If Gilbert is out for the year again... | Page 13 | The Boneyard

If Gilbert is out for the year again...

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Why do I feel like the only person in the world who performs sports surgeries is Dr James Andrews? It seems damn near every athlete goes to him for at least a second opinion before doing anything.

This entire thread has been interesting as an orthopedic surgeon.

1). Dr. James Andrews has been fantastic for the field of orthopedics. The reason he gets so many consults is because he has made a business taking care of athletes. And in a society where these athletes are paid millions and millions of dollars, no medical staff/agent/organization wants to be held accountable (or be the scapegoat) for not getting the "bests" opinion. Don't get me wrong, he has done a lot for the field, and also produces great results, but the aura of Andrews today (in our profession) is not exactly what is portrayed in the media.

Case in point:

Brady has more surgery, return to Pats unknown

Tom Brady had his ACL/MCL surgery be Dr. Neel ElAttrache out of Kerlan Jobe in LA in 2008. He is a excellent surgeon--world renown. As we all know, Brady ended up having multiple infections, requiring multiple surgeries that threatened his career. At that time, Neel was under tremendous public scrutiny regarding something that is a unfortunate risk for all patients undergoing ACL/MCL surgery (infection). The risk exists for everyone. Neel told a story at one of the conferences I attended where he was genuinely concerned about his career because of the public backlash he was receiving (1 public complication compared to the 1200+ successful operations he does a year). He even received death threats.

Now Jimmy Andrews comes to his aid and makes a public statement endorsing ElAttrache and all of a sudden all the scrutiny and angst dies. If Jimmy says Neel is a good doctor, it must have just been bad luck...

There are prob 10-15 surgeons in this country who operate on high level athletes. But none have the public support and teflon armor that Andrews has. Therefore, even if ElAttrach, Dave Altcheck, Dan Cooper, Laprade, Bradley are planning on operating on a athlete, they will almost always consult Dr. Andrews so they have his endorsement and part of his clout. In fact, its the agents who before the professional athlete even finishes the game has already directed their care for a consult by Dr. Andrews.

Dr. Andrews is 75 years old.

Interestingly, he is well known for ACL injuries and Tommy John Surgery. Shoulder instability (AG's issue) is actually something he is not renowned for. The surgeon who did AG surgery at UConn IS actually internationally recognized for his expertise in shoulder instability for whatever that is worth.

Personally, there are numerous surgeons I would go to before going to Andrews...but hey thats just me. Just like any other trade, when you work in the field, you know what is over and under-rated.

2). Fascination with NYC and Boston hospitals

I would urge you to consider more than US News week rankings on where to get your personal orthopedic care. Many of those rankings are based on research/NIH grants $$ that inflate their stats. For example, The Andrews Institute is not even in the top 50.

3). There are some posters with accurate factual information regarding shoulder injuries. And some that are completely off. Please be careful regarding what you believe.

Anyways, I do not have any more inside info on the current status of AG shoulder but am hoping for the best.
 

Doctor Hoop

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I’m just catching up with this thread. Man, there are a lot of hot takes in here.

First, I’m a shoulder sub-specialist within sports medicine. I know a boatload of really good shoulder surgeons, in Boston, in NYC, in Cleveland, in Philadelphia, in Nashville, in LA, etc. And yes, in Farmington. There isn’t anybody with 100% excellent results in this type of situation, so the very fact that he’s having problems tells you very little about the quality of the surgeon or the work. There are very few “idiot surgeons.” (Though I do have some stories.;))

Dr. Andrews is outstanding, and a great guy, by the way .. but he’s also 75. This is very demanding surgery if it involves revision of the revision instability procedure. I’m pretty sure that his fellows and/or a partner will be assisting. There are also 20 or 30 surgeons nationally expert in this type of surgery. If, on the other hand, it’s an arthroscopic procedure to clean scar tissue, then the procedure is a lot less intense, though still requiring expertise.

He may lose a year of eligibility by having surgery now, but three years with a healthy shoulder would be fine by me. Do the right thing for the shoulder, and the player. I take care of several teams. Treatment decisions are always made with the player and family only, not with the coach.
 

Doctor Hoop

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This entire thread has been interesting as an orthopedic surgeon.

1). Dr. James Andrews has been fantastic for the field of orthopedics. The reason he gets so many consults is because he has made a business taking care of athletes. And in a society where these athletes are paid millions and millions of dollars, no medical staff/agent/organization wants to be held accountable (or be the scapegoat) for not getting the "bests" opinion. Don't get me wrong, he has done a lot for the field, and also produces great results, but the aura of Andrews today (in our profession) is not exactly what is portrayed in the media.

Case in point:

Brady has more surgery, return to Pats unknown

Tom Brady had his ACL/MCL surgery be Dr. Neel ElAttrache out of Kerlan Jobe in LA in 2008. He is a excellent surgeon--world renown. As we all know, Brady ended up having multiple infections, requiring multiple surgeries that threatened his career. At that time, Neel was under tremendous public scrutiny regarding something that is a unfortunate risk for all patients undergoing ACL/MCL surgery (infection). The risk exists for everyone. Neel told a story at one of the conferences I attended where he was genuinely concerned about his career because of the public backlash he was receiving (1 public complication compared to the 1200+ successful operations he does a year). He even received death threats.

Now Jimmy Andrews comes to his aid and makes a public statement endorsing ElAttrache and all of a sudden all the scrutiny and angst dies. If Jimmy says Neel is a good doctor, it must have just been bad luck...

There are prob 10-15 surgeons in this country who operate on high level athletes. But none have the public support and teflon armor that Andrews has. Therefore, even if ElAttrach, Dave Altcheck, Dan Cooper, Laprade, Bradley are planning on operating on a athlete, they will almost always consult Dr. Andrews so they have his endorsement and part of his clout. In fact, its the agents who before the professional athlete even finishes the game has already directed their care for a consult by Dr. Andrews.

Dr. Andrews is 75 years old.

Interestingly, he is well known for ACL injuries and Tommy John Surgery. Shoulder instability (AG's issue) is actually something he is not renowned for. The surgeon who did AG surgery at UConn IS actually internationally recognized for his expertise in shoulder instability for whatever that is worth.

Personally, there are numerous surgeons I would go to before going to Andrews...but hey thats just me. Just like any other trade, when you work in the field, you know what is over and under-rated.

2). Fascination with NYC and Boston hospitals

I would urge you to consider more than US News week rankings on where to get your personal orthopedic care. Many of those rankings are based on research/NIH grants $$ that inflate their stats. For example, The Andrews Institute is not even in the top 50.

3). There are some posters with accurate factual information regarding shoulder injuries. And some that are completely off. Please be careful regarding what you believe.

Anyways, I do not have any more inside info on the current status of AG shoulder but am hoping for the best.
Looks like you and I are on the same timeline and thinking today. Great post.
 

intlzncster

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This entire thread has been interesting as an orthopedic surgeon.

1). Dr. James Andrews has been fantastic for the field of orthopedics. The reason he gets so many consults is because he has made a business taking care of athletes. And in a society where these athletes are paid millions and millions of dollars, no medical staff/agent/organization wants to be held accountable (or be the scapegoat) for not getting the "bests" opinion. Don't get me wrong, he has done a lot for the field, and also produces great results, but the aura of Andrews today (in our profession) is not exactly what is portrayed in the media.

Case in point:

Brady has more surgery, return to Pats unknown

Tom Brady had his ACL/MCL surgery be Dr. Neel ElAttrache out of Kerlan Jobe in LA in 2008. He is a excellent surgeon--world renown. As we all know, Brady ended up having multiple infections, requiring multiple surgeries that threatened his career. At that time, Neel was under tremendous public scrutiny regarding something that is a unfortunate risk for all patients undergoing ACL/MCL surgery (infection). The risk exists for everyone. Neel told a story at one of the conferences I attended where he was genuinely concerned about his career because of the public backlash he was receiving (1 public complication compared to the 1200+ successful operations he does a year). He even received death threats.

Now Jimmy Andrews comes to his aid and makes a public statement endorsing ElAttrache and all of a sudden all the scrutiny and angst dies. If Jimmy says Neel is a good doctor, it must have just been bad luck...

There are prob 10-15 surgeons in this country who operate on high level athletes. But none have the public support and teflon armor that Andrews has. Therefore, even if ElAttrach, Dave Altcheck, Dan Cooper, Laprade, Bradley are planning on operating on a athlete, they will almost always consult Dr. Andrews so they have his endorsement and part of his clout. In fact, its the agents who before the professional athlete even finishes the game has already directed their care for a consult by Dr. Andrews.

Dr. Andrews is 75 years old.

Interestingly, he is well known for ACL injuries and Tommy John Surgery. Shoulder instability (AG's issue) is actually something he is not renowned for. The surgeon who did AG surgery at UConn IS actually internationally recognized for his expertise in shoulder instability for whatever that is worth.

Personally, there are numerous surgeons I would go to before going to Andrews...but hey thats just me. Just like any other trade, when you work in the field, you know what is over and under-rated.

2). Fascination with NYC and Boston hospitals

I would urge you to consider more than US News week rankings on where to get your personal orthopedic care. Many of those rankings are based on research/NIH grants $$ that inflate their stats. For example, The Andrews Institute is not even in the top 50.

3). There are some posters with accurate factual information regarding shoulder injuries. And some that are completely off. Please be careful regarding what you believe.

Anyways, I do not have any more inside info on the current status of AG shoulder but am hoping for the best.

This was a great post. Very interesting. Thank you.
 

intlzncster

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I’m just catching up with this thread. Man, there are a lot of hot takes in here.

First, I’m a shoulder sub-specialist within sports medicine. I know a boatload of really good shoulder surgeons, in Boston, in NYC, in Cleveland, in Philadelphia, in Nashville, in LA, etc. And yes, in Farmington. There isn’t anybody with 100% excellent results in this type of situation, so the very fact that he’s having problems tells you very little about the quality of the surgeon or the work. There are very few “idiot surgeons.” (Though I do have some stories.;))

Dr. Andrews is outstanding, and a great guy, by the way .. but he’s also 75. This is very demanding surgery if it involves revision of the revision instability procedure. I’m pretty sure that his fellows and/or a partner will be assisting. There are also 20 or 30 surgeons nationally expert in this type of surgery. If, on the other hand, it’s an arthroscopic procedure to clean scar tissue, then the procedure is a lot less intense, though still requiring expertise.

He may lose a year of eligibility by having surgery now, but three years with a healthy shoulder would be fine by me. Do the right thing for the shoulder, and the player. I take care of several teams. Treatment decisions are always made with the player and family only, not with the coach.

I would not be surprised in the least if he gets a second waiver. that makes 8 games in 2 years, and the single season limit is 30% of your games.
 

whaler11

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I actually went back and forth about which to make the adjective and which the adverb. I decided that the effect on me was more that his being miserable was something I no longer want to suffer; rather than me being miserable because I no longer want to suffer him.

Listen Keats no need to make all this so englishy.
 
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Looks like you and I are on the same timeline and thinking today. Great post.

Haha. Chances we had the same take within minutes of each other is crazy. Glad we are on the same page. Great post as well.
 

Doctor Hoop

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I would not be surprised in the least if he gets a second waiver. that makes 8 games in 2 years, and the single season limit is 30% of your games.
True... but he might not get it. And he might not want it either.
 

intlzncster

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True... but he might not get it. And he might not want it either.

That's a fact. The NCAA pretty much does what it wants. At random. And he will be old at that point.
 
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Can someone give me the cliff notes here? Is he out for the season?
 

intlzncster

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Can someone give me the cliff notes here? Is he out for the season?

A lot of smoke says 'surgery, then out for the year'. End of the day, it's just smoke at this point. But a lot of it.
 
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He's out for the year. We desperately need to recruit a guard for next season. What a mess.
 
C

Chief00

He may lose a year of eligibility by having surgery now, but three years with a healthy shoulder would be fine by me. Do the right thing for the shoulder, and the player. I take care of several teams. Treatment decisions are always made with the player and family only, not with the coach.

Excellent advice.
 
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He's out for the year. We desperately need to recruit a guard for next season. What a mess.
2 more guards plus Akinjo, Vital and maybe Jalen.we need 4-5 guards
 
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2 more guards plus Akinjo, Vital and maybe Jalen.we need 4-5 guards
We have to recruit like Alterique and Jalen are no longer with us. There is no way of knowing if Alterique will ever be back to what we hoped for and the chances of Jalen coming back are slim. A backcourt of Akinjo and Vital and you are sacrificing another season before it's even started.
 

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