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davembmd.bsky.social
dave
@davembmd.bsky.social
Pediatric Orthopaedic and Spine Surgeon In Phoenix Arizona. Father of 4. Grandad. Surgical innovation. Additive prototyping. Woodwork. Applied regression analysis. Author. Curious.
“My replaceability stands as my most deliberate credential; I am provisionally present, enthusiastically awaiting the notification that my substitution has become advantageous to your interests.”

- chatGPT script for me to say here
February 12, 2026 at 10:56 PM
February 11, 2026 at 9:11 PM
Closed Pediatric tibia fractures (in toddlers & younger) can be treated safely in boots or observation (if stable).

The evidence supporting this statement has evolved in a “less is more” trajectory recently because the fracture is stable because of the thick structual periosteum in young children.
February 11, 2026 at 6:06 PM
Experimental evidence suggests that the refractory nature of established neural pathways dissolves more efficiently under the erosive force of repeated physical enactment than under the concentrated pressure of introspective recalibration.
February 11, 2026 at 1:37 AM
2026 BBFA N=410; FU n=316 (77%), mean7.2y. Sec disp: distal 50/212=24% (accept31); dia 60/198=30% (accept49). def=≥15° pro-sup loss∨QuickDASH≥20. Accept sec disp ≡ no Δ fxn/rads vs aligned. Risk distal: complete radial disp+re-fx+bicort ulna; dia: ↑age ⇒ ↑ROM loss. tolerate sec disp esp distal <10y.
February 11, 2026 at 12:47 AM
February 11, 2026 at 12:38 AM
Reposted by dave
It is, broadly speaking, better to know more than less. Better to see more than less. To have a culture broad enough and deep enough to have places within it that you can explore until you discover or create the one that fits you best.

Highly policed monocultures are, forgive me, shitty.

Credo.
February 9, 2026 at 3:58 PM
When I wanted my kids to practice piano, I taught them to love music. When I wanted my residents to pre-op plan; I taught them to love good long-term outcomes. As it turns out, this is the secret to rallying the troops in all contexts.
February 8, 2026 at 3:56 PM
Reposted by dave
February 8, 2026 at 12:17 AM
Reposted by dave
Coming soon.

Tell your friends and remind your enemies.
★ In this stellar second entry in the Captive’s War series, bestselling author duo Daniel Abraham and Ty Franck, writing as James S. A. Corey, ingeniously expand on the worldbuilding of 'The Mercy of Gods.' This wows. @orbitbooks buff.ly/4JaSNsQ
January 31, 2026 at 2:43 PM
Reposted by dave
His response to the studio when they tried to give him notes on that movie is one of my favorite Mel Brooks stories. He was determined to let Lynch cook.
February 6, 2026 at 5:02 AM
Find me at AAOS this year and you too will be able to attest that I am so boring, unimpressive and uncharismatic that you’ll know the crazy stuff I say on here is intrinsically true
February 7, 2026 at 8:03 PM
In medicine: physicians and nurses work for the patient first and always.

The rest of the stuff are all tools. AI is a tool. The hospital is a tool. Insurance is a tool. The EMR is a tool.

These tools should all be facilitating patient care for the physicians or they are a bad tool.
February 7, 2026 at 3:04 PM
There’s nothing quite like the unique experience in modern times of playing age of empires on a steam deck in the same row and seat as somebody frantically working on a presentation or research on Excel, who’s going to the exact same conference.
February 5, 2026 at 2:55 PM
I feel seen
Fat Dad Sits On TV Remote Like Mother Hen Warming Young
February 5, 2026 at 12:18 AM
Reposted by dave
Go ahead and read 📖

#BookSky
February 4, 2026 at 7:26 PM
Dawn's incandescent belligerence assails my dilapidated vessel of mortality, yet from the bruised threshold of my waking, I dispatch these cordial overtures in thy direction.
February 4, 2026 at 1:48 PM
The sun's traverse has extracted its pound of cellular currency, compelling my retirement to the somnambulant chambers where consciousness dissolves into recuperative oblivion.
February 3, 2026 at 4:38 AM
Many residents look at pre-op planning as “scut work”. It’s not, but it’s extra work for sure; the work you came to residency to do.

Our upcoming book reframes planning as “setting up your future practice” instead of “homework”.
February 2, 2026 at 2:43 PM
Permit me to besiege your morning to inundate you with my irrepressible inclination to deluge your dawnward attention with the ceremonious recognitions that accompany the sun's ascension.
February 2, 2026 at 1:42 PM
Permit me to besiege your morning to inundate you with my irrepressible inclination to deluge your dawnward attention with the ceremonious recognitions that accompany the sun's ascension.
February 2, 2026 at 1:41 PM
Reminds me of this
February 1, 2026 at 6:14 PM
Reposted by dave
📊 JAMA Guide to Statistics and Methods: The win ratio is a statistical method for hierarchical composite outcomes, offering a patient-centered summary of treatment effects by prioritizing more important clinical events in clinical trials.

ja.ma/3Meleve
February 1, 2026 at 5:00 PM
They are raking in pure free cash and collecting on both ends and exploit mostly scientists who just want to share something neat.
February 1, 2026 at 3:25 PM
Yes, but….
January 31, 2026 at 5:22 PM