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Nostr Surgeon
9c1ef07e8bda5a5fad5f50e5291e6caf9b25fb66aead021220cf9ebd143e5bbc
Two decades as a orthopaedics/trauma consultant. Post me your case and I'll tell you if surgery is indicated. Low time preference surgical opinions. A medical advice, but from a nym..

HIP PAIN

Severe arthrosis can be treated with endoprosthesis and results are generally good if you don't get a complication. Otherwise treatment is about exercise and weigh control.    Hip joint pain is usually felt in the groin and increases with rotating pain. Buttock pain can be radiculating from the back.

Fracture treatment is mainly operative and urgent.

Replying to Avatar ODELL

RHR AT 1800 UTC TOMORROW.

https://rhr.tv

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Privacy is necessary for an open society in the electronic age. Privacy is not secrecy. A private matter is something one doesn't want the whole world to know, but a secret matter is something one doesn't want anybody to know. Privacy is the power to selectively reveal oneself to the world.

If two parties have some sort of dealings, then each has a memory of their interaction. Each party can speak about their own memory of this; how could anyone prevent it? One could pass laws against it, but the freedom of speech, even more than privacy, is fundamental to an open society; we seek not to restrict any speech at all. If many parties speak together in the same forum, each can speak to all the others and aggregate together knowledge about individuals and other parties. The power of electronic communications has enabled such group speech, and it will not go away merely because we might want it to.

Since we desire privacy, we must ensure that each party to a transaction have knowledge only of that which is directly necessary for that transaction. Since any information can be spoken of, we must ensure that we reveal as little as possible. In most cases personal identity is not salient. When I purchase a magazine at a store and hand cash to the clerk, there is no need to know who I am. When I ask my electronic mail provider to send and receive messages, my provider need not know to whom I am speaking or what I am saying or what others are saying to me; my provider only need know how to get the message there and how much I owe them in fees. When my identity is revealed by the underlying mechanism of the transaction, I have no privacy. I cannot here selectively reveal myself; I must always reveal myself.

Therefore, privacy in an open society requires anonymous transaction systems. Until now, cash has been the primary such system. An anonymous transaction system is not a secret transaction system. An anonymous system empowers individuals to reveal their identity when desired and only when desired; this is the essence of privacy.

Privacy in an open society also requires cryptography. If I say something, I want it heard only by those for whom I intend it. If the content of my speech is available to the world, I have no privacy. To encrypt is to indicate the desire for privacy, and to encrypt with weak cryptography is to indicate not too much desire for privacy. Furthermore, to reveal one's identity with assurance when the default is anonymity requires the cryptographic signature.

We cannot expect governments, corporations, or other large, faceless organizations to grant us privacy out of their beneficence. It is to their advantage to speak of us, and we should expect that they will speak. To try to prevent their speech is to fight against the realities of information. Information does not just want to be free, it longs to be free. Information expands to fill the available storage space. Information is Rumor's younger, stronger cousin; Information is fleeter of foot, has more eyes, knows more, and understands less than Rumor.

We must defend our own privacy if we expect to have any. We must come together and create systems which allow anonymous transactions to take place. People have been defending their own privacy for centuries with whispers, darkness, envelopes, closed doors, secret handshakes, and couriers. The technologies of the past did not allow for strong privacy, but electronic technologies do.

We the Cypherpunks are dedicated to building anonymous systems. We are defending our privacy with cryptography, with anonymous mail forwarding systems, with digital signatures, and with electronic money.

Cypherpunks write code. We know that someone has to write software to defend privacy, and since we can't get privacy unless we all do, we're going to write it. We publish our code so that our fellow Cypherpunks may practice and play with it. Our code is free for all to use, worldwide. We don't much care if you don't approve of the software we write. We know that software can't be destroyed and that a widely dispersed system can't be shut down.

Cypherpunks deplore regulations on cryptography, for encryption is fundamentally a private act. The act of encryption, in fact, removes information from the public realm. Even laws against cryptography reach only so far as a nation's border and the arm of its violence. Cryptography will ineluctably spread over the whole globe, and with it the anonymous transactions systems that it makes possible.

For privacy to be widespread it must be part of a social contract. People must come and together deploy these systems for the common good. Privacy only extends so far as the cooperation of one's fellows in society. We the Cypherpunks seek your questions and your concerns and hope we may engage you so that we do not deceive ourselves. We will not, however, be moved out of our course because some may disagree with our goals.

The Cypherpunks are actively engaged in making the networks safer for privacy. Let us proceed together apace.

Onward.

Eric Hughes

9 March 1993

Will you cover promoting xpub collecting services?

Why on earth would you need that to shoulder reverse endoprosthesis operation?

Oh yes. Incentives are whats it all about. You can also check from chatgpt ;).

If interested read my short recent post. Btw. I'm making an asumption you didn't have major trauma with your knee?

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Knee:

Non traumatic problems beginning with normal movement should mainly be treated conservatively.

Arthrosis and meniscal degeneration is to be treated by you!

Low time preference option. Loose weight, exercise. Cycling helps by stimulating the tissues and cartilage widely.

Cleansing operations with arthroscopy. Might give short help, but wont last more than months and there’s evidence it might make it worse.

Only in severe arthrosis can a surgeon help. With extreme KL class III or more artrosis long time help is possible with endoprosthesis, but risky.

True traumatic meniscal or ligament problems with instability need surgical consideration.

Fracture treatment is mainly operative. Seek advice if you get a fracture.

SHOULDER surgery in a nutshell

Shoulder impingement means rotator cuff degeneration, aging. It should not be treated with surgery. Cleansing, decompression with arthroscopy is high time preference. Helps only if you believe enough.

Low time preference: Exercise, physical therapy. Have patience to wait until it gets better.

Trauma is a different beast. If an otherwise healthy rotator cuff gets torn it can be fixed most of the time.

Instability surgery gives good results in anterior instability.

AC joint arthrosis can be operated but usually gets better with time. In severe glenohumeral arthrosis an endoprosthesis is a possible option.

Fracture treatment needs surgical advice. Both operative and conservative treatment is used. Latest studies lean to conservative especially in the elderly.

#docchain

How did it happen? Mechanism of injury?

Most TFCC lesions can be treated conservatively. Might want to consider saving those sats.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8476392/

Low time preference surgical treatment

Man’s Impatience In Health and Opportunity to Invest In It.

High time preference and incentive models have failed society and permeates medical treatment. Health responsibility is externalized. We want immediate help without own contribution. Impatience makes you feel something needs to be done, even if it results in more suffering in the long run.

Non scientific approach appeals to many. Age is medicalized. Industry and doctors are incentivized to treat it, but uncomfortable truth remains. We degenerate and reversing age processes is not yet possible though you can slow it down. We can only replace aging tissues in very limited cases with simple mechanical devices. There also exists some old low time preference knowledge, but it’s hard to measure with scientific methods, and has to be distinguished from snake oils and easy to sell remedies.

Signal: 
Self responsibility. You are the best health provider for yourself. Exercise diligently, eat enough, but not too much. If you get problems nature is mostly the best healer. Get proper exercise advice in specific problems. Sometimes chronic pain exists but there’s no better option, and you’ll have to accept suffering. Most problems get better with time.

Surgical and medical treatment is indicated and helps in certain conditions. Seek proper advice to be able to recognize those.