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Getting High

Getting High The Stone Clinic
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

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

Uncommon Tips for Skiing Safety, 2019 The Stone Clinic
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

Designer Babies and CRISPR Joints The Stone Clinic
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

Go Slow to Go Fast The Stone Clinic
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

The Disability You Don’t Have The Stone Clinic
“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?

Goodbye Stem Cells? The Stone Clinic
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

Breaking Bad The Stone Clinic
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

Aging Impact Score The Stone Clinic
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

Get Out to Get In The Stone Clinic
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

Daily Abs The Stone Clinic
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.

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

Take a Swim The Stone Clinic
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.

ACL Recovery: Why does it take so long?

ACL Recovery: Why does it take so long? The Stone Clinic
When SF 49ers quarterback Jimmy Garappolo tore his anterior cruciate ligament on September 23rd in the second game of the 2018 season, the immediate verdict was, “He’s out for the season. He’ll be back next year.” Why does it take so long to recover from a simple ligament rupture?

Ignorant No More

Ignorant No More The Stone Clinic
I believe that no doctor should do anything to or put anything into a patient without knowing or studying the long-term outcome.

The Mind Game—Again

The Mind Game—Again The Stone Clinic
When Serena Williams was penalized during the US Open, she turned her anger against her accuser—the umpire—rather than on her opponent. She lost. At the same event, when Roger Federer suffered from the high heat and humidity he couldn’t wait to get out of the poorly designed Arthur Ashe tennis stadium. He lost.

The Robots are Here

The Robots are Here The Stone Clinic
Total knee replacement has been a godsend for many people with severe bone-on-bone arthritis. Many of my patients are skiing, hiking, and playing sports on replaced knees at levels they have not done in years, or even decades.

Mind, Body, Gut

Mind, Body, Gut The Stone Clinic
Gluten-free, vegan, dairy-free…all these variations of diets originally designed to address irritable bowels are exploding—apparently, because people’s bowels are now explosive. Celiac, diverticulitis, irritable bowel syndrome, and their relatives are being diagnosed more frequently than ever. As a society, Americans are becoming both more mindful and more stressed. Could these be linked through the gut?

One and Done is Not Enough

One and Done is Not Enough The Stone Clinic
Top skier breaks her leg. Doctor fixes it, gives her narcotics, and sends her home. She’s told to come back in two weeks for a checkup and have the rod taken out in a year. Doctor moves on to the next patient. What is wrong with this picture?

The Too Flexible Athlete

The Too Flexible Athlete The Stone Clinic
“Stretch, stretch more, do yoga, do Pilates,” our trainers encourage us in a never-ending litany. Our stiffness is hurting our backs, our knees, and our performance. But what about the too flexible athletes?