It’s soooo hot (65F plus humid). I’m the sweatiest MFer alive.

You definitely are.

Look at the big brain on Ashley!

I found the edge of the earth.

That can be a hard conversation. Hopefully your surgeon is taking the time to explain options to you and help make a decision.

I was summoned…

I’m curious why you feel the “need” to schedule a surgery?

Rare to have a good candidate for TKR AND arthroscopy. Moderate OA doesn’t do well with a scope.

Sometimes pts are in the middle zone (too bad for scope, not enough for TKR) and surgery isn’t likely to meet goals. 1/2

Close…the bigger city nearby.

Where are we?

I’m a LEGO.

I guess I’ll have to go down to 4 teaspoons of toothpaste just to be safe.

We like skiing.

How much toothpaste can I swallow before surgery?

Tuned up our skis and now enjoying Snowbird.

Beautiful day

Age and activity level. A frail elderly person, nursing home patient, etc. is very unlikely to get surgery in my practice. Good evidence there is no meaningful benefit in that population regardless of displacement.

The past 2 days have been some of the best days skiing I’ve ever had. Deep powder with my boys. Jumping off rocks, bumps, and anything else. Fresh tracks all day. Love it.

Lovely evening

a man in a white suit and blue tie is dancing on a stage ALT: a man in a white suit and blue tie is dancing on a stage

Maybe it was the open bar, but I felt like my dancing at my niece’s bat mitvah was incredible last night.

*maybe = definitely

Same. I want bones and dogs. And my dog, Bones.

What a terrible day to be literate.

I think we are deluding ourselves. They wont be able to solve any of these 1 step age 4+ puzzles.

Wait until they learn about tariffs.

This is the kind of outside the box thinking PRP needs right now.

Someone always pops in and says that.

Efficacy of Platelet-Rich Plasma Versus Placebo for the Treatment of Greater Trochanteric Pain Syndrome: A Double-Blinded Randomized Controlled Trial - PubMed Therapeutic Level I. See Instructions for Authors for a complete description of levels of evidence.

Wow neat another study showing PRP doesn’t work.

pubmed.ncbi.nlm.nih.gov/39804899/

You’re gonna do great! It’s the best, most reliable surgery in orthopedics. Good luck.

It is not unusual at all for patients to comment on feeling the cold in their implants.

Dakota lift. Rock Valley

My PA and I bombed down this untouched run 10 times today.

He’s walking uphill to gather his ski after a high speed/soft landing crash.