• Sports Medicine Injuries and Specialty Care of the Elite Level Athlete

    The physicians at OSMCKC are Sports Medicine Fellowship Trained Orthopaedic Surgeons with years of experience caring for the elite level athlete of all ages.

  • Cartilage Restoration and Repair

    Our physicians are experts in the care of cartilage lesions of the knee, elbow, shoulder and hip. Autologous Chondrocyte Implantation (ACI), Osteochondral Autograft Transfer (OATs), microfracture, primary cartilage repair, and cartilage regeneration are techniques individually selected with each patient.

  • Ligament Reconstruction of the Knee

    Procedures perform include:
    Anterior cruciate ligament (ACL) reconstruction is surgery to reconstruct the torn ligament of your knee with a tissue graft.

  • Total Knee Replacement

    Total knee replacement (TKR) is a surgical procedure in which the worn out or damaged surfaces of the knee joint are removed and replaced with new artificial parts.

  • Shoulder Surgery including Arthroscopic Rotator Cuff Repair & Reconstruction

    Arthroscopic rotator cuff repair and shoulder instability surgery can restore function and stability to the active patient and overhead athlete.

  • Total Shoulder Replacement

    Shoulder joint replacement is a surgical procedure performed to replace the damaged shoulder joint with the artificial implants. Shoulder joint replacement is usually performed when the joint

  • Elbow injuries

    Ulnar collateral ligament reconstruction (Tommy John Surgery) restores function and stability to the overhead athlete with a ligament injury

  • Treatment of Sports Foot/Ankle Injuries, Ankle Arthroscopy and Cartilage Restoration

    Sports injuries occur when playing indoor or outdoor sports or while exercising. Sports injuries can result from accidents, inadequate training, improper use of protective devices, or insufficient stretching or warm-up exercises.

  • Platelet Rich Plasma (PRP) Therapeutic Treatments

    Platelet rich plasma (PRP) is platelet rich concentrated portion of blood plasma. Blood plasma contains vital growth factors that help in repairing the injured tissue and platelets

  • Ankle Arthritis

    Arthritis is inflammation resulting from the degeneration of cartilage in the joint causing pain, swelling, and stiffness in the joints resulting in restricted movements.

Home » Blog » My Patient Didn’t Do What I Recommended: Part 1.

My Patient Didn’t Do What I Recommended: Part 1.

Thoughts on Orthopaedics and Medicine by Chris Peer, MS, MD

In Medical School we’ve all been taught that the word “Doctor” comes from the Latin word meaning “To Teach”.

My medical school curriculum included no classes on patient education. At any rate, I think that many of my most satisfied patients are those who gain the greatest understanding of their orthopaedic problem through education. I use models and charts and pictures. I have clinical research articles and their summaries laminated and use them as teaching tools when appropriate. Especially the “Orthopaedic Risks of Smokers”.

It turns out, to no one’s surprise, that there is an abundance of information about orthopaedic conditions and their surgical treatment available on the internet. Some of it is extremely helpful. I am a huge fan of the American Academy of Orthopaedic Surgery’s website called “Ortho Info” (www.orthoinfo.org). It is accurate, rational and I think pretty well balanced. The internet also harbors some information that could easily be deemed “garbage”. It is a fact of medicine that some patients don’t do as well as we would like. Those patients are disproportionately represented in your Google search. But, just as an anthropologist can learn a lot about you from your garbage, we can all learn a lot from the Google search garbage. (More about the so-called internet “garbage” later.)

I recently saw two patients with similar but slightly different problems. I was relatively in favor of one treatment over another for both patients and told them why. I gave them a suggestion along the lines of “I’m 60-40 in favor of Treatment A over Treatment B

They both asked questions about the options and I did my best to explain the thought process. One chose Treatment A and the other chose Treatment B. Education includes respecting a patients right to make their own informed decision. Often, I think that one of the important parts of my care includes providing enough information that a patient will come to the natural conclusion that is best for them, not necessarily what I think is best for them.

There’s a window into the Art of Medicine.


Thanks for Reading.
Christopher Peer, MS, MD

Jun-3-2016 Blog