Does Surgery Really Work? Ian Harris Challenges Conventional Wisdom

In this conversation, Mark Kargela interviews Ian Harris, an orthopedic surgeon and researcher, about the challenges and problems in healthcare. Ian discusses his journey from being a practicing surgeon to becoming interested in the scientific method and evidence-based medicine. He talks about the resistance he has faced in challenging the status quo and the difficulties in changing the way surgeons think. They also discuss the placebo response in surgery, the blurring of normal and disease states in healthcare, and the overuse of procedures like spinal fusion and regenerative medicine. Ian shares his projects on placebo studies for rotator cuff repair and spine fusion, which aim to provide high-quality evidence to change practice.
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[@MsSarahkey]

Great work Ian Harris. Not easy or comfortable sticking your head above the parapet!

[@russmcmeans4667]

Surgery hurts. Especially having your lumbar L4 to L5 to S1. Horrible pain. But it was all toast from wear and tear construction work my whole life. It's been about 2 years since the surgery. I'm getting better but it's at a glacier pace. Ice is my friend on the bad days. I stare at the ceiling on my back. I'm pretty positive I might get better. Had surgery in June of 2022. Lots of friends praying for me. 25 hospital visits in past 4 years.

[@ModernPainPodcast]

Awesome to hear you’re getting better!

[@russmcmeans4667]

I meant my spine was fused. Forgot to type that in there.

[@russmcmeans4667]

Ice and swimming and walking and certain exercises are key to helping with severe sciatic nerve and back pain. It helps a huge amount. Better than morphine.