Arthritis - Surgery

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LIDO

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So, I am interested in surgery but concerned about developing arthritis. Is this a common concern? Do many surgeons develop arthritis and stop performing surgery?

I have some history of arthritis (mother has arthritis in hand and back)....should I be concerned?

Thanks guys and gals. 😳

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...I am ...concerned about developing arthritis. Is this a common concern? Do many surgeons develop arthritis and stop performing surgery?...should I be concerned?...
anyone at any job can get arthritis from repetive stress injuries.
I don't know of any surgeons that do not have stiff bones and/or sore backs. A good number of surgeons I know have had spinal disk surgery.
Some surgeons develop arthritis in their hands/fingers.... I know some that have actually had surgery on their hands.

Having said all that, I know of very few surgeons that actually retire when they should. Most practice well beyond their prime and into any number of complications and poor outcomes... If you become a surgeon you will likely practice as long as you choose and retire when you choose... for whatever reason is adequate for you.

JAD
 
I've operated on several surgeons with basilar joint arthritis. Most of them were women in their late forties. It's a pretty common condition in women who spend a lot of time pinching (like using pickups). The surgical outcomes are pretty good, but the rehab is pretty long.
 
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I've scrubbed on several surgeons with basilar joint arthritis. Most of them were women in their late forties. It's a pretty common condition in women who spend a lot of time pinching (like using pickups). The surgical outcomes are pretty good, but the rehab is pretty long.

+1

And on neurology we had a vascular surgeon with a suturing myoclonus. Nearly every time he'd pronate his wrist to mimic suturing (and while doing the real thing), he'd develop a series of myoclonic jerks.
 
So, I guess I shouldn't be that concerned. It appears my mother has bad arthritis in the thenar (spelling?) muscle region of the thumb...causing her thumb to project outward a bit.

It worries me and makes me doubt a career in surgery...but I guess we all have our concerns.

Do most surgeons take out hand insurance in case severe arthritis does develop?
 
anyone at any job can get arthritis from repetive stress injuries.
I don't know of any surgeons that do not have stiff bones and/or sore backs. A good number of surgeons I know have had spinal disk surgery.
Some surgeons develop arthritis in their hands/fingers.... I know some that have actually had surgery on their hands.

Having said all that, I know of very few surgeons that actually retire when they should. Most practice well beyond their prime and into any number of complications and poor outcomes... If you become a surgeon you will likely practice as long as you choose and retire when you choose... for whatever reason is adequate for you.

JAD

Interesting article in this month's blue journal. Here's the abstract:

Journal of the American College of Surgeons
Volume 210, Issue 3, March 2010, Pages 306-313

Patients Benefit While Surgeons Suffer: An Impending Epidemic Presented at the American College of Surgeons 94th Annual Clinical Congress, San Francisco, CA, October 2008.
Adrian Park MD, FACS, a, Gyusung Lee PhDa, F. Jacob Seagull PhDa, Nora Meenaghan MDa and David Dexter MDa


Background
The widely held belief that laparoscopy causes greater strain on surgeons' bodies than open surgery is not well documented in scope or magnitude. In the largest North American survey to date, we investigated the association of demographics, ergonomics, and environment and equipment with physical symptoms reported by laparoscopic surgeons.

Study Design
There were 317 surgeons identified as involved in laparoscopic practices who completed the online survey. Data collected from this comprehensive 23-question survey were analyzed using chi-square.

Results
There were 272 laparoscopic surgeons (86.9%) who reported physical symptoms or discomfort. The strongest predictor of symptoms was high case volume, with the surprising exceptions of eye and back symptoms, which were consistently reported even with low case volumes. High rates of neck, hand, and lower extremity symptoms correlated with fellowship training, which is strongly associated with high case volume. Surprisingly, symptoms were little related to age, height, or practice length. The level of surgeons' awareness of ergonomic guidelines proved to be somewhere between slightly and somewhat aware. A substantial number of respondents requested improvements in regard to both the positioning and resolution of the monitor.

Conclusions
Far beyond previous reports of 20% to 30% incidence of occupational injury, we present evidence that 87% of surgeons who regularly perform minimally invasive surgery suffer such symptoms or injuries, primarily high case load-associated. Additional data accrual and analysis are necessary, as laparoscopic procedures become more prevalent, for improvement of surgeon-patient and surgeon-technology interfaces to reverse this trend and halt the epidemic before it is upon us.
 
Interesting article in this month's blue journal. Here's the abstract:

Journal of the American College of Surgeons
Volume 210, Issue 3, March 2010, Pages 306-313

Patients Benefit While Surgeons Suffer: An Impending Epidemic Presented at the American College of Surgeons 94th Annual Clinical Congress, San Francisco, CA, October 2008.
Adrian Park MD, FACS, a, Gyusung Lee PhDa, F. Jacob Seagull PhDa, Nora Meenaghan MDa and David Dexter MDa


Background
The widely held belief that laparoscopy causes greater strain on surgeons' bodies than open surgery is not well documented in scope or magnitude. In the largest North American survey to date, we investigated the association of demographics, ergonomics, and environment and equipment with physical symptoms reported by laparoscopic surgeons.

Study Design
There were 317 surgeons identified as involved in laparoscopic practices who completed the online survey. Data collected from this comprehensive 23-question survey were analyzed using chi-square.

Results
There were 272 laparoscopic surgeons (86.9%) who reported physical symptoms or discomfort. The strongest predictor of symptoms was high case volume, with the surprising exceptions of eye and back symptoms, which were consistently reported even with low case volumes. High rates of neck, hand, and lower extremity symptoms correlated with fellowship training, which is strongly associated with high case volume. Surprisingly, symptoms were little related to age, height, or practice length. The level of surgeons' awareness of ergonomic guidelines proved to be somewhere between slightly and somewhat aware. A substantial number of respondents requested improvements in regard to both the positioning and resolution of the monitor.

Conclusions
Far beyond previous reports of 20% to 30% incidence of occupational injury, we present evidence that 87% of surgeons who regularly perform minimally invasive surgery suffer such symptoms or injuries, primarily high case load-associated. Additional data accrual and analysis are necessary, as laparoscopic procedures become more prevalent, for improvement of surgeon-patient and surgeon-technology interfaces to reverse this trend and halt the epidemic before it is upon us.

I've seen a couple of MIS guys with Radial Tunnel. One of them went for surgery, the other decided to keep suffering.
 
So, based on this data would you suggest that a future surgical resident avoid MIS? I realize that MIS is the way of the future....is it possible to avoid it? What areas of surgery don't allow as much MIS (I realize ortho is pretty open minus the arthroscopic procedures)?

Thanks guys and gals.
 
So, based on this data would you suggest that a future surgical resident avoid MIS? I realize that MIS is the way of the future....is it possible to avoid it? What areas of surgery don't allow as much MIS (I realize ortho is pretty open minus the arthroscopic procedures)?

Thanks guys and gals.

Don't worry about it. Do what you want and have some own-occ LTD just in case.
 
...thenar (spelling?) muscle region of the thumb...
So, let me understand, you are a "Long Island DO" but lack the knowledge for this basic spelling????? I am guessing you are in high school. You would look smarter if you looked it up... there are 1k on-line dictionaries and encyclos that can help you... or do like most of us and don't worry about the spelling errors and don't broadcast your overt lack of basic knowledge at the spelling level.
So, based on this data would you suggest that a future surgical resident avoid MIS? I realize that MIS is the way of the future....is it possible to avoid it?...
Yeh, sure, avoid it and avoid surgery... If "it is the way of the future" and you want to avoid it, then go into radiology/pathology/Internal Medicine/Family Practice/Psych/etc....
 
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No I am not a DO and have not started med school yet...but have multiple MD acceptances. Sorry for the mispelling...using a phone to respond.

The original question was an honest concen and if you have nothing valuable to say then please refrain the negative comments.

Thanks to the folks that gave me some helpful insight.
 
No I am not a DO and have not started med school yet...but have multiple MD acceptances.

....if you have nothing valuable to say then please refrain the negative comments...
Snippy....
In addition to NOT listing yourself as a "Long Island Do", then declaring glaring ignorance of very basic medical terms, you may do well to read through these forums to get a flavor of how some posts & replies may occur.... especially if on the surface one appears to be deceptive. aside from that and taking some NSAIDS for your arthritis, you would do well to grow some hide if you really think you will be a surgeon.

Based on what you have said, at this point, you are a "pre-med". Your family and friends may have thought of you as a physician since back even in high school. But, you are NOT. I am sure you had the opportunity to select "pre-med" when joining this forum. You chose not to do so.

You should focus on getting to whatever med-school you choose from your acceptance letters. That is step one. Then, you need to focus on getting through said med-school. That is step two. Next, you need to pass your board examinations all 3 or 4 of them (not sure how many anymore). Until you do all of that, you will NOT be a licensed DO/MD. So, please refrain from listing yourself as a physician (i.e. "Long Island DO")... even if it is your dream to one day be one. And, do not buy the hype of your family and friends that will for many years, through your training consider you a physician and seek medical advice you should not be providing.

IMHO, all of the above is "valuable" information that you would do well to appreciate. As for your arthritis concerns, I believe others and myself have also provided valuable information... So, be grateful for the broad areas we have covered to help you on your journey.


JAD
 
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Snippy....
In addition to NOT listing yourself as a "Long Island Do", then declaring glaring ignorance of very basic medical terms, you may do well to read through these forums to get a flavor of how some posts & replies may occur.... especially if on the surface one appears to be deceptive. aside from that and taking some NSAIDS for your arthritis, you would do well to grow some hide if you really think you will be a surgeon.

Based on what you have said, at this point, you are a "pre-med". Your family and friends may have thought of you as a physician since back even in high school. But, you are NOT. I am sure you had the opportunity to select "pre-med" when joining this forum. You chose not to do so.

You should focus on getting to whatever med-school you choose from your acceptance letters. That is step one. Then, you need to focus on getting through said med-school. That is step two. Next, you need to pass your board examinations all 3 or 4 of them (not sure how many anymore). Until you do all of that, you will NOT be a licensed DO/MD. So, please refrain from listing yourself as a physician (i.e. "Long Island DO")... even if it is your dream to one day be one. And, do not buy the hype of your family and friends that will for many years, through your training consider you a physician and seek medical advice you should not be providing.

IMHO, all of the above is "valuable" information that you would do well to appreciate. As for your arthritis concerns, I believe others and myself have also provided valuable information... So, be grateful for the broad areas we have covered to help you on your journey.


JAD


Seriously. Posts like this one are the one reason I dislike SDN...a forum about learning and guidance. Not judgement and online battles.

I joined SDN six years ago and picked the name based on some high school preconception that I would complete a 7 year BS/MD program. Thank god I decided not to (largely do to polite posters on this forum) and I kicked a** in undergrad...now I have some great schools to pick from in the next months.

That's my story. Let's focus more on helping each other out instead of tearing each other apart over stupid details. I appreciate your response in the beginning. Any other advice would be gladly accepted.

Thanks folks.
 
Seriously. Posts like this one are the one reason I dislike SDN...a forum about learning and guidance. Not judgement and online battles.

I joined SDN six years ago and picked the name based on some high school preconception that I would complete a 7 year BS/MD program. Thank god I decided not to (largely do to polite posters on this forum) and I kicked a** in undergrad...now I have some great schools to pick from in the next months.

That's my story. Let's focus more on helping each other out instead of tearing each other apart over stupid details. I appreciate your response in the beginning. Any other advice would be gladly accepted.

Thanks folks.

While I agree that the post was harsh and that you may have chosen your user name before your situation changed, the fact is that your self-described user status (which can be changed at any time by you) lists you as Long Island DO. You might consider changing that as it misrepresents your status which is a violation of the SDN rules.
 
While I agree that the post was harsh...
I do seem to get cranky... might be the rainy, cold climate is causing my arthritis to flare:poke:

How you doing WS? Haven't written for awhile.... I been busy and such.
 
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