A patient whom I treated sent a 3-minute video of talk show host, Joe Rogan, explaining how he feels exosomes fixed his shoulder labrum tear. The shoulder is a particularly hard-working and amazing joint and the problems can be many. Most commonly, the rotator cuff has tears, the subacromial bursa is inflamed and impinging on the rotator cuff tendons, or the glenohumeral labrum is torn.
“we don’t see things as they are, we see things as we are.” Evidence-based medicine and the doctrines of standard empiricism offer a structure for analyzing medical decision making but are not sufficient to describe the more tacit processes of expert clinical judgment
Nowadays, the encroachment of bean counters who pay us and patients who view us a mere technicians has many doctors feeling a sense of lost autonomy and increased “burn out”.