After reading such a super long article (broken up into days), the inevitable conclusion was this:
“Almost a half-century after anesthetic attention was first directed to this challenging disease, the fundamental of management remains meticulous observation and vigilance of the basic principles of safe anesthesia”
Typical of most things in anesthesia and critical care (the literature on mortality improvement post ARDS suggests the same).
So the outcomes become equal at 24 years follow up (and interestingly at 3 months), but outcomes are better in between that for the surgical group (that brief period only). The exercise group also reported lesser incidences of swelling, mechanical problems, and restricted range of motion. There are other studies suggesting that for degenerative meniscal injuries, rehab should be considered first.
I wonder if this and more studies will change the practice of managing knee meniscus injuries in athletes. Just got word that Jimmy Butler injured his meniscus (after controversially not playing in the NBA All-Star Game to get needed rest playing the most minutes per game). Then there's the sad story of Brandon Roy, whose career you could argue was destroyed by surgeons; he needed a proper strength coach to fix his problems leading up to the injury risk. I'm biased towards rehab for most sports injuries. But I'm not the expert in the field, just an enthusiast. But I believe for the most part, we should not touch them with probes and debriders; this ain't no ACL.
Chilled out post call at at the Coffee Bean and Tea Leaf shop at Mid Valley to study. Finally got a place where the table is high enough for me to study standing and wide enough to put my laptop, notes and stuff. This is exactly what I need to take care of my back. Spending up to 2 hours sitting and bending forward (to control the laptop) is just not good for me long term); the only time the posture is just acceptable is when I'm writing and able to adopt a more upright posture.
Overall it's a good experience. No sense of strain on my back trying to keep my weight back while leaning forward; with my elbows, bent, my hand just rests on the keyboard to type without extra effort reaching forward.. The height makes me write at about xyphisternal level, which is just nice. Subconsciously I'd keep shifting my weight from one leg to another and at times with both feet planted, with my hips engaged. Soon enough, another guy does the same. Standing is much better than sitting for long swathes of time. I need to find such a table to use at home.
A shitty picture, but I'm not sameful enough to stand back and get a better shot with the place full of people.
Sat down after about an hour or so, but I'm typing this standing again before I leave the shop