Orthopedic Surgeons Quotes

McKusick's belief in this paradigm-the focus on disability rather than abnormalcy-was actualized in the treatment of patients in his clinic. Patients with dwarfism, for instance, were treated by an interdisciplinary team of genetic counselors, neurologists, orthopedic surgeons, nurses, and psychiatrists trained to focus on specific disabilities of persons with short stature. Surgical interventions were reserved to correct specific deformities as they arose. The goal was not to restore "normalcy"-but vitality, joy, and function. McKusic had rediscovered the founding principles of modern genetics in the realm of human pathology. In humans as in wild flies, genetic variations abounded. Here too genetic variants, environments, and gene-environment interactions ultimately collaborated to cause phenotypes-except in this case, the "phenotype" in question was disease. Here too some genes had partial penetrance and widely variable expressivity. One gene could cause many diseases, and one disease could be caused by many genes. And here too "fitness" could not be judged in absolutes. Rather the lack of fitness-illness [italicized, sic] in colloquial terms- was defined by the relative mismatch between an organism and environment.

According to the American Academy of Orthopedic Surgeons, in 2006, one out of six people or 43.1 million Americans suffered foot ailments. Among cultures that don’t wear shoes, approximately 2 percent of the population has foot-related injuries, compared to 70 percent among shoe-wearing societies.

If punishment is based on potential, privileged people will be given lighter sentences. Brock was shielded inside projections of what people like him grow up to become, or are supposed to become. Orthopedic surgeon. Biomedical engineer. All-American Athlete. Olympian. The judge argued he’d already lost so much, given up so many opportunities. What happens to those who start off with little to lose?

an ambitious woman with her sights set on a very competitive residency, made me promise, tearfully, that if she became pregnant I would support her decision to terminate the pregnancy and not ask her to bring a fetus to term. She had worked hard her whole life and wanted to become an orthopedic surgeon more than anything. Moved by her anxiety that I might fail to be a loving support to her, and by my own strong desire to defy the stereotype of the sexually irresponsible black man (even though nothing in my personal history indicated that I might conform to it), I easily agreed—an

No doubt there are other inferior clinics out there. Poor care, overpricing, and rude staffers can be found in every medical field. But you don’t find people using examples of it to inveigh against an entire specialty—railing against the greed of orthopedic surgeons (average 2012 salary, $315,000) or calling for surprise inspections of dentists because every year a few people die from preventable errors during dental procedures.8 Only in abortion care do the few bad providers taint all the others—and taint them so much that opponents can pass laws that would virtually shut down the entire field in the name of patient safety. No

They fielded and anonymous 911 call from Raymond Higueras's own phone. And yet said Higueras was sort of tied up at the time of the call. Contemplating some one-on-one with an orthopedic surgeon was how it was related to me." "One of life's mysteries," Jack said, relaxing for the first time all day. - "The Devil's Necktie

Abovitz is a technology entrepreneur with a background in biomedical engineering. He previously founded Mako Surgical, a company in Fort Lauderdale that makes a robotic arm equipped with haptic technology, which imparts a sense of touch so that orthopedic surgeons have the sensation of actually working on bones as they trigger the robot’s actions. Mako was sold to a medical technology company, Stryker, for nearly $1.7 billion in 2013. By night, Abovitz likes to rock out. He sings and plays guitar and bass in a pop-rock band called Sparkydog & Friends. And as he tells it, Magic Leap has its origins in both the robotic-surgery company and his life as a musician.

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Athletes whose sport involves running put enormous strain on their legs.” That’s what the Sports Injury Bulletin has declared. “Each footfall hits one of their legs with a force equal to more than twice their body weight. Just as repeated hammering on an apparently impenetrable rock will eventually reduce the stone to dust, the impact loads associated with running can ultimately break down your bones, cartilage, muscles, tendons, and ligaments.” A report by the American Association of Orthopedic Surgeons concluded that distance running is “an outrageous threat to the integrity of the knee.” And instead of “impenetrable rock,” that outrage is banging down on one of the most sensitive points in your body.

Given the fact that the goal of rehabilitation was to find disabled men gainful employment, it is noteworthy that the United States did not take the path of the St. Dunstan’s Hostel in London, where blinded soldiers were retrained to work as masseurs and employed by the Crown.16 Despite such examples, the US Medical Department, and orthopedic surgeons more specifically, opposed the idea of training men as physiotherapists.17 Orthopedists never made their rationale for hiring female physiotherapists explicit. They knew, of course, that the military needed men on the front lines and could not spare too many of them for hospital work. They also knew that women were cheap.

Perhaps most important, orthopedic surgeons knew that female assistants would pose less of a threat to their male-dominated professional authority than male physiotherapist would. In short, as one orthopedist put it: “The work could be best performed by women.”18

Mike took the stairs two at a time. He felt a small pang in his knee, an old injury from his hockey days. He’d had it operated on a few months ago by his friend, an orthopedic surgeon named David Gold. He told David that he didn’t want to give up hockey and asked him if playing had caused the long-term damage. David gave him a prescription for Percocet and replied: “I don’t get a lot of ex-chess players here—you tell me.” He

As we’ve seen, up to 25 percent of employed seniors from our top universities are heading to financial services each year. Our financial services industry (and to a lesser extent its attendant legal industry) plays an equivalent role to the oil industry in Saudi Arabia in terms of talent attraction. You can see a similar dynamic at work in other fields with fixed slots. There were 682 orthopedic surgery residents in the United States in 2012. That number is set because there are only so many funded residency slots in teaching hospital programs throughout the country.4 If I were to kick butt in medical school and get one of these residencies, I would be on the way to becoming an orthopedic surgeon, probably the most coveted residency due to money, lifestyle, low morbidity of patients, gratification from restoring mobility, and other factors. But let’s say that I didn’t make it and fell short—there would still be 682 orthopedic surgeons five years from now because the next guy would have gotten that slot. We’re all competing to fit through the same finite gate. The value difference if I perform really strongly and get one of these coveted spots is not one more surgeon—it’s the gap between me and the 683rd person who didn’t get it (and perhaps went into a less prestigious or less lucrative specialty). From a value creation standpoint, it’s not ideal for a massive level of talent to be going to existing enterprises that have captured large economic rents or where people are fighting for a set of finite slots. The rents and slots will stay essentially constant. Contrast this with new business formation. If I were to say, “There are only going to be 682 new successful businesses started in the United States next year,” people would instantly regard that as ridiculous. It’s unknown and unknowable. But we all know that if another enterprising team comes along and starts a cool company, that number goes up by one.

Even in surgery there have been some encouraging developments. For instance, operating on the wrong knee or foot or other body part of a patient has been a recurrent, if rare, mistake. A typical response has been to fire the surgeon. Recently, however, hospitals and surgeons have begun to recognize that the body’s bilateral symmetry makes these errors predictable. In 1998, the American Academy of Orthopedic Surgeons endorsed a simple way of preventing them: make it standard practice for surgeons to initial, with a marker, the body part to be cut before the patient comes to surgery.

We fix things. Do you understand that? We don’t analyze things. We don’t discuss things. We don’t wring our hands and cry about things. We fix them! If somebody wants to be analyzed they can see a shrink. When they come to the Department of Orthopedics at the Mayo Clinic they want only one thing: they want to be fixed. “Now get the hell out of here and go fix things. And I better not get any more reports of touchy-wouchy, hand-holding sessions in this department.

The only sounds at the late hour were the faint jingle of a phone ringing in the nurses’ station, the ping of an elevator, the faraway sound of the wheels of a cart, and the gentle beep of Brandon’s vital signs monitor. They wouldn’t allow any flowers or personal items in the ICU, but Sloan had snuck in an engagement photo. It sat on the table next to the bed. Her and Brandon on the beach, the surf crashing around their feet, her tattooed arm over his shoulder, them looking at each other. Both of them laughing. I looked back at him and sighed. “You’re going to have some gnarly scars, buddy.” They’d started the skin grafts for the road rash on his arm. “But you’ll get to do everything you planned to do with your life. One of us is going to get the girl. I’ll help you any way I can. Even if I have to wheel your ass to the altar.” I could picture his smile. With any luck I’d see it in a few hours. A knock on the door frame turned me around in my chair. “Hey, cutie.” Valerie came into the room for her vitals check. She turned the lights up, and I stood and stretched. As if sleeping in a chair wasn’t hard enough, the activity every two hours was the final kicker. I wouldn’t call anything I did on these overnight shifts sleeping. Maybe napping, but not sleeping. Every two hours Brandon was moved. They checked his airways, changed out bags, looked at his vitals. I don’t know how Sloan was handling doing this almost nightly for the last three weeks. Sloan was a good woman. I’d always liked her, but now she’d earned my respect, and I was grateful Brandon and Kristen had her. “Did you decide what day you want to bring the kids to the station?” I asked Valerie, yawning. She cycled the blood pressure cuff on Brandon’s arm and smiled. “I’m thinking Tuesday. You on shift Tuesday?” “Yup.” She wrote down some notes on Brandon’s chart and then gave me a raised eyebrow. “Any updates with your lady friend?” I laughed a little. “No.” The whole nursing staff knew about my depressing love life. I’d gotten hit on a few too many times by some of the younger nurses. I couldn’t claim to have a girlfriend, and I wasn’t married, so it was either “I’m gay” or “I’m in love with that girl over there.” I’d gone with the latter, and now I wished I’d said I was gay. They didn’t know why Kristen wouldn’t date me, just that she wouldn’t. It had turned into the favorite topic of the ICU. A real-life episode of Grey’s Anatomy. I rarely got through a Brandon visit without it coming up. The drama escalated when Kristen had been hit on by the nurses’ favorite single orthopedic surgeon. According to the nurses’ gossip circuit, Kristen told him to go fuck himself. And apparently she’d actually said, “Go fuck yourself.” After that everyone was sure she was holding out for me. Only I knew better.

Dr. Campbell handed us off to the orthopedic surgeon, who went over the next steps to deal with Brandon’s broken bones. Another surgeon told us about the repairs to the laceration to his liver. Then a plastic surgeon talked to us about the skin grafts he would need to cover the extensive road rash on his left arm. By the time the doctors were done with us, Sloan was wiped. I put her back in her chair and called Josh. The phone was still ringing when I heard it behind me. I spun and there he was. The second I saw him, my emotional disconnect from the situation clicked off. My coping mechanism snapped away from me like a rubber band shot across a room, and the weight of what happened hit me. Sloan’s grief, Brandon’s condition—Josh’s trauma. I dove into his arms, instantly withered. I’d never trusted anyone else to be the one in control, and my manic mind gave it to him immediately and without reservation and retreated back into itself. He clutched me, and I held him tighter than I’d ever held anyone in my life. I wasn’t sure if I was comforting him, or if I was letting him comfort me. All I knew was something subconscious in me told me I didn’t have to hold the world up anymore now that he was here. “I’m so glad you’re here,” I whispered, breathing him in as my body turned back on from being in suspended animation. The sound to the movie around me turned all the way up. My heart began to pound, I gasped into his neck, and tears instantly flooded my eyes. He put his forehead to mine. He looked like shit. He’d looked bad this morning at the station—I knew he hadn’t slept. But now his eyes were red like he’d been crying. “Any updates?” His voice was raspy. I couldn’t even comprehend how hard it must have been for him to see what he saw and stay at work, going on calls. I wanted to cover him like a blanket. I wanted to cover them both, Josh and Sloan, and shield them from this. I put a hand to his cheek, and he turned into it and closed his eyes. “He just got out of surgery,” I said. Then I told him everything, my hands on his chest like they anchored me. He stood with his arms around my waist, nodding and looking at me like he was worried I was the one who wasn’t okay. It didn’t escape me that we were holding each other and I didn’t care what it meant or what wrong signals it might send to him at the moment. I just knew that I needed to touch him. I needed this momentary surrender. For both of us.

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As an outsider looking in, an x-ray of the Michaels family would look something like this: Cassidy Michaels-Harrington: Oldest child, snob, interior designer, mother of two hellions I loved dearly, and married to an attorney who, if possible, was an even bigger snob. Tyson Michaels: The baby, snob, finishing the last year of his plastic surgery residency and apparently re-engaged to an orthopedic surgeon who was not a snob, but in a lot of ways, he was by association because he put up with, and often encouraged, my brother’s behavior. And then there was me, Bowen Michaels: blissfully normal accountant, stuck in the middle, wondering how in the hell my cool-ass parents had given birth to me and the co-mayors of Snobville.

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[Sebastian explains why he won't leave Boston] "Because I hate the cold and the forty-two different seasons this city experiences and the leaves"—it had to be noted that he said leaves with jazz hands, and I couldn't tell if those were ironic jazz hands or not—"and then cobblestones, which must've been invented by an orthopedic surgeon, and everything is old as fuck and that's supposed to be special, and the roads"—he cringed with his entire body—"the fucking roads look like a child with no object permanence drew them. They make no sense, none at all, and don't get me started on the sports. These people and their sports. My god. Do you know about the turkeys? There are turkeys here, Shap, they're all over the place, they don't appreciate that we're sharing their habitat, and they'll chase the fuck out of you if you're not careful. And then there's the coffee, which used to be the only part of my day that didn't piss me off but now I can't just order coffee, I have to also join a cult. And you can't park. You just can't park in this town. Don't try. Not worth it, but it means you have to walk on the danger rocks and you better believe they'll be slippery as hell because all the leaves came down between hot wind season and cold hurricane season so you'll roll an ankle just to dodge the turkeys and order a regular coffee which you must drink with cream and sugar by order of the cult but it's going to be free because one of the sports teams finally won a game—and thank fuck for that because they're not out driving drunk or beating on each other for one blessed night." He gave a brisk shake of his head. "That's why I can't leave." I had to bite my lip to keep from laughing. "Because you hate everything?" "Yeah. I hate it all so thoroughly that I'm sure I'd never find anywhere else to hate with such completeness. Without all of this resentment, I'd be empty inside.

We have now developed for Agni a re-entry structure, for which we have developed this new material, a very light material called carbon-carbon. One day an orthopedic surgeon from Nizam Institute of Medical Sciences visited my laboratory. He lifted the material and found it so light that he took me to his hospital and showed me his patients. There were these little girls and boys with heavy metallic calipers weighing over three kilograms each, dragging their feet around. He said to me, “Please remove the pain of my patients” In three weeks, we made these floor-reaction Orthosis 300-gram calipers and took them to the orthopedic center. The children didn’t believe their eyes. From dragging around a three kilogram load on their legs, they could now move around! Their parents had tears in their eyes.

NOW THAT HIS BOOK was done, a number of deferred medical matters could be addressed, including a colonoscopy, a prostate screening, and some tests a pulmonologist had recommended to investigate a recent shortness of breath. He didn’t have cancer, and a steroid inhaler did away with the wheezing inside an afternoon, but it was also decided, at the urging of a new orthopedic surgeon, that his spinal stenosis be treated with a laminectomy. The surgery was scheduled for late March and a rotation of private nurses arranged to be on hand for two weeks, which stretched into three.

also enjoyed that the orthopedic surgeon was incredibly attractive, knew it, and had the swagger of a man who is very good at what he does and very well compensated for that work. That was Saturday.