Word: orthopedist
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...calf and watching the ankle move; on the good side, it wiggles up and down when we squeeze. On the torn side, there's no motion at all. Yes, there is an occasional partial tear that might be harder to diagnose, but in the vast majority of cases, an orthopedist who simply looks, listens and feels will make the diagnosis of Achilles-tendon rupture - with confidence. (Watch TIME's video "Uninsured Again...
Frank is a fit, 59-year-old insurance adjuster who had felt the pop during a kickboxing class 10 days before. He immediately had a pretty good idea of what had happened, so after limping out of the gym, he called an old friend who is a retired orthopedist. "He said he was pretty sure it was my Achilles, but I wanted an MRI to be sure. He just said 'fine' and gave me the prescription." I spoke with Frank and showed him the powerlessness of his ankle - the squeeze test. I even had him put his finger into...
Paul is a 45-year-old teacher who tore his Achilles in a basketball game two weeks earlier. The first orthopedist he saw went into a long talk about risks and benefits and scared him out of his wits. With a torn Achilles tendon, there are just two things to do: either sew it up (which means doing a small operation) or put a cast on with the foot flexed down. The cast treatment isn't as good - it won't restore normal power - but there are none of the risks of surgery (like scarring and infection). So he demanded...
...tell, faith in expert opinion is how medical students, residents and even full-blown docs do much of their learning - mostly just trusting a few great doctors who teach. I know enough math to know that neither my colleagues nor I really know statistics. Not one orthopedist nor one neurosurgeon in my acquaintance really understands the math used in statistical papers. They learn by faith in somebody else's statistics, by trust in the reputation of an individual, or journal or university...
...have a chapter on boomeritis, including some of my stories, the various baby-boomer injuries I've had. Many days, even though I'm a cardiologist, I feel more like an orthopedist in my practice because we always ask about how people are exercising, and they have a lot of complaints. We're sitting slumped over a computer all day and not doing normal exercise. In previous generations when we were digging ditches or pitching hay, there was a type of what we would now call functional exercise where we're exercising the whole body. And that's what prevented...