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Hosted by Dr. Scott Sigman- Dr. Vladyslav Kozanchuk

This episode is brought to you by National Medical Billing Services, the ASC revenue cycle experts.

This is a special episode with Ukrainian born and bred orthopedic surgeon, Dr. Vladyslav Kozanchuk with specialties in hip, knee and shoulder arthroplasty.

This is one of our most impactful episodes being in the trenches of war in Ukraine. It was a challenge getting Dr. Kozanchuk on for this episode in-between the blackouts and having good cell service to call in. Dr. Kozanchuk showed up to the recording with a smile on his face and immense pride for his country. He says “We won’t surrender. Russia won’t win. We will win.” He discusses the pride for all the soldiers on the front lines and support Ukraine receives globally.

Topics include:

-On our recording day, there are 267 injured soldiers in the ward with a train of another 100 wounded soldiers coming in later that night. With a curfew from 11p-5a, there are some nights Dr. Kozanchuk doesn’t make it home and needs to wait until the curfew is lifted in the morning. In addition to the wounded soldiers, there are ongoing elective surgeries within their National Health Service.

– Dr. Kozanchuk provides a shout out to Dr. Kenji Inaba from Keck Medicine and Dr. Gregory Beilman from University of Minnesota for traveling to his hospital and providing their services during the war.

Find out more about Dr. Vladyslav Kozanchuk here.

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Hosted by Dr. Scott Sigman – Dr. Patrick St. Pierre

This episode is brought to you by National Medical Billing Services, the ASC revenue cycle experts.

Dr Patrick St Pierre is an orthopedic surgeon, shoulder specialist in Rancho Mirage, CA.  He has an amazing 20+ year military career and is a world renowned leader in the Army.

Dr. St. Pierre is a graduate of the United States Military Academy at West Point and the Uniformed Services University of Health Sciences in Bethesda, Maryland. After completing his Orthopedic surgery residency at Madigan Army Medical Center, he completed fellowships in Medical Research at the Walter Reed Army Institute of Research and in Orthopedic Sports Medicine at West Point.

Topics include:

-Dr. St Pierre’s father was in the Air Force and traveled around in his youth. His family is originally from Dr. Sigman’s backyard in Lowell, MA and settled in Massachusetts after his father retired from the Air Force. 

-He was originally drawn to cardiology due to his mother having a heart condition. After studying cadets with ankle injuries and getting experience in the military with orthopedics, it led him to a career in this specialty.

-Dr. St. Pierre is very involved in Sports Medicine and Shoulder research and has been recognized with several international and national awards. He has written numerous articles and book chapters, and has edited four books on Sports Medicine. We discuss one of his breakthrough studies in JBJS on rotator cuff repair.

-What are the innovations in shoulder arthroplasty? Dr. St. Pierre discusses he’s working with a great orthopedic surgeon team at Stryker on a robotic system for the shoulder.

Find out more about Dr. Patrick St. Pierre here.

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Hosted by Dr. Scott Sigman – “Dr. Dror Paley”

This episode is brought to you by TrackableMed, the place to go to help grow your new patient base.

This episode is brought to you by Heron Therapeutics. Please see full Prescribing Information, including Boxed Warning or visit www.ZYNRELEF.com.

Dror Paley, MD, FRCSC, is the founder (2009) and director of the Paley Institute in West Palm Beach, Florida. Prior to that he was the founder (2001) and director of the Rubin Institute for Advanced Orthopedics, and the director of the International Center for Limb Lengthening (ICLL) at Sinai Hospital of Baltimore from 2001-2009. He was the Chief of Pediatric Orthopedics at the University of Maryland in Baltimore 1987-2001. He is internationally recognized for his expertise in limb lengthening and reconstruction.

Topics include:

-We hear why he went into orthopedics and then chose the niche path for limb lengthening. Dr. Paley trained under the guidance of Professor Ilizarov of Russia (Ilizarov method) and Professor Debastiani of Italy (Orthofix method). In 1986, he introduced the Ilizarov method to the United States and Canada. Since that time, he has performed more than 20,000 limb lengthening and reconstruction-related procedures. Patients come to his Institute from more than 100 countries.

-Dr. Paley reviews how limb lengthening works and breaks down this complex topic for anyone to understand, including the different types of limb lengthening to include the use of external fixators, often called cages, and remote controlled internal limb lengthening.

Find out more about Dr. Dror Paley here.

Also, find out more about Zynrelef here:

ZYNRELEF utilizes a novel synergistic mechanism of action that combines bupivacaine with a low dose of meloxicam to overcome the challenges of the inflammatory process at the surgical site. ZYNRELEF is the first and only extended-release dual-acting local anesthetic™ (DALA™) and delivers 72 hours of postoperative pain relief via a single needle-free application. It has been clinically proven to better manage pain than standard of care bupivacaine HCl solution over 72 hours and to significantly reduce opioid utilization following surgery.

-ZYNRELEF was initially approved by the FDA in May 2021 and in December 2021, the FDA approved an expansion of ZYNRELEF’s indication.

-Limitations of Use: Safety and efficacy have not been established in highly vascular surgeries, such as intrathoracic, large multilevel spinal, and head and neck procedures.

WARNING: RISK OF SERIOUS CARDIOVASCULAR AND GASTROINTESTINAL EVENTS

See full prescribing information for complete boxed warning.

• Nonsteroidal anti-inflammatory drugs (NSAIDs) cause an increased risk of serious cardiovascular thrombotic events, including myocardial infarction and stroke, which can be fatal. This risk may occur early in treatment and may increase with duration of use

• ZYNRELEF is contraindicated in the setting of coronary artery bypass graft (CABG) surgery

• NSAIDs cause an increased risk of serious gastrointestinal (GI) adverse events including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. These events can occur at any time during use and without warning symptoms. Elderly patients and patients with a prior history of peptic ulcer disease and/or GI bleeding are at greater risk for serious GI events

ZYNRELEF is contraindicated for:

• Patients with a known hypersensitivity (e.g., anaphylactic reactions and serious skin reactions) to any local anesthetic agent of the amide-type, NSAIDs, or to any of the other components of ZYNRELEF OR history of asthma, urticaria, or other allergic-type reactions after taking aspirin or other NSAIDs. Severe, sometimes fatal, anaphylactic reactions to NSAIDs have been reported in such patients

• Patients undergoing obstetrical paracervical block anesthesia OR coronary artery bypass graft (CABG) surgery

WARNINGS AND PRECAUTIONS include –

Cardiovascular (CV) Thrombotic Events with NSAID Use; Gastrointestinal Bleeding, Ulceration, and Perforation with NSAID Use; Dose-Related Toxicity; Risk of Use in Patients with Impaired Cardiovascular Function; Hepatotoxicity; Hypertension; Heart Failure and Edema; Renal Toxicity and Hyperkalemia; Anaphylactic Reactions; Chondrolysis; Methemoglobinemia; Exacerbation of Asthma Related to Aspirin Sensitivity; Serious Skin Reactions; Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS); Hematologic Toxicity; Masking of Inflammation and Fever.

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Hosted by Dr. Scott Sigman – “Dr. Anand Murthi”

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This episode is brought to you by ModMed. To learn more and see a demo of the #1 EHR system, EMA®, as well as Practice Management, Revenue Cycle Management, Analytics, Patient Engagement tools and more, visit modmed.com/orthopod. ModMed — it’s about time.

Dr. Anand Murthi is the Chief, Shoulder and Elbow Surgery, at MedStar Union Memorial Hospital, where he also serves as the Director of the Shoulder and Elbow Fellowship and Research. He is a board-certified orthopaedic surgeon, fellowship trained in shoulder and elbow surgery, who sees patients in Timonium (Baltimore County) and in Baltimore at MedStar Union Memorial.

Topics include:
-Dr. Murthi completed the internationally recognized fellowship in shoulder and elbow reconstruction at the New York Orthopaedic Hospital-Columbia Presbyterian Medical Center. He discusses the influence and importance of mentorship.

-He is also an elected member of the prestigious American Shoulder and Elbow Surgeons Society (ASES), an international group of shoulder and elbow surgeons dedicated to the mission of teaching and research for which he has chaired the Education Committee.

– Dr. Murthi has published and presented numerous research papers on a national and international stage. He has a passion for research, including fragility index (FI) studies. The fragility index (FI) is a method used with statistically significant dichotomous outcomes to assess the number of patients that would change an outcome measure from significant (P ≤ .05) to nonsignificant if the patient outcome changed. 

-He is also passionate about medical device design and part of the explosion of innovation in shoulder replacements. Dr. Murthi discusses some of the innovations he’s worked on.

-He is also a part of the team to develop the first international shoulder data registry (Shoulder JAM by OBERD).

Find out more about Dr. Anand Murthi here.

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Hosted by Dr. Scott Sigman – “Dr. Javad Parvizi”

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This is a good one where you’ll want to intently listen with the incredible wisdom of Dr. Javad Parvizi. He is an American Board Certified, fellowship trained, Orthopaedic Surgeon and the Director of Clinical Research at the Rothman Orthopaedic Institute.  Dr. Parvizi has been at Rothman since 2003.  He holds the James Edwards Professor Chair of Orthopaedics at Thomas Jefferson University.  He specializes in the management of young patients with hip disorders such as dysplasia, femoroacetabular impingement and other complex hip and knee conditions.  He is a renowned world expert in the field of periprosthetic joint infection, joint preservation, and joint reconstruction. 

Topics include:

-He joined Rothman Orthopaedics in 2003 as the 13th physician and today, Rothman has over 250+ physicians. Dr. Parvizi tells us about the vision of Dr. Richard Rothman in creating Rothman Orthopedics and “private-medics,” where private practice comes together with academics.

-We discuss the creation of Parvizi Surgical Innovation (PSI), established in 2016, with a founding circle of 32 individuals. They follow an incubator model to evaluate innovative ideas with a product council, financing and resources.

-Only two of our guests have their own Wikipedia pages and Dr. Parvizi is one of them. Check out Dr. Parvizi’s page with his vast accolades and accomplishments here.

-We hear about where does he think we are going in the war on bacteria and infections?

-We also hear Dr. Parvizi’s great wisdom on innovation. He says it simplifies life, makes it more affordable and changes status quo positively.

Find out more about Dr. Parvizi here.

For MD’s, click on the EARN CME link below to capture quick reflections on each learning & how it applies to your day-to-day to unlock a total of 1 AMA PRA Category 1 CMEs.

Earn CMEs with CMEfy

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Hosted by Dr. Scott Sigman – “The Professor”

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Continuing to bring you the best of the best on The Ortho Show. Excited to have the official fact checker of our show this week, Dr. William Levine. He listens to each episode and then critiques it to Dr. Sigman. 🙂

He is a nationally and globally renowned specialist in arthroscopic and open shoulder, elbow, and knee surgery, and sports medicine. He is Chair of the Department of Orthopedic Surgery at Columbia University’s College of Physicians and Surgeons, where he holds the Frank E. Stinchfield Professorship in Orthopedic Surgery, and serves as Chief of the Orthopedics Service at New York-Presbyterian/Columbia University Medical Center. Dr. Levine also assumed the role as Editor-in-Chief for the Journal of the American Academy of Orthopedic Surgeons in January 2016.

As Head Team Physician for Columbia University, Dr. Levine is responsible for providing care for 31 Columbia intercollegiate athletic teams. Under his guidance, the department’s surgeons also function as Team Physicians for the New York Yankees, Major League Soccer’s (MLS) New York City Football Club, the Rockland Boulders, Fordham University, City College of New York, as well as over 25 high schools.

Discussion topics include:

1.) Sharing stories of their professional careers

2.) Lasting legacy to have residents and fellows that surpass you in their careers

Find out more about Dr. William Levine here.

Thank you to our partner OrthoLazer for making this episode of The Ortho Show possible.

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Hosted by Dr. Scott Sigman – “Trauma Injuries and Rehabilitation”

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Dr. Nirav Amin is an orthopedic surgeon at Restore Orthopedics Spine and Sports Center in Southern California. We discussed a timely topic on potential challenges with Tiger Woods fractures and injuries suffered in a car accident on February 23rd. Dr. Amin and Dr. Sigman are not treating physicians to Tiger Woods and discuss their past history treating these type of injuries and potential challenges in recovery.

Find out more about Dr. Nirav Amin here

Thank you to our partner OrthoLazer for making this episode of The Ortho Show possible.

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Hosted by Dr. Scott Sigman – “Superhero of Opioid Sparing”

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Dr. Asif Ilyas is an orthopedic surgeon, partner and board member at the Rothman Institute, Professor of Orthopedic Surgery at Thomas Jefferson University, President of the Rothman Opioid Foundation and Program Director of the Hand Surgery Fellowship at Thomas Jefferson University. He is also a Team Physician for the Philadelphia Eagles and 76ers. Have we mentioned we bring you the best of the best in orthopedics? Topics include:

-Mentorship inspired his career path in hand surgery. We hear this a lot on the importance of mentorship and how mentors help build future mentors

-Changing the paradigm with opioid sparing surgeries. There’s an impact to the patient and those around them when opioids are prescribed

-Mission of Rothman Opioid Foundation with education, research and advocacy

-Participating in the Health Policy Committee on opioids

-Utilizing wide awake, local anesthesia no-tourniquet (WALANT) for hand surgeries

Find out more about Dr. Asif Ilyas here.

Thank you to our partner OrthoLazer for making this episode of The Ortho Show possible.

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Hosted by Dr. Scott Sigman – “Dr. Roboto”

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We’re continuing to bring you more of the best of the best in the orthopedic industry. We have Dr. Cory Calendine this week, orthopedic surgeon extraordinaire who specializes in robotic joint replacement. He is “savoring life to the bone,” pun intended. Topics include:

-Passion for building brand on social media by connecting to his patients through education. He uses a little bit of everything to get information out with videos, posts and even haiku’s!

-Generating positive energy for his practice through awareness with patients by using SocialClimb for Google reviews

-What is robotic surgery and why he is an early adopter? It’s all about how he can improve patient care through robotics and adjustments intraoperatively

CliftonStrengths assessment. Are you a WOO?

Find out more about Dr. Cory Calendine here

Thank you to our partner OrthoLazer for making this episode of The Ortho Show possible.

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Hosted by Dr. Scott Sigman – “The Godfather of Orthopedics”

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If you are in orthopedics, you likely know our guest this week, Dr. Ira Kirschenbaum.

Remember the early 90’s orthopedic website, www.bonehome.com? Did you know Dr. Kirschenbaum coded and built the website? Outside of his nickname as The Godfather of Orthopedics, Dr. Sigman has also dubbed him the “Creator of Orthopedics on the Internet.” It’s an information packed episode on:

-BronxCare’s mission of high quality and cost reduction of medical care

-Partnership in Swiftpath.com: Episode of care management company with digital patient engagement tools. Improving outcomes for patients with an opioid sparing approach, reducing complications, digital PT and monitoring of the patient post-joint replacement

Mykneeyourknee.com: Chronicling knee replacement surgery on a knee replacement surgeon

Journal Orthopedic Experience and Innovation (JOEI): How this journal is different with no submission fees and no subscriptions needed. 30,000 page and article views in just 6 months

Find out more about Dr. Ira Kirschenbaum here. 

Thank you to our partner OrthoLazer for making this episode of The Ortho Show possible.

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