The Healthcare Podcast Saltzer Health

What are 5 things you need to know before you get surgery? We sit down with Dr. Jesse Chlebeck, M.D., an orthopaedic surgeon at Saltzer Health and have him answer the questions below and give insight that is helpful to current and future patients.



1) Do I need Surgery?

- What is arthritis?

- What things put people at risk for getting arthritis?

- What are the treatment options for arthritis? (alternatives to surgery)

- Can I prevent or slow down arthritis?

- How common is it?



2) What is involved in a joint replacement procedure?

- What is a knee replacement? /hip replacement?

- How painful is the surgery? (how to improve pain control?)

- In patient versus outpatient

- I’ve heard there is such a thing as outpatient knee replacement, does that mean I go home the same day?

- What are the components of the knee replacement?

- How is plastic/metal connected to bone? (cemented versus un-cemented)

- Cemented/grout that connects metal to bone

- Some uncemented – porous coating on metal that allows bony ingrowth. Bone grows into prosthesis (similar to dental implants in jawbone)

- Is there one that has a better outcome?

- What is the likelihood it will work?



3) What are the risks of joint replacement surgery?

- What bad things can happen? (infection, blood clots, loosening of components where they attach into bone)

- When do complications/ blood clots occur? (usually 3-10 days post recovery)

- What happens if the plastic wears out?

- What happens if I get an infection? (ever amputation?)

- Are there certain things that make me at higher risk for those complications?

- Does it put off medical detectors at airports?

- How common is it for risks/complications to happen?



4) What will recovery look like?

- How long do people stay in the hospital?

- What are the aftercare instructions? (braces, crutches, walker)

- Do you have to go to a rehab facility after?

- What level of activity can you get to afterwards?

- Hip and knee recovery

- Are there certain surgical approaches that are easier to recover from?

- Muscle sparing total knee (don’t cut thru any muscle, how does it affect recovery?)



5) How long do joint replacements last?

- Is a revision surgery more involved or is it easier?

- Is it important to delay replacement if you are a young person?

- Usually harder because it’s not just changing the plastic (metal gets loose from bone)

- What can people do activity wise on joint replacements?

- What are the benefits of joint replacement surgery?



Other

- What are some of the myths about joint replacement surgery?



Dr. Jesse Chlebeck is a fellowship-trained orthopaedic surgeon who joined Saltzer Health in January 2020. He is seeing patients for appointments at the Saltzer Health South Nampa Clinic, 215 E. Hawaii Ave.



----------------------------------------------------

https://saltzerhealth.com/podcasts/

The Healthcare Podcast hosted by Dr. John Kaiser and health advocate Linsy Heiner aims to uncover the myths of modern healthcare, to help families discover cost transparency, improved access and innovation.

The podcast is available through many platforms and clips of each podcast are shared and reshared across all social media platforms. Have an idea for a guest or want us to discuss a topic? Make sure to comment on social media and get your questions answered. Leave a review on whatever platform you decide to listen on and tell your friends!

https://saltzerhealth.com/podcasts/

What really happens when we are under anesthesia? Are our bodies just asleep? And how does our body know its time to wake up?

For surgery, what are the types of anesthesia patients need to know about? What is sedation versus general versus regional? What questions should patients be asking about anesthesia? Is there such a thing as pain free surgery?

What are some of the most common myths out there about anesthesia during surgery? Will I wake up during surgery? 



All of these and many more questions answered about Anesthesiology in this podcast episode with Dr. Nate Poulson, MD. 



Stats & Sources: 

https://www.mayoclinic.org/tests-procedures/anesthesia/about/pac-20384568

Anesthesia Awareness: Estimates vary, but about 1 or 2 people in every 1,000 may be partially

awake during general anesthesia and experience what is called unintended intraoperative

awareness. It is even rarer to experience pain, but this can occur as well.

https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-

Reports/NationalHealthExpendData/NationalHealthAccountsHistorical

The National Health Expenditure Accounts (NHEA) are the official estimates of total health care

spending in the United States. Dating back to 1960, the NHEA measures annual U.S.

expenditures for health care goods and services, public health activities, government

administration, the net cost of health insurance, and investment related to health care. The

data are presented by type of service, sources of funding, and type of sponsor.U.S. health care

spending grew 4.6 percent in 2018, reaching $3.6 trillion or $11,172 per person.  As a share of

the nation's Gross Domestic Product, health spending accounted for 17.7 percent.

https://www.reuters.com/article/us-health-spending/u-s-health-spending-twice-other-

countries-with-worse-results-idUSKCN1GP2YN

In 2016, the U.S. spent 17.8 percent of its gross domestic product (GDP)

on healthcare. Other countries' spending ranged from a low of 9.6 percent of GDP in

Australia to a high of 12.4 percent of GDP in Switzerland



----------------------------------------------------



https://saltzerhealth.com/podcasts/

The Healthcare Podcast hosted by Dr. John Kaiser and health advocate Linsy Heiner aims to uncover the myths of modern healthcare, to help families discover cost transparency, improved access and innovation.

The podcast is available through many platforms and clips of each podcast are shared and reshared across all social media platforms. Have an idea for a guest or want us to discuss a topic? Make sure to comment on social media and get your questions answered. Leave a review on whatever platform you decide to listen on and tell your friends!

https://saltzerhealth.com/podcasts/

Saltzer Health’s Vice President and Chief Operating Officer says there are a number of things athletes can do to help prevent concussions. Matt Kaiserman is also a former Boise State Bronco that played from 2007-2011. 

Dr. Byron Knowles MD is a Pediatric doctor with a focus on Adolescent Sports Medicine.



----------------------------------------------------

https://saltzerhealth.com/podcasts/



The Healthcare Podcast hosted by Dr. John Kaiser and health advocate Linsy Heiner aims to uncover the myths of modern healthcare, to help families discover cost transparency, improved access and innovation.

The podcast is available through many platforms and clips of each podcast are shared and reshared across all social media platforms. Have an idea for a guest or want us to discuss a topic? Make sure to comment on social media and get your questions answered. Leave a review on whatever platform you decide to listen on and tell your friends!



https://saltzerhealth.com/podcasts/

What Questions Should Parents Ask about Vaping?

Why do teens vape?

How prevalent is vaping among teenagers?

At what age should we talk to kids about vaping?

What do you say to parents who think their kids would never vape?



All these questions and many more are answered in this podcast episode. The guests for this week are Beth Markely - a Parent & Blogger, and also Theresa Brown - a Middleton School District Social Worker. 





----------------------------------------------------



https://saltzerhealth.com/podcasts/



The Healthcare Podcast hosted by Dr. John Kaiser and health advocate Linsy Heiner aims to uncover the myths of modern healthcare, to help families discover cost transparency, improved access and innovation.



The podcast is available through many platforms and clips of each podcast are shared and reshared across all social media platforms. Have an idea for a guest or want us to discuss a topic? Make sure to comment on social media and get your questions answered. Leave a review on whatever platform you decide to listen on and tell your friends!



https://saltzerhealth.com/podcasts/

What is Vaping? How much do you think you know about vaping? How bad is vaping for us really? Can you pick out vape devices that people use? Do you know the difference between PG versus VG Vape Juice?  All of these questions and more answered in a 30 minute breakdown of a Doctor’s Perspective on Teen Vaping. 

Whether you think your kids have or have not vaped, this episode is still very important for you to listen to. The rates of increase in vaping that we have observed in teenagers actually surpasses anything that we have seen in the past, which is basically highlighting that vaping has basically been embraced very, very promptly by teenagers. This means there is a good chance that your kids have been exposed to vaping, potentially offered a vape before and maybe have even tried it once before. 

Our guest is Dr. Benjamin M. Tippets, DO is a Pediatric Pulmonologist in the Boise, Idaho area. 

------------------------------------------------------------------------------------------

The Healthcare Podcast hosted by Dr. John Kaiser and health advocate Linsy Heiner aims to uncover the myths of modern healthcare, to help families discover cost transparency, improved access and innovation.

The podcast is available through many platforms and clips of each podcast are shared and reshared across all social media platforms. Have an idea for a guest or want us to discuss a topic? Make sure to comment on social media and get your questions answered. Leave a review on whatever platform you decide to listen on and tell your friends!



https://saltzerhealth.com

https://saltzerhealth.com/podcasts/

“Health care is a journey of a thousand miles, but it starts with very simple steps. If people can remember that on a day-to-day basis that's where we start.”

Dr. Bayo Crownson, MD, is a family practice physician who has practiced in Canyon County for 17 years, has joined Saltzer Health.



If you are age 40 or older, do you know what preventive steps you can take to improve your health?

In this episode of The Healthcare Podcast, Dr. Bayo Crownson provides valuable advice about the importance of health screenings for men and women, regular checkups, eating a balanced diet, getting exercise and the importance of learning about your family history and genetic predisposition to diseases.

After 17 years of practicing medicine in Canyon County, the Saltzer Health family medicine provider understands his patients and the need for preventive health. He has devoted his career to helping his patients who suffer from heart disease, diabetes, COPD and other chronic illnesses.

Dr. Crownson was inspired to pursue medicine as a child growing up in West Africa. Later, he earned a bachelor’s degree in nursing from Rutgers University and worked as a nurse at the Robert Wood Johnson University hospital.

He completed medical school at the University of Medicine and Dentistry of New Jersey and his residency at Oregon Health Sciences University in Portland before serving as a flight surgeon for the 391st Fighter Squadron in Mountain Home.

He later worked in Nampa for Mercy Medical Center, Saint Alphonsus and St. Luke’s.

Most recently, Dr. Crownson has seen an alarming rise in obesity and diabetes. “It’s a major epidemic,” he said. Health risks include heart disease and stroke, heart attacks, cancer and kidney disease. Complications from diabetes can lead to eye damage, foot damage and amputations.

“Diet and exercise are the cornerstone of preventing obesity,” he said, sharing recommendations about food intake, protein, fiber and carbohydrates. He helps some of his patients by providing a “written prescription for exercise. “Exercise is like a medicine,” he said.

From age 40, Dr. Crownson recommends more regular doctor visits and communication about family history.

Women should talk with their provider about mammograms and colorectal and cervical cancer.

Any adult who has been a heavy smoker should be screened for lung cancer. “It Is really important because it helps us catch lung cancer at its earliest stage. And then treatment can become more successful.”

White men over the age 50 face increased risks for skin cancer. “If you've had a lot of sunburn and if you have been exposed to a lot of sun your life then it is really important after age 50 to start seeing a dermatologist or your family doctor about every one or two years to screen for skin cancer,” he said.

Dr. Crownson’s wish list for the future includes more preventive care for his patients. “If we can prevent diseases it decreases the burden of healthcare costs and it makes people generally healthier,” he said.

He also hopes that advances in remote monitoring and technology will be more accessible. “We need to use that to our advantage,” he said.  “I've always felt a significant portion of health care happens outside of the walls of hospitals and clinics.”

Dr. Crownson is encouraged when his patients follow basic guidelines: commit to recommended health screenings, regular doctor visits and healthy eating and exercise.

------------------------------------------------------------------------------------------

The Healthcare Podcast hosted by Dr. John Kaiser and health advocate Linsy Heiner aims to uncover the myths of modern healthcare, to help families discover cost transparency, improved access and innovation.

https://saltzerhealth.com

https://saltzerhealth.com/podcasts/