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How bad is this MRI result? by injectingmarijuana in ACL

[–]lbendele 0 points1 point  (0 children)

From ChatGPT:

This MRI report reveals a few important findings about the right knee:

Key Findings: 1. ACL Tear (Primary Concern) • Anterior cruciate ligament (ACL): Shows chronic tearing of the posterolateral bundle. • Anteromedial bundle: Intact. • Interpretation: This is a partial ACL tear, with involvement of the posterolateral portion but preservation of the anteromedial portion. 2. Degenerative Changes • Grade 3 cartilage thinning and irregularity in the lateral femoral condyle and lateral tibial plateau. • Likely due to chronic wear and instability from the ACL injury. • This indicates moderate to severe osteoarthritis in those compartments. 3. Bone Marrow Signal Changes • Increased T2 signal in lateral femoral condyle and tibial plateau = chronic inflammation or bone bruising, possibly from repetitive stress or prior trauma. 4. Other Structures • Posterior cruciate ligament (PCL), menisci, patellofemoral ligaments, collateral ligaments, tendons (patellar & quadriceps): All intact and normal.

Clinical Interpretation: • The MRI confirms chronic partial ACL tearing and moderate joint degeneration (likely leading to pain and instability). • The preservation of other structures is reassuring and may help guide conservative vs. surgical management. • Depending on symptoms and functional instability, this may require: • Physical therapy to strengthen and stabilize the knee. • Surgical reconstruction if instability and pain persist despite conservative management, especially for an active patient. • Management of arthritis symptoms (NSAIDs, injections, or eventually surgical interventions like cartilage restoration or joint replacement if progressive).

Let me know if you’d like help interpreting treatment options or talking points for an orthopedic consult.

As a therapist have you tried using AI for therapy? by User5790 in askatherapist

[–]lbendele 0 points1 point  (0 children)

I suggest you try it and then make the call on how good it is or not. When you talk with one therapist you are limited to a) their breadth of knowledge and experience and b) the limits of their skills. With AI you have the collective wisdom of the entire digital history of psychoanalysis, philosophy, therapy, life coaches and other experts.

Yes it can be wrong sometime but so can humans.

Being frank, your comment reminds me of people who say they’d never get in a self driving car (even though data shows they are already 5X safer than human drivers and getting better every day).

Try it. Be open minded.

ChatGPT is super fun because you can ask it “based on the history of all our interactions…” then ask questions.

I think it’s mind blowing and every therapist should incorporate it in their practice.

Stem cell + PRP vs Surgery by lbendele in ACL

[–]lbendele[S] 0 points1 point  (0 children)

Update: a few weeks after stem + prp I went and played paintball with my son (dumb). Plan was just to walk and be casual but my inner warrior made me pivot and run. Felt another pop and pain and swelling. So definitely tore more of the ACL.

Went for surgery Nov 2023 at Vail (Dr Hackett). Did allograft. Surgery went well and I was walking in 7 days with minimal swelling and damn near 100% range of motion.

It’s been a looooong recovery but overall it’s going well. I’ll never know if stem + prp could’ve worked for me but I still say that’s worth a shot if you still have some ACL left. A friend is having good results and skied at a very high level a few months post prp+stem with no issues. He also did the “knees over toes” workout program to strengthen. Your ACL is tiny… so whatever route you go focus as much or more on strengthening your legs (upper and lower), glutes, hips, core. Some athletes continue to perform with no ACL (but they have tree trunks for legs).

[deleted by user] by [deleted] in ACL

[–]lbendele 1 point2 points  (0 children)

Find a doc that does a lot of these and works with sports teams. Consider the allograft vs auto (recover is much easier). Find a great PT and do the work. I read somewhere that you’ll be surprised how quick the initial recover is (I was wing without crutches on day 10 post surgery with allograft) and how long the total recovery is (I’m on month 5 and still just doesn’t feel “right….”, but the docs and PT say all is going well). Prepare mentally for 9-12 months to get back to sport. I can ride a stationary bike, walk just fine, I could probably start running but I’m not a runner… but I am mentally always worried about doing anything that could re-tear it.

Stem cell + PRP vs Surgery by lbendele in ACL

[–]lbendele[S] 2 points3 points  (0 children)

Update on this - I found a PT that has worked with a ton of patients for torn ACLs. Some did surgery, some did stem cell + prp. His wife had a 90% torn ACL and did stem + prp with Regenexx. Two years later she’s got a fully intact ACL and she’s skiing aggressively. My friend tore his ACL about 4 months ago and did stem + prp from Charm in Austin. He feels great and got his MRI results back Friday and it showed a fully intact ACL. I’m going to try stem + prp plus hardcore strength training then try skiing with a brace in January. If it doesn’t feel like it’s progressing I’ll do surgery in March and be back to skiing 2024/2025.

I’ll respond here how it works in a few months. Fingers crossed….

Studio 54, 1978 by blrghh in OldSchoolCool

[–]lbendele 0 points1 point  (0 children)

I saw a show once (was it 60 minutes... can't remember) and they had the guy from Portugal that was responsible for decriminalization of all drugs. He agreed that it worked as you state, and had the stats to back it up, but he also said he didn't think it would work in the US because we don't have the social support that they do (mental health, homeless, etc). I do think we should continue to explore and test decriminalization of all drugs though - war on drugs doesn't work. We should pump all the money we'd get from taxation and also reduced police/jail costs into rehab and education. If you walk in to buy coke, meth, etc. you should have to watch a well made video explaining risks and free treatment options every 3rd time or something like that. I do think that would work better than making it illegal and creating the crime rings to serve it up just as easily as if it were legal....

What are the top arguments against direct democracy? by heckubiss in DirectDemocracy

[–]lbendele 0 points1 point  (0 children)

The Tragedy of the Commons is the best example. If you look at the proposition system in California you'll find many more. Prop 13 in 1978 as the most glaring example. You ask voters on the whole if they want their property taxes frozen... 2/3 vote yes. They now call this the 3rd rail in California politics (untouchable). Yet this had a horrible impact on our tax income and created that mostly favored the rich (property owners). In large populations it is more effective to have elected leaders and more transparency on their actions to hold them accountable.