Matthew Smith

That 10 plus year old data. The data is terrible. They even say the relationship is not causal. They also stated that most interactions with physicians and pharmaceutical hold up to scrutiny. There are certainly some unethical physicians, but the whole bit that we prescribe medication or treatments to make money or keep people sick is just absurd.

@mrshoulderfixit @CoffeeBlackMD @carnivore_eric pmc.ncbi.nlm.nih.gov/articles/PMC40… pmc.ncbi.nlm.nih.gov/articles/PMC94… arxiv.org/abs/2203.01778 pmc.ncbi.nlm.nih.gov/articles/PMC48…

Your doctor won't mention BPC-157. Not because it doesn't work. Because there's no pharma company paying them to prescribe it. Peptides threaten the entire "take ibuprofen and rest" model of recovery. Follow the money. Then follow the research.

@ExpatDave34 @CoffeeBlackMD @carnivore_eric Tons? Feel free to post those

@mrshoulderfixit @CoffeeBlackMD @carnivore_eric I read it. They aren't paid directly, but getting paid for research, travel, speaking fees, etc still clearly affects how much they are prescribing. Tons of studies show that.

Read the study. This is not being paid to prescribe. This is industry payment for intellectual property like Royalties or Consulting activity and the average payment for services was tiny. As someone who receives royalties, I can tell you know next to nothing about what you posted.

@CoffeeBlackMD @carnivore_eric Can't be paid? lowninstitute.org/more-than-half…

@hjluks Love it! Fellows think I diagnose this too often. They think everyone has “impingement”. Have to compare contralateral shoulder, no MRI needed. Early treatment for sure. Appreciate the post and graphic.

When your shoulder freezes: The metabolic and hormonal story behind adhesive capsulitis. open.substack.com/pub/howardluks…

@RAurora @BrentAWilliams2 This from your study. Seems pretty concrete.

@BrentAWilliams2 I will let professionals describe it (also because it’s long) applications.emro.who.int/imemrf/Bahria_…

Here is a very normal chart that we shouldn't debate or scrutinize in any way.

I find it interesting that all the people who "stand against oppression", are mad when we actually do something about it.

@hjluks Agree. The acromion is innocent.

@hjluks Acromioplasty is one of the dumbest things we ever sold ourselves and the public. Have to have the “bone spur shredding my tendon talk” every clinic day.

Bursitis, Bone Spurs, and other BS: What's Really Wrong With Your Shoulder. I dive into the most common cause of adult shoulder pain, the treatment… and of course, a fair number of videos to help with your recovery and rehab. Link has to be below 🫤

@MOhusker30 @ThrowXBones 100% accurate!

@ThrowXBones As a mizzou alumni and I watched all of mizzous games this year with buddies of mine. Trust me we don’t want Pribula. If the first read isn’t there or he has any sort of pressure he makes bad throws or just tucks it. Colandrea would be a much better option but need to get someone

Colandrea and Pribula are fighters and gun slingers! I would be happy to land either one.

@BranMCons @HuskersMN @Sean_Callahan 11 TD to 9 interceptions avg 7 yards per completion and terrible accuracy beyond 10 yards. Option for depth but definitely not QB1

@HuskersMN @Sean_Callahan it always should have been pribula

Well… that escalated fast. The Kenny Minchey–Nebraska era lasted about a day. Kentucky flips the QB, and now Nebraska pivots quickly to its next portal options. What’s next — and who’s on the radar ⬇️ on3.com/teams/nebraska…

@HuskersMN @Sean_Callahan He was not good at Mizzou this past season.

@Sean_Callahan On3 also is reporting Beau Pribula is also lining up a visit

@CoffeeBlackMD Merry Christmas!

Merry Christmas. Enjoy today. Much love.

No one is surprised by the Ole Miss score. A lot of schools more qualified than Tulane for the CFP

@DrJesseMorse Has the Florida state board of healing arts heard of this guy?

The majority (75%) of ACL tears are non-contact. That means the ligament was already significantly loose and weakened before the event that caused the tear. In the off-season, especially for high-level players, I would recommend that they consider re-stabilizing the ACL with either PRP or Stem cells (assuming it is a native ligament - avoid injecting grafts). Additionally, I would recommend that the player have each of the supporting ligaments and tendons (MCL, LCL, meniscofemoral, patellofemoral, quadriceps, patellar) around the knee injected and re-stabilized as well. We have several patients at The Osteopathic Center who are currently NFL players that we have injected their ACL and re-stabilized their entire knee. Some of them were already dealing with partial ACL tears. None of these players have ever torn their ACL. Similar preventative approach for Achilles can be said. The significant impact of these injuries (ACL, Achilles) cannot be understated. The best course of treatment is preventing the injury from happening in the first place. The time of waiting for the injury to happen and then fixing it is over. Players (& teams) need to start being proactive, not reactive.

My written testimony before the House Judiciary Committee: "Fighting Obamacare Subsidy Fraud." 🧵1/11

It’s true—we would actually play well against the run for a couple of drives, then he would come out with 3 down linemen. I said during Michigan, if three down again he needs to be fired, and it kept showing up! Would love to see the stats on the year for rush yards against that front vs other options

Three down lineman. Against Iowa. Inside the 5. What exactly are we doing here? #Huskers

@247Huskers I don’t know—but I am watching a Georgia Tech team give Georgia all they want. No way Nebraska does that right now. Line play is not good. Can’t we get Sam Pittman? He doesn’t have a job right now

Would you say progress has been made this year?

One of the most underappreciated dynamics in healthcare is Parkinson’s Law of Triviality: organizations devote disproportionate time to the issues that matter least. In behavioral economics, it’s called “complexity avoidance.” In healthcare, it’s usually called “the weekly meeting” or sometimes referred to as “the huddle.” We’ll spend hours debating badge colors, committee names, logo refreshes, and which department should ‘own’ a metric - while multimillion-dollar structural failures, workforce collapse, and catastrophic billing inefficiencies glide by untouched. The harder the problem, the faster it gets tabled “for further discussion and research.” The easier the problem, the louder the opinions - suddenly everyone’s an expert. This is why health systems have immaculate branding guidelines but chaotic revenue cycles. Why they can produce a 200-page “cultural competence” report but can’t reliably staff a night shift. Why they optimize hallway signage faster than clinical throughput. Why they talk about all the community service that they produce yet none is ever actually observed or experienced. This is why dilettantes are rewarded and brilliance is punished. Healthcare doesn’t suffer from a lack of goobers, gomers, and grifters - it suffers from a gravitational pull toward the trivial. And nothing accelerates that gravity quite like a conference room full of administrators with laptops.

@Drakeb4Degrassi I just mean that particular front doesn’t work well, and he used it a bunch against MN.

@mrshoulderfixit Nothing like Minnesota. Let USC run and bow up in the red zone. Trade 3 for 7. Offense has to score. Don’t let USC get rhythm being explosive in the pass game.

We got victory cigars ready. Don’t let me regret them