Orthopedics
The incredible journey of pregnancy: endurance, resilience, and unconditional love
“Pregnancy is the longest duration and highest energy expenditure that humans can experience. Mothers probably aren’t surprised by this.”
-Herman Pontzer
How fast you can run depends on why, for how long, and, more importantly, the drive that sets the purpose for why you are running in the first place. In all emergencies, trying to avoid becoming a tiger’s lunch does not take long: You either run as hard as ever to …
Reversing the aging process with neuroplasticity [PODCAST]
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Join orthopedic surgeon Michael Day as he shares his insights on how to reverse the acceleration of aging through lifestyle, habits, and even thoughts. Michael explains the role of neuroplasticity in enhancing the performance of our bodies …
Unlocking the secrets to aging gracefully: How to keep your spine young
An excerpt from The Spine Encyclopedia: Everything You’ve Wanted to Know about Back and Neck Pain but Were Too Afraid to Ask.
As we age, our cells become less functional, and bodily tissues lose the ability to replenish and regenerate. The spine is not excluded from this process and undergoes predictable …
The sacred work of a quality doctor: lessons in contemplative medicine
This past year I was fortunate to begin a fellowship in contemplative medicine at the New York Zen Center for Contemplative Care. Maybe this isn’t the extra-curricular activity you would expect from an orthopedic trauma specialist. Since I entered medical school almost 30 years ago, this has been the most rewarding experience by far.
Why? We all know our system is broken, but its brokenness goes beyond the “for-profits, occasionally also …
United by medicine: a journey of friendship, success, and the power of character [PODCAST]
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Join us in this episode as we dive into the incredible bond between Sharyar Baradaran, a periodontist, and Arya Shamie, an orthopedic surgeon. Despite their different religious backgrounds and specializations, these two childhood friends from Iran have …
Lessons from an orthopedic surgery journey [PODCAST]
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Today’s episode features John Chase, an orthopedic surgeon and author of You What?!: Humorous Stories, Cautionary Tales, and Unexpected Insights About A Career in Medicine.
John shares some of his most memorable moments interacting with patients throughout his …
Discover the power of breathing: How a lesson in pediatrics helped me find inner calm
“Until I know you better, I will tell you how to breathe!”
It’s my first day at the pediatric orthopedic hand specialty clinic on my pediatric ortho rotation in my third year of residency.
I have just been barked at by the professor emeritus, a retired Army colonel, who runs the service.
He didn’t tell me how to breathe, but he affected it.
Prior to this, my upper-level resident told me that I have …
The physician-patient connection: Ensuring mutual understanding
Do patients truly understand?
The question is not meant to be rhetorical. I have many conversations throughout the day with patients across all socioeconomic backgrounds and with varying levels of education.
The discussions include details surrounding their disease-specific particulars, treatment options, and surgical protocols. Patients digest my thoughts and then respond with specific questions of their own. They ask for instructions as well as the nuances of the healing process.
I confess that …
Unlocking the potential of occupational therapists: a solution to undertreated hand conditions
Hand disorders and injuries often result in significant functional deficits if not diagnosed and treated in a timely manner. Unfortunately, in Canada, hands are often undertreated or treated too late, with potentially serious consequences for both the patient and society due to prolonged disability.
Hand conditions are complex and require specialized knowledge to diagnose and treat correctly. Unfortunately, primary care physicians rarely have the training or expertise to accurately diagnose and …
Patients’ hilarious comebacks: a doctor’s perspective
I’ve had the opportunity to interact with a wide variety of patients. Along the way, I’ve heard some pretty memorable and interesting things. I thought it might be fun to share a few of my favorites.
One of the most common things I hear from my older patients is something like, “Doc, it’s just hell getting old!” Our standard response is usually …
The endless race: How to find peace in a world obsessed with productivity
I live in a state of chronic dissatisfaction and disillusionment, particularly when it comes to time. Is it the curse of the modern age to try to do too much? Is it just my location or life path? Have people always struggled with this?
If this constant struggle with time was a crime against anything else, I might be seen as an oddity or someone who doesn’t learn from their experiences. …
The key to reversing the aging process
There is no escape from our ultimate decline and death. The sooner we accept and embrace that reality, the freer we are to live life to the fullest now. So when I speak of reversing the aging process, I’m really referring to reversing the acceleration. If you recall the Newtonian physics from your high school physics class, acceleration is the velocity …
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An empowered woman’s guide to better health [PODCAST]
7 things I’ve learned after 12 years of private relationship-based direct care in Canada
I’m a hand surgeon. After six years of academic practice, I opted out of the public and universal health care system my country is famous for to create the first private hand surgery practice in Montreal, Canada. That was 12 years ago.
Opting out of the system means that I do not get any payment or reimbursement from the government in a country where private insurance does not pay for private …
The impact of hand surgery on human identity and expression
One weekend, while taking hand trauma call, we received a pre-arrival page about an incoming patient, a plastic surgeon, who had injured himself while moving a glass table. The information we received was devastating — a wrist laceration through the median nerve of his dominant hand. After his arrival in the ED and the formulaic introductions at the beginning of any encounter, he frankly asked, “So, honestly, do I need …
When should you consider surgery for scoliosis?
Most people with scoliosis will never require surgery. But who does need surgery, and how do you know?
Often diagnosed in childhood, scoliosis is characterized by an abnormal curve in the spine that can range from as small as 10 degrees to more than 100 degrees. In pediatric patients, this can result in pulmonary problems if the curve is severe.
However, pediatric patients’ complaints are mostly centered around their appearance due to …
Computers and your hands: Dispelling common myths
Have you heard that computer use causes carpal tunnel syndrome? In fact, there is a near-universal belief that technology gadgets can cause all sorts of hand problems. Both the lay public and most healthcare providers believe that entities such as “Blackberry thumb” and “repetitive strain injury” truly exist and that common hand problems such as flexor tendonitis and basal joint arthritis of the thumb are caused by repetitive typing or …
Opioid-free orthopedic surgery: Why (and how) my patients go opioid free after surgery
Primum non nocere. First, do no harm.
All doctors are familiar with this credo. From ancient precepts such as the Hippocratic Oath promising to abstain from doing harm to the modern bioethics principle of nonmaleficence, the calling of physicians involves striving to help alleviate suffering and avoid making it worse. In our increasingly complex health care and data environment, avoiding inadvertent harm can be more difficult than one might expect.
The patient I cannot help and a gun
“You’re my last hope.”
The words come from a patient I have no prayer of helping. He has had decades of back pain. He has had several surgeries, injections, hardware in, hardware out, but nothing has helped. He is unable to work. His struggle with back pain has ruined relationships, ruined his financial stability, ruined his mental health. His goals and mine are aligned. We both want to make his life …
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