In our continuing series with GBMC Healthcare about wellness and all of life’s ailments along with some practical advice and information, we’re joined by Carroll County native and local orthopedic surgeon Dr. Grant Duvall, who helps Nestor better understand modern knee and hip replacement and a faster recovery to a better life. Those old sports injuries and scars are adding up to wisdom!
Nestor Aparicio discusses his upcoming knee and hip health assessments with Dr. Grant Duvall, an orthopedic surgeon at GBMC. Nestor shares his history of knee surgery and the advice from friends who have had hip and knee replacements. Dr. Duvall explains the advancements in hip and knee replacement surgeries, including outpatient procedures and smaller incisions. He emphasizes the importance of pre-surgery strength and maintaining joint health through exercise and diet. Nestor also mentions his upcoming colonoscopy and his efforts to stay active and healthy. The conversation concludes with Nestor expressing gratitude for the medical advice and support from GBMC.
- [ ] @Nestor Aparicio – Nestor to schedule an appointment with his primary care doctor to get an MRI and assess the current condition of his knee and back.
- [ ] @Nestor Aparicio – Nestor to continue his current regimen of yoga, strength training, and maintaining a healthy weight to proactively care for his joints.
- [ ] Dr. Duvall to provide Nestor with any additional resources or recommendations for maintaining joint health as he gets older.
Nestor’s Introduction and Upcoming Events
- Nestor Aparicio introduces the show, mentioning the radio show and podcast, and the upcoming football games and World Series.
- Nestor talks about his recent trip to Costa Centimonium and the Maryland lottery scratch-offs.
- He mentions upcoming events, including breakfast at the State Fair in Catonsville and shows at Coco’s and Pizza John’s.
- Nestor shares his plans to get caught up on doctor’s appointments, including a colonoscopy scheduled before Thanksgiving.
Introduction of Dr. Grant Duvall
- Nestor introduces Dr. Grant Duvall, an orthopedic surgeon at GBMC, highlighting his interests in sports and local community.
- Dr. Duvall shares that things are going well at GBMC, with the fall season bringing nice weather and colorful leaves.
- Nestor shares his background as a sports radio host and his history with knee surgery and other health issues.
- Nestor mentions friends who have had hip and knee replacements and their positive experiences.
Advancements in Hip and Knee Replacements
- Dr. Duvall explains that hip and knee replacements have improved significantly over the years, with patients recovering more quickly.
- He mentions that surgeries are now done on an outpatient basis, with smaller incisions and less soft tissue trauma.
- Dr. Duvall highlights the importance of patient motivation and involvement in the rehab process.
- Nestor shares his personal experiences and the advice he has received from friends about the benefits of hip and knee replacements.
Importance of Strength and Prevention
- Nestor discusses the importance of being strong before undergoing surgery or dealing with injuries.
- Dr. Duvall agrees, emphasizing that strength helps prevent injuries and aids in recovery.
- Nestor shares his efforts to stay active and avoid surgery, including using a stand-up desk and practicing yoga.
- Dr. Duvall explains that compensatory pain can occur when one joint is affected, leading to issues in other joints.
Patient Decision-Making and Conservative Care
- Nestor asks about when people typically seek medical advice for hip and knee issues.
- Dr. Duvall explains that patients usually come in when they can no longer do activities they enjoy, such as work or sports.
- He mentions that most cases are managed conservatively with therapies, oral medications, and injections.
- Dr. Duvall notes that surgery is only considered for a small minority of patients, and those who need it generally recover well.
Impact of Pickleball on Orthopedic Issues
- Nestor and Dr. Duvall discuss the popularity of pickleball and its impact on orthopedic issues.
- Dr. Duvall explains that pickleball is more approachable than tennis, making it popular among older people.
- He notes that while pickleball can be beneficial, it can also lead to orthopedic issues.
- Nestor shares his own experiences with sports injuries and the importance of staying active.
Dr. Duvall’s Background and Personal Interests
- Nestor asks Dr. Duvall about his background and personal interests.
- Dr. Duvall shares that he is originally from Carroll County and grew up watching the Orioles and Ravens.
- He expresses optimism about the Ravens’ future performance despite the current season’s challenges.
- Nestor and Dr. Duvall discuss the importance of staying healthy and active, both physically and mentally.
Advice for Maintaining Joint Health
- Nestor asks for general advice on maintaining joint health.
- Dr. Duvall emphasizes the importance of staying active, combining aerobic activities with strength training.
- He mentions the benefits of maintaining bone marrow density to prevent fractures.
- Dr. Duvall discusses the mixed evidence regarding supplements like turmeric and glucosamine but notes they are generally benign.
Robotic and Computer-Assisted Surgery
- Nestor and Dr. Duvall discuss the advancements in surgical tools, including robotic and computer-assisted surgery.
- Dr. Duvall explains that these tools help in more accurately placing components during surgeries.
- He mentions that robotics allows for smaller incisions and better matching of patient anatomy.
- Nestor shares his own experiences with past surgeries and the advancements he has seen over the years.
Nestor’s Personal Health Journey
- Nestor shares his personal health journey, including past knee surgeries and current efforts to stay active and healthy.
- He discusses the importance of self-monitoring and seeking medical advice when necessary.
- Dr. Duvall praises Nestor’s efforts and emphasizes the importance of maintaining a healthy weight and flexibility.
- Nestor expresses his desire to avoid surgery in the future by staying proactive about his health.
Final Thoughts and Encouragement
- Nestor and Dr. Duvall discuss the importance of staying active and seeking medical advice when needed.
- Dr. Duvall encourages Nestor to continue his efforts and stay proactive about his health.
- Nestor shares his plans to get an MRI to assess his current condition and track his progress.
- The conversation ends on a positive note, with both Nestor and Dr. Duvall expressing optimism about the future.
SUMMARY KEYWORDS
knee replacement, hip replacement, recovery, orthopedic surgeon, GBMC, rehab process, joint health, strength training, pickleball, robotics, computer navigation, arthritis, MRI, physical therapy, sports injuries
SPEAKERS
Dr. Grant Duvall, Nestor Aparicio
Nestor Aparicio 00:01
Welcome home. We are W, N, S, T, am 1570 Towson, Baltimore. We are Baltimore positive, trying to get through a quick weeks of football games with within four days and get through the World Series and do all of that. And I’m eating crap cakes. I was at Costa centimonium This week had some great guests. Hope you’re enjoying it out on the radio as well as on our podcast and everywhere we serve Baltimore positive I have the Maryland lottery scratch offs from from our friends at the Maryland lottery, been a luckier batch in the Ravens of late, but certainly had some great winners at Costas, and they turned their tickets in and they scratched them right there in the OTB. Not going to be the case on Tuesday, we’re going to be at State Fair in Catonsville on Tuesday morning having breakfast. I’m looking forward to that. And then the following week, we’re going to be at Cocos two shows. Next week Coco’s on the fifth, that’s Wednesday afternoon. And then on Friday the seventh, we’ll be back at Pizza John’s in Essex, where I’m sure I’ll have a cheesesteak and I’ll have the salad I love, and french fries and gravy and all that good stuff that I love. Our friends at GBMC have, well, they put me up to a lot of things. First off, I’m I’m the convicted 57 year old guy that’s never been to a doctor, that’s about to change in lots and lots of ways, because our friends at GBMC have put me up to all of this, including my colonoscopy that’s coming not this month, but within this month, next month, but before Thanksgiving. So I am all scheduled up trying to get caught up to my wife and doctor’s appointments. And this is going to be a great segment, because Dr grant Duvall is a orthopedic surgeon, but not just that. He’s an Oreo fan, he’s Raven fan, he’s Carroll County guy over at GBMC. And more than that, Doc, first off, welcome. How are you? How are things at GBMC today?
Dr. Grant Duvall 01:39
Hey Nestor, thanks for having me. They’re going, well, you know, we’re getting into fall. So weather is really nice outside. We come to GMC campus, lots of trees. The leaves are turning nice and pretty. I think we’re almost near peak color now, so starting to really enjoy the fall season. But things are going great at GBMC.
Nestor Aparicio 01:54
I’m a young, old timer, dude. I mean, I know I look, you know, young, but I’m 57 most of my friends that are older than me, and look, man, I’ve done sports radio for 35 years, right? So, like my people are sports people, active people, like all of that we all I mean, I had a knee surgery 20 years ago from being a catcher when I was little. Just my knees the whole deal. I’m a hot yoga guy. My Planet Fitness friends opening the new location at Timonium, will also clap. But I mean, I’ve been in your clinic for back, l3 back, maybe surgery, knee. I’ve had a knee surgery, but most of my friends who have been athletic and I had Marvin Lewis on last week, hips, knees replaced all of that. Every single one of them whom I love, who are a little older than me and wiser have all said to me when I’ve called them being their good friend, saying, Hey, man, how you feeling? You got that a couple days later, you’re checking in on your buddies. They’re all like, months later, I see them over a glass of wine, and they’re like, it’s the greatest thing I ever did. They’re like, if you need knee surgery or hip replaced, if you need that replacement, get it, because walking around with it is way worse than getting it fixed. So am I pre Am I preaching the gospel maybe the right way with and I mean, that’s to a man. Every person I’ve known who’s ever seen a guy like you has come back months later and said greatest decision of my life.
Dr. Grant Duvall 03:17
Well, Nestor, I appreciate that vote of confidence in the patients that do need hip and knee replacements in general, you know, they do very well. And part of that is, you know, the patients that are motivated to be involved in the rehab process, and part of that’s the fact that we’ve gotten much better at doing hip and knee replacements over the years. So before, when you used to kind of either come to the hospital the day before surgery and stay for several days afterwards, we’re doing these procedures on an outpatient basis, where you come in one day and you leave that same day, and then, you know, with our abilities to kind of make smaller incisions, have less soft tissue trauma and stuff like that, patients are recovering in a much more rapid pace than they used to. So I think the whole process is a bit smoother than it used to, which patients really enjoy? You know, it’s something really remarkable to see when a patient’s coming into your clinic limping, you can get them in for surgery one week and they’re walking out of the hospital the same day, which, I think patients appreciate that as well.
Nestor Aparicio 04:13
Well, I see all the pictures, you know, I see my friends put the little hat on that I’ve had on and taking the pictures I’m going in, wish me luck. And then, you know, friends support friends, right? But I think the other part of this is for for a lot of my goofy buddies, it’s golf, pickleball, you know, whatever it is, I always say to my wife, if my back felt better, I would feel better in moving water. You know, my center, I had a psoas issue that led to a back problem with MRIs and a lot of pain and a lot of PT and a lot of hot yoga, but I was, I’m pretty convinced I’m going to have to see some special and the thing I keep thinking about with my back as my knee has gotten better. I had Condor Malaysia in 2006 had it scraped up pretty good about 20 years ago, and I had a flap the whole deal. All and and I really didn’t rehab it well. I tried hard, but it hurt like how it was a little bone on bone. 20 years later, I’m 30 pounds lighter. I feel good, but this back thing for me, if I had a knee or a hip, I would think the most important thing I can do, and I feel this way about my back, is get as strong as I can now that if I ever have to have it done in some traumatic way or in a planned way, I’m always thinking like at this age, plan these things. If you know you’re going to need this done, plan it get stronger. Do everything the docs say, I know you like hearing that, even though I won’t. I might give you, give that out and not follow it. But, um, but, but am I? Am I speaking the right way as a 57 year old guy that’s got kind of a bad right knee, I don’t think I’m going to need you for that, but my right hips a little wonko too, in regard to my back, and in regard to the feelings I feel of electricity in my body when I’m I’m subluxed in some way, I feel like strength is the most important thing any of us can do as we get older, to prepare for the meeting with someone like you to help us. Well,
Dr. Grant Duvall 06:10
I think you’re right. You know, being strong going into a surgery or being strong before an injury, one, helps prevent injury. And two, if you were to need an intervention, you know it’s going to help your recovery process afterwards. And then you already kind of alluded to the fact, but if you are having a hip and knee issue, a lot of times, you can develop compensatory pain, where, if you’re kind of leaning over more due to favoring a knee, that can hurt your back, or vice versa, or if the hips kind of throwing things out of alignment, you know, that can also be straining your back. So you’re right that having pathology of one joint can kind of cause, you know, pain other joints just from you compensating. But your comment about being strong going into any procedure is very, very true. I would say, Well,
Nestor Aparicio 06:51
I’m moving my stand desk up because I’m talking to an orthopedic surgeon right now. And I didn’t, hey, listen to me. I did not have one of these. And I’m doing this sort of, kind of on purpose, but my back was getting a little wonky because I don’t like sitting long, which is my own self awareness of what you just said, of being out of line because I’m a leaner, I’m a standard. I’m standing on my left leg right now as I’m standing here talking to you, and I’m thinking, these are all of these things that eventually will lead me to you, Doc, one way or another, because it hurts a little right now, I’m trying to make sure I stay away from you. I’ve been doing that staying away from my friends at GBMC too long, according to some people, but I but when people come to you, they’re already and they’re already screwed up, right? I mean, they’re already in pain. They’re already like, I mean, I’m in a little bit of pain, not enough to see you, and enough to know what I need to do to try to put it off to some degree. But I don’t know where the I don’t know what took me to the knee surgeon in 2006 other than, holy hell, I can’t do this. I mean, I can’t walk and hurt you know, then that’s where the doc fine found me as a 37 year old at that point, I don’t want to be that guy at 57 or even older. I don’t know at what point I need to say to you, take a look at me. Let me know. You know, am I going to be a candidate? Can you get on that strategic course? Because I’m not afraid of you anymore, because I have too many friends that have done really well with with hip and knee replacements that they’ve all told me, if you need to get it, I’m probably going to be a candidate at some point in my life.
Dr. Grant Duvall 08:28
In terms of, you know, your question about when people come to see us, that depends from patient to patient, I would say, you know, everyone has, you know, certain tolerances for certain level of discomfort. The general theme is that people will come to see the doctor when they can’t do things they want to do, whether that’s, you know, be at work, sitting comfortably, standing comfortably, like you mentioned earlier, pickleball, golf, those are common things. You know, we see people come in and when they can’t do it pain free anymore, that’s generally when they come see us. In terms of what we do, obviously depends upon the patient’s pathology. I would say 80 to 90% of the time it’s mostly conservative care. You know, a lot of times people can get by with therapies, your oral medications, injections, specific, targeted therapies to kind of get them the back to, we wanted to in the small minority of patients we do end up doing surgery, but we try to be cautious in terms of rushing to, you know, invasive procedures like that. I will say the patients that do need a surgery, for me, most commonly, either hip or knee replacement generally, are able to get back to the things they want to do, like pickleball. You mentioned in golf, return to play rates and those activities are very, very high.
Nestor Aparicio 09:34
Pickleball keeping you all in business, right? Doc,
Dr. Grant Duvall 09:36
Pickleball is, yeah, that is a hot topic about orthopedists, you know, I think this is, you know, Mitch, just me talking right here. I think a lot of people would play pickleball now, who wouldn’t have tried to play tennis 10 years ago? But Pickleball is much more approachable sport. It’s easier to play. The ball is moving a little bit slower. So we’re seeing a lot more older people get involved in pickleball, which, you know, unfortunately, can lead to. More orthopedic issues, especially in our older population.
Nestor Aparicio 10:03
Well, I’m getting there. I can almost get my discount for the movies. I’m trying to find some benefits in all this. Dr grant Duvall is here. He is an orthopedic surgeon, a surgeon with our partners at GBMC, and obviously they’re right here in the community. And you, I looked you up. You’re like, you’re one of us. You’re Look, I don’t want to talk too much sports with you, because it has not been good around here, as you well know, right? But you are one of us. You’re a local kid from years grown up to follow your dream to be a doctor to GBMC, right?
Dr. Grant Duvall 10:34
Yes, sir. So originally from Carroll County, so I grew up watching the Orioles and the Ravens, you know, growing up, at least when I was young, the Orioles were not that good.
Nestor Aparicio 10:44
That was you still seem young to me. You know, on
Dr. Grant Duvall 10:48
the younger side, on the younger side, and then obviously, grew up watching the Ravens of Ray Lewis and some of those golden years, yeah, but this year has not been good. We won’t belabor the point, but I’m feeling to come I’m feeling a turnaround coming on. You know, we had the bye week. We’re rested up. I think we’re going to make our run here,
Nestor Aparicio 11:04
all this last place and a colonoscopy in the same year. For me, I mean, this is, you know, we’re wrapping this thing up well for you with with sports and injury and advice that you would give to avoid you in certain ways, you know, I mean, I’ve had all sort of holistic things that, you know, are going to help joints and labrums and fluids and different things that I hear. But good advice for a 57 year old guy who was an athlete, was a tennis player, was a catcher, not a motorcycle driver, like a stunt car. You know, I’m not that guy, and I certainly have slowed part of that down, but I am constantly reminded of my injury and how much it screwed my life, up, my business, my ability to do all the things that I enjoy doing when I was on crutches for a couple of months, trying to rehab it. I want to do everything I can do to avoid you, but also realizing like wear and tears like part of having had all that fun, you know, all the mileage on the tires and all that stuff that if I do have to come see you again, I’m not afraid of it. And I’m almost thinking one of these four things is going to get me to you at some point, I’m going to do everything I can do to avoid it. But what advice is just general advice for people to have good joint health. And I’m thinking turmeric, any I mean, I’m not thinking Advil. I’m not I’m thinking things that are like, things I can eat, things I can do, obviously, walking and exercising, the things I’m always advocating,
Dr. Grant Duvall 12:35
yeah. So I think, in general, the biggest things are just behavioral. So staying active. You know, as you get older, it’s not necessarily doing high impact activities like running, but things like walking, hiking, elliptical, walking on a treadmill, a pill, and then stretching and then strength activity. So as you get older, your bone marrow density can decrease, which, if that were to happen, you have a fall, you’re much more at risk for having a fracture. So combining both, you know, aerobic activities like walking or biking and things of that, as well as strength training, and trying to do that, you know, at least a half hour per day throughout the week, at least five or six times a week, in general, can help maintain, you know, prevent injuries, as well as just maintaining your ability to navigate your environment. In terms of supplements, you know, there’s a lot of information out there. There’s a lot of stuff on the internet. In terms of,
Nestor Aparicio 13:27
that’s the problem, right? Literally, right? That’s the confusion. Everybody comes to you and says, I heard this doc, right? I can’t imagine being in that place,
Dr. Grant Duvall 13:35
yeah, the one you mentioned turmeric, there is some low level studies that show benefit, you know, and generally it’s not harmful. But there is some higher level studies that don’t show any benefit. So, you know, it’s a little bit of a mixed bag in terms of evidence based for our evidence based papers supporting turmeric, that being said, some patients do report some anecdotal improvement for it. The other one is glucosamine, which people take, sometimes for joint health, that has some low level evidence for it as well. Again, a little bit mixed bag when you get into larger studies, but it’s a pretty benign medication. So people ask about something besides an anti inflammatory they can take. I usually mention those two and say they can’t hurt you. They’re gonna help you, yeah, within reason, they can’t hurt you, right?
Nestor Aparicio 14:18
Yeah. I mean not over Yeah. I’m not going to overdose on turmeric. I don’t like PT that much, you know? I mean, I really don’t. Or in my ice cream, I’m not. Tom Brady, you know, was here. He is the good doctor over GBMC, our partners in all things, we’ve had so many conversations, and we talked about the Child Child mistreatment this week, just one of the tougher. I mean, we’re trying to have conversations that maybe wind up in locker rooms in gyms, or you asked your uncle or asked your name, Hey, how was your knee surgery? I know a lot of people that have had knee and hip replacement in recent times tell me about robotics. I mean, I don’t want to offend you, but you do seem a little young for me, and I would think that if I had an older doctor, they’d say, Yeah, we used to be scalpels. Used to be. All you should see when we used to tear people up in the 80s, and I’m a guy, that the biggest scar on my body, other than missing a finger from 1973 is I had appendix, appendix in 1986 so it actually happened when Chernobyl happens. I remember where I was May of 1986 i i had my pennies. I have this giant scar like and I know in modern 40 years later it would, it would be a completely different procedure than the hell I went through at the church home hospital back in 1986 but, but I think for all of the surgeries and everything I see, and for my wife, who had a bone marrow transplant twice, and when we went in for that, I literally docked. I thought they were going to cut her open, like Texas Chainsaw Massacre, like, literally, I knew nothing. Bone Marrow Transplant sounds like, Oh my God. And it was literally, I mean, it wasn’t, in any way an easy thing, and it was a very gruesome thing. But when I hear robotics, when I hear computers, when I hear scalpel like we used to hear, and doctors when I was a kid or whatever, I’m thinking your gigs a lot different than maybe your predecessors were a generation ago. And you’re probably aware, but I don’t say it’s easier being a doctor than it’s ever been, but I would say you got a lot more tools than maybe your dad or your granddad would have had, right? I think the way
Dr. Grant Duvall 16:18
you said, that’s perfect. You know, when we talk about robotic surgery and computer navigation, they are tools. You know, we’re still doing the surgery. There’s still some scalpels involved. There is still some scars involved. It’s gonna hurt a little bit, right? Just a little, gonna hurt a little bit, but not a lot. But, you know, robotics is a tool that allows us to more accurately place the components. When we talk about hips, we do use computer navigation. You know, the hip is a ball and socket joint, and that computer navigation allows us to place the cup in an exact position that kind of reflects the patient’s anatomy. So hopefully it performs better and has less complications and feels more like, you know, your normal total hip. So
Nestor Aparicio 16:54
these aren’t cookie cutter in any way. They’re, they’re almost, not almost even more so than like my, my, Invisaligns, like, there. It’s literally made for you, right?
Dr. Grant Duvall 17:04
Literally, right? We try to match the patient’s anatomy to give them the best result. See, I just,
Nestor Aparicio 17:08
like, 20 minutes in, I that I really learned something here. Now I’m thinking, like, Okay, you got me thinking about, you know, which one you’re going to get on me here before it’s all over with, especially because you’re a young guy, you’re still going to be around GBMC for a few years
Dr. Grant Duvall 17:19
here. So I got a few years ahead of me. And in terms of knees, it does allow us to make a smaller incision. We can do things like, you know, a sub vast or quad sparing approach. Now to make a smaller incision, robotics allows us to place those components through a smaller incision with also the ability to match the patient’s anatomy so that knee hopefully feels more like their natural knee that they had prior to, you know, developing arthritis. So
Nestor Aparicio 17:43
I had condom Malaysia. You’re familiar, right? You’ve done a few of these, right? So this is in 2006 I’m well, I was walking around the world cup in in Germany with my wife, and every 10th step I would get stabbed like, it felt like an ice pick in my right knee. I would just like, go down and I’d swallow hard that hurt, and you take a deep breath, and then I walk a little bit more. And this went on for months, until I got cut on and I woke up out of the morning haze in a suite and Timonium, right where GBMC is located, and the doctor looked at me, and I looked up. He like, literally said, you’ll never run again. And I’m like, what I wasn’t I was pretty bad for the first 18 months, like, I was very out of line. What you were talking about, like, left, right at one side, hurt compensation. I wasn’t getting the strength back equally. Now, 19 years later, I do pretty well. I mean, most days, I would tell you, other than maybe, if the humidity goes the wrong way or something weird happens and I step wrong off a curb somewhere, my right knee feels pretty good, but I would have told you 15 years ago I would be a knee replacement guy. So for a guy like me, staying away from a guy like you, now that I’ve fully given you all of I’ve broken all the HIPAA violations
19:04
on myself to
Nestor Aparicio 19:06
let you know. No, I just, I thought that I would be, I don’t feel like that’s going to happen to me, but what would be some signs for me to be looking forward because I had pain forever and ever, and I really don’t anymore, and it’s kind of, I don’t say it’s miraculous. It speaks to my weight, my diet, the fact that I’m on the yoga mat four days a week, and I don’t run. I’m not a runner. I mean, I like anything contact like that scares me, because I’m no offense, Doc, I’m trying to avoid you.
Dr. Grant Duvall 19:35
No, I think. I mean, honestly, the things you’re saying, you’ve been doing all the right things. So you know, running in a healthy knee is not hard on the knees. That being said, if you’ve had a prior history of a knee injury, or Condor Malaysia, or, you know, knee arthroscopy, like you’re mentioning, running can be a bit higher impact than we’d like on the knee and kind of flare things up. But the things you already been doing, like maintaining a healthy weight, maintaining your flexibility and strength with yoga, those are all great. Things to keep doing. And you know, if you’re not getting to the point where you’re having persistent pain for more than a couple days, then it’s fine to just kind of keep self monitoring. It sounds like you have a pretty good tab on, you know, the knee health and how, what things to do, what things not to do. So, you know, hats off to you.
Nestor Aparicio 20:16
I’m a Dundalk guy, man. I’m just trying to get Rob Woodson, our world champion, and my friend said to me in 1998 when I first met him and the team stunk. You remember that the first time around when you were younger? Then I was young, but I’ve heard of it. He would always say to me in the locker room with Ray Lewis and those guys, just trying to get right, man, I’m just trying to get right. I’m just trying to get so for me all these years later, after knee surgery, after all of this, I feel like I’m trying to learn and I’m trying to get better in this way, in a way so that I don’t feel dumb later for having made the mistake of having to have a surgery I didn’t have to have
Dr. Grant Duvall 20:53
right? Yeah. No, absolutely. Yeah. No, you’re doing the right things, all right, doc, well,
Nestor Aparicio 20:56
I’m hoping I avoid you, and I am having a colonoscopy. I’m trying to do all of these things that my wife’s been on me about which every wife I know about every husband I know. So it’s a little reminder to everybody out there, take care of yourselves. Our friends at GBMC or down the street, always around the corner with a doc like Dr Duvall to help us out. Not all of them are from Carroll County, rooting for the Orioles in The Raven. So do you have any Oriole offseason? Or you know, I mean, anything you want to say at all
Dr. Grant Duvall 21:23
when you get healthy and we need to get some pictures back, that’s the two big things. I would say.
Nestor Aparicio 21:28
Spend money, is what I’m saying. Yeah, spend some money. Well, I mean, you know, I mean, it’s not my money, you know, it’s their money. Is we sit here and watch the Blue Jays and the Dodgers, you know, have top five payrolls, but, but hey, cheers to you. I hope to see you in the hallways of GBMC when I’m going through for my colonoscopy, but to avoid you for a knee surgery. But, um, in a general sense, MRI is good for a guy like me to see where I am,
Dr. Grant Duvall 21:51
right? Um, I would say, if you’re not having issues, there’s no reason, but my
Nestor Aparicio 21:55
back’s wonky. I mean, to be honest with you, I’d like I’m getting the whole physical, because I have my partners at GBMC looking after me now, but I, when I see my primary Doc, I’m gonna say, you know, I’d like to take a look at what I used to look like and what I look like now, and see if all this yoga and all this working out of Planet Fitness and all the things I’m doing, right, have in any way you use the word, use the medical word, about, like, arthritic, right? Like degenerative or arthritic. When I hear I have degenerative disc in my back, I was told that I don’t know, what do I do
Dr. Grant Duvall 22:31
for the knee or the back, either?
Nestor Aparicio 22:33
That’s what I’m saying. Like to get the overall where my body is, to know, like, am I? Am I in better shape than I was, or worse, because I had an MRI a couple years ago, and it was very like my chiropractor looked at it and said, whoo, you know. And he’s my friend, you know. So I want to, I want to have a better picture of what I look like right now.
Dr. Grant Duvall 22:53
I can’t speak for the spine, but for the knee in particular, we generally start with X rays, you know, and that can show us if there’s arthritis or any type of bony abnormality. And then sometimes we do get an MRI, which gives us a better picture of the meniscus, the ligaments, your tendons, as well as the cartilage in the knee. Why?
Nestor Aparicio 23:13
It doesn’t hurt anymore to some degree, other than I’m smart, strong and
Speaker 1 23:17
skinnier, like all of that, right? All the yoga, I think that’s my opinion. But I
Nestor Aparicio 23:21
mean, just seeing where I was told I was sort of bone on bone and that I would never run, I guess that’s why I brought that up and that I feel differently about it all these years later, but I don’t know why, and I am sort of, well, I’m 57 now, if I start running around by the time I’m 67 I’m gonna have Dr Duvall, and I’m gonna be okay with the knee surgery, but I just like to prepare for these things. I’m a strategist, Doc.
Dr. Grant Duvall 23:42
I like it. I like, you know, in terms of, you know, when people are experiencing flares and knee pain, it’s hard to predict. Sometimes we’ll see people bone on bone, arthritis. And you ask them, Hey, is your knee hurt? And they say, No. Sometimes, you know, an acute injury can aggravate things, which flare things up, creates all the inflammation, have a lot of swelling in that knee, and they can’t have a pain flare. In terms of when that happens or why that happens, I’d be lying if I told you I could predict it, but it can happen.
Nestor Aparicio 24:08
You just made me grimace. Man, you’re like inflammation your knee. And I’m thinking my knee was as big as my head for about six months in 2006 and I hadn’t thought about that in 20 years. So let’s end this on a good note. Which the Ravens well. Dr grant of all is here. He’s an orthopedic surgeon with our partners at GBMC who are trying to, strangely enough, put me back together at this age and keep me in the great shape that I’m in. Doc, thanks so much for trying to educate me and being a good sport here about something that makes a lot of people grimace about knee and hip surgeries and all that stuff. But I’m here to assure them that you can put Humpty, Dumpty back together again. I mean, I’m sure you have a lot of people that you see out in the community, especially being a Carroll County guy, you fix them up and they’re golfing again. They’re pickleballing again on their boat, doing whatever they do, right?
Dr. Grant Duvall 24:54
That’s our goal, Nestor, for all our patients,
Nestor Aparicio 24:57
happy people walking the earth thanks to. I appreciate you coming on. Thank you. Appreciate it. Dr Ed Duval joining us here from GBMC. I’m getting back out on the road with these. These are Maryland lottery scratch offs. They’re Raven scratch offs. They’ve been a lucky batch. They’re purple. Got a chance to win 20 grand as well as tickets for 20 years with the ravens, even the doc could use that. And we’re monitoring Ravens. Luke’s out knowings Mills, all of our injury reports, all the cool stuff we bring on our wnst tech service, brought to you by our friends at GBMC. They’re my partners. And we’re also going to be getting in colonoscopy, talking about PS range and all that stuff. We’ll do that in a different segment, but we’re educating folks and trying to do our best on that front, as well as doing some ravens offseason and some Mike Elias news, we’re gonna have a manager around here sometime soon, maybe an orange proof of smoke when that happens out of the Camden Yards warehouse. I am Nestor. We are W NST am 1570 Towson, Baltimore. We never stop talking Baltimore positive.
