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How is 3D printing changing orthopedic surgery and patient care?In this episode of Baptist Health Talk, host Sandra Peebles explores how 3D printing is being used in orthopedic care, from surgical planning to improving accuracy in the operating room. Guests Dr. Frantz Lerebours, orthopedic surgeon at Baptist Health Orthopedic Care, and Dr. Tyler Goodwin, FIU Baptist Health Orthopaedic Sports Medicine Fellow, explain how patient-specific 3D printed guides can help surgeons plan procedures before entering the OR.They discuss:• How 3D printing is used in shoulder replacement surgery • Why patient-specific guides can improve surgical precision • How this technology may reduce time in the operating room • The difference between 3D printed guides and implants • How 3D printing is helping with deformity correction • What the future may hold for robotics, implants and orthopedic innovationTechnology is helping surgeons better visualize anatomy, plan procedures more precisely and improve the overall patient experience.For more health and wellness information, visit: https://baptisthealth.net/newsSubscribe to Baptist Health Talk for more conversations with medical experts from Baptist Health South Florida.Host:Sandra PeeblesAward-Winning JournalistGuests:Frantz Lerebours, M.D.Orthopedic Surgeon Baptist Health Orthopedic CareTyler Goodwin, M.D.FIU/Baptist Health Orthopaedic Sports Medicine Fellow
Most people think of cycling injuries as cuts, bruises or perhaps a broken wrist. However, surgeons around the world are warning that they have seen a rising number of serious injuries specifically related to e-bikes. Anton discusses this further with Dr Jerry Tsang, Senior Clinical Lecturer in Trauma and Orthopedic Surgery at Queen Mary University .
Chuck and Chris catch up and discuss a few clinical scenarios including the Arcade of Struthers and indications to address it with ulnar nerve transposition. They also discuss adolescent forearm instability, especially in congenital conditions, and the role of the one- bone forearmWe are still need of a podcast intern! We would appreciate any referrals!See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.As always, thanks to @iampetermartin for the amazing introduction and concluding music.For additional links, the catalog. Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx
When you open your Match Day envelope, you step into an orthopedic surgery field that looks nothing like it used to. John E. Klibanoff, an orthopedic surgeon, discusses his article "Navigating your orthopedic surgery residency after Match Day," published on KevinMD. He explains why nobody will care about your physiology grade or your rotation honors once you start residency, and why the old archetype of the tall, athletic, Northeast-raised orthopedic surgeon no longer describes the field. You will hear how AI and short online snippets have collapsed a week of attending-to-attending research into thirty minutes over coffee, how impaction devices and minimally invasive tools have opened recon and spine surgery to surgeons of any stature, and why younger faculty and peer networks are replacing top-down lectures. Klibanoff also explains why mentorship and adaptability matter more than competitiveness, and why patients now arrive with hours of their own research to bring into the room. Listen to hear what actually earns you the craft of orthopedic surgery after Match Day. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
In this episode, Antonia F. Chen, MD, Chair and Professor of Orthopedic Surgery at the University of Texas Southwestern and incoming President of the American Association of Hip and Knee Surgeons (AAHKS), and R. Michael Meneghini, MD, CEO and Founder of the Indiana Orthopedic Institute and immediate past president of AAHKS, join the podcast to discuss leadership transitions and the importance of reestablishing communication as new leaders. They also explore how AI dictation tools can reduce administrative burden and improve work-life balance, the impact of Medicaid cuts and financial pressures on orthopedic care, and the importance of supporting women in healthcare leadership and surgery.
Listen to our latest podcast as we break down our favorite orthopedic surgery and sports medicine movie movements from films such as Trainwreck, The Dark Knight Rises, Friday Night Lights, and Rookie of the Year (and more!)
What if being too flexible is exactly what makes surgery fail? And what if your doctor thinks your shoulder is fine because you can lift your arm to 90 degrees, not realizing that for you, 90 degrees might as well be a frozen joint? Your joints bend farther than most. But when something goes wrong, that same flexibility may be working against you and your surgeon may not know it yet. In this episode, Dr. Linda Bluestein sits down with Dr. Jocelyn Wittstein, orthopedic surgeon at Duke University, to pull back the curtain on one of medicine's most misunderstood intersections: hypermobility, connective tissue disorders, and orthopedic care. Why do surgeons sometimes refuse to operate on patients with hypermobility or EDS? What actually happens during an "atraumatic" dislocation and why does it feel so different from a typical injury? And how does estrogen quietly shape the strength of your connective tissue across your lifetime? Dr. Wittstein walks us through the critical distinction between joint laxity and instability a difference that changes everything about treatment. She explains the frozen shoulder paradox, where a hypermobile patient loses dramatic range of motion but still looks "normal" on paper. She breaks down what PRP can and cannot do, and when regenerative medicine is worth considering. And she reveals why surgical technique itself has to change when the patient has variant connective tissue. Whether you are managing chronic subluxations, weighing a surgical decision, or just trying to understand why your body plays by different rules this conversation gives you the framework to advocate for smarter care. Takeaways: Laxity Is Not Instability: Laxity is how far your joint moves. Instability is what happens when you can no longer control that movement. These are not the same problem, and confusing them leads to the wrong treatment. The Dislocation Spectrum: Hypermobile joints often dislocate with little or no trauma -- and reduce just as easily, because the tissues have more give and recoil. This is a fundamentally different mechanism than what surgeons typically train for. Why Surgery Gets Complicated: Surgeons may modify technique entirely for hypermobile patients using donor tendons or internal bracing, because standard repairs fail at higher rates when connective tissue itself is the variable. Estrogen and Your Joints: Estrogen influences collagen synthesis and joint inflammation. Its withdrawal during menopause can trigger increased pain and fibrotic conditions, including frozen shoulder, in ways that are rarely discussed. The Frozen Shoulder Paradox: A hypermobile patient presenting with 90 degrees of shoulder motion might look fine to any other doctor. For them, it may represent a catastrophic loss from baseline and will almost certainly be missed without the right clinical lens. What PRP Can (and Cannot) Do: PRP shows legitimate evidence for reducing inflammatory markers in mild arthritis. Bone marrow concentrate, despite the hype, has not yet proven superior. Know the difference before you invest. Want more Dr. Jocelyn Wittstein? @Jocelyn_wittstein_md https://ortho.duke.edu/jocelyn-r-wittstein-md Go to cozyearth.com and use my Promo Code: BENDYBOGO Go AquaTru.com now for 20% off (your purifier) using promo code BENDY. Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: https://www.instagram.com/hypermobilitymd/ Facebook: https://www.facebook.com/BendyBodiesPodcast X: https://twitter.com/BluesteinLinda LinkedIn: https://www.linkedin.com/in/hypermobilitymd/ Newsletter: https://hypermobilitymd.substack.com/ Shop my Amazon store https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Want to learn more about the UVA EDS Center? For Appointments and Questions: RUVAEDSCenter@uvahealth.org UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinic UVA EDS FAQ: https://www.uvahealth.com/support/eds/faq UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. YOUR bendy body is our highest priority! Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices
What if being too flexible is exactly what makes surgery fail? And what if your doctor thinks your shoulder is fine because you can lift your arm to 90 degrees, not realizing that for you, 90 degrees might as well be a frozen joint? Your joints bend farther than most. But when something goes wrong, that same flexibility may be working against you and your surgeon may not know it yet. In this episode, Dr. Linda Bluestein sits down with Dr. Jocelyn Wittstein, orthopedic surgeon at Duke University, to pull back the curtain on one of medicine's most misunderstood intersections: hypermobility, connective tissue disorders, and orthopedic care. Why do surgeons sometimes refuse to operate on patients with hypermobility or EDS? What actually happens during an "atraumatic" dislocation and why does it feel so different from a typical injury? And how does estrogen quietly shape the strength of your connective tissue across your lifetime? Dr. Wittstein walks us through the critical distinction between joint laxity and instability a difference that changes everything about treatment. She explains the frozen shoulder paradox, where a hypermobile patient loses dramatic range of motion but still looks "normal" on paper. She breaks down what PRP can and cannot do, and when regenerative medicine is worth considering. And she reveals why surgical technique itself has to change when the patient has variant connective tissue. Whether you are managing chronic subluxations, weighing a surgical decision, or just trying to understand why your body plays by different rules this conversation gives you the framework to advocate for smarter care. Takeaways: Laxity Is Not Instability: Laxity is how far your joint moves. Instability is what happens when you can no longer control that movement. These are not the same problem, and confusing them leads to the wrong treatment. The Dislocation Spectrum: Hypermobile joints often dislocate with little or no trauma -- and reduce just as easily, because the tissues have more give and recoil. This is a fundamentally different mechanism than what surgeons typically train for. Why Surgery Gets Complicated: Surgeons may modify technique entirely for hypermobile patients using donor tendons or internal bracing, because standard repairs fail at higher rates when connective tissue itself is the variable. Estrogen and Your Joints: Estrogen influences collagen synthesis and joint inflammation. Its withdrawal during menopause can trigger increased pain and fibrotic conditions, including frozen shoulder, in ways that are rarely discussed. The Frozen Shoulder Paradox: A hypermobile patient presenting with 90 degrees of shoulder motion might look fine to any other doctor. For them, it may represent a catastrophic loss from baseline and will almost certainly be missed without the right clinical lens. What PRP Can (and Cannot) Do: PRP shows legitimate evidence for reducing inflammatory markers in mild arthritis. Bone marrow concentrate, despite the hype, has not yet proven superior. Know the difference before you invest. Want more Dr. Jocelyn Wittstein? @Jocelyn_wittstein_md https://ortho.duke.edu/jocelyn-r-wittstein-md Go to cozyearth.com and use my Promo Code: BENDYBOGO Go AquaTru.com now for 20% off (your purifier) using promo code BENDY. Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: https://www.instagram.com/hypermobilitymd/ Facebook: https://www.facebook.com/BendyBodiesPodcast X: https://twitter.com/BluesteinLinda LinkedIn: https://www.linkedin.com/in/hypermobilitymd/ Newsletter: https://hypermobilitymd.substack.com/ Shop my Amazon store https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Want to learn more about the UVA EDS Center? For Appointments and Questions: RUVAEDSCenter@uvahealth.org UVA EDS: https://www.uvahealth.com/healthy-practice/advancing-care-through-ehlers-danlos-clinic UVA EDS FAQ: https://www.uvahealth.com/support/eds/faq UVA Pediatric Integrative Medicine: https://childrens.uvahealth.com/specialties/integrative-health Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. YOUR bendy body is our highest priority! Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, Antonia F. Chen, MD, Chair and Professor of Orthopedic Surgery at the University of Texas Southwestern and incoming President of the American Association of Hip and Knee Surgeons (AAHKS), and R. Michael Meneghini, MD, CEO and Founder of the Indiana Orthopedic Institute and immediate past president of AAHKS, join the podcast to discuss leadership transitions and the importance of reestablishing communication as new leaders. They also explore how AI dictation tools can reduce administrative burden and improve work-life balance, the impact of Medicaid cuts and financial pressures on orthopedic care, and the importance of supporting women in healthcare leadership and surgery.
In this episode, Antonia F. Chen, MD, Chair and Professor of Orthopedic Surgery at the University of Texas Southwestern and incoming President of the American Association of Hip and Knee Surgeons (AAHKS), and R. Michael Meneghini, MD, CEO and Founder of the Indiana Orthopedic Institute and immediate past president of AAHKS, join the podcast to discuss leadership transitions and the importance of reestablishing communication as new leaders. They also explore how AI dictation tools can reduce administrative burden and improve work-life balance, the impact of Medicaid cuts and financial pressures on orthopedic care, and the importance of supporting women in healthcare leadership and surgery.
We welcome Dr. Kyle Angicola-Richardson, an orthopedic surgeon practicing with St. Peter's Orthopedics. Ray Graf hosts.
Hand injuries may look minor, but missed diagnoses can mean permanent disability. In this episode, EMRA*Cast host Maiya Smith, MD, is joined by PGY-3 Orthopedic Surgery resident Dr. Tyler Thorne to break down the high-yield hand exam and walk through can't-miss cases like Seymour fractures, central slip injuries, and perilunate dislocations.
I posted a meta-analysis showing PRP doesn't beat saline for tennis elbow. The regenerative medicine community came for me, hard. This episode walks through the incident, what the evidence states, why the comparator you choose determines the conclusion you reach, and what the pushback reveals about incentives in musculoskeletal medicine. References Antunes Júnior et al. (2026). Platelet-rich plasma does not improve pain or function in patients with lateral epicondylitis as compared with placebo: A meta-analysis of randomized clinical trials. American Journal of Sports Medicine. Coombes BK et al. (2010). Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: A systematic review of randomised controlled trials. The Lancet, 376(9754), 1751–1767. Gosens T et al. (2011). Ongoing positive effect of platelet-rich plasma versus corticosteroid injection in lateral epicondylitis: A double-blind randomized controlled trial with 2-year follow-up. American Journal of Sports Medicine, 39(6), 1200–1208. Kamble P et al. (2023). Is ultrasound (US)-guided platelet-rich plasma injection more efficacious as a treatment modality for lateral elbow tendinopathy than US-guided steroid injection? A prospective triple-blinded study with midterm follow-up. Clinics in Orthopedic Surgery, 15(3), 454–462. Krogh TP et al. (2013). Treatment of lateral epicondylitis with platelet-rich plasma, glucocorticoid, or saline: A randomized, double-blind, placebo-controlled trial. American Journal of Sports Medicine, 41(3), 625–635. Oeding JF et al. (2025). Platelet concentration explains variability in outcomes of platelet-rich plasma for lateral epicondylitis: A high dose is critical for a positive response — A systematic review and meta-analysis with meta-regression. American Journal of Sports Medicine, 53(10), 2489–2496. Orchard JW. (2025). Rock, paper, scissors: Resolving the conflicting results of randomized trials involving corticosteroid, platelet rich plasma (PRP) and placebo injections. JSAMS Plus, 5, 100081. Register for the complete shoulder online course Register for my Brisbane workshop Connect with Jared and guests: Jared on Instagram: @shoulder_physio Jared on X: @jaredpowell12 See our Disclaimer here: The Shoulder Physio - Disclaimer
We've spoken with many guests about clinical and technological trends impacting healthcare providers, but less so about the trends on the business side of practicing medicine. So on this episode, we're going to make up for that by spending our time with Dr. Alexander Vaccaro, an influential spine surgeon and president of one of the largest musculoskeletal practices in the U.S. -- Rothman Orthopaedic Institute -- which treats patients at over 40 locations in Pennsylvania, New Jersey, New York and Florida. While Dr. Vaccaro understands the desire for financial stability that's increasingly driving young physicians into the arms of hospital systems, he worries about what's being lost with the resulting decline in the number of independent practices. “If you didn't have private practice advocating for the doctor, the insurance companies would bully the healthcare profession.” Join Raise the Line host Michael Carrese for a candid and lively conversation that also covers: How physician autonomy and entrepreneurship can drive innovation; The economic and policy forces reshaping private practice medicine; The role of research partnerships between private practices and universities. Mentioned in this episode:Rothman Orthopaedics If you like this podcast, please share it on your social channels. You can also subscribe to the series and check out all of our episodes at www.osmosis.org/podcast
Is anesthesia safe? Listen to our latest podcast as Dr. Brian Feeley sits down with Dr. Kerstin Kolodzie, MD, PhD to discuss everything patients needs to know about anesthesia.
Victory is not only found at the finish line. It often happens in the moment you decide to keep showing up. There are seasons when energy feels low after long stretches of work, travel, or unexpected setbacks. In those moments, it can feel easier to step back. Yet returning to the work and being present in spaces connected to your purpose can help bring back clarity. The journey rarely moves in a straight line. There are periods of progress, periods of delay, and moments that test commitment. Mentors, peers, and community often play an important role along the way. Their presence and perspective can help keep the work moving forward. Setbacks can make it seem like progress has stopped, but they often become part of the process. Each step forward, even when the outcome is uncertain, reflects a decision to continue. That is the idea behind the phrase "right here you win." Winning is not only about the final result. It is also found in the choice to keep going and stay engaged with the work in front of you. In this episode of Time Out with the Sports Doctor, recorded from the American Academy of Orthopedic Surgery conference in New Orleans, Dr. Derrick reflects on more than twenty years of attending the meeting that helped shape his career. He talks about reconnecting with mentors, reflecting on the journey that led him into orthopedic surgery, and the value of community in a field where representation remains limited. He also shares lessons from sports and coaching that continue to shape his mindset today. The message is simple: keep going—because right here, you win. "You have to figure out what fills your cup, what re-energizes you, and what brings you back to that central focus of your 'why', why you continue to push through the adversity and overcome the things that you've done." – Dr. Derrick Burgess Topics Covered: (00:00:00) Introduction (00:01:13) Show up anyway (00:01:58) Finding what refills your cup (00:02:39) Mentors shaped the journey in medicine (00:03:45) Continuing the journey despite disappointments (00:05:50) The lack of diversity in orthopedic surgery (00:07:00) Advertisement: Struggling with your finances as a young physician? Doc2Doc Lending is here for you. Founded by doctors, we offer loans tailored to your unique career path, crediting your certifications and specialty training. Visit https://www.doc2doclending.com/ today. (00:08:58) Reconnecting with mentors and peers (00:09:49) Why sharing failures matters as much as sharing success (00:10:36) The value of tough but supportive coaching (00:11:53) "Right here you win" (00:13:18) You only lose if you quit (00:14:02) Final encouragement Key Takeaways: "When people see you where you are, they think you've always been here. But it's the journey, the up and down, the failures, the setbacks that make people relate to your story." "You need people in your corner, people in your circle that remind you… right here you win." "If you truly believe that all things are working for your good, then you play the game differently. You play with a higher level of confidence, you go after those challenges, you take the setbacks and you keep going, because in the end you will win." "The only way that you don't win is if you quit." Connect with Dr. Derrick Burgess: Website: https://www.drderrickthesportsdr.com/ Instagram: https://www.instagram.com/drderrickthesportsdr/ Facebook: https://www.facebook.com/TimeOut.SportsDr LinkedIn: https://www.linkedin.com/in/derrick-burgess-72047b246/ YouTube: https://www.youtube.com/@dr.derrickburgess243 Email: thesportsdoctr@gmail.com Other Links: https://www.hbcuendzone.org/about This episode of TimeOut with the SportsDr. is produced by Podcast VAs Philippines - the team that helps podcasters effectively launch and manage their podcasts, so we don't have to. Record, share, and repeat! Podcast VAs PH gives me back my time, so I can focus on the core functions of my business. Need expert help with your podcast? Go to www.podcastvasph.com.
Listen in as the AOFAS Orthopod-cast committee Drs. Nick Strasser, Bret Smith, Pam Luk, Anish Kadakia, Ben Jackson, and Joe Park talk about current and future uses, benefits, and pitfalls of AI technology in the Foot and Ankle Surgeon's practice. For additional educational resources, visit AOFAS.org
The HSE is set to clinically review 62 children who underwent orthopedic surgery as a ‘precautionary measure.' The move follows an independent report into the service in 2023, commissioned after high rates of post-operative complications and infections came to light. Many parents of children that underwent orthopedic surgeries are still waiting to hear whether their child is one of the 62 under review. Shane was joined by by Una Keightley who is one such parent, and co-lead of the Spina Bifida Paediatric Advocacy Group to react to the news.
Hello, all you and the Relentless Health Tribe trying to figure out how to do right by patients and the folks footing the bill. Welcome to it. This is episode 499, one episode before episode 500. So, come back next week for that one. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. All right, so today, let's talk about the inches that are all around us. Let's find some. Musculoskeletal spend, otherwise known as MSK spend, for any given plan sponsor adds up to the tune of something like 20% or 30% of total plan spending, depending on the member demographic. MSK rolls in at $16 PMPM, I just saw, according to a report Keith Passwater sent me a couple of weeks ago. It's the third most costly spend apparently overall. And it's easy to see why, right? On any given day, odds are good any given plan member is gonna do something that, in hindsight, was fairly obviously a bad idea and wind up getting hurt in some low-acuity way. For example, I remember that one time I twisted my ankle on a curb getting outta my car. Given the right space, enough time, and concentration, I can do the worst parking job you've ever seen in your life and manage to twist my ankle in the process. But I digress. Here's the point. MSK spend adds up really fast. Add to that something like 50% of spine surgeries are said to be unnecessary. The same thing goes true from injuries like twisted ankles, for example, that would have healed themselves without an ER visit, without any intervention aside from ice, rest, and elevate. Because it turns out that something like 80% of those twisted-ankle, banged-up-the-back types of MSK injuries are actually low acuity, and a huge percentage of those will heal by themselves. On that point, let me bring in some context here, some late-breaking news. I was reading Dana Prommel's newsletter. She wrote, and I'm reading this, she wrote, "The 2026 National Healthcare Expenditure data reports are out, and it is another sobering reflection of our current system. Personal healthcare spending has surged by over 8%, and our healthcare spend as a share of the GDP has followed that same aggressive trajectory." Then Dana writes, "The most troubling takeaway from the 2026 report is the lack of a 'health dividend.' Despite [this] 8% increase in spending, we aren't seeing a corresponding 8% increase in longevity, wellness, or chronic disease management. People aren't getting significantly healthier; they are just getting more 'care.' And that 'care' isn't always good care, or the right care, or care by the right type of clinician, at the right time, in the right setting." Is that not the perfect segue or what? Because this is what we're talking about on the show today in regard to, again, MSK care—care that can wind up costing millions of dollars across plan members, and it might be unnecessary because, again, the twisted ankle or the pain in the lower back would have healed itself without any care, without an ER visit. But if an ER visit was had, that patient probably is gonna wind up with a bunch of imaging. Probably is gonna wind up with a referral to a surgeon. And now there's a surgery scheduled, and the patient has been off work for however long all that took. There's a lot of direct and indirect costs that may or may not add up to any given health dividend or health span or whatever you wanna call it—better quality of life. Why does all this happen? How does it happen? One reason is what Dr. Jay Kimmel calls the white space of MSK care. This is where a patient does a truly breathtaking job parking the car, twists her ankle, starts to swell up, and now a decision has to be made: Go to the ER. Go to urgent care. Go home. Or what if it's a parent making this choice for a kid? In the olden days, maybe that patient would've called up his or her longtime family doctor and asked what to do, and maybe if that longtime family doctor didn't know, he or she would have called up the local ortho and gotten their opinion. Or maybe the two were sitting together in the doctor's lounge at the time, or maybe they rounded together in the hospital and, and, and … There used to be lots of opportunities for spontaneous questions and answers and curbside consults. But not today most of the time, really, unless you're a patient with a doctor in the family. But even for a PCP, who wants an ortho consult? Amy Scanlan, MD, and I discussed this quite a bit in an earlier episode (EP402). There's no doctor lounges anymore. There's no coffee klatch down in radiology either. There's just a lot of cultural shifts, in other words. But all of this, everything I have said thus far, all adds up to one big takeaway: These excess costs that don't have commensurate improved clinical outcomes, they happen because patients are on their own to triage themselves. They look at their black-and-blue whatever, or they're standing there listening to their kid cry and they are deciding what to do. And the thing is, if they choose the ER—because, again, they don't have a doctor, anybody they can just call with the right kind of clinical background—once they head into that ER and sit there for six hours and demand an MRI because now it has to be worth their time because they sat there for six hours; but now there's a false positive and the ER docs are being conservative because of malpractice or whatever and they refer them to some sort of surgeon … Look, everybody's doing their best with the information that they have at the time, but you can see how easy it is for a person to avoidably wind up costing a lot of money for a musculoskeletal injury that would have healed by itself. So, yeah, let's talk about how we can get patients some help in that so-called white space. How can we get them, triage before the triage, as I managed to say more than once in the conversation that follows? Let's get them on a good trajectory to start. Today, my guest is Dr. Jay Kimmel. Dr. Kimmel is an orthopedic surgeon, and he's been in practice in Connecticut for over 35 years. He and Steve Schutzer, MD, co-founded Upswing Health. I talked with Dr. Steve Schutzer about Centers of Excellence in an earlier episode (EP294). Upswing Health provides members with the opportunity to talk with an athletic trainer within 15 minutes and an orthopedic specialist within 24 hours. So, instead of having a panic attack of indecision and ultimately winding up in the ER, getting coughed on in the waiting room, members have somebody helping them in this white space so they can get triaged before the triage. I need to thank Upswing Health. I am so appreciative they donated some financial support to cover the costs of this episode. This podcast is sponsored by Aventria Health Group with an assist from Upswing Health. Also mentioned in this episode are Upswing Health; Keith Passwater; Dana Prommel; Amy Scanlan, MD; Steve Schutzer, MD; Eric Bricker, MD; Al Lewis; Nikki King, DHA; Matt McQuide; Christine Hale, MD, MBA; and Chris Deacon. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here. You can learn more at upswinghealth.com and follow Dr. Kimmel on LinkedIn. Jay Kimmel, MD, is the president and co-founder of Upswing Health, the country's first virtual orthopedic clinic. He founded Upswing with Steve Schutzer, MD, to rapidly assess, triage, and manage orthopedic conditions in a cost-effective, high-value manner, helping patients avoid unnecessary imaging, procedures, and delays in care. Dr. Kimmel had a long and distinguished career as a practicing orthopedic surgeon with Advanced Orthopedics New England. He earned his undergraduate degree from Cornell University and his medical degree from the University of Rochester. He completed his orthopedic residency at Columbia Presbyterian Medical Center, where he trained with leaders in shoulder surgery, followed by a sports medicine fellowship at Temple University Center for Sports Medicine, where he participated in the care of Division I collegiate athletes. He is board-certified in orthopedic surgery and is a Fellow of the American Academy of Orthopedic Surgeons. Dr. Kimmel specializes in sports medicine with an emphasis on shoulder and knee injuries and holds a subspecialty certificate in orthopedic sports medicine from the American Board of Orthopedic Surgery. He is also a member of the American Orthopedic Society for Sports Medicine. Dr. Kimmel co-founded the Connecticut Sports Medicine Institute at Saint Francis Hospital, a multidisciplinary center dedicated to providing high-quality care for athletes at all levels, and served as its co-director for many years. He has a strong commitment to education and served for over 20 years as an assistant clinical professor in both family medicine and orthopedics at the University of Connecticut. He has also served as a team physician at the professional, collegiate, and high school levels. 07:49 EP472 with Eric Bricker, MD, on high-cost claimants. 08:01 What is the "white space" in MSK spend? 10:43 Statistics on Connecticut's spending on plan members with low-acuity MSK injuries. 13:30 How back pain also easily transitions from a low-acuity issue to a high-acuity problem. 15:11 How plan sponsors can detect their white space downstream spend. 16:58 EP464 with Al Lewis. 17:02 EP470 with Nikki King, DHA. 18:15 Why where patients start their journey often dictates where they wind up and how costly that medical pathway is. 20:48 Where PCPs fit into this MSK spend issue. 25:26 EP468 with Matt McQuide. 25:34 EP471 with Christine Hale, MD, MBA. 25:39 Why access is key. You can learn more at upswinghealth.com and follow Dr. Kimmel on LinkedIn. Jay Kimmel, MD, of @upswinghealth discusses #MSKspend on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation #musculoskeletal Recent past interviews: Click a guest's name for their latest RHV episode! Mark Noel, Gary Campbell (Take Two: EP341), Zack Kanter, Mark Newman, Stacey Richter (INBW45), Stacey Richter (INBW44), Marilyn Bartlett (Encore! EP450), Dr Mick Connors
In this episode of WarDocs, we sit down with Dr. Franklin Sechriest, a former US Navy Commander and orthopedic surgeon, to explore the high-stakes world of Humanitarian Assistance and Disaster Relief (HADR) missions. Drawing from his extensive experience, Dr. Sechriest details the unique challenges of performing complex surgeries aboard naval vessels while responding to some of the most devastating natural disasters of the 21st century, including the 2004 Indonesian tsunami and the 2010 earthquake in Haiti. He provides a fascinating comparison between the capabilities of massive hospital ships like the USNS Mercy—floating Level 1 trauma centers—and the tactical agility of amphibious assault ships like the USS Bataan. Dr. Sechriest shares gripping personal anecdotes, including the life-saving resuscitation and surgery of a young Indonesian boy, which highlight the profound human impact of military medicine. Beyond the operating room, the conversation delves into the strategic importance of these missions. Dr. Sechriest explains how medical teams project "soft power," strengthening diplomatic ties and winning hearts and minds in regions where traditional military force is not the answer. He also discusses his collaboration with the Naval Health Research Center to analyze surgical data, revealing how past missions have reshaped current staffing models to better care for pediatric and geriatric populations often found in disaster zones. Looking ahead, the discussion covers the potential of Artificial Intelligence to reduce provider burnout and the advent of smart orthopedic implants. Finally, Dr. Sechriest offers timeless advice on leadership, emphasizing that the most effective leaders in chaotic environments are those who view themselves primarily as servants to their team and their patients. This episode offers a comprehensive look at how Navy Medicine combines compassion, logistics, and surgical excellence to bring hope to the darkest corners of the globe. Chapters (00:00-04:46) Introduction to Dr. Sechriest and the Path to Navy Orthopedics (04:46-14:55) Hospital Ships, Warships, and Life-Saving Stories from the Tsunami (14:55-27:14) Logistical Challenges, Ethical Dilemmas, and Data-Driven Improvements (27:14-36:12) Medical Diplomacy as Soft Power and Training for Future Conflicts (36:12-48:29) The Future of AI in Medicine and Leadership Advice for Aspiring Officers Chapter Summaries (00:00-04:46) Introduction to Dr. Sechriest and the Path to Navy Orthopedics The episode begins with Dr. Sechriest explaining his motivation for combining a medical career with military service, viewing it as the ultimate form of servant leadership. He describes his journey from general surgery to becoming an "accidental orthopedic surgeon" and how he found himself deployed on major humanitarian missions shortly after joining the Navy. (04:46-14:55) Hospital Ships, Warships, and Life-Saving Stories from the Tsunami This section distinguishes the medical capabilities between the massive USNS Mercy hospital ship and the tactical USS Bataan amphibious assault ship. Dr. Sechriest shares a moving anecdote about a young Indonesian boy who was airlifted to the ship in critical condition, illustrating how Navy assets can provide hope and advanced trauma care where absolutely none existed. (14:55-27:14) Logistical Challenges, Ethical Dilemmas, and Data-Driven Improvements The conversation shifts to the complexities of operating in disaster zones, including language barriers, continuity of care, and resource allocation. Dr. Sechriest details his work with the Naval Health Research Center to analyze mission data, which helped transition staffing models from World War II-era combat configurations to robust teams capable of treating diverse pediatric and geriatric populations. (27:14-36:12) Medical Diplomacy as Soft Power and Training for Future Conflicts Dr. Sechriest explains how humanitarian missions serve as a vital tool for "soft power" in the post-9/11 era, using compassion to improve global security and international relations. He also discusses how the chaotic, resource-constrained environments of natural disasters provide unparalleled training for medical officers preparing for combat operations. (36:12-48:29) The Future of AI in Medicine and Leadership Advice for Aspiring Officers In the final segment, the discussion explores how Artificial Intelligence can reduce administrative burdens for physicians and how smart implants will revolutionize orthopedic recovery. Dr. Sechriest concludes with advice for the next generation of military medical professionals, encouraging them to seek out tough assignments and lead with humility. Take Home Messages Medical Diplomacy as Soft Power: Humanitarian assistance missions are a critical strategic tool that allows the military to project goodwill and strengthen international alliances without firing a shot. By providing high-level medical care to foreign populations during crises, military medicine acts as a stabilizing force that can improve global security and alter negative perceptions of the United States in sensitive geopolitical regions. Data-Driven Operational Readiness: The analysis of surgical logs and patient encounters from previous disaster relief missions is essential for modernizing military medical responses. Research has shown that historical staffing models based on combat trauma were often insufficient for natural disasters, leading to a new focus on deploying with the right mix of pediatric and geriatric resources to match the actual needs of the affected population. The Distinction Between Naval Medical Assets: Understanding the difference between Echelon 3 hospital ships and Echelon 2 casualty receiving and treatment ships is vital for logistical success. While hospital ships offer comprehensive, prolonged care similar to a land-based trauma center, amphibious warships provide essential damage control surgery and superior air and sea transport capabilities to move casualties efficiently. Servant Leadership in Chaos: Leading effectively in the high-stress, chaotic environment of a disaster zone requires a mindset of humility and service rather than authority. The most successful medical officers are those who maintain focus on the mission, prioritize the well-being of their team, and acknowledge that they must rely on the collective expertise of others to solve complex logistical and ethical problems. AI and the Future of Orthopedics: Advanced technologies, particularly Artificial Intelligence and smart implants, are poised to revolutionize military and federal medicine by improving efficiency and outcomes. AI has the potential to alleviate provider burnout by automating non-clinical tasks, while sensor-embedded implants will provide objective data on patient recovery, allowing for proactive interventions and better long-term care. Episode Keywords WarDocs, Military Medicine, Navy Medicine, Orthopedic Surgery, Humanitarian Assistance, Disaster Relief, USNS Mercy, USS Bataan, Tsunami Relief, Haiti Earthquake, Medical Diplomacy, Naval Health Research Center, Trauma Surgery, Global Health, Military Leadership, Soft Power, Navy Doctor, Hospital Ship, Warship Medicine, AI in Healthcare, Disaster Medicine, Servant Leadership Hashtags #MilitaryMedicine, #NavyDoctor, #OrthopedicSurgery, #DisasterRelief, #HumanitarianAid, #USNavy, #MedicalLeadership, #WarDocs Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission is to honor the legacy, preserve the oral history, and showcase career opportunities, unique expeditionary experiences, and achievements of Military Medicine. We foster patriotism and pride in Who we are, What we do, and, most importantly, How we serve Our Patients, the DoD, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called "Docs" as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast
Dr. Shankar Das is a board-certified orthopedic surgeon whose interests include sports medicine with a focus on shoulder and knee injuries. He has vast experience in hip arthroscopy, including surgical repair of torn labrum and femoral acetabular impingement. Dr. Das is the President of Capital Region Orthopedic Associates at the Bone and Joint Center. Dr. Das is the medical director of Capital Region Ambulatory Surgery Center and is the consultant for the Tri-City ValleyCats, as well as the team physician for the University at Albany and Guilderland High School.Sponsors:Bombas offers a wide variety of sock lengths, colors, and patterns that have you covered whether you're working out, going out, or lounging at home. If you want to upgrade your sock game to one that's more comfortable, durable, fashionable, and charitable, head over to Bombas to browse their full collection of everyday wear and don't forget to use code CDSF20 for 20% off your first order.ANCORE: Named the best portable cable machine by Men's Health Home Gym Awards. Head over to ancoretraining.com/cdsf10 and use promo code CDSF10 for $50 off your order today.By combining the most potent organic nootropics found in nature, Drink Alchemy delivers sustainable boosts to creativity, memory, energy, & focus in one epic beverage. Enjoy the benefits of real ingredients, natural nootropics, and live with your Mind Unbound by going to drinkalchemy.co and use code CDSF at checkout for 10% off your order today.Thorne vitamins and supplements are made without compromise: quality ingredients ensure your body optimally absorbs and digests your daily supplements, while in-house and third-party testing ensure you're getting exactly what you paid for. Thorne's selection of high-quality supplements can help improve your quality of life. Switch to Thorne's high-quality and extensively tested supplements today at thorne.com/u/CDSF.Marc Pro. Marc Pro is an electric muscle stimulator that focuses on improving recovery through its patented technology. Unlike a traditional TENS unit, the Marc Pro doesn't just mask your pain, it improves circulation, flushes lymphatic waste, reduces soreness and fatigue, and prevents overuse injuries – leading to improved performance in the gym and on the field. Start taking your recovery to the next level. Head over to Marc Pro and use code CDSF for 10% off your Marc Pro, Marc Pro Plus, or Boost Pro Massage gun.Intro/outro music: freebeats.io/ (prod. White Hot)
Chuck and Chris respond to listener submitted questions regarding cubital tunnel decompression and ulnar nerve transposition. We also discuss some nuanced cases of thumb UCL injuries.We are in need of a podcast intern! We would appreciate any referrals!See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.As always, thanks to @iampetermartin for the amazing introduction and concluding music.For additional links, the catalog. Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx
The Faculty Factory Podcast is back for its Year 7/Season 7 debut this week, and we couldn't be more excited! Lilly Marks, a respected voice and distinguished leader in our field, is our featured guest, with Susan Chubinskaya, PhD, MS, joining alongside to add insights and further questions that ultimately provide a deep-seated exploration of several leadership traits and styles that are essential for success and building a healthy culture. Among the leadership topics we dive into: Communication Adapting to change and challenges Transparency Lilly Marks is a frequently sought-after national speaker on topics regarding medical school economics, healthcare practices, clinical practice management, and leadership in academic medicine. She was the longtime Vice President for Health Affairs at the University of Colorado Anschutz Medical Campus and has spent more than 25 years in academic medicine in various administrative and leadership positions. Dr. Chubinskaya is the Senior Vice President, Provost, and Chief Academic Officer at the University of Texas Medical Branch. She also serves as a Professor in the Department of Orthopedic Surgery & Rehabilitation in the John Sealy School of Medicine. Her previous two appearances on our podcast can be found here: Episode 11 – A Faculty Factory Interview with Susan Chubinskaya, PhD Episode 160 – Pearls of Wisdom for Faculty to Build a Career with Susan Chubinskaya, PhD "If you want faculty to trust and respect you, you have to trust and respect them. And that means sharing information, because black box decision-making doesn't work. I think it's critical to give faculty good data and information that is timely, accurate, relevant, and understandable," Lilly said. We want to thank Dr. Chubinskaya for her unwavering support of the Faculty Factory, as our hearts are filled with gratitude to be entering Year 7 with such incredible momentum ushered in with this episode.
Dr. Andrew John is an assistant clinical professor in the Department of Orthopedic Surgery at the University of California, San Francisco. He trained and practiced in PM&R across different regions of the country, bringing a unique perspective on how health systems and patient care vary across settings. In this episode, medical student Shreya Chalapalli interviews Dr. John about his journey in medicine, his work with global health, and his advice for students interested in PM&R. Links: Bio: https://orthosurgery.ucsf.edu/patient-care/faculty/andrew-john-0 Article he wrote as a resident for the AAPMR resident newsletter about navigating being Asian American in healthcare: https://www.aapmr.org/members-publications/newsletters/physiatrist-in-training-e-newsletter/phit-board-updates/where-are-you-from-thoughts-from-an-asian-healthcare-provider?utm_source=google&utm_medium=organic&utm_campaign=AAPMR&_zs=1rH7l1&_zl=Tsog8 Medical Student Resources: https://www.physiatry.org/resources/featured-resources/medical-student-education/
The 2025 year draws to a close with the December episode of RAPM Focus, where RAPM Social Media Editor Alopi Patel, MD, converses with Benjamin S. Brooke, MD, PhD, and Michael “Jay” Buys, MD, following the April 2024 publication of their original research paper, “Postsurgical opioid prescribing among veterans using community care for orthopedic surgery at non-VA hospitals compared to a VA hospital with a transitional pain service: a retrospective cohort study | Regional Anesthesia & Pain Medicine.” The research study looked at opioid prescriptions after orthopedic surgery for veterans, comparing veterans who underwent surgery at the Salt Lake City VA Hospital to those in the community. Dr. Brooke is a Professor of Surgery, Biomedical Informatics (adjunct), Population Health Sciences (adjunct), and Chief of the Division of Vascular Surgery at the University of Utah. He grew up in Salt Lake City, receiving his Doctor of Medicine from the University of Utah before heading east to complete his internship and residency in General Surgery at the Johns Hopkins Hospital. During his surgical residency, Dr. Brooke received his PhD in Clinical Investigation at the Johns Hopkins Bloomberg School of Public Health. He then completed a fellowship in Vascular Surgery at the Dartmouth-Hitchcock Medical Center. Dr. Buys is an Associate Professor (Clinical) of Anesthesiology at the University of Utah and Chief of the Acute/Transitional Pain Section at the Salt Lake City VA Medical Center. He completed his medical degree at the University of Iowa and residency in anesthesiology at the University of New Mexico, after which he served as an active duty anesthesiologist in the US Air Force at Wilford Hall Medical Center in San Antonio and at Craig Joint Theater Hospital in Afghanistan. *The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice, and it is not intended to function as a substitute for a healthcare practitioner's judgement, patient care, or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others. Podcast and music produced by Dan Langa. Find us on X @RAPMOnline, LinkedIn @Regional Anesthesia & Pain Medicine, Facebook @Regional Anesthesia & Pain Medicine, and Instagram @RAPM_Online.
Orthopedics is one of the busiest, and most equipment-intensive, service lines in health care. In this First Case Articles on the Go episode, Lindsay Joyce and Melanie Perry break down the Top 10 (plus one) foundational things every perioperative professional should know about working in orthopedic surgery. From nerve blocks and imaging to implants, positioning, labs, and dressings, this episode focuses on the universal essentials that set teams up for safe, efficient, and successful orthopedic cases.
PART 2I n this episode, we're joined by Dr. Andrew Zhang, and we explore Lumbar Interbody fusion. We discuss indications, relevant anatomy, differences between ALIF, OLIF, XLIF, + much much more. Dr. Zhang is a board-certified, dual fellowship-trained orthopaedic surgeon specializing in spine surgery. He has a clinical interest in treating complex spinal deformity in adult and pediatric patients, including scoliosis and kyphosis, as well as robotic surgery, minimally invasive techniques, and the latest technology such as endoscopic spine surgery. His patient-centered approach involves empowering patients by educating them on their individual spinal conditions and developing a specific evidence-based treatment plan together with them as if they were his own family members. Dr. Zhang also has a particular interest in teaching residents and medical students and is actively involved in several research studies. He has been published in numerous peer-reviewed scientific journals and textbooks, and he has presented posters and on podiums at several national and international conferences. Dr. Zhang earned dual undergraduate degrees in biology and economics with highest honors from The George Washington University and obtained his medical degree with distinction in research from the same institution. He completed his orthopaedic surgery residency at Louisiana State University. He then completed an advanced spine fellowship at Brown University, followed by additional spine training at Yale University and the Shriners Hospitals for Children in Philadelphia and Shreveport. Dr. Zhang completed a second fellowship in advanced adult and pediatric comprehensive spine surgery at New York-Presbyterian/Columbia University/Cornell University, training with the world's foremost experts in spine surgery. He served as an Assistant Attending and Postdoctoral Clinical Fellow at Columbia University's Vagelos College of Physicians and Surgeons as well as a Clinical Instructor of Orthopedic Surgery in Neurological Surgery at Weill Cornell Medical College. His higher education culminated in graduating with distinction from the Surgical Leadership Program at Harvard University. Prior to joining Penn Medicine, Dr. Zhang was the Chief of Adult and Pediatric Orthopaedic Spine Surgery, as well as an Assistant Professor and the Associate Program Director to the Orthopaedic Surgery Residency at Louisiana State University Health Sciences Center. Education and training Medical School: George Washington University Residency: Montefiore Medical Center Residency: Louisiana State University Hospital Fellowship: Brown University Fellowship: NewYork-Presbyterian/Columbia University Medical Center Fellowship: Harvard University Goal of episode: To develop a baseline knowledge of Lumbar Interbody Fusion In this episode, we cover a wide array of topics including: Lumbar interbody fusion vs posterolateral fusion indications for interbody fusion danger and surgical pearls for ALIF, OLIF, XLIF, PLIF pertininent lumbar spine surgical anatomy
On this episode, Dr. Nolan Wessell, Assistant Professor and Well-being Co-Director, Department of Orthopedic Surgery, Division of Spine Surgery, University of Colorado School of Medicine joins the podcast to discuss the growing burden facing the spine field and how clinicians are adapting to rapid shifts in practice and policy. He shares insights on tracking government changes that impact research funding, the ways AI is improving efficiency and supporting clinical decision-making, and the consequences of declining reimbursements across the specialty.
On this episode, Dr. Nolan Wessell, Assistant Professor and Well-being Co-Director, Department of Orthopedic Surgery, Division of Spine Surgery, University of Colorado School of Medicine joins the podcast to discuss the growing burden facing the spine field and how clinicians are adapting to rapid shifts in practice and policy. He shares insights on tracking government changes that impact research funding, the ways AI is improving efficiency and supporting clinical decision-making, and the consequences of declining reimbursements across the specialty.
On this episode, Dr. Nolan Wessell, Assistant Professor and Well-being Co-Director, Department of Orthopedic Surgery, Division of Spine Surgery, University of Colorado School of Medicine joins the podcast to discuss the growing burden facing the spine field and how clinicians are adapting to rapid shifts in practice and policy. He shares insights on tracking government changes that impact research funding, the ways AI is improving efficiency and supporting clinical decision-making, and the consequences of declining reimbursements across the specialty.
The lads sit down with Mary Bouxsein to explore SABRE — the landmark project aiming to make BMD a validated regulatory endpoint in osteoporosis trials. Mary walks us through how her team brought together data from more than 160,000 patients, why this could transform the speed and ethics of future drug development, and what it means for equity and patient care. A big conversation with one of the true leaders in the field — and a glimpse into a future where better treatments reach people faster. Mary Bouxsein is the Maurice E. Mueller Professor of Orthopedic Surgery at Harvard Med School and Co-lead of the Study to Advance BMD as a Regulatory Endpoint (SABRE).
In this episode, we're joined by Dr. Andrew Zhang, and we explore Lumbar Interbody fusion. We discuss indications, relevant anatomy, differences between ALIF, OLIF, XLIF, + much much more. Dr. Zhang is a board-certified, dual fellowship-trained orthopaedic surgeon specializing in spine surgery. He has a clinical interest in treating complex spinal deformity in adult and pediatric patients, including scoliosis and kyphosis, as well as robotic surgery, minimally invasive techniques, and the latest technology such as endoscopic spine surgery. His patient-centered approach involves empowering patients by educating them on their individual spinal conditions and developing a specific evidence-based treatment plan together with them as if they were his own family members. Dr. Zhang also has a particular interest in teaching residents and medical students and is actively involved in several research studies. He has been published in numerous peer-reviewed scientific journals and textbooks, and he has presented posters and on podiums at several national and international conferences. Dr. Zhang earned dual undergraduate degrees in biology and economics with highest honors from The George Washington University and obtained his medical degree with distinction in research from the same institution. He completed his orthopaedic surgery residency at Louisiana State University. He then completed an advanced spine fellowship at Brown University, followed by additional spine training at Yale University and the Shriners Hospitals for Children in Philadelphia and Shreveport. Dr. Zhang completed a second fellowship in advanced adult and pediatric comprehensive spine surgery at New York-Presbyterian/Columbia University/Cornell University, training with the world's foremost experts in spine surgery. He served as an Assistant Attending and Postdoctoral Clinical Fellow at Columbia University's Vagelos College of Physicians and Surgeons as well as a Clinical Instructor of Orthopedic Surgery in Neurological Surgery at Weill Cornell Medical College. His higher education culminated in graduating with distinction from the Surgical Leadership Program at Harvard University. Prior to joining Penn Medicine, Dr. Zhang was the Chief of Adult and Pediatric Orthopaedic Spine Surgery, as well as an Assistant Professor and the Associate Program Director to the Orthopaedic Surgery Residency at Louisiana State University Health Sciences Center. Education and training Medical School: George Washington University Residency: Montefiore Medical Center Residency: Louisiana State University Hospital Fellowship: Brown University Fellowship: NewYork-Presbyterian/Columbia University Medical Center Fellowship: Harvard University Goal of episode: To develop a baseline knowledge of Lumbar Interbody Fusion In this episode, we cover a wide array of topics including: Lumbar interbody fusion vs posterolateral fusion indications for interbody fusion danger and surgical pearls for ALIF, OLIF, XLIF, PLIF pertininent lumbar spine surgical anatomy
We welcome Dr. Adel Mahjoub of St. Peter's Orthopedics, a practice of St. Peter's Health Partners Medical Associates. Ray Graf hosts.
In this episode, we sit down with Dr. Jay Patel to discuss orthopedic surgery, focusing on hip and knee replacements. Dr. Patel shares his expertise on when surgery becomes necessary, the differences between anterior and posterior hip replacements, and what patients can do after surgery to achieve the best outcomes.Tune in to gain a better understanding of orthopedic surgery and how it can restore quality of life for those struggling with joint pain.Stay tuned to Twenty Seven Degrees for more insightful discussions on healthcare innovations. Subscribe and follow us on social media to support our podcast and ensure you never miss an episode! Special Thanks: BayCoast Bank and Duncan Hearing Healthcare for their sponsorship. Ron Gamache for our intro music. PrimaCARE and Bioskills of the Northeast for their continued support.
How do orthopedic surgeons utilize social media? What platforms are the best for patients and physicians? Listen to our latest podcast as we break it all down.
Ben Criddle talks BYU sports every weekday from 2 to 6 pm.Today's Co-Hosts: Ben Criddle (@criddlebenjamin)Subscribe to the Cougar Sports with Ben Criddle podcast:Apple Podcasts: https://itunes.apple.com/us/podcast/cougar-sports-with-ben-criddle/id99676
Dean's Chat hosts, Drs. Jensen and Richey, welcome Dr. Walter Strash and his daughter, Bella Strash, a 4th year student at the University of Texas Rio Grande Valley - School of Podiatric Medicine, to the podcast. We discuss, the new podiatric school in Texas, now with 4th year students out on rotation. Bella's experience in podiatry since childhood, and her passion for running and surgery! Dr. Walter W. Strash, DPM, FACFAS, is a highly respected podiatric foot and ankle surgeon with more than three decades of clinical experience in San Antonio, Texas. He earned his Doctor of Podiatric Medicine degree from Temple University School of Podiatric Medicine in 1988, following his undergraduate studies in biology and psychology at Carleton University in Ottawa, Canada. He then completed his surgical residency at Metropolitan Hospital in Pennsylvania. In 1991, Dr. Strash founded Alamo Family Foot & Ankle Care, where he continues to provide comprehensive treatment for a wide spectrum of conditions including bunions, hammertoes, Achilles tendon disorders, plantar fasciitis, arthritis, and complex reconstructive procedures. He is double board certified by the American Board of Foot & Ankle Surgery in both Foot Surgery and Reconstructive Rearfoot & Ankle Surgery, and he is a Fellow of the American College of Foot and Ankle Surgeons. Alongside his private practice, Dr. Strash serves as an Associate Professor in the Department of Orthopedic Surgery at the University of Texas Health Science Center in San Antonio, where he contributes to teaching, mentorship, and research. His clinical philosophy is rooted in evidence-based medicine, ensuring that patient care is guided by proven scientific approaches. Known for his patient-centered care and surgical expertise, Dr. Strash is recognized as both a leader and innovator in podiatric medicine. His dedication to advancing the profession through education, research, and compassionate clinical practice has made him a trusted physician and mentor to the next generation of podiatric surgeons. Enjoy this episode with a daughter following in her father's footsteps and helping pave the way for a new generation of podiatrists!
Over three different trips during the war, this doctor saw the chaos of blast injuries in northern Gaza give way to gunshot wounds suffered at aid-distribution sites in the south. Guest: Dr. Mohammed "Adeel" Khaleel, minimally invasive and complex spinal surgeon with Texas Metroplex Institute for Sports Medicine & Orthopedic Surgery. Want more What Next? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and across all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Podcast production by Elena Schwartz, Paige Osburn, Anna Phillips, Madeline Ducharme, and Rob Gunther. Learn more about your ad choices. Visit megaphone.fm/adchoices
Over three different trips during the war, this doctor saw the chaos of blast injuries in northern Gaza give way to gunshot wounds suffered at aid-distribution sites in the south. Guest: Dr. Mohammed "Adeel" Khaleel, minimally invasive and complex spinal surgeon with Texas Metroplex Institute for Sports Medicine & Orthopedic Surgery. Want more What Next? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and across all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Podcast production by Elena Schwartz, Paige Osburn, Anna Phillips, Madeline Ducharme, and Rob Gunther. Learn more about your ad choices. Visit megaphone.fm/adchoices
Over three different trips during the war, this doctor saw the chaos of blast injuries in northern Gaza give way to gunshot wounds suffered at aid-distribution sites in the south. Guest: Dr. Mohammed "Adeel" Khaleel, minimally invasive and complex spinal surgeon with Texas Metroplex Institute for Sports Medicine & Orthopedic Surgery. Want more What Next? Subscribe to Slate Plus to access ad-free listening to the whole What Next family and across all your favorite Slate podcasts. Subscribe today on Apple Podcasts by clicking “Try Free” at the top of our show page. Sign up now at slate.com/whatnextplus to get access wherever you listen. Podcast production by Elena Schwartz, Paige Osburn, Anna Phillips, Madeline Ducharme, and Rob Gunther. Learn more about your ad choices. Visit megaphone.fm/adchoices
Send us a textIn this episode, we welcome Dr. Bianca Edison, a pediatric sports medicine and orthopedic physician, to discuss the critical issues surrounding youth sports. Dr. Edison shares her journey into sports medicine and emphasizes the importance of balancing athletic activities for young athletes. The discussion covers overtraining, the significance of rest and recovery, the impact of burnout, and practical advice for preventing common sports injuries in children. We also dive into the importance of sleep, quality nutrition, and healthy exercise habits. This episode offers valuable insights for parents, coaches, and young athletes aiming for long-term health and enjoyment in sports. Dr. Bianca Edison is a pediatric sports medicine and orthopedic physician at Children's Hospital Los Angeles and Clinical Associate Professor of Orthopedic Surgery at USC's Keck School of Medicine. She received her MD from Baylor College of Medicine, completed pediatrics internship and residency at UCLA (where she served as Chief Resident), and pursued a sports medicine fellowship at CHLA. Bianca's clinical work focuses on overuse injuries, injury prevention, dance medicine, and concussion—helping young athletes stay healthy and love movement for life.Your Child is Normal is the trusted podcast for parents, pediatricians, and child health experts who want smart, nuanced conversations about raising healthy, resilient kids. Hosted by Dr. Jessica Hochman — a board-certified practicing pediatrician — the show combines evidence-based medicine, expert interviews, and real-world parenting advice to help listeners navigate everything from sleep struggles to mental health, nutrition, screen time, and more. Follow Dr Jessica Hochman:Instagram: @AskDrJessica and Tiktok @askdrjessicaYouTube channel: Ask Dr Jessica If you are interested in placing an ad on Your Child Is Normal click here or fill out our interest form.-For a plant-based, USDA Organic certified vitamin supplement, check out : Llama Naturals Vitamin and use discount code: DRJESSICA20-To test your child's microbiome and get recommendations, check out: Tiny Health using code: DRJESSICA The information presented in Ask Dr Jessica is for general educational purposes only. She does not diagno...
On today's episode we're focusing on wearable technology for athlete performance, recovery and injury prevention with Dr. Jacob Calcei, an orthopedic surgeon at University Hospitals in Cleveland and team physician for the Cleveland Browns. We'll start off our discussion today with an article titled “Wearable Performance Devices in Sports Medicine” from the January 2016 issue of Sports Health. The authors review the rapid rise of wearable sensor technologies in athletics, highlighting their ability to track real-time physiologic and movement data for optimizing performance and reducing injury risk. These tools can provide valuable insights into workloads, biomechanics, and fatigue, supporting tailored training programs and early injury prevention strategies. While wearable devices have shown promise, evidence for their effectiveness in professional sports remains limited, and further research is needed to validate accuracy, develop standardized training protocols, and address practical challenges such as reliability and usability.Then, from the January 2020 issue of Sports Heath, we review an article titled “Does Overexertion Correlate With Increased Injury? The Relationship Between Player Workload and Soft Tissue Injury in Professional American Football Players Using Wearable Technology.” This study investigates whether sudden increases in training load, as measured by wearable GPS and accelerometry technology, are associated with higher rates of soft tissue injury in professional American football players. The authors analyzed two NFL seasons and found that injured players experienced significantly greater spikes in workload during the week of injury compared to the prior month. Specifically, they found that those exceeding an acute-to-chronic workload ratio (ACR) of 1.6 being 1.5 times more likely to sustain an injury. The effect was particularly pronounced in the preseason, when workloads were higher and hamstring injuries were most common. The findings suggest that rapid workload increases predispose athletes to soft tissue injury, while consistent training loads may offer a protective effect. The authors conclude that monitoring player workload with wearable technology could help medical and training staff design safer, more individualized training regimens to reduce injury risk.We are joined today by Dr. Jacob Calcei, a board-certified orthopedic sports medicine physician and shoulder surgeon at University Hospitals and an assistant professor of Orthopedic Surgery at Case Western Reserve University School of Medicine. He is a team physician for the Cleveland Browns as well as several local high schools. Dr. Calcei has published extensively on a variety of sports medicine topics, has a particular interest in injury prevention and finding ways that we can make sports safer while optimizing athlete performance. So, we're very excited to have him join us today.
Dr. Dan Peters sits down with longtime family friend and trailblazing orthopedic trauma surgeon Dr. Michael Chapman for an inspiring conversation. A pioneer in his field, Dr. Chapman helped establish modern trauma surgery in the U.S., co-founded the Orthopedic Trauma Association, and led UC Davis's Department of Orthopedic Surgery for over two decades. Dr. Chapman's life is a testament to serendipity—recognizing unexpected opportunities and having the courage to take them. From his early days on the ski patrol rescuing injured skiers to shaping national trauma care systems, his career has been guided by openness, purpose, and service. Dr. Chapman also shares heartfelt insights on leadership, why commitment is the cornerstone of long-term relationships, and how his 64-year marriage to his wife Betty has been his greatest joy and motivation. Facing a nine-year battle with lymphoma, Dr. Chapman's philosophy is simple yet profound: Every day is a good day. Today's episode is more than an interview—it's a masterclass in living well, leading with integrity, and loving deeply. For more information @ucdavisorthopaedics on Instagram. Please listen, follow, rate, and review Make It a Great One on Apple Podcasts, Spotify, or wherever you listen to podcasts. Follow @drdanpeters on social media. Visit www.drdanpeters.com and send your questions or guest pitches to podcast@drdanpeters.com. We have this moment, this day, and this life—let's make it a great one. – Dr. Dan Learn more about your ad choices. Visit podcastchoices.com/adchoices
Pitch, please: Managing UCL Injuries in Throwing AthletesDr. Michael Banffy and Dr. Christopher CampToday's episode is going to focus on the management of UCL injuries in throwing athletes.We are joined today by two outstanding guests! Dr. Michael Banffy is a Professor of Orthopedic Surgery and Chief of Orthopedic Sports Medicine at Cedars-Sinai, as well as Director of the Orthopedic Sports Medicine Fellowship at Kerlan-Jobe. He is a team physician for the Los Angeles Dodgers and Los Angeles Rams.Dr. Christopher Camp is a board-certified orthopaedic surgeon specializing in sports medicine and shoulder and elbow surgery. Since 2019, he has been Medical Director, Team Physician, and Director of High Performance for the Minnesota Twins Baseball Club. Dr. Camp conducts clinical and basic science research on injuries of the shoulder, elbow and knee, including a focus on the throwing athlete. So, without further ado, let's get to the Exhibit Hall!
Sweet poison? New doubts cast over safety of erythritol; Is Greek yogurt a good way to enhance protein intake? Comparing whey, soy, and pea protein isolates; When taking supplements, is it advisable to take periodic breaks to enhance their effectiveness? Tommy John surgery pioneer and longtime Mets medical director dies at 68; Ivermectin, once branded useless “horse paste,” may prove a new weapon against malaria; New findings challenge notion that humans and apes share 99% of their DNA.
Chuck and Chris discuss fellowship graduation, a case of AIN palsy, and advice for new fellowship graduates as the establish their practices. Join us to hear our opinions and always feel free to share yours at handpocast@gmail.comWe are in need of a podcast intern! We would appreciate any referrals!See www.practicelink.com/theupperhand for more information from our partner on job search and career opportunities.The Upper Hand Podcast is sponsored by Checkpoint Surgical, a provider of innovative solutions for peripheral serve surgery. To learn more, visit https://checkpointsurgical.com/.As always, thanks to @iampetermartin for the amazing introduction and concluding music.For additional links, the catalog. Please see https://www.ortho.wustl.edu/content/Podcast-Listings/8280/The-Upper-Hand-Podcast.aspx
What do you do when your joints hurt? Do you think this is only temporary because I did too much of something? What can you do when joints hurt, or at least ache? Are you thinking or told about knee replacement? If this is you, this is your episode! My Guest: Dr. Joshua Schacter, DO, FAAOS, America's Holistic Orthopedic Surgeon, is redefining joint care with a commitment to providing actual solutions for his patients. Spending a decade as the Chief of Orthopedic Surgery and Director of the Advanced Orthopedic Center of Excellence, he saw the need for non-invasive, innovative solutions that address the root causes of pain and dysfunction rather than masking symptoms. When his wife was diagnosed with the “breast cancer gene”, the Schacter's became obsessed with wellness, health and how to accomplish true healing. Dr. Schacter dreamed of a more effective and patient-centered approach, the Pinnacle Method. Questions We Answer in This Episode: [00:05:25] How did your personal experience cause you to shift your focus from traditional orthopedic care to a more holistic and integrative approach? [00:21:18] What is orthobiologics? [00:20:20] How does The Pinnacle Method address not just the symptoms but the root causes of joint pain? How does the Pinnacle Method help patients achieve long-term wellness? [00:21:30] How do the treatments you offer support the natural healing process? [00:37:00] Can you define PRP? The efficacy and timeline, cost and success rate? [00:37:35] What do you find to be true today on surgery and non-surgical treatments? What evidence or success stories would you share to illustrate the effectiveness of the Pinnacle Method? [00:39:30] Your approach is optimizing overall health and longevity. How do you incorporate wellness and prevention into your care for patients? Know What You Can Do When Joints Hurt What is orthobiologics? Use of the body's own healing capacity. Includes PRP (platelet-rich plasma), stem cells from fat or bone marrow, cord blood. What is PRP? Platelet-rich plasma: Draw blood → concentrate platelets → inject into affected joint Cost: $2,000–$6,000 per dose What is The Pinnacle Method? Combines PRP, functional medicine, and BHRT Addresses the whole patient, not just symptoms Key Takeaways Orthobiologics like PRP and stem cells are effective alternatives to surgery, especially when used early. Steroid injections can accelerate joint degeneration and should be used cautiously. The Pinnacle Method is a patient-centered approach combining regenerative orthopedics, functional medicine, and hormone therapy. Menopause-related hormonal changes significantly affect joint health, making hormone balance crucial. Connect with Dr. Joshua: Website - Pinnacle Sports Medicine Facebook - Dr. Joshua Schachter Instagram - @drjoshuaschacter Instagram - @pinnacleintegrativeorthopedics YouTube - @drknighthawk Other Episodes You Might Like: Previous Episode - Extended Cardio and Low Protein Equal Short Term Weight Loss Next Episode - 5 Reasons You're Not Losing Weight or Gaining Muscle After 50 More Like This - Do You Have a Dominant Side? Joint Pain Solutions I'm Using Right Now More Like This - A Trek Up Mt Kilimanjaro with 3 Artificial Joints at 70 Resources: Join the Flipping50 Membership for evidence-based workout programs. Short & Easy Exercise videos in this 5 Day Flip Challenge.
Dr. Mitchell Reiter is a board-certified orthopedic surgeon with fellowship training in spinal surgery who has been in practice in New Jersey managing patients with spinal disorders for more than 20 years. Dr. Reiter is one of those rare individuals that always knew that he wanted to be a physician. Straight out of high school he entered the prestigious accelerated six-year combined B.S./M.D. Honors Program in Medical Education at the University of Miami. He then underwent five years of residency training in Orthopedic Surgery at The University of Miami – Jackson Memorial Hospital followed by a year of fellowship training in spinal surgery at Emory University in Atlanta which are two of the busiest spine centers in the country. Dr. Reiter spent his first ten years in practice at the Rutgers School of Medicine where he remains an Assistant Clinical Professor of Orthopedic Surgery. Dr. Reiter has been elected to Alpha Omega Alpha (the U.S. national medical honor society), has won numerous teaching awards, and has consistently been named as a New Jersey Top Doctor by New Jersey Monthly Magazine for more than 10 years. Dr. Reiter has published numerous journal articles and book chapters in the field of spine surgery. Enjoy. Work With Us: Arétē by RAPID Health Optimization Links: Sensiband Website Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram
Today, I am delighted to connect with Dr. Joycelyn Wittstein, a board-certified orthopedic surgeon and associate professor of Orthopedic Surgery at Duke who conducts NIH-funded research into post-traumatic knee arthritis. She has shared presentations at many prestigious medical conferences, and her work has appeared in peer-reviewed journals. In our discussion, we dive into many of the joint pain symptoms Dr. Wittstein sees in her perimenopausal and menopausal patients, and we look at the impact of specific, targeted supplementations, including curcumin, collagen peptides, and creatine monohydrate. We explore effusions, the effects of osteoarthritic risk factors like prior injuries, obesity, the perimenopause to menopause transition, and the impact of GLP-1s on joint symptoms and bone physiology. We discuss REDS (Relative Energy Deficiency Syndrome) and the causes of osteoporosis, and Dr. Wittstein also shares what she does to protect her bones and why she believes DEXA scans must get done early in the aging trajectory, why fractures can be problematic, and the significance of exercise and bone-building foods. You will not want to miss today's valuable and super action-oriented conversation with Dr. Jocelyn Wittstein. IN THIS EPISODE, YOU WILL LEARN: How women in their mid-40s and 50s often experience an acute increase in joint pain How hormone therapy can help women improve their bone health, prevent osteoporosis, and overcome joint pain Dr. Wittstein recommends supplements for reducing joint inflammation Various foods that can drive inflammation and cause joint health problems How the inflammatory state of obesity impacts joint health The benefits of GLP-1s for those with joint pain from inflammation Why early bone density screening is essential for women in their 40s How creatine monohydrate improves cognitive function and muscle mass The value of strength training and balance exercises for improving joint health The best foods and beverages for bone-building Bio: Dr. Jocelyn Wittstein I am an associate professor of orthopaedic surgery at Duke University Medical Center. I completed residency in 2009 and a fellowship in sports medicine in 2010 at Duke. Prior to medical school, I studied nutritional science at Cornell University. My practice focuses on sports medicine, with a particular interest in treating female athletes across the lifespan. I am currently president of the Forum: Women in Sports Medicine. I am part of the core leadership of the Duke Female Athlete Program. I am also a clinician researcher with NIH-funded studies of ACL and meniscus injuries and post-traumatic arthritis in knees. I am a co-author of the Complete Bone and Joint Health Plan, which was released on May 6, 2025. On a personal note, I am a former collegiate gymnast, lifelong athlete, and mom of five. I live in Raleigh, NC, with my husband, Tal Lassiter, who is also an orthopedic surgeon. Connect with Cynthia Thurlow Follow on Twitter, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Connect with Dr. Jocelyn Wittstein On the Duke Health website Instagram The Complete Bone and Joint Health Plan, co-authored by Jocelyn Wittstein, MD, and Sydney Nitzkorski, MS, RD, is available on Amazon or Barnes and Noble, and from most bookstores.
In this episode of the Ducks Unlimited Podcast, we're joined by Dr. RuthAnn Lobos of Purina. We dive deep into puppy health, discussing essential vaccines, building immunity, the science behind proper nutrition, and why it all matters for your duck dog. Plus, Dr. Lobos shares valuable socialization tips to help your puppy grow into a confident hunting companion.Listen now: www.ducks.org/DUPodcastSend feedback: DUPodcast@ducks.org