Dr. David Fischer

We focused on the medical aspects of it, the surgical aspects of it.

I think what has really helped in the last 10 or 15 years is focusing on the patient expectations and

And education for the patient and what to expect.

That you're going to have these things happen to you.

And preparing for them seems to help a lot too.

The actual requirements that patients generally have in studies now is they don't seem to need as much pain medication as they did.

And I think a lot of that has to do with the psychological aspects of just being better prepared

for what you're going to experience, whether it's physical or as Clarence mentioned, whether it's concerns around your work or what is the whole impact of this procedure going to have on my life rather than just what is the impact of it on my knee?

And we've learned a lot of things the hard way and still have a long ways to go, I think, but we're better at it than we were when I first started.

Yeah.

Well, you know, I always, I always referred to, to,

my time around the professional athletes whether it was basketball or football or olympics just working in a human performance laboratory that that there were just a lot of things that you saw that you couldn't really explain i mean i could see some athletes with the worst looking feet and ankles in the world that could run like the wind uh people like adrian peterson that

didn't seem to get the inflammatory response.

You know, if they got injured or surgery, they didn't get a big swollen, bloody looking thing.

Their body just, you know, I hate to refer to it as, you know, some of the, we've genetically through the years, you know, we still have genetic underlying

issues that we just don't understand, you know, that, that why, why do these, why do these guys and women too, why do they not seem to be as disabled from a injury that you and I are, you know?

Yeah.

And, uh, you know, I saw that all the time and, and, uh, you know, they've got willpower, they've got motivation, they have all the other, of course, uh,

elements that drive them.

But at the same time, it's a natural selection process.