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No Room For Ignorance in Medicine

Doctors who do not accept all patients, regardless of race, nationality, sex, sexual orientation, social or economic status, in my opinion, are in the wrong profession and should simply not be seeing patients. Recent behavior by one physician at a local medical CME conference made me want to express my opinion about this. Today we live in a country highly divided in political views but politics and personal opinions should not flow into our medical practice which effects so many individual lives. Immigration is a big topic today that led to a recent government shutdown and what happened at this conference obviously stemmed from a personal bias of one physician who decided to express his opin

How to Look For a Second Opinion

Trying to find a second opinion for your medical or surgical diagnosis can be not only a frustrating and lengthy process, but also a terrifying experience. How do you find the "right doctor"? Can you really trust your referring doctor to send you to someone with perhaps more knowledge, skill, or experience without bias and outside of his practice group or referral network? Who should you ask about the doctor? How should you research that doctor? These are all the questions you should be asking when looking for a second opinion, but not all of them are as easy to answer or accomplish as you might think. While there is no general guideline to follow and the search for the "right surgeon" can b

How spine surgery has changed in the past 10 years

Spine surgery is not what it used to be even as recently as 2000s. Rapid technological advances in spine surgery and development of new (mainly minimally invasive) techniques have elevated spine care and spine surgery to levels hard to keep up with for most spine surgeons and neurosurgeons. Before 2010, understanding of spinal biomechanics was minimal. Fusion surgeries were at their peak, but it turns out, they were not done correctly. We had no knowledge, at that time, that simply placing a "cage" into a degenerated disc space and "fusing" that disc space had the potential to destabilize the spine and cause more problems down the road. Patients became "better" for about 3 or 6 months, and t

No such thing as a "simple" spine procedure

There is no such thing as a "simple" fusion or "easy" surgery. Every spine surgery, whether a laminectomy, single level fusion, or complex scoliosis reconstruction has its own challenges and should be patient focused to each individual. For example, patient's spine can be destabilized and fused in "flat back" even after just a single level fusion if the surgeon does not understand the spinal biomechanics, spino-pelvic parameters, and what happens to spine when wrong sized cages are put in. Incorrectly performed single level fusion can, in turn, cause adjacent level problems, accelerate degeneration and destabilize the entire spine requiring multitude of future surgeries. Please be careful ab

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