@Chopperchap @hjluks The desire of patients to do a surgery that isn’t needed is indeed fascinating.
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Tim Lenters, MD
740 posts
Tim Lenters, MD
@LentersTim
Shoulder Surgeon. Husband. Father. Fitness addict. Trader. Not necessarily in that order.
Grand Rapids, MI Katılım Aralık 2018
262 Takip Edilen252 Takipçiler
@LentersTim @hjluks And it’s hard for those of us who treat these patients who arrive in clinic having been told they “need” surgery. The vitriol we receive from some patients is off the charts when you tell them what they need to hear… not what they want to hear…
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Pain on the outside of your shoulder is also one of the most common problems I see in my practice.
Lifters get it. Swimmers get it. Pickleball players get it. People who haven't lifted their arm overhead in years get it.
For decades, we called it impingement and blamed a bone spur. That led to many unnecessary bone removal surgeries. We were treating the wrong thing.
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@hubermanlab Very nice episode. One missing piece: where do IR saunas fit? Do the lower temps mean mess effective HSP, less GH, and less CV benefit?
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30 min key takeaways on deliberate heat exposure for health and performance. And unlike the cold plunge, nobody seems to mind the sauna. Then again, hardly anyone is doing the de-frag protocol… which is brutal but very effective.
Andrew D. Huberman, Ph.D.@hubermanlab
New Huberman Lab Essentials episode out now: 30 minutes, key takeaways only. go.hubermanlab.com/Q0ic1Dl
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@hjluks Yup. Dogma, anecdotes, and confirmation bias are strong.
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A bone spur was blamed for causing lateral shoulder pain for decades. Remarkably, it still is in small pockets... Despite no evidence. It’s strange to me that we still blame it. Docs and such accept and know that we get tendinopathy throughout our body and bone spurs are never mentioned.
Yet, tendon pain in the shoulder was blamed on a bone spur? Cmon.
Tomorrow's post... stay tuned.
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Chiropractor. Yes or no?
No more information.
Just yes or no.
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@hjluks And come with a diagnosis of “labral tear” or “rotator cuff tear”
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I'm always amazed at how much loss of motion some people will tolerate or normalize before seeing us for a frozen shoulder.
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@hjluks Fully support your work. Excellent response. Keep it up!
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@justinamash We need you buddy! Libertarians going to get a lot of votes in 2028
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GOP in 2010: Stop the socialists!
GOP in 2025: The conveniences of modern life are overrated. We will reorder the economy and redistribute wealth. Your losses are a small sacrifice for the glory of the nation!
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1. What you see here is clearest illustration why things are so messed up and why it cannot get any better until this asymmetry is addressed.
Put simply: right-wing has narrative dominance.
My org (@mmfa) did this study and been sounding this alarm for years. Some thoughts...
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@zerohedge Now probe denial of service scams for their patients
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@Atul_Gawande Can we afford it? How much debt does our nation own? What is consequence of the pause? Terribly conflicted.. but in the end we need to get our own $$$ under control, no?
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This is not a "pause." It is a destruction now.
And here is the terrible scale of the damage this will do to America and humanity.
Atul Gawande@Atul_Gawande
I ran @USAID health programs for the last 3 years. Trump’s 90 day Stop Work Order on foreign assistance does serious damage to the world and the US. Examples:🧵
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@hubermanlab @HHSGov @NIH Disgusting. Some good momentum happening in DC to root out wasteful spending! Better times ahead! Keep doing what you do, Huberman - your impact is best made by continuing to educate us all.
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OK, now I’m going to have to speak up. Assuming the below is accurate @HHSGov & @NIH could have used that 29M USD to fund approximately 20 full five-year NIH grants to laboratories to do basic research. (Including overhead costs). This is egregious. WTF.
Ian Miles Cheong@ianmiles
The US Government gave the New York Times tens of millions of dollars over just the past 5 years despite paying relatively little money to the NYT in the years preceding 2021. For instance, in August 2024, the US government awarded $4.1 million to the NYT. The bulk of the funds came from the US Department of Health and Human Services at $26.90m, followed by the National Science Foundation at $19.15m
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Tim Lenters, MD retweetledi
A high V02 Max is the metric most closely linked to a longer life.
But what is V02 Max?
And more importantly, how do you increase it?
Because most people are doing it wrong.
📕Make Sure To Bookmark✅
🧵👇
/1
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For a variety of reasons (Elon), many are abandoning X. For now, I am staying but I now also trying Blue Sky Social DrLipid.bsky.social I also do some posting on THREADS @drlipidtd (a site which I do not yet find very functional). For medical / healthcare professionals only, I am also on LinkedIn linkedin.com as Thomas Dayspring
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For the Depuy Inhance folks: anyone ever use a large humeral head graft under this baseplate with successful incorporation? How much of the central peg should penetrate host glenoid vault? @AnandMurthiMD, @mrshoulderfixit, @dcuff001, #orthotwitter
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@orthofacts Or a private practice that assumes patients are practice assets
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@hjluks Let us guess - SLAP surgery, decompression, biceps, and scope for OA
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I guess there’s too many ortho surgeons around me.
5 second opinions.
All worse off after very poorly indicated, or contraindicated surgery.
None of us are perfect. We all have complications.
But these were egregious.
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Shoulder impingement should no longer be considered a phenomenon of the acromion. Let's make an accurate diagnosis and treat accordingly. #orthotwitter grandrapidsshoulder.com/2024/04/07/sub…
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FE to 80, ERS to -5. Deskjob, but likes to lift heavy things
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34 yo advanced shoulder OA, essential chronic posterior dislocation. What are we doing? Reverse? Anatomic? Ream and Run? Other? #orthotwitter
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