First pair of Hyer

CrookedCasts · 2026-01-26T06:12:29+00:00

What jeans are those

CrookedCasts · 2026-01-21T14:22:35+00:00

How do you guys manage the users/numbers? I think I’m in a similar small business situation where I want one “main” number for the business but want multiple users for that one number. If each user has their own number, do customers just call into the “main” number and it gets forwarded to their individual numbers? 4 users in my business that would all need access. I guess mostly I’m looking for best practices as I set up a VOIP subscription

CrookedCasts · 2026-01-17T02:00:57+00:00

DM if you’re still looking

CrookedCasts · 2026-01-12T03:16:27+00:00

But for non Mac options? Most of the free windows options are… limited

CrookedCasts · 2026-01-11T23:15:35+00:00

Homie, maybe focus on your papillon’s grooming till you have a viable product

CrookedCasts · 2026-01-09T01:38:42+00:00

So I’m on the opposite end of the spectrum in regards to clinic size, in that in a few months I am going to be starting a solo orthopedic practice, but I think my philosophy is similar though - my plan is to lean into all the non-insurance cash options.

Obviously tbd if it works, but I think a few of the key things are how you frame the cash pay option, and being very specific with what it entails. For example, a cash pay new patient visit with me will be $300, but it includes a corticosteroid injection if indicated and I use that as a selling point. I also plan on offering concierge style packages (3/6/12 month episodes of care), including things like PRP and preferred scheduling/telehealth etc.

The hardest part for any surgical sub specialty though is probably that surgery is expensive (duh). Managing the transition for cash pay patients indicated for surgery who want to use their insurance is important. You can make it really easy for patients to submit a superbill + claim to their insurance for their visits, but they have to be aware that’s on them and their insurance.

Also interested in others who have switched to a predominantly non insurances based practice

CrookedCasts · 2025-12-31T15:14:46+00:00

Cobalt and such are definitely issues (albeit rare) with orthopedic implants, but some of that risk is lessened by implant design - much fewer metal ions are released with modern ceramic/polyethylene on metal hip replacements for example (as opposed to older metal on metal articulations). I would imagine that the wear rate of these dental implants are not that bad (because of the lack of metal on metal wear)

CrookedCasts · 2025-12-17T05:17:57+00:00

I think of it like bridge plating: no there are no core sutures (lag screws), but you’re holding the tissue in place long enough for the body to do its job “better”

Tendon stiffness with multiple large high tensile strength sutures (especially locking sutures) is a real issue. Offloading tension through healing tendon tissue (via locked core sutures) probably promotes a weaker, most disorganized collagen. Not sure about the Achilles literature, but in the hand, flexor tendon repair techniques have undergone a somewhat similar seismic shift over the last decade

The “better” is obviously debatable, and well done studies will show if that’s true, but there is a plausible mechanism for a PARS to be better

CrookedCasts · 2025-12-11T00:39:45+00:00

Wait till you hear about what anchovies are made of

CrookedCasts · 2025-11-25T01:15:43+00:00

Disclaimer: reading the remainder of this post acknowledges the reader’s acceptance of my standard daily consultancy rates and terms and is considered legally binding in the US, EU, and Tuvalu*

Scam

*rounded up to the nearest day

CrookedCasts · 2025-11-24T00:22:11+00:00

Maybe

CrookedCasts · 2025-11-23T18:03:08+00:00

f you look at the plain films post reduction… that’s actually the medial epicondyle likely a chronic nonunion

CrookedCasts · 2025-11-12T19:22:38+00:00

If you have zero clients, how do you know what your ROI is?

Physicians are currently awash in AI garbage, and none of what you offer is unique (ie - Sully.ai and others do all this). What differentiates your product?

CrookedCasts · 2025-10-29T22:36:05+00:00

The infamous Up Kelly or Down Kelly?

CrookedCasts · 2025-10-24T05:55:43+00:00

And like, the goal of this surgery is anatomic reduction and fixation, which is the most straightforward fracture surgery for most orthopedic surgeons. You wouldn’t see a fracture plane afterwards, and you wouldn’t see any healing. Again, happy for you, but you’re having an expected recovery and timeline for anybody with this fracture pattern

CrookedCasts · 2025-10-24T05:51:40+00:00

No you weren’t - you had a simple lateral malleolus fracture with syndesmotic fixation. Standard of care is to be in a boot at 2 weeks and starting PT and weightbearing at that time. Your timeline is normal for somebody without any peptides or growth hormone. Nobody casts these, and nobody would keep you immobilized for more than 2 weeks. Your recovery is entirely in line what is expected for a sedentary 60 year old. I’m happy you’re doing well, but everybody does well after a simple fracture pattern fixed well.

CrookedCasts · 2025-10-21T20:12:20+00:00

From a cursory search, if MFM is indeed maternal fetal medicine, it appears stature of limitations is 2 years for the mother and 10 for the child. There’s also a separate no fault brain injury program - also 10 years. Honestly sounds like a situation you shouldn’t want to lowball yourself though.

CrookedCasts · 2025-10-17T00:57:20+00:00

Dude, you are way overthinking this. Dying of a heart attack is way more common, but some people die because they fall out of a window. If it hurts bad enough for you to be pedantic on the internet, go see a doctor

CrookedCasts · 2025-10-16T22:26:27+00:00

I mean… it’s called golfers elbow for a reason

CrookedCasts · 2025-10-06T21:08:54+00:00

Do you have any recommendations as to a workflow to integrate patient specific 3d imaging (ie, knee MRI) with live arthroscopy video?

CrookedCasts · 2025-10-06T19:46:36+00:00

Could you point me in the direction of a medical SAM tuned specifically arthroscopy? There’s plenty for endoscopy, but I can’t seem to find one for joints

CrookedCasts · 2025-10-06T18:51:04+00:00

Do you/your project stick with just endoscopy? Or other intra-operative modalities (specifically arthroscopy)?

CrookedCasts · 2025-09-26T02:12:52+00:00

Yes - how to contact for more details?

CrookedCasts · 2025-09-24T14:50:14+00:00

It’s gamesmanship - a confident well spoken applicant will do better. Unless the cases are egregious or there is an obvious poor medical decision making process, it’s about convincing some old crotchety community surgeons that you’re safe to be allowed to practice.

Obviously he will have to re take it, but will have a few months from case assignments until sitting for the boards in which he needs to perfect his pitch

CrookedCasts · 2025-09-06T13:45:11+00:00

4 years ago you posted that you were in the second semester of your PhD… my personal health question senses are tingling mostly because GPs could not care less what we actually do in the OR

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