Dr.TO 877

Last Show on 97.1 The Freak, we really hope you have enjoyed and learned alot. On this final episode the hot topics were about the NFL Draft, NBA/NHL Playoff talk, Sports Medicine 101, and Dr.Meyer calls in to the show. 

Episode Transcript

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

(00:21):
it all down. Buckle up yourchin strap and tighten your laces for the
most informative ninety minutes in sports medicine. It's kickoff. Come for Inside Sports
Medicine with Doctor t O. Sorrialon ninety seven to one. Was a
freak back oside game. No knowwhat I'm talking about long ago to the

(00:56):
ray. I got a lot ofnice guys. Well you might as well
get used to it. Good Saturdaymorning, everyone, and welcome to Inside
Sports Medicine. I'm your host,Doctor t O. Sorry Al live in

(01:17):
the studio on this episode eight hundredand seventy seven. Yeah, this is
an unusual Saturday morning for ninety sevenone The Freak and Inside Sports Medicine.
Thank you all for joining us.This is your sports Medicine Current Events show

(01:41):
where the topics are ripped right offof the sports desk. Over the next
ninety minutes, we're gonna say whatwe want. Joining me live in the
studio, Doctor Brad Bellard, DoctorRyan Blaylock, Daniel Hunter, our interns
on the other side of the glass. We do have a lot to get

(02:01):
to. At the bottom of thenext hour eight thirty, doctor Kareem Mayer
is going to be joining us totalk about the NFL Draft. Of those
of you who have been listening tothe show from for a long time,
know that he was a regular forabout five years until he got called up
to the big leagues to be theNew York New Orleans Saints doctor. And

(02:25):
we're all very proud of that.Anyway, I want to get his thoughts
on what it is, what hisjob entails right now during the NFL Draft.
We are in the middle of theNBA playoffs, We're in the middle
of the NHL playoffs. Sports medicinecould not be any more relevant than it

(02:46):
is right now. Kawhi Leonard ismaybe thirty percent at best. I don't
know what's going on with his knee, but nine points last night is just
not going to cut it. You'vegot Giannis who's out. Oh he's still
out. Yep, You've got Look, there's Lillard. Is Lillard is saying

(03:08):
that an achilles injury is bothering himor is still bothering him. No,
Liard Lillard. I saw the Isaw the replay this morning. He has
a deltoid's ankle spring. Oh okay, so it was on the ticker,
it was in It was his achilles. That's not what the video looked like.
So today we're going to be pullingback the curtain a little bit more

(03:30):
than normal. We have we haveall kinds of good stuff to talk about
today, so I want to startoff with good stuff. For the maps,
they looked very dominant last night.I think Luca is an absolute star.

(03:55):
I think he's a Hall of Famer, And it's really kind of mind
boggling that he's only what twenty fourto twenty five he is twenty five now,
because I'm only a couple months youngerthan him. That is mind boggling.
How far he's come and how muchmore potential he has. Let's just

(04:16):
hope he continues to stay healthy.I've always thought that Kyrie was one of
the top players in the league.Back in the day when Lebron and Cleveland
won, oh yeah the championship.Yeah, I thought Kyrie was the best
person on that team. Kyrie cango. I mean he can flat out

(04:39):
go, cold blooded. Took theshot when you needed to take the shot
for sure, whereas back in theday, Lebron kind of passed up on
the shot. Yeah. Yeah,So you know, put Luke and Kyrie
together and now they have a grouparound them that is very complimentary. Yeah,
what's wrong with Hardaway? I sawhim in street closure esterday. I

(05:00):
think it's something with his lower kneeor leg. I'm not too sure,
but I mean Hardaway has even inGame one, Hardaway wasn't doing anything for
the MAVs. Really. I thinkat the end of the season they're going
to trade him. He's not worthit right now. He's inconsistent. He'll
have his Everyone has their good days, everyone has their bad days. But

(05:21):
Hardaway's having more bad days than gooddays. I don't know the true insight,
but if you listen to Mark Steinlater, he might be able to
tell us all the truth. Youknow. It's funny. I took care
of Hardaway when he was six yearsold because his dad played for the MAVs.
Oh Tim played for the MAVs towardthe end of his career. Yep,

(05:43):
yep, yep, yep. Andso I think he broke his wrist
or something and I saw him forit. Yeah, so it's good to
see the MAVs going. I thinkwhat's going to happen with the Clippers is
going to be all based on whathappens with Kawhi Leonards knee Okay, I
figured Tim Hardaway right, ankle springokay, all right? So yeah,

(06:04):
so what happens with the MAVs andthe Clippers is is going to be solely
dependent on Kawhi and solely dependent ontheir doctors. And I'm going to say
this, I've never been impressed withthe Clippers docs. I think town.
Maybe they're listening right now, Clippers. Yeah, yeah, all Clipper fans

(06:26):
are in town. They're probably hidingright now because of how bad they lost
us yea the night before. Youknow what, I Clippers medical staff they're
weak. I'm just gonna say it. They're weak. I see second opinions
out let it all out. No, no, no, no, I've
said it on the show before.Yeah, I think we have mentioned that
I see second opinions, and Isee more second opinions from the Clippers than

(06:49):
any other teams, and some ofthe some of the I don't know.
I mean, who's the owner.He's got more money than God, but
he's got average doctors. Yeah,I know you're talking about and he's about
to make a billion dollars. Yeah, yeah, yeah, that's it.
I think he's got a d Dor something, but he's got plenty of

(07:09):
eighty h D. Yeah. Mansits on the court side and it's just
going crazy the entire game. Yeah. But then, but then you know,
you've got this franchise that's worth billionsof dollars. Yeah, and you
you you got just average docs.As long as long as you know,
and I'm sure we could even talkabout this with doctor Mayer when he comes

(07:32):
on. As long as any team, any professional team, treats their medical
staff like a commodity, they willbe, as you mentioned, average average,
because a good medical staff will swingcould swing you into the playoffs,
and could swing you into a championship. I've often said that a good medical

(07:53):
staff represents ten win column, meaningthat could be the difference between the playoffs.
It's different than seating, you know, particularly like how tight the West
is right now. Look during thepreseason, yeah, any doctor can do
it because the easy answer is nowyou better sit out. Yeah, I
rolled your ankle. Yeah, let'sjust wait until it heals. Preseason.

(08:18):
Yeah, during the postseason, that'swhere you earn your money. Yeah,
and it's I don't know, Idon't know. Look, I give Mark
Cuban tremendous credit because he recognized that, but there are a lot that don't.

(08:39):
Well. I served on a committeeback when I was with the NBA
qualifications for team doctors because when theOrlando Magic were coming around, they basically
put out their medical coverage on aproposal as an expansion into when they were

(09:00):
an expansion team, and they wereso they they they said, all right,
who's the highest bidder that's going tobe our medical staff and it was,
uh, it was a chiropractic group, and the rest of the league
kind of pitched a fit because inthe NBA, the doctors don't travel until

(09:26):
playoffs, so the home doctor takescare of your players. So if my
players were in Orlando, my topplayer may go down and be evaluated by
someone that we thought was not qualifiedwell, certainly not consistent with the rest
of the league and not consistent withthe rest of the league. So the
there was there was a loud cryfrom a lot of the teams, and

(09:48):
the NBA put together a committee andI was on that committee. Well what
what what are the minimum criteria?Well, which which we did and and
it didn't pan out. But theNFL has the same thing. There are
minimum criteria for what you need tobe in order to do that. What's
different in the NFL, though,is that the team docs travel. So

(10:13):
we'll talk to Mayer about this.So if if the Cowboys are playing in
Cleveland, they bring their own dockswith them so you never have to worry
about the other team covering. Butin the NBA you can't do that because
there's too many games. They're justway too many games. Interestingly, and
I'm always asked this question the theteams contract with doctors. We all have

(10:39):
our own practices, you know.In the NBA, we all have our
own practices. In the Premier League, the doctors actually work for the team.
You you are, you have noother and you have no outside practice.
Your only obligation is to take careof manu or whatever, whatever,
But that's not how it is.So it was a little bit of a

(11:01):
conflict of interest when you're paid,Yes, it stops the objective nature of
your opinion as a physician. Thatis always the fine line to walk is
how how do you how are youhired by the team and yet at the
same time have the players as yourprimary interest. You've got to look out

(11:26):
for them. That's a fine line. And I will tell you there there
are there are docs out there thatcross the line, and it's very obvious.
And maybe maybe that's why I dosee second a lot of second opinions
from the Clippers. Maybe that iswhy, because they you know, they're
they're homers. They they But Ihad the privilege again working with Cuban,

(11:48):
that I told them, I said, look, my primary responsibility is take
care take care of your players,which are your assets. And if I
do a good job taking care ofyour players, then extension, I've done
a good job for the team,absolutely, and never ever did I have
any pressure. Yeah, in theNFL, though I don't know, there

(12:09):
was an article that came out notlong ago eighty eight percent of NFL players
don't trust their medical staff. Ohyeah, yeah, I believe that.
I mean, in terms of secondopinions in a sport, what sport have
you seen the most second opinions of? Well, because of my in terms
of professional in terms of professional guys, yeah, because of my NBA background,
it's NBA, NBA just sheer numbers. Yeah, sure, that's say

(12:31):
for me as NFL for sure.What else do you want to talk about
with the playoffs? Another question?Maybe we have college sports on in the
studio right now. Another thing Iwould talk about. It's like we have
college sports on in the studio rightnow. Is it similar in college?
I don't have any experience with that. Well, let's ask let's ask Hunter.
You played at Notre Dame. Theyhave a reputable medical staff. I

(12:56):
don't know. I don't know thatcollege players get a lot of second opinions,
not a ton. So we hadwe had two orthopedic doctors on staff.
Woul always be in the sidelines withus, and it would always travel
with us. Obviously they had theirown practice in South Bend, but they
were consistently there for at least thefootball team. I don't know about the
other sports, but I know thatwe did have two UH sports specific doctors

(13:20):
that the relationship absolutely think I think, uh, his name is doctor Radagan.
He's he's he was fantastic for us. He uh played a Notre Dame,
then went to medical school and thenmoved back to South Bend. Is
now the sort of the team doctorfor the football teams. Those contracts look
like, like, how does itwork between I'm sure it's probably a similarity

(13:41):
to the professional league, but yeah, so so we need most of the
time. Anytime that a guy wouldbe injured and would need surgery that say
doctor Radagan or doctor Balon did,they would pretty much do him off.
They had to send him out toa specialist. They would guide in the
coordination of who the players would seefor a special to injuries. And I

(14:01):
don't know if that's going to changenow with NIL and Portal and that sort
of thing. But college it's notlike the pros at all in terms of
medical coverage. I mean, they'requality guys. The situation. The situation
is when you get in sports medicineand college sports is when you get into
the Tier two and Tier three schoolsbecause often there's not a budget, and

(14:28):
even if there is a budget,there are not the resources. So if
you're I don't want to insult anybodyhere, but if you're some junior college
in Des Moines and you've got afootball team, you're struggling to find a
doc to cover, It's not amatter even the quality of the doc.
You're just struggling to find a body. Yeah, but doc, you know,
having done at least five years worthof Combine screens on players who are

(14:54):
finishing college and going into the league, there are some schools that I have
seen and have consistently either either neglectedplayers injuries or mismanaged. Mismanaged because they
had to get them out there forthe win. I mean, and I'm

(15:15):
talking about top tier. I know, I know you're talking about. That's
what I'm talking about. Yeah,where, guys, I've heard this before
where we're sitting here and I'm like, hold on, what, yeah,
you did? You did? WhatWe're looking at the X rayss like,
yep, I played. They justinjected and just got me back out there.
And I mean they're just pieced backtogether to go back out there and

(15:37):
and and play. And I'm like, dude, well they have full control
over you. Yeah. Remember Itold you there's that fine line that that
a doctor has to walk between managementand player. Yeah, it's a delicate
fine line. Now, in thecollege ranks, you would be you being
as a as an orthopedic physician ora musco skeleton. You would be so

(16:00):
happy to be Alabama's team doc thatyou will do anything to keep that job.
Oh my god, you'll do anythingto keep that job. And you're
scared of sabing till he retired.Look, I'm just I just used them
as an example. But but andthe Cowboys, you would do anything to
be the Cowboys doc. I mean, this is one of those things where

(16:22):
the job you tilt so much totowards I don't want to lose this job
that sometimes the judgment is just notthat objective. And the leadership depending on
the leadership with the organization. Soyou talk about Cuban, right, Yeah,
it doesn't work if Cuban comes toyou and says, hey, I
need so and so to play.Yeah, you see what I'm saying,

(16:44):
like like like like I need himon the court. Do you remember,
oh, this was this was onnational television. Patterson who was the who
was the head coach at TC Oh, Yes, that altercation, it was
your friend, it was It wasso coach Patterson coach at TCU. There
was a kid. You can lookthis up. There was a kid who

(17:07):
was oh yes, yeah, yeah, so that was a There was a
young man who got running back.I think he had a concussion running back
weird, you know, he feltweird hit his head, had a concussion.
The sideline team dot said he's notcoming back in and you see Patterson
in the doctor's face. I'm yellingat him on national television, finger in

(17:30):
his face, yelling at him.Later he came out with an apology saying
that you know, he apologized interms of how he took care of it.
But yeah, I mean, solet's talk to yeah, so leader,
if leadership is coming down at youand saying, this guy's got to
play, we've got to play,like why can't we get these people out?
Of course, it's gonna affect howyou're going to make decisions. If

(17:53):
you know this is your first time, not even the first time, you've
been team doc for a while,you want to keep it. It not
only helps you, it helps yourpractice to say that you're the you know,
your t VISU or whatever, like, Yeah, it's a lot of
it's a lot of influencing factors.But you gotta walk that fine line.
Never forget that the players obligation isthe player obligation is the player. And

(18:15):
back and back to your point aboutwhere we're going to kind of, you
know, tailor the show to Justbecause somebody is branded a certain type of
physician, whether it's a team physician, whether it's they work for a major
medical center, doesn't mean they're necessarilygood at what they do. Oh yeah,
well, you know, there's plentyof doctors who work for big,
large health systems around here. Youfeel like, as a patient, you're

(18:37):
going to go to them and youknow they will take care of you because
of this branding. And it doesn'talways that's not always the case. Frequently
it is, and they do screenout a lot of you know, physicians
who are not up to stuff,but it's not guaranteed you. What I
always tell my friends and family isif you're gonna have surgery, figure out

(19:00):
who the other doctors let operate onthem. That's that's my number one piece
of advice was she's a physician,honesty and trust. All right, quick
little break, we're coming back.What a great topic this is inside sports
medicine y hats God, Dad gota d Nice dreams. Welcome back,

(19:33):
Welcome back to Inside Sports Medicine too. Sorry, I'll hear doctor Ballard,
doctor Blaylock, Hunter, Daniel Garrettfull House on this episode eight seventy seven,
last episode. Yeah, So wewere talking about the importance of sports

(19:56):
medicine pretty much in every level ofsports, whether it's recreational, peewee,
Olympic, professional, and the fineline that pro doctors have to walk between
management and patient. At the endof the day, the players are are

(20:19):
patients, and that's kind of howyou have to look at it. You
know, we take an oath totake care of these patients, and there
is a doctor patient relationship that isestablished every time you talk to or evaluate
or touch a player, and thatdoctor patient relationship is sacred. And I

(20:44):
used a couple of examples earlier,and they were just examples. I mean,
it's just you know, if you'rean Alabama doctor or if you're a
cowboy, that don't take offense tothat. I just used it as some
of the jobs, these big,big jobs are so important, so hefty
that it is difficult to walk thatfine line and be objective. Again,

(21:07):
you know, I I want tosay that at every level that I've been
involved as a team doc, evenin high school, I had support of
management because I made it very clear. I even made it clear to Cuban.
I said, my job is takecare of your players. Yeah,
yeah, I'm so The example thatyou used about the you know, the
TCU situation with Patterson and the teamdoc about their number one running back having

(21:33):
to sit out because of a concussion, that that underscores what I've been what
I was trying to say. Yeah, and now to circle back to what
doctor Blaylock was saying, and thisis a really important point to discuss.
We've been on the air, whattwenty three years, twenty three years.

(21:56):
Doctors are not interchangeable commodities. I'vebeen preaching that a doctor is not a
doctor. A lawyer's not a lawyer. A plumber is not a plumber.
There's good plumbers and are bad plumbers. There, good doctors and are bad
doctors. There good lawyers and arebad lawyers. Now, a doctor is
not an interchangeable commodity. And thesooner you guys wrap your head around that,

(22:22):
the clearer medical care you're gonna get. Yeah, and not all doctors
are good at every procedure under theirspecialty. Absolutely. I mean I'm a
hand surgeon, you know, Iwork on basically from the elbow to the
fingertips. Like I'm not a totalknee surgeon. Like I can do it,
I have, I am credential todo it. I am a board

(22:45):
certified orthopedic surgeon. But it's notwhat I do every day. And just
because you're an northpeedic surgeon doesn't meanyou're good at everything. Look, I
can do the best d ACL reconstructionin the country. But you sure he
don't want me to operating on Grandma'ship. No, you don't. So
we're not interchangeable commodities. And alsoby extension, just because oh now I'm

(23:11):
going to really ruffle some feathers.Say what you gotta say, Doc,
say what you gotta say. Saywhat's your chest? Just just say with
your chest? That's funny. Well, just because just because you work at
the Mayo Clinic, is that anddoes that necessarily mean you're that great?

(23:33):
It also makes me wonder about yourlife choices because you want to live in
Rochester, Minnesota. That's a wholeseparate discussion. That is a separate discussion
Look, we had a we hada situation about a month ago. I
think we had a young man.This is this is a very interesting case.
Young man athlete, athlete dislocated hiskneecaps sliding into second base. And

(24:00):
one of the things that we lookfor when you have a dislocated kneecap is
did you knock off a piece ofbone? That's or when you dislocate anything,
But when you dislocate anything shouldered,right. So yeah, yeah,
So he went to a very reputableinstitution in North Dallas and got an X

(24:21):
ray, and the x ray showedthat there was a piece of bone floating
around, and they did some testsand the tests, at least in my
opinion and my interpretation, confirmed thatthat was there. And in the textbook,
that is operative. You got toeither take that piece out or you

(24:41):
got to put it back. Well, it was in the physician's judgment that
that big chunk which was I don'tknow the size of a grape, it's
not going to be a problem.Let's start some rehab and see where you
are in a month. Well,a couple of weeks into it, the
young and still could not move hisknee because there's a big piece of stuff

(25:04):
stuck in it, stuck in it. So comes in for a second opinion
and I look at it and Isaid, yeah, we got to either
put it back or take it out. And for good for him and for
his family, we're able to saveit, and which is great for him.
He's doing fantastic. But the pointof the story is, just because
you're a physician at a very largeinstitution, does that mean you're very good?

(25:26):
No, not at all. Andyou know, for the so here's
I'm sorry, I'm sorry, Isaw I'm for the listeners out there.
How do you know? Right?And I don't know how to answer that.
How do you know? How doyou know if your doctor is any
good? Look? I think fora lot of people there is a feel

(25:47):
when you go into the office andyou because it's an experience from top to
bottom. And we talk about thisto text sports medicine. We're talking to
our patients as soon as they parkedthe car right the experience to start from
parking the car all way to toleaving in front of the first phone call
to making a person phone call.Good point. So, yeah, do
you do you get an answering servicewith sixteen choices? That you have to
listen to all of them before youmake a selection, or do somebody say,

(26:10):
hello, this is Texas Sports Medicine, and here's the deal. Some
people's threshold for what they're going totolerate it's gonna be different. So so
for everybody, that's just gonna bedifferent. But you know, you,
you should have a quality experience whenyou actually sit down with the doctor.
You should be able to have aconversation, understand what's going on, and
have follow ups. You should beable to ask questions, you know,

(26:33):
So listen, I'm not saying I'mperfect. I'm not saying we're perfect in
our practice. And people sometimes dropthe ball, right, But if it
don't fit, yep, if itdon't fit, you must have quit.
I'm trying to think about something thatI can say that rhymes with with fit.
But but if it doesn't fit,you gotta you gotta see somebody else.

(26:55):
I mean, you know, Idon't think there's anything wrong with the
second opinion now, not at all. Not on the other extreme of that,
if you're on your fifth or sixthopinion, that's what we kind of
like. Now you're confused, areyou just looking for You're looking for an
answer for somebody to tell you whatit is that you want, but or
are you looking for an answer foryour lawyer? But if it don't fit
and you walk out, you're like, eh, I don't know, it's

(27:15):
not unreasonable to a second pin.I tell them some of my patients like,
hey, you can get a secondopinion. I may not be your
guy, And that's okay. Look, there's sometimes there are some there are
so many gray areas in medicine.There's just so many gray areas in medicine.
And I explain to people, I'mnot sure whether this is the right
thing for you, but here areyour records, this is my opinion.

(27:40):
If you want to get another opinion, I'm all ears. One thing I
will say I'm sorry Ryan now isthat when patients can tell that I genuinely
am trying to figure out what's goingon, like I genuinely care about Hey,
let's get your diagnosis, let's getyou back. I think they understand
that sometimes a diagnosis can be challenging. You know that that things can can

(28:03):
can be you know what I'm saying. When they see that, I think
they're willing to be like, Okay, yeah, let's come back. But
as long as we can communicate thatto them. And I'm not sure if
everybody has that same interest in actuallyhaving patients to get better, but anyway,
go ahead. I mean we callit a doctor patient relationship. Yeah,
and I mean, let's focus onthat last word relationship. It's I've
told patients fore, it's like findingthe doctor you trust is kind of like

(28:25):
dating, right, Like you gottafind somebody you you know, you mesh
with or otherwise you got to swiperight and just like you know, go
to the next one. Sometimes Iam we just aren't going to work together
for you know, for your treatment, and that's okay. I but I
do care that you get better.And I'll give them a list of people
that I think are reasonable and letthem choose. You said something that was

(28:48):
you said it kind of fast theword trust. You have got to be
confident and trust what your doc issaying. And I think that's an ability
to read. I mean, whenyou're in the room read the ability to
read. Do I trust him orher to take care of my little boy

(29:11):
or do I not? It's theblink theory. Yeah, they're doing the
same thing. You know, wetalk about likable not likable Malcolm Gladwell book
blink. You know, people makejudgment calls at an instant. They read,
they read the room, they readwhat's going on, and yeah,
I think patients are you know whenyou when they walk in, they're trying
to read, like, hey doI can I can? I trust this
person. We have such a hugeadvantage at Texas Sports Medicine. I'm going

(29:37):
to say that ninety eight percent ofour patients come from other patients. Oh
yeah, that's a huge advantage.One hundred works with me every day,
and God help him. Back inthe old days, back in the old
days, we had this thing calledthe Yellow Pages. Remember the yellow Pages?
Oh my gosh. Book You basicallyflip through the yellow Pages and picking

(29:57):
someone and whenever somebody, this wasearly in my career, whenever somebody,
I always ask how did you findme? Whenever somebody said the yellow Pages,
somehow I was insulted. Somehow,what you know nothing about me other
than I was in alphabet. Butbut most of our patients, ninety eight

(30:18):
percent of our patients come from otherpatients. Oh absolutely, that is that
is the most flattering that sure thatthat means that we did a good job
on the previous patient and the previouspatient, and and you earn that trust
if if you're in the room asa patient and you're something doesn't make sense.
Yeah, yeah, what is it? Swipe right? Yes? I

(30:41):
like that. Well you said youyou you keyed in on something? Really?
Or is it swipe left? Idon't remember the sipe right. I
have a girlfriend. I haven't beenon dating app a while. I remember
is like, I think you swipedup you super like them and swipe left?
Want someone else? Oh Garrett's apower user over here? Now?

(31:02):
No, No, I mean I'mengaged. I'm engaged. I have someone,
but I just remember my times freshmanyear. I wanted to have a
little fun in college and just seewho apparently, I mean, why we
left? Is that the what we'regoing with wipe left is you don't want
to wipe left. I did meetmy wife on a dating app, so
I can't I can't throw too muchshade. But dating app, oh yeah,
that's credating app. And then theyhave it doctor dating. They have

(31:26):
farmers, not dating, not dating. But like you can see your physicians
be like, oh he trained left, thank you? Oh Hunter, be
quiet on that we might actually talksomebody about that. That's not a half
bad idea. I do know somebodywho makes apps for a living, So
we'll have to talk to somebody aboutthat. Yeah. Yeah, we have
a lot to get to on thislast episode, eight seventy seven, Inside

(31:48):
Sports Medicine, Sorrel, Blaylock,Ballard, Hunter, Daniel coming right back.

(32:21):
She wasn't. Welcome back. Welcomeback to Inside Sports Medicine. Come

(32:42):
Classic Rock, get used to itagain again, Inside Sports Medicine too.
Sorry, I'll Brad Ballard, RyanBlaylock, Daniel Hunter, Garrett, the
crew has gathered. We miss Bluementhal. I wish Scott was around. I
don't know Scott. I think he'steaching a course this morning. I think

(33:06):
it would have been awesome to havehim on the Slash Show. It would
have been the derailer he would havehe would have just thrown it out the
window. He would have oh,he would have spoke with his chest.
Well. So, and we're bringingMayer back, so probably this next segment,
Kareem Mayer is going to be on. He was We called him the
Encyclopedia, Remember, Yeah, heknew everything about everything you could, you

(33:28):
know, he mean like, whatwas that weird like diagnosis that dealt with
a skin issue, and he'd belike, oh, yeah, that was
like there's an article about that innineteen eighty two. And then the criteria
was like seven different things any named. I'm like, dude, who are
you? Yeah? What? Sohe's going to be on so kind of

(33:49):
everybody. I wish I wish wecould get Scott to call in. We
gotta we gotta do that. SoI don't know what's going to happen next
week, but we're all going tobe at Texas Sports Medicine. Ballard,
Ryan me Hunter and Ryan and doctorLevy and doctor Manning and doctor Bergmeier.

(34:13):
We're all going to be at TexasSports Medicine. That I'm not saying,
Daniel. I think you said Ryantwice. Oh I did say Ryan twice.
Can't leave you out, Daniel appreciateit. Yeah, Look, we've
we've we've pride ourselves in being ableto pull the curtain back and be somewhat
educational. Obviously, we talk aboutthe sports medicine one on one stuff,

(34:37):
you know, a fracture and abreak and high ankle sprain and regular We've
done all that, but sometimes youkind of have to get into some of
the more subtle educational aspects. Andand that is, you know, do
is your doctor patient relationship solid?And one of the things we talked about
before is you have to trust.You have to I have that feel that

(35:01):
I trust what this guy or girlis telling me needs to happen. You
got to trust that. But theflip side, I've had patients that I
didn't trust, and I I can'tsay that I've done this very often,
maybe a handful of times in myentire career. I've said, look,

(35:22):
I don't think this is going towork for us. You know, I
don't think that I'm ripe for youbecause for whatever reason. And I'll get
the one example that always comes tomind, and Ballard talked about it before.
It was a gentleman who got likeseven different opinions on an ACL injury.
Seven different opinions. I mean,he saw everybody in the country about

(35:45):
his ACL and I get that,Okay, more power to you do your
homework. But when he came tosee me, I said, Yep,
this is what you've got, thisis what needs to happen. This is
my choice of grafts. He questionedeverything, he said, well, why
do you use a pateller tendon?And and actually at the beginning, I
didn't know where this was going.Yeah, because that's a question that I

(36:07):
said, Well, because I thinkit's the strongest and whatever, whatever,
and well how long am I oncrutches? And I said, well,
usually in my practice you're on crutchesfour or five days. But then we
try to get you because well,but doctor Montgomery said, you're on crutches
for three weeks. Not see nowwe see and that and that and that

(36:28):
continued. Yeah, flag on theplay, flag, but doctor Cooper says
that I'll be back playing in sixmonths. And so all of a sudden
I was on the defensive because Ihad to answer to him as to why
I chose my criteria. It's alsoit's also super concerning when they when they

(36:51):
asked questions that were not prompted byanother opinion, but other well, the
opinion of doctor Google, which isalso super can And then I realized that
said, look, listen, Idon't think this is going to work out,
because you're going to second guess everythingthat you've got to trust. And
imagine, imagine if something went wrong, Imagine if you got an infection or

(37:14):
whatever which happens despite our best.Absolutely, it's part of the risks of
surgery. So that doctor patient relationship, that trust thing is a two way
street. Yeah, that's good.It was, it was it was awkward.
You know, I ended up havingto answer questions as to well,
why did why don't you do it? Like this guy doesn't? Well's I

(37:37):
don't. And what is even sometimesmore concerning is after you say, hey,
look, this isn't going to workout. You know, I really
want you to have the best care, but you know, I feel like,
you know, you don't trust me, and that's okay, but just
you know, let's seek you out. It becomes very concerning when they're like,
well, I still want you todo the procedure I refused. Well

(37:59):
I refuse and by the way,just look that's okay. You can do
that, kid, bid for youif you're ever in that condition. Look,
we all want to win. Wherephysicians have big egos, no surprise
there. We all want to win. A loss is maybe not a great

(38:23):
outcome or a complication, and likelike you said earlier, Ryan, it
happens to all of us. It'sit's it's statistics. If there's a one
percent complication rate. If you doone hundred cases, you're going to have
that one percent complication rate. Sowe all want to win. But but
sometimes you're in a situation or you'reput in a situation by the patient and

(38:46):
the line of questions and expectations thatyou can't win. And so if I'm
looking at a case the example Ijust gave you where he questioned everything,
if I can't win, I'm notpatient. Patient selection is a thing.
Yeah, I mean patient selection interms of you know, who's who's going
to be a fit? Right,who's going to be a fit? Like

(39:07):
you understand what's going on? Youtrust, we shake hands, we say
we're going to do this is theexpectation that set and then we move forward.
Right, you should talk about thething we were talking about yesterday about
them owning the procedure. Yeah,so one of something that was taught to
me by one of my mentors.His name is actually Rex Marco. He's
a spine surgeon out of Houston.You if you google him, you'll unfortunately

(39:30):
find that he himself became a patientafter a catastrophic neck injury, and you
know, gave him a unique perspective. But before that happened, he taught
me something. He was like,you know, you want the patient to
take ownership of the decision. Youwant them to understand all the options,
have a full understanding of the riskand benefits. And then if they decide

(39:51):
to proceed with the surgical procedure,they've bought in and take ownership of it.
So if something happens, then theydon't, they don't solely place the
blame on you for that outcome becausethey chose the surgical procedure. Sure.
Now, there's a few situations whereyou don't really have a choice, And
I'm the two I always tell mypatials like, I'm never going to tell

(40:12):
you have to have surgery unless it'sinfected or it's cancer. If it's one
of those two things, I'm probablytelling you you really got to have this
operated on or it's going to gopoorly. Yea. But if it's elective,
yeah, if it's elective. Butif it's elective semi elective, you
know, yeah, then it's no. That's that's really good. It's a
conversation and you you you give themthe information that they need to make an

(40:34):
informed decision, absolutely, and thenyou know, I'm not in the business
of trying to persuade someone that theythat they need something right, just to
simply show the value and say,if you're trying to get back here,
this is what I believe is theis the best next step. This is
what I can do to help thatand and I'm here for you. And

(40:55):
this is one of the things thatwe all of us a text sports medicine
do because I I guess we're allwe're all kind of cut out of the
same mold. I first and foremost, you have to have an accurate diagnosis.
You have you cannot work off ofa faulty diagnosis. You have to

(41:15):
have an accurate diagnosis. If itinvolves X rays, great, if it
involves an MRI greade, if itinvolves more tests and great. I have
to know what I'm treating, andthen what I do and all of us
do the same thing. We givethe patients these are the options to treat
this particular problem. We talk aboutthe pros and cons of what their expectations

(41:36):
are. You know, if someoneis sedentary, well then the options are
a little different than if that personis you know, an NFL player.
And together we decide on what isthe best option for that particular person at
that particular time. I tell themit's like an Ola carte brunch. You

(41:58):
know, I'm the I'm the I'lltell you what the options are. I'll
tell you what I think is thebest option, but you're free to choose
whichever one you want. And weanswer questions. That's why this why not
that? There's nothing worse than yougo see somebody to say you got arthritis,
if your need and you need anew replacement, and they walk out,
yea, what discuss? Yeah?Yeah, I mean, look,

(42:21):
the reason why them making a decisionis important is because I really look at
it as a partnership in improving yourhealth, right, Like it's me and
you that's gonna help get you better. And when they can take ownership not
just in the decision, but inthe recovery aspect, oh man, I'm
like most of the work's done.One of the questions that it's always awkward

(42:43):
for me is say, well,doctor Soryl, what would you do if
this was me? If this wasyou? And I said, look,
that's not a fair question because Ihave different expectations than you have. I'm
a too, a different age,I have different goals right, but I
will say this then I've used thisbefore. I think the next book answer
for you, mister Jones, isthis. Yeah, that's good, but

(43:05):
but it doesn't have to be that. Look, we are in the world
of elective surgery. You know,sports medicine is elective. You don't have
to have your meniscus treated so thatyou can play tennis or pick a ball.
You don't have to reconstruct your aclso that you can ski and asp
them. This is elective. Andwhen it's elective, you've got choices.

(43:29):
Yeah, yeah, not only whento do it, but what to do.
There are some folks that, whenyou lay out the choices, are
really good about making a decision,and there are others that just stagnate.
I'm gonna go, I'm gonna throwKawhi Leonard under the bus. He had

(43:50):
a quad injury. He was seenby the Santai. He was with a
spurs, some friends. Yeah,and then he was seeing He had so
many opinions. He was paralyzed,he was confused, he did not know
so what he did. He waiteda year and a half. Wasn't he
app for over a year? Yeah, And so so there are some folks
that that you give him the fouror five options and they don't know what

(44:14):
which one to pick. Yeah,I think he chose not to play.
I mean, yeah, he didn'tknow. If it's a matter of him
not being able to go so muchinside. Oh no, no, no,
well, I mean he was clearedsix months before he ended up coming
back to play. And sometimes there'snot a right option. And yeah,
there, that's a good one.There's not a right option. That's why
I really love the analogy of it'sit's like an o la carte brunch.

(44:35):
Right, there's not a perfect optionfor what you want to eat in that
moment. There's not a perfect optionfor what is surgery. But you just
have to choose, like what youthink you're with our guidance, what do
you think will fit for you?And my other favorite thing to tell patients
is my dad was a salesman andmy grandfather was a salesman. I am
not a salesman. I'm not hereto sell you on a procedure. I'm

(44:58):
here to educate you and help youchoose. And sometimes the best procedure is
not right for you. Yeah,yeah, sometimes the best procedure is not
right for you. For and andand I'll tell you that. All right,
I think we kind of beat thisone up. So I'm really excited
about having Mayor after this break becausewe're in the middle of the NFL Draft.

(45:22):
It's it's become kind of a bigdeal, hadn't it. Oh,
it's a way bigger deal than itused to be. I mean, the
walk up to the you know,to the stage has like all these stops
when they got to put on hats, take pictures. Sure, sure,
yeah, Yeah, it's a it'sa it's a big it's a way bigger

(45:44):
deal than it used to be.All right, let's uh, let's go
to the phones real quick, celebrating, celebrating this last episode. Tony,
good morning, you're on Inside SportsMedicine. What you got. So I've
had back issues for while, wentto the doctor, got X rays and
MRI I, m R I.Came back fine. He said, there's

(46:06):
a little degeneration, but he saidit's typical for somebody my age. But
other than that, it was,you know, pretty normal. But the
X ray showed on the anterior posteriorL four there was he said it looked
like a pitchfork. He says along time develop an injury that I had

(46:29):
probably years ago, but it's calcifiedto where it looks like there's two prongs
of a fork sticking back, stickingout from back there. Bone spurs.
Yeah, I've seen it. I'veseen it. I know, in fact,
I think I know exactly what Xray you're talking about. But yeah,
so, so then what I haven'tbeen able to go back or do
anything. I'm in the middle ofswitching jobs and I don't start until the

(46:51):
tenth and so wait for the kickin and stuff. But I'm just trying
to figure out how invasive a procedurethat would be to have those shaved off
or whatever. Well, first ofall, it's a great question, and
I'm going to say that X raysshow you something and MRIs show you something
different. So an X ray willshow us the bones, and hence that's

(47:13):
where we can see the bone spurs, and they do look like spikes,
and MRIs shows the soft tissue.They show the discs and the nerves and
the muscles and that sort of thing. So what you've had done is very
very appropriate. I'm going to saythat often often the spurs that you see
on the X ray are not reallycausing a problem. So when when you

(47:37):
consider, when you ask, hey, what's it going to take to go
in there and take these things out? They're not the problem. It's the
degenerative problem in the discs that youalluded to earlier on the MRI that caused
the spurs in the first place.So if we go in there and shave

(47:58):
the spurs, I don't know thatthat's going to change your outcome because the
underlying problem is going to be thedegenerative disc issue. So I'd be very
curious when you go back after thetenth and get your question answered. But
my guess is that's what you're goingto be told because there are a lot
of us, especially those of uswho have a lot of mileage. You've

(48:22):
played a lot of sports, andyou've done this and you've done that.
Well, yeah, we got bonespurs and the knees and elbows and whatever
whatever. Taking them out is notthe solution. Anyway. Good call Tony,
thank you, good luck. Gosee doctor. Yeah, he'll take
good care of you. All that. Well he's already got a relationship,
so that's good. Yeah, allright, so sorry, Oh we got

(48:46):
to take a break, all right, quick, little break inside sports medicine,
coming right back with doctor Mayer.I can't wait to hear what he
has to say about the NFL draft. Welcome back. I can't hear that

(49:15):
music and not think of the MAVsgames. Oh yeah, yeah, and
that guy that was under the basketthat would lip sync the song. Yeah,
that was a They call him ThunderManor something like, oh yeah,
yeah, yeah, it was afan. Welcome back to Inside Sports Medicine,
episode eight seventy seven, last episodeon ninety seven to one. The

(49:37):
Freak joining us live from New Orleans, Doctor Kareem Mayor the Encyclopedia, Good
morning, Kareem. How are you? Good morning? Sellers. Are you
awake? Oh I'm awake. Igotta I'm on my way to physicals.
So I gotta go do some highschool physicals and then go up to the
Saints facility for a draft. Solittle back up introduction. Doctor Mayer was

(50:01):
part of Texas Sports Medicine for fiveyears. He went to University of Texas.
He was a walk on. Hewas part of the two thousand and
five or six championship. Did youget a ring for that? Yeah?
You got a ring? Yeah?Okay, good good anyway, so he
is now the head team physician forthe New Orleans Saints. We're very,

(50:22):
very proud of that. And nowthat we are in the draft, I
wanted to kind of get your thoughtson what is your role on draft day
because all of your homework has donethe weeks before. What do you do?
Are you in the war room?Yeah? Well, so, well

(50:44):
we don't have I mean, ourwar room is not the size of some
of these other ones you're seen onTV. So I guess when you see
us on TV the Saints, I'mjust in the room right next to it.
So we're there really just to answerquestions, you know, if they
got a pick coming up, orsomebody fell into our hands and they wanted
to talk to us about go overthe medical or whatever it is. We're
just really refreshing. We're really therejust to you know, reiterate what we've

(51:07):
kind of already done, you know, our homework on all the players,
like you said, So that's reallywhat we're there for, just as a
resource. So in preparation. Howmuch preparation goes into trying to evaluate three
hundred players, Oh, it's unbelievable. I mean it's from a medical I

(51:28):
mean, look beyond the scouting andtalent and coach evaluation, just the medical
side, not just what the physiciansput in, but all those athletic trainers
out there throughout the NFL, college, pro level, all the communication,
all the information, all the reallydue diligence that's being done, and it's
all done differently. Not every teamputs in the same work and the same

(51:50):
effort. It's all different, youknow, depths of evaluation, and then
it's all different risk. You know, risk acceptance, I guess is the
word, because we you know,if you do your due diligence all these
players, you're going to get arisk profile. Once you get that information,
every team is going to then assesstheir own risk and what they are

(52:12):
willing to accept. Because as Isee players go off the draft board,
I already know, wow, that'sthat's a team that's willing to accept a
lot, a lot of risk.And you can see it. Some teams
are very risk adverse where they aregoing to really downgrade their players or these
draft picks. I mean, Ithink sometimes overly too much, where they're

(52:34):
passing on really good talent because ofyou know, the medical and what ends
up happening, in my opinion isthat they're treating MRIs and imaging way more
that they're treating a player. Soyou can have a player that will never
miss a game ever, or practiceor anything, get an imaging finding that's
concerning, and bam, this kidis downgraded. Versus the opposite. You

(52:55):
could have a kid who's you know, concerned, has gotten hurt, hurt
all the time. Imaging may notlook that good. We look at their
you know, history, and thiskid has missed time every single year he's
ever been in college for some someissue. And so it's just interesting how
teams take all that information and howthey digest that and then produce a draft

(53:15):
grade per you know, per player. So you raised a really important point.
When I was with the MAVs,I came up with that injury risk
scale on a zero to ten.If you're a ten man, you're you've
got a problem. If you're atten, we should not draft you.

(53:35):
And often the team listened to themedical How much of that risk aversion that
you're talking about is management versus physicianbecause there are some there there are some
physicians that oh, I wouldn't touchthis, and and and often they're wrong,

(54:00):
I mean or that maybe often it'stheir opinion. There was I'm just
gonna give you the example. Wehad a guy who was just fresh from
an ACL, just had his ACLsurgery and I knew it was done by
doctor Andrews as a matter of fact, and I thought, you know what,
I don't think this is a bigrisk at all, even though he's

(54:21):
two months out from an A CL. This is not a big risk
at all. And and the teamkind of went along with that. But
there are other physicians who would lookat that and say, oh, we
don't know how this is going toturn out, and they wouldn't touch the
guy. So the physician, yourvoice carries a lot of weight? How
much of it? And do otherteams do that? Well? I won't

(54:42):
bring up a name, but there'sa there's a there's that situation going on
right now, right right currently.Yes, you know, during the draft,
I guess this is probably jonth Buddyrooksbecause he tore his A C A.
I mean, well, I don'tknow if that's who it is and
who the team is, but that'swho I was thinking about. I mean,
that's that's the case. Yes,I mean yeah, I mean there
you go, right, So andoff of an ACL. How is that?
You know it's you know, youcan look at the thirty thousand foot

(55:04):
Okay, it's an ACL. Butguess what everybody else has all the same
information of now looking at the MRIof a four to five months I can't
tell how long you know they're outand you look at it and yeah,
right, so then everybody. Sothat's another interesting thing because all these players
get MRIs and imaging and cts andX rays and evaluations just at the time

(55:25):
when the combine is well, youknow, for most physicians, are you
really imaging every injury or post surgeryat a certain time? You're not.
So now you got all this informationthat you have to digest of what this
looks like post surgical at this timeframe? Project out? Is that a
normal appearance of an injury at onemonth, three months, five month post

(55:50):
surgery? So you're projecting out andyou're making your best, you know,
really your best judgment with this,and you're given that information to the teams.
And so I think the big thingpeople always ask me, you know,
hey, who the Saints is goingto draft too? They draft?
Look, I don't know who aredrafted. I kind of know who we
should have draft. I know,I don't know who we're gonna draft.

(56:12):
So that's really I think where themedical comes in on that. I mean,
there's just some there's just some playersthat just the risk is just too
high, right, and then youknow it, Look when when all these
folks, you know, the NFLis a small world. There's relationships,
he's trainers and positions that we haverelationships all over the NFL. When you
have you know, everyone's scoring oncertain people are around the same people will

(56:37):
get a contensus if somebody is likewag in, you know, one spectrum
of the other. You know thatthat that raises eyebrows. But you know,
it seems to kind of most teamsare starting kind of getting aligned with
stuff, and then it just comesdown to the risk tolerance of certain teams.
So a question that had that kindof goes back a couple of years.
Nice to meet you. I don'tknow if this is the first time

(56:58):
we've ever talked, doctor mayor.This is Ryan Blaylock's good to good to
finally be on the line with you. Yeah, all right. Question I
had a couple of years ago,my dad asked me when TUA had a
hip fractured dislocation when he was atAlabama before he's drafted. My dad asked
me, He's like, Ryan,do you think he will make it to
the pros? And I was like, and I know the surgeon who fixed

(57:19):
him personally, and I was like, you know, I was like,
I would be really worried that he'sgoing to end up with a v in
of his fumeral head after that.And I was like, that's a complication,
by the way, for the listenersAVNA, vascular and necrosis, that's
a complication of a hip dislocation.So bo Jackson had that. Bo Jackson
had the same injury and ended uphaving AVN, but go ahead. Yeah,

(57:43):
And I mean, the he couldnot have been in better hands surgically.
And I was like, I justdon't know if I was, you
know, in your seat trying todecide, would I have pulled the trigger
on that. I was just curiousyour perspective on that type of injury pretty
rare, but obviously can be devastating. Yeah, I mean, we look,
we deal with stuff like that allthe time, though just it may
not be a hip, it maybe a cervical spine, it may be
a that surgery really doesn't look good. You got to project out is that

(58:07):
going to work? You know?Are is this? Are we going to
invent? Because a lot of timesthey'll look at you with some of these
players coming after a surgery, andthat's really the only answer. It's do
you think that project out? Isthis going to do well? Or not?
And welcome to the high stress worldI live in. It's a very
low lan island because it's it's endof one. It's you. It's not
like you have a team of otherscouts. I can bounce ideas off other

(58:29):
physicians. I can talk to them, I can try and get a consensus,
but you know, it's you.Guys all know this. You put
any any injury and you get abunch of surgeons in a room orthopedis,
you're going to get different opinions.And all those opinions are not no one's
right, wrong or anything. Youjust got to get You just got to
come up with the best, youknow, information you can to give to

(58:49):
the team and be as transparent aspossible. And look, it's not even
about that. It's also projecting outhow long is this going to last?
Is this guy getting through a rookiecontract, So forget about is he going
to come back, how long ishe going to come back? Is he
going to get through a contract?How long is this player going to be
around? So you really have toreally do a deep dive on this,
and it's that is that is thetough world about medical NFL draft scouting on

(59:19):
our side, from from given teamsinformation, Hey, Kareem, what's going
on? Man? You know thisis Brad Hey, So yeah, how
much in general when you look acrossthe league, is the physicians opinion medical

(59:42):
opinion being a part of the actualdecision making process of who they're drafting.
I mean, I know you're withthe Saints, but just like you said,
it's a small world, man,I mean, are physicians having a
significant piece of that or is itlike, look, we're gonna get who
we want pretty much. We justkind of want your blessing, you know,

(01:00:07):
doctor uh to to make sure itain't too bad, you know what
I mean? Yeah, Yeah,I mean that's a tough question because I
do think there are some you know, I'm not in the rooms of all
the other NFL teams, but Ithink yes, they do. Listen,
I think the medical is a big, big, saying, look, I'll

(01:00:28):
you know, I don't think it'sany news. I mean, they talk
about the guy, the UCLA kidwith the next issue, you know,
and they you know, talked abouthow a lot of teams were you know,
hesitant on that, and it's forfor good reason. And really we're
just giving the risk profile on thoseplayers. We're not medically disqualifying some players.

(01:00:49):
You know, if someone's got somethingthat we think is just like,
look, they shouldn't play, period, they're not really on our draft board.
And we don't really get a lotof pushback on that. The other
ones are just there. It's arisk profile. How high a risk is
this player to take and what isthat risk? And if something does occur,
is it fixable, is it catastrophic, is it career ending? Does

(01:01:10):
he just miss a season? It'sall those things that go into it.
So I think that's you know,my guess is that's how most of the
other teams work and do this kindof going forward. You know. I
think it'd be nice if we havebetter information on these things in terms of
how long does an NFL player lastwith X injury? Well, that data

(01:01:34):
is not exactly public data. Wedon't have in NFL, players are a
whole different population. You can't justgo look up our journals and find all
that data. So sometimes it's tough. Sometimes internally we have to do it
within the organizations. You have totalk to other trainers, you have to
it's a lot of you know,we say level five evidence meeting expert opinion

(01:01:55):
on this because you just you're nevergoing to go to a textbooker and only
find the answer. You have touse your best judgment, and none of
us have a crystal ball. AndI remember I remember a situation when I
was early in my MAV's career.We had a different general manager and he

(01:02:15):
was there for I don't know,maybe one season, and we were there
for the draft, and he askedme a question in preparation for the upcoming
NBA draft, Can you assure methat player so and so will not have
an injury in the next three years? And I said, no, I

(01:02:38):
can't assure you that. And yetthere are you brought up something doctor mayor
that that I thought was extremely validand often often overlooked the length of the
contract. For example, if ifwe have a player that we're signing to

(01:02:58):
a one year deal, I canprobably get him through that one year,
regardless of what he's got. Butif that player's agent's asking for a six
year deal and you're looking at thesame MRI, I'm not sure that I
can get you through six years.The length of the contract matters. Of
course, it doesn't matter for thedraft because it's all three years, three

(01:03:21):
year deals, right, No,I mean they're four year deal because that's
but you know that. I mean, look, that's the thing. You
know, it's a whole different ballgamewhen you do bring a free agent or
something like that, because then youcan talk about you talking about waivers too.
So there's a lot of things thatget language that gets waivered, and
that's a whole other discussion I don'teven want to get into with agents and

(01:03:42):
how waivers occur and teams occur andthe language that they use. You know,
years ago, I was involved ina situation with a kicker who had
a quad injury. Okay, sokicking leg quad injury. The team didn't
want to sign because they're like,hey, you got to have a quad
injury. So in the waiver language, it's one thing to say, hey,

(01:04:02):
we're gonna waver the quad, Butin the language it's the quad and
any other associated structure. So okay, so let's go dial into the anatomy.
The guy's got to wreck his femeras, so one of the four quad
muscles he strained. But they're basicallywavering everything else. So agent, you
know, you know what I mean, Like it's like you got the kicking

(01:04:25):
leg of an NFL kicker. Withthe language that they put in it,
Basically we're going to exclude anything thathappened to the kicking leg on that kid,
right, and so it's it's amazingwhat dis can get into. Well,
well, thank you so much fortaking time. I know this is
really really busy for you. Uhis it one more or two more days
of the draft? Thinks? Nowwe're done today. It'll be a long

(01:04:49):
day. So I'm gonna go knockout some physicals from about nine to ten
and then I'm gonna go up tothe draft and then I'll be there from
ten till whenever, you know,round seven till whenever mister shows up.
Well, doctor Kareem Mayor, thankyou so much. Always going to be
part of Texas Sports Medicine. Currenthead team physician for the New Orleans Saints.
Thanks for the insight. Appreciate it. Bud Beam taking doctor shout out

(01:05:13):
here. So I was on hold. I heard Ben and Skin, so
Ben shout out to Ben. Hecalled me about a couple of months ago.
I operated on him, like sixseven years ago. I had had
no idea this was the radio show. Yeah yeah, he haut of nowhere
called me. He said, thankyou. He's still falling, playing a
lot of basketball. So big shoutout to the Ben and Skin show.
I played with him every week.Dude, still playing. Oh yeah,

(01:05:36):
there you go. Good work,good work. All right, all right,
docs, guys, ry guys,but really one of the one of
the most skilled surgeons I've ever workedwith. No, he was. He
was fun to work. Well,yeah, he's The Saints are very lucky
to have a doctor of that kindof quality on their sideline. All right,

(01:06:02):
So episode's over. We feel veryfortunate to have been on ninety seven
to one The Freak for as longas we have. Inside Sports Medicine,
TiO sory Il, Brad Ballard,Ryan Blaylock, Rick Leevy mel Manning,

(01:06:25):
Rob Bergmeyer, our entire crew atTexas Sports Medicine. You know we're on
the air for this is an endof our twenty third season twenty three years.
Hopefully you guys learned something. Hopefullyit was entertaining along the way.
We love to meet some of ourradio listeners, So if you are just

(01:06:47):
want to stop by and say hi. You don't necessarily need to come see
us as an injured patient, butif you just want to stop by until
we meet again, we are goingto be at Texas Sports Medicine. So
tell your friends covering for Thrill sixteenafter five and done play it in the

(01:07:15):
Fvegus Play was a summer of sixteennine three some guys from school. We
had a band of the time,real hard Jimmy Quinon, Julie got married.
Should know we never get up backnow so hot in the last year

(01:07:41):
and if I have choice, yeahup go for