@txsportsdoc With an entity as massive as CMS, fraud, on some level, is guaranteed. Perhaps if they can trim some fat it would allow more funds to go where they should… to those directly taking care of patients. That being said, I am anticipating more of a dog and pony show

@DanKasper Greatest movie of all time

@orthobullets @MayoClinic @JSanchezSotelo @AnthonyRomeoMD @C_l_a_r_a_Az @umasrikumaran @SaraEdwardsMD @Grant_Garrigues @H2O_SportsMD @BrianColeMD @AceShoulderMD @PaulSethiMD I would get a new CT to assess the humeral head to determine remplissage vs OCA. I would address the glenoid with a distal tibial allograft. I had a similar case about 6 months ago which I treated with a remplissage and DTA.

RT @amyfaithho: I don’t believe the “40% of med students don’t plan to practice” stat…but even if I did, here’s some more relevant stats.…

@orthotraumamd

I had a postop patient bring in cookies as a thank you for “straightening his knee” It is easy to forget the small things that make practicing medicine so special and end up focusing way too much on paperwork and “high maintenance” patients. It is nice to remember why we do this

@winstongwathmey @DrAndreaSpiker The UW-UVA connection stays strong…

@mymomthesurgeon There are some great quotes with that same message, my favorite is: “There is no problem that surgery can’t make worse”

@Davembmd The original post touches on this, but it creates a scenario where the “rules of the game” are different for the trainee depending on where they end up practicing.

@DanKasper What have you done for me lately…

@DanielLiechtiMD Great images

@rkh_md 6 degrees… sounds balmy

@generalorthomd @orthobullets Always

@schulte_ss @orthobullets @AceShoulderMD @shoulder360 @VaniSabesanMD @CowlingSurgeon @NickGarbis @BillLevineMD @DrNMaassen @OrthoStrelzow @JacobKirschMD @marykmulcaheymd @pmacdonald16 @generalorthomd Looks like a bit of high side reaming along with a posterior augment on the glenoid component. But perhaps there were some other steps taken I am not appreciating.

@jointdocShields For sure. With crunchy PB. Although you can get a raspberry seed stuck in your teeth… but worth the risk

@orthotraumamd @orthobullets @AceShoulderMD @shoulder360 @VaniSabesanMD @CowlingSurgeon @NickGarbis @BillLevineMD @DrNMaassen @marykmulcaheymd @OrthoStrelzow @JacobKirschMD @lpcsmd @pmacdonald16 Pre-op MRI and intra-op assessment will guide my decisions regarding the cuff. I don’t use custom guides, but, if the deformity/bone loss is bad enough I will use a custom glenoid baseplate (ie Biomet VRS). That is in the setting of rTSA of course.

@Davembmd Did they lump adductor canal blocks in with FNBs? I use adductor blocks in my pediatric ACL and patellar stabilization cases and, anecdotally, I don’t know if I have even seen an issue with one.

@DanielLiechtiMD I’ve said it a million times, but the hardest part of our job is often talking people OUT of surgery