Blog Archive

Characterizing the effect of Porous Titanium cage on subsidence performance Feb 13th, 2021

I have been involved with others in a study of subsidence of interbody cages where the hypothesis is that the new porous materials used in the interbody cages will decrease the rate and the amount of subsidence of the cage into the bone.  Subsidence has always been the main factor...

First Patients With Intracept Procedure For Chronic Low Back Pain Feb 13th, 2021

The new Intracept procedure for chronic low back pain has been a success for each of the first 6 patients.  This procedure is a radioablation of the basivertebral nerve to the vertebral endplate adjacent to a severely degenerative disc.  The goal of this procedure is to stop the sensation of...

CONSIDER OUTPATIENT SURGICAL TREATMENT FOR PAINFUL SPINAL CONDITIONS Jan 19th, 2021

Today marks the 300th day of the COVID-19 pandemic.  Recently active cases are elevated. Hospitalizations had reached a sustained new high over the past 3 weeks but fortunately now are stabilizing.  2 of the COVID-19 vaccines have begun distribution in the elderly and those with comorbidities.  At least 2 more...

August 3 2020 Update Regarding Elective Surgery and COVID-19 Aug 5th, 2020

The hospitals are open for all essential elective surgery again in San Antonio.  Essential includes people who have substantial pain or neurological complaints or problems with painful arthritis limiting their daily activities and causing disability.  As you may know nonessential inpatient surgeries were postponed due to the COVID-19 pandemic for...

Finally pain relief for Chronic Low Back Pain Jul 5th, 2020

What if chronic low back pain could be essentially stopped? As you may have heard Low back pain (LBP) is the leading cause of time off work in the United States and the leading cause of disability worldwide. Chronic LBP is treated with an assortment of costly interventions, including medications,...

Q & A Regarding Elective Surgery and COVID-19 Jun 28th, 2020

In San Antonio, As of June 30 2020 nonessential surgeries are postponed due to the COVID-19 pandemic. We are able to do outpatient and 23-hour surgery. This resource was created to help address questions and concerns patients may have about the impact of COVID-19 on their rescheduled procedures. If you...

Flatten your fear of return after Covid-19 Jun 10th, 2020

This is from Flattening the fear.com We’ve all been inundated with negative news about Covid-19 for the past three months, and while the virus is still out there, there is a lot of new information that shows a return to normalcy could just be around the corner. For the vast...

We are getting back to our "New Normal" Jun 2nd, 2020

June 2, 2020 Our patients are finally getting the high-quality care they deserve as state and local governments continue to relax restrictions on surgical practices. Most importantly, this care is being provided in an environment that is safe for patients, staff, and society. All those involved in patient care—including the...

After the COVID-19 storm getting back toward normal May 15th, 2020

COVID-19, has taken the world by storm. No one could have ever imagined the scale and intensity of this pandemic, which has upended every aspect of life as we know it. It is looking like we are past the storm and have enough intensive care capacity to treat what remains...

Restoring our normal office and surgical practice May 1 2020 Apr 28th, 2020

Our Journey Back to Elective Surgery It seems to be closer now April 29 2020 The novel coronavirus, COVID-19, has taken the world by storm. No one could have ever imagined the scale and intensity of this pandemic, which has upended every aspect of life as we know it. Our...

COVID-19 30 days in Apr 13th, 2020

As the COVID-19 situation has evolved, I wanted to share again how important your safety and security is to our caregiving mission. Dr. Fogel and his staff are responding to the evolving situation, and I wanted to share our specific actions to make sure you receive safe care during this...

COVID-19 and Dr. Fogel Spine surgery Practice Mar 20th, 2020

We are in the midst of the COVID-19 crisis.  We now have 28 confirmed community transmitted cases here in San Antonio as of this morning March 20 2020.  I wanted to say a few things about this crisis.  It looks like from everything that I have learned that social distancing...

Total hip replacement and Back surgery: sagittal alignment loss of lordosis. Jul 21st, 2019

Having both total hip and a lumbar fusion with alterations of your sagittal balance and pelvic tilt may make you at greater risk for dislocation of that total hip.  In a symposium at our recent orthopedic Academy meeting the relationship of total hip arthroplasty and lumbar fusion was discussed.  The...

ClearGage Medical Loan services Jul 21st, 2019

Americans borrowed $88 billion last year to pay unexpected healthcare costs.  quoted  https://www.cnn.com/2019/04/02/health/health-care-costs-borrowing/index.html 5 million adults say they had a health issue but didn't seek treatment due to cost. Nearly a quarter had to cut back on spending to pay for health care or medicine. "Not only do you have...

A Provider’s View of the Synthetic Fentanyl Epidemic in the US Jul 21st, 2019

This is a thread that Stu in South Dakota authored and I added provider information for.  You can find the entire article here: https://threadreaderapp.com/thread/1109843643022614533.html In a recent thread, Mexico’s complicity in trafficking synthetic fentanyl was discussed. The thread also included some horrifying statistics on opioid deaths in the US. https://twitter.com/STUinSD/status/1106560260800761857...