No, I understand your point, it's just with Unger's sheer size alone, the stress of on the foot in just bearing that weight...

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...

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.

No, I understand your point, it's just with Unger's sheer size alone, the stress of on the foot in just bearing that weight...

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...

You keep believing those silly things.

That's why he had surgery lol, because it healed on its own. They aren't called the Saints for nothing, Jesus Christ himself was called in on this one.

I agree JP

Well, in what seems like another lifetime, I worked at Tulane for four (4) years on a floor that included orthopedics, plastics to pay my way through school...

Then worked for five years in Managed Healthcare (HMO, PPO, TPA) writing dBase tables for everything from benefits, membership, claims adjudication, sales/commissions, and member service documentation and management, etc...

There are days I wished I didn't know all I knew from those nine years, especially when I'm with family or close friends at the Phys office, Urgernt Care, CCU, SICU, etc or realizing a claims processing choice that screws the patient and I recognize the same song or rodeo or dog & pony show bullshinski I learned of then...

Guido is exactly right that most doctors and the business directors of those PHOs (Physican Hospital Organizations) heavily influence the decision making to lean to the idea of do no more harm than good, limiting liability, exposure...

It's easier from a legal defensive point to say we did nothing and only be limited to damages for doing nothing than to risk invasive procedures by doing thus and still no improvement and being second guessed later why a number of other options were not used...

However, in the case of Max Unger, firmly believe in my gut the Ochsner Docs were covering their collective arses rather than processing all factors including my earlier point...

...around that rather simple human arch system he has is a super human amount of flesh and muscle and that that his bearing weight of 300+ lbs alone was more than his arch could bear in its injured state...

I worked with some Docs 25+ years ago who's names have sometimes been in the news these past years with regards to high profile athletes and injuries and I know they'd advised the stabilization of the Lisfranc injury as soon as trauma and inflammation had reduced for Sx...

Well, in what seems like another lifetime, I worked at Tulane for four (4) years on a floor that included orthopedics, plastics to pay my way through school...

Then worked for five years in Managed Healthcare (HMO, PPO, TPA) writing dBase tables for everything from benefits, membership, claims adjudication, sales/commissions, and member service documentation and management, etc...

There are days I wished I didn't know all I knew from those nine years, especially when I'm with family or close friends at the Phys office, Urgernt Care, CCU, SICU, etc or realizing a claims processing choice that screws the patient and I recognize the same song or rodeo or dog & pony show bullshinski I learned of then...

Guido is exactly right that most doctors and the business directors of those PHOs (Physican Hospital Organizations) heavily influence the decision making to lean to the idea of do no more harm than good, limiting liability, exposure...

It's easier from a legal defensive point to say we did nothing and only be limited to damages for doing nothing than to risk invasive procedures by doing thus and still no improvement and being second guessed later why a number of other options were not used...

However, in the case of Max Unger, firmly believe in my gut the Ochsner Docs were covering their collective arses rather than processing all factors including my earlier point...

...around that rather simple human arch system he has is a super human amount of flesh and muscle and that that his bearing weight of 300+ lbs alone was more than his arch could bear in its injured state...

I worked with some Docs 25+ years ago who's names have sometimes been in the news these past years with regards to high profile athletes and injuries and I know they'd advised the stabilization of the Lisfranc injury as soon as trauma and inflammation had reduced for Sx...

Well, in what seems like another lifetime, I worked at Tulane for four (4) years on a floor that included orthopedics, plastics to pay my way through school...

Then worked for five years in Managed Healthcare (HMO, PPO, TPA) writing dBase tables for everything from benefits, membership, claims adjudication, sales/commissions, and member service documentation and management, etc...

There are days I wished I didn't know all I knew from those nine years, especially when I'm with family or close friends at the Phys office, Urgernt Care, CCU, SICU, etc or realizing a claims processing choice that screws the patient and I recognize the same song or rodeo or dog & pony show bullshinski I learned of then...

Guido is exactly right that most doctors and the business directors of those PHOs (Physican Hospital Organizations) heavily influence the decision making to lean to the idea of do no more harm than good, limiting liability, exposure...

It's easier from a legal defensive point to say we did nothing and only be limited to damages for doing nothing than to risk invasive procedures by doing thus and still no improvement and being second guessed later why a number of other options were not used...

However, in the case of Max Unger, firmly believe in my gut the Ochsner Docs were covering their collective arses rather than processing all factors including my earlier point...

...around that rather simple human arch system he has is a super human amount of flesh and muscle and that that his bearing weight of 300+ lbs alone was more than his arch could bear in its injured state...

I worked with some Docs 25+ years ago who's names have sometimes been in the news these past years with regards to high profile athletes and injuries and I know they'd advised the stabilization of the Lisfranc injury as soon as trauma and inflammation had reduced for Sx...

You're right about Unger..that's why he had the surgery.