Nostr Surgeon

Two decades as a orthopaedics/trauma consultant. Post me your case and I'll tell you if surgery is indicated. Low time preference surgical opinions. Not a medical advice.

Public Key

npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6

NIP-05 Address

nostrsurgeon@snort.social

Profile Code

nprofile1qqsfc8hs069a5kjl4404peffrek2lxe9ldn2atgzzgsvl84azsl9h0qkwz5jq

Author Public Key

npub1ns00ql5tmfd9lt2l2rjjj8nv47djt7mx46ksyy3qe70t69p7tw7qaqtdz6

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Last Notes

2024-04-29 13:20:29

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What kinda capitalization is needed? Can we make it happen?

2024-04-25 16:06:36

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Will you cover promoting xpub collecting services?

2024-04-04 18:54:40

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My stuff is not possible elsewhere.

2024-04-03 17:48:40

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Why on earth would you need that to shoulder reverse endoprosthesis operation?

2024-03-24 19:21:24

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Unfortunately only mothers make new knees although some surgeons claim they do.

2024-03-24 19:11:25

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Oh yes. Incentives are whats it all about. You can also check from chatgpt ;).
If interested read my short recent post. Btw. I'm making an asumption you didn't have major trauma with your knee?
nevent1qqsvyp3d3plpnwt983rexkvrz4z4x6kn5vt3mvcwpnf7yakd4gukleqpz4mhxue69uhhyetvv9ujuerpd46hxtnfduhsygyurmc8az76tf066h6su553um90nvjlke4w45ppygx0n673g0jmhspsgqqqqqqsqk0378

2024-03-24 18:37:34

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Don't. There's no evidence torn meniscus wears off a joint. Some evidence a "cleaning" operation does.

2024-03-18 18:36:47

Knee:
Non traumatic problems beginning with normal movement should mainly be treated conservatively.
Arthrosis and meniscal degeneration is to be treated by you!
Low time preference option. Loose weight, exercise. Cycling helps by stimulating the tissues and cartilage widely.
Cleansing operations with arthroscopy. Might give short help, but wont last more than months and there’s evidence it might make it worse.
Only in severe arthrosis can a surgeon help. With extreme KL class III or more artrosis long time help is possible with endoprosthesis, but risky.
True traumatic meniscal or ligament problems with instability need surgical consideration.
Fracture treatment is mainly operative. Seek advice if you get a fracture.

2024-03-18 18:14:46

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Might like to try https://xeleroshoes.com/

2024-03-18 17:36:24

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Who is this?
https://iris.to/npub1fa8c9prxnrlkdtjl48adfsxyaduz8tas075l2n4f6903y9awjmxqanthnd

2024-01-09 17:07:48

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You didn't have any wolves?

2024-01-03 18:12:11

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Definitely preparing for all of these. Fortunately we still have time.

2024-01-03 18:10:02

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Just burning longs..

2024-01-02 17:05:16

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I'd say at the moment many. Especially those who don't have enough patients. It is matter of incentives as any. People and payers(insurance) need to educate themselves.
This can be made difficult by us all. Hard to skim patients if others shun your practices.

2023-12-21 16:40:38

SHOULDER surgery in a nutshell
Shoulder impingement means rotator cuff degeneration, aging. It should not be treated with surgery. Cleansing, decompression with arthroscopy is high time preference. Helps only if you believe enough.
Low time preference: Exercise, physical therapy. Have patience to wait until it gets better.
Trauma is a different beast. If an otherwise healthy rotator cuff gets torn it can be fixed most of the time.
Instability surgery gives good results in anterior instability.
AC joint arthrosis can be operated but usually gets better with time. In severe glenohumeral arthrosis an endoprosthesis is a possible option.
Fracture treatment needs surgical advice. Both operative and conservative treatment is used. Latest studies lean to conservative especially in the elderly.
#docchain

2023-12-16 19:51:37

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Take care. Think about the incentives. There is no real guarantee of results with any treatment. I hope you'll get well!

2023-12-16 16:36:32

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How did it happen? Mechanism of injury?
Most TFCC lesions can be treated conservatively. Might want to consider saving those sats.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8476392/

2023-12-16 16:16:54

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You want to tell more about the injury?

2023-12-14 16:59:18

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You got any idea on how would it be possible to offer medical services?
Regulation is the greatest obstacle.

2023-12-12 17:16:32

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Might want to look into https://mycitadel.io/ ?
@npub12ep…m20g

2023-12-12 05:06:48

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"Hold" means self custody.

2023-12-12 05:02:12

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Oh yes. This is mine if you have surgical problems. We all have skills to share.

2023-12-10 09:32:23

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Same. wonder whats this about?

2023-12-10 09:30:33

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One of the many reasons we need to build parallel systems.

2023-12-09 15:17:27

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Havent you heard? Limits mean censoring!

2023-12-09 15:05:23

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I agree. Take responsibility. You'll need to work for it!
https://iris.to/note1xs5tnjq0ujkkety4ghklcpmtqv6n7ktjulnrnjquwx5xcl97r6us9d68fl

2023-12-04 17:34:15

I'll post few short surgical educated opinions irregularly.
Happy to find disagreeing and fight.
BACK PAIN
Dealing with back pain can be challenging, and surgery isn't the best solution. In most cases, surgery does not offer the relief you're hoping for and could even lead to future complications. It's generally recommended for severe deformities, leg pain(radicular pain) or muscle weakness (paresis), stemming from nerve compression.
For most other situations, regular exercise and avoiding smoking can be more beneficial.
If you're experiencing radicular pain or have urgent concerns like paresis, it's a good idea to consult a surgeon for advice. As for fractures, they're usually treated with non-surgical methods, but a surgical evaluation is necessary in most cases.

2023-12-03 18:36:21

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Very true. There's lot of scientific proof how bad narcotics especially opioids are for pain treatment.
Many doctors cut corners and avoid uncomfortable truths. Not all.

2023-12-03 18:31:24

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Sure did. I'm not an expert on nutrition, but I do think Saif has a point in very many aspects of fiat life.

2023-12-03 18:28:02

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Could you disclose specialty or make another account to retain your own privacy with that disclosed?
You have something written on orthopedic surgery?

2023-12-03 17:24:35

Call to arms!
Freedom inclined medical professionals need to create nostr profiles for medical consultation. Lets build a way to get educated non fiat induced health advice. We all need it.
Get your specialty mentioned in that profile.

2023-12-01 19:56:37

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Will you have facilities to give operative treatment?

2023-11-21 10:35:49

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This! Old iris works with tor browser, but we need a client supporting tor.

2023-11-09 19:31:59

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Severe trauma. C2 type. Plated it from both sides?

2023-11-09 14:00:17

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How did it go? You got x-rays to show?

2023-11-09 13:56:27

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#docchain
Ping. Whad do you guys think?

2023-11-06 17:42:22

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Yup. In old Iris.

2023-11-06 17:30:47

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Not able to do it remote and anon, but feel free to ask anything.

2023-11-02 18:45:49

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Hope all went well!

2023-11-02 18:38:24

Low time preference surgical treatment
Man’s Impatience In Health and Opportunity to Invest In It.
High time preference and incentive models have failed society and permeates medical treatment. Health responsibility is externalized. We want immediate help without own contribution. Impatience makes you feel something needs to be done, even if it results in more suffering in the long run.
Non scientific approach appeals to many. Age is medicalized. Industry and doctors are incentivized to treat it, but uncomfortable truth remains. We degenerate and reversing age processes is not yet possible though you can slow it down. We can only replace aging tissues in very limited cases with simple mechanical devices. There also exists some old low time preference knowledge, but it’s hard to measure with scientific methods, and has to be distinguished from snake oils and easy to sell remedies.
Signal:  Self responsibility. You are the best health provider for yourself. Exercise diligently, eat enough, but not too much. If you get problems nature is mostly the best healer. Get proper exercise advice in specific problems. Sometimes chronic pain exists but there’s no better option, and you’ll have to accept suffering. Most problems get better with time.
Surgical and medical treatment is indicated and helps in certain conditions. Seek proper advice to be able to recognize those.