Don't Assume Anything

If you or someone you love is facing hip or knee surgery in ordcr to avoid exploitation of any kind or negligence or unethical practices which could lead to malpractice 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 virtuous doctor would welcome all questions & concerns 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 work on you without knowledge or prior consent.  Its criminal, unethical and very duplicitous.  The average patient has no idea this goes on until something goes wrong and can take many months to figure it out and can alter the path of a persons life.  

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. 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 Bagdad

            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 in my opinion. 

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 add this:  just because a doctor or physical therapist is not on the record for malpractice does not prove their innocence or negligence. 

In some cases if negligence or intentional tort waa reported to the stare board doesn't mean anything will be done about it anyway.  Remember in many cases the doctor gets to re-write the record. 

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.  Yes they lie!!  They cover up, they write false reports, they string along the patients, families and friends.  Some of them are completely indifferent to their actions & the devasting effects of their actions.  

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...

The Geometry of the Heart

 The field of medicine is often regarded as a bastion of ethics and professionalism; however, there exists a troubling phenomenon among certain practitioners that warrants immediate scrutiny. The metaphorical geometry of these doctors' hearts, indicative of their moral compass and professional integrity, appears to be significantly misaligned. This misalignment manifests in various forms, such as negligence, unethical practices, and a pervasive lack of empathy towards patients, ultimately undermining the foundational principles of the medical profession.

Evidence suggests that a subset of healthcare providers prioritizes personal gain over patient welfare, leading to detrimental outcomes. Instances of overtreatment, unnecessary procedures, and the prescription of medications without adequate justification are becoming alarmingly common. Such actions not only compromise patient safety but also erode public trust in the healthcare system. The ramifications of these practices extend beyond individual cases, fostering an environment where patient care is secondary to financial incentives. This is a clear violation of the Hippocratic Oath, which mandates that physicians must always act in the best interest of their patients.

It is imperative that the medical community addresses these issues with urgency and rigor. Accountability measures must be instituted to ensure that practitioners adhere to ethical standards and prioritize patient care above all else. Regulatory bodies should enhance oversight and impose stricter penalties for those who deviate from established norms. Furthermore, educational institutions must emphasize the importance of empathy and ethical practice in their curricula. Without immediate and decisive action, the integrity of the medical profession will continue to deteriorate, leaving patients vulnerable and disillusioned.

A.I. & WALKING

Wandercraft Begins Clinical Trials for Physical AI-Powered Personal Exoskeleton

by Fred Pennic 05/01/2025 Leave a Comment

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What You Should Know: 

– Robotics startup Wandercraft has begun clinical trials for its new Personal Exoskeleton. 

– Founded by Nicolas Simon, whose siblings face mobility challenges from Charcot-Marie-Tooth disease, Wandercraft aims to help individuals with spinal cord injuries, stroke, and other severe neuromuscular disorders stand and walk again using advanced robotics and artificial intelligence.

From Rehabilitation Tool to Personal Mobility

Wandercraft is already known for its Atalante X exoskeleton, an FDA-cleared device used as a neurological rehabilitation tool in over 100 clinical and research settings globally. With patients taking over one million steps per month using Atalante X, the company has proven its expertise in mobility assistance. Building on this success, Wandercraft is now focusing on its next-generation device: the Personal Exoskeleton, designed for everyday indoor and outdoor use by individuals requiring wheelchairs.  

AI and Simulation Driving Innovation

The Personal Exoskeleton utilizes AI-powered mechanisms to provide stability and enable users to stand and walk, controlled via a joystick. It integrates physical AI to constantly adapt in real-time to the user’s movements and various walking surfaces like concrete, carpet, and tile.  

To achieve this advanced functionality, Wandercraft is accelerating its development by integrating NVIDIA technologies. The startup is experimenting with NVIDIA Isaac Sim on the NVIDIA Omniverse platform for physically based simulation and testing of its AI robotics. It is also investigating the use of the NVIDIA Isaac for Healthcare framework and the NVIDIA Jetson Thor edge AI computer to create a powerful solution for AI training, simulation, and on-device runtime.  

“It’s essential for the exoskeleton to be fast enough that it can be used in the real world,” said Nicolas Simon, Wandercraft co-founder. “By integrating NVIDIA AI into the device, we can someday enable users to walk at an average pace, cross the road and go up and down stairs”. Simon notes they are applying technology from humanoid robotics to the exoskeleton, opening up endless possibilities.  

Beyond restoring the ability to walk, the Personal Exoskeleton could help mitigate secondary health complications associated with being seated all day, such as cardiovascular, skin, and digestive issues. Wandercraft’s ultimate goal is to make this life-changing technology accessible to the estimated 80 million people worldwide who use wheelchairs, potentially securing Medicare coverage in the U.S. to reach millions.

FDA Clearance Plans

Clinical trials for the Personal Exoskeleton are now underway in New York and New Jersey. The prototype was recently demonstrated at the NVIDIA GTC global AI conference with the help of a spinal stroke survivor. Wandercraft plans to apply for FDA clearance immediately after the clinical trials conclude, aiming for completion this year, and is currently recruiting additional participants

Reprinted @ hitconsultants.net

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Tagged With: Artificial Intelligence, Clinical Trials

Good Reading for HCPs