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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.

Getting High

Snowcapped Mountains & Hiker
Winter sports are often enjoyed at altitude. Going to high elevations pushes all your cardiovascular systems to respond. Are you ready?

Pop, catch, give way: The sounds you don’t want to hear

Bagpiper - Sounds You Don't Want to Hear
“Doc, my knee popped, it now catches and gives way.” Whether it is the knee, the ankle, the hip, or the shoulder, catching and giving way—especially after hearing a pop—is bad news.

Uncommon Tips for Skiing Safety, 2019

Skiing Safety TIps
Surely you have heard the usual advice: Get strong, stay flexible, don’t take the last run, and ski with a helmet. All fine and good—until you notice that the top skiers on ski teams, along with super fit backcountry skiers, all get hurt too. So let’s think about some of the less common ski tips and see if they keep you safe this year.

Designer Babies and CRISPR Joints

CRISPR Gene Editing Image
The first known experiment using the CRISPR gene editing technique with live human embryos was conducted in China in November 2018. The joy of seeing babies born with potential immunity to the HIV/AIDS virus was, unfortunately, dulled by a chorus of critics. What was not said is that the potential for good is unlimited and that the first real success will launch a thousand ships carrying weapons capable of killing off the diseases of old.

Go Slow to Go Fast

Snail and Cheetah
I used to find a lot of time in every second. Rapid thinking, multi-tasking, and impatience all supposedly led to productivity. And stress. Now I go slow to go fast—and I am trying to go slower.

The Disability You Don’t Have

Wheelchair Olympian Fencing
“I’m grateful to not be that guy.” How often do you say this to yourself when you see someone with an obvious disability? That same gratitude is what you need to feel when it’s you who are hurt.

Goodbye Stem Cells?

Stem Cell Under Microscope
The stem cell tsunami overwhelming all of medicine is evolving. Where once it was thought that these cells could morph into anything and cure everything, our new understanding of their behavior will change how they are used. Here is where we are on the learning curve:

Breaking Bad

Anatomical Graphic
Bone fractures around the knee fall into two groups: Those that lead to arthritis and those that heal just fine. Here is a brief guide to which is which.

Aging Impact Score

Health Effects Impacting Aging
We have all become hypersensitized to the effects of the things around us, the activities we do, and the food we put into our bodies. If each activity has a negative and positive effect, can we score them? Here is my effort to create the “Stone Aging Impact Score” with each activity having a negative or positive effect on a scale of minus 10 to plus 10.

Get Out to Get In

Man Walking in Woods
Life has turned inward. The smartphone, the personal computer, streaming TV, even our counseling sessions have turned our view inward. But if you really want to see what’s inside, get outside.

Daily Abs

Ab Workout Exercise Ball
The abs have it. If you could focus on only one part of your body to change and strengthen, consider spending the rest of this year on your abdominal muscles. Here is why you should—and a simple exercise for getting the abs you deserve.

AI Bots Democratize Medicine: You are more transparent than you think.

Healthcare-AI
Artificial Intelligence-enabled systems that interpret radiologic studies are advancing to the point where they often match the best radiologists in the world. And they are getting better every day. From CT scans to MRIs, angiograms to Doppler studies, the data captured is digital—and digital data can be read by machines.

Take a Swim

Aquatic Exercises
Swimming pools are like boats and golf clubs. The average boat is used 14 days a year, as is the average set of golf clubs. They look good and are expensive, yet they are largely ignored. Here is why you should get wet.