For those unfamiliar with the designation, it is for the one who makes public pronouncements though I don’t dress elaborately by tradition nor do I carry a handbell saying “Oyez, oyez” (hear ye, hear ye)
“Twenty percent of knee replacement patients are not happy with their total knee replacements.” –Orthopedics, This Week Tuesday, June 12, 2018
“Arthroscopy for knee OA did not reduce or delay the need for a TKA” – Journal Arthroscopy. Sept 23, 9 2017
“Dr. Atul Gawande, a surgeon who was named this week to head the company being formed by Amazon, Berkshire Hathaway and JPMorgan Chase to trim employee healthcare costs, on Thursday cited surgery as the single biggest U.S. healthcare cost and said there are ways to both cut costs and improve patient care” “We need to act through data tracking … to see when treatments are benefiting and when they are not,” Gawande said. – Headline News Now June 25, 2018
There is an appropriate time and place for a joint replacement; a symptom such as pain in the knee should not be the solitary indication. Neither should every patient with a joint complaint be told by a surgeon “you have bone on bone and need a joint replacement”. My office evaluation before I make an evidence-based outcomes recommendation includes a history and physical before I look at the images. Joint range of motion is equally important as is the review of symptoms prior to reviewing your images for determining if I can help you postpone a joint replacement though my menu of Regenerative and joint Restoration alternatives or whether you should proceed to a total joint replacement. Please be reminded that before I evolved into my present approach to musculoskeletal afflictions, I was an orthopedic surgeon at a major medical center where I headed the joint replacement program for many years. Every patient who goes to a physician is not necessarily an automatic candidate for a procedure offered by that physician. Yesterday, I submitted an application for an FDA monitoring of one of our newest offerings and a good deal of the application was not only based on the scientific basis but the inclusion and exclusion criteria.
There is a time and place for doing something or doing nothing. To determine what is in your best interest, call for a consultation (847) 390-7666 or visit one of my two websites; www.sheinkopmd.com or www.Ilcellulartherapy.com
Tags: Arthroscopy, Dr. Atul Gawande, Headline News Now, joint pain, joint replacement, knee arthroscopy, knee pain, knee replacement, knee replacement failure, Orthopedic Surgeon, Orthopedics, Restoration alternatives