Westinghouse Lecture 2016.pptx

Westinghouse Scientific Lecture
2016
Dr. Freddie H. Fu
Distinguished Service Professor
David Silver Professor and Chairman
Department of Orthopaedic Surgery
University of Pittsburgh
Head Team Physician
University of Pittsburgh Athletic Department
Medicine is an Art
Based on Principle
Historical South Side
Work with Nature
1920
1940
1975
Recognized for excellence.
!  #1 in Pennsylvania, #1 in Pittsburgh
!  $10 Billion Global Health Enterprise
!  >20 Hospitals; 400 Doctors’ Offices/Outpatient Sites
!  55,000 Employees; 3,600 Physicians
UPMC
Sports Performance Complex
UPMC Rooney Sports Performance Complex
UPMC
Lemieux Sports Performance Complex
How Do You Tear The ACL?
“Just do the right thing”
“Take good care of your
patients and they will
take good care of you”
Prof. Albert B. Ferguson, M.D.
Chairman: 1953-1986
How Do You Tear The ACL?
How Do You Tear The ACL?
Examination of a Torn ACL
What Does the ACL Look Like?
PL
90º
AM
Arthroscopy
Torn ACL
“Lucy” – 3.2 million years old
Form Follows Function
Bony Morphology " ACL
Dr. Owen Lovejoy
Human knee
Lucy
Gorilla knee
Modern Human
Lovejoy, Fu, et al
Variation in Range of Motion Between Species
Lion
Polar bear
Cotton top
Tiger
Say what? you
have 3 bundles?
Mandrill
!  12 yr old male
!  Biting and pinching on left knee for
several months
!  Showing left knee
to the zookeeper
multiple times
Physical Examination
After the Surgery
■ 
■ 
■ 
Johnny is doing well
No more biting and pinching of knee
Good motion
Ice Hockey
Football
2012 NFL Hall of Fame
Sydney Crosby
Dan Marino
Gordon Fu
Curtis Martin
Medical Staff
Soccer
Basketball
Roberto Baggio
Charles Smith
Pittsburgh Panthers
Dejuan Blair
Suzie McConnell
Pelé
The Movie
Concussion
The Hit
Steelers vs Bengals
AFC Wildcard Game
Symptoms of Concussion
ImPACT Program to
Evaluate Concussion
ImPACT
Immediate Post-Concussion Assessment and Cognitive
Testing
Computerized Neurocognitive Testing
Concussion
24-72
Hours
Day 5-10
Beyond if necessary
4 days later
20 days later
No Return to Sports Until
ImPACT is Normal!
Concussion Recovery
Genetics
Adequate
Treatment
Previous
Concussions
Rehabilitation
Migraine
Lazy Eyes
Innovation Is Good
The Victorian Revolution in Surgery
Connor, Science, 2004
Is More Always Better?
Oxygen is Abundant in our Atmosphere
Important Clinical
Innovations in Surgery
Anesthesia
■  Antisepsis
■  X-rays
■ 
Michael Jackson
Is Increased Oxygen Beneficial?
Evidence Based Triad
Individual
Clinical
Expertise
Improved
Patient
Outcomes
Best Available
Clinical Evidence
Patient
Values and
Expectations
Orthopaedic Triad
Famous Athlete
or
Wounded Warrior
Famous
Surgeon
New
Treatment
Dr. John Bergfeld
Health Care Delivery?
“We are making the same mistake in global
health care that we make in the American
system, believing that better diagnostics
and therapeutic tools will solve all
problems. They won’t. They haven’t. We
don’t measure results well enough”
Health Expenditure in USA
Dartmouth Center for Health Care delivery Science
Jim Yong Kim
(President, World Bank; Former President, Dartmouth College)
White Coat
Ceremony
Freddie H. Fu, MD, DSc (Hon),
DPs(Hon) MED '77
Distinguished Service Professor,
University of Pittsburgh
David Silver Professor and Chairman,
Department of Orthopaedic Surgery,
University of Pittsburgh School of Medicine
White Coat
Ceremony
Thoughts for
Young Doctors
From
Freddie H. Fu, Md
School of Medicine
Freddie H. Fu, MD, DSc (Hon),
DPs(Hon) DC’74, MED ’75
Distinguished Service Professor,
University of Pittsburgh
David Silver Professor and Chairman,
Department of Orthopaedic Surgery,
University of Pittsburgh School of Medicine
1. Do what you love
2. Mentors
3. You’ve got friends
4. Talking without speaking:
hearing without listening
5. Focus versus multi-task
6. IQ vs EQ
7. Face time
8. For better or for worse
9. Does no difference really
Mean no difference?
10. Is evidence based really
evidence based?
11. Is the greatest always
the greatest?
12. Do the right thing
13. Credibility and Integrity
14. Patients come first
15. Be a dreamer
16. Don’t be a dinosaur
17. The world is flat
18. Terrible towel
19. Home sweet home
20. “I never dared to be radical
When young for fear it would
Make me conservative when
Old” – Robert Frost
The Terrible Towel
Myron Cope
“Voice of the Steelers”
The Terrible Towel
The Terrible Towel
& Giving Back
!  Each one of us can give back
!  Own initiative and effort are more important than
money
THINGS WE ALL CAN DO IN
OUR EVERYDAY LIFE
Learning Forever
University of Pittsburgh Cathedral of Learning