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Which are you: a statistic or a person with a problem? If you ask the government, or many of the “managed” health care plans, you are seen as a “life”—as in, how many “lives” will be treated and at what cost? If you ask a doctor who has your best interests at heart, you are a person. But if he or she says they must follow a guideline for your arthritis care, walk out. Here is why.

The choice to operate—or not to operate—is a daily decision that all surgeons go through and that all injured patients face. At times, operative care can actually be more conservative than non-operative care, notably in cases where the injury is only going to get worse. Here are some of the typical choices our patients will face during this upcoming ski and winter sports season.

Much has made about the effectiveness of exercising your gratitude muscle. The health benefits of gratitude are broad and often begin with lowered stress, stronger relationships, and more energy. But how we practice this exercise, and make it part of our daily lives, is the dilemma. Here are five observations about what gratitude is not and a few tips for training the muscle: