Two decades as a orthopaedics/trauma consultant. Post me your case and I'll tell you if surgery is indicated. Low time preference surgical opinions. Not a medical advice.
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2024-04-14T18:50:51+02:00 Event JSON
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Last Notes npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Will you cover promoting xpub collecting services? npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon My stuff is not possible elsewhere. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Oh yes. Incentives are whats it all about. You can also check from chatgpt ;). If interested read my short recent post. Btw. I'm making an asumption you didn't have major trauma with your knee? nevent1qqsvyp3d3plpnwt983rexkvrz4z4x6kn5vt3mvcwpnf7yakd4gukleqpz4mhxue69uhhyetvv9ujuerpd46hxtnfduhsygyurmc8az76tf066h6su553um90nvjlke4w45ppygx0n673g0jmhspsgqqqqqqsqk0378 npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Don't. There's no evidence torn meniscus wears off a joint. Some evidence a "cleaning" operation does. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Knee: Non traumatic problems beginning with normal movement should mainly be treated conservatively. Arthrosis and meniscal degeneration is to be treated by you! Low time preference option. Loose weight, exercise. Cycling helps by stimulating the tissues and cartilage widely. Cleansing operations with arthroscopy. Might give short help, but wont last more than months and there’s evidence it might make it worse. Only in severe arthrosis can a surgeon help. With extreme KL class III or more artrosis long time help is possible with endoprosthesis, but risky. True traumatic meniscal or ligament problems with instability need surgical consideration. Fracture treatment is mainly operative. Seek advice if you get a fracture. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Who is this? https://iris.to/npub1fa8c9prxnrlkdtjl48adfsxyaduz8tas075l2n4f6903y9awjmxqanthnd npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon You didn't have any wolves? npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Definitely preparing for all of these. Fortunately we still have time. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Just burning longs.. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon I'd say at the moment many. Especially those who don't have enough patients. It is matter of incentives as any. People and payers(insurance) need to educate themselves. This can be made difficult by us all. Hard to skim patients if others shun your practices. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon SHOULDER surgery in a nutshell Shoulder impingement means rotator cuff degeneration, aging. It should not be treated with surgery. Cleansing, decompression with arthroscopy is high time preference. Helps only if you believe enough. Low time preference: Exercise, physical therapy. Have patience to wait until it gets better. Trauma is a different beast. If an otherwise healthy rotator cuff gets torn it can be fixed most of the time. Instability surgery gives good results in anterior instability. AC joint arthrosis can be operated but usually gets better with time. In severe glenohumeral arthrosis an endoprosthesis is a possible option. Fracture treatment needs surgical advice. Both operative and conservative treatment is used. Latest studies lean to conservative especially in the elderly. #docchain npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon How did it happen? Mechanism of injury? Most TFCC lesions can be treated conservatively. Might want to consider saving those sats. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8476392/ npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon You want to tell more about the injury? npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Might want to look into https://mycitadel.io/ ? @npub12ep…m20g npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon "Hold" means self custody. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon One of the many reasons we need to build parallel systems. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon I agree. Take responsibility. You'll need to work for it! https://iris.to/note1xs5tnjq0ujkkety4ghklcpmtqv6n7ktjulnrnjquwx5xcl97r6us9d68fl npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon I'll post few short surgical educated opinions irregularly. Happy to find disagreeing and fight. BACK PAIN Dealing with back pain can be challenging, and surgery isn't the best solution. In most cases, surgery does not offer the relief you're hoping for and could even lead to future complications. It's generally recommended for severe deformities, leg pain(radicular pain) or muscle weakness (paresis), stemming from nerve compression. For most other situations, regular exercise and avoiding smoking can be more beneficial. If you're experiencing radicular pain or have urgent concerns like paresis, it's a good idea to consult a surgeon for advice. As for fractures, they're usually treated with non-surgical methods, but a surgical evaluation is necessary in most cases. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Very true. There's lot of scientific proof how bad narcotics especially opioids are for pain treatment. Many doctors cut corners and avoid uncomfortable truths. Not all. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Sure did. I'm not an expert on nutrition, but I do think Saif has a point in very many aspects of fiat life. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Could you disclose specialty or make another account to retain your own privacy with that disclosed? You have something written on orthopedic surgery? npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Call to arms! Freedom inclined medical professionals need to create nostr profiles for medical consultation. Lets build a way to get educated non fiat induced health advice. We all need it. Get your specialty mentioned in that profile. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon This! Old iris works with tor browser, but we need a client supporting tor. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon How did it go? You got x-rays to show? npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon #docchain Ping. Whad do you guys think? npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Yup. In old Iris. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Not able to do it remote and anon, but feel free to ask anything. npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Hope all went well! npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6 Nostr Surgeon Low time preference surgical treatment Man’s Impatience In Health and Opportunity to Invest In It. High time preference and incentive models have failed society and permeates medical treatment. Health responsibility is externalized. We want immediate help without own contribution. Impatience makes you feel something needs to be done, even if it results in more suffering in the long run. Non scientific approach appeals to many. Age is medicalized. Industry and doctors are incentivized to treat it, but uncomfortable truth remains. We degenerate and reversing age processes is not yet possible though you can slow it down. We can only replace aging tissues in very limited cases with simple mechanical devices. There also exists some old low time preference knowledge, but it’s hard to measure with scientific methods, and has to be distinguished from snake oils and easy to sell remedies. Signal:
Self responsibility. You are the best health provider for yourself. Exercise diligently, eat enough, but not too much. If you get problems nature is mostly the best healer. Get proper exercise advice in specific problems. Sometimes chronic pain exists but there’s no better option, and you’ll have to accept suffering. Most problems get better with time. Surgical and medical treatment is indicated and helps in certain conditions. Seek proper advice to be able to recognize those.