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-   -   The Advocate: Saints center Max Unger plans to be back as the starter for the season opener (https://blackandgold.com/saints/83074-saints-center-max-unger-plans-back-starter-season-opener.html)

spkb25 06-15-2017 07:56 AM

Re: Saints center Max Unger plans to be back as the starter for the season opener
 
Quote:

Originally Posted by AsylumGuido (Post 752557)
There is a thing called "best practices" in medicine. Surgery is never the first option if any other option is available. Doing it any other way would be, in your own words, "playing games". I know quite a bit about this. I hear about it every day. My wife is a long time malpractice claims adjuster representing half the hospitals and doctors in the state of Louisiana. Performing surgery without first eliminating other less invasive options would open up a can of malpractice worms. That is a fact.

No that is because most claims adjusters try and limit their cost so they always go with the conservative approach. Anyone who has been hurt on the job knows how those people work. The saints and Max do not have that issue.

AsylumGuido 06-15-2017 07:56 AM

Re: Saints center Max Unger plans to be back as the starter for the season opener
 
Quote:

Originally Posted by jeanpierre (Post 752555)
Actually Asylum, Coach Payton and Unger have confirmed again recently to the media that it was a Lisfranc fracture; and I'd agree with the approach of rest for most humans.

However, Unger is not a normal human being; he's a professional athlete who will push his body, even during the offseason, to the limit...

His frame alone also carries a great deal of weight that most normal humans do not jave; for that reason alone, I'd reinforced the foot promptly so the everyday stress on that limb and it's joints would mend quickly, correctly...

Not just so he could continue his off-season regimen and playing, but so a lingering wound doesn't cause secondary issues in the ankle, knee, hip while compensating for the Lisfranc...

This is another questionable, wrong call by the Ochsner Sports Opinions that the Saints are currently aligned...

Note my previous post, JP. There really was no other choice than to hope it would heal on its own. That is "best practice" and is basically mandated due to risk of any surgery.

AsylumGuido 06-15-2017 08:00 AM

Re: Saints center Max Unger plans to be back as the starter for the season opener
 
Quote:

Originally Posted by spkb25 (Post 752559)
No that is because most claims adjusters try and limit their cost so they always go with the conservative approach. Anyone who has been hurt on the job knows how those people work. The saints and Max do not have that issue.

No. Claims adjusters have nothing to do with it. It is the legal system. Doctors have to always attempt the less invasive option first or they are liable. The Saints, as a liable party, have to also abide by those practices.

Claim adjusters are only ever involved AFTER something has been done medically. They are NEVER involved with any ongoing case. You have no clue what you are talking about.

AsylumGuido 06-15-2017 08:13 AM

Re: Saints center Max Unger plans to be back as the starter for the season opener
 
Quote:

Originally Posted by spkb25 (Post 752558)
The best practice is to fix it

The best practice is to let the body fix it itself, if possible. If that isn't possible then Surgery may become the next best option.

spkb25 06-15-2017 09:05 AM

Re: Saints center Max Unger plans to be back as the starter for the season opener
 
Quote:

Originally Posted by AsylumGuido (Post 752561)
No. Claims adjusters have nothing to do with it. It is the legal system. Doctors have to always attempt the less invasive option first or they are liable. The Saints, as a liable party, have to also abide by those practices.

Claim adjusters are only ever involved AFTER something has been done medically. They are NEVER involved with any ongoing case. You have no clue what you are talking about.

They're not liable if they explain your full options to you and risk, and then you sign with full knowledge. It has EVERYTHING to do with claims adjusters and saving money

AsylumGuido 06-15-2017 09:53 AM

Re: Saints center Max Unger plans to be back as the starter for the season opener
 
Quote:

Originally Posted by spkb25 (Post 752573)
They're not liable if they explain your full options to you and risk, and then you sign with full knowledge. It has EVERYTHING to do with claims adjusters and saving money

I worked for a medical claims company for 17.5 years. I know all about medical claims. That is different than malpractice claims. Completely different animals. Medical insurance and its claims are all about holding down costs and protecting the patient and/or employer. Malpractice insurance and its claims are all about protecting the hospital/doctor from lawsuits.

Surgery also opens up risk to things such as infection and nerve damage. No reputable surgeon would encourage surgery until all other options had been addressed. That is not how things work in the medical arena.

But, in Unger's case it was properly managed and surgery was done within a time frame that would return him to the field in time for the regular season.

Rugby Saint II 06-15-2017 01:28 PM

Re: Saints center Max Unger plans to be back as the starter for the season opener
 
Quote:

Originally Posted by jeanpierre (Post 752555)
Actually Asylum, Coach Payton and Unger have confirmed again recently to the media that it was a Lisfranc fracture; and I'd agree with the approach of rest for most humans.

However, Unger is not a normal human being; he's a professional athlete who will push his body, even during the offseason, to the limit...

His frame alone also carries a great deal of weight that most normal humans do not jave; for that reason alone, I'd reinforced the foot promptly so the everyday stress on that limb and it's joints would mend quickly, correctly...

Not just so he could continue his off-season regimen and playing, but so a lingering wound doesn't cause secondary issues in the ankle, knee, hip while compensating for the Lisfranc...

This is another questionable, wrong call by the Ochsner Sports Opinions that the Saints are currently aligned...

I sold medical equipment to Ochsner. It was a nasty place with a bad reputation.

Cruize 06-15-2017 01:46 PM

Re: Saints center Max Unger plans to be back as the starter for the season opener
 
Won't play a game for the Saints this year and probably will have to retire. Foot surgeries on extremely large athletes does not usually work out well.

AsylumGuido 06-15-2017 02:05 PM

Re: Saints center Max Unger plans to be back as the starter for the season opener
 
Quote:

Originally Posted by Cruize (Post 752630)
Won't play a game for the Saints this year and probably will have to retire. Foot surgeries on extremely large athletes does not usually work out well.

Is that a fact? Have you got a crystal ball? And what evidence do you have to back up your claim of lack of success of Lisfranc surgeries on extremely large athletes? Medical journal study perhaps?

jeanpierre 06-15-2017 03:12 PM

Re: Saints center Max Unger plans to be back as the starter for the season opener
 
Quote:

Originally Posted by AsylumGuido (Post 752560)
Note my previous post, JP. There really was no other choice than to hope it would heal on its own. That is "best practice" and is basically mandated due to risk of any surgery.

No, I understand your point, it's just with Unger's sheer size alone, the stress of being on the foot, just bearing that excess weight should've been factored...

Then there's the whole professional athlete training component (it's not like he's in sales, can sit at his desk and get the weight off his foot; and ride the cart for a few months when playing golf)...

I'd thought they'd been a little more assertive in getting ahead of his Lisfranc injury and stabilizing his arch was the point I was making...


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