Dr. TO 866

Today inside sport medicine the doctors talk about NFL injuries that can be fixed vs injuries that cant be fixed. Hemmes doctors can do anything when those happen. Color jerseys during NFL matchups talking about the teams different color jersey and how they look on tv. MJ v Lebron GOAT debate.

Episode Transcript

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

(00:21):
all down. Buckle up your chinstrap and taking your laces for the most
informative ninety minutes in sports medicine.It's kickoff time for Inside Sports Medicine with
Doctor t O. Sorrel on ninetyseven to one, The Freak, Shart

(00:44):
and Meadow. The SI is theShack of path Geez, welcome back,
Welcome back to Inside Sports Medicine.Has been a week. This is doctor

(01:06):
TiO. Sorry a'all, I'm yourhost, live episode number eight sixty six
Inside Sports Medicine. This is yoursports medicine current events show where the topics
are rip right off of the sportsdesk. Over the next ninety minutes you're
going to be informed, entertained,and hopefully learn something new. You'll have
an opportunity to call in or textin. I am really excited about having

(01:29):
access to the text. Last week, our text just blew up. Yeah,
dude, I can't remember exactly whatwe were talking about, but we
got a ton of texts joining methis morning, Doctor Scott Blumenthal, doctor
Brad Ballard. And on either sideof the glass, Garrett is running the
board and answering the phones. Welcome, gentlemen. What's up dot? Do

(01:53):
you know something? I learned somethingon social media like insta, insta face,
instaface. You know. The whatmade me think of it as our
opening song is they were posting highlightsof last night's high school basketball game Saint
Mark's, and there are some nicehighlight films. Our big had a couple

(02:13):
of great dunks, and I waswatching the reel and I pushed on it
and music came on. I didn'trealize that you could put music. And
the reason I say that is itwas not Bob Seger that they were playing
in the background, and in fact, they timed it and often I'll show
it to Brad in the In thecommercial, it was kind of racy lyrics.

(02:38):
Oh yeah, yeah, yeah yeah. Though coming from the official fan
site of maybe I shouldn't be sayingthis, but whatever, it was definitely
not Bob Seger. Well they probablydid notice suggest Bob Seger next time they
do as highlight reel classic rock.So people ask, you know, do
you guys listen to music and noare The answer is yes to what he

(02:59):
listened to? Classic rock? Doyou listen to though R Brad? Yeah,
but I don't listen to classic rock. What do you listen to?
Well man, all these stuff thatis on this highlight reel. No,
it's a mix. It's a it'sa it's a mix of seventies. He
really is. So what I endedup doing is I have a Pandora station.
So it's a Michael Jackson Pandora station. Cool, and so it plays

(03:22):
everything from Earth Wind and Fire toMichael Jackson to Aliyah to I mean like
it pulls from all all different kindsof genres, but usually it's probably going
to be some sort of R andB or pop. I like that.
Michael Jackson, Pandora, Michael JacksonPandora station. What do you listen to?
Talk about? It? A classicrock like that? You know what's

(03:43):
interesting? And and this is it'salways on in the background. I absolutely
cannot stand a quiet o R.Oh yeah yeah, and and and you're
listening to that heartbeat thing that ohyeah that ptydiologies, do you require white
noise to sleep? I don't.It's funny, I don't. I can't
have any noise if I want togo to sleep. But you live in

(04:04):
the city, so there's always alittle background noise. So when when I
moved from my apartment, which wasright on Royal Lane, it was right
on the street and to a housein a neighborhood, one of the first
things that struck me was how quietit was. And I sleep better than

(04:26):
quiet, but in the O Ror in the house or which is why
in our lobby there's TV with SportsCenter running at a very low volume.
I just have to have that sound. But when you're in the midst of
the procedure, I can't tell youwhat's playing. My brain's not there,
no, not at all. Butthe fact that you just figured out that

(04:50):
pushing the screen will give you thesounds like this morning, man, where
did that sound come from? Thisis this? Is? This? Is
it interesting? So welcome? Wellwe learned something new every day. Well
that I still don't know how todo that timeline on top, whether it's

(05:13):
timeline or what you know, there'sthe regular posts right right right, and
then like the stuff on top,the stays for an hour or day or
well right right, right, rightright? What's that called? It's not
called timeline? What is it?Actually? I don't know what what is
it called? Garrett? I don'tknow the uh, I don't know.
It disappears after like a day.Yeah, yeah, they're talking about something

(05:35):
social media related or not. That'sbeen talking about Instagram stories, story story,
Snapchat stories stories. Yeah. Yeah, when are we supposed to use
the story versus a post that Idon't know. I guess you could say
the post is like it's going tobe up there forever, right, You're
always going to be able to goto someone's page see it if it's on

(05:57):
Instagram stories something' is like, ohyou want telling someone or people to know,
Hey, I'm involved in this rightnow. This is what I'm doing
right now. Is this where youput your dinner? Like where people put
their food? Yeah, you cansay that whenever you go to a nice,
fancy restaurant, you put your ohlook at my sixteen ounce starting willing
t bone steak with a loaded bakedpotato green beans. I swear I'm not

(06:19):
giving out my Texas Roadhouse meal rightnow. So we have a lot to
get to on this particular episode.Obviously, the NFL playoffs are in full
swing. We have a sports medicinespin on that and maybe peeling the curtain
back a little bit for the restof you guys. But the decision making

(06:44):
process changes this time of year whenit comes to various sports injuries. We're
also going to talk about various sportsinjuries that we just don't have a good
fix for. Regardless of what timeof year it is. You pull a
hammy, you're out. You're out. People talk about, well, can't

(07:06):
you just numb it up? Orwhat? No, you can't, So
we'll talk about that too. AndScott had I want to say that we
had an official pre production meeting,but no, this actually happened in the
elevator coming up here today. Scottwas talking about the interesting mix of unis

(07:28):
on the TV. The visual You'vetalked about this for years, the visual
aspect of a game, Yes,and I think that is so important And
I'm just going to give you oneextreme. I have a real hard time
watching Boise State because of that bluefield. I just don't think that that
is visually very attractive, especially giventheir colors are red and blue. So

(07:49):
the visual aspect, yeah, Ipay attention to that. And I think
what Scott was saying is the GreenBay San Francisco game, it's gonna be
pretty. You think, are yousaying that that's the game that's going to
happen? Aren't they playing today?Oh? That's right, right, So
that's right. I'm thinking that whyflag on you hang on? Throw definitely
flag on me. You're into you'reinto the Texans mode? Well, I

(08:13):
am in the Texans game will notbe a visually pleasing game because Baltimore does
not have visually pleasing uniforms. Yeah, purple they have, but they have
uniforms that reflect their ethos, whichis bad. Yeah, I mean it's
it's nasty, nasty looking raven onthe helmet. Yeah, you know.

(08:33):
So they know they have their culture, but it just doesn't it's not gonna
translate great on TV next to whatred white and blue? Not the Yeah,
Texans red white and blue, youknow. And I like the Texans
when they wear their navies rather thantheir reds. Yeah, I saw a
highlight yesterday that they were wearing redred jerseys and red helmet battle red.
Yeah, which is cool. Yeah, but their classic is really good looking.

(08:56):
Yeah. I like the red helmetsthough like some times they don't.
They'll wear they're all red unis,but they'll wear the red helmet with the
blue with like the blue h jerseyuniform. Yeah, I'm gonna I'll tease
that that my number one jersey.For the eight teams left, it'll be
it'll surprise you, will surprise you. We wait, so hang on,

(09:20):
rattle off the eight teams that areleft. Well we well there's Ravens Texans
that we said, Green Bay andnine Ers, Tampa Bay, Detroit,
and oh, Kansas City, Buffalo, which is Kannasy. Buffaloes can be
kind of like you know, thetwo classic old school uniforms. I mean,
Buffalo is gonna wear their home bluelikely and I can't see they'll be

(09:46):
white and red. So that's gonnakind of look good depending on if you
so the white doesn't blend into thesnow. So I'm trying to think of
what uniform you're gonna say is yourfavorite. I'm going to tell you that
I'm going to go with the fortynine ers. I think the forty nine
ers unions are going to be thebest leging ones on TV this year.
Red and Golds is regal. RedGold is just it does look good.
But I'll tell you the alternate jersey, not the classic, which I don't

(10:11):
know that they're going to wear thisweekend Detroit. They're new jerseys. What
what do it look like? They'reyou know, they're you like the Chargers.
They're kind of there. Yeah,it's a little different shade. But
sometimes they do the pants in thein the shirts both in kind of that
that muted blue with silver letters.It's it's a cool look. That's that's

(10:35):
that's your pick. That's my pick. I think nothing. Nothing looks good.
Nothing looks good at Tampa Bay.Those brown or pewter, and you
mentioned it. I actually like thepew Okay, so if it's not brown,
it's pewter. What color is that? Is it bron burnt or what
are the pants? They're reddish?Right, I mean it's not red,

(10:58):
but I can't city red. It'snot it's both are just off the most
crimson. You don't know, they'rejust both off colors. So we had
the Mavericks had a one game experiment. I don't know if you guys remember
this. Fifteen twenty years ago.We were playing against the Lakers in LA
and they had pewter uniforms, silveruniforms, Yeah, and when they got

(11:20):
sweaty, you couldn't see the numbers. And they literally wore them only once.
Didn't the NBA, even the Lakersdidn't. They go through a phase
where they were all white with justslightly darkened numbers and you couldn't see the
numbers. Yeah, they were allso they're called their Sunday Whites. They
they had white unis with yellow numbersand you couldn't see them. So they

(11:43):
I think they changed to white uniswith purple numbers. But I pay attention
to that and I and I thinkthat that has a lot to do with
how visually pleasing the telecast is.I don't know, it's stupid stuff.
But let's talk about the sports medicineaspect of this. Think about the risk

(12:03):
reward equation that we've talked about sinceepisode one and now we're in episode eight
sixty six. That risk reward equationchanges based on the time of year and
the importance of the game. Youroll your ankle in preseason, you probably

(12:26):
ought to sit out. You rollyour ankle in the playoffs. Here,
let's tape you up. It cansink. Throw the kitchen sink at him.
And that is that's really when themedical staff, in my opinion,
given the fact that all three ofus have been there, that's where they

(12:48):
really earn your stripes. The easiestanswer, if you had a medical staff
that was inexperienced, I don't thinkhe can play tonight. Coach the the
earning your stripes aspect. And bythe way, you this is there's a
decision making tree that involves of coursethe doctor, the trainer, the medical

(13:13):
people, the player. The playerhas got to be involved in a decision
making and then the player's people.Now I'm going to add coaching staff in
this. So it's kind of asquare where there are four decision makers.
Sometimes the player wants to play,sometimes the coach wants him to play.

(13:37):
Sometimes the medical doctors say yep,you're good to go, but his people
say, now you better sit out. And I've actually had that, I've
had that in that. So thisdecision making tree is it's complicated in the
pros because they have contracts and theyhave you know, incentives, et cetera,

(14:00):
et cetera. But the risk ofwardequation really changes from preseason to postseason.
Uh and that happens, that happensin high school. Oh yeah,
I mean I had conversations with andlisten, It's not just professional athletes or
amateur athletes. I've got people whoplay recreational sports. That's like, look,

(14:24):
my season is coming up, doctor, Like my pickleball season is about
to start, and I've got someelbow. You don't laugh, but no,
no, no, no, Idon't. I mean, these people
are serious, Scott. This isthe whole point of having a sports medicine
practice in that is that you've gotto you've got to take their desires seriously.
You know, I get that parthe's talking about like he's talking about,

(14:48):
right, I mean, but aseason two and to a high school
college professional athlete, and then aseason too, you know, the right,
right right? The forty five yearold person who doesn't get flag on
you, flag on you. No, I get that because it is so
I have. I did an ACLreconstruction on a sixty six year old gentleman

(15:11):
and in the beginning I said,oh, you know, are you sure
we really want to do this?He goes, well, I'm on a
soccer league. I'm in a soccerleague, and we just won a national
championship, national championship for sixty andover, and I want to continue.
Yeah. I respect that. Ihave to respect that. So part of

(15:33):
the conversation I have with my patientsis, you know, what are your
goals? What are you trying toget to? Because in essence, your
your goals have now become my goals, and my responsibility as your sports medicine
physician is to how what is thesafest way to get you back as soon
as possible? And what are therisks? Right? I always tell them

(15:54):
this could happen right if you wantto make the call. You're a big
boy, But this happen right,and here here are your options. So,
you know, I had a conversationwith someone the other day. He's
like, look, I'm you know. I think he was either a bodybuilder
or something, but he's he's tryingto compete for something. So I gave

(16:14):
him a couple of different options ofwhat we could do for his elbow.
One took longer than another. Theother one was, hey, man,
we could just try to do sometherapy right now to get you through,
and once this is done, wecan come back. And he was like,
yeah, I'm like three weeks outfrom having to get ready for this.
I'm gonna have to circle back becauseif I do the procedure right now,

(16:36):
he's gonna be he's not going tobe able to start. He's he's
going to push him back several weeks. So I'm like, okay, you
know, come back. That's adifferent conversation than if it's an off season.
Oh yeah. He's like, allright, yeah, let's do it.
I got time at risk reward equation. All right, we have to
take a little break. If you'relistening to us on iHeartRadio App, welcome,
I'm glad you are. Text ustwo one four seven eight seven nineteen

(16:59):
seven. Let us know how faraway you are listening from. We've had
Cozamao Mexico. Last week we hadChicago. I'm very curious. And by
the way, fort Worth won't win. She won four seven eight seven nineteen
seventy one is the text machine iHeartRadioApp. This is Inside Sports Medicine too.
Sorry Ell and again coming right back. I can't I was calling you

(17:38):
let us be throw I welcome back. Remember when we went to the Bob
Singer concert with the A shuenter feetI do and he sounded exactly the way
he did in nineteen seventy. Itwas so surprisingly wonderful. Yeah, yeah,
Bob Seger. See, this isa kind of music that wakes you

(18:00):
up in the morning. It's kindof music that you if you require ride
your bike as you're going up thehill. You know, you sure you
don't want to listen to Drake whenyou wake up in the morning. No,
And I get Drake and Dray mixedup? Drake and Dre. Isn't
there Dre? I'm sorry, Ohthere's a Dre Okay, yeah, Dre
and Drake. Yeah, I getDrake and Usher mixed up. You get

(18:23):
Drake and Usher mixed up? Youmean looks wise, no, music wise?
I can I know the different Iknow they No, they don't look
alike. But for the sake ofclarity, he got two old white guys.
For those of you who are justlistening, we were talking about how
Scott learned something new, which isthat if you are looking at Instagram,

(18:47):
a K A I G. TheGraham insta uhl Man and you push the
button on the video, you'll actuallyget sound if they if they record something,
they recording something and they put somebackground music to it. Well,
he showed me and it just sohappened. I was to no surprise that
they were playing Drake and uh heexplicit. He said some things that explicit

(19:10):
we didn't understand. Thought all ofus that we had to look up what
he meant. But yeah, Drake, Usher, Dre all actually completely different
genres of music. Uh yeah.Then there was there was one from the
super Bowl last year. He wasreally good too. I can't think of
his name. We talked about iton radio show last year. I thought

(19:30):
it was really good. Whenever itwas no, no, no, yes,
yes, Kendrick Lamore No that lasta couple of years. That was
I thought that was an outstanding halftimeshow. So the text is actually uh
blowing up. Uh so so farthe farthest geographic looks like New bron Fels.
Welcome. I'm glad you're listening tous on iHeart Media radio app.

(19:56):
Do you know what we're not?We are not the Dallas Cowboys of radio
in that what we don't do thingsthe same and expected different result We're always
unique. We change with the times. I'm bating a conversation. I don't
know if we want to get onthat. Cowboys, Well, we have.
We had a disagreement about keeping McCarthy, and we have a huge disagreement

(20:23):
on keeping my thought McCarthy. Solet me let me kind of preface it
for the folks. And a lotof some of our most entertaining discussions are
off the air, or in theelevator or in a parking lot walking up
here. So Scott was saying,do you think that Jerry? Do you

(20:45):
think that Jerry Jones? You're gonnait's up my phone? That's your phone
is playing frost Man. That's okay, that was weird. I was I
pushed the wrong pushed the wrong button. So do we think that Jerry Jones
actually put out some feelers before hecame out and said he's keeping Kevin McCarthy.

(21:07):
And we had a huge difference ofopinion on that exact question, Scott,
Mike McCarthy, Mike McCarthy, whatdid I say? So Brad and
I are on one side, I'mon the other. I think Jury was
on his phone at halftime, dudemaking some calls wholeheartedly disagree. Now,
I don't know if it was.I mean, but look, I think

(21:29):
he was thinking. I mean,look, man, we all know big
Bill is out there, Belichick isout there. I mean, like Jerry
is good. I think he's goingto try to figure out what can I
do. I think he explored hisoptions. I don't know if he talked
to him directly, but I thinkonce he figured out, yeah, what

(21:51):
are my options other than Mike,and he realized, like, not good,
I'm sticking with Mike. It ismy opinion that he did not that
he had his mind made up thatwe've got twelve seasons in a row and
twelve wins. Sees twelve wins inthree seasons in a row, and he

(22:11):
had his mind made up that thisis my guy and I'm sticking with them.
But that's the definition of insanity.You know, the same thing over
and over and over again, especiallydifferent result, and it is this is
what's and this is his track record. Yeah, if he would have if
he would have changed coaches number one, we probably would have had to rebuild
at some point, right, rebuildthe coaching staff, rebuild the assistance,

(22:33):
and rebuild some players. Whatever.I don't know that Jerry has the patience
for that now, But I alsothink his hands are tied. Look,
if he's not gonna get Bill Belichickfor whatever reason, because either Bill doesn't
want to come or he's not inshould I don't know, or Harball for
that matter, then what are yougonna do? I mean, like,

(22:56):
there's not another head coach out therethat's that I don't I mean, I
don't know. Maybe you can tellme that can actually come in, take
a team that pretty much has mostof the pieces already in place, and
take him to a championship. SoI think his hands are kind of tied.
It's like, dude, he's beentwelve and five over the last few
seasons. Me as a Texans fan, I take that because we hadn't had,
you know, winning seasons at all. So it's like they're good enough

(23:18):
to be relevant, but not goodenough to satisfy the fan base of the
Cowboys, which is they want atthe very least a NFC, you know,
champion game appearance. Yeah, Iagree. Now, if you believe
in fate, remember that that LionsCowboys game when the referees blew that call

(23:41):
at the end with the ineligible receiverand that game. Had the Lions won,
they would have had the second homegame. Well look what happened if
the Lions win. I mean,Lions are getting a second home game that
they wouldn't have otherwise if the Cowboyshad won. Right, Yes, so
I'm gonna I'm gonna give you kindof again my spin mister Jones, And

(24:06):
I don't know him, I've nevermet him. Very smart man, very
smart businessman. He currently owns themost valuable franchise on the planet, ahead
of Manchester United, ahead of RealMadrid. Yep, the most valuable franchise

(24:29):
on the planet. Everybody's talking aboutthe Cowboys. In his mind, he
won, he won, this isthis is look I I but I do
think he's a competitor. I meanI do think he's a competitor and wants
them to Look. Of course hewants to win. Of course he wants

(24:52):
to win. But at what cost, you know, upset the entire Apple
cart. While you currently have probablyone of the best stadiums in the league.
You've got America. You truly areAmerica's team. You've won twelve games,
You're a great roster, You're thefeature game every Sunday, every Sunday,

(25:17):
We're the feature game. Yeah,I don't know that I'd upset the
Apple card over that. I'd bevery content. Well, he wins no
matter what. Let's yeah, that'strue. I mean, the value of
the franchise doesn't go down whether heswitches coaches or doesn't. He wins no
matter what. He got what hewants. You guys are talking about,

(25:37):
you know, winning a playoff game. He's got what he wants. Of
course, it would have been niceto win a playoff game. I don't
think he made a single phone call. I think he had his mind made
up saying this is a good year. We're now nine point five billion dollars.
That's my opinion. Think his bottomline for him on the text two
one, four, seven, eightseven, nineteen seventy one, just text

(26:02):
us which side you're on with thisparticular argument. You think that Jerry made
phone calls or he said he didnot make a single phone call. I'm
on that did not make a singlephone call. Let's go back to the
sports medicine aspect of all this.So I've already mentioned earlier that during the
playoffs, the decision making process changesbecause the risk reward equation changes, but

(26:26):
there are some things that some injuriesthat literally can't change. We've come a
long way in sports medicine. ACLsurgery is now routine. The results are
darn good. When Gail Sayers toysACL, his career was over. When

(26:47):
Joe Namath Tori's acls both of themand was wearing those nasty braces, his
career was over. Now this isvery routine, even at the high school
level. The expectation is that you'llcome back and you'll come back as good
as ever. In baseball, we'vemade tremendous progress with Tommy John surgery,
where you know, you blew outthat owner collateral ligament, you're done.

(27:10):
Now, you take a year offand you're back stronger than ever. So
there are some things, some ofthe regenerative options that you know, Brad
is doctor Ballard is really really goodat the you know, the PRP and
and the bone marrow transplant and allthat stuff that this tremendous progress. But
you tear a hammy, you're done. You pull a calf, you're done.

(27:33):
Well at this point in the playoffs, Yeah, we don't have a
way to make it come back anyfaster. Yeah, these softs issue injuries.
Okay, So I was gonna askyou something. This is actually good.
So t J. Watt yep,did you hear about his injury that
I think he's got a grade twom c L. Yep. So break
him up and play, even ifhe's a little loose, breaks him up

(27:59):
and play. I've had a thirddegree actually played for the Cowboys. Really
brace him up and play. That'swhat you Okay, So we go about
the risk risk of war. Soyou've you've got a second degree m c
L sprain, which by definition isa partial tear, and uh, yeah,
I can protect it. I canput a brace on it. I

(28:19):
can tape it up. You know. The trainers are really good at that
sort of thing. And the riskthat you take is that you tear a
few more fibers. But that's whatthe tape is for, and that's what
the brace is for. I thinka seventy percent. Which Watt brothers is,
uh, the one who's still playing? Yea, yeah, yeah,

(28:40):
okay? Is it? What arehis Initialsjburg right, t J? Y
right? Yeah? Is he backby the way yet or what? Did
you know? He did not playin this past Buffalo Bill's game on Monday
is it going to play this thisthis no no, no, no out
definitely lost. Sorry sorry sorry,Yeah. Yeah, So the risk reward

(29:00):
equation, So the risk is,yeah, you might take a second degree
sprain and make it a third degree, but no permanent damage there. But
I can protect that. I cantape you, I can put a brace
on you, et cetera, etcetera. Same thing with an ankle.
So you roll an ankle and bydefinition, you damage the ligaments. Yeah,
we can tape it up, wecan brace it up, we can,

(29:22):
we can. You know, willit slow down the player? Yeah,
it'll probably slow them down to halfa step. Yeah, but but
the risk is not that great foran mcl or a or an ankle.
Yeah, it becomes then a coachingdecision. Is a step slower Michael Jordan

(29:45):
better than not having Michael Jordan atall? Yeah? Yeah yeah. So
when I saw TJ's injury, theywere speculating whether it was grade two,
grade three, and like we've talkedabout before, we watched the game different,
right, So my first question is, Oh, looks like they're going
to make it into the playoffs.Are they going to be able to get

(30:07):
him back for a week in aweek now, or maybe it was like
a couple of weeks before the playoffs. I can't remember, but I remember
thinking like, man, I don'tknow. You can brace, you can
tape, but explosion and moving sideto side lateral movement is gonna be tough
for him. So you're right,it's like a does a seventy five t

(30:30):
J watt? Is he still goingto be helpful at least as a distraction,
draw a double team something like that. But that becomes a coaching decision
that is no longer a medical decision. And again going back to that decision
making tree, I've been in theroom where we actually had these discussions we're
bringing back so and so at halfspeed be better or not? And I've

(30:53):
had coaches say no, I don'twant it. But again, it does
become kind of a complicated equation.But at the end of the day,
which is what you said last week, we're safety officers. The doctor is
a safety officer. If there wasa risk of having permanent damage, we

(31:14):
put up the red flag immediately andsay, nah, I don't think you
need to play. I've actually hadplayers say I'm playing anyway, Oh yeah,
yah, yeah, yeah yeah yeah. But then it's our it's our
goal to let's talk about about therisk. Yeah, yeah, yeah,
and understand that you're making this decisionafter being well informed exactly. But you
know, our goal is to atthe safest way and the soonest way,

(31:41):
and that's a you know, likeyou said, that's a risk reward equation
that we're always balancing. But that'sreally if you come to see us,
what's the safest and the soonest,we can get you back and you're in
on a decision. Oh yeah,yeah, you're in on a decision.
Look, where Doc's got into troublein the past is when they don't really
tell the player how bad it isbecause and believe it or not, you

(32:01):
guys, that happens now at theNFL level, that happens now. Oh
he never told me it was athird degree. What I will say this,
what did I tell you? Isaw a professional NFL guy yesterday and
we were having a discussion about I'vebeen surprised at the level of care that

(32:24):
some of these guys get at thatat that professional level, you mean,
poor, poor, Absolutely, itis a surprise. Blows my mind.
Well, you've probably seen some secondopinion, you like, what's going on,
like, hold on, you wereat a professional team with this,
Well, it's been an interesting situationand it was a year or two ago.

(32:47):
It was from that thing that youguys do with the combine physical we're
doing him today. We're doing acombine screening today. Yeah. So it
was somebody that saw, uh,you know, disc problem obviously because that's
what I do. And he callsme up in the middle of season and
it was said, not surgical,it's just an injection. And he was
in a different city and said,can you took me up with someone to

(33:10):
give me a specific type of spinalinjection? Yeah, so called person I
know and I called player back andhe said, you know, and I
said, this is this is theguy. He's at this place. And
it turns out that one of theteam doctors also operates at the same surgery

(33:31):
center. And he goes, now, can I haven't done somewhere else because
didn't want the team doctor to knowthat he was getting some treatment for his
back. By the way, thephones are split on our discussions about the
Jerry Jones inquiring with other coaches.The people that are right and the people

(33:52):
that are wrong. The people agreewith you are wrong. The people agree
with Brad and me are right.I'm going to say, there's no question
here. It's half and half.It looks like let's do against one a
lot. Well, no, there'sa whole bunch more that we're down.
You can't see there's a bunch theAgain, the text is blown up today,
which is which is great. I'mvery grateful. But to any of

(34:12):
these people in the text actually knowwould not be interesting if there was someone
inside the organization that says I knowthe answer and you're right, or you're
right, dude. There's somebody whosaid the only call Jerry Jones maid was
to the distributor of Johnny Walker Bluelabel because he doesn't care of whipping.
That would actually be a no.He said that he did call something,

(34:37):
but it wasn't for the interests oftrying to find a new code. But
I'm with him because that's a stancethat I'm taking. I'm taking that.
I think Jerry is satisfied with beingtalked about, satisfied with twelve wins,
satisfied with a nine point something billiondollar franchise. I think Jerry satisfied.

(34:58):
I don't. Well, we're goingin circles quick little break Inside Sports Medicine
coming right back two one, four, seven, eight seven, nineteen seventy
one. By the way, that'snot just text. You can call as
well. Just give me give mea heads up as to when to start
talking. Oh like right now.Oh I wonder how much of that went

(35:19):
on the air. My bad.Like, my computer is restarting and I
try to get onto another computer andit's making me log in. Last second
I thought it was ready to go. Well no, no, no,
no, no no no, that'sthat's fine. But Jesus is live radio.
People, live radio. Hear themusic walk up. Yeah, the
computer is really starting. Computer isnot working. It literally went into a
restart mode. Oh on me.So my main computer that I use for

(35:43):
music is currently restarting and doing updates. All right, so what the last
time possible? Welcome back to InsideSports Medicine too. Story I'll end a
gang. Doctor Brad Millard, DoctorScott Bloomenthal. I do want to answer
this quick text five two five threesixty something year old towards acl skiing last

(36:04):
year, very active and I wentto a doctor and said, nope,
you're too arthritic. You probably oughtto have a knee replacement. And then
went to replacement guy, and areplacement guy says, Nope, you're too
young to have a near replacement.So he's kind of asking me what to
do with this dilemma blah blah blah. So what I and I responded literally
four words. But now that wehave radio time, I can elaborate there.

(36:29):
There is an ACL injury is aninstability problem. So if you tear
your ACL, that's not so muchof a pain thing. Well, obviously
it hurts in the beginning, butit's a stability problem because the knee is
now rendered unstable and that is fixeda certain way, whether it's surgical or

(36:52):
bracing or whatever. Arthritis is apain problem, and that is a dressed
with various pain controlling measures cortizone injections, GEL injections, joint replacement, et
cetera, et cetera. So thoseare two separate items that need to be

(37:15):
discussed. Are you wanting to haveyour ACL reconstructed because your knees unstable and
you want to continue to play tennisand ski or are you wanting an ACL
reconstruction because your knee hurts, Becauseif that's what you want, it ain't
gonna happen, right, right,And so you're your doctors are basically telling

(37:36):
you what what they're trained to say, but they're not thinking about what your
desires are, right, that's yeah. So yeah, so if you're if
if if you have if you've gota loose, unstable knee and you have
arthritis, but it doesn't bother you. Yeah, sure we can stabilize that.
I've done it. But you've doneacl reconstruction on an arthurid knee I

(37:59):
have because it was so unstable heliterally couldn't go up and downstairs. Wow.
So then the question was, uh, you know, I'm not going
to fall down and break a hip. And so now mind you, it
was a decision that I took veryseriously, and we had numerous conversations.
Right, we had numerous conversations.But the knee was was grossly unstable,

(38:22):
is what the way we describe it. Now. You know, I did
a cadaver graph. It was arelative so it basically it was a glorified
arthroscopic procedure to stabilize yourknee. Gotit, which is not typical. It's
not once you get well, onceyou get a certain amount of arthritis,
it's almost like it it provides somelevel of stability, because you know,

(38:43):
it's funny because if and when youbecome arthritic, then you've got bone spurs
and they hold the knee together andstability is not a problem anymore. But
it's painful. Yeah, but itis painful anyway. I just wanted to
make sure that I did respond tofive two five three, And from where
I'm sitting, I can't read thetext, So I apologize if you responded

(39:04):
to me, but I can't readit. Maybe after the show. It
does seem, though, now thatI've gone back to the text machine and
examined it a little bit deeper thanit's almost three to one, that Jerry
did not make any phone calls.Of course, that must be our demographic.

(39:24):
We must be appealing to the Ithink the lower IQ end of the
demographic. I won't go there,flyg On, you go there, but
I will say this, I dothink we are talking to some disappointed cowboy
fans. Yeah, and maybe somefolks who aren't the biggest fans of Jerry.
Yeah. And by the way,since you mentioned a demographic, I

(39:45):
do want to bring this up.So this is our twenty third season,
and over the duration of Inside SportsMedicine. Being on the radio, I've
had the pleasure of meeting many ofyou guys. Scott. I'm very impressed
with our demographic. We have somereally intelligent people who who are inquisitive and

(40:08):
they're curious and their responses. Uh, I think we've got our I'm very
proud of our demographic that listened toInside Sports Medicine. It is Look,
it's medical stuff. You know we'retalking about. Not be intelligent and listen
to this show. You'd be lost. You can't exactly exactly no, seriously,
Yeah, yeah, I mean wetalk about some you know, you

(40:30):
know, stem cells and you know, stabilizing, and we've throw out these
medical terms from time to time.That yeah, yeah, I think I
think. No, I'm very proudof the folks who listened to the show.
Facts. Facts, Yeah word,I'm sorry, Wait, you you

(40:50):
completely squirrel. So I tried throwingout another you know, just one of
the words that the you know thatthe younger folks use. I know,
it's facts. Oh that's completely lostme on that one. But you you
agreed, you were like facts.But I got to confirm that like that

(41:10):
fact. But when you said facts, I said, I responded, because
I thought you were saying that thatwe literally about facts. Oh, that
we talked about that. No,that was okay for this side of the
table. Now I'm going over tothe side of the table. I thought
the exact same thing you thought thatI was saying that you talk facts.
Right. No, I'm I'm agreeingthat what you're saying is fact, Like

(41:35):
that's fact that we do have intelligentlisteners. Word, okay, can we
Oh my god, don't write youknow what? Erase this segment. No,
don't do not erase it. Turnedthe volume up. Can you guys
text and tell whether you're closer toBrad's demographic or ours. Well, you're
assuming that our intelligent people actually text. That's it. I mean, are

(42:00):
some people that don't do texting?Look, you just don't texting? Do
it when you talk to your phone? What's that? Alexa? Siri?
Siri Siri? Oh my god,we are just going down a terrible rabbit
hole. Yeah, ah, Siriheard me say, Siri, this is

(42:22):
Oh that's scary. My music isback. It's too late now. I
thought i'd bring it a little bigif some people what we were trying to
larry to crazy there's a lot ofrandom stuff going on here. Well,
speaking of random, and I'm goingto bring this up. I saw a
news story on the local news theother day, Uh South like carol girls

(42:47):
basketball team four starters or sisters?Yes? Is that all? I saw
the same thing? Like it wasduring the day that it was cold.
Yeah, like the four starters onthe girls basketball team at South like our
sisters, any twins or just fourconsecutive years. It looks they didn't look
the same, but I don't knowif they're twins. Yeah, yeah,

(43:12):
but yeah, and they're all reallygood. I thought that was the coolest
thing. I've never heard of that. No, yeah, same here.
I thought it was three, buteven three four doesn't matter, like and
they all start right yeah, yeah, actually it was four, so four
sisters because they interviewed them and theywere all four sitting there and wow,
and they were talking about, youknow what makes your team so special?

(43:36):
We have chemistry? Yeah, yougot chemistry. You've been together for eighteen
years. That was really really cool. Very random fact. That's yeah,
I know. Another random fact.Yeah, TCU women's basketball program. Yeah.
I had to have tryouts for Thursdayand Friday evening because majority of their
team are either out sick or outwith injuries, so they've had to forfeit

(44:00):
three to two to three games.Whoa what? Yeah, So TC women's
basketball program has been struggling with injuriesto where they don't have enough players playing,
to where if they don't have enoughplayers to play, you have to
forfeit the game. And so theyhad to have tryouts Thursday and Friday night
to fill some of those spots untilthose players can either come back from injury

(44:22):
or let those people who tried outand who made the team play for the
rest of the season. That's fascinating. I would be so interested to know
what are the different injuries. Yeah, they've sustained. You know, I
do remember a story a while back, and this is I don't know,
twenty five years ago maybe where youhave to have a certain number of people

(44:44):
suit up and there was a basketballteam that was just depleted, so they
had one of their trainers put ona uniform. Never went in the game,
right, but you had to suitup, right? Wow? Yeah,
Then that's why sports medicine shows onthe that's right, because that means
your team literally has to be decimatedby injury and whatever illness that they have.

(45:07):
That's what's the minimum amount of playersthat you need to not forfeit,
Say twelve is what you have normally. I used to know the number for
the NBA. I think you haveto have eight suited up. I think
for the NBA you have to haveeight suited and I've never seen it in
the NBA. I guess you wouldbring somebody in on a ten day contract.

(45:28):
Quick question. I was thinking aboutthis earlier when we were talking about
injury risk versus reward? Do weknow what Willis Reid's injury actually was a
It was a hammy really wow?Yeah, so Willis Reid had a pulled
hamstring. And of course he's notjust one of those injuries we talked about
earlier in the show that we justdon't have a good fix for. And

(45:49):
he was not going to be veryproductive and he literally couldn't walk. Yeah,
was literally game and then he showedup. Yeah, he showed Not
many people in the demographic all bitremember the game. Well, he played
for the Knicks, but I don'tknow who they played against. No,
I know, but oh I neversee the game. That was before my
time would know what we're talking aboutor actually saw we were we were kids,

(46:12):
but I remember watching the game becauseit was a playoff game. When
you watch the playoffs, but whenyou're kids may have been in black and
white. And to this day theystill say, you know, so and
so was pulling a will three.Oh yeah, well what about the Dodger
who hit the home run in thelimped all the way around? Yea,
was that that hamstring? I rememberwhat that injury was, because he was
out he pinched hit and hit thehome run. Yeah, so Kurt Kurk

(46:37):
something, That's what I was saying, Kurt Gibson. Yeah, that's all
right. Well, this was awasted segment and we don't even know what
it's that. We gotta go onbreak. That was just can we find
out when it started? Because whenwe when what started? Well, because
we don't know when it started,and we were having ana that I don't
one on the air. Yeah wellno, no, no, I think.

(47:00):
All right, quick little break phonecalls two one, four, seven,
eight seven, nineteen seventy one text. We must have got one hundred
texts today. All right, quicklittle break inside sports Medicine. Coming right
back. She's stood there. Welcomeback, Welcome back to inside sports Medicine

(47:44):
teo story. I'll hear Scott Blumenthalthere, Brad Bollard still there, sit
up in him with those soft Asslinussons and Google. What an what an
interesting episode. This has been fromtime to time, and back in the

(48:06):
day when we were on another radiostation, we had a camera in the
studio and our breaks were televised,and folks would say that that was the
most entertaining part of the show wasduring the break and it got quite animated
during this last break when we werediscussing something that had very little to do

(48:29):
with sports medicine. You know,look, you can't be a sports medicine
doc if you're not a sports fanperiod. If you're not a sports fan,
go do joint replacements or something.But you got to be a sports
fan. I've covered a thousand NBAgames where I sat in the stands and

(48:51):
watched. You got to be afan. So we were talking, we
were talking, who's the goat Lebronor Michael and this will establish our democratic
Oh yeah, yeah, yes yeah, And you could definitely chime in if
you you know the text, didyou give the did you give the number

(49:12):
two and four? Seven eight seven, nineteen seventy one. Again, this
is it's funny how animated we got. We're all in agreement. This was
a no brainer, you know,doctor Bloomenthal, doctor Ballard, myself,
Michael Jordan. There's no question,dude, there's no question. Gerenovl tried
to call in and apparently the phonewas just ringing. Try it again,

(49:34):
try it one more time, becauseI think I think Garrett was probably occupied
trying to get his computer working.But who's the goat? This is?
I mean, that's overwhelmingly Michael Jordanin my opinion. Yeah, And people
talk about different generations, and look, I I love Lebron. I respect
his game, I respect his longevity. I mean, he's been playing what

(49:57):
twenty years That is probably just asimpressive as a lot of his other you
know, titles and you know,accolades and awards. Just the fact that
he's lasted this long, I mean, and at this level, still playing
at that level. But one ofthe things you said earlier about this fear
thing or tell people, so youknow, we were I don't know,

(50:19):
and I don't even know how thiscame up, but started talking about,
you know, who's the goat?Lebron versus Jordan. I've gotten a chance
to see both of them play.Jordan to me just had doc you talk
about the eye test. Yeah.But one of the things that's interesting to
me is that the more Lebron plays, the more I feel like I'm saying

(50:43):
that, yeah, it's even moreJordan, as crazy as that sounds.
But one of the things that Ifind interesting is when I listen to the
other the actual NBA players who've playedwith them talk about le Bron versus Jordan,
and they there have been players who'vetalked about a fear of Jordan.

(51:05):
Now you have to understand these guysare I mean, they're the elite of
the elite of the elite. Ohyeah, right, even the guy who's
riding the pine. I remember onetime going to a Mavericks when we were
covering the Mavericks and I went toa pregame practice and that was a guy
who was a no name guy whohit like twenty five threes in a row,
no rim and this guy's riding thepine. Right. So I mean,
we're talking about the elite of theelite, and when you talk about

(51:28):
these players who are extraordinary, theydon't fear much of anything. I mean,
they they you got to have acertain level of confidence to play at
that level. And when these guyssay when the when, the when the
schedule will come out at the beginningof the season, they look and see
when we played the Bulls and thennight before they're thinking, like, I
gotta guard this guy. I gottago against MJ. And there was a

(51:51):
fear. And so I've seen theseinterviews with somebody's like, listen, I
played against both. He's like therewas a fear with m J. Is
like nobody ever really feared bron youknow what I mean. But I mean,
and that's just a small thing.Again, that's my part of that
is my opinion. We can gointo you know, the you know,
we can go into the facts aboutyou know who, who's done what.

(52:13):
But yeah, to me, there'sstill no question a twenty years I agree
with you. Yeah, But havingsaid that, and you already mentioned how
impressive twenty years is. And Iwatched a part of the Laker game this
week. He can still get tothe rim, dude on anybody. He
can drive on anybody, unbelievable,and in these these these easy layups,

(52:37):
just at that and then it canelevate. I mean, it's just it's
just a physically amazing extraord longevity.And to be to take that good care
of your body you have to amazing, isn't it Isn't it? Isn't it
impressive just to be having your namementioned in this goat category? Oh yeah,

(52:58):
you know so. So I don'tknow that there will ever be a
true answer. But when you talkabout the goat, you're you're talking about
Michael, You're talking about Wilt,you're talking about Bill Russell, you're talking
about Larry Bird, you're talking aboutLebron. Just to Kobe, Yeah,
forget Kobe. Just just to haveyour name in that conversation is impressive enough.

(53:25):
But if you twist my arm andsay which one of those, right
in my opinion that I test winneris MJ. And when you talk about
sports medicine related to Lebron, Imean, again, I don't know if
the listening audience just can really wraptheir head around how EXTORDINARYI play for that

(53:49):
for that amount of time, atthat level to take care of his body.
He's not a small dude, youknow what I'm saying, Like,
you know, for his joints tobe able to keep up well to still
be one of the leading minute youknow, you still you know, he
plays a ton of minutes for theLakers. I mean it's it's you're talking
like you're talking longevity. Yes,I'm gonna throw out a name, Georgia

(54:15):
Plander, Vince Carter, Yeah,Vince Carter. Yeah. Still in the
end of his playing days, couldhave spectacular dunks. Oh yeah, oh
still yeah and a great locker roomguy. Just one of the nicest people
ever. Sure, and what heplayed what twenty two years? Yeah?

(54:37):
Really yeah, twenty two years?Wow. Yeah, he became kind of
more of a role player. Uhwell not kind of mean he didn't have
start off of his career, buthe didn't have starter minutes. He didn't
have starter minutes. So to seeLebron do this at the starting level,
All Star every year, and Imean without a season ending injury, that's
the thing, is like a bigseason ending injury. Yeah, I think

(55:00):
I think it's really quite fortunate.And we so we talk about we're always
trying to figure out what it exactlythat he has. Yeah, what what
does he do? What's going?What is he has? I mean,
he takes care of his body.Dirk does the same thing during the season.
He eats clean, et cetera,et cetera. MJ did the same

(55:21):
thing. I think there's a certainamount of luck. Well he smokes cigars.
Okay, okay, he smokes.I don't know that they were you
got to challenge the body every now, man. I don't know that they
were sophisticated as sophisticated nutritionally in theeighties as they were. No, no,
no, you know in Dirk's duringDirk's career or Lebron's. Yeah,

(55:44):
all right, so, yeah,you're right, seven eight seven seven.
We're not really wasting valuable air time. It's just that one of those things
that we were talking about. Yeah, one of the things we're talking should
we go to the phones? Allright, let's go to the phones real
quick. We got a few minutesleft Genova. Good morning, you're on
Inside Sports Metaphore. What's up?Good morning, Good morning, Happy New

(56:07):
Year, made all that good stuff, Happy New Year to your happy birthday.
You just had a birthday, Iheard. Yeah, I'll try to
call you, but you're busy.But it's understandable. Yeah, what's up?
What you got? I'm calling aboutthe uh, the correlation for hip
me, and how important is thefoot. I always hear you guys talk
about me here for all that,I would like for you to talk one

(56:30):
day about the foot, which weall need, including you. Well,
okay, so I know where you'regoing with us. I know where you're
going, and I appreciate it.But uh, and I think I ask
you that's a really very good question. Uh. By the way, the
mechanics of the lower extremity are socomplex. Do you remember remember Deon Sanders?

(56:54):
Oh? Yeah, well everybody remembersDeon Sanders horrible feet he had.
He had a a toe injury whenhe played with the Cowboys that really almost
well, it did end the beginningof it. It was the beginning of
the end. And I have asound bite when I was back on ESPN

(57:15):
and name Clarence Carter played it allthe time, and I said, the
big toe is a big deal.And he thought that was the funniest thing,
and he played it over and overand over again. It is a
big deal because the mechanics are allintertwined. You have to have proper mechanics
of your foot so that the kneeworks well and the hip works well,

(57:36):
and the lower back works well.And Scott we've talked over the years.
Some folks who have tight hammies,tight hamstrings have back problems. Yeah,
it's all connected. The biomechanics isso important, and by the way,
is probably a greater contributor to injuryreason and we probably realize, and also

(58:02):
a contributor to arthritis, because ifyou're loading a certain portion of the knee
or hip more more than it shouldbe, it's going to receive more impact,
right, And so this a lotof this stuff is physics, Yeah,
it is. It's physics, it'sit's biomechanics. And so most of

(58:25):
our players when I was with theMAVs had some form of abnormal mechanics of
their feet. So they all gotorthotics at the beginning of the year.
And what we're trying to do isjust correct some of what you were born
with. To take the pressure offthe knees, to take the pressure off
the hips, to take the pressureoff the back. Genobyl, that was

(58:45):
a really good question, very insightful, but it all fits together. Sometimes
I'll see someone with knee pain,yes, and I'll prescribe them an orthotic.
Oh, document what you would thinkin the same thing. I was
thinking is that if I can correctwhat you have in the footage might be
enough to be able to offload theknee well enough so that you you don't
have less knee pain. Yeah,that was that. That's it's it is.

(59:09):
It is often overlooked. So whenI examined, when the patient comes
to see me, I'm still oldschool enough that I examine them and and
I look, there's I've had peoplecome to the office say, well,
the last doctor never touched me.Yeah, I know, okay, he
looked at my MRI, looked atthe x rays, never touched me.

(59:30):
One of the first things that Ido, take your shoes and socks off,
let me see you walk across theroom. I don't care if I'm
looking at their hip, knee,ankle, back. I look at it,
and almost always I'll say, youknow what, you know, I
want to think about going by CVSand getting a little art support, because
that'll make a huge difference in whateverit is you're coming to see me.

(59:52):
Do you do that? You lookat MRIs and x rays. See the
way he looked this guy, Doyou do that? Do you do that?
I can see somebody coming in forneck pain, say, take your
shoes and socks off and walking forme pain, No my neck dog.
Well, now you're being ridiculous.It's we're talking about thumb pain. Take

(01:00:19):
you shoes and sid off. Yeah, they'll being silly. But having said
that, Scott, you do goby a lot of objective data. Mean
you have to in your world,because in your world you have to.
In the spine world, I'd imaginethat the exam is is probably not as
con as much of a contributing factorswhen we do I do exam, I

(01:00:43):
mean you do exam but patients.But you know it's usually the musculear skeletal
exam for the spine is very inconsistent. It's not very specific. The neurologic
exam, however, is so whensomeone has neurologic issues, which is you
know, weakness, numb as,tingling, pain down the armor leg,
the exam is important. If someone'scoming for what we call mechanical back pain,

(01:01:09):
does it hurt worse when you bendforward or backwards or sideways or twist.
So it's interesting we know it,we do, we put it in
a physical exam part of the electronichealth record, but does it give me
the diagnosis? Almost never. Inmy world, the the weakest part of
the exam is when we're looking formeniscus tear because we can't really feel much

(01:01:34):
of the meniscus. Most of itis deep in the knee. You can
feel the periphery. So if ifit's if the terear extends out to the
periphery like in your case. Huhyeah, it's very straightforward. Yeah,
because I remember when when you know, when I was training, when we
were you and I were training,and my recollection of sports medicine knee injuries
was medial joint line pain. Ohit's a metal meniscus, right, Well,

(01:01:57):
that's probably not very well now thatwe've got very good MRIs, it's
probably not very specific. So I'vegot a little interesting MRI story to you
because we've we've become so dependent onthe MRS. It's essentially standard of care
now in sports medicine world. Honestlyenough, when is he having an MRI?
Well, and in my world,you know, you go to a

(01:02:22):
urologist and you got to like havea urine sample. In my world,
I can't, I can't finish myconsult without an MRI. So I basically
have the patient to get an MRIfrom the referring doctor before they even come
to an appointment, because it's awaste of appointment to come. Then go
get an MRO because it come makesa couple of days if we could do

(01:02:43):
it right away. Sure, butMRI is just part of like you need
to bring in your MRI and thenI can give you a diagnosis. So
it's an integral part of our factfinding. Well, so here's an interesting
case. So this is a youngman that heard his knee in a basketball
twenty one, twenty one years old, and our story goes two years ago.

(01:03:06):
Blew out his knee in one singleplay where he caught an elbow to
the bridge of the nose, brokehis nose and on his way down tore
up his knee. Comes to seeme for the knee. It was an
ACL. We fixed the ACL,and a few weeks later he goes gets
his broken nose fixed. Fast forward, he does extremely well with both.

(01:03:28):
Fast forward a year and a half. He needs an MRI for something else.
He now lives in San Francisco,needs an MRI for something else for
his shoulder elbow. I can't remember, I wasn't involved, And he goes
in the scanner and he has thisexcruciating pain in the bridge of his nose.

(01:03:49):
So they had to abort the MRI. They pull him out of the
MRI, they do an X rayof his face. There's a piece of
metal in his nose, apparently abroken in in or something that nobody knew
was there. Okay, so theyhave to abort the MRI. I.
He comes to see me because nowhe has a new knee injury. And

(01:04:12):
I said, Yo, all right, little Johnny, let's get an MRI.
I. Oh, I can't havean MRI. I said, what
do you mean you can't have anMRI I. He goes, because I
got a piece of metal in mynose and and I can't have an MRI
I. And I thought to myself, wait a second, you're gonna have
to live the rest of your lifenot being able to have an MRI I
and your only pie get that.And that's what we're at now. We're

(01:04:34):
exploring various plastic surgeons to get that. So I X rayed him. I
said, I don't believe him.He goes no extra So I X rayed
his nose. Little piece of metalin the bridge of his nose and obviously
it's got to be standless, seelor something that's affected by the magnet,
because if it was pain, ifthat m RI I kept going, yeah,

(01:04:56):
yeah, I mean I don't thinkit would pull out of pain though.
Yeah, but so so so hesaid, well, what do we
do about your knee? I'm sorry, he said, what do I do
about my knee? I said,well, we could always go old school
and old school arthoscopy, diagnostic arthroscopy, that's what we used to do.
Good luck getting that approved by insurance. Oh gosh, that's so what else

(01:05:20):
do you do? So he's gota knee injury. It's probably moniscous,
is what it sounds like, andand what do we do? Yeah?
Interesting dilemma. But that's that wasThat was a twist that I thought we
ought to talk about. Yeah,so episode nine sixty six is in the

(01:05:42):
can. What did I say?It's eight hundred and sixty six. Sorry
about that. I want to thankour sponsors, land Rover Dallas, I'm
sorry, Jaguar, Landover Dallas,part of the Snell Automotive Group, Black
and Dworf. Jeweler's family owns somenineteen forty eight center for disc Replacement up

(01:06:02):
in plane. Oh also, andI always forget to bring this up.
The Performance Center at Texas Sports Medicinepretty cutting edge stuff. We're probably the
only clinic in the country that hasaccess to this sort of thing. Don't
forget. You can come see usat Texas Sports Medicine or the Center for
Disk Replacements see Scotlandmenthal or any ofhis partners what Associates Associates. Enjoy your

(01:06:31):
Saturday, be safe, enjoy theNFL playoffs, and until next week.
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