Knee Scopes and Rooster shots Two surprise findings of late have been that – most knee scopes for torn cartilage do more harm than good if due to age, arthritis, associated with obesity and not a specific injury. I have heard plenty say it seemed to help and I still think youngish, thin people with injury may benefit. Surprising to me and plenty who get rooster shots, they appear to do no more good than a placebo. Foot Surgery My office manager of twenty-five years ago who worked with – orthopedists and then with a foot doctor, famously stated, foot surgery “No works.” While not entirely true, I think it serves well to especially emphasize, “Do not do the contemplated procedure until the problem is so bad that if you wind up worse, you will feel very good about the surgeon you chose and the fact you simply had no other choice.” All other Orthopedic Surgery It can be amazing how an x-ray or MRI might show – horrific damage or tears and yet time and physical therapy may deliver a perfect result. Often the physical therapy has huge prospects, but some patients do not do the P.T. home exercises not so bad if the surgery goes okay potential for – – giant, unnecessary disappointment if surgery goes wrong. Most backs and necks that hurt do not need surgery. Veins If for cosmetics, contemplate a fair, not great result and I think modest – satisfaction awaits. For large varicose veins that ache, I think good relief from discomfort and modest cosmetic gains are common enough. It is probably best to work with surgeons who do little else. YOUR ANNUAL WITH ME AND THE COMPANY PHYSICAL I work hard to do an annual physical that sticks to good science. is no test that the experts in screening science suggest be done that I do not include and I try to keep the rest to what is needed for me to get re-acquainted with the details unique to you, avoiding things like automatic treadmills, total body scans, blowing into tubes, etc. that go against best consensus opinion of what should be done.
Knee Scopes and Rooster shots – Two surprise findings of late have been that most knee scopes for torn cartilage do more harm than good if due to age, arthritis, associated with obesity and not a specific injury. I have heard plenty say it seemed to help and I still think youngish, thin people with injury may benefit. Surprising to me and plenty who get rooster shots, they appear to do no more good than a placebo. Foot Surgery – My office manager of twenty-five years ago who worked with orthopedists and then with a foot doctor, famously stated, “No foot surgery works.” While not entirely true, I think it serves well to especially emphasize, “Do not do the contemplated procedure until the problem is so bad that if you wind up worse, you will feel very good about the surgeon you chose and the fact you simply had no other choice.” All other Orthopedic Surgery – It can be amazing how an x-ray or MRI might show horrific damage or tears and yet time and physical therapy may deliver a perfect result. Often the physical therapy has huge prospects, but some patients do not do the P.T. home exercises – not so bad if the surgery goes okay – potential for giant, unnecessary disappointment if surgery goes wrong. Most backs and necks that hurt do not need surgery. Veins – If for cosmetics, contemplate a fair, not great result and I think modest satisfaction awaits. For large varicose veins that ache, I think good relief from discomfort and modest cosmetic gains are common enough. It is probably best to work with surgeons who do little else. YOUR ANNUAL WITH ME AND THE COMPANY PHYSICAL I work hard to do an annual physical that sticks to good science. is no test that the experts in screening science suggest be done that I do not include and I try to keep the rest to what is needed for me to get re-acquainted with the details unique to you, avoiding things like automatic treadmills, total body scans, blowing into tubes, etc. that go against best consensus opinion of what should be done.
new-long-ANNUAL-ho-1-1-18.docx