Downsides of Being a Spine Surgeon...

[@latinsilla]

You seem like a very caring and dedicated physician. I love all your videos. I worked in surgery as a nurse and I don't think patients understand what surgeons go through. And sometimes they may not understand why their appointment or surgery is delayed. I believe you deserve every penny you earn! You did not mention the huge student loans, and the minimal pay you receive while in residency and fellowship. I could go on and on. Thanks for your videos!!!

[@antoniowebbmd]

Thank you! 🙏🏾

[@danielpartida7857]

Dr Webb is one I would go to. I had one of his patients that had back surgery and his feeling came back to one of his extremity back pain improved significantly. Patient was very pleased

[@samroytburd433]

Lol thumbnail pose looking like dj khaled’s “suffering from success” album cover

[@Methxdz]

😂😂😂

[@sauravsumughan]

Exact same pose

[@smedlz]

Hell yeah

[@SheriCheri94]

😂😂😂

[@doctorsorder414]

Bro, congratulations on your practice. I can tell you that after doing this for 15 years, the best thing you can do in your maximum productivity window is to slowly invest outside of medicine so that if something unforeseen happens like loss of license, you can still live. Oh, if a group or hospital asks you to join them, its because you're getting to big and they will come after you politically if you say no. Its dirty game out here man.

[@antoniowebbmd]

Thank you, great advice!

[@IRUN10S]

Interesting ... can you please make video on this topic: business of medicine specifically the dirty side. No one talks about this. Medicine is not all glam. Please do share with us!

[@robertlopez616]

@@IRUN10S That side is not medicine, it is business. If a competitor is becoming too big, the bigger business buys them (i.e., PetSmart purchasing Chewy.com). Your best bet is to stay in your own lane, and find ways that works for you and the local medical community.

[@allenjaime3191]

I dont mean to be so off topic but does anyone know of a way to log back into an Instagram account?? I somehow forgot my login password. I appreciate any assistance you can give me!

[@moathahmed3410]

This is really what I need in my path to be a spine surgeon INSHAALLAH ✌❤

[@allualex2606]

Nobody is a muslim here.

[@moathahmed3410]

@@allualex2606 not necessary!

[@allualex2606]

@@moathahmed3410 yes necessary

[@moathahmed3410]

What do you need !

[@allualex2606]

@@moathahmed3410 billion dollars

[@mironricardo]

I have almost no interest in medicine, but you make it so easy to listen to you. I usually zone out easily too.

[@Velisabeth]

You inspire me so much to continue my pre med pathway. When I feel doubtful or down on myself, I watch your videos for motivation 💪🏼

[@antoniowebbmd]

Awesome! You CAN do it! Its a long road but worth it in the end! Keep up the good work and let me know if you have any questions along the way! Also, be sure to subscribe to receive the newest videos posted every week! Dr. Webb linktr.ee/overcomingtheoddsbook

[@user-bx6dn6gc7y]

Between all the surgeries and driving I know Dr. Webb has a LIT MUSIC PLAYLIST!! Can we hear some recommendations?

[@antoniowebbmd]

Yessir! Here is a video about that kzbin.info/www/bejne/lZiWiKF5YttnaNk

[@AlaisDahen]

I think this is a good video. While I'm not really interested in the field of medicine (I'm in seminary learning how to be a priest and discerning whether I'm called to that), I think that people can romanticize any field of work or study they're interested in. So it's good to take a step back and look at the full picture of what you'll be doing, both positive and negative. Not as a way of discouragement, rather just to see if you're willing or able to adapt and change to those demands that will be needed of you in whatever field you're interested in.

[@supernova44]

Great video..I wish you the best of luck in your new practice. Yes, unfortunately there are no guarantees when it comes to spine surgery but hopefully success rates will greatly improve. I'm a spine surgery "refugee" with SCS and pain pump implants but I am grateful to them. All your hard work, sacrifice, and dedication are much needed and greatly appreciated!

[@a7mad9999999]

Thanks for the precautions :p, I'm a 6th year med student. I want to become a plastic surgeon. hopefully it goes well!

[@marilynhughey1231]

Just happened on your video. Hearing you makes me appreciate my 'spine guy' even more. I am so thankful for my spine surgeon.

[@xavier0490]

Hearing American Physicians complain about length of training is a big kick in the teeth to us medics across the pond (U.K.). It takes 6 years post grad to become a spine surgeon in the US. 5 years residency and 1 year fellowship. I would love if the UK made it as short as this! its approximately 10-12 years post grad before you can become a Consultant Spinal Surgeon here. I'd take 6 years postgrad ANYDAY!

[@antoniowebbmd]

Wow! Thanks for sharing!

[@robpeters2296]

very sharp professional look and explanation !

[@lilrabbitcuz]

Something I’ve learning from the spine surgeon in the practice. “They never heal.” Not to be a downer but his patients were always depressed and in pain. One guy stopped doing spine surgery and started doing general.

[@martharetallick204]

And I could easily see myself as one of them. I was THIS close to having unnecessary surgery. Fortunately, I and I mean this from the bottom of my heart, I got the help I needed. My pain was psychogenic, and once I accepted that and dealt with it, I got better. Today, I am pain-free!

[@lilrabbitcuz]

@@martharetallick204 THIS!! I’m so glad to hear that you got better! I believe FIRMLY that not all but a lot of pain is in the mind. The mind has to be treated not just the body. That’s my belief.

[@martharetallick204]

@@lilrabbitcuz In my case, Dr. John Sarno's book, Healing Back Pain, was very helpful. I also worked through the program that Dr. Howard Schubiner presents in his book, Unlearn Your Pain.

[@blip_bloop]

@PhantomLink The thought that "they never heal" is as heart breaking as it is fascinating. I hope outcomes for these patients improve as soon as they possibly can.

[@jacquesmercer3637]

Would love to see a video on your thought process as it pertains to choosing your approach on surgical treatment ie lateral, anterior, posterior (TLIF or Plif)

[@vsar1938]

Very well done video on topics very rarely ever mentioned

[@jakebond4006]

Another downside of being an ortho resident is that you have to leave your ego at home. You will be disrespected and insulted by your seniors and teachers...all in the context of making you a better doctor.

[@amandajrenfro2538]

These are my mri results. In your opinion, what do you think would be the best option for me to do? How bad is the severity is it all, in your opinion? FINDINGS: Chronic straightening with loss of normal lordosis. Cervical vertebral body heights, alignment and marrow signal intensity are normal. No pathologic marrow replacement, marrow edema or cortical disruption. No vertebral soft tissue swelling. Flow voids persist within the vertebral arteries. Cerebellar tonsil position are normal without ectopia. The cervical cord molding with no abnormal intramedullary signal intensity suggest cord edema or myelomalacia. C2-C3: Normal C3-C4: Mild canal stenosis of 9 mm due to posterior element configuration. No significant foraminal stenosis C4-C5: Right paracentral disc extrusion with right anterior cord molding. Canal stenosis of 7 mm. C5-C6: Left paracentral disc extrusion into the left lateral recess with left anterior cord molding and a canal stenosis of 7 mm. C6-C7: Disc bulging with anterior cord flattening and canal stenosis of 7 mm. C7-T1: Right paracentral disc osteophyte complex with a canal stenosis of 8 mm. FINAL REPORT --IMPRESSION: 1. Multilevel cervical disc extrusions with cervical canal stenosis and cervical cord molding. 2. No cervical cord edema or myelomalacia. 3. Straightening of cervical spine with chronic loss of normal lordosis. FINDINGS: Schmorl's nodes are noted within the lower thoracic and lumbar endplates. Lumbar vertebral body heights, alignment and marrow signal intensity are normal. Signal voids in the soft tissues posteriorly suggests previous surgery on the right at L3-L4. Conus medullaris ends at L1. Decreased disc height and T2 signal intensity most pronounced at L3-L4, L4-L5 and L5-S1. The abdominal aorta is of normal caliber. Paraspinal muscles are symmetric. L5-S1: Previous right laminectomy with no significant epidural enhancing granulation tissue. Small central disc osteophyte complex with mild canal stenosis of 8.4 mm. Marginal endplate and facet osteophytes with bilateral foraminal stenoses. Follicular ovaries. L4-L5: Broad-based central disc extrusion with AP and transverse thecal sac stenosis and right greater than left lateral recess stenosis. AP thecal sac diameter 7.6 mm. Transverse thecal sac stenosis 7.4 mm. Left foraminal stenosis. L3-L4: Hypertrophic degenerative facet disease. Left paracentral disc extrusion with moderate thecal sac stenosis of 5 mm. There is caudal migration of extruded disc material to the supraclavicular level of L4. L2-L3: Normal L1-L2: Anterior disc bulging. Normal canal diameter of 12 mm. T12-L1: Normal FINAL REPORT --IMPRESSION: 1. L3-L4 left paracentral disc extrusion with caudal migration resulting in moderate thecal sac stenosis of 5 mm when combined with hypertrophic degenerative facet disease. 2. L4-L5 broad-based disc extrusion with AP and transverse thecal sac, lateral recess and foraminal stenoses. 3. Previous right L5-S1 laminectomy with no significant epidural enhancing granulation tissue. L4-L5 broad-based disc extrusion with AP and transverse thecal sac, lateral recess and foraminal stenoses.

[@hjong8830]

I don’t think he can answer your question for liability reasons. If possible, you should get a second or third opinion from doctors in your area.

[@amandajrenfro2538]

@hjong8830 I had forgotten about this. I actually had a double cervical spinal fusion at the end of march, also a decompression of my entire lumar area, & a ruptured disc fixed 8 weeks ago. Best decisions of my life! It's as if I've gotten a brand new back!

[@doctheoo]

How many patients would you be able to see in the beginning when starting your private practice? Thank you!

[@Djme2]

always high yield video content

[@antoniowebbmd]

I'm glad you found the video to be helpful! Thanks for watching. Dr. Webb linktr.ee/overcomingtheoddsbook

[@kerrywolf94]

Thank you for sharing what you you do , yes one can have skill but unless you’re willing to have grit to make things happen, they’ll simply be a thought .

[@thegrandwizard33]

fit fire af

[@marcochiarini3168]

I know you are the same grate doctor as 2 years ago, but I enjoyed much more your video shot in the car 😂

[@TheMaxbattle]

People grow their content changes and surrounding change as well enjoy the growth .

[@kevinfranzen9733]

Good video. It's very similar to the Cardiology practice I worked at. There's a reason less and less Doctors are in independent practice.

[@cesarchavez125]

Love your vids! Could you talk more in depth about what it takes to be in private practice and what does a doctor in private practice do? (day in the life)

[@FarazAhmed-md9nh]

Sir I wanted to know that do people live a 'good' life while in residency or they are broke till they graduate?

[@airynsay9720]

busy and very much still broke

[@faithanyanwu7470]

Broke if that’s their only source of money

[@MrBostonrobb]

Love this dude.

[@Muchogrande83]

If you told me you were anywhere from 25-40 years old I’d believe you

[@BrianErwin]

did you cover how orthos were affected by Covid lockdowns and hospital closures ? were there laysoffs ? could you do anything else in the hospital while it was only Covid patients ?

[@zacksalvatore9443]

Great vid! Can you a video explaining the difference between orthopedic surgeon who specializes in the foot and ankle and a podiatry

[@campbell2833]

I have suffered with back trouble for many years.I am currently waiting on a thoratic discectomy and the herniated disc is calcified.It has been called of 3 times due to covid.Depression is ectremley bad now due to pain.

[@altairmercywas7201]

Is being too tall or too short a problem in the operating room?

[@jeffreyrodgers2820]

Not a surgeon myself but I've shadowed a few. If a surgeon/assistant is short, they have a step stool that they can stand on. If they're tall, the operating table is pretty forgiving and can adjust to the height. The goal is to have your arms at a height where it is the least strenuous

[@thegrandwizard33]

dr web can u please answer this!! ---- if you are "on call" but went out to drink with friends, can you still see your patient "intoxicated" or not? if not, do you have to abstain from alcohol at all times because u can be on call 24/7?

[@Djme2]

my understanding is that when you're on call, it is your responsibility to be able to perform all the duties and responsibilities afforded to you by your license and job. so anything that would hinder this would be unprofessional. Tldr; no alcohol on call

[@PagChomp190]

Im not a surgeon but for work im also bi-weekly on call and you are not allowed to drink so much that you are a danger while driving. 1 or 2 beers are okay but thats also the maximum.

[@elainerinne3468]

I had a anterior/posterior 2 stage surgery for adult scoliosis. This was done less than 3 years ago. A month ago I heard a loud pop followed by debilitating pain. Now I’m having leg weakness and continued back pain. My spine surgeon told me rod fractures occur all the time and I have to learn to live with severe pain. Would you recommend a second opinion. I’m desperate for any advice. Thank you 🙏 I am a 56 year old retired RN.

[@alexmi7123]

How many surgeries per week do u usually perform?

[@Recp888]

Nice tie!

[@ngozikim]

You’re in San Antonio?! Wool! I’m a UTSA alum with a fused spine! 😅😎😂

[@Mamuttum]

Can I ask you one question ? I was recently diagnosed with a few slightly herniated discs, c4-c5 c6-c7, its a mild form and will start kineto therapy soon, my question: is it normal for these symptoms to cause severe tinnitus ? Thank you.

[@lmd742]

Spine surgery is great! But I'll stick with colorectal surgery.

[@Tanya-mq8vj]

I have a question is smoking after having scoliosis surgery after it’s been almost 5 years bad or deadly ?

[@camcam794]

I was wondering if you could talk about Klippel feil syndrome? Most of my doctors don’t know much about it.

[@aneeshpatankar4252]

Would you say the constant feeling of "being on" is specific to spine surgery, or is it common to orthopedic surgeons or even all fields of surgery in general?

[@jeanettenfreeland1408]

I have had a bike accident and fell off my bike on my side and I had such bad back pain that I couldn’t even walk without my tall umbrella

[@samking7748]

The length of training is the same to become a CT surgeon

[@Krish.v18]

Hey dr Webb is it true that spine surgeons are very rich?

[@Methxdz]

I would think being in orthopedics you would have a bit more freedom to change your route just based on your training.

[@jmart5302]

Hey Doc, can you tell us what you think or NP's? In regards to their medical knowledge in relation to that of a standard Dr.? Thanks in advance

[@mattgehm7827]

They receive more advanced training than an RN but in comparison the knowledge base is nowhere near as in deepth as a physician

[@wokeok7450]

Doctor can you do a video on regenerative medicine because i had cervical instability and had prolotherapy now my neck and hips dont sublux can u talk about prolotherapy or prp thanks

[@macarezchatman1571]

Doc in the Army there is a job as an orthopedic specialist with 10 weeks of school maybe more if I'm not mistaken, plus a 6-week internship at a hospital. Will this job be considered an orthopedic assistant in the civilian world

[@lichin11]

I hope your malpractice insurance is very robust (comment is in response to this video and risks of spinal surgery)!

[@DerekBamonte]

Does that 80-100 hour count include hours you’re on call? So potentially you’re sleeping during that time?

[@thefrenchradiologist6229]

Radiology = no downsides :p

[@truthteller2711]

I patient interaction some ppl like that 🤭

[@Ονομαεπίθετο-ξ1υ]

You are classified ELITE Spine Surgery sounds and looks crazy

[@davidlakhter]

Hi Dr. Webb. It could be an interesting concept for a video to talk about how you are able to operate in different hospitals and how common it is for a surgeon to do so in private practice.

[@antoniowebbmd]

Thanks, will look into this!

[@SuperSpectrumX]

The other down side that bothers me a lot and everyday as an orthopedic resident , is the daily use of fluoroscopy and that amount of ionisante radiations that we receive everyday !

[@antoniowebbmd]

Yes, radiation can be a problem!

[@SuperSpectrumX]

@@antoniowebbmd is that a valid reason to quit residency ? Could you answer me please ? Or am i just overreacting ? I would be grateful to have your opinion on that

[@anasabbas98]

@@SuperSpectrumX definitely not enough to quit.its not even enough radiation to cause harm bc its only a few years and ur wearing vests. residents are fine. think about doctors who do it for 40-50 years

[@amazingriddles9696]

Can I some how connect with you because I want to become a orthopedic and I have a lot of questions that I want to ask a orthopedic and you the best one to ask. Please tell me if this is possible.

[@MrHassan997]

I'd check the description. There are links to connect with Dr. Webb and a FB group you might find useful.

[@dpaper7962]

I know the surgical first assist is not a doctor, but I bet that person surly does feel like one! I can't wait to finally wear that hat!

[@jeanettenfreeland1408]

It was my lower back by my tail bone and by my buttocks and side

[@MidoriKizaki]

Damn, I should just continue flipping burgers...

[@eyekandy3000]

#1 downside, ironically suffering from back pain due to the lumpiness of your mattress from all the cash stuffed under it 😉

[@SuperSpectrumX]

It's 100000% deserved !

[@sohaila9068]

I got scoliosis

[@ayodejiibuola8457]

How much will you earn in 2021

[@radboy490]

Me: Stressing about x ray school for 2 years

[@asdfasdf6299]

They never said that making $600k+/year would be easy. You'll get used to it.

[@venjaminnefua9267]

@May Baby I think ur misinterpreting what he said lol

[@harrisonzhu3300]

In other words, why spine surgeons are paid 3 quarter million bucks a year

[@godhailmaple]

LOL they're paid 800k-2mil a year. an average family physician out in the country makes a quarter million. spine surgeons are many times that.

[@harrisonzhu3300]

@@godhailmaple mb forgot to at the 3 in front of quarter

[@pahanin2480]

The economy is so bad that spine surgeons have KZbin channels running ads

[@chris4buckets848]

next video upsides of being a spine surgeon

[@antoniowebbmd]

Thanks, will look into this!

[@mahamedjama508]

Dr. Webb, you inspire me. Am trying to become a doctor, am in 2nd year and I can’t find motivation to read sometimes. did that happened to you?

[@jacintosaenz4504]

Motivation is non existent. You need discipline.

[@hyrakj6428]

69

[@glancestewart3955]

For some reason him speaking very competently but constantly saying "spine surgery" instead of spinal surgery really bugs me out

[@kedarrozi5732]

Spinal surgery would mean surgery pertaining to the spine and spine surgery would mean spine surgery

[@antoniowebbmd]

Hmmm, didn’t know I couldn’t say “Spine Surgery” 😂😂😂