" When you hurt someone intentionally

               Take it as a loan

 it will come back to you with interest" 

Impotent Laws in Orthopedic Note Taking

An impotent man refers to a man that cannot succeed in having or maintaining an erection but I would take it a lot further than that because anyone can get an erection but its only a weak impotent man that would want to hide behind a false image which is a complete false persona.  And as far as any man willing to abuse their power in order  to overpower anyone weaker or in a vulnerable position be it  physically, professionally or psychologically and manipulate a person, place or situation using their position is powerless in my book, weak and totally a total fraud.  to manipulate a person.  How could I have been so naive?  In order to accomplish their messed up agenda they must organize their clinic and their person into an isolated position which is easy when you work for yourself and by yourself therefore there is no one there to witness the deliberate crime.  For example the psychopath working alone in physical therapy  is characterized by a public face, a mask or well rehearsed roll that theyve manipulated many times over the years in a variety of setting would allow them to build a persons confidence without the person catching a glimpse of individuals nefarious agenda (Red carpet ready)  if you putting on a public show; with a superficial charm using calculated manipulation—behind a false show of empathy, with absolutely no conscience whatsoever, changing the record and the truth.  Sad to say this  type of individual is extremely rare like a snake in the grass waiting for their prey to feed their empty souls  indeed nevertheless they're out there doing damage and getting away with it. I would imagine any person that could actually do such a perverse action is completely void of a soul or conscience.   They are completely impotent in the heart department.  They are 100%  void of conscience and bona fide empty shells  After injuring an individual patient there is no remorse or acountability.   No one to witness or verify the truth.  

In an isolated, independent setting, this type of an individual thrive by  abusing  their power and authority to exploit a patients innocence and naivete and  manipulate situations for their own covert reasoning because they are extremely sick, pathetic and weak.   Often times they are hiding behind their illusion 

 while exploiting their personal power 

at the expense of a patient 

with no remorse and no

professional accountability for their actions 

since they can lie on the record all the while omitting the truth. 

They can  bury their  conscience because they don't have one.

But as the saying goes: 

"God knows everything and one day He will even the score"

You can bank on that one.

The law is in their favor  because their false story 

over-rides the truth but not their actions becausethe patient knows 

the facts and even if their records are blatant lies 

they have an unfair advantage namely whatever

the practitioner puts it down on the "record"  stays 

on the record but hopefully you wont have to find 

out the hard way like I did.

Do your own research.  

These laws are antiquated and one sided.  

These laws need to be changed and 

revised to restore the integrity within

 the medical community but especially in orthopedics 

in a solo medical practice: Manifest through the Following Behaviors

1. Interpersonal Manipulation 

• 

  
  
  Superficial Charm & Glibness: They may appear remarkably confident, engaging, and trustworthy, using charisma to quickly disarm patients and gain trust, which masks their underlying detachment.
  
  
  
  
  
  
• Calculated Manipulation: Relationships are transactional rather than therapeutic. They may exploit patient vulnerabilities (e.g., pain, dependency) to gain money, favors, or compliance.
• Pathological Lying & Deceit: Habitually lying about credentials, treatment outcomes, or personal history to enhance their image. 

2. Affective and Empathy Deficits

Lack of Remorse or Guilt: They feel no regret after causing physical, financial, or emotional harm to patients, often blaming the patient 

• Callousness/Lack of Empathy: Indifference to patient pain or distress. They may view patients as tools for income rather than people in need of care.
• Shallow Affect: Their emotional expressions are superficial, mimicked, or cold, adapting to mimic empathy only as a tool for manipulation. 

3. Professional Behavioral Patterns

• 
  Grandiose Self-Worth: A belief that they are superior to other professionals and that standard ethical rules or licensing regulations do not apply to them.
• Dismissive of Concerns: Dismissing patient concerns or complaints, often gaslighting patients into doubting their own pain or treatment results.
• "Too Good to Be True" Claims: Offering unrealistic, "miracle" cures (e.g., rapid pain relief) or promoting unnecessary, expensive, or risky therapies to maximize profit.
• Lack of Accountability: Deflecting blame for poor outcomes, attributing issues to "non-compliant" patients or "incompetent" previous doctors. 

4. Lifestyle and Operational Risk

• Thrill-Seeking/Prone to "mistakes": they are reckless & violate safety protocols.
• Poor Behavioral Controls/Aggression: They display explosive anger if a patient questions their authority or if patient questions them; very controlling individuals.
• Frequent Changes: A history of abruptly changing locations, careers, or partners to escape accountability or consequences. 

---

Warning Signs of a Psychopathic Provider: 

• They brag excessively about their abilities.
• 
  They do sudden harmful treatments without justification or warning
• They are extremely cold & detached & very controlling

---

Your Face is A Roadmap

Face Reading Explanation ned

practice that claims to reveal personal qualities and character traits through facial features. Among these features, smiles and teeth play a crucial role in the interpretation of an individual's personality. A broad, toothy smile often indicates a person who is open, friendly, and approachable.

However, the presence of large, prominent teeth, often referred to as "horse teeth," can suggest underlying traits that are less favorable. This characteristic may be associated with a lack of refinement or sophistication, hinting at a boisterous personality that may not be well-received in more reserved social circles.  These individuals can fit in the more aggressive categories of people & behaviors.   Approach these people with caution. 

When analyzing the implications of big horse teeth, one must consider the broader context of physiognomy. These teeth can be seen as a symbol of excess and lack of control, potentially indicating a person who is overly assertive or aggressive. Such individuals may struggle with moderation and balance in their lives, leading to conflicts in personal and professional relationships. The stark appearance of large teeth can overshadow other positive facial features, creating an overall impression that may be off-putting to others. Therefore, it is essential to approach interactions with individuals displaying this trait with caution, as their outward appearance may reflect deeper personality flaws.

In conclusion, while face reading can provide insights into character, one must exercise extreme skepticism regarding its accuracy and reliability. The notion that one can discern personal qualities based solely on physical attributes is fundamentally flawed. Relying on such superficial judgments can lead to misinterpretations and reinforce negative stereotypes. Instead, prioritize understanding individuals through their actions and words rather than their smiles and teeth, as true character is revealed through behavior, not mere appearance.

 

 

“Courage and conviction are powerful weapons

 against an enemy who depends only on fists or guns.

 Animals know when you are afraid; 

a coward knows when you are not.”

- David Seabury

Avoid Interns Doing Your Surgery

If you or someone you love is facing hip or knee surgery in ordcr to avoid exploitation of any kind, negligence or unethical practices which could lead to devestating results it is imperative to demand transparency while under a doctor's care regardless of their social status or online reviews.  If there is nothing to hide, then any upright human being / doctor would welcome all questions & concerns prior to any procedure.  They'd be transparent about not being present during your surgery.  But there not. They greet you coming into the O.R. and once they put you under anesthesia all bets are off. They do what they want and allow incompetent interns to work on you without knowledge or prior chionsent.  Its criminal, unethical and very duplicitous.  The average patient has no idea this goes on until some immutable calamitous  outcome which can take many months or close to a year to figure it out and can alter the path of a persons life forever.  

Regarding modern orthopedic practices & the idea of any unethical practices among some healthcare providers & hospitals is unconscionable.  There have been some instances documented where some practitioners will alter medical records or even falsify reports or completely ghost the record on a given patient to appear as if they were not ever involved in the case when they were the one to give the orders!

Such unethical behavior extends to the manipulation of information & patient care wherein prior to surgery the patients are misled into believing that a specific surgeon will perform the procedure only to discover that the actual surgeon was not even present in the O.R. told later by his physician assistant Sam.  This type of deception not only undermines the integrity of the healthcare system but also poses significant risks to patient outcomes, safety and trust. Therefore, it is crucial for patients and their families to conduct your own personal detailed investigation, seek second opinions, and demand transparency in all aspects of their medical care to safeguard against such exploitation and malpractice.

The gravity of this issue cannot be overstated; it is essential to approach the matter with extreme seriousness in order to mitigate the potential for abuse of power & exploitation of any kind.

Patients must prioritize self-care and demand full transparency from providers, especially anyone exhibiting an inflated ego coupled with a do no wrong attitude can lead to unethical practices and lack of accountability. The notion that any healthcare professional could disregard the foundational principle of 100% transparency with a patient is not even conceivable or ethically right in my opinion.  How would you like it done to you?  

It is imperative to engage critically and assertively with health professionals to safeguard against potential exploitation and to ensure that the care received is both ethical and effective. 

Patients must be fully informed about who will perform their procedure; it is unacceptable for a surgeon to misrepresent their involvement, allowing untrained interns to undertake complex operations without adequate supervision. Such practices not only jeopardize patient outcomes but also tarnish the professional integrity of the medical hospital and surgeons name It is essential for patients to demand transparency and accountability, as the consequences of negligence can be severe and lasting. Therefore, I urge individuals to thoroughly vet their medical professionals, insist on clarity regarding their qualifications, and take a proactive stance in their healthcare decisions to prevent being misled and to uphold the standard of care.  And the other medical staff that are aware of these practices are just as guilty when their lack of action and integrity can lead to the disastrous outcomes.  

Truly the laws need to be revised to equal the scale of justice so that the Doctors will be consider the results of their actions in a patients life  before and not after  any egregious actions without a second thought.  

The current legal framework governing medical malpractice is profoundly inadequate, failing to hold physicians accountable for the consequences of their actions prior to the occurrence of egregious acts that irrevocably alter a patient’s life. It is imperative that legislative bodies undertake a comprehensive revision of these laws to ensure that the principles of justice are applied equitably and effectively. Orthopedic doctors must be compelled to consider the full impact of their decisions or allowing inept practitioners on patient outcomes, fostering a culture of accountability that prioritizes patient well-being over institutional protection. Without such reforms, the system will continue to perpetuate a cycle of negligence and impunity, undermining public trust in orthopedics. Therefore, it is essential that stakeholders advocate for immediate legal reforms to rectify this critical imbalance in the pursuit of justice. Nevertheless justice is imperative in the future of maintaining trust  & integrity  within the orthopedic community and those they serve. 

Before proceeding with any orthopedic procedure especially hip or knee surgery, it is crucial to conduct thorough research, as numerous undocumented malpractice lawsuits against medical professionals and hospitals do exist, often unreported, never filed or inadequately addressed. This alarming reality does not reflect the absence of guilt, negligence and disastrous wrongs that are calamitous to the occurrence of egregious acts that were never reported or ever fairly and honestly addressed. The innocence or integrity of these practitioners should not just go on their stellar google reviews since they may have been altered or the negative ones removed.  

Patients must seek out independent reviews and credible sources of information. Engaging in discussions with previous patients and consulting legal experts can provide invaluable insights into potential risks. It is imperative to recognize that the absence of documented malpractice does not guarantee quality care or ethical practices. Therefore, one must approach such significant medical decisions with caution and a critical mindset, ensuring that all possible avenues of information are explored before consenting to surgery.  Your future matters.  Tell a friend or someone you love. Thank you for stopping by today.

Bicycle Thieves Project

 A  Bike  for a  PRECIOUS Girl 

When Xiomara was just two years old, she was paralyzed from the waist down in a car crash. Despite everything she has faced, her spirit has never stopped moving. A few months ago, her dad reached out with a dream: to see his daughter ride a bike made just for her. A bike that could give her the same freedom, joy, and independence that so many of us take for granted as kids.

At the Bicycle Thieves Project, we started a GoFundMe to help make that dream real. In less than 24 hours, we reached our $5,000 goal. Every dollar came from people who believed in giving childhood back, in catching the thieves that steal those moments away.

Last week, Xiomara’s custom-made, adaptable tricycle was delivered and assembled right at her home. Her dad sent us photos and videos of the moment she got on it for the first time, and the excitement in her eyes said everything. After years of watching other kids ride, this time it was her turn. She pedaled, smiled, and for the first time in a long time, felt that simple joy that only a bike can bring.

This isn’t just about a bike. It’s about possibility. It’s about showing Xiomara and kids like her that no barrier, financial or physical, should stand in the way of feeling free. Moments like this are why we do what we do. Every shirt, every hoodie, every hat you buy helps us create more stories like Xiomara’s.

To everyone who donated, shared, or supported the GoFundMe, thank you. You helped turn hope into motion. To Xiomara and her family, thank you for letting us be part of your journey. We’ll never forget the smile that started it all.

Every kid deserves the chance to ride. All your support, through donations and merchandise orders, helps make that possible.

Written by Conor Shaughnessy

"Earth Angels are real" 

Butchers of Baghdad

            David Nazarian  

   

Rothman Specialty "Hospital" 

Rothman Specialty Hospital is not really a hospital in the official definition of the word  at all because in it is a physician owned facility where the doctors have a financial stake in the day to day profit sharing within the organization. So at  a surgi-center  they're permitted to cut a lot of corners that would never be permitted in a real hospital according to a nurse I met at the YMCA who told me never to go to a surgi-center for so many reasons and she actually worked at Jefferson Hospital in Philadelphia 

That nurse informed me  and some other ladies at the YMCA about the ins & outs of the  surgi center short cuts  like the  Rothman Specialty Hospital for example the women prepping you for surgery are probably not even be "real nurses" they're just  medical assistants which requires 6 weeks to a few months  which is against the natural actions of moral laws that violate  and way below what any patient is aware of and can  be downright perilous and in the case below it was actually fatal!! 

Once again Nazarian was involved in a malpractice lawsuit where a jury found him and his partners negligent for a patient's blood clot resulting after surgery to administer aspirin to prevent blood clots and is basic protocol yet Nazarian & Rothman  Hospital  completely dropped the ball once again while overlooking a very basic protocol to administer aspirin to avoid what resulted in a fatal mistake.  

Where is this Doctors priorities? How can Nazarian  be so clueless, careless, thoughtless & so indifferent to take a knife to someones body without careful thought and preparation?  Tell me now.  I should know because this same man has devestated my life too and since then I have heard of many other horror stories.  I am in the process of writing my own personal story  along with interviewing other victims that has been devestated at the hands of so called "medical professionals"  but will never be held accountable until the law of karma brings its full return to him & countless others that took advantage of their naive  patients who were never informed of so much vital information left out during the pre-op info session. 

When confronted with the truth he doesn't care and doesn't care to make things right.  But if he's incompetent and really at 65 years old and so many mistakes back to  back its time he hangs up the knives and STOP OPERATING!!  Do the world a favor and stop practicing on innocent people that their only crime was trusting someone as unprepared and careless as you, Dr. Nazarian along with so many others.  Its just not fair or ethical. 

The bottom line is if you have to get an operation  bedside manner should be the last thing on your list because what truly matters is if the surgeon is skilled or not and is able to deliver what they promise and lead you to believe that they know what they are doing 

"Only Skilled surgeons really matter"  forget all the fluff that some of these guys present prior to surgery.  Some of these Doctors deserve an academy award for the big sh**t show with all the bells & whistles     Honest to God.  

Dr. Rothman was noted for what appeared to be his cold demeanor but Dr Rothman & Lisa Moriarty, R.N. were some of the finest professionals in this century.  They  had created a system that worked  like clockwork with stellar results. He would be disgusted at some of the horrific things that have happened under his name & legacy  since he deceased. 

Calling you the night before surgery is a nice gesture but make sure  they are fully present & functioning at 100% with a well thought out game plan  that the surgical team is capable of executing when they wheel you or your loved one  into an operating room. Surgery is no joke and never to be taken lightly.  

Nazarians' standard of care was completely substandard & its not the first time. Tragically in this case the lady died ; completely avoidable:: total negligence;  100% below the standard of care awarding the estate over $1,000,000 which can not compensate for a life. No way no how!! It was somebody's mother with hopes and dreams for a better future not arranging for her funeral.  

And let me say this:  just because a doctor or physical therapist is not on the record for malpractice does not mean they are innocent or haven't been  negligent. 

Remember the doctor  and/or physical therapist get to re-write the record.  It is not fair or ethical to the person that was permanently injured and  general population.  Ya know?  It is a travesty that should be changed & altered at a national level.  Some doctors within the medical system take advantage of the naivete of the patient.   

FYI the law is that if the doctor puts anything on the record and the patient requests to have the record corrected because the information is completely flawed, false or misconstrued the doctors notes will override the truth unless it is uncovered usually with the help of skilled litigators  like Sachetta & Baldino in Media PA  

Whether you believe it or not some doctors, physical therapists, nurses and medical professionals can omit the truth.  Believe it or not they lie!!  They cover up, they write false reports, they string along the patients, families and friends hoping the time runs out.  Some of them are completely indifferent to their actions & the devasting effects that they have caused to the patient, their futures and knowing they have no accountability is their manin objective. 

How many interns, rookies & manufacturing reps  work in the O. R.'s witness or even orchestrate in negligence and disastrous wrongs that are calamitous to an individual and their loved ones.   Some do some don't and others couldn't care less.   And don't forget this is happening all around the country in every hospital across the nation.  Think about that one.

But let me say this:  I'm not down on Doctors but I am for accountability and justice.  Nevertheless there are still some good doctors, nurses and hospital staff but they are all part of the system which is not your friend or advocate.  Lets face it the "system"  has an insatiable appetite for power, money and control even if its at your expense. 

What is a voracious person or system?  A voracious person, persons or system is prone to greed with lack of accountability or liablity.  

So a system is an organized set of inter-connected parts working together to achieve a specific purpose or function which I believe you can agree that medical system has changed dramatically where the bottom line is money and the "system"  basically is not viewing you the patient, friends or  family members as a valuable part within the "system"  and their specific outcomes of profit as the bottom line.  Remember that the next time you go to a Doctor, hospital or other non-profit like the YMCA 

The question is what can you add to the system and if it isnt' in dollars and cents you don't count or suffer the results of some of the incompetent unqualified  stoonads out there.  Sorry, not sorry for presenting it so bluntly but if it can spare you the tragedy of going to the wrong Doctor, hospital or interns then you can thank me later.

Again, if someone sees something that isn't according to standard of care they don''t want to lose their job or 401 K so they choose to look the other way, remain silent say nothing unfortunately it happens every day in every Operating Room/O.R. &  hospitals across the country.  

In reality many times  they are probably guilty or cut corners or conveniently  lost the x rays, images or changed the wording to their advantage which is a complete abuse of power & the majority of patients do not know that the law is in the favor of medical professional so if you as a patient write a letter to correct the record requesting it to be added to your medical records the Doctors notes over ride the truth and therefore clouding the truth so as  a patient you are at a disadvantage as you as a patient are scrambling to set the record straight when all you want to do is get your quality of life back & walk again.  It can turn into a hideous epic fail on a on a merry go round that the patients didn't sign up for when they are putting their trust into the hands of the orthopedic surgeon and medical staff.  Its a very disturbing perpetual sh--t show catastrophically turns into a complete  fiasco  with incompetent staff, surgeons, interns who are not be capable of operating & have absolutely NO  BUSINESS OPERATING!! It also happens at the University of Penn all the time without any supervision unbeknownst to the patients.  Its a travesty.

$\$2.5$million. He was also a de%%fendant in a 2011 case alleging nerve damage during surgery. Separately, Nazarian sued his former partners at 3B Orthopaedics over the sale of their practice in 2013. 

Malpractice lawsuits with David Nazarian, M.D. 

• 2024 case: A jury found Nazarian and his partners at  ROTHMAN Reconstructive Orthopaedic Associates II negligent in a case involving a patient who developed a blood clot after surgery. The estate was awarded
  

  $\$2.5$
  million, with liability attributed to a failure to properly treat the patient's increased risk of venous thromboembolism.
• 
  
• 2011 case: Nazarian was named as a defendant in a case where a patient acquired nerve damage to a leg after surgery. The patient was a defendant alongside his partner, Dr. Arthur Bartolozzi, who performed another surgery on the same patient. 

Business and partnership dispute 

• 2013 lawsuit: Nazarian sued his former partners at 3B Orthopaedics after they sold the practice. He claimed they defrauded him of more than
  

  $\$800,000$
  by withholding his share of the sale proceeds and bonuses. The suit also alleged deceit, harassment, and unethical conduct by his former partners.
• Response to the suit: The former partners denied the allegations, stating that the offer to hire Nazarian was withdrawn because he took too long to accept it. They also claimed his client base came from the 3B brand, not his own following, according to Inquirer.com. 

Sep 11, 2011 — suffered nerve damage to her left leg following the negligent performance of the surgery. David. Nazarian, MD performe...