Dr. TO 863

The Doctors talk about the Ohio St v Missiour game and welcoming all the fans in the DFW in. The doctors go into depth about surgeries and what can happen and the outcome after surgeries

Episode Transcript

(00:00):
It's tip off time for Doctor tO. Sorrel and Inside Sports Medicine on
ninety seven to one The Freak.Doctor Sorrel, one of the nation's leading
orthopedic surgons and former head team physicianfor the Dallas Mavericks, bringing his unique
sports insights and stories from inside thegame. With special guests from the world
of professional, college and high schoolsports and sports medicine, The Doctor breaks

(00:20):
it all down. Buckle up yourchin strap and tighten your laces for the
most informative ninety minutes in sports medicine. It's kickoff con for Inside Sports Medicine
with Doctor t O. Soryale onninety seven to one The Freak the Ray,
I got a lot of nice scullsSaturday morning. Everyone, that'll wake

(01:03):
you up. Good Saturday morning,and welcome to Inside Sports Medicine Live,
Episode eight hundred and sixty three,our fourth here on ninety seven to one
The Freak. I'm your host,Doctor t O. Sorry'all, this is
Inside Sports Medicine for the next ninetyminutes. The topics are ripped right off

(01:29):
of the sports disc. You'll beinformed, entertained, and hopefully learn something
new. You're gonna have a chanceto interact call in, text in the
number is simple. I lost it. Texting. Yeah we have texting now.
Oh two weeks ago or three weeksago, there wasn't texting because we
didn't know, but we do know. Yeah, two one four seven eight

(01:52):
seven nineteen seventy one. And Ialways chuckle every time I say this.
I don't know why, but ifyou're calling from Worth, don't dial two
one four dial eight one seven seveneight seven nineteen seventy one. I absolutely
don't get that. Welcome to theshow. The other voices you've already heard

(02:13):
Doctor Scott Blumenthal, he's on somuch, might as well be a co
host. Daniel Is he's our intern, so he's here and he'll only talk
if he's asked. Ouch. Yeah, well that's just the way it is.
I always introduced my interns to ourpatients as nameless and speechless. You

(02:39):
turn in what sports medicine? Okay? Yeah, well actually he's he's graduated
from being an intern. Now he'sa medical assistant. So we have a
new program which is really cool,very very cool. All of our mas
are pre med and during their gapyear they spend it with us, so
they're very intelligent people. They're almostall college age kids, and they're interested

(03:05):
in that piece of the sports medicineorthopedic language. So spending a year with
us is beneficial for us and ourpatients because they're very smart, they're go
getters. They you know, theycan work through problems. And it's also
beneficial for them because they learned thelanguage. And all medicine is is language.
It's just a different language and whateverybody else speaks. But anyway,

(03:28):
we love having Daniel here, eventhough it'll only be for a year.
But welcome. Thank you. SoScott Blumenthal, we go way back,
don't we. Well. Scott andI met our very first day of internship
at University of Texas Southwestern Medical ParklandHospital when we were doing our orthopedic residency,

(03:53):
and we've been friends ever since dayone, day one. If you're
not a lot of birthday lunches,yeah, if you don't know what Scott's
credentials, he is a spine surgeonat Center for Disc Replacement up in Plano,
part of Texas Back Institute. Heis. He is the man in

(04:14):
the world of spine surgery. He'shim, You're him? Have you heard
that I'm him? No, I'mnot a hip hop word of today.
It is okay whatever. What isit twenty years ago that you started the
work on getting FDA approval for thedisc replacement in Texas or in the United
States? In March, it'll betwenty four years unbelievable. I know one

(04:36):
of the fathers. Isn't that terrible? You don't want to be introduced as
one of the fathers better than beingone of the grandfathers. Yeah, well,
you will be soon. Lots toget to today. We welcome all
of you who are here for theCotton Bowl, although I suspect that large

(04:57):
majority may still be sleeping, butyou are depending on what team you were
for visiting North Texas. I wasshocked by the attendance at the Cotton Bowl
Hire Low Hi. It looked likeit was nearly full. That's great.
Yeah, most of the other Bowlgames. Ohio State travels very well,

(05:17):
and obviously Missouri too. Missouri.They from looking at the colors of what
people were wearing in the stands,it looked like three quarters Missouri. Really
yeah, okay, because as anold big tenor myself, as you can
see, Ohio State traveled very wellto the away games. So we have
a family tied to Ohio State.My nieces there are actually just graduated,

(05:42):
and my brother in law, herdad went to Ohio State. So there
is a I have an Ohio Statecoffee mug, if that tells you anything.
But I don't think they were realkeen on both season this year,
simply because they still have a badtaste in her mouth after the Michigan loss.
Isn't their whole season revolving around onegame? That is true? Yeah,

(06:03):
yeah, Look, I'll due respectto both teams that played last night,
and I think the Cotton Bowl peoplewill tell you that it was a
huge success and it was good forthe North Texas economy. It was a
difficult game to watch. I thinkhalftime score was three to nothing. Yeah,
I don't get it because college footballis really not known for tremendous defenses.

(06:25):
They're always high scoring well, andthere were just a lot of new
people in new positions. You know, A high State was starting a freshman
quarterback who got hurt in the firstquarter and was essentially ineffective. And I
don't know how many of the OhioState players entered to transfer portal. I
heard twenty two, but I'm notsure, and so you had a lot
of new faces in new positions,making it really a difficult game to watch.

(06:50):
And I don't care hurt or nothurt. I don't care how good
a high school quarterback you are goingto college is one jump, but going
to a Ohio State Power five,I mean the speed of the game is.
So they talk about the speed ofthe game between college and professional,
between high school and college. Imean in high school you're throwing against high

(07:12):
school dvs. Right in college you'rethrowing against all four or five star athletes.
Yeah, and Ohio State has oneof the winningest records over the last
four or five years, and sotheir expectations are high. So I have
a lot on my list of thingsto talk about. Obviously some medical stuff

(07:35):
as well. This is a medicalshow. If we have to. If
someone understands what this controversy is betweenthe Broncos and their quarterback, please explain
it to me, because I amconfused. He has a thirty four million

(07:59):
dollar I understand it and got it. Well, let me just set it
up for the people that may notknow, because obviously I'm one of those
people. The reason we've been onthe air for this is our twenty third
season. Is because sports medicine isrelevant if you're a sports fan, and
all of us in this room,all of us at our Texas Sports Medicine

(08:20):
are all sports fans. If youcome to our office, it's jerseys and
helmets, and on the television it'sall you know, games and whatever.
Sports medicine is an integral part ofsports. It's just part of the deal.
And not only at the pro level, but also because Scott, your

(08:41):
son plays, and he had ahigh ankled sprain last year and as a
wide receiver and the year before inbasketball. So this what we talk about
today is not just about what happensat the pro level. It's what happens
to your son or to you foryou. So that being a thirty four

(09:01):
million dollar injury clause where if hepasses his physical on the fifth day of
the season, he gets an extracheck. And now the Broncos want out
of that. I don't want toexplain it. Explain it. So here's
the deal. He's got thirty fouror whatever million dollars a year. If

(09:22):
he gets injured, he gets paidthe whole. If he gets injured,
they can't release him. They're planningto release him in March. That's kind
of the drop dead day. Evenif they release him in March, they
have to pay next year's which isanother thirty four million, but they don't
have to pay the third year.So they're trying to save the third year
of this thirty whatever million dollar thing. If he's injured on March whatever,

(09:46):
they can't cut him, and thenif he's on the roster after March,
he gets paid the next year.They're trying to save a year from the
contract. Daniel, what did hejust say. I don't understand. I
don't understand what you just said.It's a three year deal and they're trying
to get out of the third year. Correct, they have to pay next
year no matter what. The yearafter they don't if they release him,

(10:07):
what if they can't release them,If they can't release them in his contract,
if he's hurt, they can't releasethem. That's that's the clause in
the contract. And whose definition ishurt? Well, I'm sure theirs,
but you know, but if hegoes oh, I mean, if he
goes and sees you as a iftheir doctor says no, you're fine,
he's going to go see you asan opinion, and you say, well,

(10:28):
of course you've got you know XYZthing, and then he can self
boke that in his contract to sayyou can't cover trade clause. If I'm
Russell Wilson, do I want tobe hurt or do I do not want
to be hurt? I'm trying tounderstand what is the motivation here for him
if there's no reason for him toto I mean there's thirty four million dollars

(10:52):
on the line here, correct,So it would if he plays the last
two games. Yeah, it hasan injury and then he's still quote unquote
hurt by whatever doctor, not justthe team doctor. On that March date,
they can't release him. They wantto release them. So they said,
well, will you turn will youturn in your contract for that clause

(11:13):
you get rid of that clause,and he said, of course not because
so Mike, I do have aquestion though, So they're going to release
him in March. They owe himthirty four million next year no matter what.
Okay, if another team picks himup and says we're going to give
you the minimum veteran salary, saythat's a million, do the Broncers have

(11:37):
to cover the other thirty three million. Yes, I think that happens in
the NBA. What a great pickupfor another team for a very inexpensive whatever
backup or so. I mean,he could start on a third of the
teams in the NFL right now.But it's a weird year because a third
of the quarterbacks are injured, andthen there's another few teams that just don't
have good quarterbacks. So I'm gonnaPlayers are often criticized for wanting to renegotiate

(12:09):
after they've had a year, agood year or two, and now I'm
hearing that the team wants to renegotiatebecause he's not having a good year.
Look, you signed the deal,don't. I don't play you signed.
We all do the same thing.Yeah, I would. I wouldn't.
I wouldn't give them a thirty fourmillion dollar break. No. Yeah,

(12:31):
And by the way, this isanother subject for another show or later.
I've changed my feel on the Livetour, but we can talk about Remember
we had a conversation in the lastshow last season. I'm pretty sure you
and I have a bet on thatthat Live will be here in five years,
and you said it won't, ormaybe the other way around. But
something any rate, that's another anyrate. Yeah, yeah, yeah,

(12:52):
yeah. Look, look I likeRussell Wilson. He seems to be a
class act. Yes, he's havinga bad year. I don't follow the
Broncos that closely, but it seemslike he's having a bad year. The
deal is what it is, andI don't understand interesting why it hinges on
an injury. I don't understand thatit's just so they can they they're not
at risk for avoiding for their theydon't want to be at risk for the

(13:16):
third year. But if you lookstatistically, he's not having that bad a
year. The Broncos are having abad year. Yeah, And my understanding
is that coach coach Sean Payton,Sean Payton just wants his own quarterback.
They never clicked, clicked and sohe just wanted him out of the building

(13:37):
no matter what. Remind me toshare a Sean Payton's story with you off
the air. Two one four seveneight seven, nineteen thirty one is not
the number, hang on, knowso what the heck is? Nineteen seventy
one two one four seven eight sevennineteen seven anyone you can text as well.

(14:01):
So where do we see that it'son the right hand. It's kind
of in small letters, so it'shard for us to see it. I
know you can text us your welcomecomments, your questions as well. And
also a couple of weeks ago,we had a listener that was listening from
Mexico. Don't forget. You canlisten to us on the iHeartRadio app,

(14:24):
which is very, very cool becauseyou can listen to us, frankly anywhere
on the planet as long as youhave Wi Fi. So go to the
iHeartRadio app download it. The spacestation. Can they listen to us on
the space station? Do they haveWiFi up there? The derailer strikes again.
Yes, the space station. Nowwe're talking about space correct, Okay,

(14:48):
go to iHeartRadio app, download it, put it on your phone or
your whatever device you want to use. Look up ninety seven to one the
Freak and there's a listen live.We are I say this every week and
I'm embarrassed about it. We're stillworking on the podcast. Hopefully the first
three episodes are going to be downthis week. We just have to.

(15:11):
The holidays have been wrecking havoc withour staff. I do have the episodes
ready to go, perfect and Ijust need them to give me the okay,
and once I have the okay toupload them to the website, to
your little podcast page, they willbe uploaded all perfect first four episodes from
here, perfect to go. Ohsee, there you go. You heard

(15:35):
it from the horse's mouth, andthat horse's name is Garrett. Have you
recovered from your procedure? Absolutely?Is that a hip a violation that I
just did. I just violate someprivacy. Think. I think it's a
public service announcement about the preventative aspectof getting a colonoscopy as probably the best

(15:58):
screening tool to prevent colon cancer.And how often. So I think the
recommendation is you start getting when you'refifty, I think. And then if
it's stone cold normal, every tenyears. If you've got any pre cancer's
polyps, it's every five. Andfor me, my mother has a history
of colon cancer, so it's everytwo years. Okay, yeah, so

(16:21):
and I'm overdue. It's the prepyou know, it's disgusting we're talking about
it on a Saturday morning, butit's the preps. It is, you
know, one of the preventable cancersthese days. I love that, So
I'm glad public service announcement. Ifyou're over fifty, start thinking about getting
your caulin off. Did antassiologist meetyou? I used my anesthesiologist that does

(16:41):
all the surgeries, my usual anesthesiologists. So the answer is yes. And
I don't remember a thing like you'resupposed to not remember. And it was
not like you said, the prepwas uncomfortable, but other than that,
the procedure you just don't remember.Yeah, I'm very picky about anesthesia and
antthesiolom. Just we'll talk about thatall right, quick little break. This

(17:03):
is Inside Sports Medicine U two onefour seven eight seven, nineteen seventy one.
If you have questions, we'll entertainthem also on the text machine.
Uh. This segment was brought toyou by Jaguar Land Rover Dallas, part
of the Snell Automotive family. Wewill be right back check out taking downtown.

(17:36):
I'm just looking welcome back. Herecomes there we go for all of
those visiting North Texas for this holidayweekend. Welcome zz top. I know

(18:00):
you want to talk about anesthesiologists,so I don't really want to, but
it was on our list, soabout six months or a year ago listening
to this music and surgery was onour list, and an anesthesiologist said,
didn't. Aren't one of the membersof Zizi Top dead? Yeah? True.

(18:21):
It was a week before he died. The next week I came in,
I said the man of caesiologist,I said, you killed it,
you killed zz Wow you asked thatquestion. And he hadn't died yet,
but he died this week. Wheneverthat week was. It was very strange.
Oh it sound a big Zzy Topfan. I think most most rock
and rollers are. It's a threeman band. They so much music.

(18:45):
They filled out of three people.They they filled the Old Reunion Arena with
music. I remember seeing a concertthere and it sounded like you were in
a small venue and they filled it. It just was amazing. I saw
them twice early in their care atMemorial Stadium in Austin eighty thousand people and

(19:06):
they were the headliners. And thenlate in their career it was a private
party and there was eighty people.Yeah, now they that's cool. It's
easy Top. So you did bringup anesthesia just before the break. We
were talking about that. So youhad a procedure, and for most most

(19:30):
invasive surgical procedures, some form ofanesthetic is necessary. If you're completely asleep,
it's called general anesthesia. If you'rekind of in twilight, it's called
conscious sedation. Bottom line is thereis a branch of medicine that is devoted
to sitting at the head of thetable and making sure that you've got anesthesia

(19:55):
of some type. I have alwayvalued the person at the head of the
table. In fact, I stillwork with Phil Smith. Phil and I
doctor Smith, and I've worked togetherfor thirty years. I am very comfortable
when I look up and see himat the head of the table. On

(20:17):
occasion when he is out of townor whatever, then we have a plan
B. But I always have ananesthesiologist that I have worked with and I'm
comfortable with because look, at theend of the day, what I do
is knee surgery. What they do, in my opinion, is more important.

(20:37):
And nine thousand, nine hundred andninety nine times everything goes very smoothly,
no issues, and it almost seemsroutine, although I will tell you
that nothing in medicine is routine.But on that one time where things don't

(21:00):
go right anesthetically, you want anantiseesiologist that can land the plane on the
Hudson. It's it's just like apilot. Most most flights uneventful autopilot runs
that you land okay, But everyonce in a while you have that catastrophic
bird strike and you need to havethe experience to land it on the Hudson.

(21:21):
And I well, number one,I lived with ancgologist. My wife's
an anacologist, your daughter, daughters, so we know all about this,
and it is it's it is likeflying a plane. Ninety nine point nine
to nine percent of the time,it's routine. But when that one in
a thousand or ten thousand has areaction to something, you want the person

(21:42):
up there that can react quickly,give the correct reversal, whatever, decisive
experience. Yes, I I justI think that's I don't like when now
I'm gonna steal a word out ofyour dictionary. I don't like when the

(22:03):
insurance carriers call us providers, becausewe're not just providers. We're not interchangeable
parts. We are physicians. Wehave a tremendous amount of training under our
belt in order to just hang yourlicense. And so I don't like it
when ant caesiologists are taken for granted. I think that their role is vital.

(22:30):
And by the way, we havea shortage of ANTA caesologists. I'm
sure Andrew has been talking about that, no question. I can't remember the
exact number, but you know,dausport Worth is eight hundred doctors short,
and so they're they're working hours.It's it's very difficult to find an an
caesiologist, but it is. Itis an important role. Now, since

(22:57):
you had to call anascoby, I'mgoing to tell you my anesthesia colonoscopy story.
So and I'm old school. I'mold school. There's definitely a relationship
when doctors are working with other doctors, there's definitely just a different relationship.
And so the nurse comes in andasks me to sign the anesthesia consent and

(23:23):
I said, I'm happy to signthe anesthesia consent, but isn't the anesthesiologist
going to come and meet me andget the consent himself? And she said
no, that's not how we typicallydo it. I said, does he
know that I'm a doctor and shesaid yeah. I said, well,

(23:44):
tell him to get his ass inhere. He needs to meet me.
He's going to be putting me tosleep, and I'm a fellow physician.
Get your butt in here and meetme. So he kind of walks in
with an attitude, you know,like I can't believe you're a young guy.
Young guy, and I said,good to meet your own doctor.
Sorry, I'll I'm with your namedoctor whatever. Okay, I just thought

(24:06):
that that was somewhat protocol and respectful. Am I is it me? No?
No, I've never had a procedurewhere, even if it wasn't,
you didn't meet him. Yeah.I've never had on where I didn't meet
dennes c cl just they always comein well because you get diverse d and
by the time you're in the whateverroom you're having the procedure done, you
can't remember squat right. No,that was you were in school. He

(24:30):
was out of school. Yeah,there's no question. I'm glad because I
think he must have thought I wasa jerker. Can I say no?
I better not say what I can'tsay. We're on radio. It's not
one words. You can't say.No. I'm not gonna say it until
Garrett tells me that I can say. Here, we're here at ninety seven

(24:51):
one to freak where we say whatwe want. But I still think there's
some guidelines and rules. I thoughtanyway the seven words. Yeah, so,
which brings up c r N asCertified Registered nurse and nesthetists, and
they play a vital role in thehealthcare circle. And often, I mean

(25:14):
it doesn't have to be necessarily beroutine cases, but most of the time
it's routine cases, don't you think, and that they're supervised by an an
cagiologist somewhere in house. Is thathow it works? Yeah, because I'm
not familiar with how it works.Our hospital doesn't doesn't allow that. We're
to center for disreplacement. We justthe hospital in general, which does more
than two spine surgery. We don'tallow a nurse nestis Yeah, and at

(25:37):
our facility, so it's in inthe O R suite, it's always m
d s and theologists and in theprocedure cases we do allow them as long
as there is a supervisor. Yeah. That was my plug for anesthesia.
It matters it absolutely. Who's atthe head of the table. Well,

(26:00):
I'll tell you that that medicine thatkilled Michael Jackson propofile, Yeah, because
I had some yesterday. I can'tbelieve that they would administer that outside of
I mean, oh, another doctorgot in trouble for it, and he's
in jail. But that is nota sleep medicine. That is an anesthes

(26:21):
anesthetic. Oh absolutely, I mean, I don't stuff. He's powerful.
I was asleep in seconds. Well, but this isn't that, you know,
the typical thing you do and say, come back forwards from one hundred
ninety nine, ninety get to ninetyfive. Yeah, by the time you
get to ninety five, you're asleep. But one of the things that's great
about profile, though, is whenthey turn it off, you wake up.

(26:41):
Yeah. It's just an induction agent. Y'll just get you there and
then whatever they need to keep you. It's very powerful. I don't I
know, he should have gone tojail. I can't believe he was administering
this. I don't know how hegot his hands on it, but I
can't believe he was administering this inMichael Jackson's house. Yeah, and he
was on his self phone or somethingand wasn't paying attention. Yeah, can

(27:03):
you say enabled her? Yeah,all right, there's some history for you.
It's been how many years, Idon't know, I'm mean years ago.
Did Michael Jackson die more than tenyears? So holiday season. This
has absolutely nothing to do with sportsmedicine. Moving right along, moving right
along, my So Christmas, wehad a great Christmas. My daughter.

(27:33):
I'm almost certain that Karen's listening rightnow. My daughter gave my wife a
new shower head that apparently has somefilter that filters something something so that the
water is better on your skin.And it sounds kind of like the copper
sleeve thing. Sounds kind of likethe copper sleeve thing, but nonetheless,

(27:55):
it was a shower head that hasa built in some kind of filter.
Anyway, so I can't wait tohear this. So she she opens her
gift Abby, and they're all excitedabout it. It comes with a wrench
so that you can install it yourself. Oh this is this is not going
on next thing? I know you'reinstalling. No, no, no,

(28:18):
no, I hadn't no, Ihad nothing to do with it. It's
it's installed. And the day afterChristmas, I go in to take shower
and it's this funky shower head thatbarely dribbles water. And what is this?
I had no voice in it,I had no say in it,
and I don't like it. II take sometimes two or three showers a

(28:41):
day. I love my shower andit needs to be hot water with a
lot of power. I could careless about what it does to my skim.
But isn't that funny how her giftimpacted me? All right, that
was a derailer. Yeah, sorryabout that. So what's so special about
it? Is like that filter outcertain ions or I'm thinking, yeah,

(29:03):
I don't know, I didn't readthe box. It wasn't my gift.
It makes you. I don't knowhow you can tell. So it's psychological,
I would. Yeah, so kindof like stem cells. Oh,
careful, careful, careful. No, no, there's something about them selves.
Okay, let's go there. Balanceof nature. That that's psychological.
Yeah, maybe I don't know,but but yeah. So we had a

(29:25):
segment on an old show called hoopor hype and hype, Right, so
I think a shower head with afilter is probably hype and not real.
And uh, we had a conversationabout the sleeves that are copper infused and
menthol infused and whatever infused. It'sthe sleeve that works. It's not the

(29:48):
copper, it's not the the thementhol. It's it's the actual compression sleeve.
And so the science of medicine andsomebody actually study this. Somebody actually
studied this in the lab. Musclescontract more efficiently if they have tension or

(30:11):
compression. And they did this onI don't know if you remember this,
Scott, but we learned it.They did this on on frog legs and
they stimulated the frog leg with electriccurrent and whatever, and it the muscle
responds better if there's compression of somesort. So go back, taste better

(30:32):
and garlic afterwards. No, neverhad frog legs. But what about is
that the is that the thought behindthe performance tape? Yeah, exactly,
canesio tape. That is exactly howit works. It is it makes your
muscles around the joints a touch moreefficient. It has to do with something
called appropriate reception. So there arenerve fibers that detect temperature. There are

(30:59):
nerve fibers that did pain. Thereare nerve fibers that detect where your joint
is in space, is it bent, is it straight? Whatever? The
appropriate reception, Well, those respondbetter if there's something around the joint.
You can put a rubber band aroundyour knee and still get the same effect
as you would from a copper sleeve. It is just that sensation that there's
something around the joint, so youknow the hope and hype category. I

(31:22):
love Nie sleeves. All of mypatients will get in ease, even if
you're an arthritic where an east sleep. When you play golf, the compression
helps your muscles, that helps yourjoint. It's a little warm and sweaty,
so it increases the blood flow,which is great. I'm a huge
fan of a twenty five dollars ineast sleep. Is performance tape more psychological

(31:44):
than physiologic? Or is it morephysiologic than is it more hoper hype?
I think it's hope. I meanit goes back to that study on the
frog legs. I mean if there'ssomething around the joint. Now, I
will tell you it probably doesn't matterthe shape of the tape because there's all

(32:05):
kinds of well I heard black tapeis better. You're kidding me, right,
Okay, Okay, No, itdoesn't matter if it's black or red
or whatever, and it doesn't reallymatter how you actually apply it in Scientifically,
there are some physiotape techniques. AndDaniel, this may be relevant to
you because you had the dislocating kneeissues where physical therapists will tape your patella

(32:34):
with physiotape. I can assure youI can use a five hundred dollars brace
and I'm not going to be ableto stabilize your patella. And so I
don't know that a two inch widestrip of tape is going to hold your
patella in place. But the appropriatereception part of it is, yeah,
it feels. Yeah, money feelsmore stable when I have the tape on

(32:57):
it. And I don't think thatthat is hype. I really think that
that's a thing. I think that'sa thing. Well, you should know
you are the expert. Okay,yeah, all right, quick little break
Inside Sports Medicine TiO Story all ScottBlumenthal, Garrett on the other side of
the glass. This segment I wasbrought to you by Backendorf Jewelers Family owned

(33:21):
since nineteen forty eight. Inside SportsMedicine two one, four, seven,
eight seven, nineteen seventy one.Coming right back, Welcome back, Welcome

(33:51):
back to Inside Sports Medicine Teo Story. I'll here five, episode eight hundred
and sixty three, Crazy about It. This is about the time of the
show where we do a segment thatwe call Sports Medicine one one can ask
a derailing question first, if youmust so, just listening to this song

(34:13):
sharp dressed man. Huh. Sowe've talked before about like at a certain
age you don't wear your baseball capbackwards? Yes, yeah, hoodie?
Can you wear hoodies forever? Oris there a certain age where like you
probably shouldn't wear a hoodie? Waitwith the hood up or hood down?
Because I have hoodies and I wearthem, but I don't put the hood

(34:34):
up me too, So hoodies notworrying them up are okay for guys?
All right, you're going to chimein on since you're the youngest one in
the room. Maybe I think Iam the youngest one in the room,
So hoodie? Is there an agewhere you shouldn't wear one anymore? I
don't think so. I don't knoweither. It's a jacket. If you
think about it now, you cansay the same thing. Do you get

(34:55):
to a certain point when you're oldenough to not wear a jacket anymore?
I mean, yeah, okay,so hood I never put it up though,
unless it's raining. Yeah. It'sjust like if you're a big college
you're supporting your team, and yourteam you're wearing the hoodie It's like if
you go to a basketball game,of baseball game, football game, or
any sport. But I do wearbaseball caps, and I will tell you

(35:17):
I will never wear it backwards.I mean, that's not for our age.
I know. I used to wearbackwards, and then I realized I
don't look good with the backwards,so I went there, you go the
normal way wearing it. I waslike, oh, this looks better.
Yeah, I think I think matters. Yeah, I don't know. I
think nowadays backwards, I mean,you're not Tony Romo so well, and

(35:37):
for sure not this way. We'reon a radio, Scott, you can't
do that one. I just seewhat you're trying to create an aura of
mystery. So now we're going fromhoodies to two stingers. I mean,
I feel like that's just such awell neck stingers neck. Uh So sports

(35:59):
mata in one on one. Sopretty much what we talk about in the
beginning of every episode is after theshow is over, hopefully you've learned something
new, and football season is wrappingup, the high school games are over,
college is going to be over inthe next week. We've got the

(36:20):
playoffs coming up, and then we'vegot the final game, and boy,
I I'm I'm sorry. I can'twait for the for them to go to
twelve teams because this four team formatand all the other games are meaningless.
Well, you know you will havekids skipping out when it's a playoff,
whereas now you know I've read,I mean, which ostensibly is a really

(36:45):
good game Georgia Florida State. Youwould think that'd be a great game.
There's thirty some kids that are knockedingout. Yeah, and I get it.
I get it. If your NFLquality, you know, why risk
getting a hurt? Because getting hurtbecause the game is met. Including the
Florida State quarterback who's transferring to Ithink I forgot he's he's transferring the second

(37:06):
stringer who was the game that thethird stringer won. So the freshman is
going to be starting again in thebowl game. Oh where did he transfer?
He? Yeah, So I'm readyfor them to go to a twelve
game format and and and have thebowl games actually mean something. In Texas
is second string quarterback transferred also,and he had been there, well,

(37:28):
he had been there for us abackup for like, but I think this
was his second year to back upQueen yours. He was never going to
get the start. I think hewent to Duke. I think, thank
you're right. Yeah, it wasDuke because Duke's quarterback transferred to Notre Dame.
So here here's a question. Waithe transferred before the playoff game?
Yes, because he Why would youdo that? He knew he wasn't going

(37:52):
to play. It's it's after Queenyours. It's arch Manning's team. And
that's the truth. Well, andthe thought was where the rumor was that
arch Manning was going to transfer ifhe wasn't the air a parent. So
it was it was a done deal. And I and I guess if if
you don't commit to another school likeDuke, then you lose You risk losing

(38:14):
that opportunity because they're going to getsomebody else. Wow, I just answered
my own question. Yeah, thiswhole transfer portal thing, yeah, I
don't I don't understand it. It'sall about players wanting to be a starter.
They don't want to sit behind someoneanymore, especially qbs. That's why
you see so many qbs transfer,and then they have most of the time

(38:36):
they're on a one year eligibility left. It's all nil money, it is,
and if if you're not getting nilmoney you want, if you're not
getting the start you think you deserve, you're transferring and going to look for
something. Moody, where does thenil money come from? I don't think
it comes from the school, butI'm not an authority on this. You
know where the money actually physically comesfrom. I know, I know some

(39:00):
The school does give each player somein a ole money. It's a certain
amount. It's a low percentage becausethey can't give out so much money because
they have to make sure their programhas enough money to travel to support the
team and all that. And thenit comes out of boosters, alumni sponsor
deals. I know Kayleb Williams haslike tons because he's in the doctor Pepper

(39:23):
commercial commercial. He's sponsored by Beats, He's sponsored by a lot, So
it's just different sponsors that they getintroduced to. The big money comes from
sponsorship deals like yeah, yeah,top top nuts, you know, like
a Marvin Harrison Junior YEA dealerships too, Yeah, local and national and very

(39:44):
cool. Yeah. So, asI was saying, high school football season
is over, North Texas did reallywell in the playoffs and championships. Congratulations.
The college season is about to wrapup. That NFL season is getting
into the best part of the year. As I see it, Cowboys play

(40:04):
tonight, by the way, andI want to go no with all of
that happens. I don't have tickets, but we'll beg for the listeners for
tickets if we wanted to. Idon't want to go with all that happening.
A term that is a often overusedand misused term is a stinger,

(40:27):
And I thought that this would bea very good time to just kind of
let the listeners, the moms anddads, the coaches, the trainers know
what a stinger is. And atthe end of the day, it is
typical mechanism where your head goes oneway to the side and your shoulder goes

(40:52):
the other way down and it stretchesthe nerves that go to your arm.
If you've ever hit your funny bone, which is a nerve, the all
the nerve. If you've ever hityour funny bone, you know that sensation,
that burning painful, Oh my gosh, it's it's that times ten.

(41:12):
Because it's not just one nerve,it's a large group of nerves called the
brachial plexus. So a stinger isin our world a brachial plexus stretch,
and often, you know, justlike when you hit your funny bone,
it recovers relatively quickly. You're examinedon the sideline when you get your When
the pain resolves and you get yourmotor back, it's over. But sometimes

(41:38):
it lingers for weeks and you don'tquite get your strength back. The negative
thing about stingers is because they canbe recurrent, meaning you get a stinger
in week three and you recover andyou go back, and then it doesn't

(42:00):
take much in week seven to doit again, and you're It just becomes
a more of a chronic issue.Back in our day, they used to
wear neck rolls, Scott, Rememberthe neck rolls you wore under your helmet.
Yeah, and I don't see guyswearing neck rolls anymore. I don't

(42:21):
know what what has happened to that. I just think they work. They
worked beautifully because they went under thehelmet around your neck and they limited your
side to side movement. Of Occasionallyyou'll see linebackers still wearing the thing in
the back shield, the one thatmakes you not hyper extend, but not
the really the rolls anymore. Butit's not a hyper extension injury. It's

(42:42):
a side to side injury. There'snot a road types of stingers, Oh
tell me. So the type youdescribed as the break your plexus also type
of stinger when your neck goes towardsthe arm that gets the stinger, and
that's a compression kind of the oppressionof a nerve root. That's the usually
from the cervical spine, the neckcervical spine where the root comes out of

(43:04):
the spinal cord. It's not it'snot the spinal cord thing that we talked
about earlier, but it's it's pinchinga nerve sitting on the same side as
your neck is forced. Are thesymptoms the same? Look, I'm just
I'm learning this. This is thisis new to me. So symptoms can
be a little bit more specific tolike a C six nerve, but also

(43:25):
can be multiple nerves too. Soso it's important, as you know,
because you taught me this is tolook at the replay see what type of
SKP because you can look and seewhat type of stinger it was, whether
it was away from the arm ortowards the arm. That has got to
be rare. It's more it's morerare towards but you know, in fact,

(43:47):
our friend doctor Mayer called me yesterdayabout one of his players with that
type of stinger towards the side.So any rate. Doctor Mayor is used
to be one of our partners atExo Sports Medicine, and he got called
up to the big leagues. He'snow the head physician for the New Orleans
Saints. He's been on a showone hundred times. We need to have

(44:08):
him back on after the season too. Well, he did. He brought
in some last time. You didn'tget any You weren't there, Okay,
yeah, you need to get someswag. It's Saints swag. But it's
it's all right, it works.So yeah, so I did not know
that do you call it anything differently? So, because for us, a
stinger is a break your plexus stretch. What do you call the one you

(44:29):
just described? Still called the stinger, but it's you know, it's it's
nerve root compression and yeah, it'sit's it's treated the same way just that
mechanism. My threshold for getting anMRI I would be very low. I
would just do it right away.Yeah, And I don't know that that
a stinger break. Your plexus MRIshows anything, But is there anything medication

(44:51):
wise to make it go any faster, to make to make him resolve faster?
I mean, do you steroids anythinglike that or yeah? Yes,
so a mineral that's very helpful.See I learned something today. I'm gonna
write this one down all right,quick, little break coming up so we
don't have so our Our automotive sponsoris Jaguar Landrover of Dallas. But when

(45:20):
we come back, I was goingto talk about Sewel not necessarily because they're
a sponsor, but they are knownfor their service, and I think that
that type of service is much neededmedicine in medical clinics. Give them that
kind of service. We're coming backand I'll elaborate on this. This is

(45:43):
Inside Sports Medicine too. Sorry,I'll coming right back. You remember,

(46:05):
Welcome back, Welcome back to InsideSports Medicine too sorry. I'll hear on
this spectacular Saturday morning is going tobe a beautiful day in North Texas.
Temperature in the sixties, no rain, not even a cloud in sight.
Take advantage of it. It's supposedto beautiful again tomorrow. So before we

(46:31):
went on break to Medical show andwe talked about medical issues. I mentioned
a a car company in Automotive dealershipand their their tagline is all about the

(46:55):
service. And it reminded me thatin the medical world, and mind you,
orthopedic surgery is my base, samefor Scott, but he does spine
and I do sports medicine. Butat Texas Sports Medicine we pretty much do

(47:16):
everything orthopedic. We even do handinjuries as well. Medicine is service.
We are in the service industry andwhen you pay your hard earned dollars to
come see one of us, there'sa certain level of service that's expected,

(47:40):
and I stress that to our staff. You know, we were somewhat old
school at Texas Sports Medicine, wherewe don't do, you know, fifty
patients in a morning. We'll domaybe fifteen patients in the morning, and
we do our best to run ontime, and we'll do our best if

(48:00):
if you call with a question,that that question is going to be answered
before the end of the day.This is what we've been doing now for
thirty five years, and I'm hopingwill continue to do that even after I'm
gone from Texas Sports Medicine, becausethat's that's that's our tagline. Where the

(48:22):
where the seol of medical practice andand it is important. It is important
because to me, the doctor patientrelationship is just paramount. You have to
trust me and trust my opinion.And by the same token, I have

(48:43):
to trust you and you're going todo what you're supposed to do as well.
But if if, if you havea question, you kind of need
an answer. And so again,not that we do it right every single
time, but we sure I haveto do it right. And Scott at
the Center for Disreplacement, I knowyou feel the same exact way that I

(49:05):
just described. We're in the serviceworld. We're in the service industries.
Yeah, and as you've said,not only service, but we have to
be really good communicators. Yep.And I can't tell you how many times
you had the same thing. Willsee a second opinion, and I always
say, what is your understanding ofwhat's wrong with you? You've seen?

(49:25):
You know, I'm your third doctoryou've seen, well, I don't know.
I said, Okay, well,the first thing we're going to go
over is your diagnosis, like what'syour problem? Before we even talk about
different treatment recommendations. And you know, a lot of this stuff, like
you said, is an evolution.And you know, when I first started

(49:45):
out, I had one of thosepractices where it was thirty forty fifty patients
in the dad. I just don'tdo that anymore because I don't leave the
room until all the questions are answered. I try. We're not perfect.
Sometimes we get called out of theroom to for an emergency, but I
always try to make sure all thequestions are answered and that the explanation is

(50:08):
adequate, you know. And weuse a lot of analogies because that's what
you do to explain things. Butyeah, it ultimately is a service business
in our particular niche. Like yousaid, the Center for Disk Replacement,
we're seeing twenty to thirty percent ofour patients from outside of DFW that have

(50:29):
sought us out for a very specifictype of surgery, which is this disc
replacement in the neck and the land, which is really cool, by the
way. I mean. The alternativeis a fusion which limits the motion and
then you do a replacement which preservesemotion. And we talked about this last
time you were on the show.That's revolutionary and I commend you for it,
but I've often wondered I've often wondered, maybe we ought to do a

(50:53):
study now that we have our masthat are all pre meds. After I
walk out of the room, maybethe MA would walk in. And I'm
always curious as to what the patientheard me say. I'm always curious as
to what their take home message was. And that's a biggie because there have

(51:14):
been studies done. And that's whywhen you talk about informed consent, you
sign the consent for surgery, Well, it's form consent is not we sit
down and explain the surgery. It'swe sit down and explain the diagnosis,
the surgery, the expected outcome,and why we're doing it. And it's
more. And it's a process.It's not a one well did he give

(51:36):
you informed consent? No, itstarts first day or that you see the
patient the follow up, and youmay see a patient half a dozen times
before the surgery even happens. Informedconsent starts on day one. It's a
process. And again you hit onthis earlier if you've been listening to the
show for the last twenty three years, everything depends on an accurate diagnosis.

(52:00):
In my world of sports medicine,and I spent nearly three decades taking care
of the Mavericks. Everything started witha diagnosis what happened to his ankle because
they're different. You know, ahigh ankle sprain is a completely different injury
than a garden variety I stepped onsomeone's foot in my ankle rolled. So

(52:20):
in the sports medicine world, whetherit is you know, Deck or Dirk,
you have to start with an accuratediagnosis. Well, guess what,
that's the same whether it's me oryou are little Johnny or you have to
start with an accurate diagnosis. Andthe sooner we can have an accurate diagnosis,
the sooner we get the X rays, the MRI, the exam,

(52:40):
the whole bit, the sooner wecan do treatment. Well, it matters.
It matters that you spend time withyour physician so that you can reach
that accurate diagnosis when you do.See in some clinics where they see fifty
people in a mourning a lot ofthe information is gathered perhaps by physician extenders

(53:08):
who are maybe not as I mean, they're trained and they're qualified, but
they don't maybe not have the samelevel of experience as the doctor you're going
to see. One of my petpeeves to this day is when the doctor
never sees the patient. They notat all during the visit. And I

(53:31):
know you and I never do this, But there are other places where you
make an appointment to go see doctorJones. And I just picked up that
name randomly. You go to seedoctor Jones and you never see doctor Jones.
You see his assistant, or yousee the nurse practition, you never
see doctor Jones. And and I'vealways wondered how does that work? I

(53:52):
mean, how do you feel asa patient when you're walking out and you
never actually saw the doctor. Iunderstand because of the pressures of medicine and
the pressures of declining reimbursement that youhave to see more patients in a shorter
amount of time, but how doyou completely eliminate the doctor's role out of

(54:14):
it? You make an appointment togo see doctor Jones Dot Garnet, I
need to see doctor Jones. Whatwe actually do utilize PAS and they will
screen patients for us. But thepatients always said are told and they always
have the option to say I donot want to see the PA. I
want to see the doctor. Andwe're very closely with PA and we go

(54:35):
over all the MRIs and stuff.But I may don't necessarily see the patient
till the second visit because we mightneed to get further tests. Oh so
screening before the first visit. Sometimesyeah, sometimes, Well again, you're
different. You get people from allover the world to come and to see
you. You know, we doto a lesser extent, But most of
the time it's locals. It's littleJohnny who heard his ankle on Friday night.

(55:00):
I mean, we need to seehim Monday morning. And you know,
they make an appointment to see doctorSoria and and and by the way,
in our world, and I don'tknow if you have it in yours
as well, Scott, we alwayshave appointments on a given day for the
acute injury. We always do that. You can't do sports medicine. You
can't see you know, little Johnnyhurt his ankle on Friday nights football game,

(55:22):
but we can't get you in forsix weeks. That makes no sense,
not not, not in the sportsmedicine world. Yeah, our world
is a little bit different. Butthen again, if you know, you
see a high school guy and say, hey, Scott, this guy needs
to get seen for the cute neckinjury. Whether I have an opening or
not, we see him, Ijust like to send him, send him

(55:44):
over. Yeah, we always dothat. Let's so I think this is
this is an important discussion, isthe expected level of service. So if
we do an MRI, I liketo let my patient know about the results
because I'm sure they're worried about whatit's going to look like. So usually
within twenty four hours they're going toget a call from me. And I

(56:04):
do not leave a message on theirphone because you never know who's whose phone
it is and who's listening. It'sone of those things, Hey, this
is doctor. Sorry, I'll callme back about your MRI. Uh and
and if it's if it's particularly youknow, good news, I will kind
of hint towards that, you know, good news on your MRI. Call
me back for the details. Butbut I I expect to be treated that

(56:28):
way. Now, I'm not surethat everybody can do it like that,
but I expect. I expect theanthes I just to meet me. I'm
circling back to that. I've hada similar experience with a cardiologist who wouldn't
call me back, you know aboutlike an echo or something or something.
Yeah, it was good news,but like call me, yeah, the
f back, Yeah, I lookI and maybe maybe I'm maybe I'm barking

(56:52):
up. Maybe I'm barking up thewrong tree, you know. And I
mean we should do that for allour patients. But it's particularly physician,
physician, all right, come on, yeah, but different generation. This
was a younger millennial kind of physicianas opposed to our vintage where we would
go that extra All right, let'switch gears and talk about something a little
bit more fun. College football playoffs. We've got four teams in it.

(57:17):
Before the end of the show,which is just in a few minutes,
we're going to give some predictions.I'm looking forward to it. I'm looking
forward to games where the games matter. I'm looking forward to seeing the blue
bloods actually play. Although I don'tknow if i'd count Washington as a blue
blood, but I think Michigan,Texas, Alabama and those are blue bloods

(57:43):
for sure. I think that it'sgoing to be Alabama and Texas in the
championship. That's what I'm thinking.Which is a wonderful script because they played
game the first game of the year, and it'll be fitting if they play
the last game of the year.What do you think? That's what I
was gonna say. I think thatthey am a Texas rematch. Daniel,

(58:07):
Yeah, I think that's awesome.Garrett, Michigan Washington, Oh, you're
going to exactly. I don't wantto see Alabama back in the championship.
No, no, no, it'sdifferent between who I want to see and
who I think will be though.I believe Michigan Washington. Look, these
games matter and it is entertaining.I'm definitely a much more college football fan

(58:30):
than I am an NFL fan.Doesn't Washington have have the second best wide
receiver in UH football this year?They've got a great, great quarterback.
I mean, I'm surprised he didn'twin the Heisman. Yeah, I think
they had the second best receiver afterMarvin Harrison junior. Because I remember watching
the Washington game and very impressed withtheir offense, less so with their defense.

(58:52):
Yeah, I look, I'm lookingforward to Is it it's Monday night?
Yes? Yeah, I'm Michigan.Bam the Rose Bowl at four o'clock
Central time here and then it willgo to Washington's Texas in New Orleans at
eight forty five. And when isthe actual championship game January eighth in Houston,

(59:13):
Texas in RG Stadium. All Right, what day of the week is
that? Is that a Monday night? Yes, that'd be fun and Mondays
in a row. That's awesome.Yeah, you know, it's a short
span also, so I think it'ssmart that they keep it in a short
span to where you playoff like matchupsMonday. Cool. Whoever, they'll they'll
figure it out right away. They'llprobably go ahead and send those teams to

(59:37):
Houston to do all their practice,their bowl preparation, and then play the
game the eighth. Although I'm ahuge college football fan, I don't really
like the month off between Thanksgiving andChristmas where there's really not much happening in
the college world. Well, it'sthe twelve team playoff kind of and that's

(59:58):
where I was going with, Yeah, will the twelve team playoff then fill
in that gap? I imagine,well some of it, because they're not
going to push the National champion gamebeyond you know, the beginning of January,
so they're gonna have to play somemore games in December. Yeah,
so that would be So twelve iskind of an odd number. So who
gets the buys? I don't Idon't know who gets the buck. I

(01:00:20):
think it would be the top fourteams. Because if top four teams get
a buy, you have eight teamsplaying each other. Out of four teams
will come out of that. Thenthe four teams I had to buy a
week would play one of those fourteams. I can't do the math in
my head. How many weeks?How many weeks? Is this going to
be? Two extra week so fourweeks total, so it'll be a four
week playoffs, but' just go backwardsfrom Monday to the weekend before and the

(01:00:45):
weekend before, so two weeks leadingup to mid December on. Yeah.
And I think when they're going todo the twelve team playoff, the four
teams I get to buy don't haveto play, but the next top four
teams we'll get to. They'll makethem home games at their home stadium,

(01:01:05):
which I think will be really cool. Wait wait, wait, wait wait
wait, I didn't know that there'sa chance. I don't think they're going
to go into Bowl games places rightaway because you have to think of NFL
schedule schedules of power it's organized.But I think it's going to be top
four teams bye week, so you'retelling me, wait, let me hang
on. My head's spinning. Really, So four teams get to buy,

(01:01:30):
then eight teams play each other,I believe. So is that going to
be at home? The top thenext top four teams? I think we'll
get the home wow game. Sothe four lowest teams in the playoffs have
to go on the road to oneof those four teams match up and then
going into the round a like thenext eight. Yeah. I think that's

(01:01:50):
when you get into games games possibly, which I think that makes no sense.
I think it makes more sense.You get to keep home teams at
home, bringing more fan base,you don't have to have as much travel.
Well, but it's so it's alsogoing to introduce weather into the equation,
which I think it's going to bevery nice for the playoffs home field

(01:02:15):
advantage because majority of the stadiums areoutside, and it looks like most of
the playoffs the Bowl games are eitherinside or warm weather cities. Yeah.
Bowl games by nature are going tobe in warm weather cities or indoors.
Yeah. And I think it'd beawesome to have some cold, wet,
snowy. That's interesting. So it'sthree tiers. So the top four get

(01:02:37):
to buy yep, the second fourget a home game, in the third
four get in have a chance.Yeah. Look, which is which makes
sense because if you're the number twelveteam, twelfth ranked team, yeah,
you don't deserve a home game,right? Yeah? Cool? I like
that. I'm looking forward to that. Is that supposed to expand even more
after that? I mean, isit going to go from twelve to twenty?

(01:02:59):
They're gonna get Okay? The otherthing I heard that they're talking about
getting rid of conference championships? Ohwell, look me was it that we
were going to talk about this lastweek but we never got to it.
Who's UCLA's coach Chip Kelly. ChipKelly had something to say, and it
kind of made sense. If ifyou have a moment, download his three

(01:03:22):
minutes on what he thought was thefuture of college football. He thought it
was going to ultimately be two conferencesEast Coast Conference, West Coast Conference,
sixty four teams in each conference.They they you no longer have, you
know, Big ten and SEC andall that stuff, and they play it
out and I look, it's intriguing. He obviously put a lot of thought

(01:03:45):
into this, but it's ultimately oneof the One of the greatest things that
the NCAA still has is March Madness. It is still a The entire country
comes to a standstill to watch MarchMadness. And I understand college football and
college basketball two different animals in termsof you know, schedules and that sort

(01:04:08):
of thing. But you know,twelve twelve teams is a start. Maybe
this will be bigger. And ifit is, if it does expand,
then I agree with you Scott,maybe maybe there's no room for conference championship
games. So I look this upreal quick because we are getting ready to
get out of here. Hell yeah. For the twenty twenty four college football

(01:04:30):
playoff schedule, first round December twentieththrough twenty first, then you get into
quarterfinals December thirty first and January first. Quarterfinals will be at Fiesta Bowl and
the Peach Bowl, Rose Bowl orSugar Bowl. January ninth and tenth,
you'll either play Orange Bowl or CottonBowl one of those two days, and

(01:04:51):
then the championship in Atlanta, GeorgiaJanuary twentieth. Mose are the push it
way into January, they are,yeah, And then in twenty twenty five,
it's everything pushed back a day Wow. Interesting, there's still gonna be
that big gap between Thanksgiving and December, December twentieth, Yeahcember, for four
weeks. Yeah, alrighty wrapping itup hopefully, really really good segment that

(01:05:19):
we just had, which was ourbest segment, might certainly have to be
sponsored by the Center for Disk Replacement. You check the words right out of
my mouth. Well good. Thislast segment was sponsored by the Center for
Disk Replacement at Texas Back Institute upin Plano. Don't forget. You can

(01:05:42):
hopefully listen to the podcast this nextweek. Of the four first shows on
the Freak gel will be on there. You can come see us. You
can see us at Texas Sports Medicineor see Scott at the Center for Disc
Replacement on behalf of all of ushere on Inside Sports Medicine and ninety seven
won the Freak until next week.Tell your friends, Tell your friends.