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Plan speeds babies' blood tests
Screenings identify disorders that need quick treatment
Posted: July 25, 2014 at 4:09 a.m.
State health leaders took the first step to reduce the amount of time it takes for families to find out if their children have disorders that require immediate treatment.
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Pocketdocs winners
Congratulations to the two winners of the pocketdocs competition.
Bear and Monkey is a tale of imaginary friends from childhood, stuffed toys who talked. But they were silenced by a father whose marriage was shattering. The writing is funny, dark and spare, it tells a heartrending story beautifully.
Colour My World by Daniella Mattiuzzo is about synaesthetes, people who see colours when they hear music. When you're born different it remains a secret until you realise that others aren't the same, then you discover others who share your secret. It's an acomplished audio documentary built around engaging interviews, it uses music creatively and we loved the clever pocket reference - "pulling my synaesthesia out of my pocket as a party trick."
The pocketdocs runners-up are all compelling stories of secrets and worth browsing.
Supporting Information
- Executive Producer
- Claudia Taranto
- Producer
- Lea Redfern / Kirsti Melville / Ashleigh Wadebrook
- Sound Engineer
- Steven Tilley
Comments (1)
Nick :
06 Dec 2013 3:20:38pm
Thank you, Daniela, for your documentary on us synnies!
I have music-colour, colour-day and 'temporal' (time has a shape) synaesthesia. Occasionally there is sound-taste synaesthesia, but it's never been pleasant!
It's difficult to describe to other people, and for me, in middle age, the sensations and sub-colour are fading, but it's wonderful to know that other people experience the world in different colours and shapes!

subset: commoncrawl


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Adjunct Professor, Kaplan University School of Health Sciences
Integrative Bodyworker, NorthShore University HealthSystems
Board President, Living Earth Television, NFP
Faculty, Infinity Foundation - Holistic Education Non-Profit
Law Degree (Washington University School of Law - 1975)
Masters of Public Health (UCLA - 1978)
B.A. in Sociology (University of Illinois, Chicago - 1972)
Human Sustainability, Environmental Ethics, Species-Awareness, Interspirituality, Intercultural awareness
Humans are a species of primates and may not be able to live sustainably on this planet until we create cultures that encourage cooperation and rational behavior rather than consumerism and greed. We need a new story, a new narrative - that focuses on building compassion and courage rather than greed and selfishness.
Human Nature, Evolutionary Psychology, Sustainability Education, Intercultural Documentary Films, Human Touch
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Excited to alert you to this stellar new track from Air Traffic Controller, who we keep telling you about. A reliably catchy pop rock band, to be sure. But they've just debuted a song called "On The Wire," which feels like a big artistic leap for the band, if not the mark of a whole new direction. This sonically adventurous song finds frontman Dave Monroe stepping back in favor of Casey Sullivan, whose lead vocal elevates the whole production. And a hell of a production it is, by longtime collaborator Bleu, who also co-wrote. Must-hear:
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Air Traffic Controller: OurStage Artist Of The Week
The Jellybricks Release New Album, 'Youngstown Tune-Up'
Foster The People (anyone else mentally complete that phrase with "you love with love" or am I the only one who listened to James Taylor's Greatest Hits too much when I was 13?) have debuted their new single "Coming of Age," which will appear on their forthcoming album Supermodel, due March 14th.
I thought their last album was pretty schizophrenic. Not necessarily a bad thing (I personally dig records like that), just a divergent sound from song to song. This new one matches some of the band's established vibe, but is more driving and built-for-radio. It doesn't bear the slow slacker feel of their crossover hit "Pumped Up Kicks," but it is pretty chilled out and dressed in ambient sound along with some prominent guitars. Cool song, check it out.
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Sound and Vision: Is Gotye This Year's Foster the People?
Dawes Release New Single, From A Window Seat, New Album Trailer
Lorde unexpectedly released a new single last night on iTunes, called "No Better."
It's pretty good. This would sound completely at home in the middle of Pure Heroine, so don't expect any surprises, but it's also a better song than a lot of that album's tracks.
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Why Royals Isn't The Song You Think It Is or: Lorde Is Lying to You
It's a new day for Rebecca Black. The viral phenom has just released "Saturday," the follow-up to her mind-bendingly bad single and video "Friday." And I'm pleased to say that it's an incredibly good, boundary-pushing piece of pop art. No, I'm kidding, it sucks terribly.
Black and her team, including duet partner Dave Days, who takes a verse and sings harmonies here, seem to think that displaying some modicum of the self-awareness that "Friday" lacked entirely will erase the public perception of her as a talent-challenged hack.
It does not. The un-subtle recalls to some of the more laughable moments of the "Friday" debacle (the bowl of cereal, the shocking 'fun, fun, fun, fun' lyric) in fact make them instantly un-laughable. We weren't laughing with you, Ms. Black, and we don't want to. It's important that you understand that. You've actually ruined "Friday" for us. Amazing.
As some reviewers have noted, "Saturday" is a much more professional production. Black's voice sounds better, and the song is both better written and better produced. But now she, and we, must face the moment of truth in which we hear and evaluate the 'mature artist' being offered here, unfettered by producers Ark Music Factory, which rightly took a lot of the blame for "Friday." Now, almost three years after that toxic smoke has cleared, we gaze upon the banal horror of utterly soulless, overproduced, uninspired tween party pop, no different from a hundred other forgettable, disposable songs.
And that is why we should be glad for "Saturday." It exposes the quality-irrelevant mess that pop music has become. If the person responsible for what has been called the worst song ever produced can turn around and release a song that would sound right at home on Top 40 radio or at the VMAs, what does that say about those celebrated pop pushers who were spared the embarrassment of having a "Friday" released before the pros got their hands on them?
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Hot on Prince's heels, some more soulful new music, this time from Solange Knowles.
Solange has bounced around the music world for a few years (with intermittent breaks from the spotlight), going from Interscope to an independent, Terrible Records, for last year's True EP. Now she's making her own musical home.
Her newest single, "Cash In," is the lead from a compilation called Saint Heron, the first release from her own Saint Records label. (The comp also features R&B favorites like Kelela, Cassie, Sampha, and more.) It's a bit of a new sound for Solange, with a slow rolling beat over an organ drone, and adorned with reverberating vocal harmonies. Very cool.
Solange – Cash In by Saint Heron
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Our friends in Blondfire have just released a brand new single entitled "Young Heart," quite possibly just to remind us how good pop music can be.
This song heralds the release of a new LP, also titled Young Heart, slated for February of 2014. Mostly recorded at guitarist Bruce Driscoll's home studio and Hollywood's historic Wax Studios, the album was mixed by Wally Gagel (Muse, Folk Implosion, Family Of The Year, Best Coast), who doubles as the husband of Bruce's sister and Blondfire frontwoman Erica Driscoll. The band have been touring without Bruce lately, including at a recent one-off show we happened to catch in Boston. The touring four-piece pulled off a spectacular set, bringing a heavy dose of rock to the electro grooves that infuse so many of their songs. Looking forward to this album, their first since 2008. Follow @OurStage on Twitter for updates.
SJ: @TheRussianJano
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Just over a year since her last studio release, country-turned-pop sensation Taylor Swift has just released a new single titled "Sweeter Than Fiction."
When most people think of Taylor Swift the first thing that usually comes to mind is her penchant for detailing in song her failed relationships. The title "Sweeter Than Fiction" might suggest this track is par for the course, but that could not be further from the case. Swift sings from the perspective of a fan who believed in someone's talent long before anyone else caught on. It's uplifting without being hokey, and from a musical perspective, introduces a heavy '80s influence. You can stream the single below.
Before anyone gets too excited about Swift's return to the studio, it should be noted that this song is not intended for Taylor's next album. In fact, it's the first song to be released from the forthcoming film One Chance, which tells the story of Paul Potts, the down-on-his-luck store clerk who became an opera-singing sensation after winning Britain's Got Talent in 2007. No release date for the soundtrack has been set, but the film is due to debut stateside before the end of 2013. Comment below and let us know your thoughts on Taylor's latest. (more…)
Last week we brought you a quick preview of Prince's new single, "Breakfast Can Wait." The clip featured shots of a well-choreographed dance routine, but absolutely no images of the man himself. The full video has now been released, and even without appearing in the clip Prince makes it known he's back to reclaim the throne as pop's sexiest male vocalist.
Opening on a young couple clearly doing their best to start the day, the new video from Prince plays coy with the subject at the center of "Breakfast Can Wait." As the man tries to make his way out the door, his lover pulls him close for a little morning intimacy, and viewers are suddenly taken to a world where all emotion is expressed through dance. Okay, it's really just a dance studio filled with a team being lead by the aforementioned female star of the clip, but the intent of the transition remains the same. Her wholesome demeanor has been replaced with leather and attitude, which is a look matched by seemingly everyone else on set. The track plays on, pumping as much sensuality through the speakers as one imagines is possible, and the dance routine becomes increasingly complex along the way. You can view the video at the end of this post.
It does not take long to understand the underlying message of "Breakfast Can Wait," but that does not dampen the overall impact of the song or video. The only part the really confuses the viewer is the female Prince impersonator, which fans on Reddit will have surely dissect for deeper meaning in the days ahead.
Prince has yet to announce plans for a new album or tour, but the release of "Breakfast Can Wait" lead us to believe he has something on the horizon. Follow OurStage on Twitter to ensure you never miss another headline, then comment below and let us know your thoughts on the video. (more…)
Boston indie rock favorites The Deep North have released a brand new track, titled "We Are Only Strangers." The song is the second to surface from their upcoming album, Sound & Light, which is currently scheduled for release on October 15th.
Toning down the energy found on the previous single "Voices," The Deep North use "We Are Only Strangers" to showcase their softer side. Vocalist Rebecca Frank soars above the band's ace performance and the track's top-shelf production with a voice you won't soon forget. You can stream "We Are Only Strangers" on Absolutepunk.
In addition to next week's digital release, The Deep North have announced plans for a limited vinyl release of Sound & Light sometime in November. Stay tuned for addition information on availability in the weeks ahead.
With just over three weeks left before her new album hits stores, Katy Perry has surprised fans everywhere by releasing a new song entitled "Walking On Air."
We have heard a lot of variations on pop music from Perry in the past, but I'm not sure any have properly prepared fans for the deep house influence running through "Walking On Air." It's as far of a departure as possible from the other Prism tracks that have surfaced thus far, and whether or not fans are okay with that will hinge largely on which version of Perry they enjoy the most. "Walking On Air" harkens back to Katy's early days of super high-gloss pop, and those itching for the diva to return to her old ways will be pleased to hear this iteration. Those who embraced "Roar" with open arms, however, may find themselves feeling a bit let down with this offering. You can stream the song below.
"Walking On Air" is being released strictly as a promotional single at this point. No attempt to push it at radio or beyond will take place right now, but it may get airplay on a handful of stations with their ear to the Internet. If Katy decides to release this track as an actual single, she may well find success at radio, but based on the imagery she's released for the album so far I think she's going for a more 'grown up' feel with her marketing efforts. This is more of a throwaway track than the others that have surfaced, though that doesn't make it a bad song.
Prism arrives in stores October 22. Comment below and let us know your thoughts on Katy's latest. (more…)


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Reader's view: Protect Duluth's beauty with strong sign code
Published 03/03/2013, Duluth News Tribune
City Council, please don't water down the proposed sign code ("Duluth City Council steps back from stringent sign code," Feb. 26). People come to Duluth, one of the loveliest cities in Minnesota, because of its natural beauty. Was it only a year ago the city saved 50 trees from a sign on Central Entrance? Is it possible that beautifying the area might even attract businesses and shoppers? I depress myself going up that ugly hill to the ugly malls and certainly have never gone into a store and spent my money because of its signage.Word count: 96
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Your link to Wisconsin's land, air and water resources
Summary compares Senate, Assembly mining bills
Here is a link to the just-released Senate mining bill that compares differences with the Assembly version passed last month.
The Senate bill gives the Department of Natural Resources and a mining application so-called "off ramps," that allow approval deadlines to be put on hold. The deadline for the DNR is 360 days under both the Senate and Assembly versions, but the Senate version could push the approval process out further.
We will have more on the bill later this afternoon.
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SMALL INCISION TOTAL HIP REPLACEMENT ARTHROPLASTY MERCY HOSPITAL MIAMI, FLORIDA May 3, 2007 00:00:08 ANNOUNCER: Welcome to Mercy Hospital in Miami, Florida. Over the next hour, you will see two important orthopedic procedures used to help thousands of people suffering from hip pain. A small-incision total hip arthroplasty and arthroscopic hip femoroacetabular impingement resection. Hip pain is not limited to senior citizens. It can begin to affect people in their 40s. The labrum and cartilage may become destroyed as the femur and pelvis bones pinch together. Otherwise known as hip impingement, this form of hip pain is increasingly being recognized as a cause of hip osteoarthritis. Arthroscopy of the hip is a mainstream surgical procedure with well- defined indications and expected outcomes, primarily because of recent advances in surgical instrumentation and techniques. In addition to the live hip replacement, you will see footage of an arthroscopic hip femoroacetabular impingement resection. Remember, OR-Live makes it easy for you to learn more. Just click on the "request information" button on your webcast screen and open the door to informed medical care. Now let's go live to the operating room. 00:01:15 PIETER J. HOMMEN, MD: Hello, everybody. I'd like to welcome you all to Mercy Hospital here in sunny Miami, Florida. I'd like to thank you all for joining us on OR- Live.com for a live webcast of a total hip arthroplasty surgery. This is a very special program. Not only are we broadcasting this in English tonight, but also in Spanish, the first of its kind. My name is Dr. Pieter Hommen. I'm an orthopedic surgeon here in Miami, and my colleague, Dr. Carlos Lavernia is here behind me doing a -- about to start a total hip arthroplasty live. So that's a total hip replacement surgery. Actually, I think right here we can pan in, this is the view of Dr. Lavernia's hip before we start this procedure here. I'd like to turn it over to Dr. Lavernia real quick and have him start here. 00:02:07 CARLOS J. LAVERNIA, MD, FAAOS: Good afternoon. I'd like to welcome everybody to Miami. I'd like to introduce my team. We have today quite an international representation here. We have Enrique Roy, from the Republic of Hialeah here in Miami. We have Diego Cardona from Cali, Columbia. Camilo and Carlos; Camilo's from Cuba and Carlos from Nicaragua. They're -- as you know, Miami's very close to the United States, so we speak many languages down here. As you can see in the field right now, I have drawn out -- if we can have the field, please -- the old way of doing a hip replacement, which is a very, very long incision between approximately 12 to 14 inches, right between my fingers. As you can appreciate, the new, or the modern way to do a hip is a much smaller incision that, depending on the size of the patient, can vary from anywhere from as little as 12-15 centimeters all the way out to another 10 inches, depending on the size of the patient. And you can appreciate it here, the new way and the old way. The patient has what's called a regional anesthetic. In this case, it's an epidural. And I forgot to introduce Dr. Suarez back there, who's the magician with a needle. This patient, we avoid general anesthetic in these procedures, and what you see me holding in my hand is a local anesthetic that we are now injecting right where we're going to do the incision. And as you can imagine, the patient's not feeling anything because he is already under a regional block. Everything from the waist down is pretty much completely numbed. The reason I'm putting this local anesthetic in the area of where I'm going to cut is to block even more receptors right before I get started. This patient needs a hip replacement because he has a disease called osteoarthritis, which is essentially a destruction of the hip joint. Because the patient cannot tolerate the non-operative route, which means the pills and the shots and the therapy that was tried, he is unable to function. He has severe pain at rest and at night and is unable to do most of the activities of daily living without pain. The hip joint is a ball-and-socket joint that on occasion will carry pretty close to six times body weight, and in a regular person, during walking, the patient will actually have anywhere between two to four times body weight on the hip. The hip can get quite sick from a number of diseases, including sports injuries. And I'm going to now have Dr. Hommen tell us a little bit about some of the most common injuries that we see in the athlete that may lead in a later stage in life to having a destroyed hip and needing a hip replacement. Suture. 00:05:28 PIETER J. HOMMEN, MD: There's a -- the sports injuries, hip injuries, are fairly common depending on the type of sports that patients are involved in, anywhere from golf to contact sports like football and hockey. There is an incidence of tears of the labrum. The labrum is a lip that goes around the cup side of the hip joint. There's the ball side and the cup side, and the cup side is surrounded by a flimsy labrum tissue that can get torn. Reasons for that labrum to get torn can be from something called hip impingement. If there's a bump or a bony prominence on the hip neck, that can -- every time the patient brings that hip into flexion can cause that labrum to start to tear. That labrum, when it tears, can actually cause to -- cause later arthritis and cartilage delamination, and basically end up leading to an arthritic joint. Why don't we pan in to some of that arthroscopic video footage real quick, maybe show you the incisions an arthroscopic surgery would require. I'll show you that in one second. Actually, here we showed some footage of a little difference between the incisions that we saw just a minute ago and arthroscopic. These are two portals being placed into the hip. There's a camera and a shaver. And you can see, that's pretty much hip arthroscopy incisions right there, and you can put a few of these portals around the hip joint and, you know, perform a resection of the labrum, repair the labrum if you needed to, or take some of that bony bump off of the hip. So those are some of the sports injuries that we do see. There are other injuries, but we can talk about that in a second. Why don't we talk to -- 00:07:08 CARLOS J. LAVERNIA, MD, FAAOS: We can come back now to the -- let's start with the x-ray. If we can show the x-rays of this patient? As you can appreciate on that picture, that's a ball-and-socket. The big long bone is called the femur bone, or thigh bone. It's the largest bone in the body, and right at the top, that ball and socket is what we call the hip joint. And the hip joint in this particular patient is pretty destroyed. There's no space between the ball and the socket, and as you can see, that will actually cause, every time the patient moves, pretty severe pain. And it can -- it can be as mild as just an occasional groin feeling that something's not quite right all the way up to as severe as having the patient not be able to walk and have to be in a wheelchair. So the spectrum of the hip disease varies quite a bit from very mild to extremely severe and very, very limiting to -- to anybody, young or old. What I'm doing right now that you can see here is I'm entering into the hip joint through a very small cut in the muscle. In the past, we used to take about double the amount of muscle that I'm taking right now, and because we have better instruments and we have much more experience doing these smaller incision operations, we have to damage a lot less bone. And right now I'm almost about to enter into the actual hip joint. The hip joint has a liquid inside called synovial fluid that -- once, a little smaller -- that lubricates the hip. And you'll see some of that liquid coming into the field right now. 00:09:02 PIETER J. HOMMEN, MD: I'd like to remind anybody, if anybody has any questions or comments or would like to ask Dr. Lavernia or myself anything during this webcast, please click on the MDirectAccess on the bottom of your screen and we will take those questions and try to answer as many as we can. 00:09:23 CARLOS J. LAVERNIA, MD, FAAOS: And I'm about to enter the actual hip joint, so if we can have the camera right here, we'll be able to show -- let me have a pituitary - - be able to see how much damage there is on this femoral head or ball. And normally, it has a very nice, smooth surface on top that's called cartilage, and this cartilage has extremely unique mechanical behavior. The coefficient of friction on a healthy joint between the parts is lower than that of ice on ice. Through either an injury mechanism, an infection, or disease process, the lubrication characteristics are lost, the surfaces become incongruent, and all of a sudden you start to have a piece of raw bone rubbing on another piece of raw bone. Now, the arthroscopy of the hip, which is a procedure that Dr. Hommen was showing you a little earlier, what it does is it -- through a certain type of procedure, it's able to prevent the progression of the arthritis. This is something relatively new. When I was doing my training in orthopedics, that procedure did not exist in the United States. There were a few European centers doing it, but they were doing the procedure open like I'm doing this hip replacement, and they were not being imitated by any other centers throughout the world. In the recent past, the femoroacetabular procedure, which you will see pieces of, has become a relatively common procedure that's done now in a lot of major cities in the United States and in Europe. 00:11:26 PIETER J. HOMMEN, MD: Yeah, if we could pan in a little bit on that view, we could maybe see the approach to that hip a little bit. What Dr. Lavernia's doing there is he's actually taking that little yellow wand in his hand, that's a Bovie device, and he can actually very atraumatically go through -- go through muscle and tendon and get that approach to that hip in a more minimally invasive technique with this procedure he's using here today. The femoroacetabular impingement, what we -- what we did with that was -- the standard way of going into that hip was to dislocate the hip much like Dr. Lavernia's going to do today and remove that bump on the bone. With an arthroscopic technique, the advantage of that is not to dislocate the hip, do it through smaller incisions like the ones you just saw earlier with the camera, and resect that bump. And the patients actually go home that same day, so -- but we'll talk about that, we'll show a little bit more video clip of that in a second. 00:12:23 CARLOS J. LAVERNIA, MD, FAAOS: Yeah, this procedure, as opposed to an arthroscopy, requires an in-patient stay anywhere from two to five days, depending on the patient's age, the other medical conditions, or comorbid factors that are associated with the case. For example, if the patient is a diabetic and is very, very overweight, patient has a heart condition, patient has problems with the lungs. It's a little different than a healthy 60-year-old that has just a hip damaged and that needs just a replacement. That kind of patient, with the newer techniques that we have today, can actually go home in essentially a matter of two days. 00:13:10 PIETER J. HOMMEN, MD: Dr. Lavernia, some of the patients -- or some of the people are wondering how long after your replacement are you letting the patients walk? 00:13:17 CARLOS J. LAVERNIA, MD, FAAOS: What I've just done now is dislocate the hip, and I've taken the socket and the ball apart, and you can see the ball just came up. To do that, I use this bone hook right here that's kind of a brutal instrument. And to answer the question of our viewer, the patients put weight on the hip the next day. And in some cases, the same day. They can put full weight, which in a lot of cases they don't do because they're a little sore, but in some cases they do. So it's quite variable from patient to patient. Now you can see the femoral head -- pickups -- or ball side of the socket. You can see how deformed it is. On a normal patient that doesn't have hip arthritis, the femoral head has a very nice shine to it. It's very nice and round, it doesn't have all these bumps that we can see right here, okay? 00:14:18 PIETER J. HOMMEN, MD: Yeah, those would be the bumps that we would see in an early case of femoroacetabular impingement, some of those bumps on the neck there. but show us that cartilage a little bit, the white, glistening area on that femoral head. Show us that a little bit. 00:14:30 CARLOS J. LAVERNIA, MD, FAAOS: It doesn't have that much. It's pretty much -- 00:14:33 PIETER J. HOMMEN, MD: Yeah, looks pretty eroded. 00:14:34 CARLOS J. LAVERNIA, MD, FAAOS: It looks like a billiard ball. It's extremely damaged from the process of arthritis, and what -- what it causes is just severe pain when it rubs against the ball side. And right now what I'm doing is doing my first cut because I have to cut the femur bone in order to fit it with the new hip. And I'm using a regular old saw to make that initial cut. And now I'm able to show you a little better how bad this really is when you look at it. And you can see how this femoral head has no cartilage on it. This is like a billiard ball. Normally, it has -- in this side of the femoral head, there's a little cartilage left, and I'll show you a little bit of it. You can see it coming off right there, but it's extremely, extremely raw. And this patient was having a really hard time existing with that raw piece of bone rubbing against a raw piece of bone in the groin or the acetabular side. 00:15:50 PIETER J. HOMMEN, MD: In the early stages of that, there are arthroscopic techniques to perhaps microfracture or to stimulate that cartilage to regrow. That would be done at an earlier stage of -- of cartilage change or cartilage degeneration. So once it gets to this stage, there's really no regrowing of that cartilage. This is a hip that is not going to benefit from any kind of an arthroscopic technique or any kind of cartilage-regrowing type techniques. 00:16:18 CARLOS J. LAVERNIA, MD, FAAOS: Now I'm getting ready to find the medullary canal of this femur. I'm drilling a hole right at the top portion of the bone, and Dr. Hommen has a sample of the hip device that I utilize, and I'm putting a rod inside the femur to find that canal, which is where that femoral stem is going to be placed. This instrument right here is called a rasp, and what it does is it prepares that bone to receive the actual replacement hip, the femoral component of that hip. And what I'm doing with the rasp and this mallet is I'm preparing the bone and sizing to see what type of device and what size of device I'm going to use. And now we already planned the surgery utilizing computers. We'll show you that in a second. And we think we're going to end up using a size 10 implant. The real size is determined here in the operating room based on what I feel, and I think we're going to stop at the next size. 00:17:36 PIETER J. HOMMEN, MD: I'll show you that in a second. I have an actual size 10 component here, so we can show you exactly what that looks like. There we go. This is -- this is a femoral stem here. This is what Dr. Lavernia's going to eventually be placing into the -- into the hip here. This is a titanium aluminum alloy type stem that is going to go down into the femur, into the canal of the femur, okay? 00:18:04 CARLOS J. LAVERNIA, MD, FAAOS: Now -- PIETER J. HOMMEN, MD: Go ahead. 00:8:05 CARLOS J. LAVERNIA, MD, FAAOS: Okay, I'm sorry, Pieter. Now I'm getting ready to work on the socket side. I'm already finished preparing. And as you can see, my hands are deep in the wound. And now I'm putting retractors in here to pretty much allow myself and the assistants to see and so that we can position properly where we're going to put the socket side of things, which is what Dr. Hommen will show you in a second. 00:18:38 PIETER J. HOMMEN, MD: The socket is actually this component right here. I have a sample in my hands. This is a -- the acetabular component we call this, this is a fiber-metal titanium shell. If you would show that -- here, this is the titanium shell here, okay, and that head and the stem here go inside this plastic dish. This plastic dish here is a -- a cross-linked plastic or polyethylene. This would go inside here; this is how the hip would move, okay? It's a very low coefficient of friction and this fits inside the cup or the acetabular part of the hip. This is inside the femoral canal. 00:19:24 CARLOS J. LAVERNIA, MD, FAAOS: Now I'm getting ready to prepare the socket side or acetabulum to receive the actual implant, and I'm going to be sizing it much the same way with a similar type instrument called a grader to receive that metal part that Dr. Hommen was showing you. 00:19:46 PIETER J. HOMMEN, MD: Maybe if they could show that a little bit better with that acetabulum exposure. 00:19:50 CARLOS J. LAVERNIA, MD, FAAOS: And what I'm doing right now is I'm preparing, removing all the soft portions of the hip, or labrum, which as you'll see later on, is one of the things that you try to preserve and protect with an earlier surgery like the arthroscopy. 00:20:09 PIETER J. HOMMEN, MD: What I can show you, actually, is the inside of that joint looking through an arthroscope. If we'll pan to the in-the-joint video of the arthroscopy, I can actually show you what that looks like when you're looking at it in a camera perspective. This -- on the right side is the femoral head. That white cartilage, that's normal cartilage. That is a non-arthritic hip of the femoral head. On the left side, when you're looking straight on, is the acetabulum or the cup side. There's a little shaver going in there, and that's a labrum, that little piece of flimsy tissue that my shaver, the metal shaver is on, that is the lip I was talking to you about before, and that is a source of pain in this patient. There's a labral tear, kind of a degenerative type tear that we shaved out. He was a 40-year-old police officer, a very active guy, and came in with mechanical clicking and symptoms in the hip, not an arthritic type patient. This is not the -- this is not a patient that has a full-blown arthritis that -- you know, those are not the patients that we do hip arthroscopy on. You can see here, I'm just removing some of this labrum here from the hip joint. 00:21:16 CARLOS J. LAVERNIA, MD, FAAOS: Okay, we're -- we're getting ready to prepare the socket now. I have already exposed, if we could have a camera -- 00:21:23 PIETER J. HOMMEN, MD: That's a great view right there. That's a really nice view. 00:21:25 CARLOS J. LAVERNIA, MD, FAAOS: If we could have the camera in -- point inside. Is there any way we can get that camera a little better to show the inside of that hip? This is the grader device that we use. As you can see, it's got a rough surface here to prepare the bone so that the bone will be in what we call a bleeding-bed fashion to allow that metal that I'm going to put in here to get ingrown. 00:21:50 PIETER J. HOMMEN, MD: And this is what that metal looks like. If you show this, I'll show you the metal cup again. He's actually preparing the surface where this shell would eventually sit in it. This shell right here. Okay, this would go inside. These have little screw holes where we can fix this shell into the bone with -- with screws if needed. And again, this is the plastic liner inside. This is the canal that he's -- this is exactly what he's preparing right now in that acetabulum or the socket. So that's labrum you took out there, right? 00:22:27 CARLOS J. LAVERNIA, MD, FAAOS: Yep. 00:22:28 PIETER J. HOMMEN, MD: And that's the labrum we as arthroscopists would do anything to try to preserve, but in an arthritic hip when you're replacing, that's something that we would remove so as to not cause further pain. It's really not needed. 00:22:41 CARLOS J. LAVERNIA, MD, FAAOS: Now I take a sequence of these graders starting with the size that I want to begin with, which is a 46, and we're going in two- millimeter increments in order to prepare that socket to receive that metal part and grow into the metal shell. This kind of technology has been around for a little bit. 00:23:14 PIETER J. HOMMEN, MD: Somebody wanted to know if this is going to be a cemented cup. 00:23:18 CARLOS J. LAVERNIA, MD, FAAOS: It's cementless. Everything that I do around the hip uses no bone cement. In the hip side, in my opinion -- and there are surgeons that disagree -- the better way to do a hip is with no bone cement. So I use universal biological fixation on these cases, and what I do is I let the bone heal into the metal. 00:23:46 PIETER J. HOMMEN, MD: When was the first hip replacement performed? 00:23:49 CARLOS J. LAVERNIA, MD, FAAOS: Very good question. Probably in the 1940s, 1950s. And the first center for hip surgery was in England, in Wrightington, England, by a gentleman who got knighted based on his contribution to orthopedics, Sir John Charnley. And when this thing started, he was using pretty much all cement, only cement on both sides of the hip, on the socket side and on the femur side. Okay. 00:24:35 PIETER J. HOMMEN, MD: You can see here, this is a nice tight fit for that component when it's -- it is actually impacted into the bone. 00:24:41 CARLOS J. LAVERNIA, MD, FAAOS: I'm ready. Now I am happy with what I got and I'm going to have them give me a 58mm shell to put in here. 00:24:52 PIETER J. HOMMEN, MD: Again, that's this component that I showed you earlier. That's what we would be putting into the joint. 00:24:57 CARLOS J. LAVERNIA, MD, FAAOS: Pituitary. 00:25:06 PIETER J. HOMMEN, MD: Another question. How long is the rehabilitation after a hip replacement surgery? 00:25:10 CARLOS J. LAVERNIA, MD, FAAOS: It's a lot less than a knee replacement procedure, but overall, I tell the patients they can count on being in some pain for probably two to three weeks after the surgery. Although I have a patient in the hospital right now that was in really bad shape that waited quite a bit of time to get his hip done, and he had no pain, even after a procedure as labor-intensive as this. He was sitting in his bed the day of surgery already feeling the benefit, so in a nutshell, it's variable, but I tell the patients to count with around four weeks of time before they can go back to a sedentary type work. I have had doctor patients that have gone back delivering babies two weeks after two of these, but that would be the exception. There are other patients that have taken six months to get back. So there's quite a bit of the spectrum. With the newer pain-management modalities, the rehabilitation is much faster. This is a real implant that I'm putting in the patient. It's called a Trilogy socket, and it's got fiber-metal around it made out of titanium, and the inside shell and a round portion of the shell is made out of an alloy, titanium aluminum vanadium. It's one of the super-alloys, and the biocompatibility of these implants is spectacular. They do not get rejected. We have over 40 years of experience with this material in the hip and the knee joints. Now I'm going to impact it in place. 00:27:01 PIETER J. HOMMEN, MD: You can see, orthopedics is a little bit of a manual type procedure. The recovery after a hip arthroscopy is a little bit different also. If you fix a labrum, you know, in general, I have patients weight-bear-- partial weight-bearing and, you know, recovery really depends on letting that labrum heal. If it's -- if I remove a little piece of that bone, the resection of the bone, I have patients partially weight-bear, not letting them put full weight down for a couple weeks just to protect that hip and prevent any kind of break in the bone. It is a little bit weaker after we've removed some of that bone, but you can see here he's putting in a screw into the cup, and that's going to secure that cup. 00:27:47 CARLOS J. LAVERNIA, MD, FAAOS: Like Dr. Hommen said earlier, some surgeons don't use these screws. I tend to sleep better if I put them in, so I put them in on all my cases. 00:28:11 PIETER J. HOMMEN, MD: So what type of pain medications are you prescribing or giving after this type of a surgical procedure? 00:28:16 CARLOS J. LAVERNIA, MD, FAAOS: Great question. In the past, we used to treat the pain after surgery whenever it got bad, so the patients would sit in their beds and they would call that nurse when the pain got really bad. One of the most important advances in hip surgery, which I think -- another one? Already did it -- is what we call preemptive pain management. The patients get pain medication around the clock. They pretty much get a pill every six hours whether they have pain or not. And what that does is it allows that pain to never get really bad, and it makes a patient not have these huge highs and lows, and therefore they rehab a lot better. Let's have the plastic, please. 00:29:09 PIETER J. HOMMEN, MD: So you think that with the minimally or smaller incision surgeries that we're doing and the better expertise with postoperative pain management, you think this has all contributed to longer or -- shorter stays, I mean -- shorter stays in the hospital and -- and faster road to recovery, right? 00:29:28 CARLOS J. LAVERNIA, MD, FAAOS: Absolutely. I think that pain management is more important than the incision. I think if you look at the combination of both, having a smaller incision with less damage, it gives you the faster rehabilitation and getting back to life a lot sooner. This is the plastic that Dr. Hommen showed you earlier. One of the things that he mentioned is that it's highly cross-linked. This plastic has been used in the United States for about five years, and it's one of the most important advances in terms of materials in the last 25 years. The plastic that we used to use was not cross-linked, and the cross-linking is a chemical process through which these parts become much more capable of resisting wear. Let me do it again. So now we're -- we've completed half of the surgery. The socket side, when I put that piece of plastic in, is now done. 00:30:37 PIETER J. HOMMEN, MD: While we have a minute here before he goes to the femoral side -- 00:30:40 CARLOS J. LAVERNIA, MD, FAAOS: And what I'm going to do right now is try the mechanics of the hip, okay? So we're going to -- I checked. We're going to check the length of the leg, we're going to check the stability of the leg because these hips, they can pop out. For the first six weeks, the patient has to be very, very careful in terms of what movements they do and what things they try to do. If they try to be a little too aggressive with some of the motions, that hip will pop out of socket, and it's one of the most horrible experiences that the patient and the surgeon can have. 00:31:18 PIETER J. HOMMEN, MD: Now, is that a common experience, someone wanted to know. 00:31:21 CARLOS J. LAVERNIA, MD, FAAOS: That is not a very common experience. It depends on the surgeon, it depends on the type of technique that they use to put the hip in. At Mercy Hospital, our dislocation rate is less than 1 in 50,000. In some centers, it can be as high as 1 in 100. Go ahead. 00:31:39 PIETER J. HOMMEN, MD: Is there a difference in technique that you would attribute to that? 00:31:41 CARLOS J. LAVERNIA, MD, FAAOS: Yes. Yes. Yes. The technique that I use definitely has less problems than other techniques and it does have its drawbacks. For example, I have to go in the front of the hip to achieve that type of stability. Some surgeons go in the back of the hip. And going in the front causes a little bit more work for the patient. 00:32:05 PIETER J. HOMMEN, MD: What are you showing right there? 00:32:07 CARLOS J. LAVERNIA, MD, FAAOS: I'm measuring using a very primitive little string how this hip is now compared to what it was before in terms of the length of the hip. So what I'm showing in here is that I've made the hip a little bit longer than what it was. And so I'm going to try to shorten it a little bit. 00:32:27 PIETER J. HOMMEN, MD: Now, is that a problem, to lengthen a leg a little bit? 00:32:29 CARLOS J. LAVERNIA, MD, FAAOS: It's not that big of a problem. Most patients that never have had hip surgery, that never had hip pain, that are walking around and they get measured, have one leg longer than the other, and they never notice a difference. 00:32:43 PIETER J. HOMMEN, MD: And is it common to have a leg slightly shorter before surgery? 00:32:46 CARLOS J. LAVERNIA, MD, FAAOS: It is very common to have a leg slightly shorter. Very, very common. So what I'm doing right now is cleaning out some of the damaged tissue that the patient out and I'm going to now dislocate the hip in order to be able to finish the preparation of that thigh bone. 00:33:14 PIETER J. HOMMEN, MD: So again, the thigh bone, we're going to be placing this stem component in here. 00:33:18 CARLOS J. LAVERNIA, MD, FAAOS: Correct. 00:33:19 PIETER J. HOMMEN, MD: I'll show you that again right here. This is the stem that we're going to be placing in the bone. Okay, it is a -- a metallic stem, okay, a titanium aluminum alloy type stem as well. All right, and it's got this -- this sort of a -- a pattern on here which is a -- allows for a scratch fit type hold onto the bone, okay? 00:33:51 CARLOS J. LAVERNIA, MD, FAAOS: I'll take a little bit more neck, guys, okay? 00:33:55 PIETER J. HOMMEN, MD: And that's a rasp right there. That's actually a trial -- that's one of the compon-- that's not the real component going in, that's just to prepare the bone itself for this type of an implant. 00:34:04 CARLOS J. LAVERNIA, MD, FAAOS: I was just -- lateral. I'm letting it go down. Okay. I don't know. Come up. I need that saw for a second. I'm going to take now a little bit more neck to make my reconstruction match a little bit better what the patient had before. 00:34:32 PIETER J. HOMMEN, MD: I have a very good question here. If a patient had arthritis or hip pain in both hips, are they a candidate for having both done? 00:34:42 CARLOS J. LAVERNIA, MD, FAAOS: Yep. 00:34:43 PIETER J. HOMMEN, MD: Or both at the same time or -- 00:34:45 CARLOS J. LAVERNIA, MD, FAAOS: Yes, yes. I do about -- other way, other way, other way. Okay. I will do in a year...about probably 2% bilateral hips in a whole year, so very infrequent. But it does happen, and when it's a young patient they can be done both at the same time. On an older, sicker patient, I will actually avoid doing them at the same time, and on occasion what we do is we do them a week apart. We stage them pretty close together so that when the patient leaves the hospital, his problems are resolved. Okay, now we've decided on the right size stem and I'm going to need a 12.5. By sizing this trial rasp in the patient's bone, I can better decide what the proper hip stem that I'm going to use is. So now I'm -- I'm done preparing the femur side and I'm going to get the real hip. I'm going to change gloves in order to handle the implant. Yep, do it, 12.5. 00:36:14 PIETER J. HOMMEN, MD: How long would you say that implant takes to kind of grow into that hip? 00:36:17 CARLOS J. LAVERNIA, MD, FAAOS: Six weeks. They've done studies in animals and in some humans in which they've implanted these porous, coated pieces in the patient's bone and they allow them to be in place for two weeks, three weeks, four weeks, five weeks, and then they check the amount of bone that has grown into that particular implant, and they've quantitated the optimal time for bone to grow into these implants is around six weeks. 00:36:49 PIETER J. HOMMEN, MD: And when you say these implants are biocompatible, when you said that they're very friendly to the bone and everything around it, what does that exactly mean? 00:36:56 CARLOS J. LAVERNIA, MD, FAAOS: Biocompatibility is the ability of an artificial material to live inside the body without being rejected. What I'm showing you right here is the actual hip -- it's called the ML taper hip. I designed this hip with a group of surgeons and engineers, and it's made out of, like Dr. Hommen said, aluminum, vanadium, with titanium. It's an alloy. And it's got a plasma-spray surface right here that bone grows onto, and it allows that hip to become part of the patient. And now I'm getting ready to put the final implant in place and -- and almost the second half of the surgery is completed. Now, once again, I have a fake ball that I'm going to try in here to see how this feels in terms of length and in terms of stability. Because the one thing you want to make sure is that the hip is stable. So now I ask my assistant to pull, and I put this back in the socket. I like that. I'm very, very happy with what I've got in here, so let me get a pickup. There we go. 00:38:29 PIETER J. HOMMEN, MD: So the patient right now is -- is asleep or is awake? 00:38:32 CARLOS J. LAVERNIA, MD, FAAOS: No, the patient's -- the patient's sedated. 00:38:35 PIETER J. HOMMEN, MD: Okay. 00:38:36 CARLOS J. LAVERNIA, MD, FAAOS: The patient is relaxed and having a good time, and he's going to wake up with a brand-new hip. Go up. 00:38:44 PIETER J. HOMMEN, MD: I thought I heard our anesthesiologist talking to our patient earlier, so... 00:38:47 CARLOS J. LAVERNIA, MD, FAAOS: Yeah, no, the patient's awake. And now you watch me move that hip in space, okay? I'm moving the leg around with my finger inside the patient's hip to make sure that I have a stable construct, that this hip is not going to dislocate. Okay, now I'm happy with that and I need a minus-3. Bone hook? 00:39:08 PIETER J. HOMMEN, MD: So what he's doing now is the minus-3, that means the size of the neck of the implant, so in addition to the stem that he's already placed inside the bone, he's going to make up for any length that he needs by -- by putting either a long neck or a short neck onto the -- onto the stem itself. 00:39:26 CARLOS J. LAVERNIA, MD, FAAOS: I can change, like Dr. Hommen is saying, the size of this neck, okay? And I can also change the size of the ball. So this is called modularity. It's one of the big advances that we've done in the last 25 years in terms of allowing me to now change my mind in terms of the patient's length and the patient's biomechanic characteristics. And what I have here is a real deal. This is a real ball that I'm putting right on the stem, okay? And now I'm fixing it. I need a little bone, please. I'm fixing that to the patient's priorly implanted stem, and it's actually a soldering type effect in which, through friction, okay, that part gets welded onto the other part and the force necessary to take these apart can -- can be more than 2,000 pounds. 00:40:29 PIETER J. HOMMEN, MD: Now, I actually have a patient from -- from Venezuela looks like who wrote me a question: if I was going to seek a total hip replacement or have my hip replaced, who do I see? What kind of a specialist do I see? And what questions do I ask my doctor? 00:40:48 CARLOS J. LAVERNIA, MD, FAAOS: That's a very good question. I think the most important thing is that you seek an orthopedic surgeon that has special expertise in implant surgery. Most orthopedic surgeons are well-trained in doing total hip replacement, and -- but if I were having one done, I would seek one that does a lot of this surgery. You want somebody that does 50 or more a year. That gives you a relatively good chance of getting a good result. We have done some studies here at the Orthopedic Institute in Miami to look at surgeon volume and outcome, and there's no question about it that the more you do, the better you get at it. Now I'm putting a drain in here. This drain will keep this hip from developing what's called a hematoma because there will be some bleeding inside after I close the wound. So this plastic tube that I'm putting in here will take the blood out, and through a system, okay, that we have -- let me have the drain. 00:41:55 PIETER J. HOMMEN, MD: How long does that drain stay in usually? 00:41:58 CARLOS J. LAVERNIA, MD, FAAOS: It stays in 24 hours. 00:41:59 PIETER J. HOMMEN, MD: And that -- and does it hurt to take that out? 00:42:02 CARLOS J. LAVERNIA, MD, FAAOS: It hurts a little bit. It's not fun, but this system right here allows me to give the patient the cells back, okay? 00:42:10 PIETER J. HOMMEN, MD: So it may reduce the risk of transfusion. 00:42:12 CARLOS J. LAVERNIA, MD, FAAOS: Exactly right. I give the patient some of the cells back. 00:42:16 PIETER J. HOMMEN, MD: What's the -- what is the risk or the rate of transfusions needed after surgery of a hip replacement? How many of those patients out of 100 would you say may require a transfusion? 00:42:27 CARLOS J. LAVERNIA, MD, FAAOS: Around 10% when they start with a hemoglobin greater than 13.5. That's a caveat. So when you're starting right before surgery and you check, okay, the hemoglobin has to be greater than a certain value. Then your odds of needing a transfusion are pretty low. So now I'm ready to close the wound. So we're all done, the hip is in place. 00:42:55 PIETER J. HOMMEN, MD: So how long was that, about 40 minutes, and we're already closing. Not even. So is that about standard, would you say, for a hip replacement surgery? For a first-time hip replacement? 00:43:07 CARLOS J. LAVERNIA, MD, FAAOS: I think for a first-time hip replacement in an experienced center, that's about standard. 00:43:13 PIETER J. HOMMEN, MD: And how long would -- if you had done a revision instead, you know, where you -- the patient -- 00:43:17 CARLOS J. LAVERNIA, MD, FAAOS: Yeah, when you have to redo these things, which on occasion you have to redo them because they get loose or something doesn't work properly and the patient's having pain because the hip is too big or the socket is too big or we have mechanical malfunctions, those operations are quite complex and they can last -- or they can be up to three hours in length. So they can be quite, quite long. 00:43:46 PIETER J. HOMMEN, MD: Somebody just asked a question about arthroscopy after hip replacement surgery. Yes, it has been done. There's very limited indications, but for some patients who have -- maybe the cup was put in a little bit in a position where a tendon snaps over it as you move your hip, those patients can actually undergo an arthroscopic release of that tendon. So that's a couple small portals on the side of the hip to -- to -- you know, rather than going back in through an incision, a larger incision. So those are -- but the indications for arthroscopy after hip replacement, they're pretty small. 00:44:24 CARLOS J. LAVERNIA, MD, FAAOS: They do help when they're needed because they avoid having to go back into this big, big hole and having to redo everything again. Because when you come back for the second time, the incision has to be at least four times what I've done in here. So there's no doubt about it that arthroscopy will be helpful on rare occasions in total hip replacement. 00:44:46 PIETER J. HOMMEN, MD: Somebody asked me if I can do a hip ar-- hip arthroscopy to replace the hip. At this point, no, we're not there yet. This is a -- you know, hip arthroscopy, even though it's been around since the early 1900s, it's actually -- actually no joint at this time can be replaced using an arthroscopic technique. That includes the knee or the shoulder. But we're getting there. I think smaller incisions are -- are leading the way, and I think that in the next 10 years, who knows, we may be putting in shoulder, hip, and knee replacements through a tiny poke-hole incisions and using a robotic-type surgeries also will help. And if -- Dr. Lavernia, maybe you could tell us a little bit about your experience with hip replacement surgery using a computer or a robot or something of that sort. 00:45:30 CARLOS J. LAVERNIA, MD, FAAOS: That's a great question. We here at Mercy are doing research on computer-assisted orthopedic surgery in general, not just in hips and knees but we're going to start pretty soon doing some ligament reconstruction with these computers. And the computers are not meant to replace a doctor, but they actually help the physician find anatomic landmarks on relatively difficult-to-find situations. For example, you saw how primitive the measurement that I did was with those strings. Well, with the computer-assisted technology, I am able to get a computerized reading of what the length of the patient is. Now, the current status of computer-assisted technology is such that when I use it, it doesn't help me and it makes me slower. But it will get to the point where it's going to help me quite a bit and it's going to make me faster. 00:46:28 PIETER J. HOMMEN, MD: So you think maybe for the inexperienced or -- or newer surgeons on the field, that might be a better technique than somebody who's more experienced, has done a lot more cases. 00:46:39 CARLOS J. LAVERNIA, MD, FAAOS: I couldn't agree with that statement more. I think that right now, the way the technology is, computer-assisted surgery is actually not quite there yet in terms of helping the surgeon do a better operation in less time. 00:46:53 PIETER J. HOMMEN, MD: Show us a little bit about how that technique would be done. What's the difference between what you just did and maybe how that computer reads where everything is in space? 00:47:03 CARLOS J. LAVERNIA, MD, FAAOS: Well, right now I think my implant is in 45 degrees of lateral opening and 10 degrees of anteversion. If I had the computer, the computer would tell me that it's really in 23 degrees of lateral opening and 10 degrees of abduction, so -- anteversion. So the computer-assisted technology will give you much more accurate readings and will allow the surgeon to know where things are in space before they close. 00:47:35 PIETER J. HOMMEN, MD: And using that technique, have you ever had to change what you thought would look good to something that the computer's telling you to use? 00:47:43 CARLOS J. LAVERNIA, MD, FAAOS: Great question. Not really. It's just the opposite. The computer has told me to go one way and I've ended up going another way. 00:47:51 PIETER J. HOMMEN, MD: And on an x-ray afterwards, you saw that you were right. 00:47:53 CARLOS J. LAVERNIA, MD, FAAOS: Yes. I think it's going to get there where that computer's going to be better than I am, there's no doubt about it, but I think that right now the different systems out there, they take a little long to prepare and they actually don't -- don't really make me a better or a faster surgeon. We have mechanical things that we use to try to improve the position of these components, and they work quite well. 00:48:22 PIETER J. HOMMEN, MD: So if I were to see an orthopedic surgeon, what would -- should I come in with an MRI, a bone scan? What should I come to the office with? 00:48:33 CARLOS J. LAVERNIA, MD, FAAOS: Let me get the shot. One thing that I want to show the audience right now is, again, I'm injecting the tissue with a syringe with local as well as systemic -- I need another needle, please. 00:48:51 PIETER J. HOMMEN, MD: And that really helps with the postoperative pain. 00:48:54 CARLOS J. LAVERNIA, MD, FAAOS: It does. Postoperatively, for the first 24 hours, there'll be pretty high concentration of pain medication in the tissue, as you saw me injecting. And right now, I'm on the next-to-last layer. I'm closing the fascia, it's called, right before I go to the skin. 00:49:14 PIETER J. HOMMEN, MD: And that's an absorbable suture, meaning that suture will -- 00:49:17 CARLOS J. LAVERNIA, MD, FAAOS: This suture will go away. The suture will disappear in a matter of two months, it won't be there anymore. But by then, the body will have already healed the tissues and it won't be needed there. 00:49:29 PIETER J. HOMMEN, MD: Yeah. 00:49:30 CARLOS J. LAVERNIA, MD, FAAOS: Do we have that? Ready? So it's a combination of, you know, the spinal that the patient has and this local stuff, and then the preemptive pain management that makes this truly small incision faster type of recuperation for the patient. And it used to be where these patients would go to rehabilitation and they would have to be out of life, if you would, for a period of a couple of months before they got back. And you know, these days, I've had some of my very highly in-shape patients go back to work in, you know, a matter of days. The other question that patients may have is what about ceramic hips? Because most likely you have seen on the internet or heard advertised ceramic hips. Well, in my opinion, ceramic hips are -- are nice, and I'm sure that the surgeons that use them fully believe that it's a much better reconstruction than the one that I just put in this patient, but in my opinion, the advantages that ceramic has over this plastic/metal combination that I used in this patient is definitely not worth it. Ceramic break, number one. The other big advantage that the metal and plastic has is that I had approximately eight options in terms of lengthening or shortening the leg as compared to only two or three options with a ceramic. So those are in a nutshell some of the advantages of the metal and plastic over the ceramic. 00:51:30 PIETER J. HOMMEN, MD: Again, I'd like to remind you, if you have any questions or any comments, please click on the MDirect button on the bottom of your screen. We're getting a lot of good questions. A lot of interest in this type of procedure. How many hip replacements do you think are getting done in the United States every year. 00:51:47 CARLOS J. LAVERNIA, MD, FAAOS: We -- we are probably going to hit 400,000 in 2007. Worldwide, over a million. Knee replacements, we're doing more. We're doing close to 600,000 knee replacements in the United States, and probably close to 2 million worldwide. It's very accessible, the surgery these days. It used to be where only a few surgeons knew how to do this type of surgery or dared do the surgery, but with this newer, you know, instrumentation, the availability of centers and surgeons has really made it something that's accessible and available to most people throughout the world. In some of the developing countries, the cost of the implant is what makes it prohibitive. For example, the implants utilized in certain areas of South America are locally made because the American implants are too expensive. And they use locally manufactured implants. 00:52:53 PIETER J. HOMMEN, MD: Another good question: how do you anticoagulate and what does that mean? 00:52:57 CARLOS J. LAVERNIA, MD, FAAOS: Very, very good question. After surgery, there's a risk of a blood clot, and one of the ways to avoid or minimize the risk is to thin the blood of the patient. And what we do is we give the patients coumadin, which is a blood thinner, and we thin them out so that it minimizes the chances of a blood clot. They stay on that coumadin for one month after surgery, and they are encouraged to move because inactivity is not good after these surgeries. So we encourage these patients to walk and to be as active as possible after these procedures. The more they do, the better. Now, obviously, for the first few days, as you can imagine, the patients are a little sore. But tomorrow, this patient will be walking around our floor and probably will be going home either Sunday or Monday. 00:54:02 PIETER J. HOMMEN, MD: There's a real good question here. This patient that we're currently operating on, Dr. Lavernia, is a -- has osteoarthritis, right? But there's a rheumatoid component to this, I think. The patient had a -- an inflammatory arthritis as well. The patient -- somebody asked: if I have avascular necrosis, what does that mean and what are the treatments for that? 00:54:27 CARLOS J. LAVERNIA, MD, FAAOS: Okay. Avascular necrosis is actually one of my research interests, and it's a disease in which the blood supply to the femoral head dies. I'm sorry, the blood supply stops to the femoral head, and that femoral head dies. And when you have that femoral head die, you end up having that cartilage collapse and you have no -- no way to walk without pain because it becomes more and more and more painful, and it gets to the point where the femoral head becomes flat and the patients develop secondary osteoarthritis, which is a process by which both sides of the joint get destroyed, so the socket and the femur get completely destroyed. 00:55:22 PIETER J. HOMMEN, MD: And one more question we have is -- before we show a little bit of the hip arthroscopy in the last couple minutes here -- for patients who have osteoporosis, are they candidates for hip replacement surgery? 00:55:37 CARLOS J. LAVERNIA, MD, FAAOS: Great question. Absolutely. Osteoporosis is not a contraindication to getting your hip fixed. In some cases, it can be severe enough that you may need to put bone cement instead of using this cementless technique or biological fixation that I used, but that's very rare. For the most part, most osteoporotic patients do well with a press-fit device. There are studies that show that these patients do almost as well as non-osteoporotic patients. Now, the surgeon has to have expertise and they've got to handle the tissue and the patient very carefully because on an osteoporotic patient, if you're a little rough on the dislocation of the hip, you can actually cause a fracture. And that's a disaster when you break the bone during an operation. 00:56:27 PIETER J. HOMMEN, MD: Yeah, in the last couple minutes here, why don't we show a little bit of the peripheral compartment of the hip on the arthroscopy segment, and we'll come right back and we'll show the finished incision here on Dr. Lavernia's case. This here -- what we're showing here is the camera is inside the hip joint, and it's -- if you look here outside, I can show you what a camera looks like. The camera goes inside the hip and -- this is the one right here, okay? It's a small camera that we use. And it has a lens on the end, and that lens is hooked up to a video monitor through this cord, okay? And that allows us to basically play video games and look inside the hip joint. So you can see here, that's the labrum of the hip, okay? That's that little capsule of hip that we talked about. And there's a bump on top of the neck here, and that bump, as that hip -- as you bring your hip into a flexion -- can literally cause that labrum to become torn and is pretty painful. So what we do in this -- in this procedure is we literally take this little shaver here, this little burr, metallic burr, very small, and you place that into the hip and you literally can resect that bump away. And you can see here how that kind of works. It basically sucks up the -- whatever you're debriding into the -- inside of the cannula as you use it. So I'll show you a little segment here of what that looks like. And again, this is what the camera looks like, and here's some of the instruments. We'll pan out to what the final product looks like here, and in the meantime, I'll show you what some of these instruments look like inside the hip joint. These are some of the graspers we would use. We can grab things with this. I'm not sure if you can see that, but it's -- okay. These are some of the graspers. Okay, very small little instruments. You can use also -- there's a variety of instruments to repair labrum anchors, anchors that are plugged into the bone that have little sutures on them. Why don't we show that final product of what that hip resection looks like here? Show a little video snippet of that and then we'll pan out to Dr. Lavernia's case and -- actually this is Dr. Lavernia's almost finished product. You can see here he's putting a last couple sutures in. It's a race. You can see, he's doing a great job, almost a completely cosmetic type procedure, and do patients tend to have incision pain after this type of surgery? 00:58:57 CARLOS J. LAVERNIA, MD, FAAOS: No, not really. I think that for the most part, they get incision pain for a few days after, but it goes away within probably a week. 00:59:07 PIETER J. HOMMEN, MD: Okay. Here you can see again -- here's that resection of that bone that we're taking off with that burr. And basically you're removing a prominence that you can see here, quite a large prominence, and as you resect this down, as that patient brings that hip into flexion and all sorts of motions, it's not causing that hip labrum to become torn off. Okay, and here's kind of a finished product of what it looks like at the very end. You can see here that neck, the bone -- the red stuff is the bone exposed. All that white thickened stuff that was on top of the neck, that synovial tissue, has been resected. So that's kind of what it looks like and this patient is doing real well and hopefully getting back to work in the next couple of days. He's only about a week and a half out and doing real well. So why don't we pan in one more time to see Dr. Lavernia's finished work here. Any other questions that anybody has? 01:00:05 CARLOS J. LAVERNIA, MD, FAAOS: I'd actually like to address two points that you probably, those that are watching have seen in the internet. It's a whole issue of surface replacement and the metal-on-metal hip replacements. And let's take the surface replacement first. Some centers are touting the surface replacement as the ultimate and the newest panacea to resolve the problem of hip arthritis, and if you really look at the literature, we have been doing surface replacement for at least 30 years. And I think at some point in time, it may be the best surgical intervention in osteoarthritis, but right now, if you look at the results of the hip that I just did -- the type of hip, the type of material that I utilized -- the predictability, the chances of getting a good result -- meaning 20 years from now, the chances of this patient having this hip in his hip and being happy with it -- exceed 90%. And with a surface replacement, we don't know. The chances of a fracture, okay, with surface replacement are around 5-6%. The chances of a fracture of the hip that's left with this operation is nil because you essentially remove the hip and all you have in here is a hip replacement. So in a nutshell, I think that surface replacement maybe someday be a great thing for patients, but right now, if I needed one of these procedures, this is exactly what I would get, a total hip replacement with the exact same implants I utilized right here. The metal-on-metal, finally, is a newer technology in terms of the types of metals that we have available now, in 2007, compared to when metal-on-metal came out, which was in the 1960s, is a much, much more complicated question. And the metal allergy issue has not been answered. There's a certain percent of patients that have metal-on-metal that have unexplained pain. And the upside, or the advantages, of metal-on-metal, in my opinion, are not worth the trouble. So that's kind of in a nutshell the two questions that I wanted to address that somebody may have because they've been visiting different websites about hip surgery. And now we're putting the last staple, and we are done. 01:02:51 PIETER J. HOMMEN, MD: That was perfect time. I'd like to thank everybody for joining us here at Mercy Hospital for the first ever surgical broadcast done simultaneously in English as well as in Spanish. Thank you, everyone. Live from Miami, bye-bye. 01:03:08 ANNOUNCER: This has been a small incision total hip arthroplasty and an arthroscopic hip femoroacetabular impingement resection performed from Mercy Hospital in Miami, Florida. OR-Live makes it easy for you to learn more. Just click on the "request information" button on your webcast screen and open the door to informed medical care. 01:03:35 [ end of webcast ]
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|Table of Contents
|Vol. 204, No. 4, 2002
Issue release date: 2002
|Section title: Report
Skin Tensile Properties in Patients Treated for AcromegalyBraham C.a · Betea D.b · Piérard-Franchimont C.a · Beckers A.b · Piérard G.E.a
Departments of aDermatopathology and bEndocrinology, University Medical Center of Liège, Belgium
Published online: 6/21/2002
Issue release date: 2002
Number of Print Pages: 5
Number of Figures: 3
Number of Tables: 3
ISSN: 1018-8665 (Print)
eISSN: 1421-9832 (Online)
For additional information: http://www.karger.com/DRM
Background: Somatotropic effects are described in the skin. Indeed, acromegaly is in part clinically recognized by cutaneous coarsening. The actual changes in tensile properties associated with the cutaneous manifestations are largely unknown. Objectives: To study the relationships between the skin tensile properties and the severity of acromegaly as assessed by serum levels of growth hormone (GH) and insulin-like growth factor 1 (IGF-1). Patients and Method: Assessments were made in 13 patients with acromegaly treated by somatostatin agonists combined or not with surgery. A total of 39 age- and sex-matched healthy subjects served as controls. Skin tensile properties were measured on the forearm and nape of the neck using a computerized suction device. Results: Significant differences were yielded between the skin tensile properties in patients and normal subjects. The highest IGF-1 values in the patients' medical records were positively correlated with both skin distensibility and biologic elasticity. The most recent IGF-1 serum levels were negatively correlated with the visco-elastic ratio. No correlations were yielded between any of the biomechanical parameters and GH levels, disease duration and treatment dosages, respectively. Conclusion: The skin in acromegaly appears to be functionally more redundant and elastic than normal skin. The biomechanical changes appear quite different from those observed in other diseases with collagen deposition such as diabetes mellitus and scleroderma.
© 2002 S. Karger AG, Basel
Prof G.E. Piérard, MD, PhD
Department of Dermatopathology
CHU Sart-Tilman
B–4000 Liège (Belgium)
Tel. +32 4 3662408, Fax +32 4 3662976, E-Mail firstname.lastname@example.com
Number of Print Pages : 5
Number of Figures : 3, Number of Tables : 3, Number of References : 35
Dermatology (International Journal for Clinical and Investigative Dermatology)
Founded as 'Dermatologische Zeitschrift' by Oskar Lassar (1893–1907); Continued by Erich Hoffmann (1908–1938), continued as 'Dermatologica' (1939–1991), by Wilhelm Lutz (1939–1958), Rudolf Schuppli (1959–1985)
Official Organ of the Swiss Society for Dermatology and Venereology; Official Organ of the Belgian Royal Society for Dermatology and Venereology
Vol. 204, No. 4, Year 2002 (Cover Date: 2002)
Journal Editor: J.-H. Saurat, Geneva.
ISSN: 1018–8665 (print), 1421–9832 (Online)
For additional information: http://www.karger.com/journals/drm
Published online: 6/21/2002
Issue release date: 2002
Number of Print Pages: 5
Number of Figures: 3
Number of Tables: 3
ISSN: 1018-8665 (Print)
eISSN: 1421-9832 (Online)
For additional information: http://www.karger.com/DRM


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Rob Kardashian isn't very happy with his sister Kim Kardashian and her boyfriend Kanye West right now.
During last night's episode of "Kourtney & Kim Take Miami" Rob reportedly asked Kim to ask Kanye if he'd rap on a track with his friend and Kim was all like, "I'm not going to ask my rap mogul boyfriend to lay down a verse on your two-cent rapper friend's album."
She didn't actually say those words, we embellished a bit, but Kim basically told Rob she wouldn't ask Kanye for the favor.
According to Kim, Rob then texted her, "I hope your sex tape haunts you for the rest of your life and I'm going to publicly bash you and Kanye."
Well, he's YET to do this public bashing, because apparently Kim and Rob made up before he could do it.
"I wanted to apologize. Obviously the things I said to you in the text message, I was just being mean," Rob told her.
To which Kim said, "I appreciate you being mature and calling me instead of dragging this fight out."
In related news, Kris Humphries is an idiot.
Kris and Kim are heading to court to finally get that divorce on May 6th and coincidentally, Kris would be right in the middle of the NBA playoffs.
Sources tell TMZ that if a game falls on the same day as the trial, he'll go to the trial instead.
Here's why this is dumb. Kris could settle the case in April, long before the playoffs, but he won't do it because he thinks he actually has a case against Kim for "frauding" him into marriage, as if that's a real thing.
Because the couple had a prenup, Kris isn't getting anything in the trial but if he doesn't play a game he could risk his $24 million contract with the Brooklyn Nets, potentially costing him alot of money in this whole ordeal.


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Signing NFL Free Agents is Overrated
March 7th is the official day NFL teams may begin contacting agents of unrestricted free agents. The NFL free agency period is an interesting time of the off-season for general managers and owners who are trying to find players to
NFL Playoffs: Ravens vs Patriots Preview
AFC Divisional Round Preview When: Baltimore Ravens (11-6) @ New England Patriots (12-4)- 4:35 EST 1/10 NBC How They Got Here: The Pats enjoyed a bye week in the wildcard round after wrapping up the number one seed and
Should NFL Expand Current Playoff Pool?
NFL Product Would Benefit From 2 Extra Playoff Teams As America indulged in the playoff extravaganza that was Wildcard Weekend, I thought something was missing. Since 1990, the NFL playoff format has sent 12 teams (six teams per conference)
Dante Fowler Jr. And Gators Ready To Redeem Themselves
After one of the most disappointing seasons since 1979, the Florida Gators saw a lot of things they never want to see again – empty stands after third quarter, a team plagued by injury after injury, finishing 4-8, and
Jets' David Nelson Says Aaron Hernandez Was "Who He Hung Out With"
While former New England Patriots tight end Aaron Hernandez is in jail awaiting trial on murder
Patriots Hoping For More Joint Practices With Eagles
In an effort for NFL teams to get more work out of less time, more and more teams are
Can the Third Time be the Charm for the 49ers?
Tuck and O'Neill preview this weekend's Conference Championship games.
Tom Brady Gives Credit To Peyton Manning
Tom Brady on Monday had nothing but praise for Peyton Manning a day after the Denver Broncos quarterback broke his record for touchdown passes in a single season. Manning set the record when he tossed his fourth touchdown of
Vince Wilfork Says He'll Return From Injury
"I'll be back. There's no question in my mind. That's not even a question,"
Dolphins Upset Patriots 24-20
MIAMI GARDENS, Fla. (AP) — Tom Brady's latest comeback bid came up short, and the Miami Dolphins helped their playoff chances with a 24-20 breakthrough victory Sunday over the AFC East-leading New England Patriots. A fourth-down pass from Brady


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Early this month, new privacy laws came into effect which affect all Australian business.
Apart from introducing 13 new Australian Privacy Principles (APPs), the definition of "personal information" was also extended to include non identifying information such as cookies.
Businesses with a turnover of less than $3 million are exempted from the new principles unless they are dealing with personal information (in which case the Australian Privacy Principles may still apply).
So just because you have a turnover of less than $3m, it does not mean you are automatically exempt. Many smaller businesses trade in personal information without realising it. The key is to understand what constitutes personal information.
Additionally businesses with an annual turnover of less than $3m that provide health services, advertising and marketing services, or who contract to the Commonwealth government are not exempt.
Confused? So are we! It's obviously hard to provide blanket advice unless you know more about a business and how it uses information. So if you are still a small business and have a turnover of $3m or less, you should consult this checklist.
Serious fines of up to $1.7 million may be applicable so it's important to take a little bit of time to make sure to get your privacy policies in order.
So what is personal information?
Personal information includes any information that could identify, or could reasonably identify, an individual.
This includes names, addresses, dates of birth and bank account details. So it may just apply to you if you are an e-commerce store or have an email list where you send newsletters to your customer base.
So what are these principles?
The privacy principles, which came into force on March 12 this year, are related to:
- How you communicate and / or
- Request, collect and hold people's personal information within your organisation (this includes databases from 3rd parties overseas).
Importantly the definition of personal information has also been extended to potentially include anonymous personal information.
The changes affect how businesses can:
- Handle and process personal information (for example, collecting personal data via forms).
- Use personal information for direct marketing
- Disclose personal information to people overseas
Does this impact me?
If you've been collecting personal data for the purposes of sending electronic direct mail, then yes it will impact you.
You may already be compliant, however it is worth reviewing your processes to make sure that definitely are.
- Get familiar with the new Privacy Principles
Find out if there is anything that might require changes or new procedures within your business.
- Review your privacy policy & ensure you have documentation and processes in place
Review the list in the first APP to make sure you meet the requirements for your privacy policy.
Make sure you have a documented privacy policy.
Ensure it contains details around things like how you collect information, what you are collecting it for and how someone can make a complaint.
Make sure you have systems in place to manage compliance issues and complaints, and the relevant people are trained in using them.
- Review your forms for unnecessary data collection
Check all your data collection forms and make sure you're only asking for what you need. If you don't have a clear reason for collecting it, you could be in breach of the Act.
- Ensure that your Direct Marketing policies and procedures are compliant.
Review principle number seven which relates specifically to direct marketing.
There needs to be a simple way that people can request not to receive direct marketing.
You now need to include a "prominent statement that the individual may make such a request".
- Ensure security & secure disposal of personal information
Include statements regarding the security, storage and disposal of personal information.
Make sure you use shred any personal information. Use a document destruction service if shredding and disposal in house is impractical.
Have a discussion with your IT team about data security. It's important to be aware that privacy breaches most often happen through human error.
- Cover off use of Cookies and Web Beacons
Cover off how your website uses cookies and / or web beacons in your privacy policy. If you are using Google analytics to track visitors and / or conversions or using re-marketing, you will need to have this covered in your policy.
You should ensure you download and read the principles and seek advice if you have any questions.
Where do I get more information?
This article is just a general overview of some of the things you should cover. It should not constitute or replace any legal advice.
For further information, the Office of the Australian Information Commissioner (OAIC) has a fact sheet that you can download and determine if you need to comply.
The Australian Direct Marketing Association (ADMA), also has a nifty summary and a checklist which you can obtain for free (ironically in exchange for your contact details).
You can also contact the OAIC or seek independent legal advice.


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mercury emissions Companies in Greece
Category: Air & Climate ×
Subcategory: Emissions Management ×
Keyword: mercury emissions ×
Location: Europe ×
Location: Greece ×
STEAG Energy Services LLC
based in Kings Mountain, NORTH CAROLINA (USA)
STEAG Energy Services provides a full scope of environmental engineering and consulting service to the North American energy industry including SCR/SNCR system design and review, SCR catalyst management services including catalyst data interpretation, catalyst exchange strategies, catalyst cleaning, rejuvenation and regeneration, STEAG's patented/ pleated large particle ...
Tekran Instruments Corporation
based in Knoxville, TENNESSEE (USA)
Tekran Instruments Corporation is the world's leading manufacturer of advanced systems for ambient and point-source mercury monitoring. With pioneering expertise in cold vapor atomic fluorescence detection, Tekran® has become the trusted source for accurate and reliable measurement of ultra-trace mercury levels. Tekran has provided more ambient and CEM systems than any ...
Gasmet Technologies Oy
based in Helsinki, FINLAND
Gasmet Technologies is a leading manufacturer of gas monitoring instruments and systems for industrial and environmental applications including Continuous Emissions Monitoring (Power Plants, Waste Incinerators, Cement Kilns etc.) Stack Testing / Comparison Measurements, Process Control, Industrial Hygiene / Indoor Air Quality, Engine Exhaust Gas, Semiconductor ...
Genius5-Instruments GmbH
based in Kottingbrunn, AUSTRIA
Genius5-Instruments is producer of isokinetic sampling equipment, velocity proportional sampling equipment in stack emissions. It produces the products Genius 5, Windselect and pmctrace. Genius 5 is an isokinetic sampling system, suitable to sample dust, dioxins and metals. Pmctrace is a velocity proportional sampler, which is suitable for emissions trading. Windselect is ...
Advanced Technical Services GmbH
based in Zug, SWITZERLAND
Advanced Technical Services GmbH has over 40 years experience in the fields of photonics and opto-electronics, with particular emphasis on optical emission spectroscopy and optical fluorescence spectroscopy. The expertise gained over years of field work worldwide including the EU and World Bank funded projects, has allowed ATS to develop its new analytical instrumentation ...
Cooper Environmental Services, LLC
based in Beaverton, OREGON (USA)
Cooper Environmental Services LLC (CES) provides innovative scientific instruments and technical consulting for complex air quality issues, specializing in the measurement of metals in industrial emissions and ambient air. CES employs staff members, with highly technical backgrounds and years of experience working in relevant fields. CES has been in operation since 1996 ...
Enviro Technology Services plc
based in Stroud, UNITED KINGDOM
Enviro Technology Services plc (ET) was founded in 1983. Now led by MD, Mike Webley the company is active in 45 countries with a multi-million pound turnover, ET has evolved over 31 years to become a leading provider of air quality and emissions monitoring systems and servicing across the globe.
Environnement S.A
based in Poissy, FRANCE
Environnement S.A is the leading company in the field of instrumentation for the environment. Ever since its creation in 1978, Environnement S.A has been dedicated to the study, development, manufacture and supply of advanced on-line gas, particulate and water analyzers, using the most recent technologies. Environnement S.A proposes a comprehensive range of continuous ...
Carbonxt Group Ltd.
based in Sydney, AUSTRALIA
Carbonxt Group Limited is based in Sydney, Australia with the mission to safely manufacture coal-based powdered activated carbon (PAC) to enable coal-fired power plants to meet EPA regulations, thus maintaining coal as a viable fuel for electricity production. Activated carbon has a wide range of uses also including water and industrial discharge purification. Carbonxt ...
Opsis AB
based in Furulund, SWEDEN
Opsis AB is the leading supplier of open-path monitoring systems for air quality monitoring, continuous emissions monitoring (CEM) and process control. Opsis offers total monitoring solutions and the product line includes both monitoring hardware and data handling software. The DOAS technology, developed by Opsis, has received international approvals and provides ...
Related Terms for mercury emissions
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text:
By COLLEEN MCCARTHY
By STEVEN NALLEY
By CARL SMITH
By LEE ADAMS
Mississippi State is currently preparing for a homecoming game with UT Martin, but a reminder of the reality off the field is stronger than ever this week.
Mississippi State football coach Dan Mullen knows the importance of picking up a Southeastern Conference win on the road.
The Mississippi State Bulldogs are still learning on the volleyball court this season.
The lesson on Sunday was a tough one.
By JACK ELLIOTT JR.
Associated Press
JACKSON — Mississippi is on track to have one woman in statewide elective office for the upcoming term, possibly two.
By ANGIE CARNATHAN
Mississippi State started its 100th season of basketball with a 97-63 exhibition win over Florida Tech on Saturday.


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Top Mixtapes & Albums Chart
Top Mixtape & Albums Chart - Created by combining how many times a project has been viewed along with your ratings, DJBooth's chart list the top new hip hop mixtapes and albums out right now.
Drake - Nothing Was the Same
Three albums into his career and Drake is inarguably a rap superstar, maybe rap's top superstar. But I'm not really sure why. I mean, I know why – he makes hits, the ladies love him, etc. – but I don't know WHY.... Read Full Review
Lil Wayne - Dedication 5
The unstoppable Lil Wayne returns to his mixtape roots once again with the release of Dedication 5, hosted by DJ Drama and part of the legendary Gangsta Grillz series. Comprised primarily of freestyles over some of the past... Read More
9th Wonder - Bladey Mae (The Beat Tape)
"This past weekend, I met my grandma, Beulah Mae Jarrett Douthit's family (my dad's mother) for the first time. My grandma passed in 1965, so I've had no connection to her at all. I listened to the elders talk about her all... Read More
Meek Mill - Dreamchasers 3
Philly emcee Meek Mill has unleashed Dreamchasers 3, the latest entry in his popular mixtape series, presented by Puma. Meek's eighth mixtape in total, the project follows May 2012's Dreamchasers 2. Seventeen original tracks... Read More
Justin Timberlake - The 20/20 Experience (2 of 2)
Pop superstar Justin Timberlake has released the second half of his two-part album, The 20/20 Experience. The sequel to March's massively-acclaimed first installment, the project packs 13 brand new tracks from the NSYNC... Read More
Vic Mensa - INNANETAPE
Former Kids These Days frontman Vic Mensa has released his illRoots and Adidas-presented street album, INNANETAPE. Included on the SaveMoney affiliate's 14-track project are previously-released, Booth-featured selections... Read More
Mack Wilds - New York: A Love Story
Rising R&B star Mack Wilds has unleashed his major-label debut album, New York: A Love Story, via ReMiFa Music/Louder Than Life/Sony Music, which is available to be streamed in-full below. Heralded by reader-approved singles... Read More
Nicky D's - The Grey Area
West Coast buzzmaker Nicky D's has come together with The DJBooth to bring listeners his latest street album, The Grey Area. The '90s-inspired project packs 10 original jams from the Southern California native, including... Read More
ROGER - Listen to Roger
Providence, Rhode Island rap buzzmaker ROGER has come together with The DJBooth to bring listeners his digital debut album, Listen to Roger. The project packs a total of 12 original tracks from the up-and-coming rhymesayer,... Read More
Robb Bank$ - Tha City
Hip-hop artists always talk about "putting on" for their city, but how often do you hear them put on for your city? The answer: not often. On his brand new album, emcee Robb Bank$ throws a curveball into this... Read More
Chance The Rapper - Acid Rap
In the digital age, hip-hop receives a litmus test every few months. A new rapper emerges on the scene and suddenly, everybody starts talking about him or her. The buzz leading up to the "big release" from this artist spirals... Read Full Review
D.Prince - CFRN: CLASSY FLY RAP NI**A
NYC rhymesayer D.Prince has come together with The DJBooth to bring listeners his latest street release, the CFRN: CLASSY FLY RAP NI**A mixtape. The project packs 12 original records from the Fresh Vetz alumnus, including... Read More
Flatbush ZOMBiES - Better Off Dead
BK, New York trio Flatbush ZOMBiES have released their heavily-delayed, but finally available new mix-album, Better Off Dead. Included on the bulky, 19-track free release is the Booth-featured, reader-approved "Palm Trees."... Read More
Logic - Young Sinatra: Welcome to Forever
As a DMV native, I've kept a close eye on Logic's career, as I try to do with any promising Maryland prospect. Logic first caught my attention with his Young, Broke and Infamous tape, specifically his knack for killing... Read Full Review
Shae Money & Chuuwee - The Great GatZby
Denver rapper/producer Shae Money and Sacramento emcee Chuuwee, together known as SMC, have joined forces with The DJBooth to bring listeners their debut collaborative street release, The Great GatZby. The project packs 16... Read More
SupaHotBeats - Trunk Muzik (Instrumentals)
Earlier this year, Yelawolf dropped his acclaimed Trunk Muzik Returns, and now SupaHotBeats (aka WillPower), the producer behind that powerful project, has released the Trunk Muzik' Instrumentals to the masses. Included in... Read More
The Winners Circle - The Winners Circle EP
Underground hip-hop crew The Winners Circle have come together with The DJBooth and TWC Records to bring listeners their debut digital full-length, The Winners Circle EP. Recorded over the course of a single day, the project... Read More
Pusha T - My Name Is My Name
The stovetop clicks to life, as a blue flame slowly grows until it's at a steady burn. The pot clanks as it's aggressively plopped over the blue flame by a gloved hand. Cocaine bubbles within. Finished product form lines... Read Full Review
Vinny Cha$e - Kings Landing
Roll out the red carpet, sound the trumpets and boil the hot water, because Cheer$ Club emcee Vinny Cha$e has arrived with the Kings Landing. Included on the Harlem native's newly-released, 18-track free project is... Read More