Episode Transcript
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It's tip off time for Doctor t. O. Sorrel and Inside Sports Medicine
on ninety seven to one The Freak. Doctor Sorriel, one of the nation's
leading orthopede exertions and former head teamphysician for the Dallas Mavericks, bringing his
unique sports insights and stories from insidethe game. With special guests from the
world of professional, college and highschool sports and sports medicine, the Doctor
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breaks it all down. Buckle upyour chin strap and tighten your laces for
the most informative ninety minutes in sportsmedicine. It's kickoff time for Inside Sports
Medicine with Doctor T. O.Sorrel on ninety seven to one The Freak
from me, she mean like,have you no good Saturday morning, everyone,
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and welcome to Inside Sports Medicine.I'm your host. You sorry,
I live in the studio on thisspectacular weekend morning in North Texas. This
is your sports medicine current events showwhere the topics are ripped right off of
the sports desk. Over the nexttwo hours, Nope, over the next
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ninety minute. You gotta be informed, entertained, and hopefully learn something new.
You will have an opportunity to callin or text in your comments or
questions and we have a full housethis morning. Doctor Scott Bluementhal is here.
Doctor Brad Ballard is here. Goodmorning guys. What's going on dot
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morning. On the other side ofthe glass, Garrett is running the board.
Hello, morning morning. We havea lot to get to. We
already got started. Oh we sowarmed up already. Our pre production meeting
was we should have recorded it becausethat was gold. Yeah, it was
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record worthy. It was it wasso uh well, now you have to
talk about it, Yeah, wewill. You just teased it. Yeah,
yeah. So two one, four, seven, eight seven, nineteen
seventy one is the number. Weare going to continue with the farthest away
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listener on the iHeart Media app.Last week it was Germany. I think
week one it was Cozumel, Mexico. We're always very curious as to where
you guys are listening from. Butit's also the same number if you call
in with questions or texts or justquestions and we will line you up and
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we'll get you on air. Solet me tell you how this all started.
We are most of us are ofa certain age and our taste in
music varies. But I think mostpeople are of a certain age have heard
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of Billy Joel, and a lotof us are fans. I'm a big
fan of Billy Joel. I've seenhim several times and I love his music.
And he has a new song outafter twenty twenty five years of just
playing the same old stuff, andthe new song came with a video.
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I don't know if MTV is aroundanymore, but in my day, you
watch the video and that's how yousell more songs because people were intrigued with
the music and the music video.Thriller to Me is still one of the
best music videos ever made. Butthat's just my opinion. This video was
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AI generated, not CG right,AI generated right, and it has a
young Billy Joel singing this most currentsong, and then there's another segment where
it's a little bit older Billy Joelsinging the same song, and then the
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current Billy. It was absolutely remarkable. If you've not seen it, watch
it. Yeah, if you've notseen it, watch it. It's like
multi generational Billy Joel. Yes,like every generation of Billy Joel's like performing
is like on the video with hishands playing the piano and his face singing
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the songs, and I'll bet there'sa program out now where you know how
you know, you have family eventsand you said, oh, here's here's
my kid kid's video for you know, wedding or something like that, or
graduation. I'll bet there's a programout now where you could plug in different
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ages of your kids and create somethinglike that. Oh yeah, dude,
they've got programs right now where youcan put your face in the program and
it'll show you what you're gonna looklike ten years, twenty years, thirty
years from now. Yeah yeah,yeah, yeah, but this Billy Joel
thing takes it a thousand times.Oh no, no, no, yea,
yeah, they're up. Yeah.Yeah. It was seamless. I
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mean really it was. He wassinging the song and playing the piano at
twenty. At twenty, they puthis old hands on. He put his
twenty year old hands on his currentsixty year old hands, right, I
mean it was. It was fantastic. But I'm saying I'll bet that program
exists where you could create one foranother person, like you know, so
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anything like that. So I watchedthis with amazement, and then on the
local news I think it was yesterdayor maybe even the day before, there
was a story on how they're usingartificial intelligence in the world of cardiology,
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and they were testing it out atthe Mayo Clinic and they interviewed a cardiologist
who was walking around with a stethoscopearound his neck, just like they all
do. Please do that, andyou're going to have to explain that one.
I'm not gonna I can't explain thatone. But you know, we
have a lot of doctors and medicalpeople listening, so they know what I
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just said. Anyway, And hewas saying that this stethoscope is actually not
really a stethoscope, but I don'teven I'm not even sure I know what
it was. It was. Itlooked like it looked like a stethoscope,
but on the top of it itlooked like an Apple watch in that it
gave you things like ejection fraction andand dimensions of the aortic So it's probably
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an also sound. So those ofyou Star Trek fans, a medical tricorder,
the thing that doctor b Bones usedto do on Star Trek. You
just put it on top of thebody and yeah, injection fraction is down,
and there you have it. Sothat was exactly it. So to
give people perspective. You know,this thing was able to give diagnostic information
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that would normally take days, weeksand several tests, right, because these
are all different tests. Injection fractionyou have to get an ultrasound, right,
you know, the measurement of aof an A order or the valve
is a is an MRI. Youknow, these are all different, different
diagnostic information that one thing is ableto do just by putting, you know,
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scanning it over the heart. Sonow we're going to fast forward to
our pre production meeting, which wasat seven this morning. We started in
five two hours, Yeah, okay, five this morning. We are very
dedicated sarcasm. We started talking abouthow AI can influence or change our world
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of sports medicine. I mean,think about this. This is a sports
medicine show. We've been on airtwenty three years because people love the glamour
of sports and you can't have sportswithout injuries and whatever. It was a
wonderful discussion and I really feel badthat we didn't record it, but we're
going to try to reproduce some ofthe highlights to you. I think things
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that don't involve oh now, allalready ologists and pathold is going to be
mad at me. Things that don'tinvolve judgment, Like if you're looking at
a chest X ray, Yeah,I think AI can figure that out.
What do you think. I thinkit's We're very very close to that,
no question about it. And Ibrought up the point of certain disease managements
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that are all based on data,like kidney doctors, hypertension, cholesterol.
Yeah, look, I don't wantto throw that in, to throw that
into an AI mix and it youknow, and your BMI and says,
you know, doctor soio, thisis your dose of medicine to keep you
know, your target blood pressures onetwenty over eighty. We'll get it there.
There's no question that that. Look, I mean why should why should
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well? I mean, say youand I had the same demographics, Uh
huh, et cetera, and ourlabs were the same. Why should you
go to one interness they put youon one anti hygh pertension might disagree with
me another I'm gonna disagree with you. This is not where I was going
with this. This is where lookthere there, Medicine is not cookbook.
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I have been saying that for fortyyears. Medicine can not be cookbook Okay,
look back up, but the industryis going that way. I get
it. But here's the deal.So, doc, first of all you're
talking about Okay, look, whatwe understand about AI right now is that
it has the ability to read andinterpret. Yes, right, So if
we just so, if you lookat a radiology image, yep, an
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X ray, an MRI, yep, it's you know, it's not too
far removed from being able to learnand read and interpret. Feed feed feed
the computer one hundred million normal chestX rays, and he's got normal,
and he's got normal. But theway of the one, which is about
the way how we learned, that'sexactly how we learned. They said,
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look at all these chests X rays, so that you know normal and then
you can identify abnormal. Remember theold game where they had that little cartoons
on the Sunday paper. And what'sdifferent about this cartoon versus this cartoon,
Well, this one that clock hashands and this clock does not have hands,
and mom's wearing an apron. That'sthat's what AI is, right.
So in that case, it's veryobjective because it's like, look, either
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the either I see the mass onthe X ray or not, and I
can measure it. Agree. Now, what what Scott's talking about? I
know Scott's taking it a different It'snot even a derailer. What what the
conversation was before we got on theair is okay AI can look and interpret
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objective things. Will it ever replacejudgment? That's a question, and I
vote, and I vote no.Yes, So this is why we disagree.
So I think ultimately the database fromwhich we, as human beings draw
judgment can be replaced by artificial intelligence, which is a database of a billion
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human beings in one little computer chip. Cumulative judgment that that surplants, and
then we supplants, supplants whatever ourindividual So it's our individual. So judgment
is our individual life experience, ourexperience of forty years in medicine. But
if AI has the queue of experienceof four hundred thousand years in medicine based
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upon one hundred thousands of us,Look, I think ultimately you're going to
be right. I'm going to justtell you that right now. Ultimately I
think you're going to be right.All right, But I hate to think
of a world where a pilot doesnot have the ability to land on the
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Hudson because the computer told them notto. So Doc, tell the story
that you said about what you learned. Whenever you had the opportunity to operate,
not operate, because I think that'llgive people some perspective in terms of
the decisions and the judgment calls thatwe have to make, even though everything
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objective may say you need to gothis way, this route. So yeah,
So I learned this lesson very,very very early in my career.
I did surgery on a young ladythat, in retrospect, was not mature
enough to handle the recovery involved.All the textbooks, parameters were checked off,
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green, MRI, I was positive, check ACL's torn check, athlete
wanted to get back to pre seasonpre injury form. Check. Everything checked.
But the maturity level is different formost fourteen year olds. And and
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what was your gut saying? Mygut was my gut was saying, this
young lady is not mature enough tohandle the postop recovery because a surgery man,
it's it's a six eight month recoveryand there's some parts that are just
difficult. And she did not.So it proved that my gut was right.
She had complications. She required twoor three more surgeries. My lesson
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there was the textbook is not alwaysright, that there is a judgment.
Gut feel that I don't know thatI can teach a computer. I think
both of you are right because Ihear what Scott's saying. What Look,
I hear what Scott's saying, ButI hear what you're saying, Doc,
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And you know, I don't knowhow So Scott, you're saying that eventually
the computers will the computers will beable to well make a judgment of knowledge,
of judgment of one hundred thousands ofus. And I think you're right.
I really do think you're right.I mean, it's that's hopefully a
ways so off. Something encouraged tome. You said that that there's a
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lot of medical people that listen tothe show. Yeah, and you know,
I don't know. We singled outradiology or pathology. Well I'm talking
about pathology. I thought, I'llbet every physician who would have this conversation
is, yeah, you know,we could replace radiologists, but not my
field. And I'm sure, ohthey can't replace me. I'm the one
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that has to run out on thefield and examine the knee. On TV.
Well, there you go I wasbeing sarcastic. Yeah, but I'm
saying that's the point. I mean, there's no computer that's going to be
able to run out on and fieldDak's knee when he's on the ground.
Well, I mean, oh youdon't think, well, but there's something
that might be able to hover overhis knee and say, well he's got
a c O yeah, wow,head blown mind what Let me put my
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Let me put my Apple watch onhis knee and it'll give me an instant
Yeah, you're talking about touching him, doc. They look, they're talking
about you know, Star Trek stuff. Just you know, scan his knee
right real quick on the field.This as fast as stuff. How about
that you're watching you're watching an NFLgame on TV on your eighty inch monitor
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at home, and so and sohas a non contact injury and the TV
has a program that tells jan playerthat player just tore his right a sea.
I mean, just think about that. If you're at home and the
computer tells you what happened so andthen some robot fixes it in R a
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week later. So, So,because what we talked about again, before
there is judgment, is it goingto be able to replace judgment. And
I was saying, if that's thecase, medicine becomes completely objective. There's
no subjectivity. There's no art tothe medicine. You can talk about the
science, there's no art to it. What I would love to hear from
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the listeners you can text in likewould you be okay going to see a
robot for your for your care?On that note, we have a break
coming up two one, four,seven, eight seven, nineteen seventy one.
The text is already going crazy.A lot of you guys are up
this early on this spectacular Saturday morning. I mean, this is a gorgeous
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Saturday morning. Did you see thefull moon driving in? Yeah? Oh
my god, I was amazing.All right inside Sports Medicine. You know,
I keep saying I need to resetthe show during the segment t O
Sorry, I'll Brad Ballard, ScottBlumenthal coming right back, welcome back.
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I would say that Garrett picked themusic today, but I would be lying,
yeah, you came in the studioand told me the band I gave
you the blankest face ever. Yeah, crit's clearwater, and he had he
looked at me like I said somethingin Russian. But the first song I
played this morning, I was like, oh, I know, yeah,
I know all of it. Itjust the name caught me off guard for
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a second. Welcome back to InsideSports Medicine CCR on radio. During the
breaks, I think so Rans ishere joining us. He's going to be
handling the podcast for us. AndI was telling him as we were riding
up the elevator that this perhaps maybeone of the most significant shows that we've
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ever done in that we're talking aboutAI and the future of medicine, and
it's a fascinating, fascinating discussion.We're probably going to go to We're probably
going to go to Mike and Dallashere pretty soon, but I wanted to
get everybody back up to speed.There are some areas of medicine that are
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heavy into judgment. There are someareas of medicine that are heavy into objective
findings. You know, pathology.For example, when you take a biopsy
and you put the slide under themicroscope. I mean, I'm not to
offend any pathologists, and it's notmy intention to offend any pathologists, but
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you're looking to see what cell typesthese are, and this is most consistent
with lung cancer, or this ismost consistent with blank blank blank, Well,
I think that if you show onehundred million cells to a computer,
it can kind of learn what thisnext slide looks like. There's no question.
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I mean, you're taking thirty yearsof judgment of an experience of one
doctor, and then you're putting adatabase of one hundred thousand of doctors into
artificial intelligence. They're going to havethe experience far greater. It would be.
We think that, you know,we've been around for thirty forty years,
we've got great judgment, and Ithink we do. But what if
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there were one hundred thousand of usin one brain? Well, the learning
is just happening faster. I meanthat's really which time. Well, the
computer can learn the way faster weekendexactly. Yeah, And Scott, going
back to this pathology thing, telleverybody what you said at seven fifteen.
Remember how we used to send slidesto the Mayo Clinic, right, and
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it would take three weeks to getthe path back. I'm going to get
an opinion from M. D Andersonpathologist and we'd send it out. Yeah,
we send a slide. I needto do that anymore. I mean,
it's going to be the cumutive knowledgeof Mayo M. D. Anderson
ut seff. That means it's goingto all be in one entity that can
give you the answer in a second. Or what would happen in the OAR
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is they're doing surgery to remove,you know, some sort of tumor,
and they take a sample of itand send it to pathology, and everybody
has to wait in the r Youhave to wait while the patients you know,
on the table a sleep to getthe pathology back to see if you
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can keep on going. I wasout of the other specialty I was thinking
of that's going to be more difficult. Is that's psychiatry because very little of
it is objective. I don't know. I don't know enough about psychiatry to
say so think about this, thinkabout it, and it's going to exist
in ai computer entity. You know, because some people go to psychologists just
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because talking makes them feel better,and the human brain works in such a
way that talking to a human facethe somewhat of a therapeutic effect to that.
Can that ever be replaced by atwo dimensional screen you'd be talking to
a human oid face or do youactually need that human to create inter emotional
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healing? Or whatever. You knowthat interaction that that makes you know,
a lot of people who go toyou know, can the therapist just to
talk. Can they recreate the emotionalbond, involvement and bond that you would
have with AI be empathetic? Canyou create an empathy algorithm with well,
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baby steps, let's let's do babysteps. I think AI can play a
major role in medicine right now,Oh, no question it is. I
think AI can can can do thework of one hundred thousand doctors right now.
However, we're not close enough,at least not in the next generation,
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this generation or the next generation.We're not close enough to interact with
a robot and get a diagnosis anda prescription. I don't. I don't
know. Look, I don't.This is mind boggling. We don't want
I can tell you right now.We don't want to believe it. I
mean it's gonna You know, we'reprobably closer than we all want to,
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closer than we think, but we'renot there yet, are we. Okay,
so less than we want to admitto. Let's try a different field.
You know, we talked about thelanding on the Hudson thing. Yeah,
uh, and Scott's already mentioned that, you know, the Air Force
flies drones on a routine basis andwhatever can can But aren't wait, aren't
those drones actually manned by somebody inin a I don't know if they're manned
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or monitored, but I don't knowif they put the put the the the
computer program already into say we're gonnabomb this building in this city, and
then and then the person in thisin in Germany when they're bombing in the
Middle East is I don't know ifthey're actually manning it. I watching it.
I vaguely remember seeing somebody with ajoystick. So maybe they're flying the
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drone from Germany, but it's actuallyworking in Afghanistan. I don't know.
I don't know. I don't knowabout it. But but but the the
reason I brought that up is,are we at a point where we're going
to have pilot less American Airlines flights? Right? Well? I think ultimately,
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I don't know when. So,like you said, your story about
the pilot and the dog, yeah, I mean, because of liability,
is they're going to have to bea pilot sitting there, but he's not
allowed to touch anything. Yeah,you mean you're there just in case the
computer goes down. Yeah. Well, the conversation, which is kind of
came up my understanding the way thingsare right now. Well, the conversation
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came up is because you know,we're talking about Sully landed the plane on
the Hudson, right, you know, could a computer? Could an AI
make that call? Right, makethat judgment call and then execute it,
you know, the way he did. If it's happened in the history of
the world, then then the answeris yes, and the reasonable it's it's
possibility that it can learn to dothat. I think we can still freak
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out a computer if there's no experienceanywhere in the world and recorded history of
what the Hudson. Yeah, whatdo I do now? Because they go
through all the things and it's like, Nope, we're out of options.
We're gonna crash. So the questionbecomes, would you get in a pilotless
American Airlines flight? Look, I'mnot going to get in a driverless car
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now, well forget that, forgetthirty thousand feet in the air. But
here's the deal. What if thedata shows that it's safer. I mean,
did you see the AI cars inAustin they all got to one street
and all just bundled up with eachother and couldn't go anywhere. What,
Yeah, this happened like months ago, or the AI cars like started self
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driving cars or all in Austin.They were got to one street and they
all just their system malfunction and they'reall the AI cars were just stuck on
one street. Like. All thatmeans is that AI is not ready yet.
It's not ready. But the questionhere is will it ever be ready?
And if it is, are wegonna trust it? Yes? And
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yes wow. It depends on thecertain thing it's doing. It depends Like
for sports medicine surgery, I'm nottaking AI to do my surgeries. I'm
with you. I need a personwith true hands truphy who can speak to
me one on one and tell mewhat they're doing. And so again for
medicine. And this is the fascinatingpart. It all started with that Billy
Joel video, which again I goback to it. If you've not seen
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it, you got to watch it. But then there was this story about
the cardiology stethoscope out of Mayo Clinicthat they've been studying for the last year
and a half that they literally justtouched your chest and it gives us data.
That phenomenal stuff. And then thequestion was at seven in the morning,
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how does ai I fit into oursports medicine orthopedic world. I still
think. I still think for eventcoverage for NFL games, basketball games and
whatever, you got to have ahuman. But perhaps a human is going
to be entrusted with a stethoscope,just like the cardiology one, and you
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put the stethoscope on the knee andit'll tell you whether it acls torn or
not. Well, Scott, youhit on something that's key. Can you
replace the emotional interaction, the emotionalengagement in what happens with a human a
human interaction and not even just dealingwith psychiatry. I'm just talking that patient
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sitting in front of you talking aboutsurgery. Scott. You have the ability,
based on your experience, based onyou've seen this over and over again,
have the confidence to sit in frontof him that says, you know
what, I've got some peace ofmind because well, and it's that whole,
it's that whole, uh, MalcolmGladwell blink thing. Yeah. A
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patient can read your expression if you'reconfident about something, and if you're not
that some patients can read. Hedoesn't. Didn't look very confident about that
diagnosis in his treatment recommendtion or asopposed to you know, it's being able
to read the wrinkle, the thousandand ten thousand muscles on your face,
the whole it's it's the stuff thatyou can't. Yeah, well I cut
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your finger on but you're like,yeah, I'm in the right place.
I'm gonna I'm believe in the rightguy. It's an energy. It's something
that gets transferred that you can't really. I want to go. I want
to go to Mike on the phone. Mike from Dallas. Good morning,
you're on inside Sports Medicine. What'sup, doc? How are you good?
Good? What are you thinking?YICKI Jones? Your mentor? Of
course I know Dickie Jones. Weall know dick you Jones. What's up?
(28:56):
Yes? We do? How isthis? How how are you going
to go? Form AI to DickyJones. Two are the same, non
emotional, Uh yeah, stoic,yeah, robot to point. Some people
love them, some people don't.I didn't care for him. I want
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more information. I know where you'regoing with this. I know where you're
going with this. Yeah, yeah, yeah, con yeah, okay,
so talking about a CEO recovery,me getting ce sick on the CPM machine,
Yeah with me with a I knowwhat to do. Yeah. Look,
look I don't I don't think it'sthere now, and I'm not sure
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it'll be there in our lifetime.But you know, Scott, Scott thinks
that it's going to be there andat some point in the next few generations.
And I can't disagree with that becauseif if again, if if,
if you're using the pathologists looking ata slide and the radiologists looking at an
MRI, if you feed enough normalsinto the database, and if you've got
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a hundred million, and by theway, that's probably a small number.
Yes, I'm underest Yeah, ifyou've got at one hundred billion normal chest
X rays, it's gonna have tobe better than me. Definite. An
individual still have to input on that. I don't know how. I don't
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know how that works. I don'tknow how that works. All right,
we got to go and break Mike. Thank you, expert in AI.
As a guest, that would bean interesting to talk like these guys.
Yeah, I know, amateurs.Let's uh contact someone from what was a
chat GPT and get them as againstOh, I know someone who'd be able
(30:48):
to who's a physician who's an expertin this area. But let's do it.
Yeah, all right, we're goingto get back to real medicine when
we come back after this break.Wait, is this the time for a
break or not? You're four minutesearly. I'm four minutes early. Good.
Can I talk about my newest mynewest medical commercial, medical oid commercial,
(31:11):
pet peeve. I've moved on fromBalance of Nature. Brad does not
know where. Brad does not knowwhere I'm going with this. I don't
know you yesterday, Scott's been waitingfor this. I have moved. I
have moved on. I'm no longergoing to make fun of Balance of Nature,
even though they're low hanging fruit hahaha. Have you seen the commercials
(31:37):
for these seventy two hour I guessthey're like body rub, the odor that
eliminates body odor, loomy Yeah,yeah, yeah, was discovered by a
woman's a gynecologist, right, SoI don't know if that's the actress that
does the commercials, but it's ait's a middle age yeah, well,
(32:00):
and not someone you would typically thinkdoing commercials. We it, but she's
wondered that invented it. So I'mI know, but I've seen a commercial
and I would still hire someone betterlooking to do the commercial. Flag flag.
Wait, we are now off theair. But my point about the
commercial is, and I think wesay can we say this? We can
(32:22):
we say can we say butt crackon the you just did? Go ahead?
So they talk about on the commercialthis is this is uh you use
it on your feet, your pitsand your butt crack or they say private
parts also, And I'm watching thiscommercials say, are we really like doing
commercials for it's a deodorant. Ibought it, I bought into it.
(32:46):
I've seen the commercial one thousand timesand I thought, wow, this looks
pretty cool. Okay, so thisis the way Okay, so this is
the way my brain works. Ohmy god, we are gonna we're gonna
be taking off the air. Sotalking about human interaction and relationship for me,
have you you remember the concept ofpheromones? Of course, if this
(33:07):
product eliminates pheromones, it could bedetrimental to the human race. Yes,
yes, so human race blues funk. Now, Well, what are we
talking about? What they're talking aboutodor, but not all odor is bad.
So I'm gonna let you guys finish. I will be back next week.
Rate. I think that when Isaw this commercial, I just I
(33:30):
just said, what have we?What have we sunk down to? Of
doing you really analyze this? Becauseit will? I analyzed it like the
other one that Karen and I agreedupon. Also the other commercial. Oh
I know, yeah, yeah,yeah, yeah, But that's their demo
though, that's their Their demo isnot you know, five foot nine models.
Their demo are people who are overweight. So that's why the commercial looks
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like that. That's that's the Ohnow we're talking about the dancing type two
diabetes? Is that commercial? Yes, dude, we have sunk to new
lads. We have got to goall right? So I guess you're using
Gloomy now or is it just forwomen? Is Luey just for women?
(34:13):
It was invented by a gynecologist,So I don't know that how it's relevant
to me to get rid of likefor seventy two hours, we got to
go the risk of loomy is wegot to go the halt of the pheromone.
I think it's gonna just another pathto destroying the human race. The
birth rate's going to go down.You've got you've got to take us out
(34:35):
of here. We're out, We'llbe back. I think I don't know.
I must admit I've never heard thisscreen either. I was thinking that
(34:59):
this is you see Curtain's cilier water. Yes, sir, Woby doobie Wow.
Okay, So after our next break, come back with the CCR song
from Remember the Titans. Okay,I can do that. Best sports movie
of all time? I agree,I don't remember what CCR song is it.
I can't wait to Run through theJungle or so, I can't remember
(35:20):
the band up a round the band? Yeah, run through the Jungles good
one, though, Yeah, wedidn't we already play that. I think
we did play that, but wehaven't played that. We haven't played the
We don't play Run through the Jungleyet. Oh, looking out my back
door, there's another one. Welcomeback to Inside Sports Medicine. T O
Sorreal, Brad Billard, Scott Bloomenthal, the docs are in the house.
Garrett's on the other side of theglass. We're having fun. I don't
(35:47):
know, it's been a lively morning. I don't know if you guys are
having fun, but we're having fun. Well, you know, odor is
sports part of sports medicine, sothere is sports medicine relevance. Have you
been to the locker room? Yeah, that's why it smells like a career.
So switching gears but still keeping itin the sports medicine world. I
(36:09):
was telling I don't know. Somebodyasked me to go to the MAVs game,
and I said, I've covered onethousand NBA games. I don't really
want to go to another NBA game. And then we got talking about the
All Star Game, which I didnot watch, but I saw that I
(36:29):
did not watch either. I sawthe final score. I saw the final
score two hundred and eleven tow onehundred and eighty six. And obviously it's
been all over those sports networks howthis it was unwatchable. Nobody played defense
in the arguments that I heard usbecause nobody wants to get hurt in an
(36:51):
All Star game. I get that. I absolutely get that. Yeah,
but you can make it a bitmore competitive. Yeah. Do you remember
during COVID when they they showed thelast dance, the Michael Jordan thing,
the documentary, Yeah, Okay.Do you remember when Michael Jordan was I
(37:12):
think there was one episode when MichaelJordan was in LA to film the Jam
Space Jam movie. Okay, andhe asked Warner Brothers to build him a
court so that he could stay inshape. And it became a thing where
(37:36):
he invited a lot of the NBAguys in LA to pickup games, absolute
epic pickup games. And in fact, it was extraordinarily competitive. They weren't
thinking about getting hurt. Yeah,because they also play in basketball. Well,
the mindset back then is the competitiveathlete. Now it's my brand.
(38:00):
Yeah. Yeah. Well, andthe money's money. It's a lot of
that's it. The money has gottenhuge, So think about it, like
back thirty years ago. I rememberwhat they used to pay the players for
the All Star Game, but thewinners would get a little bit more,
and it was you know, Iwant ten grand instead of five grand.
Yep, So you know, therewas a little bit different, but there
(38:22):
was a pride. It's a pridecomponent, and you know, and you
know now you can't pay them enoughto make a difference in their lives because
they already well, at least theones that go to All Star Games Anyway,
look what it's the evolution of thegame, because like you said,
it's about the brand, well,and it's a it's a it's about you
know, protecting your brand, protectingwho you are when you play out there.
(38:43):
So I understand. I'm not sayingI agree, but I understand where
the guys are coming from. Yeah, I think, and I do too,
but and I have to let's justbroaden our view just a little bit.
So it's not just the NBA AllStar Game. The Pro Bowl has
gone away because you don't want tobe tackling somebody else and break an ankle
or tear an ACL or whatever.And now it's gone into college and you've
(39:07):
got a lot of guys opting outof bowl game unless it's a yeah,
if it's a meaningless bowl game.I get all that. So you're absolute
right me, Like you can doa hockey game without checking, which is
basically the hockey the NHA All StarGame they play, but they don't check.
Yeah, you can't do football withoutbody content, I get. And
(39:29):
they essentially what they're doing now isplaying a basketball game without playing defense,
without contact, without the potential forcontact, and it's turned into this unwatchable
thing. Yeah, so that sothat current iteration does not work for me
or does not work for the majorityof American viewers. Well, that was
unwatchable. I'm you know, I'maddicted to sports talk radio. So that's
(39:52):
all I listened to in the carduring the week, and that was that
was the discussion on sports talk radio. You know, the national people who
aren't as good as us, bythe way, but my second, third
or fourth favorite show, with thisone being number one. Well but yeah,
that was the talk. And theywere given Lebron a hard time because
he played the first eight minutes andthen didn't play the rest of the game
(40:14):
because he was quote unquote dinged.But you know, so here's my questions,
because the thing that I actually didhappen to watch was the Celebrity All
Star Game. And I'm watching thisgame and Micah Parsons, who won beast.
He's a monster, but he hewon MVP of the game. And
if you watch this guy, Imean, he was going all all in
(40:37):
on some of these I mean likespin move up with the left hand several
times when he fell down, lookslike he could have potentially bed like,
you know, came down on someone'sankle or something like that. First thing
I was asking is is there medicalcoverage for the celebrity All Star Game?
By the way, remember we didit, Yeah, we did it when
the NBA game was When the AllStar Game was in Dallas, we covered
the celebrity game, and I wasscared to death. I can tell you
(40:58):
right now. Micah went harder thanthe guys who played pro ball in their
own All Star Game, Like MicahParsons was going off and then so was
CJ. Stroud. But I'm lookingat these guys, I'm like, this
is in even your sport, andyou're playing to the point that you could
get injured. I'm curious. Isthere anything can within a contract if you
get hurt in a celebrity game?Like there is? There is? Yep,
(41:22):
absolutely, Because I'm thinking about thoseathletes. They're premier athletes for NFL.
Why would you why would you riskgoing to play basketball and potentially tearing
an achilles, spraining an ankle.So they're in aco. There's a clause
in NBA contracts because back in myday, I used to read their contracts
because I wanted to be familiar withwhat was happening that they can't ride motorcycles,
(41:47):
they can't jump out of airplanes,they can't scuba dive, that sort
of thing, and so I suspectthat there's something in there. I vaguely
remember seeing something like this and NFLcontract like you can't play a pickup basketball
really because you can tear your ACLor something like that. And look,
they may have taken that language out. I don't know, and I'm not
(42:08):
really sure how you can keep somebodyfrom playing a pickup game in the backyard,
you know, I don't know,but but but taking it to this
extreme two hundred and eleven points ina regulation game, yeah, silly,
it is. It is, AndI don't know how you make how do
you fix that? I mean youcan't. I mean, look at Luca,
(42:30):
Luca and your cage, the okage. They didn't want to play.
You could tell they were just havinglike lallagagging around and stuff. And even
last year when Luca played in anAll Star game, he only wanted to
play five minutes, get his twopoints, get a rebound, get one
assist, and sit on the benchthe rest of the time. Because it
takes away from their actual break.From superstar players who need the break more,
(42:51):
while your other while your teammates exactlywho aren't really big superstars, they're
all gone to Cabo. Yeah,he Luca was in Cabo for a full
day and the half of another day. He says, two days, but
they had to be back from practiceby Monday or Tuesday. He didn't have
time to be in Cabbo that longlike his teammates. I didn't watch it.
I saw clips of it. Itwas not a good game. So
(43:13):
are we saying that the only thingthat has changed from the Michael Jordan Kobe
era to now is the money orthe social media or the brand orge,
But it's also the it's also theathlete slash brand managers. Because we've talked
(43:35):
about this before. There was nosuch thing as load management back twenty years
ago. I mean, oh no, you played all eighty two days.
If you were hurt, you didn'tplay. If you weren't hurt, you
played, you played. I meanit was pretty clear cut. But again,
in making sure you protect the athlete, and I mean they they look
at their time and their minutes assomething that's valuable. It's entertainment. But
(44:00):
I'll tell you, you know,you're talking about the the the other events
of All Star weekend, the threepoint contest between the w NBA player and
Steph Curry. That was it wasabout it. That was the best event
this week, that weekend, thatwas the best event. And she made
enough three pointers that she would havebeen competitive in the regular game. She
(44:22):
tied the actual winner of the threepoint she would have been in the finals.
And she was shooting from the samethe same three points the w NBA
ball. The only thing different wasthe ball. And I saw something about
like a couple of weeks ago orlast week after the All Star Game,
that a thing time Kobe saying theAll Star Game isn't as good anymore because
(44:44):
you can just go to u cL a pickup game and play the best
basketball pickup game you of your liveversus playing in the All Star Game where
you don't really play as hard,you don't play tough, you just don't
try. You just make some funshot. I go back, I go
back to the Last Dance, which, by the way, I love that
(45:05):
thing. I couldn't watch it overand over and over again. The practices
for the Dream Team, dude,dude, talk about intense. Yeah,
yeah. The practices for the DreamTeam were more competitive than any game they
ever played, any Olympics. Well, I love the story where they had
the young guys, where they playedthe young guys and it got beat I
think it was I think maybe ChrisWeber. I can't forget who they played,
(45:30):
but they lost. Yeah, itwas a college It was a wake
up call, is what they said. Yeah, and then then they got
the you know, they got thebutt and gear. But that was that
was really cool to watch. Anotherone, by the way, documentary The
Redeemed Team. Have you guys seenthat one? No, Oh, my
goodness, Garrett, have you seenthat one? The redeem Team is the
one where you know, it waslike the Redemptive team that went to go
get the goal back is with kobehIt was with Kobe Lebron Lebron, Mellow
(45:54):
d Wade and they and they wentcaptured the goal for the first time in
a long time. And wasn't thatthe one where Kobe like, yes,
ram straight, He's He's like,I'm gonna Paul Gasol And he told the
whole team, I'm first time Iget on the court and do it,
I'm running right into him. Teammates, Oh yeah, nomates at the time
and so he told him, He'slike, listen, I'm running through pow
(46:16):
And everybody was like, okay,yeah, all right, whatever, I'm
talking first play I mean destroys power, I mean on the floor, and
they were all like, oh mygosh, Like Kobe serious, this is
this dude, teammate. Are wesounding like a bunch of old men?
Get off my lawn because this isoff that old, that old competitive NBA.
(46:37):
Yeah, in my mind, isbetter than what we've got. Now.
That's what team. Yeah, theredeemed team. Yeah, watch it.
No, Nowadays it's all about likecan I get Can I get two
hundred and fifty million dollars? CanI Can I have the most viewers on
my social media? Can I getthe most lighter? Can I still put
up ten points, five rebounds,three assists a game and still get paid
(47:00):
the big box? Like it's justnot as good and they're not playing as
competitive as they used to back inthe day. Inside Sports Medicine, TiO,
Sorry, I'll hear Brad Ballard ScottBloomenthal two one four seven eight seven,
nineteen seventy one. We'll take yourthoughts on a little bit. Two
one four seven eight seven nineteen seventyone. It's also a text number,
(47:20):
so if you want to text ushow far away you're listening from, we'd
be very glad to mention that onthe air. All right, coming right
back, seven away, I'm away, comb away. They need to go.
(47:55):
So even if you've never heard ofBritain's clear Water Revival, you've heard
this song around. I started overthose first few licks, started over.
Remember the Titans. Yeah? Tome, that's the that I mean,
(48:16):
it's, in my opinion, that'sthe best sports movie. Now. I
had an argument with a patient ofmine because he was like, are you
crazy? Doc? I agree withyou one hundred percent. I think it
was one of the like he's like, have you seen Rudy? Have you
seen Hoosiers? And I was like, yeah, but I mean yeah,
still not And I love Rudy.I've seen Rudy a million times. But
I think remember the Titans and perfectlydone, perfectly. I'm a plan already.
(48:40):
I'm already biased because I'm a Denzelguy. But did you not like
it? Scott? I don't eventhink I ever saw it? Oh what?
Oh? Where's the flag? Okay? I deserve a flag? We
need a movie, class movie.You remember the Titans. He gave you
the Little John What now I knowit was on the other night. It's
on the other night. This iswhat I tell you. This is what
(49:02):
I tell night. This is whatI tell my kids about the definition of
a classic. If they're playing itthirty years down the road, whether it's
a song or a movie, it'sa classic. Hold on, I got
I gotta read this text. Whatsays two thousand years from now, another
race of humans will use AI todetermine our civilization was driven to extinction by
(49:25):
removal of butt crack. Scott,Thank you, sir. Okay, you
heard it here. First. Imaginesomeone just tuning in. You've heard that.
Someone just tuning in is thinking whatwe listen to? Yeah, thank
you Scott for bringing up that andthat that curse. That commercial is just
the beginning of the end of civilism. As my as my only appearance of
(49:52):
the month, I'm glad I couldcontribute to Oh you've done, you predict
the end of humanity in the show? You heard it her? First?
Are we going to talk about anythingmedical? I guess we have been out.
It's been medical. Yeah, sowe've got the last segment. You
realize I have not introduced a singleone of my sponsors. Okay, didn't
(50:14):
talk about the Center for Disc Replacement, didn't talk about Backendorf Jewelers since nineteen
forty eight, didn't talk about JaguarLandrover of Dallas, did not talk about
Texas Sports Medicine and Performance Center.So I'm doing it all right now where
you're so that people understand that weare very, very happy to have this
kind of backing. I guess we'renot going to get never mind. Okay,
(50:43):
Scott, don't listen, No,don't go there. Don't just go
ahead and run the red light.Dude, Let's just go what are you
talking about over there? No?All right, So I'm gonna tell I'm
gonna go back and tell a story. You know what. Let's go to
Genoble, Hey, Genovl, what'sup? Good morning? All right?
You got thirty seconds to ask thequestion. Thirty seconds. Thirty seconds.
(51:06):
You're not talking about feet. Noneof this athletic stuff will be possible without
talking about feet. Number one.It's not a very glamorous subject. But
we all you can't do anything.But you walked in there, didn't you.
Oh geez, yeah, I did? Yep are you walking out,
Yeah, taking your wife's breakfast.All of you guys today. You know,
(51:28):
there's an entire specialty called pedietry,which is about the feet. There's
an entire section of orthopedics called footand ankle. You're right, You're absolutely
right. It's not very glamorous.But I will tell you sprain ankle is
the number one injury in sports thatI see, obviously because because of basketball.
(51:49):
Yeah, it's it's but it's justit's just not as glamorous as other
things to talk about. And Ithink I'm gonna tie all this together.
I think part of it may haveto do with the odor. Rub some
moom rub some mooey on those feetsto noble and let us know how it
goes next week. Yeah, wellquick question. Sure, I need you
(52:10):
to start addressing these these parents andthese journalists and these fans for being out
of control. I want to know, you guys are sports figures. How
do you feel about that? Butwhat but the parents being out of control?
Well, we've talked, we've talkedabout this for decades. The other
day when the fan called, youknow, uh, what's the name B
(52:31):
word? And walking on the court, how do you guys feel about that,
and I'll let you go. Weneed to do a segment on feet.
Well, yeah, maybe I learnedit. Anatomy the feet actually helps
stabilizes the body. Absolutely absolutely.We talked like two or three degrees of
(52:52):
abnormal mechanics in your feet is goingto hurt your hips. So yeah,
we know this stuff. Just we'llcome back and do the whole show on
it. I forgot your glamorous I'msorry. You know, remind me not
to take his call next time.Seriously, though, you know, I
think the fans acting badly parallels athletesacting badly. There have been last night,
(53:17):
there are two fights in the NBA, you know. Uh. Genoble
talked about the incident at the AACenter on Thursday when a fan, you
know, front row kind of fan, uh said a disparaging thing to to
KD and KD not intelligently engaged fan. But be that as it may.
(53:38):
Is this new, this has beengoing on the whole run or test,
Yeah, I mean they did adocumentary on it, Malice in the Palace,
Malice in the Palace. Yeah,but it seems to be there seems
to be a lot of kind ofmore unrest lately. Well, look,
we can expand this discussion and talkabout society in general, and I don't
(53:59):
want to go there because later areyou still on is we need to hang
up Gernobyl talk to you later.Thank you for your call. Yeah,
no, this is this is there'sbeen with social media and stuff. Look,
I'm not an expert. I can'treally talk about it, but I
(54:21):
don't I think the fans being unrulyhas been around for a long time.
Yeah, I mean it's out ofcontrol. I mean, I don't.
You know. What's interesting though,interesting the juxtaposition and Scott brought this up.
But now I'm going to tie thetwo things, the two stories together.
Earlier we were talking about the NBAAll Star Game being unwatchable because everybody
(54:44):
was basically not playing defense. Andthen last night in the Pelicans I don't
know who the Pelicans were playing,Yeah, Pelicans heat game. There was
intensity and pushing and shoving and playersgot ejected and that sort of thing.
It's because the refs were learning themactually play. And then we circulated,
(55:06):
we circulated, I circulated a filma highlight, a Larry Bird highlight from
when he was basically tackled by BillLambier second to day. So it's not
that the NBA lacks the intensity.They those guys want to win and they
want to stick up for their fellowplayers, and that they want to win,
and there's intensity, and it's muchmore evident in the playoffs. Uh
(55:30):
you see, you see it,I'll ratchet up a little bit. And
what what we learned from the AllStar Game is they're not going to show
that intensity if it doesn't mean anything, and it may not mean anything because
of the position of the standings,or it may not mean anything in terms
of money. And so I thinkwhen the games mean something, you see
(55:53):
the intensity and it is far moreentertaining. Not that I'm suggesting that people
have fights, right, but there'swhy people go to hockey games. They
love the fights. Yeah, everybut some people go to hockey games because
they like to see the skirmishes.Yeah, I mean I will watch NBA
(56:13):
playoffs. Yeah. Actually it's awhole different game. Yeah. Well again,
Yeah, I'm not if if there'sa fight on the court, because
guys are fighting to win and there'sa level of competition or rivalry, I
don't want people to fight, butto me, that shows that they have
some level of passion and we're hereto win. Yeah. I can appreciate
(56:37):
that. And I don't, likeyou said, I don't want them fighting
all the time. But what they'resaying is this is something to fight for.
Isn't that why we watch sports?Yeah? To me, that's why
we tend it. And that's whywe don't watch the All Star Game because
there's no level of competition, there'snothing to fight for. Yeah, me
agreed. So, but I thoughtthe juxtaposition where on Sunday we were watching
(57:00):
something that was completely irrelevant and thenhere we are on Friday and there were
you know, altercations, Yeah,right, right, in the same week,
same week, the same people,probably same type of game or you
know, basketball. So I heardthere was some intensity in the Texas Sports
Medicine clinic this week. I'm tryingto remember what you're talking about. What
(57:22):
did I tell you? I can'tremember telling me the between between doctor and
patient intensity sometimes sometimes, Yeah,I kind of lost my cool a little
bit with a in a certain situation. I don't even know if I should
go there. Oh wow, Yeah, So okay, So the brief the
(57:50):
brief version is it was a secondopinion and and the first procedure by the
first phosician didn't go very well,and that happens. That happens. We
get we all have bad results,so that happens. But you know,
one of the complaints that the patienthad was, you know, the doctor
(58:14):
didn't spend any time with me.You know, I spent more time talking
to the PA than I talked tothe doctor. He was in the room
for two minutes, blah blah blah. And he's a year out from his
ACL and a meniscus procedure, andhis knee still swells. So he asked
for an MRI, and the doctorsaid, no, we don't need an
MRI. It's not going to giveme any more information than I already know.
(58:36):
And so at that point he decidedto go get a second opinion.
Came to me and I said,you know what, if your niece swelling
a year out, you need anMRI. If you were a pro athlete,
you would have already had three MRIs. So yeah, I got an
MRI. So I got an MRIand it was positive. The meniscus repair
did not take. So his meniscuswas torn and now it's torn, far
(58:57):
worse than it was before. Andand I you know, I said,
my opinion is at this stage youprobably need more intervention. Well, I
was in the room for over thirtyminutes. I spent more time with the
patient on that one visit than theprevious physician spent collectively in a year and
(59:22):
a half. And the more Iexplained and the more I elaborated, the
more questions he had. And Igot a little short because I didn't see
an end to the conversation. Idid not There was not enough amount of
(59:45):
time that I could spend with thisgentleman to get all his year and a
half's worth of questions answered. Andso I regret that I got a little
short. I mean, I thinkthe inflection of my voice changed, and
when I get upset, my lipquiver. So my lip was quivering.
(01:00:05):
It's so funny you say that,because yes, this is true. The
lip quiver is a real thing.It is for me. But the situation,
and I've been in this situation before, you know, they've got a
lot of pent up. I've gota million questions why did he not do
this? Why did he not dothat? And I was thinking, there's
not enough hours for me to correcta year and a half. It's worth
(01:00:30):
of misinformation, of misinformation and timeand you know personal, you know pain
all that. It's tough because whenthey're asking you to go, Let're asking
why did he do that? Idon't like I've been in that circumstance.
And what I kind of say is, look, I wasn't there. I
(01:00:52):
can just tell you what I'm seeingnow and what I recommend from. And
that's what I said. And Isaid, I'm not going to go back
there. Why didn't he get anMRI. I don't know why he wouldn't
get an MRI. I and andand I've always I've always rejected I trained
under one specialist who is pretty famous, good reputation, but he had a
(01:01:17):
different treatment protocol for pro athletes thanhe did for regular athletes. And I've
always disagreed with that. I've alwaysthought, you know what, this is
the gold standard. I'm an offerto Johnny and Tommy and and Maddie and
we'll talk it over with the familyand we'll pick pick up and all other
(01:01:38):
names that end. And why Eddie, go ahead, keep going, that's
what you took from that. Keepgoing, keep going, that's going the
railer. I was just wondering whyOkay, No, The point is I
didn't. I don't believe in atwo tiered system where for a pro you
do this and for a recreational youdo that. You just this is the
(01:01:59):
procedure of this is the gold standard. Let's just see which one fits you
best. Well. So, whatthis particular second opinion was telling me is
that he felt that the physician hada certain level of treatment for a pro
(01:02:19):
then for him. And he said, I bet if I was a pro
athlete, he would have got anMRI. Absolutely, if you were,
Hell, if you're a recreational athlete, you would have should have gotten an
MRI. I got an MRI anda miniscus was torn. And then it's
so again on the medical side.Whenever we do a meniscus repair, and
when we talk about meniscus repair meanswe put stitches in it, they don't
(01:02:44):
all heal. So in the backof my mind every patient that I have
done a miniscal repair on, I'malways wondering that heal or not. And
so if you're having problems a yearout, you gotta look and see if
that repair he or not. Andthe only way to do that is to
get an MRI. So I'm scratchingmy head, is why he didn't do
(01:03:04):
that? And and and yeah,if he was a pro athlete, I
guarantee you he would have had fiveof them. And so yeah, I
think the gist of this story wasnot meniscal repair. Not meniscal repair.
The gist of the story is thatI did kind of get short because there
was no way that I was goingto spend that. There was not amount
of time that was going to satisfyI was going to resolve his exactly his
(01:03:28):
issues that he had going home there. Yeah, I'd attending that kind of
You could tell when he was donetalking and he I've only done this once
in my career. And again,the similar circumstance where it's like this is
going nowhere is we would we wouldbe in the clinic together and at some
point when he had enough, hewould stand up, put his hand out
(01:03:52):
to shake hands and go buy turnon a walk out. That's pretty clear
in the middle of the conversation whenhe'd have enough. It's not like after
thirty seconds we been in the roomenough, but at some point it was
when it was time to go.It was time I have to tell you.
I don't I don't have that.I never know when to leave,
right, Well, if they havequestions, I'm gonna If it's a situation
(01:04:15):
like that where you're in the roomfor a long time, you're you're trying
to get to the point. Youknow, you've got other patients waiting right
ext, you're trying to respect theperson in front of you that's talking,
and you know, I'm looking forthat time to kind of jump in and
say okay, yeah, well,you know we're probably gonna have to finish
this on another bit or like,you know, think about it next visit.
(01:04:39):
But I'm trying to figure out whereto go in instead of just standing
up and say I'm out. That'sone way to do it, I guess.
And look, it wasn't I feltI felt bad for the guy.
It wasn't like he was a badguy. He had a lot of questions
and they went unanswered for a yearand a half. I get it.
Look, I get it. Iget it too. I get it too.
(01:05:00):
But there's got to be a timelimit, right anyway? All right,
enough of that. Hmm, doyou think we're going to replay this
show or not? Absolutely? Absolutely? I need I need, I need
the timestamp for when we were talkingabout the deodorant please oh yeah, yeah,
(01:05:21):
yeah, yeah, we're getting backto that, huh yeah. So
part of the reason they won't wantto sponsor the show, though, part
of the reason that rants is hereis that we are going to reinvent the
podcast portion. So right now,the podcast of Inside Sports Medicine is basically
a recording of the show without thead. Well, we've talked about putting
(01:05:45):
together a podcast now for several years, several years, and we talked about
it before we left ESPN. Wetalked about it when we were at the
ticket and now we're going to bevisited again. Most people just want to
listen while they're on the treadmill,or they want to listen when they are
(01:06:10):
out walking their dog. But thereare some people that want to watch.
So my guess is we're going tohave some kind of a visual audio where
you can listen and watch at anytime you want to. Right now,
you can. You can go toiHeartMedia app. You can listen to our
(01:06:30):
show anytime you want to. AfterSaturday yesterday most likely be uploaded later today
or tomorrow morning, yep, Soyou can kind of listen to it on
demand or if you're out of town, you can listen to it on the
iHeartRadio app. All right on behalfof all of us here on Inside sports
Medicine. Thank you for all oursponsors. Come see us at Texas Sports
(01:06:55):
Medicine or Center for Disc Replacement untilnext week. Tell your friends Sti