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Solutions for Shoulder and Elbow Pain

Dr. Matthew DiPaola, Buffalo NY Shoulder And Elbow Doctor

Decision Making

Four Types of Patients

· Decision Making, General · Comments Off on Four Types of Patients

One of the most interesting parts of my job is that I get to interact with so many different types of people on a regular basis. Their different personality types color many of the decisions we make in the office more than most people realize.

When you are studying to be a doctor, much of the initial schooling focuses on the hard sciences: anatomy, physiology, biochemistry. But once you get through that and are a practicing professional, you find that the emphasis shifts significantly.

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Physical Activity

· Decision Making, General, Sports Medicine · Comments Off on Physical Activity

Research has shown that the ability to walk unassisted is likely the single most important factor in maintaining your independence as you age. Targeting this simple metric may offer the secret to staying independent and new research supports this conclusion.

A recent study of over 1600 men and women in their 70’s and 80’s with mostly sedentary lifestyles aimed to examine whether a basic exercise program focused on lower body strength could help to maintain independent walking status in older adults. Continue reading

You Can’t Judge A Book By Its Cover

· Decision Making, General · Comments Off on You Can’t Judge A Book By Its Cover

I take call about 5-6 days per month which means that I take care of patients that come into the hospital with fractures. A few weeks ago I treated a woman who had a hip fracture (I treat a lot of hip, ankle and wrist fractures when on call).

The ER staff who gave me her initial story told me that they thought she was a bit incoherent when she came to the hospital. Continue reading

How Do You Know If Your Orthopedic Surgeon Is Good?

· Decision Making, Orthopedics · Comments Off on How Do You Know If Your Orthopedic Surgeon Is Good?

Heuristics are “rules of thumb” that people use to make decisions in situations that involve uncertainty. Taleb writes about them in depth and I enjoy his writing. The daily practice of medicine requires making frequent high stakes decision with incomplete knowledge. Where “evidence based medicine” leaves off, heuristics often take over.

I think both doctors and patients use them, but in different ways.  Continue reading