WSRE | Conversations With Jeff Weeks | Dr. James Andrews


Uploaded by WSRETV on 15.02.2012

Transcript:
>> THIS ORIGINAL WSRE
PRESENTATION SMEAD POSSIBLE BY
VIEWERS LIKE YOU.
THANK YOU.
>> WORLD-CLASS ORTHOPEDIC
SURGEON DR. JAMES ANDREWS ON
THIS EDITION OF CONVERSATIONS.
>> WHEN A LEAD PROFESSIONAL
ATHLETES HAVE ORTHOPEDIC
INJURIES THE FIRST CALL IS OFTEN
TO DR. JAMES ANDREWS.
DR. ANDREWS IS AT THE PINCAL OF
SPORTS MEDICINE, HE SAVED OR
REVIVED CAREERS OF SOME OF THE
BIGGEST SPORTS.
NAMES LIKE DREW BREES, EMMITT
SMITH, BO JACKSON, JOHN SMOLTZ,
JACK NICKLAUS AND CHARLES
BARKLEY ARE JUST A FEW.
TOP ATHLETES AREN'T THE ONLY
ONES BENEFITS, MANY ARE ORDINARY
PEOPLE MORE BLIND A DESK AND
BEHIND CENTER.
HE SPENDS A GOOD DELL OF TIME
CRUSADING AGAINST PREVENTABLE
INJURIES IN YOUTH SPORTS.
HE'S FOUNDING PARTNER AND
MEDICAL DIRECTOR OF THE ANDREWS
INSTITUTE.
WE'RE PLEASED TO HAVE HIM ON
THIS EDITION OF CONVERSATIONS.
>> THANK YOU FOR JOINING US.
>> THANK YOU, JEFF, QUITE A
FLATTERING INTRODUCTION.
I MUST ADMIT MY WIFE REMINDS ME
QUITE FREQUENTLY THAT I'M STILL
TALKING ABOUT WHAT I DID
YESTERDAY I'M NOT DOING MUCH
TODAY.
BUT IT IS A PLEASURE TO BE WITH
YOU.
>> IT IS A PLEASURE TO HAVE YOU.
I DO IF YOU DON'T MIND WAND TO
GO BACK A FEW YEARS AND TALK
ABOUT YOUR PAST.
WHAT WAS IT THAT GOT YOU INTO
THE MEDICAL FIELD?
>> IT SORT OF HAPPENED.
IF YOU TRY THE PLAN YOUR LIFE
YOU CAN GO ASTRAY.
YOU GOT TO BE IN THE RIGHT PLACE
AT THE RIGHT TIME.
I WAS SITTING IN THE LAP OF MY
GRANDFATHER WHO WANTED TO BE A
DOCTOR HIMSELF.
HE DID WHAT WE CALL PLANT THE
SEED, WHICH IS A VERY IMPORTANT
THING TO DO WITH YOUNG KIDS.
HE PLANTED THE SEED WHEN HE
WOULD ROCK ME WHEN I WAS A YOU
CAN KID HE SAID YOU'RE GOING TO
BE MY DOCTOR WHEN YOU GROW UP.
SO MY WHOLE LIFE WAS GEARED
TOWARD ONE PROFESSION AND IT
WORKED OUT WELL FOR ME.
>> I WOULD SAY SO.
ANY PARTICULAR REASON WHY
ORTHOPEDICS?
>> SPORTS WAS BIG IN MY LIFE.
MY FATHER WAS A COLLEGE FOOTBALL
PLAYER, ALL OUR SOCIAL FAMILY
LIFE WAS BUILT AROUND SPORTS IN
HIGH SCHOOL.
I WENT TO LSU ON -- AS A POLL
VAULTER AND TRACK SCHOLARSHIP.
SO WHEN I FINISHED PRE-MED AT
LSU I WENT TO LSU MEDICAL SCHOOL
AND I WANTED TO BE A TEAM
PHYSICIAN.
I WANTED TO BE INVOLVED IN
SPORTS, THAT WAS SORT OF MY
COMPROMISE AS I FINISHED UP MY
ACTUAL SPORTING CAREER, I SAID
WHAT'S NEXT BEST?
SPORTS MEDICINE.
SO I GOT INTO SPORTS MEDICINE AS
I FINISHED MY RESIDENCY AND DID
A COUPLE OF FELLOWSHIPS AN
WORKED WITH A MAN NAMED JACK
HOUSTON IN COLUMBUS, GEORGIA.
MANY OF OUR VIEWERS REMEMBER
THAT FAMOUS NAME, HE WAS THE
TEAM PHYSICIAN FOR AUBURN.
HE TAUGHT MEA LOT OF THINGS
ABOUT MY PROFESSION AND BROUGHT
ME ALONG AND EVERYTHING ELSE IS
HISTORY FOR ME.
>> WHAT WAS THE TURNING POINT?
WHEN DID YOU BECOME THE GO TO
GUY FOR PROFESSIONAL ATHLETES?
WAS THERE ONE PARTICULAR MOMENT?
>> THE TWO KEYS THAT REALLY
ALLOW YOU TO DO WHAT I HAVE DONE
IN ANY PROFESSION, NUMBER ONE,
TAKING CARE OF PEOPLE.
WE'RE PROVIDERS FOR PEOPLE.
AND COMMUNICATION AVAILABILITY
IS WHAT GOT ME INTO SPORTS.
I ALWAYS MADE MYSELF AVAILABLE,
IF YOU LOOK BACK AT SOME OF MY
SIGNATURE PATIENTS, THAT PICKED
ME OUT EITHER AS FRIENDS OR
ACQUAINTANCES, ONE COMES TO MIND
HERE IN THIS PENSACOLA AREA,
JERRY PATE.
I OPERATEDD ON HIM SOON AFTER HE
WON THE U.S. OPEN.
NEXT THING HE HAD JACK NICKLAUS
COMING TO SEE ME.
I GOT INVOLVED WITH BASEBALL
PLAYERS, I OPERAED ON ROGER
CLEMONS EARLY IN HIS CAREER.
YOU KNOW WHAT A GREAT CAREER HE
HAD.
BO JACKSON, ON AND ON AND ON.
I TOOK CARE OF A LOT OF HIGH
SCHOOL KIDS, HIGH SCHOOL BECAME
COLLEGE PLAYER, COLLEGE PLAYERS
BECAME PRO PLAYERS.
IT GREW FROM THERE. NOW I'M
TAKING CARE OF PEOPLE THAT I
OPERATED ON AND TAKING CARE OF
THEIR GRANDKIDS SO I'M STILL
GOING.
>> YOU'RE STILL GOING, YOU HAVE
BEEN AT THE PINNACLE -- WHY ARE
YOU CONTINUING TO WORK?
>> YOU KNOW, I HAVE AN OLD
SAYING IF YOU ENJOY WHAT YOU DO
AND YOU DO WHAT YOU LOVE YOU'LL
ALWAYS BE SUCCESSFUL AND I
REALLY ENJOY WHAT I DO.
I MEAN, IT'S FUN.
I'M EXCITED EVERY MORNING WHEN I
GET UP.
SOMETIMES I'M WORRIED ABOUT HOW
I'M GOING TO GET THROUGH THE DAY
WHICH IS NORMAL.
BUT I'M STILL STIMULATED, I'M
STILL LISTENING AND LEARNING.
AND STILL WORK HARD AND IF I
DON'T WORK HARD I PROBABLY
WOULDN'T LAST VERY LONG.
SO IT'S A WAY OF LIFE.
I DON'T INTEND TO SLOW DOWN AT
ALL.
SOMEBODY ASKED ME THE OTHER DAY,
THEY SAID DO YOU FEEL OLD?
I SAID WELL, THE ONLY TIME I
FEEL OLD IS WHEN I LOOK IN THE
MIRROR.
SO WHAT DO I DO?
I QUIT LOOKING IN THE MIRROR.
I THINK YOU HAVE TO STAY YOUNG,
YOU HAVE TO STAY STIMULATED IN
LIFE AND IT KEEPS YOU YOUNG.
>> WHAT IS YOUR FAVORITE PART
ABOUT THE JOB IN
>> THE SATISFACTION THAT I SEE
IN A PATIENT.
IT MAYBE SOMEBODY THAT HAD A BAD
ROTATOR CUFF TEAR THAT'S A LOCAL
TENNIS PLAYER AT THE TENNIS
FACILITY.
TO SEE HIM FOR EXAMPLE OUT
SOCIALLY AND HIM COME UP TO ME
AND SAID I'M BACK PLAYING
TENNIS.
MY RIGHT SHOULDER YOU OPERATED
ON TWICE AND I CAN STILL PLAY.
THEN OF COURSE YOU GO TO THE
OTHER LEVEL, I WAS WATCHING DREW
BREES PLAY THE WEEKEND BEFORE
LAST, I THINK MONDAY NIGHT
FOOTBALL OR SUNDAY NIGHT ONE OF
THE TWO, HE WAS ON FIRE.
HE'S BETTER NOW THAN THE FIRST
YEAR HE CAME BACK AFTER THE
COMPLICATED SURGERY I DID ON HIS
SHOULDER.
ALL THOSE THINGS ARE REWARDING.
MEDICINE FOR ALL DOCTORS IS
REALLY A REWARDING PROFESSION.
PEEPING APPRECIATE WHAT YOU DO,
YOU'RE ABLE TO DO THINGS TO HELP
PEOPLE.
YOU'RE CONSTANTLY STIMULATED BY
COMPLICATED SITUATIONS.
I TELL YOUNG FELLOWS AND
TRAINEES WITH ME THAT THERE IS
NEVER AN ORTHOPEDIC CASE THAT WE
DO THAT IS ROUTINE.
EVERY ONE HAS SOMETHING SPECIAL
THAT STIMULATES YOU.
THAT'S THE BEAUTY AND JOY OF
MEDICINE.
>> CURIOUS, WHAT SKILLS ARE
THERE THAT MAKE A GREAT SURGEON?
>> YOU KNOW, YOU HAVE TO HAVE
COMPASSION FOR PATIENTS.
AS I SAID, MEDICINE IS A PEOPLE
BUSINESS.
IF YOU JUST SEPARATE YOURSELF
FROM THE THE PEOPLE THAT YOU
TAKE CARE OF AND YOU DONE SHOW
COMPASSION, YOU'RE NOT GOING TO
BE A VERY GOOD DOCTOR.
IT'S NOT TECHNICAL ASPECTS OF
WHAT YOU DO IN THE OPERATING
ROOM, IT'S HOW YOU RESPOND TO
PATIENTS PROBLEMS, HOW YOU
RELATE TO THEM, HOW YOU TALK TO
THEM, YOU DON'T NECESSARILY HAVE
TO TALK TO THEM PRECISELY ABOUT
THEIR PARTICULAR MEDICAL
PROBLEM, YOU HAVE TO TALK TO
THEM, I REMEMBER YOUR GRAND DAD
THAT I OPERATED ON 30 YEARS AGO.
HOW IS UNCLE SO AND SO DOING?
WHAT TYPE OF WORK DO YOU DO?
TELL ME ABOUT YOUR CAREER.
IT'S THE PERSONAL RELATIONSHIP
THAT YOU DEVELOP ON A ONE ON ONE
BASIS THAT REALLY MAKES YOU
SUCCESSFUL IN MEDICINE, IN ANY
SPECIALTY OF MEDICINE.
>> AND ANY BUSINESS.
>> PEOPLE.
WE'RE PEOPLE.
>> I GUESS THE PATIENT WHEN THEY
FEEL COMFORTABLE WITH YOU THEY
HAVE A BETTER ATTITUDE.
THAT CERTAINLY HAS TO HELP IN
THE REHABILITATVE PROCESS I
THINK.
>> THE OTHER KEY OF COURSE IS A
POSITIVE ATTITUDE FOR PATIENTS.
YOU GOT TO GIVE THEM HOPE.
YOU HAVE TO BE TRUTHFUL WITH
THEM, A LOT OF DOCTORS DON'T
UNDERSTAND THAT.
THEY'LL PAINT THE BAD PICTURE.
GOSH, YOU HAVE GOT THIS, THAT
AND THE OTHER AND I DON'T KNOW
IF WE CAN FIX THIS OR NOT.
THE GLASS IS HALF EMPTY, NOT
HALF FULL.
YOU HAVE TO BE TRUTHFUL WITH
THEM.
YOU HAVE TO GIVE THEM THE FACTS
BUT IF YOU'RE SMART ENOUGH AND
HANDLE IT PROPERLY YOU ALWAYS
FINISH WITH WE'RE GOING TO GET
YOU WELL.
WE'RE GOING TO TAKE CARE OF YOU.
AND LEAVE THAT POSITIVE THOUGHT
IN THEIR MIND AT THE END OF YOUR
CONVERSATION.
YOU WOULD BE AMAZED HOW THAT
POSITIVE THOUGHT AND THAT
CONFIDENCE THAT YOU GIVE THEM
JUSTHAT THAT ONE LITTLE
FINISHING SENTENCE TO GIVE THEM
SOMEBODY, IT WILL BE A CHALLENGE
BUT DON'T WORRY WE'RE GOING TO
GET YOU WELL.
THAT MEANS A LOT TO PATIENTS.
>> OVER YOUR YEARS, WHAT HAS THE
BIGGEST CHANGE FROM A TECHNOLOGY
STANDPOINT BEEN?
>> THAT HAPPENS EVERY DAY.
>> THE BIGGEST DIFFERENCE MAKER,
MAYBE A BETTER QUESTION.
>> THE THING THAT REVOLUTIONIZED
SPORTS MEDICINE THAT, TRICKLED
DOWN INTO ASPECTS OF ORTHOPEDICS
AND NOW INTO LOTS OF SURGICAL
SPECIALTIES WAS THE ATHEROSCOPE.
THAT WAS THE BIG REVOLUTION.
THE BIG REVELATION BACK IN THE
EARLY '70s.
I WAS FORTUNATE ENOUGH TO COME
ALONG, I SAID BEING AT THE RIGHT
PLACE AT THE RIGHT TIME.
I WAS AN EARLY PIONEER IN THE
USE OF ARTHEROSCOPE IN
ORTHOPEDICS.
THAT FED RIGHT INTO MINIMALLY
INVASIVE SURGERY FOR SPORTS
MEDICINE INJURIES.
WE LEARNED A LOT ON -- WITH OUR
RELATIONSHIP WITH HIGH-LEVEL
ATHLETES, BUT THAT FED RIGHT
DOWN TO THE ORDINARY PATIENTS
THAT HAVE AN ACTIVE LIFESTYLE.
THE ATHEROSCOPE WAS THE BIG
THING.
WE KEEP LOOKING FOR THE NEXT BIG
REVELATION, IT'S COMING.
IT'S COMING.
THE AR THROW SCOPE IS STILL KING
OF WHAT'S HAPPENED IN OUR
SPECIALTY.
>> ONE OF THE PROCEDURES YOU'RE
KNOWN FOR DOING A LOT OF IS THE
TOMMY JOHN SURGERY.
FIRST, WHAT IS IT?
>> THE PROCEDURE OF -- TO
RECONSTRUCT THE STABILIZING
LIGAMENT.
WHEN YOU THROW A BASEBALL WAY
OUT HERE, TREMENDOUS STRESS
ACROSS YOUR ELBOW.
THAT LIGAMENT GOES FROM BONE TO
BONE ACROSS THE ELBOW JOINT AND
IT'S A VERY FRAGILE LIGAMENT.
AS A MATTER OF FACT, WHEN A
YOUNG HIGH SCHOOL KID THROWS A
BASEBALL AT 85-MILES PER HOUR,
HE'S NEAR THE RED LINE OF
TEARING THAT LIG M, RED LINE
MEANING LIKE YOUR RPM ON YOUR
AUTOMOBILE ENGINE, HE'S AT THE
RED LINE ON EVERY PITCH.
ALL HE HAS TO DO IS BE A LITTLE
BIT OFF, FATIGUE IS A BIG
FACTOR, COAL NIGHT, LOTS OF
INNINGS, LOTS OF PITCH, AND
BOOM, HERE GOES HIS LIGAMENT.
SO THAT LIGAMENT IS FRAGILE BUT
IT'S THE STABILIZER ACROSS THE
ELBOW PREVENTS YOUR ELBOW FROM
OPENING UP SO IT'S THE TOMMY
JOHNS LIGAMENT NAMED AFTER A
VERY FAMOUS PITCH WHORE HAD THE
FIRST PROCEDURES, HIS NAME WAS
TOMMY JOHN WHEN HE PITCHED FOR
THE LOS ANGELES DODGERS.
>> I READ SOMETHING THAT YOU
SAID SO MANY OF YOUR PATIENTS
ARE HIGH SCHOOL AND YOUTH
ATHLETES THAT ARE COMING IN AND
ARE HAVING TO HAVE THE SURGERY.
YOU SAID THAT SHOULDN'T BE
HAPPENING.
>> WE'RE INUNDATED.
WE LIVE IN THE SUNSHINE STATE,
RIGHT?
AND YOU EXPECT A LOT OF YOUTH
INJURIES FROM YEAR AROUND SPORTS
IN THE STATE OF FLORIDA BUT NOW
WE'RE SEEING THEM FROM SOUTH
DAKOTA, CONNECTICUT, THESE KIDS
ARE ALL PLAYS YEAR ROUND SPORTS
AND THEY'RE SPECIALIZENING ONE
SPORT SO THEY'RE BAYPLAYING
BASEBALL FOR EXAMPLE YEAR
AROUND.
AND SINCE YEAR 2000 FOR EXAMPLE
AT OUR RESEARCH INSTITUTE HIRE
IN PENSACOLA AT THE ANDREW
INSTITUTE, WE HAVE SEEN A 5 TO 7
FOLD INCREASE IN INJURIES IN
YOUTH SPORTS ACROSS THE BOARD.
WE'RE SEEING AN EPIDEMIC, ALMOST
EPIDEMIC PROPORTIONS YOUNG KIDS
IN HIGH SCHOOL AGE AND YOUNGER
GETTING HURT.
AND THEY'RE GETTING HURT WITH
INJURIES THAT USED TO BE UNIQUE
TO OLDER ATHLETES.
NOW WE'RE SEEING YOUNG KIDS WITH
ADULT-TYPE INJURIES IN SPORTS
THAT ARE SERIOUS INJURIES.
AND OF COURSE, MY PASSION IN THE
TWILIGHT OF MY CAREER IS TRYING
TO GET INVOLVED IN PREVENTION OF
THOSE INJURIES AN TRYING TO GET
THE KITS HEALTHY.
OUR MOTTO IS TO TRY TO KEEP THEM
OUT OF THE OPERATING ROOM AND ON
THE PLAYING FIELD.
YOU CAN IMAGINE HOW IMPORTANT IT
IS SPORTS IS TO OUR SOCIETY AND
HOW IMPORTANT IT IS TO -- FOR ME
TO KEEP THEM PLAYING.
AND HOW MUCH I ENJOY SPORTS AND
ENJOY KIDS BEING ABLE TO
PARTICIPATE IN SPORTS.
BUT THE INJURIES ARE STAGGERING
NOW.
>> YOU HAVE STARTED A PROGRAM AB
STOPPING INJURIES, EXPAND ON
THAT A LITTLE BIT.
>> WHEN I WAS PRESIDENT TWO
YEARS AGO OF THE AMERICAN
ORTHOPEDIC SOCIETY OF SPORTS
MEDICINE, OUR NATIONAL
ORGANIZATION OF TEAM FE --
PHYSICIANS, I HAD BEEN TRYING TO
GET THIS DONE FOR TEN YEARS.
I WAS ABLE TO START A PROGRAM
CALLED THE STOP PROGRAM.
STOP IS AN ACRONYM FOR SPORTS
TRAUMA AND OVERUSE PREVENTION,
STOP, IN YOUTH SPORTS.
SO THAT'S A NATIONAL INITIATIVE.
WE HAVE A WEBSITE I WOULD ASK
ALL OF YOUR VIEWERS YOUR
PARENTS, GRANDPARENTS, COACHES
KIDS TO GO TO.
WWW.STOPSPORTSINJURIES.ORG.
WE GOT A WEBSITE ON THAT THERE
THAT GIVE AS LOT OF GRASS ROOT
INFORMATION, COMMON SENSE TIPS
ABOUT PREVENTION OF INJURIES IN
SOME 25 YOUTH SPORTS.
A VERY, VERY IMPORTANT NATIONAL
INITIATIVE ACROSS THE COUNTRY.
>> COUPLE OF THINGS THAT PARENTS
SHOULD BE AWARE OF.
COUPLE OF THINGS PARENTS SHOULD
BE DOING WITH THEIR CHILD
PARTICIPATING IN SPORTS.
>> THERE ARE TWO BUZZ WORDS, ONE
IS SPECIALIZATION, THAT MEANS
PARTICIPATING IN ONE SPORT YEAR
AROUND, AND I MEAN COMPETING IN
ONE SPORT BASICALLY YEAR ROUND.
THE OTHER WORD IS
PROFESSIONALISM.
THAT IS TAKING A KID TEN YEARS
OLD AND TRYING TO MAKE A
PROFESSIONAL ATHLETE OUT OF HIM.
THERE HAVE BEEN SOME
PROFESSIONAL ATHLETES ABLE TO DO
THAT BUT THEY HAD THE ONE IN A
MILLION GENETIC MAKEUP TO BE
ABLE TO DO THAT.
MOST OF OUR KIDS GET BURNT OUT,
GET INJURED.
SO PROFESSIONALISM AT A YOUNG
AGE IS THE PROBLEM.
THE BIGGEST FACTOR WHEN YOU
THINK ABOUT THOSE TWO WORDS, THE
BIGGEST FACTOR IN INJURIES IN
YOUTH SPORTS IS STILL FATIGUE.
WE DID A RESEARCH STUDY THAT
SHOWED AND PEER REVIEWED AND
PUBLISHED THAT IF YOU THROUGH A
BASEBALL FOR EXAMPLE UNDER
FATIGUE CONDITIONS, THERE WAS A
36 TO 1 TIME THAT YOU CAN INJURE
YOUR SHOULDER OR YOUR ELBOW.
36 TO 1.
SOFA TEAGUE CAN BE DESCRIBED IN
YOUTH BASEBALL, FOR EXAMPLE, AS
EVENT FATIGUE, TOO MANY PITCHES,
THAT'S WHY WE -- I STARTED THE
PITCH COUNT IN LITTLE LEAGUE.
TOO MANY PITCHES IN ONE GAI.
THAT'S EVENT FATIGUE.
THE THE NEXT TYPE OF FATIGUE IS
SEASONAL FATIGUE.
THAT MEANS TOO MANY INNINGS IN A
SEASON.
AND THEN THE OTHER TYPE OF
FATIGUE IS YEAR AROUND FATIGUE.
WHERE THEY'RE PLAYING AND
COMPETING IN A SPORT YEAR ROUND.
SO THOSE THREE TYPES OF FATIGUE
ARE SOMETHING YOU HAVE TO THINK
ABOUT OR YOUR KIDS ARE GOING TO
GET HURT.
>> ANY RECOMMENDATION FOR
EXAMPLE, RULE OF THUMB AS FAR AS
HOW MANY PITCHES?
>> WELL, WE'VE GOT PITCH COUNTS
THAT THEY CAN CERTAINLY GO BACK
AND LOOK UP FOR DIFFERENT AGES,
FROM NINE AND TEN UP INTO THE
HIGH SCHOOL.
THAT'S ON OUR WEBSITE.
AND YOU CAN GET THAT THROUGH
LITTLE LEAGUE.
THE MAJOR THING IS UNDERSTANDING
THE NUMBER OF MONTHS THAT YOU
SHOULD BE ABLE TO REST FROM A
SPECIFIC SPORT.
AND THAT -- WE RECOMMEND THREE
TO FOUR MONTHS OFF, AT LEAST TWO
MONTHS OFF FROM A SPECIFIC
SPORT.
WE ALSO RECOMMEND THAT YOU
SHOULDN'T REALLY SPECIALIZE IN A
SPECIFIC SPORT UNTIL YOU'RE AT
LEAST A SENIOR IN HIGH SCHOOL.
IF YOU TAKE SOME OF THE SUPER
STARS TODAY, SOME OF T YOUNG
SUPER STARS LIKE SAM BRADFORD
PLAYING FOOTBALL MONDAY NIGHT
FOOTBALL, HE PLAYED FOUR SPORTS
UNTIL HE WAS A SENIOR IN HIGH
SCHOOL, THEN HE SPECIALIZED IN
AS A QUARTERBACK IN FOOTBALL.
JOHN SMOLTZ PLAYED SEVERAL --
FOUR SPORTS THROUGH HIGH SCHOOL.
SO YOU WANT TO CROSS-TRAIN SO
YOUR BODY HAS A TENDENCY TO
RECOVER.
BUT YOU NEED REST FROM A
SPECIFIC SPORT THREE TO FOUR
MONTHS EACH YEAR.
>> SPEAKING OF TRAINING, WHAT'S
A GOOD AGE THAT YOUTH ATHLETES
SHOULD START QUOTE UNQUOTE
TRAINING?
I'M NOT JUST TALKING
PARTICIPATING IN T BALL OR PONY
LEAGUE BUT GETTING SERIOUS ABOUT
TRAINING.
>> YOU CAN TRAIN T A VERY EARLY
AGE.
WE USED TO SAY THAT YOU
SHOULDN'T WEIGH LIFT UNTIL YOU
WENT THROUGH PUBERTY AND YOUR
BONE STRUCTURES MATURED.
BUT YOU CAN DO LIGHT STRENGTH
TRAINING WHEN YOU'RE YOUNG.
THERE'S NOTHING WRO WITH THAT.
THERE ARE FLEXIBILITY TRAINING
THAT WE CAN DO, THERE ARE
SPECIFIC TRAINING THAT WE DO FOR
PREVENTION SUCH AS THE
DIFFERENCE EXERCISE.
WE HAVE A PROGRAM WE'RE GOING TO
START HERE IN PENSACOLA.
WE TRIED TO START IT THIS SUMMER
BUT WE'RE PRETTY SURE WE CAN DO
THAT THIS NEXT SUMMER FOR YOUNG
KIDS, PARTICULARLY OUR YOUNG
FEMALES WHO HAVE A HIGH
INCIDENCE OF TEARING THEIR ACL,
THE MAIN STABILIZING LIGAMENT OF
THE KNEE.
THERE'S A PREVENTION PROGRAM TO
TEACH THEM HOW TO JUMP AND BE
FLEXIBLE, AND HOW TO LAND.
THAT PROGRAM CAN HELP PREVENT
INJURIES TO THE ACL.
WHICH HAS A STAGGERING NUMBER OF
INJURIES OBVIOUSLY.
YOUNG FEMALES BY THE WAY IN
SOCCER, BASKETBALL, VOLLEYBALL,
ALL THE CUTTING SPORTS, THEY
HAVE ABOUT A 5 TO 1 RATIO OF
TEARING THEIR ANTERIOR LIGAMENT
AT A YOUNG AGE COMPARED TO MALES
SO THE PREVENTION PROGRAMS WE'RE
TRYING TO GET DONE CAN HELP
PREINVENTORY THOSE INJURIES.
THERE ARE A NUMBER OF EXERCISES
YOU CAN DO TO TEACH PEOPLE
BALANCE, FLEXIBILITY AND HOW TO
JUMP AND LAND PROPERLY WITHOUT
TEARING THEIR KNEE UP.
>> ANY PARTICULAR REASON WHY
GIRLS ARE MORE PRONE THAN BOYS?
>> THERE'S A NUMBER OF THEORIES.
TITLE NINE IS GOING TO HELP AS
WE GET FURTHER ALONG WITH GIRLS
PARTICIPATING AT AN EARLY AGE.
YOU PROBABLY SEE IT THE INJURY
RATE EQUALIZED.
BUT THE SHAPE OF THE PELVIS IN A
FEMALE IS A LITTLE DIFFERENT,
THE KNEE COMES DOWN MORE OF A
KNOCK KNEE ANGLE.
THERE ARE OTHER THEORIES THAT
PEOPLE ARE TRYING TO THEORIZE, A
LOT OF RESEARCH BEING DONE
TRYING TO FIGURE THAT OUT.
WE KNOW IT'S HIGHER, IT HAS TO
DO WITH BODY COMPOSITION AND
COME POE SURE.
AND THE WAY THE KNEES ARE BUILT.
AND ALSO INITIALLY OUR YOUNG
FEMALE ATHLETES DIDN'T GET INTO
A JUMPING SPORT UNTIL THEY WERE
GETTING READY FOR JUNIOR HIGH
SCHOOL AND THEY HADN'T BEEN
JUMPING IN THE YARD AND LEARNING
HOW TO LAND AND THEN THEY WERE
THROWN INTO BASKETBALL OR SOCCER
AND GET AN INJURY.
THAT'S THE REASON FOR THE SUMMER
PROGRAMS JUST TO GET THEM
INVOLVED IN HOW TO LAND AND JUMP
SO THEY WON'T HURT THEIR KNEE.
>> SPEAKING OF RESEARCH AT
ANDREWS INSTITUTE I KNOW YOU DO
A LOT OF RESEARCH.
WHAT ARE SOME THINGS YOU'RE
WORKING ON NOW?
>> WE'RE STILL INVOLVED IN
EDUCATIONAL PROGRAM, NUMBER ONE.
WE HAVE AN EDUCATION COMPANY NOW
THAT'S TRYING TO REACH OUT TO
PARENTS, COACHES, WE PUT THAT
ONCE A MONTH ON INTERNET.
EDUCATION IS A BIG ASPECT OF
WHAT WE DO THERE, THEN WE GET
INTO RESEARCH BIOMECHANICS OF
PITCHING.
ONE STUDY THAT IS UNIQUE AND
SPECIFIC IS WE'RE SEEING COLLEGE
AND PRO PLAYERS COME IN TO WHAT
THEY CALL A HARD CHANGE UP.
THEY'RE THROWING THE CHANGE UP
IN THE 85-MILES PER HOUR RANGE.
WE'RE DOING IT IN A SPECIFIC
WAY, CHANGEUP WAS SUPPOSED TO BE
THE SAFE PITCH FOR EVERYBODY,
THEY'RE COMING IN TEARING THEIR
LIGAMENTS SO WE'RE STUDYING THAT
IN THE BIOMECHANICS LAB.
WE'RE STILL DOING A LOT OF
RESEARCH DIRECTLY RELATED TO
TRYING TO HAVE A REGISTRY TAKE
KIDS THAT COME IN WITH YOUTH
INJURIES, WE HAVE A FORM FILLING
OUT ON YOUTH INJURIES THAT WILL
TELL US WHEN THEY GOT HURT, WHAT
WERE THE RISK FACTORS SO WE CAN
DOCUMENT IN A REGISTRY FASHION
AN LEARN WHY THEY GOT HURT.
IF WE CAN LEARN WHY THEY GOT
HURT WE CAN PERHAPS CHANGE
THINGS THROUGH -- TO CORRECT
THAT AND THEN THE LAST STEP OF
THAT RESEARCH IS TO GO DO THE
FOLLOW-UP TO SEE THE THINGS THAT
WE LEARN, THAT WE CHANGE WHETHER
OR NOT DOING INTERVENTIONS
ACTUALLY DECREASE THE INJURY
RATE.
SO IT'S REAL COMPLICATED TO BE
ABLE TO DO THE PROPER RESEARCH
TO CHANGE RULES FOR EXAMPLE.
WE DID THAT AS I TOLD YOU WE DID
THAT IN YOUTH BASEBALL AND USA
BASEBALL HELPED US WITH THAT
WITH THE GOVERNING BODY OF AM
CHIEWR BASEBALL AND WE THEN WERE
ABLE TO PASS THAT TO LITTLE
LEAGUE INTERNATIONAL WHICH I'M
ON THEIR BOARD.
AND WE CHANGE THE RULES FOR
PITCH COUNT.
WE CHANGED RECENTLY WITH
RESEARCH AT THE ANDREWS
INSTITUTE RELATIVE TO A RISK
FACTOR OF A YOUTH BASEBALL
PLAYER BEING THE BEST ATHLETE.
WHAT DO THEY DO WITH HIM?
HE'S PITCHER AN CATCHER.
HE ACTUALLY CHANGES FROM THE
CATCHER TO THE PITCHER IN THE
SAME GAME OR PITCHER TO THE
CATCHER.
SO HE'S CONSTANTLY THROWING THE
BASEBALL SO INJURY RATE WAS HIGH
SO WE CHANGED THE RULE THE LAST
COUPLE OF YEARS SO YOU CAN'T GO
FROM PITCH TORE CATCHER IN THE
SAME GAME AND LAST YEAR WE
CHANGED IT SO YOU CAN'T GO FROM
PITCHER TO CATCH EARN IN THE
SAME GAME.
THAT'S DONE FRO TECH THE YOUNG
KIDS.
>> PARENTS AND COACHES DON'T
NEED TO TRY TO MAKE A SUPER STAR
OUT OF THEIR TEEN AIRNLG.
>> SOME PARENTS ARE FUSSING
ABOUT RULES BUT ONCE YOU SIT
DOWN AND TALK TO, THEY MEAN
WELL.
WE TRY TO GET TO THE
GRANDPARENTS.
THEY SEEM TO GET IT QUICKER AND
HAVE SOME INFLUENCE OVER THEIR
-- THE REAL PARENTS AND A LOT OF
TIMES OVER THE GRANDKIDS.
A LITTLE BIT MAYBE A LITTLE MORE
QUICKER TO PICK UP WHY WE'RE
DOING THIS AND DON'T CRITICIZE
CHANGING THESE RULES.
SO IF YOU'RE THERE AND YOU'RE
LISTENING TO US, WE'LL TRY TO
EXPLAIN IT TO YOU, I PROMISE
YOU.
>> I WANT TO ASK YOU THIS, WE'RE
GETTING SHORT ON TIME, IN TWO
MINUTES, THIS IS A LITTLE OUT OF
YOUR WHEEL HOUSE BUT YOU WORK
WITH ALABAMA, AUBURN AND
WASHINGTON RED SKINS, IS THEIR
TEAM DOCTOR.
WHAT YOU MAKE OF ALL THE
BRAIN INJURIES THAT ARE STARTING
TO SHOW UP IN THE FOOTBALL
PLAYER?
>> WE HAVE RULES OUT THERE TO
PREVENT CONCUSSIONS AND
FORTUNATELY IT'S TRICKLED DOWN
FROM THE NFL, THEY CRACKED DOWN
ON IT.
YOU SAW LAST WHAT WAS IT MONDAY
NIGHT I SAW THE FINE CAME DOWN
TODAY ONE OF MY FAISHTS COLT
MCCOY HEAD TO HEAD CONTACT AND I
SAW IT ALL THE TIME AND
UNFORTUNATELY IT WASN'T CALLED
SO WE HAVE TO CRACK DOWN ON
PREVENTION AND NOW,
UNFORTUNATELY THE RULES HAVE
COME DOWN AND THERE'S SO MUCH
PRESSURE THAT DIAGNOSIS IS BEING
MADE CORRECTLY AND EARLY AND
THERE'S NO SUCH THING AS A DING
ANY MORE, YOU GET ANY IDEA THAT
A KID HAS GOT A CONCUSSION HE
GOES OFF THE FIELD TO THE
TRAINING ROOM AND HE HAS TO BE
EVALUATED THOROUGHLY OVER THE
NEXT WEEK AND HE HAS TO BE
CLEARED BY MEDICAL PERSONNEL
BEFORE HE CAN GO BACK AND PLAY,
NEFN HIGH SCHOOL THCH'S ANOTHER
THING WE'RE DOING AT OUR
INSTITUTE.
WORKING ON A -- LEGISLATION IN
THE STATE OF FLORIDA TO ENACT
THAT RULE.
THAT'S -- SAY THAT WOULDN'T BE
HAR TO DO BUT SURPRISING HOW HAR
IT IS TO GET IT PASSED STATE
LEVEL EVEN IN THE THE STATE OF
FLORIDA.
BUT CONCUSSIONS ARE A SERIOUS
SITUATION.
YOUNG KIDS ARE VULNERABLE THAT'S
WHERE THEY BEGIN, WITH YOUNG
KIDS IN HIGH SCHOOL.
AND JUNIOR HIGH.
>> AS YOU LOOK AHEAD, IN ABOUT
60 SECONDS, WHERE DO YOU SEE THE
MEDICAL FIELD?
HOW WILL TECHNOLOGY CHANGE OVER
THE NEXT FIVE TO TEN YEARS IN
YOUR JOWMENT?
>> YOU CAN SEE MY ENTHUSIASM
COULD GO ON AND ON.
BUT THE COMING THING THAT I
THOUGHT WOULD PROBABLY OCCUR
DURING THE FIRST DAY, DECADE OF
THIS NEW MILLENNIUM WAS
ENHANCEMENT OF BIOLOGICAL
HEELING.
GENE THERAPY AND TISSUE
ENGINEERING.
THAT HAS TO DO WITH THEM CELL
THERAPY.
UNFORTUNATELY IT'S STILL HAS NOT
HAPPENED.
IT HAPPENED DURING THIS SECOND
DECADE WILL IT HAPPEN BY SECOND
DECADE OF THE MILLENNIUM BY YEAR
1220?
IT'S COMING SO WE CAN ENHANCE
THE BIOLOGICAL HEALING PROCESS
PARTICULARLY IN ORTHOPEDIC
SURGERY BUT ALL ASPECTS OF
MEDICINE.
EVERYBODY NEEDS TO GET BEHIND
THE RESEARCH THAT'S NEEDED TO BE
ABLE TO MAKE SURE THAT STEM CELL
THERAPY IS SAFE AND WE KNOW WHEN
TO USE IT, HOW TO USE IT, AND WE
CAN PROVE THROUGH LEVEL 1 DOUBLE
BLIND STUDIES THAT IT HAS --
IT'S OWN PURPOSE AND ITS OWN
QUALIFICATIONS FOR USE.
FIRST THING YOU HAVE TO MAKE
SURE IT'S SAFE AND FDA IS
LOOKING AFTER THAT FORTUNATELY
BUT THAT NEEDS TO BE DONE DURING
THIS DECADE.
THAT'S REALLY IMPORTANT IN ALL
ASPECTS OF MEDICINE.
>> DR. JAMES ANDREWS, WE COULD
TALK AN HOUR ABOUT THAT.
THANK YOU SO MUCH TO YOUR TIME.
BEEN A PLEASURE.
>> ENJOYED IT.
THANK YOU VERY MUCH.
>> OUR PLEASURE.
BEST OF LUCK TO YOU.
DR. JAMES ANDREWS FROM THE
ANDREWS INSTITUTE.
YOU CAN LEARN MORE ABOUT SPORTS
MEDICINE AND ABOUT THE ANDREWS
INSTITUTE AT THE
ANDREWSINSTITUTE.COM.
YOU CAN SEE MORE OF OUR
CONVERSATIONS WITH A WIDE RANGE
OF ENGAGING PERSONALITIES ONLINE
AT WSRE.ORG/CONVERSATIONS.
WE APPRECIATE YOU WATCHING.
I HOPE YOU ENJOYED THE
BROADCAST.
TAKE GOOD CARE OF YOURSELF.
WE'LL SEE YOU SOON.
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