Dr. Roddy McGee

@northwoods1980 if anyone out there is SLAP'n a 65 year old....please attend a shoulder arthroscopy conference soon

MRI to follow up post "slap repair" shoulder pain in a 65-year-old male. All I have to say is, run away

@northwoods1980 shoulder arthroscopy conference...

@BenMayoMD @northwoods1980 a very high % at the high school and college level are just debridements of the labrum and articular side of the cuff

@northwoods1980 The indications for SLAP repair are so small these days yet many still do them on near every shoulder over 40 they see. If they ever get to surgery almost always a tenodesis for me

@BenMayoMD @northwoods1980 I think I can count on one hand in my entire career my # of SLAP repairs and that includes taking care of a high number of baseball players over that time.

@BrooksKleinPT I'd like to see a study with PRP injection and if return time or risk of re-injury could be reduced, haven't see if that has been followed specifically for lat strain. also if we are talking lat muscle belly vs tendon then affect of PPP...

Latissimus dorsi strains in pitchers can be tricky. My biggest tip is don't rush the rehab. In pro pitchers with lat/teres major strains (and no setbacks), the average time to: Throwing: ~30 days Bullpens: ~52 days Competition: ~77 days Take your time.

@honeymoon250 shit i'm 20/20

6 for me!! I feel confident nobody Has all 20 How many for you?

@Wendi_Irlbeck @ChiRuxinBGO @ChicagoBears I hope no one takes that job. $18/hr for any position with a pro sports franchise is embarrassing. it's not an internship they are posting...

$18/hour… for a job that requires an advanced degree. This @ChicagoBears franchise worth nearly $9 billion that generates over $600 million a year yet credentialed healthcare professionals are expected to work for $18/hour. 🤡 Let that sink in. I’m a Registered Dietitian and Certified Sports Nutritionist, and like many in this profession I invested years of education and hundreds of unpaid hours just to get here. Registered Dietitians are now required to have a master’s degree, complete 1,200+ hours of supervised practice, pass a national board exam, and maintain continuing education to keep our credentials. And the offer is… $18 an hour? That’s less than many fast-food jobs. Meanwhile, Buc-ee’s gas stations are offering six-figure salaries for positions that don’t even require a four-year degree. Sports nutrition is already one of the most competitive fields in dietetics, and compensation like this is exactly why so many talented professionals are leaving. People can’t pay rent, cover living expenses, or pay off tens of thousands in student loans on wages like this. Many dietitians in sports have already worked for free just to get experience. Offering $18/hour for a professional sports league position isn’t just low… it’s disrespectful to the profession. People wonder why Registered Dietitians are leaving the field in droves. This is exactly why. You can’t expect highly educated healthcare professionals to stay in a profession that doesn’t provide livable wages or support their families. Pay Registered Dietitians their worth or do without. If you want talent and quality care for your athletes you'll need to invest in it.

The Bears are getting hosed in the comments for this job posting! Yikes! 😳

@kcrehabguy @LenMacPT questions non-stop. evidence sparse to none. anecdotes many.

I have been asked about peptide injections 3 times in the last 48 hours. Been getting this a lot from gym bros to soccer moms. Not much out there yet but this recent review a good start to learn a few things. pmc.ncbi.nlm.nih.gov/articles/PMC12…

awesome reminder. thanks Bob Odenkirk.

@HawkEmDownChris @adamvanrees1 andy van slyke

Age yourself by naming an MLB center fielder you grew up watching. I’ll start: Ken Griffey Jr.

@BrooksKleinPT thanks for sharing that. it's really important for that reason for PT to know if a transposition was done or not. get the op report, most will gladly share it.

One thing to avoid when treating baseball players after UCL reconstruction: If a player had an ulnar nerve transposition... Don't do aggressive soft tissue mobilization directly over the anterior medial epicondyle. You're probably just smashing the ulnar nerve.

@ronsterd89 72

Based on the entirety of this photograph, what is your best estimation of the year it was taken?

@txsportsdoc good point - you do find out who can or can't be in those scenarios and handle it

I can say when I finished, I was very prepared. I never worked again like I did as a resident, so you couldn’t hurt me in private practice. I was in true private practice and built my reputation by being the always available, go to guy. I loved it. I leaned in residency around other like minded professors and residents, I could perform when needed. I was regularly told, this is what you’ll have to do in real practice. Yes, it was a rite of passage. You could either do it, or you couldn’t. It meant something. Some think it was “toxic” I think it was preparing and weaning out those who really shouldn’t be a surgeon. Grateful for my mentors.

And this is why surgical residencies shouldn’t limit hours and should weed out those who don’t have the mental toughness and endurance to be a surgeon. Emergencies have no schedule. We have recruited and trained “shift workers” over the last 20yrs. I don’t want to hear about we must have well rested surgeons. Would you rather have no surgeon, or a surgeon show up when duty calls.

@txsportsdoc anyway, just my opinion. could be studied, maybe has been in some capacity. i just think now that a lot of the rite of passage stuff we went through was stupid and ego driven, only meant to entertain the people who were beat down before us.

@txsportsdoc yeah I was pre-80 hour work week max (sounds absurd saying it out loud now). didn't need drugs. didn't drink a lot of coffee either weirdly. on the other side of it now I just wonder if it really is "training" people to handle certain things? i think you can do it or you can't

@txsportsdoc additionally, i think performance while fatigued is likely significantly worse no matter what someone's training program was like. good training will lead to good performance, rested or fatigued.

@lesleyabravanel boo hoo. if you're a functioning adult, you can get proper paperwork to verify identity. this excuse making is embarrassing.

The SAVE Act sounds harmless, but it lets politicians kick eligible Americans off the rolls if they can’t dig up passports or birth certificates. Millions of citizens, especially young people and voters of color, could be denied a ballot over paperwork.

@JayDee909771543 but the average person doesn't know what is or isn't there or what limits they have

@drroddymcgee They literally just built one of these in my town. My buddy also said if you go there and they can't help you or they don't have the right equipment in the micro ER that you have to pay to be transferred to the other hospital anyway 😂

I have a buddy that’s an ER doctor and he claims with 100% certainty that if Medicaid patients only had to pay a $10 co-pay per visit that 80-90% of ER visits would stop overnight. Anybody else in the medical field want to comment?

@danielsgoldman yes I do, because I'm a functioning adult

Do you have a passport? Do you know where your birth certificate is? If the answer to both is no, then you cannot vote under the SAVE Act. The SAVE Act is NOT a voter ID bill. It’s a voter suppression bill.