comFollow: @HorseHour @NatEqForum See acast.com/privacy for privacy and opt-out information.

Medical education is primarily a didactic experience with extensive correction of mistakes. Yet when you consider human performance metrics it is really important to remember that humans are mammals. The science of animal training has been perfected since B. F. Skinner first brought the ideas of respondent behavior and operant behavior together under one animal behavior umbrella. Which specialty is now training residents and medical students with chicken clicker training techniques? Orthopedic surgeons. Let's see how it works. References: Levy IM, Pryor KW, McKeon TR. Is Teaching Simple Surgical Skills Using an Operant Learning Program More Effective Than Teaching by Demonstration? Clinical Orthopaedics and Related Research. 2016;474(4):945-955. doi:10.1007/s11999-015-4555-8. N.B. Do you think the Levy et al publication was the inspiration for this creation by ZDoggMD? TAGteach Fundamentals and Best Practices Free Course  Sidhom, G., Why GANs Give Artificial Intelligence Wonderful and Scary Capabilities?, August 23, 2017, Orange Silicon Valley Blog.  

In this episode, we speak with another game developer turned healthcare professional. You may remember back on episode 8 we spoke with nurse and master gamer Anna Sort. She’s now running a company based in Barcelona that is helping healthcare companies develop fun and effective tools to engage users. If you haven’t done it yet, I encourage you to go back and listen to that episode, she gives some insights and techniques to achieve what she calls epic wins. You can grab that on digitalhealthtoday.com/8 Today, we’re speaking with a surgeon, an orthopaedic surgeon in fact. You may have heard me mention him on the episode 43 with Professor Stefano Bini, a professor of Clinical Orthopaedics at UCSF who runs the DOCSF meeting. In that episode we were talking about digital health tools being developed for orthopaedics, and our guest today is the founder of one of the companies that is doing exactly that. Our guest is Dr. Justin Barad, he’s the founder and CEO of OssoVR. He’s taken his skill at gaming and game development and applied it to solve a real problem in medical education. In fact, it’s not just for medical education; it has applications from the military, to continuing education, to product training, and more. I know you’ll enjoy this conversation but I also want to make sure that you see what Justin and his team have produced, so head over to the website at digitalhealthtoday.com/45 and check out a few of the videos that I’ve loaded there. I know you’ll be impressed. Learn more about your ad choices. Visit megaphone.fm/adchoices

Instagram: dr.dold.md Orthopaedic Surgery, Arthroscopy, and Sports Medicine Dr. Andrew Dold, MD is an Orthopaedic Surgeon, fellowship trained in Orthopaedic Sports Medicine and Arthroscopy, who heads up the hip arthroscopy and femoroacetabular impingement (FAI) program at SPORT. Dr. Dold treats a variety of sports medicine injuries and conditions, with expertise performing minimally invasive and joint preserving, arthroscopic procedures of the hip, knee, shoulder, and ankle. Dr. Dold also specializes in platelet-rich plasma (PRP) and stem cell therapies for the management of arthritis and other musculoskeletal sports-related injuries. Dr. Dold completed his Medical School at Trinity College, University of Dublin in Ireland. He then completed his Orthopaedic Surgery residency training at the University of Toronto in Canada. After residency, Dr. Dold completed a clinical fellowship in Orthopaedic Sports Medicine and Arthroscopy at New York University’s Hospital for Joint Diseases and Langone Medical Center. His research interests have included hip arthroscopy, meniscal repair of the knee, anterior cruciate ligament (ACL) reconstruction of the knee, and platelet-rich plasma (PRP) and stem cell therapy for arthritis and cartilage injuries. He has published numerous book chapters and scientific papers in peer‐reviewed journals including American Journal of Sports Medicine (AJSM), Clinical Orthopaedics and Related Research (CORR), Knee Surgery, Sports Traumatology, and Arthroscopy (KSSTA), Clinical Journal of Sports Medicine (CJSM), Arthroscopy, and The Journal of the American Academy of Orthopaedic Surgeons (JAAOS). His research has been presented at numerous regional, national, and international scientific conferences. He continues to serve as a lead author and editor for OrthoBullets.com. Dr. Dold has served as team physician and surgical consultant for both the Men’s and Women’s Canadian Rugby Teams, the Mississauga Steelheads of the Ontario Hockey League, and the NFL Scouting Combine in Indianapolis. Sponsors: Body Machine Fitness 
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Ep: 20 Andrew Dold, MD, FRCSC We are continuing out provider education series. Hip Anatomy Hip Injuries Crossfit Instagram: dr.dold.md Orthopaedic Surgery, Arthroscopy, and Sports Medicine Dr. Andrew Dold, MD is an Orthopaedic Surgeon, fellowship trained in Orthopaedic Sports Medicine and Arthroscopy, who heads up the hip arthroscopy and femoroacetabular impingement (FAI) program at SPORT. Dr. Dold treats a variety of sports medicine injuries and conditions, with expertise performing minimally invasive and joint preserving, arthroscopic procedures of the hip, knee, shoulder, and ankle. Dr. Dold also specializes in platelet-rich plasma (PRP) and stem cell therapies for the management of arthritis and other musculoskeletal sports-related injuries. Dr. Dold completed his Medical School at Trinity College, University of Dublin in Ireland. He then completed his Orthopaedic Surgery residency training at the University of Toronto in Canada. After residency, Dr. Dold completed a clinical fellowship in Orthopaedic Sports Medicine and Arthroscopy at New York University’s Hospital for Joint Diseases and Langone Medical Center. His research interests have included hip arthroscopy, meniscal repair of the knee, anterior cruciate ligament (ACL) reconstruction of the knee, and platelet-rich plasma (PRP) and stem cell therapy for arthritis and cartilage injuries. He has published numerous book chapters and scientific papers in peer‐reviewed journals including American Journal of Sports Medicine (AJSM), Clinical Orthopaedics and Related Research (CORR), Knee Surgery, Sports Traumatology, and Arthroscopy (KSSTA), Clinical Journal of Sports Medicine (CJSM), Arthroscopy, and The Journal of the American Academy of Orthopaedic Surgeons (JAAOS). His research has been presented at numerous regional, national, and international scientific conferences. He continues to serve as a lead author and editor for OrthoBullets.com. Dr. Dold has served as team physician and surgical consultant for both the Men’s and Women’s Canadian Rugby Teams, the Mississauga Steelheads of the Ontario Hockey League, and the NFL Scouting Combine in Indianapolis. Medical School Doctorate of Medicine (MD) – Honors Trinity College, University of Dublin (Ireland) Internship & Fellowship Orthopaedic Surgery (FRCSC) University of Toronto (Canada) Fellowship Orthopaedic Sports Medicine & Arthroscopy NYU Hospital for Joint Diseases and Langone Medical Center (New York) Professional Memberships: * American Academy of Orthopaedic Surgeons (AAOS). * American Orthopaedic Society for Sports Medicine (AOSSM). * Arthroscopy Association of North America (AANA). * International Society of Hip Arthroscopy (ISHA). * Texas Medial Association (TMA). Procedures Performed: Hip Arthroscopy – Acetabular Labral Tears & Hip Impingement (FAI) Shoulder, Knee, and Ankle Arthroscopy & Ligament Reconstruction Cartilage & Joint Preservation Cartilage Transplantation Minimally Invasive Joint Replacement Fracture Care Platelet-Rich Plasma (PRP) and Stem Cell Therapy Hobbies and Recreation: While completing his undergraduate degree at the University of Western Ontario, Dr. Dold served as captain of the Men’s Rugby team. He was awarded the university’s Athlete of the Year award in 2004 and was also selected to play for the Canadian Under-21 Men’s Rugby team. While at Trinity College Dublin, Dr. Dold played for both the Men’s Rugby and the Men’s Golf teams. He was selected as captain of the golf team and competed in the Men’s Canadian Amateur Championship for golf in 2007 and 2008. He continues to enjoy playing golf, keeping fit through a variety of exercises and physical activities, and surfing and snowboarding adventures around the world. An avid athlete himself, Dr. Dold is committed to providing the absolute best patient care and the most cutting-edge treatments available to get his patients back to 100%! Dr. Dold is currently accepting new patients.

Episode Notes:I think the title speaks for itself...Questions that came up in the episode:Flying Squirrels More Populous than Reds and Grays?During this episode, Bill mentioned a statistic he’d heard, claiming that Flying Squirrels outnumbered Red and Gray Squirrels in the Northeast. After recording episode 3, Bill tried to track down any credible sources, but he found not a single reference to this claim on any website, blog, or scientific paper. Unless someone out there has a reliable source to back up this statistic, we’ll have to conclude that Bill just made this up.**UPDATE - BILL WAS RIGHT! At least in Ohio, that is. A big thank you to Randy from Bowling Green who sent us a link to Ohio's Department of Natural Resources and their page on the Southern Flying Squirrel. It states, "The flying squirrel is the most common squirrel in Ohio. Because they are nocturnal and seldom seen, most people don't recognize that they live with flying squirrels." While we wish that this info was linked to the research, we're going to trust that Ohio's DNR know what they're talking about because Bill's ego is fragile and he really wants to to be right. http://wildlife.ohiodnr.gov/species-and-habitats/species-guide-index/mammals/southern-flying-squirrel Mistakes:I'm sure we will find out.Work Cited: Barboza, Perry S., Sean D. Farley, and Charles T. Robbins. "Whole-body urea cycling and protein turnover during hyperphagia and dormancy in growing bears (Ursus americanus and U. arctos)." Canadian Journal of Zoology 75.12 (1997): 2129-2136.Breukelen, Frank van, and Sandra L. Martin. "The hibernation continuum: physiological and molecular aspects of metabolic plasticity in mammals."Physiology 30.4 (2015): 273-281.Burt, William Henry. A field guide to the mammals: North America north of Mexico. Vol. 5. Houghton Mifflin Harcourt, 1980.Daan, Serge, Brain M. Barnes, and Arjen M. Strijkstra. "Warming up for sleep?—ground squirrels sleep during arousals from hibernation." Neuroscience letters 128.2 (1991): 265-268.Ditmer, Mark A., Thomas E. Burk, and David L. Garshelis. "Do innate food preferences and learning affect crop raiding by American black bears?." Ursus 26.1 (2015): 40-52.Donahue, Seth W., et al. "Serum markers of bone metabolism show bone loss in hibernating bears." Clinical Orthopaedics and Related Research 408 (2003): 295-301.Donahue, Seth W., et al. "Parathyroid hormone may maintain bone formation in hibernating black bears (Ursus americanus) to prevent disuse osteoporosis." Journal of Experimental Biology 209.9 (2006): 1630-1638.Fuster, Gemma, et al. "Antiproteolytic effects of plasma from hibernating bears: a new approach for muscle wasting therapy?." Clinical Nutrition 26.5 (2007): 658-661.Goodrich, John M., and Joel Berger. "Winter recreation and hibernating black bears Ursus americanus." Biological Conservation 67.2 (1994): 105-110.Heldmaier, Gerhard. "Life on low flame in hibernation." Science 331.6019 (2011): 866-867.Herrero, Stephen. "Aspects of evolution and adaptation in American black bears (Ursus americanus Pallas) and brown and grizzly bears (U. arctos Linne.) of North America." Bears: Their biology and management (1972): 221-231.Jani, Alkesh, et al. "Renal adaptation during hibernation." American Journal of Physiology-Renal Physiology 305.11 (2013): F1521-F1532.Laske, Timothy G., David L. Garshelis, and Paul A. Iaizzo. "Monitoring the wild black bear's reaction to human and environmental stressors." BMC Physiology11.1 (2011): 13.McGee-Lawrence, Meghan E., et al. "Grizzly bears (Ursus arctos horribilis) and black bears (Ursus americanus) prevent trabecular bone loss during disuse (hibernation)." Bone 45.6 (2009): 1186-1191.McGee-Lawrence, Meghan, et al. "Suppressed bone remodeling in black bears conserves energy and bone mass during hibernation." The Journal of Experimental Biology 218.13 (2015): 2067-2074.Spector, David A., et al. "The urothelium of a hibernator: the American black bear." Physiological Reports 3.6 (2015): e12429.Tøien, Øivind, et al. "Hibernation in black bears: independence of metabolic suppression from body temperature." Science 331.6019 (2011): 906-909.Vaughan, Terry A., James M. Ryan, and Nicholas J. Czaplewski. Mammalogy. Jones & Bartlett Publishers, 2013.