Showing posts with label orthopedic surgeons. Show all posts
Showing posts with label orthopedic surgeons. Show all posts

Tuesday, December 10, 2024

Abuse Within the Medical System Exists

SIGNS OF ABUSE OF POWER

It can be hard to spot the signs of covert emotional abuse. But there are some common tactics to be aware of, including:

  1. Constant criticism and belittling
  2. Gaslighting, scapegoating, and love bombing
  3. Passive aggressiveness 
  4. Isolation from friends and loved ones
  5. Undermining your accomplishments
  6. Emotional neglect
  7. Giving the silent treatment
  8. Making subtle, painful digs or threats that sound like jokes 
  9. Giving insults that, on the surface, sound like compliments
  10. Withholding love or affection
  11. Blaming you for all the problems in the relationship or anything that goes wrong
  12. Limiting your access to resources or financial control 
  13. Forbidding you from getting a job or doing something to better yourself
  14. Denying your experience in ways that leave you questioning your reality
  15. Doing or saying things that make you feel powerless or undeserving of love
  16. Reframing your attempts to connect as neediness
  17. Refusing to take responsibility for their words or actions
  18. Making promises to change, then denying that they ever made the promises
  19. Normalizing abusive, unhealthy behaviors
  20. Engaging in online stalking or surveillance to control your internet or phone use

What should you do if you think you might be experiencing covert emotional abuse?

Because it’s so subtle, it can be hard to tell if you’re experiencing emotional abuse. Abusers often deny any negative intentions and can make you feel like you’re imagining things. For example, they may say things like “Geez it was just a joke” after insulting you. Or they may tell you the reason they don’t want you to spend time with friends is because they want to “protect” you. 

So what should you do if you think you might be experiencing emotional abuse? Most importantly, remember that abuse can take many forms, and it’s never your fault. You don’t have to endure physical harm to be a victim or ask for help. Give yourself time to reflect on your experience and what’s really happening in your relationship. Take note of any suspected instances of abuse and how they made you feel. You can write your thoughts in a journal (but keep it in a secure place) and ask for external validation from friends, family, or other people who know you well. 

As you begin to gain clarity about your situation, you can then take steps to seek support and keep yourself safe.

What options are available to someone experiencing covert emotional abuse?

If you or someone you care about is experiencing abuse of any kind, know that help is available. Your first priority should always be your safety. You can call 911, local crisis services, or the National Domestic Violence Hotline at 800.799.SAFE (7233) if you feel that you or your children are in danger. 

If there are no immediate safety concerns, you can use the following suggestions to support yourself as you heal from the effects of emotional abuse. Remember these are just suggestions and what’s most important is finding what works for you.

  • Prioritize self-care. Abuse can take a toll on your mental health and physical well-being. So try to set aside some time to engage in activities that nurture your mind, body, and spirit. 
  • Set healthy boundaries. You don’t have to stand by and listen to hurtful comments, manipulations, or insults. Let the other person know that if they belittle you or emotionally abuse you in any way, you’ll remove yourself from the conversation. Plan ahead, and consider where you’ll go if you need to make an exit.
  • Challenge self-blame. Abusers will often do or say things that leave you feeling like the abuse is your fault. But that is never the case. So when you notice self-blame creeping in, try to challenge those thoughts. 
  • Nurture your support system. Abuse thrives on isolation because it’s harder for a perpetrator to harm you if other people witness their behavior. So reach out to your support network and talk about your experience with people you trust. 
  • Seek professional help. Emotional abuse can have a lasting impact on your mental health. A therapist can help you regain your sense of self, set and uphold boundaries, learn to spot abuse, and build healthy relationships.

Find care with Rula

While it can be hard to  detect, research shows that covert emotional abuse can sometimes be even more harmful than physical abuse. So if you or someone you care about has experienced it, know that it’s okay to ask for help. At Rula, our goal is to streamline access to effective, compassionate mental healthcare for anyone who needs it. 

No matter the mental health challenge you’re facing, you can use our therapist-matching program to find a therapist who takes your insurance in just a few minutes. From there, you can schedule your first online appointment and begin accessing care as soon as tomorrow. 


Sunday, August 18, 2024

Robotics & Orthopedic Surgery

Orthopedic surgery, like any field of medicine, has historically been susceptible to errors and complications. In the past & even now in 2025 mistakes are sometimes swept under the rug; records re-written and hidden from the patients and public scrutiny. However, the increasing adoption of advanced robotic systems is ushering in a new era of transparency, precision, and patient safety.  There is becoming less room for error and also an increase in transparency and accountability.   But remember the robotic equipment is only good for those that are adept at using it.  Be sure to inquire about it before going into the operating room. 


Traditionally, orthopedic surgeons relied on their extensive training and experience to perform complex procedures like joint replacements and spinal fusions. While most surgeries were successful, the inherent variability in human judgment and technique occasionally led to suboptimal outcomes. Implants might be positioned slightly askew, or soft tissue could be inadvertently damaged. In some cases, these mistakes were downplayed or even concealed, eroding trust between doctors and patients.


The rise of robotic-assisted surgery is transforming this landscape. Sophisticated systems equipped with 3D imaging, real-time navigation, and miniaturized instruments are enabling surgeons to perform operations with unprecedented accuracy and consistency. These robots don't get tired or shake like human hands might, allowing for more precise dissections and placements of implants which is critical for optimal outcomes & the patients' quality of life.


One of the most significant advantages of robotic systems is the wealth of data they capture before, during, and after surgery. This information promotes transparency, as every detail of the procedure is documented and analyzable. Any deviations from the pre-operative plan or minor complications are automatically recorded, leaving no room for errors to be hidden. This level of accountability is a game-changer for patient safety and trust.


But the key to unlocking the potential of these robots lies in the hands of the surgeons and their support teams. Proficiency with the complex software and hardware is crucial for optimal results. Manufacturers are investing heavily in training programs, and many surgeons are dedicating hundreds of hours to mastering these cutting-edge tools.


The partnership between well-versed surgeons and advanced robots is already yielding remarkable outcomes in most cases. Studies are showing reduced complication rates, less postoperative pain, and faster recoveries compared to traditional open techniques. As the technology continues to evolve, we can expect to see even more personalized care, with robots tailored to address specific musculoskeletal conditions.


Orthopedic surgery is undoubtedly entering a golden age, with robots and human surgeons working side by side to deliver the best possible outcomes. The days of hidden mistakes are fading, replaced by an era of transparency, precision, and data-driven excellence. As patients, we should welcome our new robotic colleagues, recognizing that they're not here to replace our skilled surgeons, but to enhance their abilities and our collective wellbeing.


The future of orthopedics is robotic, and that's something to be excited about. With the right training and mindset, these machines will become indispensable tools in our quest for optimal musculoskeletal health.  So, the next time you or a loved one faces the prospect of surgery, remember – a robot might just be your best ally on the road to recovery.  But also keep in mind that it is good to come equipped with a list of questions expecting answers from your orthopedic doctor to see if his level of expertise is consistent with the outcome you are being promised and the results you are after before going with a surgeon.  Often a doctor will list on their online resume that they use robotics only to find out later that they did not use it during your particular surgery.   Thats not good and by law the doctor then may not accept any accountability for his negligent actions thereby trying to put the onus on the patient who was unconscious at the time of surgery which is almost delusional for example it happened to me @ Rothman Orthopedic Hospital in Bensalem under the care of Dr. David Nazarian who displayed on his resume that he uses the Mako Robot ; why didn't he use it that day?  He did me & how many countless others a total dis-service.  His indifference is totally callous and zero accountability like several other medical professionals like Dr. Lenwood Nelson who promised to do my surgery in 2020 but obviously used the interns to increase financial gain at the University of Pennsylvania Presbyterian Hospital from the  HUP  with absolutely no discussion therefore not total transparency in the Doctor/patient relationship.  Thats not fair or ethical to me.  How can you do that to a person?  There is so much of this going on today especially in teaching hospitals and after seeing Dr. Nelson he threw his hands up yelling @ me I'm done, Im done Im done!!  He really was so cold and indifferent about what they had done to my body.  To be honest I couldn't believe it myself because I thought he was a fine doctor but after that day and the outcome I really changed my opinion of him as a person and man.  

But I do not think this happens with most doctors unless they are rather old and refusing to retire in spite of any bad outcomes and the impact that it has on a person's quality of life.  Personally I believe most doctors are incredibly compassionate humanitarians that earnestly use their gifts and talents to uplift the whole of humanity and within the scope of orthopedics to enhance the quality of life for individuals which ripples out affecting society on so many levels.  And yet there are some older doctors that would better serve the public to pass the Torch on to the more qualified next generation who are better trained with robotics.  

Saturday, June 1, 2024

Pennsylvania License

 

Pennsylvania State Capitol Building Scenery

Pennsylvania Criminal History Checks will no longer be automatically submitted to the Pennsylvania State Police as part of the application process. For applicants living, working, or completing training/studies in Pennsylvania, you must obtain a Pennsylvania background check directly through the Pennsylvania State Police at https://epatch.pa.gov. On the application, select "Pennsylvania (https://epatch.pa.gov)" in the list of states where you have been located, and upload a copy of the completed background check.





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Welcome to the Pennsylvania Licensing System (PALS)

PALS can help you apply for, renew, and check your professional license.

How do I get started?

A good starting point is to use our application checklist to see all of the requirements and needed documents to apply for your license.


If this is your first time using PALS, create an account or if you are a returning user, log in to your account. Once you are logged in, your dashboard will provide you with clear next steps.

License Renewals

Renewal applications are typically opened 30-60 days prior to expiration dates. Please make sure you allow enough time for processing.


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