Doctor Angie Curtis, MD, MPT fits into the Minority Women Doctors category but has a unique path.
Her original plan was to be a doctor.
Obstacles arose and she chose Physical Therapy school.
Before she could get established as a PT she knew she needed to go after her dream of becoming a Sports Medicine Doctor.
Challenges facing Minority Women Doctors
Doctor Curtis did not present on becoming a doctor as an African American woman. But a previous conversation in the hallway sparked an interest in me to learn more and help grow to understand.
I know I have preset judgments and biases based on where and how I was raised.
I also know that I am responsible for my actions and choices. I can not blame anyone else for the way I view or treat others.
Have you judged Minority Women Doctors too soon?
Dr. Curtis has been overlooked and ignored because she is a black female, dressed like a doctor, carrying clipboard and stethoscope. The nurse in scrubs was a male so he was obviously more “doctorly”
She has not allowed this to make her bitter but continues to grow and improve patient care and open doors for the women behind her.
Ever wondered how to explain the rotator cuff as a secondary stabilizer in the GH joint to either your athlete or their family? Dr. Simonich has the perfect analogy.
He tells his patients that it is like if I were to take a big exercise ball in my right arm and pull it into my chest. My chest would be the socket, the exercise ball my humeral head, my arm would be the rotator cuff and my hand the tendons of the cuff. That demonstration can help show how difficult it is for the rotator cuff to stabilize the joint.
What are the two types of shoulder dislocations, where do you see them and how should we treat them?
TUBS (Traumatic Unilateral Bankart Surgical) and AMBRI (atraumatic multidirectional bilateral rehab rarely inferior capsular shift) are the two types of dislocations.
You will see TUBS is most often in contact or collision sports like football or rugby. AMBRI is seen often in swimmers especially at the end of a long season.
Post a TUBS dislocation and relocation Dr. Simonich likes to use the apprehension test as an indicator of further treatment. He also uses athlete age (young athletes have a high rate of recurrence) individual goals, sport played and level of participation as indicators for surgery. Surgery reduces the high rate of recurrence in young athletes.
What are the types of AC joint separation and how do you treat them?
AC joint separations are relatively easy to see and cause biplanar instability. There are 5 types with Type I and II requiring conservative treatment, Type III going either way but trending non-operatively and Type IV V VI requiring reconstruction with a joint tie-down.
Clavicle fracture treatments have changed throughout the years due to research. What does the current research say?
Prior to 06’-07’ most clavicle fractures were treated non operatively. Research was introduced in two studies in those years that saw a better union rate with fixation in the clavicle post-fracture and surgeons began to surgically treat and fixate.
In 2017 a new study showed that while the rate of union is still higher in clavicle fractures with fixation, fixation doesn’t improve shoulder function nor does it decrease limitations in the shoulder. Dr. Simonich will put a plate to fixate the clavicle on an athlete with shortening, displacement, or comminution because they get faster healing rates, are more predictable and can get them back to their sports.
Watch the Athletic Shoulder 2019 presentation on Facebook
Have questions about infections??? Joins as we discuss Skin with Kathy Nguyen
Who is Dr. Kathy Nguyen?
Dr. Kathy Nguyen is a primary care/sports medicine physician. She is a team physician for multiple high schools, helps with colleges in the Houston area and is the team physician for the Houston Dash soccer team.
Do you know what is considered best practice and recommended by research?
As athletic trainers, we routinely see a variety of skin issues happening with our athletes.
Blisters: do you pop it or not?
Today on the podcast Dr. Nguyen relays to us the best practice in issues as common as blisters and as serious as tinea issues that may be resistant to topical antibiotics.
For example
At minute 2:10 on the podcast, Dr. Nguyen says she always recommends leaving the blister if possible.
Around 4 minutes on “Skin with Kathy Nguyen”, she discusses wound care specialist opinion on new skin growth and scarring.
What are truths and what are myths?
Through research and discussion with other wound care specialists, she helps us sift through what are considered old wives tales and gives us concrete reasons to refer a skin issue or lesion to a doctor.
One of the huge tips she continued to share was REFER ANYTHING YOU REDUCE!!!
I have reduced injuries before and since meeting Dr. Teunis I always refer them to get an x-ray before allowing them to return to play.
Mallet Finger:
What is it: Extensor tendon rupture or avulsion involving DP joint.
Treatment– Splint religiously! 6-10 weeks
Alumaform vs. Stax Splint- Not all 1 size fits all. consult with your local hand doctor to see what they prefer and why. discuss ways to ensure patient compliance and seamless transition from office to AT Facility.
NOT ALL Mallet Fingers can be splinted, some require surgical intervention.
Jersey Finger-
What is it – Flexed finger pulled into extension (commonly ring finger, 75%) rupturing flexor tendon.
Treatment:
Dislocations
Dorsal Dislocation- splint 1 week, then buddy tape
Volar dislocation – much less common, extensor mechanism disruption, hard to reduce
Mimickers-
Traumatic Boutonniere
Skiers Thumb
Scaphoid Fractures
Hard to treat
hard to diagnose.
Common in football – “see these in December”
Scaphoid fractures…about 40% are missed and that is bad news, they take several months to heal due to poor blood flow. if it dies you get arthritis in your 20s.
Fall on outreached hand (FOOSH)
Need more on Care for the Active Wrist?
Live from Memorial Hermann's Sports Medicine Update 2019 Dr. Teunis lectures on Can't-Miss Injuries of the Hand and you can see that presentation here on Facebook
I could almost care less about the latest helmet research because I am not involved in the decision making.
Helmets are not meant to protect against concussions. The are intended to reduce facial and skull fractures.
Current Helmet Research
Devin Hamrick from Riddell is presenting current helmet research.
He shares what the company is doing and how they expect changes to come. Similarly, Devin talks about the data they are gathering with “smart helmets.”
It would not be possible without a little help from my friends:
Thanks to Bob Marley for continuing to allow us to record and interview the speakers.
Likewise, Bubba Wilson, Ryan Collins, Josh Yellen, Mark Knoblauch, Justin Landers, Russell Sadberry, Eduardo Beltran and others helped make the recordings possible.
Looking for the best hydration equipment with the best customer service?
Frio Hydration provides Superior Hydration products and is the official hydration provider of the Sports Medicine Broadcast
Tell them the Sports Medicine Broadcast sent you and receive some special deals on custom graphics or a solar panel.
We are broadcasting live and interviewing the speakers of the Memorial Hermann's Sports Medicine Update. It is a great way to continue improving your athletic training practice. There are always new topics, new aspects of old topics and great re-freshers.
We plan to release the lecture and then the interview. Through the course of the summer the podcasts will be shorter, more frequent, and a lot more raw (less editing).
Also be sure you are signed up for the SMB Email List as there will be codes and prizes given out from that list for our partnership with SchoolHealth.com
We are broadcasting live, recording, and interviewing the speakers of the Memorial Hermann's Sports Medicine Update. It is a great way to continue improving your athletic training practice. There are always new topics, new aspects of old topics and great re-freshers.
We plan to release the lecture and then the interview. Through the course of the summer the podcasts will be shorter, more frequent, and a lot more raw (less editing).
Also be sure you are signed up for the SMB Email List as there will be codes and prizes given out from that list for our partnership with SchoolHealth.com
We are broadcasting live and interviewing the speakers of the Memorial Hermann's Sports Medicine Update. Some of the recordings pick up noise, but this is a live event.
I will release the lecture and then the interview. Through the course of the summer the podcasts will be shorter, more frequent, and a lot more raw (less editing).
All the lectures and handouts have been uploaded and are now available on Google Drive.
Go to www.drive.google.com and sign-in using the following:
Also be sure you are signed up for the SMB Email List as there will be codes and prizes given out from that list for our partnership with SchoolHealth.com
We are broadcasting live and interviewing the speakers of the Memorial Hermann's Sports Medicine Update. Some of the recordings pick up noise, but this is a live event.
I will release the lecture and then the interview. Through the course of the summer the podcasts will be shorter, more frequent, and a lot more raw (less editing).
All the lectures and handouts have been uploaded and are now available on Google Drive. Go to www.drive.google.com and sign-in using the following:
Also be sure you are signed up for the SMB Email List as there will be codes and prizes given out from that list for our partnership with SchoolHealth.com