As extra individuals return to their lively life, particularly as public well being restrictions associated to the pandemic have eased, the dangers of foot and ankle accidents are growing. In a query and reply session, Scripps orthopedic surgeon Jacob Braunstein, who lives in Encinitas, talks about his first yr with Scripps, ankle surgical procedures and different features of being an orthopedic surgeon. This interview has been frivolously edited for readability and conciseness.
Q: What’s your background and what introduced you to Scripps?
Braunstein: I had been on the East Coast all my life earlier than transferring right here. I acquired my undergraduate diploma from the College of Georgia and continued my medical college coaching at Georgetown College in DC, then did my residency in Charleston, South Carolina. I used to be there for 5 years. And most lately I did a fellowship in foot and ankle surgical procedure at Duke College, which is actually form of a mecca for foot and ankle surgical procedure. Principally, the way in which I ended up right here was that my now present companion approached the school at Duke, the place I used to be doing my remaining yr of coaching, to see if they’d have an interest within the place. It piqued my curiosity. I do know that Scripps has an incredible popularity on the subject of orthopedic surgical procedure. I took that chance, I got here right here and I used to be blown away by the chance.
Q: What are a number of the widespread accidents or different situations you see?
Braunstein: I see a wide range of situations. I deal with many sufferers who’ve traumatic accidents, resembling damaged ankles, particularly with a inhabitants as lively as we have now right here in San Diego. On the different finish of the spectrum, I see lots of people who’ve degenerative situations, like ankle arthritis. So we have been capable of provide completely different remedy choices for these various kinds of populations with various kinds of considerations.
What we’re seeing now could be individuals who have been considerably sedentary and are going again to their earlier stage of exercise or possibly they’re attempting new issues that they have not tried earlier than, and so they’re probably not taking the correct precautions earlier than moving into these actions. So I believe it is essential for individuals to chill out in no matter exercise they’re attempting to take part in. After which they should put on the correct footwear, put on the correct gear, stretch beforehand, since you’re seeing lots of people leaping headfirst. It is nice that they are popping out, however on the similar time we’re seeing a variety of accidents.
Q: Is your specialty complete ankle alternative?
Braunstein: An enormous motive I used to be introduced right here was the entire ankle alternative. It isn’t as widespread on the west coast. It is extra on the east coast. Scripps is named a middle of excellence for joint alternative surgical procedure. That is predominantly hip and knee alternative, so what they need me to deliver to Scripps now could be complete ankle alternative to be a part of this system.
Q: Why do individuals typically want a complete ankle alternative and what do they should endure?
Braunstein: The rationale individuals want joint replacements basically, whether or not it is within the knee, hip, or ankle, is as a result of they’ve superior arthritis. Principally, they’ve worn away the cartilage that strains the joints, and in consequence, they’ve ache and lack of operate. And so for ankle arthritis, not like hip and knee arthritis, which is often a wear-and-tear phenomenon, most individuals with ankle arthritis have had some form of harm, whether or not they’ve been repeatedly sprained ankle or who’ve had a severe ankle fracture of their previous and go on to develop arthritis. And that is why we provide these sufferers as a lot non-surgical remedy as we will to permit them to stay their way of life. Once they actually take successful when it comes to their high quality of life, that is once we begin speaking concerning the completely different choices, together with ankle alternative.
Q: When do you know you needed to be an orthopedic surgeon?
Braunstein: It was one thing that me from the start of my adolescence. My mother was a bodily therapist and a few of our good household buddies are orthopedic surgeons. So I used to be uncovered to it early on and it fulfilled a variety of my pursuits. Over time, I found that he was an excellent match for me. I simply get pleasure from with the ability to assist individuals get again to the extent of functioning they search. We’ve superb outcomes, which in medication just isn’t at all times the case. We get an opportunity to repair his drawback and put him behind us, which is actually satisfying.
Q: Is there something particularly you need North County residents to learn about orthopedic care at Scripps?
Braunstein: A part of what introduced me on board at Scripps is that they had been opening a brand new facility for Scripps Medical Middle Jefferson in Oceanside, so it is actually our largest clinic that they’ve opened in North County. We will provide not solely orthopedic surgical procedure, however there’s additionally household observe, there’s cardiologists, there’s oncologists, we have now a totally functioning surgical middle the place I do all my outpatient surgical procedures. Hopefully we will deliver that to mild and make everybody in North County notice that they do not need to journey to San Diego correct to get world-class care.