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Patients For Life

Dr Patient Bond
When you see a doctor, you have three choices: Ignore their advice and go somewhere else, trust them to solve your problem and move on, or engage with them as an advisor for life. Magic happens when doctor and patient bond forever.

Stress Fractures

Stress Fractures
Stress fractures happen to athletes at the worst of times. Usually, it is just when they’re increasing training, starting a new sport, or landing awkwardly from a jump. The bones of the feet and the shins are most at risk, but occasionally the hip or spine is injured. The knee is also exposed to such fractures, mostly during ligament ruptures and after meniscus removals. Here is the current thinking on what to do.

The Sleep Dilemma

Candle Burning at Both Ends
The data is now overwhelming. Eight hours of sleep each night is what humans need for optimal health and performance. Yet most of us don’t get it. What is the fix?

If You Can't Build It, Float It

Cruise Ship Solution to Homelessness
I am fortunate in that I can treat injured people, and push forward the medical science to repair and prevent arthritis. But if my patient doesn’t have a home, what good are my skills?

Here is my suggestion for a practical solution to one part of the homeless problem in the San Francisco Bay Area: a ship.

Protein and Water

Protein & Water
Diets come and go. Advice on water, supplements, energy drinks, and food choices vary like the wind. There are two key principles, however, that have withstood the test of time in our clinic: Protein and water should make up most of your diet. Here is why.

Once You Go Soft You are Never Going Back

Ski Boot Safety
Ski boots haven’t changed much in twenty years. Stiff and stiffer cuffs, rounded Italian-molded toe shapes, heavy polyurethane plastics with cold, hard buckles pretty much describes most of the downhill boots on the market. This is about to radically change.

Stress

Mastering Stress
We all experience it. Sometimes, we can use it to our advantage. But more often it is a disease, rotting our insides. Is there a treatment for stress? A vaccine or a cure? Let’s look at performance, relationships, and sleep. Each is affected by stress in a different way, and each has a variety of useful and useless responses.

Touch

Importance of Touch
We all love touch. So why are people in need of it the most often denied it? Old people and injured people often lie in their beds or live in rehabilitation environments: places where touch is rare.

Shoulder Motions

Ski Fall Shoulder Injury
The shoulder can dislocate or just subluxate—i.e., move partially in and out of the joint. The causes for these are most commonly a torn ligament or a lax capsule. The repair steps have improved dramatically and are worth doing early.

Succumbing

Succumbing
We give in too often. Whether it is to an injury, disease, age, or to loneliness, the affliction overwhelms our potential. In such cases, the Latin expression Illigitimi non carborundum—“Don’t let the bastards get you down”—applies to all.

Unweighting Depression

Unweighting Depression
Depression afflicts us all at some point. It may be the more difficult, internal, life-changing kind or the post-injury, temporary loss of performance kind. It is deflating, demoralizing, and debilitating, yet the cause is often invisible.

Sustainable Exercise

Sustainable Exercise
Sustainability is in. Consumption of non-renewables is out. But what about you? Are you sustainable?

Will It To Happen.

Will it to Happen
You make it happen. She makes it happen. Tom Brady makes it happen. So much of success in life, relationships, and health is about willing things to happen. So much of failure is avoidable if you do.

Don't Die from the Hospital

Don't Die from the Hospital
Hospitalization can be a pretty bad experience. Almost everyone needs a guardian to protect them while there. Here are some observations that may help you.

What’s Hot & What’s Not in Knee Surgery: A Few of the Highlights

What’s Hot & What’s Not in Knee Surgery:
Stem cells are both in and out. It was once thought that if these cells were injected into joints, they would turn into cartilage. Two problems arose. First, patients (unless they are infants) have very few stem cells left. Second, the injected cells died after releasing their instructional growth factors, never turning into cartilage. But what we have learned is that an increasing number of concentrated growth factors, immune stimulants, and even some drugs can induce the migration of the body’s own progenitor cells—some of them stem cells—cells that direct healing—to the injured area. These cells then optimize the environment around the injury to effect healing.

Chicken Soup: What’s New in the Field of Cartilage Repair?

Primordial Soup
The science of cartilage repair for joints is in full swing. There is a frenzy of activity around stem cells, growth factors, exosomes (small packets of growth factors), and all forms of stimulation therapies. And the matrices or patches that those factors are placed on vary widely. The bottom line is that no one factor does it all. Here is the latest update on what needs to go into the chicken soup of tissue repair to make you well.

Achilles Tears: The Debate Continues

Achilles Tear Repair
Achilles tendon ruptures are in the news. Season-ending, will take a year to come back, terrible injury…such verdicts fill the headlines. Why?

Why Back Pain Hurts

Back Pain
Low back pain connects with a special region in the brain and produces the fear that you will never be the same again. Here are some guidelines that may help you.

PCL Injuries: Never simple, and not to be ignored

PCL Illustration
The PCL (posterior cruciate ligament) can be ruptured in car accidents when the knee hits the dashboard and in ski accidents when knees get impacted in wild falls. If left alone, the injured knee degrades over time. Understanding the injury and novel ways to treat it has changed its natural history.

Top Five Reasons to Avoid Space Travel

Reasons to Avoid Space Travel
The lack of gravitational force is deadly to humans. The list of bodily systems that don’t work properly grows with every examination of astronauts who spend prolonged time in space.