Some of our patients and their families are very comfortable not having to bear the burden of making their own diagnostic pathways for the care teams. Some patients have their own reams of research they need in order to feel good about their decision and what they should go through. These are areas where we have a lot of variation. However, I would really hate for people to feel that if they've somehow been recommended for surgery, there would be some sinister motive behind that. Most insured patients are receiving surgical recommendations based on this last resort mentality. It's a very powerful surgery when it's time to be done. But you know, there are very rare instances of extreme motor vehicle accidents, falls that destroy the joints so badly that all at once, the patient is learning that my joint was normal yesterday, but I've had a massive trauma and there's no way to put these things back together and we need to go right to an artificial joint. That does happen.
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