Podcasts about nonoperative

On today's episode we're focusing on Achilles tendon ruptures with Dr. Bonnie Chien. We have some great articles for you that contribute well to our conversation on the optimal management of Achilles tendon ruptures and the different surgical approaches. As always, links to all of the papers that we discuss on this show can be found on our podcast website – www.thesportsdocspod.comWe'll start off our discussion today with an article from the April 2012 issue of CORR titled “MRI is Unnecessary for Diagnosing Acute Achilles Tendon Ruptures.” Yes, it is an oldie. But we do think it sparks an interesting discussion about the utility of MRI in the setting of a clear Achilles tendon rupture.This study retrospectively compared 66 patients with acute Achilles ruptures and pre-op MRI with a control group of 66 patients without a pre-op MRI who were indicated for surgery by clinical diagnostic criteria alone.Criteria was: (1) an abnormal Thompson test, (2) decreased resting tension and (3) a palpable defect. The authors found that these clinical findings were 100% sensitive for a complete Achilles rupture.It took patients an average of 5 days to obtain the MRI after injury and 12 days for surgical intervention. In comparison, patients in the control group were taken for surgery at an average of 5.6 days after injury. No additional procedures were required in the control group compared to 19 patients in the MRI group.The authors concluded that physical exam was more sensitive than MRI and that MRI is time-consuming, expensive and can lead to treatment delays which may be associated with a need for additional procedures at the time of surgery.Then, from the April 2022 issue of the New England Journal of Medicine, we review an article titled “Nonoperative or Surgical Treatment of Acute Achilles Tendon Rupture.” This multicenter randomized controlled trial compared nonoperative treatment, open repair, and minimally invasive repair in 554 patients with an acute Achilles tendon rupture. The authors concluded that that 12 months post-treatment, surgery was not associated with better outcomes than nonsurgical treatment. However, 11 patients in the nonoperative group sustained a re-rupture compared to 1 patient in the open repair group and 1 patient in the minimally invasive repair group.We are joined today by Dr. Bonnie Chien, a board-certified orthopedic surgeon and Assistant Professor at Columbia University who specializes in foot and ankle conditions. She received her medical degree from Stanford University and then completed her orthopedic residency at Harvard Medical School with Catherine and I. She then went on to complete a foot and ankle fellowship at Mercy Medical Center in Baltimore. Dr. Chien is passionate about global health and has traveled internationally to teach and perform foot and ankle surgeries. She is fluent in Chinese and English and speaks conversational Spanish. Dr. Chien has lectured extensively on the topic of Achilles, so we're very excited to hear all that she has to share on this topic today.

Combined injury of the anterior cruciate ligament (ACL) and the medial collateral ligament (MCL) is a common injury pattern and accounts for 20% of all ligamentous knee injuries. Despite advancements in surgical technique, there is no up-to-date consensus regarding the superiority of nonoperative versus operative management in higher-grade MCL tears of combined ACL-MCL injuries.   In conclusion, reconstruction of combined injury in a delayed fashion facilitates return of range of motion and may allow time for low-grade MCL tears to heal. If residual valgus or anteromedial rotatory laxity remains after a period of rehabilitation, then concomitant surgical management of ACL and MCL injuries is warranted. Avulsion MCL injuries and Stener-type lesions may benefit from early repair techniques.     Click here to read the article.

Interview with Mariam N. Hantouli, MD, and Giana H. Davidson, MD, MPH, authors of Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy. Hosted by Amalia Cochran, MD. Related Content: Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy

Interview with Mariam N. Hantouli, MD, and Giana H. Davidson, MD, MPH, authors of Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy. Hosted by Amalia Cochran, MD. Related Content: Operative vs Nonoperative Management of Acute Cholecystitis During the Different Trimesters of Pregnancy

We welcome back Foot & Ankle Specialist and Residency Director of Loyola University Medical Center, Dr. Adam Schiff, MD to discuss surgical versus nonsurgical management of Achilles tendon ruptures.  We review the study “Operative versus nonoperative treatment of acute Achilles tendon rupture: a propensity score-matched analysis of a large national dataset“ published in OJSM in February coming to us from Duke University.  In the study, Dr. Brian Lau and his team found an increased risk of complications with surgical versus nonsurgical care, no difference in reoperation rates, and increased costs with surgical care initially but an equalization of costs at 5 years post-injury.  The authors also report that over the study period from 2007-2015, there was little change in the rate of surgical repair, despite the widely published success of modern nonsurgical care.  Dr. Schiff lends his expertise on this topic, lays out the pros and cons of each approach, the historical perspective, what situations might be best suited for each treatment pathway, and the psychology he sees in his patients as they decide whether to have surgical repair of their Achilles tendon rupture. 

When it comes to ACL injuries, there is a ton of research and information on reconstruction and injury prevention, but it seems like no one ever talks about nonoperative ACL rehabilitation.It has been shown that the ACL does have some capacity to heal and that some people may do well without having surgery.But probably not in as many people as we would like.In this episode, I'm joined by Mick Hughes to discuss his experience with nonoperative ACL rehabilitation, some of the factors that may decide who is the best candidate, and how to progress these people through the rehabilitation process. Full show notes: https://mikereinold.com/nonoperative-acl-rehabilitation-with-mick-hughesLearn more about enrolling in my Champion Performance Specialist program: https://mikereinold.com/cps/ Click Here to View My Online Courses Want to learn more from me? I have a variety of online courses on my website!Support the show

Join host Dr. Michael Blankstein as he interviews Notable Paper author Dr. Brittany Haws on the retrospective institutional review of 238 patients treated non-operatively or with reverse shoulder replacement over a 4-year period. This paper was presented at the OTA 2021 Annual Meeting. For additional educational resources visit https://ota.org/  Looking for CME? OTA Podcast CME only on the ConveyMD App: Apple Store click here  Google Play click here  

Anal fissures, hemorrhoids, and abscesses are not a very comfortable topic, but they are fairly common in the pediatric population. Join Dr. Nelson Rosen for the latest treatment algorithms and recommendations regarding pediatric anal pathology. Rentea RM, St Peter SD. Pediatric Rectal Prolapse. Clin Colon Rectal Surg. 2018;31(2):108-116. doi:10.1055/s-0037-1609025 https://pubmed.ncbi.nlm.nih.gov/29487493/ Christison-Lagay ER, Hall JF, Wales PW, et al. Nonoperative management of perianal abscess in infants is associated with decreased risk for fistula formation. Pediatrics. 2007;120(3):e548-e552. doi:10.1542/peds.2006-3092 https://pubmed.ncbi.nlm.nih.gov/17682038/ Rosen NG, Gibbs DL, Soffer SZ, Hong A, Sher M, Peña A. The nonoperative management of fistula-in-ano. J Pediatr Surg. 2000;35(6):938-939. doi:10.1053/jpsu.2000.6931 https://pubmed.ncbi.nlm.nih.gov/10873039/ Goddard GR, Lim IIP, Cheng YC, et al. A child presents with perianal symptoms - how often is this Crohn's disease?. J Pediatr Surg. 2021;56(9):1618-1622. doi:10.1016/j.jpedsurg.2020.11.016 https://pubmed.ncbi.nlm.nih.gov/33280851/ 00:00 Introduction 01:12 Anal Anatomy 02:18 Anal Fissure 05:26 Hemorrhoids 07:20 Rectal Prolapse 10:26 Perianal Abscess 16:18 Pilonidal Disease

In this episode, Sam and Marc sat down to discuss Sam's distal biceps rupture and his nonoperative management.  --- Website: https://e3rehab.com/  YouTube: https://youtu.be/9B0gAUVdQ1g  --- This episode was produced by Matt Hunter.

In this episode, Marc and Mo are joined by special guest Michael McKee (Chairman of Orthopaedic Surgery at the University of Arizona College of Medicine in Phoenix, past President of the Orthopaedic Trauma Association) in a deep dive into Dr. McKee’s impact on the field of orthopaedics, particularly his role as a leader in establishing multicenter trials focusing on clavicular fractures and his expectations for future research in this area. OrthoJOE Mailbag: feedback, comments, and suggestions from our audience can be sent to orthojoe@jbjs.org Links: Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. J Bone Joint Surg Am. 2007 Jan;89(1):1-10. doi: 10.2106/JBJS.F.00020. PMID: 17200303. https://jbjs.org/reader.php?id=198776&rsuite_id=1021775&native=1&source=The_Journal_of_Bone_and_Joint_Surgery/89/1/1/abstract&topics=sh#info McKee RC, Whelan DB, Schemitsch EH, McKee MD. Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials. J Bone Joint Surg Am. 2012 Apr 18;94(8):675-84. doi: 10.2106/JBJS.J.01364. PMID: 22419410. https://jbjs.org/reader.php?id=201211&rsuite_id=1146706&native=1&source=The_Journal_of_Bone_and_Joint_Surgery%2F94%2F8%2F675%2Fabstract#info Swiontkowski M. Editor’s Choice: Are We Overtreating Clavicular Fractures? OrthoBuzz, July 9, 2014. https://orthobuzz.jbjs.org/2014/07/09/editors-choice-are-we-overtreating-clavicular-fractures/

On this episode we were joined by Dr. Richard Buckley. Dr. Buckley is an orthopedic surgeon at the Foothills Medical Centre in Calgary. Dr. Buckley has had an amazingly productive career, with more than 30 years of clinical practice and hundreds of publications. Most importantly, however, Dr. Buckley has really pushed surgeons in Calgary and across Canada to think beyond received wisdoms and critically examine how we treat patients and how we organize our systems. We get a taste of his unique insights on topics from resident call, to his orthopedic textbook and finally, his thoughts on how to age and retire gracefully from a life in surgery. Links: 1. Surgical Exposures in Orthopedics. https://www.amazon.ca/Surgical-Exposures-Orthopaedics-Anatomic-Approach/dp/0781776236 2. Canadian Orthopedic Trauma Society. http://cots.medicine.dal.ca/ 3. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. https://pubmed.ncbi.nlm.nih.gov/17200303/ 4. Surgical Companion: The Aging Surgeon episode: http://canjsurg.ca/e47-surgical-companion-1-the-aging-surgeon/ 5. Relation between surgeon age and postoperative outcomes: a population-based cohort study. https://www.cmaj.ca/content/192/15/E385 Bio (taken from: https://whenithurtstomove.org/wp-content/uploads/Rick-Buckley-EN.pdf) Dr. Richard Buckley has been on the active medical staff in Calgary since 1990. He is a Professor in the Department of Surgery, in the Division of Orthopaedic Trauma. His active clinical practice is that of orthopaedic trauma and he is extremely active in teaching undergraduate, and post graduate medicine. He has been involved in the Orthopaedic Trauma Fellowship in Calgary, with nearly 50 International Fellows under his tutelage. He is also active in the research front. Dr. Buckley is an extremely active member of the Association for Study of Internal Fixation (ASIF)(AO). There he has held numerous course Chairman and Board responsibilities, including the International Education Board, International Research Board and has been a member of the Board of Trustees for International AO. He has been a member of the Orthopaedic Trauma Association since 1990 and has held positions on the Membership Committee and Nominating Committee for this International leading Association. Dr. Buckley has also been extremely active in the Canadian Orthopaedic Association (COA) and has been a member of the Membership Committee and Chair of the Membership Committee, COA Advisor to the Canadian Society of Orthopaedic Technologists and Chairman and Founder of the Canadian Orthopaedic Resident Forum (a resident review course). Dr. Buckley's present research focus is almost exclusively related to trauma and he is an active member within the Canadian Orthopaedic Trauma Society. He has published over 80 papers and is an Editor of 4 major International, Internationally translated orthopaedic textbooks.

Intro:  Join Drs. Brian Louie, Peter White, and Megan Lenihan as they discuss the management of spontaneous pneumothorax in its various presentations. Learning Objectives -        Management of primary spontaneous pneumothorax -        Management of secondary spontaneous pneumothorax -        Operative intervention -        Nonoperative intervention -        Recognition and management of uncommon causes of pneumothorax Referenced Material ACCP guidelines for spontaneous pneumothorax:  https://journal.chestnet.org/article/S0012-3692(15)38241-6/ BTS guidelines for spontaneous pneumothorax:  https://thorax.bmj.com/content/65/Suppl_2/ii18

This Month's Selected Articles and Authors OTA highlight paper predicting future displacement of nonoperatively managed lateral compression sacral fractures: can it be done? Stephen Sims, MD http://go.aofoundation.org/e/700333/21857419-/ygcrj/181314969?h=H1gzmsqQySyO9KfEAQzk20YxOq-MTcniE6ogrycb_6g (Read the Article)   Nonoperative immediate weightbearing of minimally displaced lateral compression sacral fractures does not result in displacement Paul Tornetta, MD http://go.aofoundation.org/e/700333/22495523-/ygcrl/181314969?h=H1gzmsqQySyO9KfEAQzk20YxOq-MTcniE6ogrycb_6g (Read the Article)   Treatment of unstable pelvic ring injuries with an internal anterior fixator and posterior fixation: initial clinical series Rahul Vaidya, MD, FRCSC http://go.aofoundation.org/e/700333/22048183-/ygcrn/181314969?h=H1gzmsqQySyO9KfEAQzk20YxOq-MTcniE6ogrycb_6g (Read the Article) Session Moderators Andrew Chen, MD Adam Lee, MD Arun Aneja, MD

Peters PG, Adams SB Jr, Schon LC. Interdigital neuralgia. Foot Ankle Clin. 2011 Jun;16(2):305-15. doi: 10.1016/j.fcl.2011.01.010. Interdigital neuralgia affects a significant number of individuals, with an average age of presentation in the sixth decade and a 4- to 15-fold increased prevalence in women. Historical descriptions date back to the 19th century. Nonoperative treatment with shoe modifications, metatarsal pads, and injections provides relief for most, but long term, 60% to 70% of patients eventually elect to have surgery. Although excision can be performed through a dorsal or plantar approach, we prefer the dorsal incision to prevent scar formation on the plantar aspect of the foot. Satisfactory results are common but not certain with reports of excellent or good ranging from 51% to 93%.

EMplify November 2020 An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department Authors: Christopher Pitotti, MD, FACEP Jason David, MD Topics: The Lethal Triad Prehospital Care Tourniquets - Placement and Pitfalls Stop The Bleed Hemostatic Dressings TXA Temperature Management ED Assessment Shock Recognition Predictors of Massive Transfusion Imaging Ultrasound - eFAST CT Labs Viscoelastic Clot Testing Treatment REBOA- Resuscitative Endovascular Balloon Occlusion of the Aorta CPR Resuscitative Thoracotomy Airway - Intubation Breathing Circulation Massive Transfusion Crystalloid Blood Products Special Populaations   Have questions or comments on the podcast? Write us at emplify@ebmedicine.net .

EMplify November 2020 An Evidence-Based Approach to Nonoperative Management of Traumatic Hemorrhagic Shock in the Emergency Department Authors: Christopher Pitotti, MD, FACEP Jason David, MD Topics: The Lethal Triad Prehospital Care Tourniquets - Placement and Pitfalls Stop The Bleed Hemostatic Dressings TXA Temperature Management ED Assessment Shock Recognition Predictors of Massive Transfusion Imaging Ultrasound - eFAST CT Labs Viscoelastic Clot Testing Treatment REBOA- Resuscitative Endovascular Balloon Occlusion of the Aorta CPR Resuscitative Thoracotomy Airway - Intubation Breathing Circulation Massive Transfusion Crystalloid Blood Products Special Populaations   Have questions or comments on the podcast? Write us at emplify@ebmedicine.net .

CF 142: Nonoperative Disc Treatment, D3 for Depression, & The Biopsychosocial Part Of Chronic Pain Today we're going to talk about Nonoperative Disc Treatment, D3 for Depression, & The Biopsychosocial Part Of Chronic Pain But first, here's that sweet sweet bumper music Subscribe button OK, we are back and you have found the Chiropractic Forward... The post Nonoperative Disc Treatment, D3 for Depression, & The Biopsychosocial Part Of Chronic Pain appeared first on Chiropractic Forward.

Dr. Mark Campbell is a board certified general surgeon, a member of the Texas Surgical Society, and a Fellow of the American College of Surgery. He received a B.S. in Pre-Medical Biology at The University of Texas at Arlington in 1976 and received his M.D. from the University of Texas Medical School at Houston in 1979. He finished his surgical residency at St. Joseph’s Hospital in Houston in 1984. He has been practicing general surgery for 23 years and is currently in private practice in Paris, Texas. He has been a member of the Space Medicine Branch and The Aerospace Medical Association since 1989. He has authored or co-authored 25 published papers concerning surgical care during space flight and surgical techniques in weightlessness. Ten of these articles were published in Aviation Space and Environmental Medicine. He also was the author for the surgical section of “Medical Guidelines for Air Travel” published by the Aerospace Medical Association. Dr. Campbell has been a private pilot since 1984 (single and multi-engine ratings) and received his Air Force Flight Surgery wings in 1994. He began performing parabolic flight research with NASA Medical Operations at the Johnson Space Center in 1991 and was a NASA Flight Surgeon at the Johnson Space Center from 1994 to 1996 where he was deployed to Star City, Russia to support the Shuttle-Mir program. In this episode we talk to him about prophylactic surgery for astronauts, developing remote surgical capacity, and telementored ultrasound. Links: 1. Nonoperative treatment of suspected appendicitis in remote medical care environments: implications for future spaceflight medical care. https://pubmed.ncbi.nlm.nih.gov/15110816/. 2. A review of surgical care in space. https://pubmed.ncbi.nlm.nih.gov/12081072/ 3. Prophylactic surgery prior to extended-duration space flight: is the benefit worth the risk? https://pubmed.ncbi.nlm.nih.gov/22564516/

This podcast covers the JBJS July 1, 2020 issue. Featured are articles covering Comparative Time to Improvement in Nonoperative and Operative Treatment of Rotator Cuff Tears; recorded commentary by Dr. Shah; High Prevalence of Radiographic Outliers and Revisions with Unicompartmental Knee Arthroplasty.

This podcast covers the JBJS July 1, 2020 issue. Featured are articles covering Comparative Time to Improvement in Nonoperative and Operative Treatment of Rotator Cuff Tears; recorded commentary by Dr. Shah; High Prevalence of Radiographic Outliers and Revisions with Unicompartmental Knee Arthroplasty.

Injuries to the hamstring complex most commonly involve the proximal musculotendinous junction of the long head of the biceps femoris (MTJ-BFlh). Nonoperative management of these injuries is associated with prolonged rehabilitation and high risk of recurrence. To our knowledge, the surgical management of acute MTJ-BFlh injuries has not been previously reported. In conclusion, surgical repair of acute MTJ-BFlh injuries enables return to preinjury level of sporting function with low risk of recurrence at short-term follow-up.   Click here to read the article.

Hosts: Patrick Georgoff, MD and Jayne McCauley, MD In this episode (the last of the series) we cover the management of blunt injury to the solid organs…the liver, spleen, and kidney.  DOMINATE THE DAY.   References:  Nonoperative management of blunt hepatic injury: An Eastern Association for the Surgery of Trauma practice management guideline (https://www.east.org/education/practice-management-guidelines/hepatic-injury-blunt-selective-nonoperative-management-of) Western Trauma Association/Critical Decisions in Trauma: Operative Management of Adult Blunt Hepatic Trauma (https://www.westerntrauma.org/algorithms/PublishedAlgorithms/WTACriticalDecisionsOperativeManagementOfAdultBluntHepaticTrauma.pdf) Selective nonoperative management of blunt splenic injury: An Eastern Association for the Surgery of Trauma practice management guideline (https://www.east.org/education/practice-management-guidelines/splenic-injury-blunt-selective-nonoperative-management-of) Western Trauma Association Critical Decisions in Trauma: Management of adult blunt splenic trauma—2016 updates (https://westerntrauma.org/documents/PublishedAlgorithms/WTACriticalDecisionsAdultBluntSplenicTrauma-2016Update.pdf) Western Trauma Association Critical Decisions in Trauma: Management of renal trauma (https://westerntrauma.org/documents/PublishedAlgorithms/WTACriticalDecisionsManagementOfRenalTrauma.pdf)

Dr Robert Watkins interviews Dr David Schechter: mind body medicine, treatment of athletes, pain management, relaxation techniques, non-operative treatment for spine pain, and more!

Dr Robert Watkins interviews Dr David Schechter: mind body medicine, treatment of athletes, pain management, relaxation techniques, non-operative treatment for spine pain, and more!

Drs Hartzler and Woodmass discuss Nonoperative Management of Posterior Shoulder Instability: An Assessment of Survival and Predictors for Conversion to Surgery at 1 to 10 Years After Diagnosis

Drs Hartzler and Woodmass discuss Nonoperative Management of Posterior Shoulder Instability: An Assessment of Survival and Predictors for Conversion to Surgery at 1 to 10 Years After Diagnosis

Current practice patterns for the management of anterior cruciate ligament (ACL) injury favor surgical reconstruction. However, long-term outcomes may not differ between patients completing operative and nonoperative treatment of ACL injury. Differences in outcomes between operative and nonoperative treatment of patients in the United States is largely unknown, as are outcomes in long-term strength and performance measures. The current findings indicate that favorable outcomes can occur after both operative and nonoperative management approaches with the use of progressive criterion-based rehabilitation. Further study is needed to determine clinical algorithms for identifying the best candidates for surgical versus nonoperative care after ACL injury. These findings provide an opportunity to improve the educational process between patients and clinicians regarding the expected clinical course and long-term outcomes of operative and nonoperative treatment of ACL injuries.   Click here to read the article.

Professor Stanley Herring is a clinical professor at the University of Washington (UW) in the Departments of Rehabilitation Medicine, Orthopaedics and Sports Medicine, and Neurological Surgery. He is director of the UW Medicine Sports Health & Safety Institute, medical director of Sports, Spine and Orthopedic Health for UW Medicine, and co-medical director of the Sports Concussion Program, a partnership between UW Medicine and Seattle Children's. Dr. Herring's clinical interests include non-operative musculoskeletal and sports medicine with a particular interest in disorders of the spine and sports concussion. He is a team physician for the Seattle Mariners and a consultant to the UW Sports Medicine Program. In this podcast he talks to BJSM’s Liam West about an important cause of low back pain in our adolescent sporting population – spondylolysis. They discuss common presentations, examination techniques, imaging protocols and clinical pearls for treatment. References Use of the one-legged hyperextension test and magnetic resonance imaging in the diagnosis of active spondylolysis - http://bjsm.bmj.com/content/40/11/940.info Nonoperative treatment of active spondylolysis in elite athletes with normal X-ray findings: literature review and results of conservative treatment - https://www.ncbi.nlm.nih.gov/pubmed/11806390 Union of defects in the pars interarticularis of the lumbar spine in children and adolescents - http://bjj.boneandjoint.org.uk/content/86-B/2/225 Nonoperative treatment in lumbar spondylolysis and spondylolisthesis: a systematic review - https://www.ncbi.nlm.nih.gov/m/pubmed/24427393/

You have been diagnosed with thyroid cancer, and contrary to your doctor's advice, you choose to not proceed with surgery.  Is this a patient trend, and how often are patients making this decision? In a qualitative analysis, Dr. Louise Davies reports on the experience of US patients who self-identify as having an over-diagnosed thyroid cancer. How likely is death as result of thyroid cancer?  In a study by H. Harach, he sites that when reviewing random autopsies, thyroid cancer was prevalent in 34% of the cadavers.   Dr. Davies states, if diagnosed with thyroid cancer, important questions to ask, include: How big is the tumor? How was the tumor discovered? Are there any symptoms? Dr. Davies says those who choose to opt for no surgery are sometimes called stupid by those who know them, and end up feeling isolated and anxious, with little or no support.   Louise Davies, MD, MS, FACS is an Associate Professor at Geisel School of Medicine and Dartmouth Institute for Health Policy & Clinical Practice (TDI). She is Chief, Otolaryngology at Veterans Administration, White River Jct., VT Dr. Davies is an otolaryngologist - head & neck surgeon whose thyroid related research is aimed at defining and documenting the problem of rising thyroid cancer incidence and developing management approaches to the problem in ways that are safe and effective. Clinically, Dr. Davies cares for patients with both head and neck and thyroid cancer and general otolaryngology problems primarily at the VA hospital, with a limited practice at Dartmouth Hitchcock Medical Center. Her career is defined by her goal of helping patients and physicians make good decisions for their cancer care by providing clear, helpful data in useful formats at the needed time and place. NOTES: JAMA Abstract: Dr. Davies Thyroid Stories Project Dr. Michael Tuttle, from Sloan Kettering Yasuhiro Itoa and Akira Miyauchi  Nonoperative management of low-risk differentiated thyroid carcinoma  

Interview with Peter C. Minneci, MD, MHSc and Katherine J. Deans, MD, MHSc, authors of Effectiveness of Patient Choice in Nonoperative vs Surgical Management of Pediatric Uncomplicated Acute Appendicitis

Episode #20: Nonoperative vs operative ACL after 5 years and EMG comparing gluteus medius vs TFL. For links to the articles reviewed on this episode got to ptpodcast.com/pt-inquest

Episode #16: OAT vs. Microfracture and Operative vs. Nonoperative ACL. Go to ptpodcast.com/pt-inquest for the articles discussed on this episode.

This podcast will explore the feasibility of a nonoperative "wait and see" approach based on strict selection criteria in patients with locally advanced rectal cancer who achieve a complete clinical response after chemoradiation.