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Dr. Tomaino's Blog

Preapproval for MRI studies

January 2nd, 2009
Happy New Year to all. Here's looking to a wonderful,healthy, and prosperous New year. Although our ...[more]

Close the loop: make a 2nd (or 3rd ) opinion valuable

December 24th, 2008
Getting another opinion is valuable--no question. It may confirm the 1st, offer a different perspect...[more]

The lost art of "Listening"

December 20th, 2008
It's been said that "what the mind does not know, the eye does not see."

In a similar...[more]

Thank You!

November 29th, 2008
It's only fitting on this Thanksgiving Holiday 2008 that I extend a heartfelt "thanks" to all of you...[more]

Just because we weild a "Hammer" does not mean that you should be the "Nail"

November 23rd, 2008
You're probably familiar with the saying, "If you have a hammer, everything's a nail". In my profes...[more]

The Power of a Smile

November 16th, 2008
Is'nt it true-----an unexpected and genuine smile from a stranger who may randomly pass you during y...[more]

Choose a Provider who is Accountable for Your Care

November 9th, 2008
In the Rochester and Upstate NY region many families who are not eligible for medicaid because of in...[more]

Mind, Body AND Soul

November 2nd, 2008
I was privileged this past thursday to perform a complex revision surgery on a woman from some 100 m...[more]

Trust, But Verify

November 2nd, 2008
An ongoing "real time" assessment of "how are we doing" is a critical, though too frequently ignored...[more]

The "Country" is Flat

October 25th, 2008
Many of you may have read, or at least heard of "The World is Flat" by Thomas Friedman. He offers m...[more]

Will you be doing my surgery?

October 11th, 2008
This is a common question in the office when I schedule surgery. And my answer is, as you might expe...[more]

It's Fundamental, isn't it?

September 17th, 2008
The Annual Meeting of the American Society for Surgery of the Hand is in Chicago this week, and its ...[more]

Making Sense of Ambiguous Evidence

September 13th, 2008
In the September 2008 Harvard Business Review, beginning on page 53, is an interesting article detai...[more]

Accessible 24/7? Yes I am.

September 7th, 2008
Wendys is open later than midnight. Wegmans is open all night long. After the drug store closes, you...[more]

The Satus quo: when to defend, and when to challenge?

August 30th, 2008
When I say during surgery, "This is the way I do it" I mean that my insistence on quality and aversi...[more]

Shoulder fractures can be fixed "Electively"

August 24th, 2008
It may be assumed that a fracture of the "ball" portion of the shoulder's "ball & socket" joint is a...[more]

Who is your Surgeon, AND where is it performed?

August 21st, 2008
No one would quarrel with the importance of their surgeon's competence, experience, technical skill ...[more]

Exceeding the sum of the parts

August 10th, 2008
We've all heard the phrase, "The total exceeds the sum of the parts." In our case I would say, "Our ...[more]

Innovation is Valuable....but

August 8th, 2008
There is no question that Innovative surgical devices and procedures have a critical role in medicin...[more]

Innovation

August 3rd, 2008
In April I had the opportunity to deliver a lecture in my community at the Chatterbox Club. I select...[more]

What the Mind does not know, the Eye does not see

August 2nd, 2008
Perhaps you have heard the above phrase. It can also be stated that "what the mind does not know, t...[more]

Choice--Exercise this opportunity wisely

August 2nd, 2008
What a powerful opportunity exists when we not only "have" choice(s), but also "exercise" choice. In...[more]

Clinical Update: Improving Outcome after Arthroscopic Rotator Cuff Repair

July 26th, 2008
A number of advances in surgical technique over the past 5 years have improved the outcomes followin...[more]

Clinical Update: Rotator Cuff Arthropathy

July 21st, 2008
When one has impaired shoulder function and pain due to either an irreparable rotator cuff tear, rot...[more]

Chie--The Wisdom of Experience

July 20th, 2008
In the June issue of the Harvard Business Review, Hirotaka Takeuchi and coauthors explore the factor...[more]

Be an "Informed" Consumer

July 14th, 2008
Higher deductibles and health savings accounts are but a couple of examples of how accountability fo...[more]

"Urgent": calling for immediate attention

July 6th, 2008
An increasing number of "Urgent Care" Centers have emerged in various communities to address injurie...[more]

Small is the New Big...

June 29th, 2008
Welcome to the 1st posting of my Weekly Insights Blog - a contribution meant to provoke a res...[more]