Dr. TO 861

Achilles discussions, and college football talk.

Episode Transcript

(00:00):
It's tip off time for Doctor t. O. Sorrel and Inside Sports Medicine
on ninety seven to one The Freak. Doctor Sorriel, one of the nation's
leading orthopede exurgons and former head teamphysician for the Dallas Mavericks, bringing his
unique sports insights and stories from insidethe game. With special guests from the
world of professional, college and highschool sports and sports medicine, The Doctor

(00:20):
breaks it all down. Buckle upyour chin strap and tighten your laces for
the most informative ninety minutes in sportsmedicine. It's kickoff. Come for Inside
Sports Medicine with Doctor t. O. Sorrial on ninety seven to one The
Freak callup TV for get if youknow what. Good Saturday morning, Everyone,

(01:08):
Good Saturday morning, and welcome toInside Sports Medicine. To yo,
sorry, I'll hear. I'm yourhost, live in the studio on this
episode number eight hundred and sixty one, our third show on The Freak.
We are terribly, terribly excited tobe here. Everybody's been so great.

(01:29):
But for those of you who arejust now listening in, Inside Sports Medicine
has been on for about twenty somethingyears. This is season number twenty three.
Uh. Over the next ninety minutes, you're going to be informed,
entertained, and hopefully learn something new. You will have a chance to call

(01:49):
in. I'm going to give youa couple of phone numbers. They're pretty
easy. We're going to do ourbest to answer as many of your calls
as possible. Joining me live inthe studio this morning, doctor Brad Ballard.
Morning Brad, what's up? It'sbeen a long time man. What
so listening to some ac DC inthe morning. I missed that. Yeah,

(02:14):
that was good. That was alwaysour go to music. Yeah,
although we we varied from time totime, but that's a that's a good
way to wake everybody up. AcDC in the morning is uh yeah,
that'll wake you up for sure.We got a call already. We got
a call already. I haven't evengiven the number out yet. Two one

(02:35):
four seven eight seven nineteen seventy one. Let me do that again, two
one four seven eight seven nineteen seventyone. Uh. By the way,
all radio stations in Dallas Fort Worthare seven eight seven and then their call
numbers. So if just in caseyou're wondering, ninety seven to one,
that's why it's nineteen seventy one.We also have another extension. I've asked

(02:59):
the powers that be we have theeight one seven seven eight seven nineteen seventy
one, and they had this blanklook on her face, like, well,
that's just what we've always done.But now when you've got a cell
phone, I don't know that itmatters if it's two one four or eight
one seven. It's there's no longdistance anymore. So Doc, I noticed

(03:19):
you you're still numbering the show fromoriginal, right from the original. Yeah,
and I so that was I mean, so for those of you who
can't see, he's got a notebook, and Doc's had this notebook. He's
brought this notebook with his notes forthe show for years yep. And he
will record the actual episode number yep. And look, we took a year

(03:46):
break. We did. We did. It was good. So you picked
up right off, right way weleft off, and you put the number
on there. So I debated that. I debated whether to start over and
say episode three, or start orjust keep it going. And my listeners
told me to continue on for severalreasons. Number one, at some point

(04:06):
we're going to have podcasts sometime inthe next couple of weeks, we're going
to be able to listen to ourshow on the podcast. iHeartRadio, by
the way, and the other thingwas to and this was not me,
This was some of our listeners sayingit. You want people to know that

(04:27):
you've been doing this a while,that it's you're not just you know,
three weeks into it. So thatkind of made sense to me. The
accuracy of the eight hundred and sixtyone, I'm not one hundred percent sure
is questionable. You know, Idon't know for sure, but yeah,
definitely. We're in our twenty thirdseason, so medical shows on Saturday morning.

(04:53):
You'll be shocked how many medical professionalslisten in. But for those of
you on the way to making rounds, or on the way back from making
rounds, or on the way tothe shift, or on the way back
from the shift, welcome and thankyou for listening. We do have a
lot to get to in the nextninety minutes. We do take calls.
We do have one call already linedup, but I'm gonna have to Tommy's

(05:15):
gonna have to wait for just alittle bit. When we had Brad,
do you remember when we were onthe text machine I do remember, I
do remember. Yeah, So weused to have a text screen, and
we'll see if we can figure outhow to do that again, and so
people could text it without questions.Yeah, well text in comments say I

(05:38):
you know, I didn't like thatsegment, or you know I love that
segment or whatever. But but oneof the things that we used to have
was the farthest away listener. That'sright, remember that? Do you remember
the the record one like Burma nowPerth, Perth, Australia's Perth, I'm

(06:00):
not Perth close yeah, Australia.Yeah. So I'm actually tickled about this
call from Portland. Last week wehad a call from Cozumel, Mexico.
Really yeah, yeah, But untilwe get the text machine reinstated, if

(06:23):
you are listening from a long waysaway, not Denton, not Sherman,
you can call Garrett and just tellhim and he'll put it on my phone
line screen to one four seven eightseven, nineteen seventy one. So I

(06:44):
hate talking about Aaron Rodgers. WhyI just hate talking about I'm he's not
likable. Oh, you got toexplain likable? Not likable? Die?
Have you explained that yet? No? Maybe I've broached it at one point.
So, so likable not likable hasnothing to do with the quality of

(07:05):
the athlete, right, with thelevel of performance. Yeah, I have
tremendous respect for Aaron Rodgers what he'sbeen able to accomplish. I have tremendous
respect for Serena Williams. But thereare some instantaneous knee jerk reaction likable not
likable, And we've we've done thison the show for twenty three years.
Yeah, and so I don't Idon't think he's und likable category. And

(07:30):
you might. You might want toget one hundred people in the room together
and it might be fifty three fortyseven not likable, but it's just something
odd about him anyway. Likable notlikable is just the eye test, knee
jerk, like, and do Ilike this guy? Do I not like
this guy? See, you areuniformally likable. You're gonna be eighty twenty.

(07:54):
I may be fifty fifty. Yeah, I don't know, but yeah,
and it all depends, And it'sall opinion, right, this is
no I mean, this is justpurely opinion. And by the way,
some people transition, Oh sure,because there was a time because okay,
I'm gonna say this name, andyou tell me likable not likeable. We'll
get back to Aaron Rodgers. Goahead, Draymond Green not likable? Okay,
there was a time when he waslikable. You said he was likable,

(08:16):
he was, he was. Lookwell, I mean remember Kobe went
through an unlikable stage and then obviouslynow he's you know, Mount Rushmore status
for sure. But yeah, yeah, you're right, you can transition.
Yeah. So, so, givenAaron Rodgers is not likable and I'm not
sure he ever was, is thata radio thing? Yeah, So why

(08:43):
are we talking about this guy eventhough I don't want to talk about this
guy. Well, because this showwe got nothing to sell. We don't
have anything to sell. We don'thave a book, we don't have a
vitamins, we don't have a juicer. So we teach. So we're on
Saturday mornings. I've been doing thisfor a long time because Brad and I
like to teach. When Scott Blmenthal'shere, we like to teach. And

(09:05):
so we we introduce you guys tothe language of medicine, to the language
of sports medicine, and so whatwe do at Texas Sports medicine has always
been from day one, science based. What does the labs say, what
do the what do the studies show, What do the slides look like when

(09:30):
you look at it under a microscope? You know? Do we sometimes try
some new cutting edge stuff? Yeah, we we probably do. In fact,
there are times when when we arewriting the papers that people are going
to talk about five years from nowor ten years from now. But for
the most part, I don't liketo do any risky ventures on my athletes.

(09:58):
And I'm gonna kind of divert herefor a second. You would think
that a pro athlete who is makingone hundred million dollars will take risks,
but typically that is not the case. Typically they're conservative. Typically, you
know who is the Hey Garrett whowas the Mavericks player? Per zingis yeah,

(10:26):
yeah right, Chrisps christops right,took two years to come back from
an ACL. Derek Rose took twoyears to come back from an ACL.
I think that's a conservative number,more than normal, perhaps, But neither
one of them pushed the envelope.I don't like to push the envelope with

(10:48):
my high school students, with myathletes, you know, I let them
know what the risk and benefit isand then you know, we'll all make
a decision together. Aaron Rodgers seemsto be pushing the envelope, and I
don't understand why. You know,he's what twelve weeks out from an achilles
repair. The Achilles repair is anextraordinarily common injury. It's extraordinarily common surgery.
There are libraries full of literature writtenon Achilles ruptures and Achilles repairs.

(11:16):
I'm looking across the studio from meright now. Brad Ballard ruptured both his
achilles. There's a lot written here. You're not ready at twelve weeks.
The achilles is not ready at twelveweeks. The biology is not there at
twelve weeks period. Having lived throughthis yourself, your thoughts, Doc,

(11:37):
you say you like to teach.I like to preach, Okay, I
like to preach about this. Hey, yeah, so many people? Can
you record that little sentence that hejust said? You know, you like
to tell I love that. We'regoing to play that back over and over
and over again. So, Imean, since he tore his achilles,
I've had people texting me almost seemslike weekly when it comes to this topic.

(12:01):
Because I have torn both achilles I'man expert at achilles tearing, okay,
and achilles repairing, you know,healing personally healing, And granted,
I don't you know, I don'thave the time and you know, the
resources in terms of like rehabbing constantlylike he does. But at twelve weeks

(12:26):
you're just not ready. And Ican speak on that from a scientific aspect,
and I can speak on that froma personal aspect. Like you know,
everybody's looking at Aaron Rodgers and they'relike, oh my gosh, like
he's he's practicing. What is hepracticing with the first squad or second squad?
I don't know, he's practicing,right. His coach yesterday said that
he was looking normal. That's right. Here, here's what people don't understand.

(12:46):
There's a difference between a three stepdrop and trying to explode to leave
the pocket because a three hundred poundlineman who can run a four or five
is chasing a skinny dude because youknow they're three fifty now yeah right,
yeah, yeah, that's a smallone now. I mean and if you

(13:07):
look at the way he tore it, he was going down, he was
going down with him with someone onhim and put a ton of stress on
the achilles. There's no way attwelve weeks he can do that. So,
yes, he could take a threestep drop. Yes he can kind
of move and shift around in thepocket, but the achilles injury is an
explosive injury. It is I haveto plant and go yep. And so

(13:31):
everybody's you know, people telling melike you think he's going like, like,
I think he's going to be back, you know, before the end
of the season. I'm like,you forget the fact that you're like,
there's seasons done. There's no realreason to come back. That's another conversation.
Just the likelihood of being able tocome back and run away from somebody

(13:54):
is is almost impossible. Yeah.So here, here's I got some good
news. Sure, the text lineis open. I didn't even know we
had a text line. We dofor the station, so viewers, listeners,
they can text in any other questionsor anything. What's the number,
sweet two one four seven eight seven, nine to one seven to one nine

(14:20):
one second one. Oh my bad, no, one, nine seven one,
But that's the phone number. Yes, you can also text and call.
It's the same. Look at thattext, text and call. So
if we don't if I don't answeryour phone call, just text in and
we'll have both up. Two one, four, seven, eight, seven
seventy one. There we go.Okay, all right, so text us

(14:41):
how far away you're listening from.And by the way, I did not
give this out. I want tocome back to Aaron Rodgers in a second.
iHeartRadio App. Look, we lovebeing on ninety seven one in the
Freak for a lot of reasons,but among those reasons is the iHeartRadio app
because you can listen to this particularshow anywhere on the planet. If you

(15:05):
have Wi Fi and you are inBangladesh, you can listen to Inside Sports
Medisine. Yeah. So wherever way, however far away you think you are,
just text us, Hey, I'mlistening from San Francisco or Honolulu or
whatever. I'm going to give you. I'm going to give the listeners some
perspective. So I tore my rightachilles back in twenty thirteen. You fixed

(15:30):
it. Yep. I tore myleft this year, fixed it at the
end of January, and you fixedit. You know, we were joking
before we came on. You know, I've got two sons eight and twelve,
and I went to go try tolike chase one of them the other
that I was like, oh okay, like like I can jog, but

(15:50):
I can't fully accelerate and I'm monthsbehind now again, I don't you know,
I'm not a pro where I getsomebody treating me every single day,
three times a day, three timesa day. Right. But Aaron Rodgers
is we talking about biology? He'sforty, he's forty, right. I
get to experience what achilles repair andrecovery is at forty. So here's here's

(16:14):
it could happen. It's possible,it's absolutely stuff we have. It's absolutely
possible. But here's the biology ofan achilles repair. Or if you rip
attendant in your hand, or arotator cuff which is also attendant, here's
a biology. What we're doing surgicallyis putting the two pieces together and protecting
that repair until your body heals it. Let me repeat that the stitches are

(16:41):
not holding Aaron Rodgers' achilles forever.They're just temporary. They're doing the job
until the biology repairs the tear.That's how this works. And once the
repair has he oled, which maytake six months more maybe a little longer,

(17:04):
then the stitches don't they don't servea purpose anymore. In fact,
just last week I went in andtook some out. The thing that what
I know has happened to Aaron isthey didn't do anything any different than anybody
else has done. You know,they may have thrown some amniotic stem cells

(17:25):
on there, or they didn't doanything different than anybody around the country has
been doing over the last fifty years. So what makes him or anybody else
think that his biology is any betterthan anybody else's. I don't know.
I don't think, you know,it does not sound like they're doing you
know, maybe he has a healthydiet. Maybe he you know, eats
spinach. I don't know. Butbut there's nothing that There's nothing new here.

(17:51):
There's just nothing new here. SoI don't understand it. All right,
we have to go on a quicklittle break Inside Sports Medicine. We're
going to come back with Tommy fromPortland. Right off the break, diecil
engine keeps turn him. He takesme one hundred miles away a cold,

(18:15):
hot pave and blue mouth feet.Welcome back, Welcome back to Inside Sports
Medicine. T O sorry, I'llhear Ray Johnston band, friend of the
show. I'm gonna make up anew acronym f OS or is that new
or not new? What is that? Friend of the show? I don't

(18:38):
know, make that up. MaybeRay Johnson band an Alabama transplant, moved
to Dallas and started playing music,and now he's on the radio. By
the way, Ray Johnson could hoop. He was a walk on point guard
at Alabama. He could go yeahyeah. But he and also sing and

(19:00):
play country music. That's right.Welcome back to Inside Sports Medicine TiO.
Sorry, I'll hear Brad Ballard there, Garrett on the other side of the
glass. I think I'm done talkingabout Aaron Rodgers. But but what I'm
not done talking about, and Ido want to introduce this before we go
to Tommy from Portland. By theway, the phone number two one four
seven eight seven nineteen seventy one oreight one seven seven eighty seven nineteen seventy

(19:26):
one. Call or text call Ohyeah, call or text yeah cool.
The risk reward equation. I thinkthat this is a an equation that most
of us incorporated into our life ingeneral. What's the risk of walking down

(19:48):
a dark alley at two in themorning versus the reward of getting home before
whatever. Yeah, so we allhave that risk reward equation in our mind.
In the sports medicine world, itplays out every single game, every
single practice. The risk reward equationwhat is the risk of further injury versus

(20:10):
the reward of winning the national championship. And the risk rewarded equation is different
at different times of year. Forexample, you sprain your ankle in preseason,
we're not taking any risk. Sprainyour ankle in game six of the
Western Conference Finals, Oh yeah,oh yeah, we're gonna tape you up

(20:30):
and in some play and some peopleinjected or whatever. But yeah, we're
gonna take a risk. And therisk reward equation is also very very personal.
There are some rewards that you're theonly one that knows about, So
in the back of your mind,you're the only one that knows about.
And I suspect that is the casewith the Aaron Rodgers risk reward equation.

(20:52):
There is because otherwise it makes nosense, right, it makes no sense.
But there has to be something inhis mind that has to be a
reward that is worth the risk exactly, because that's how it works. Is
the the greater the reward, thegreater the risk that that will be taken
exactly, not just by the doctor. Yeah, it's in in conjunction with
the player. The overall risk thatthat you know, we kind of come

(21:15):
to. And right now, whenit comes to the Jets, there's not
a great reward because they're they're likely, I mean, they're not going to
make the playoffs. So the rewardis not a Jets reward, right,
the reward is not Aaron Rodgers wardsque. Yeah. That's the only thing
I can think is that it's ait's a it's a his reward and it's
not money. Right, he's alreadysigned. Yeah, yeah, yeah,

(21:37):
anyway, so we'll we'll never know. And you know, it's funny.
They did have a study on arisk reward equation. They asked a bunch
of Olympians or an Olympian hopeful you'dbe shocked the risks those people take,
oh made by the way Olympians are. So I'm seeing I'm seeing a couple

(22:02):
of them right now. And youtalk about people who grind, oh yeah,
and and play hurt. Yeah,well, because because because you have
to qualify and it's a one timedeal. It's a one time deal.
Yes, if I don't qualify thisupcoming weekend. I have to wait four
more years. Yeah, I know, I get it. Yeah no,

(22:22):
but but the risk reward equation,you know, that's to me, that's
the gold standard. Yeah, no, pun intended. All right, let's
go to Tommy from Portland. Goodmorning, you're on Inside Sports Medicine.
Hey Tommy, can you hear me? Hello, yep, you're here.

(22:42):
Listen. Uh long time listener,almost thirty years, as long as you've
been on air. But I finallyhave an issue. I need to talk
to you about fire away. Areyou really calling from Portland? No?
Oh, okay, but I knewyou'd recognize I did. I did,

(23:03):
so go ahead, of course.Hip. I got a hip issue.
Some day it is good, somedayis bad. If I stretch enough,
it's okay. Thinking I might needsome attention, what's the next step?
Well, let me ask you.I've had a series of questions. Are
you talking a hip issue in theform of pain or a hip issue in

(23:26):
the form of it doesn't move rightor I'm limping? Or what issue is
kind of a yeah, I'm limping. Was there an injury? No?
And how long has this been brewing? A couple of years? Okay,

(23:48):
so next step. Next step ishave someone look at it and and what
what we need to do is weneed to weep being in the medical world.
We need to figure out why you'relimping. You know, is it
muscular? Is it bone? Isit arthritis? Is what is the root
cause of your hip issue? Thatis I was gonna say, that is

(24:14):
paramount, and that is paramount withwith any patient that comes to see one
of docs of tech sports medicine.I have to have a diagnosis. I
have got to have a working diagnosis. I can't just say, hey,
take these pills and see if theywork. I need to know what I'm
treating. So in your particular case, we need to know what we're treating.
It could be a simple X ray, it could be an exam.

(24:36):
And you know, if you know, arthritis is way up there on the
list, especially if it's something that'sbeen going on for a couple of years.
So probably an X ray, Xray or MRI X ray. Oh
what a great question. Hey,where are the applause drop? Thank you?

(25:02):
It was not stage no break it. Yeah, okay, so X
rays been around for what one hundredand fifty years? I don't remember.
The guy who invented him A longtime rentigen or something. I don't know
where's mayor when we need him enpsychomedia. Uh. So X rays fire
beams through the bone, and thebones take up the beams and on the

(25:26):
X ray plate there's a negative.So X rays are purely for bone structure.
They tell me if you've got afracture. They tell me if you've
got arthritis, because there are evidenceof arthritis, you've got bone spurs.
You know, instead of the jointbeing smooth and round, the joint becomes
rough and cobblestone. I can seethat on an x ray. Okay,

(25:48):
On an MRI, it's primarily forsoft tissue structures. What the muscles look
like, the tendons, the cartilage, and so typically in our world you
both. So you do an Xray, you see what the bones look
like. You do an MRI,you see what the soft tissues look like,
and mentally you have an image ofwhat the joint looks like. So

(26:11):
no, I would not do anMRI first. I would do an X
ray first. And you know it'sweird. Sidebar, you didn't bargain for
this. Do you know that anMRI machine is one and a half million
dollars, some of them go upas far as three million dollars. And
an X ray machine X ray machine, that's right. It used to be

(26:33):
in that business, and an Xray machine is a fraction of that.
An X ray machine is what fiftythousand dollars? Maybe maybe Insurance companies pay
the same for both. Oh gosh, can you can you you Tommy wrap
your headers? And an x raygets reimbursed pretty much the same number as
an MRI nowadays. That's mind bogglingto me. But in US, but

(26:57):
that's side a loose sidebar. Butthat's the difference. One looks at bones,
want of looks and soft tastes.Yeah. No, So that's the
thing. So we have patients comein and they'll say, I've got an
MRI. Yeah, And then we'llsay, all right, we're gonna get
X rays and why do we extrayou got MRI. And hopefully what the
listeners can can appreciate is that Iwill actually see things on X ray better

(27:22):
than I will on MRI. Absolutely, depending on what I'm looking for,
I can see the So that's whatpeople don't understand. It's like each diagnostic
imaging tool X ray ultra sound.You've talked about this. We see things
completely different on ultrasound. They're reallygood at certain things, and so what
I may not see on an MRIwhen it comes to a joint or arthritis,

(27:45):
I can see really good on anX ray. Just gives me a
more comprehensive of what I'm looking at. See T scans and look. So
there's a we clump them all togetheras imaging studies. Imaging studies back up
the examine, the history and examination. So I listened to your story,
I do an exam to see whatyour motion looks like, and there are

(28:07):
a lot of times that I canpick up the diagnosis without having an X
ray or an MRI. And thenyou do imaging studies. You do X
rays, you do MRIs, youdo ultrasound, you do nuclear scans,
you do ultra there's just a wholebunch of imaging studies. And then at
the at the end of all ofthis, you come up with a diagnosis.
And the diagnosis is one, two, and three. This is the
most likely, This is next mostlikely, this is the least likely.

(28:33):
Uh, go get it. Goget an X ray if you haven't had
one, and if it does goahead. I'm sorry. So you're saying,
first step is an X ray.No, first step is a medical
evaluation. Yeah, first step iscalling a dog. Get have somebody look
at you, have someone examine yourhip, have someone watch you walk.

(28:55):
I always watch my patients walk anduh, then get the X ray,
then get them, then sit downand have a console. Thank you,
good luck, keep in touch.Hey, hey, hey, for what
it's worth. Yeah, first thirtyfour years ago today, congratulations, Oh,

(29:15):
thank you. I have a greatday. I was there. I
will share that with everybody. Canyou know who I'm talking about? You?
Yeah? Yeah, today's my anniversary, wedding anniversary. Oh okay,
all right that yeah, and Tommywas there thirty four years Yeah, wow,
graduations, thank you. I gota great legacy. All right,
thank you. Uh that threw meoff track. All are you're gonna have

(29:41):
you remembered? You're gonna have remembered? Oh I did? Yeah, yea,
I absolutely did. Yeah. Ohno, no, I got your
back down. I don't think shethought I remembered. That's all right,
yeah, but I'm here to validatethe fact that you remembered. It also
doesn't hurt that my anniversary is mypassword for pretty much everything I own.

(30:03):
All right, now that everybody knowshow to get in the docks, back
office and everything. Okay, yeah, all right, Two little completely unrelated
sports medicine topics that I just haveto throw out there because we've got a
couple of minutes left before a nextbreak, a couple minutes for a next

(30:23):
break. So I have no ideawho this NBA player is, Mitchell Robinson,
have no idea who the guy is, but I'm watching ESPN on the
very bottom of the ticker. MitchellRobinson has ankle surgery. Will be reevaluated
in eight to twelve weeks. Isaw that, and I pause. I
put the TV on pause. Whatdo you mean reevaluated in eight to twelve

(30:45):
weeks? You know, damn well, he's going to be reevaluated every twenty
four hours. Yeah. Yeah,it's not like he's going to get the
surgery. You say, hey,man, come back and see us in
twelve weeks. Yeah, he'll he'llbe constant reevaluation. I think what they
what the PR people meant to say, is don't ask us anything about him

(31:06):
for eight to twelve weeks. Ithink that's what they meant to say.
But to actually say on the ticker. Yeah, we'll be real, that's
that's a misnomer to everybody else becauseI see my postop patients once a week.
Yeah, and because you've got tokeep an eye on him. There
are adjustments that have to be made, and you're not going to make the
adjustment if you see him two monthslater. Yeah. But you make a

(31:29):
great point because the communication is differentin what we do day to day versus
what gets conveyed to the public,and that that's actually, you know,
somewhat smart from a PR perspective,because you're right. It's like, look,
just don't ask us about him forthat period of time because he's you
know, we'll just say that,Yeah, I know at ankle surgery,
more information in eight to ten weeks. Yeah, I don't know, but

(31:51):
to say reevaluated. But you know, we hear it different because what we
do here and we watch sports different. Yeah, we watch sports different.
I mean, an injury happens me, you and the other dogs and texting
one another. Oh that's an acopAaron Rodgers injury. Not to bring up
well there, but yeah, we'relike, dude, that's you know,
that's an achilles well and there's therewas something else. Oh this is It's

(32:14):
funny how you just took us toit at a good place. I get
a tremendous amount of information watching thevideo and the mechanism of injury, tremendous
amount of information. Back in theearly days of me being a team doc,
I made it a point to stopby the video room to look at

(32:35):
the injury from various angles before Iexamined the player, because it it gives
me direction as to which way togo. You say, we watch it
differently. We can. The kidis concussed. You can see it on
video. Oh yeah, everybody inin the country, all twenty million people

(32:59):
are watching the game. They sawthat his eyes roll back whatever. And
the disadvantage that the guys on thefield they can't see that because by the
time they run out, by thetime they run out to him, he's
awake. Yeah. You know,just a couple of weeks ago, the
Florida State quarterback, the backup quarterback, clearly concussed. His eyes rolled back

(33:20):
in a whole bit, and thecamera was zoomed in on him, and
two plays later he was back outthere. And the only thing I thought
of was what they must not haveseen what everybody else saw right right,
right right, And then the nextSaturday he didn't play. The next Saturday
he didn't play. Yeah, andso so yeah, we we do watch
things differently. We watch it froma different perspective and and I get it,

(33:45):
and we're kind of sharing that withyou guys. So hopefully this you
find this interesting. Ali tell me, let's go to David. David,
good morning. You're on Inside SportsMedicine. What do you got to say.
I was just listening to you guystalking about getting an X ray.

(34:05):
Yeah, I tore my distal biceptendon YEP twenty nineteen in October, and
it did not need an X raybecause my surgeon took one look at me,
wrapped his finger around my tendon,and said it ain't there. Yep.
Well hang on fly wait wait wait, flag flag flag flag on the
surgeon because because let me tell youthis, I have seen biceps pull off

(34:29):
the bone with a chunk of bone, and putting my finger on your absent
biceps does not tell me if there'sa bone there or not. And let
me tell you why that's significant.So I'm making plans to go in there
and fix you if I don't havea screw in the room, you ain't
going to be fixed. So anX ray is a mandatory step, even

(34:55):
if I know it's a soft tissue. You're absolutely right, Aaron Ra.
But I get an X ray anyway. You know why. I want to
see if it pulled off the bonelike Ballards did. And I want to
see if there's calcium in the tendonsand the calcium and the tendon will not
hold the stitch. Oh, you'velooked for I don't know how much an
X ray is. One hundred andfifty bucks. It's well worth it when

(35:17):
you're talking about a ten thousand dollarssurgery, right or was? I wasn't
arguing about the examination, Oh talkingabout the unique aspect of the distal bicep
rush rupture. I had hematomas.Oh yeah, I had heard it pop
and I literally busted it right offof my bone at the elbow. Did
you have the button? I got? Hell? Yeah, I got a

(35:40):
button. L I didn't have.I didn't have health insurance, so I
got a cadaver and I cut mymuscle back. Baby, I congratulating,
congratulations, congratulations, What is taken? I'm a pool guy. You know
what you can do without a musclenothing, You lose a lot of power.
You're absolutely right. No, I'mglad you got it. Fand also

(36:00):
also I had to get some assistanceto get it done. So I was
sweating bullets for two months and Iwas late getting it done. That's why
we had to use the cadaver.But the other funny thing about that was
that had to use a cadaver.I was scared to death, but I
rehab back in about six weeks.I mean, he told me to just
stick to a gallon of water.But this was not like Aaron Rodgers.

(36:22):
He's going to have to wait fourmonths. My wife actually has a foot
tending like that that she needs tohave done. But Aaron Rodgers ain't playing
no football. No, he ain'tthat sensed. He ain't going back.
He's just telling these people what theywant to hear. And he may be
back next year. But you knowwhat, I bet you he cuts out.
I hope, so I hope forhis sake. Hey, look,
we got to go on break.Thanks for calling in, David, appreciate

(36:43):
it later on All right, quicklittle break inside sports medicine. Don't forget
to listen to us on iHeartRadio andoh heck, I did not even mention
the sponsors. Geez, we're halfwayinto the show the first segment. Sorry,
when I'll do when we get back, coming back real nassive, slow

(37:04):
alone, chair in the sun,sinking, got a good little pleasant I'm
work, you know, and theonly bill like goats Tope. Here's a
table that I've run up to day. What on the rocks strong, Welcome
back Less Small Ray Johnson band.I'm gonna claim him as a Dallas product.

(37:31):
Alabama kid came over here, madeit big in the music business.
Yeah, so I like playing hismusic. Welcome back to Inside Sports Medicine
t o story. I'll hear BradBallard there, Garrett on the other side
of the glass. Two visitors inthe studio, Yeah, Hunter and Daniel.

(37:54):
We'll talk about that in the verylast segment. Guys. Yeah,
quiet the young guys. Anyway,you know, Brad was talking about how
we watch things differently being in thesports medicine world, and we covered events.
I went to a MAVs game Thursdaynight with one of my partners,

(38:15):
Rick Levy, and I was thefirst mav game I went to. I
went to Dirk's retirement ceremony. Sothere was a game that day, but
that's the first game I've been tosince I left. And I did a
quick calculation on my phone while wewere in the stands. I covered eleven

(38:37):
hundred NBA games. Wow, Andnone of those eleven hundred NBA games could
I sit in the stands and havea beer. And so we when we're
covering an event, we're watching,we're we're paying attention. Now, sometimes
you do get distracted because you're onthe sideline evaluating, you know, the

(38:59):
sound, because he's got a shoulderissue and things are happening. But when
we're there, we're working. We'reworking. And what you said during the
break really made a lot of senseto me. We we view athletic events
differently. You know, when,when when and sidebar, sidebar. I

(39:22):
hate the gruesome injuries. Yes,I'm in that business. Yeah, I'll
watch it once just so that Ican get the mechanism. But that's it.
Yeah, you know, I'm oldenough to remember Joe Thaisman and that
I only saw that once. Yeah, I don't ever want to see that
again because you can't get those imagesout of your mind. But we do

(39:43):
watch it differently, and you knowwhat you said, there's more to it
than just the game. There's theesthetic. And then we got into the
NBA in season tournament. I haveno clue what just happened. Yeah,
I know the Lakers want it,but I don't know if those games count
to the season. I don't knowwhat just happened. I don't know how
it works. I really excuse me. Didn't have an interest on trying to

(40:07):
figure out how it works. AndI can only think, like you know
what, I'm probably not the onlyperson who thinks this way. In addition
to that, you know, wewere talking on the break about the court.
I don't know what's going on whenI turn on a game. I
don't know who's I have no ideawho's playing when I turn a game on,
unless I that's a good point,that's a very good A game is

(40:30):
just and I'm just you don't knowthe team. I don't know who.
I don't know what's going on.Is colors everywhere. The jerseys don't match
anything. White is no longer home. It's it's confusing, which brings me
back to uniforms. You know whythe Cowboys have white uniforms because when they

(40:50):
first started in nineteen sixty or nineteensixty one, they only had enough money
for one set of uniforms. Theydidn't have a home in a way they
specifically asked. And the rule backthen because there's black and white TV and
all that stuff, so you haveto have a white team and a dark
team. And so the rule wasin the NFL, the home team wears

(41:15):
the color and the road team wearswhite. Well, Cowboys only had enough
money for white, so they petitionedthe NFL to see if they can have
the white as their home color color. I'm in a radio station and I'm
doing air quotes, weird, Sothat's why they wear white. And the

(41:39):
standard has been in the NBA theother way around. If you're home,
you wear white, So the Maverickswhites you wear and on the white uniform
at home, it has your nickname, like it says Mavericks. If you're
on the road, you wear thecolor and it has your city name on
it. Well, that has allgone, by the way, so it's

(42:01):
all over the whole deal. Sonow you've got Lakers were in black yesterday.
I don't know who was who.You're right, you turn on the
TV. You don't know what teamis playing. Think about this. The
Lakers were wearing black, Yeah,I know, I mean, hold on,
but they were at San Antonio,right, They were at San Antonio,

(42:21):
and San Antonio's colors are black,black and white and white on a
court that's probably yellow. Somehow theywere playing. They were using their city
edition court and with their city editionjerseys, which do have white in them,
with bluish, a teal blue andan orange color. Ye yea,
yeah, yeah, yea yeah yeah. It just the colors for the Lakers
just does make no sense. Look, there's a lot of this that makes

(42:44):
no sense. And I get thatit's marketing. I get that you're trying
to sell more jerseys, But howmany different Laker jerseys am I going to
have in my closet? Yes?Do you know? Do you remember the
MAVs jerseys? We talked about thissometimes maybe Hewter gray, No, no,
no, no, no. Thethey only wore them once. By
the way, it was away gameat LA. We wore pewter gray,

(43:07):
and when the guys sweated, youcouldn't see the numbers. Oh Mark pitched
a fit. Yeah, but thatwas the ones that looked like space jam
jerseys. Yeah, yeah, yeah, yeah, yeah, Like who's responsible
for this? This looks horrible?Yeah, what about the golden white?
That was terrible gold and white.You can't see the numbers. Yeah,
it was the gold It was acity edition jersey. They go all out

(43:30):
for the city edition jerseys, butthey don't think. They don't think it
through. They don't think it throughbecause they don't think about the court.
They don't think about tv acceps.They only think about what does it look
like on the player? Well afan by it, like, I know
they have a green jersey out there, yeah, and that's an ugly green,
very ugly green. I only haveI have an old, old,

(43:52):
dark Newinsky jersey. It's the regularblue color. And then I have Luca's
like navy blue jersey. You know, those are perfect blue colors. I'm
a big fan of classic unis.I was just about to say, you
know, we talked about Notre Dame, Celtic Notreme because it's like you know
what you're gonna get and every nowand then, maybe mix it up because

(44:13):
they had the green jerseys not toolong ago, right right, but mistake.
Yeah, you also have to havetwelve men or eleven men on the
field not ten. Oh that wasa low blow. That was a lot.
I'm sorry, I'm I'm a bigOU fan, and the refs screwed
us over at the bedroom game.So yeah, yeah, everybody's everybody's got

(44:35):
a little bitterness this year. Butjust for the record, I'm a Notre
Dame guy. Yeah, we gottwo Notre Dame guys here. We have
another backup guy who comes on sometimesto fill in for if a host is
out. His name is TC.He's a huge Notre Dame fan, and
I let him here all the time. Oh gosh. So I'll try to
keep it relaxed. But I likethe tradition, the traditional cowboy you know

(45:00):
what you're gonna get, like someof these teams, like it's just like
you know, but NBA has justsaid, forget it. It's a free
for all. It is it is. I think they've they've I mean,
who is it? Who am Ito say anything? But they've lost sight
of the whole point behind home andaway. It's so the plan back in
the olden days. And I'm sosorry to keep bringing this up, but

(45:22):
you've got to understand the history asto how we got here. It was
black and white TV. It wasblack and white newspapers. So the dark
color and the white color, andand the nickname on the front when you're
at home, the city on thefront if you're on the road. That
those were all standards. So thatwhen Brad Ballard flips on the in season

(45:44):
tournament, he knows who's playing.That's right now, you don't know who's
playing. And the colors of thecourt, that's a whole other discussion.
You said, Garrett, Were yousaying the MAVs had to change something about
their in season court. Yeah,So it wasn't I don't know if y'all
remember earlier in the N season tournamentwhere Denver had to repaint or a three

(46:07):
quarter line. No, it wasn'ttwo specific dimensions a length, and a
couple of the mass players noticed that, so they had to fix it on
the spot. And with the MAVscourt, it was basically the same thing,
but just a little worse. Thecourt wasn't fitting properly together. The
it was such a cool it justwas not working. And so they were

(46:30):
like, you know, we onlyhave one more N season tournament. We
have a couple days or so,or like a week or two to get
this fixed. Never got fixed,so they just played on their city edition
court for their last N Season tournamentagainst Houston. I'd love to know what
the players think about the N Seasontournament. So wait, so that has
evolved. Remember earlier we were talkingabout likable not likable? Yeah, okay.

(46:52):
I think in the beginning of thisN Season tournament many of the players
were just as confused as you are, and they did not. But when
you if you ask them now,I think a lot of the players did
turn out to like the ND seasontournament. Look, the Premier League has

(47:14):
been doing this for a long time. There are a lot of the European
leagues have in season playoffs just tokind of keep it fresh. And I
get it. I get what they'retrying to do, and so I like
it. I'm not sure I knowhow it works in terms of the eighty
two game season. I don't know, Garrett. Do you have any idea
these games count as part of youreighty two game season. Yes, they

(47:35):
do. If you didn't make itto the semi finals or the quarterfinals in
Vegas and stuff, then they hadto add two extra games to each team
because originally each team was only playingeighty games. It's the only way you
would get to eighty two is tofigure out who was going to play in
the semi finals, and I whoever won the semi finals played in the

(47:58):
quarterfinals, and then whoever one ofthe quarterfinals goes to the finals, and
the other teams who didn't make ithad two games to play, one road
game in one home game each eachteam had that. It was the first
week of December, and that's justhow they did it. And those games
do who do you play those twoextra games? Who are you? I

(48:20):
know? The maps played. TheMAVs played the Jazz December sixth at home,
and then they went on the roadFriday to Portland December eighth, and
then no games. All the gameplayed Saturday was the end season tournament championship
game, no game Sunday, andthen back to the regular NBA schedule Monday,

(48:42):
December eleventh. At the end ofthe year, they played eighty two
games. Yes, whenever you lostme about halfway through Portland. Yeah,
it's a logistical nightmare, dude.Yeah, I don't know. They could
have just lowered the amount of gamesfor each team and help the players get
a little more rest and not killtheir bodies. Yeah, but but again,

(49:07):
at the end of the year,it has to do with fairness too.
You know, I don't want tobe in the playoffs playing a team
that played two less games than Idid. One last thing about unis there
are some classics that you just andGarrett, you said you're an O you
guy. I don't think I've everseen oh you and alternates? Oh yea

(49:28):
the black they had like Unity alternate. It's a black and red one,
but that's only used once a yearand it's towards the end of the season.
I've never seen Alabama and an alternate. I've never seen US ever an
I've seen black. Wait did youtea? Did they ever play black?
No, I've never seen I've neverseen USC in an alternate. Yeah.

(49:53):
Yeah, I love the traditions justyou know, well again, I love
to being able to flip it onand change a channel and know exactly who's
playing, right and say, allright, yeah they're home, they're away.
Yeah, I know exactly who's playing. I'm gonna watch this game or
I'm not going to take the timeto figure out all right. Uh wait,

(50:15):
oh heck, we went way pastthe break. Hey, Garrett,
can we go and break We're supposedto do it at eight twenty eight.
We just got really into our conversation. But I'm going to break right now,
coming right back. There's a farmerin hue praying for it. There's

(50:46):
a mother and moan. Welcome backto Inside Sports Medicine, Ana Chawsen t
O sorry, I'll hear the musictoday has been Ray Johnson Band Home Stretch
twenty two minutes. We'll take acall if we get a good one too.

(51:07):
One four seven eight seven, nineteenseventy one. Brad Ballard sitting across
from me, Garrett on the otherside of the glass. He's our fact
checker, board operator, producer everythinghigh school football State Championship time. Don
it is showing the Yeah, they'reshowing the highlights. Yeah. And Daniel

(51:30):
over there. So has anything beendecided yet or all those games tonight?
No, it's like Anna one.That's Jim Sterling's team really yeah? Oh
nice? Yeah, shout out todoctor Sterling. Yep, he's been on
the show. He has been onthe show. Does a lot of concussion
evaluation. They're kind of going throughwho won, But I guess what is

(51:53):
that? This weekend six a Who'splaying Who's playing the Big the Big Boy
Final. I don't know, Garret'sgonna look it up. So we uh,
we mix in a little bit ofmedicine on a sports medicine show,
and we used to have a segmentcalled Story All Stories, and there's music

(52:17):
playing and all that stuff. Butthe point of the story is it serves
as a teaching moment. There's aterm that we use in all of medicine.
It's called the standard of care,and everyone is judged by that standard

(52:44):
of care. If you claim tobe a specialist, Hey, I am
a brain cancer specialist, then allof a sudden you are held to that
higher standard that you are a Ifyou are a general practitioner in Huntsville,

(53:07):
Texas, then there's a standard ofcare for that. I'm going somewhere with
this. The standard of care fora collegiate or pro athlete that they sustain
an injury, shoulder, knee,whatever is to get imaging an MRI.

(53:28):
Often, often MRI will be oneof the first things that's done that is
kind of the standard of care,even though you know that it was a
torn ACL. You get an MRIand you don't get an MRI just to
prove that it's an ACL. Youget to understand an MRI to make sure
that the other structures are intect thecart lives and meniscus whatever. So Aaron

(53:52):
Rodgers ruptured. Keep bringing his nameup, even though I don't want to.
He ruptured his achilles. It wason video. Everybody knows that you
can examine it, you can feelit. He got an MRI. I
that is kind of the standard ofcare. It boggles my mind sometimes that

(54:12):
sometimes those steps are bypassed or missedand often no consequences. Yeah, so
you didn't get an MRI, butyou went right to surgery and yep,
he did have a torn meniscus,and now you had to scramble to make
sure you had all the special equipment. But sometimes you don't get an MRI

(54:39):
and you completely whiffed. So I'mgoing to share this story patient of mine,
and he was patient of mind becauseI did his ACL a couple of
years ago playing flag football other kneeand he's kind of tiptoeing on the sideline
and something happen and he felt likehis knee shifted and pain swallowing the whole

(55:05):
nine yards or he felt something shift. He wasn't very exact about that.
He goes to see a doc athis local university big name university by the
way, big name university, andsays. The doc says, uh,
I think your kneecap shifted, anduh, you'll be okay. Here's a
brace. And so the youngster says, well, do I need an MRI.

(55:27):
He goes, oh, no,no, no, because once the
knee caps back in place, theMRI is going to be normal anyway.
No, no, you don't needan MRI. You had any unique calag
flag on the place, flag onthe play exactly. So he's not back
home and he comes to see meand uh, you know, I'm examining
him and his knees loose. SoI'm thinking, we need an MRI because

(55:50):
you might have a torn a cL. Yeah, and it was,
it was torn. And I waskind of scratching my head thinking, so
MRIs have come down in price now, you know, in some cases an
MRI is cheaper than an X ray. Why the heck wouldn't you do it
right? Why the heck would younot do it? You know? The

(56:12):
youngster says, I felt something shiftto me. That's that's that's a that's
a sign something shifted. And youknow, I don't know. I mean,
I look, I can think ofa million economic reasons and logistical reasons
and whatever, but but it's kindof the standard of care. Now.

(56:37):
Yeah, Well, when you're talkingabout collegiate and professional players, and I
want to make that clear, it'sa it's a it's a little different,
right, And I understand that youknow, you want the same level of
care and treatment no matter who yousee, but at the collegiate and the

(56:58):
professional level, it is not unreasonableto get an MRI if there's if there's
any question soft tissue, I mean, because the challenge is if you if
you miss it, there's just somany other consequences. I mean, I
mean, I had a story recentlywhere you know, I had an NFL
guy reached out to me. He'slike, hey, listen, I want

(57:19):
to get an injection, like aPRP injection on something. I was like,
well, have you had an MRIyet? So well, I don't
have an MRI. I've had iton the other hamstring. I said,
I get that, but I needa map. But you make millions of
dollars, that's right, Okay,Like like real talk, like you make
millions of dollars. I said,I've seen this where similar situation, similar

(57:40):
symptoms, we get MRI and yougot to gangly insist behind the hamstring.
It's not just some tendonitis right right, And now I'm injecting something and it's
not helping anything because we didn't knowthe likelihood of it that you're going to
have something different than ten tonight islow. But still, if if I

(58:00):
get that and we have or ifI don't get that and we have ease
of access to be able to getthe MRI and we can rule that out,
let's just do it. Well.Look, I don't want to I
don't want to sound snooty here,but there is a maybe snoody was not
the word I was looking for.I was very fortunate earlier in my career

(58:22):
to be the Mavericks doctor and takingcare of a protein at an early stage
kind of set the bar high interms of taking care of these pro athletes.
That's the gold standard, and thegold standard was if Derek needed an
MRI at nine o'clock at night,we got an MRI at nine o'clock a

(58:44):
knight. That really helped me withmy practice, with my patients, because
once you know what that gold standardis, you try to achieve that,
you try to bring it up toyou try to do it for all of
your patients, and understand that thereare economic constraints. I absolutely get it.
You know, certain Mark Cuban's gotdeep pockets. Whatever you want to

(59:07):
spend on MRI, just go andget it. Well, but they've come
down in price that you know MRIs. Way back then we're I don't know,
twenty five hundred bucks or something likethat. Now it's one hundred and
eighty seven dollars. Yeah, youknow, so so so the we try
to apply the gold standard to allof our patients. And I'm not saying,

(59:29):
you know, every not every readthat comes into the office is getting
an MRI. Let me make thatI get get me, I agree with
you, I agree with it.I feel bad that I even hinted at
that, but something major, Yes, you probably ought to do it right.
Or you know, if we talkabout risk versus reward, if we're
talking about even if it's somebody whois playing tennis at a high level,
they're not professional, but they wantto get back and there's a question of

(59:52):
you know, is this like isthe injury from a prognostic perspective, like
am I going to be able tocome back this season? And am I
going to be out just a fewweeks? Like it's not unreasonable to consider
that, Like I'm saying, it'sit's not every single patient that comes in,
but the consideration of an MRI fora patient, the threshold has dropped.

(01:00:13):
And that's okay. Yeah, Look, the more, the more data,
the better. The more information thatI have, the better it is
for my patient. If I haveso I always listen to the history.
Nobody else gets the history. It'snot that hunter gets the history. It's
not that mice. I get thehistory. I want to. I have

(01:00:35):
a series of questions that I wantto answered by the patient. So that
I get the history. Is it'sgoing to guide me which way to go.
I always examine my patient. Ihave patients saying doctor so and so
never touched me. You gotta touch, you gotta examine the knee, you
gotta see what the patella looks like. You got to feel for the acl.
I mean that's routine. And youknow we teach young guys all the

(01:00:59):
time and that you've got to touchthe patient. You've got to examine the
patient and then the data that youget from imaging, the data you get
from an X ray, even ifit's normal, and I know it's normal,
I know it's going to be normalbecause it doesn't sound like you broke
anything. But I want to knowwhat your bone structure looks like. I
want to know how high up thepatella is sitting there are there is data

(01:01:20):
points that you get from a normalX ray. The best way I can
describe it to people, and yousaid it earlier, it's all about the
diagnosis right for us, It's allabout the first step is making sure that
we know what you have. Andit's kind of like a puzzle, yeah,
you know, and we start offwith a blank you know, a
blank canvas. And as I talk, there pieces of the puzzle that are

(01:01:42):
getting laid down. As I geta history, I get an X ray,
there's more pieces of the puzzle thatcome on. The MRI may add
more pieces of the puzzle. Imay do an injection to test to see
if it's one thing versus another thingthat's another piece of the puzzle. And
then I need to have enough pieceson the puzzle in place for me to
be able to see the picture ofwhat it is, and at that point

(01:02:02):
I can treat you appropriately. Thedifference between the pro rank and recreational rank.
At the pro level, your diagnosishas to be accurate. It has
to be spot on accurate, andit has to be spot on accurate quickly

(01:02:22):
because time is of the essence.With recreational athletes, I knew you had
an achilles rupture. You knew it. You called me and you told me
that's what I had. We didn'thave to get an MRI that night.
We can get an MRI tomorrow thenext day. And in a recreational athlete,
it's the same steps, but itdoesn't necessarily have to be within a

(01:02:44):
twelve hour period. Look, thereare there's a method, and and you
kind of need to apply this methodwhether you're taking care of Grandma or whether
you're taking care of Luca. It'sthey are that have to be taken and
you get an accurate diagnosis because theaccurate diagnosis is the starting point for all

(01:03:08):
the treatment options, right right.And then once I've got the diagnosis,
one of my first questions is whatare you trying to get back to?
There? You go, Yeah,because listen, like you said, you
know, Grandma, she might bejust trying to get back out, you
know, walking right. You know, she might be just trying to get
her ten thousand steps in same injury. I got somebody who's like, look,

(01:03:30):
I'm trying to I'm trying to sprinton one hundred meters and the treatment
is going to be completely different.So one of the things I told you
is that I have a series ofquestions and I always ask the same questions.
I always ask my patient what's nextfor you? Do you have a
Is there a tournament this weekend?Right? Because if there is, I
need to know. Or you know, I have a ski trip in February,

(01:03:54):
I need to know. I alwaysask that question, what's next,
yes, because that gives me thewindow. And again, we don't have
to have an X ray today orX ray tomorrow, but that's one box
that needs to be checked. Yeah, it's just and by the way,
I hope the listener can appreciate nomatter who you go, see, these
are questions that everybody's gonna ask,need to be asked, that need to

(01:04:17):
be asked if you don't feel Imean like these are things that need to
be considered no matter who you're seeingwhenever you you know, if you have
an injury, you go see aphysician. Yeah, hopefully this part wasn't
boring. I'm hoping this part wasinformative. But but it's it's important.
It's important because you know, Ican't work off of misdiagnosis. You know,

(01:04:41):
the youngster that came to see mefrom Lubbock. You know I can't.
I can't work off of a Ptellerdislocation when it really was an ACL
Those are two different roads now,and I will say this, hats off
to your patient for feeling like something'soff enough to be able to get a
second opinion. And I will tellyou, you know, we talk about
second opinion before, and we've eventold our patiers. Look, if you
want to get a second p Imean, like absolutely, because we know

(01:05:04):
what we're doing. And that's fine. But it's important. It's important.
But it's also important for you asa listener. If you listen as saying,
you know what, if it doesn'tseem right, maybe I should ask
a question. Yeah, you know, well, And I don't want to
be labor this point, but Ihad another exactly the same story, exactly
the same week, except his injurywas a year ago, and he said

(01:05:28):
something on our first visit. Minehadn't been the same since that day,
and that's why I'm here. Myknee hasn't been the same since that day.
And he was also diagnosed with ap teller instability and it turned out
to be an aco all right,you know what, I have been remiss
the entire show. I did notthank our sponsors. And we are very

(01:05:51):
very proud the Center for Disk Replacementin Texas back Institute up in Plano.
That fantastic work they set the standardof care. Texas sports Medicine is what
we do for a living. Thisis our home practice. We'd be happy
to see you. Just call theoffice, come on in. You'll get

(01:06:14):
the same kind of talk that we'vejust had right now for the last ninety
minutes. Backendorf Jewelers Christmas is comingup. Family owned and operated since nineteen
forty eight. And finally Jaguar LandRover of Dallas, they've been sponsors for
several years now. Thank you,thank you, thank you. Don't forget
iHeartRadio app I love this. Iffor some reason next week you're not going

(01:06:36):
to be able to listen to iton the regular radio. You can listen
to it on the app. Weare working diligently, diligently to get the
podcast caught up, so episode eightpoint fifty nine, sixty and sixty one
hopefully are all three going to beon this upcoming week. Until then,

(01:06:57):
on behalf of all of us hereon ninety seven one, the free weekend
Inside Sports Medicine. Tell your friends,